Heights University Hospital

All Charges

Charge

Type

Setting

Price

PATH COSULT/SURG/CYT/EXAM-@ AD

Facility

$101.00

Service Code	HCPCS 88334
Hospital Charge Code	38477125
Hospital Revenue Code	312
Min. Negotiated Rate	$13.13
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$30.30
Rate for Payer: Aetna Medicare Advantage	$30.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.75
Rate for Payer: Cigna Commercial	$60.05
Rate for Payer: Cigna Medicare Advantage	$30.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.13
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.15
Rate for Payer: UnitedHealthcare Commercial	$114.00

PATH COSULT/SURG/CYT/EXAM-@ AD

Facility

$101.00

Service Code	HCPCS 88334
Hospital Charge Code	38477125
Hospital Revenue Code	312
Min. Negotiated Rate	$15.15
Max. Negotiated Rate	$15.15
Rate for Payer: Qualcare PPO/HMO/WC	$15.15

PATHFINDER PLUS CMI

Facility

$185.00

Hospital Charge Code	270650838
Hospital Revenue Code	272
Min. Negotiated Rate	$27.75
Max. Negotiated Rate	$27.75
Rate for Payer: Qualcare PPO/HMO/WC	$27.75

PATHFINDER PLUS CMI

Facility

$185.00

Hospital Charge Code	270650838
Hospital Revenue Code	272
Min. Negotiated Rate	$24.05
Max. Negotiated Rate	$92.50
Rate for Payer: Aetna Commercial	$55.50
Rate for Payer: Aetna Medicare Advantage	$55.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.17
Rate for Payer: Cigna Commercial	$92.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.05
Rate for Payer: Oxford Commercial	$92.50
Rate for Payer: Qualcare PPO/HMO/WC	$27.75
Rate for Payer: UnitedHealthcare Commercial	$92.50

PATH/NEUROPATH

Facility

$672.00

Service Code	HCPCS 88313
Hospital Charge Code	3005389
Hospital Revenue Code	310
Min. Negotiated Rate	$46.48
Max. Negotiated Rate	$316.85
Rate for Payer: Aetna Commercial	$201.60
Rate for Payer: Aetna Medicare Advantage	$201.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$171.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$171.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$171.36
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: Cigna Medicare Advantage	$46.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.36
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$100.80
Rate for Payer: UnitedHealthcare Commercial	$114.00

PATH/NEUROPATH

Facility

$672.00

Service Code	HCPCS 88313
Hospital Charge Code	3005389
Hospital Revenue Code	310
Min. Negotiated Rate	$100.80
Max. Negotiated Rate	$100.80
Rate for Payer: Qualcare PPO/HMO/WC	$100.80

PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC

Facility

$41,660.67

Service Code	MSDRG 543
Min. Negotiated Rate	$11,218.14
Max. Negotiated Rate	$41,660.67
Rate for Payer: Aetna Commercial	$34,664.05
Rate for Payer: Aetna Medicare Advantage	$11,218.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30,048.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30,048.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,886.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30,048.03
Rate for Payer: Cigna Commercial	$22,123.59
Rate for Payer: Cigna Medicare Advantage	$13,886.89
Rate for Payer: Clover Medicare Advantage	$13,192.55
Rate for Payer: EmblemHealth Commercial	$41,660.67
Rate for Payer: Humana Medicare Advantage	$14,303.50
Rate for Payer: Oxford Commercial	$13,826.60
Rate for Payer: UnitedHealthcare Commercial	$15,694.48
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,886.89
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14,720.10
Rate for Payer: Wellcare Medicare Advantage	$13,886.89

PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC

Facility

$63,096.18

Service Code	MSDRG 542
Min. Negotiated Rate	$19,277.08
Max. Negotiated Rate	$63,096.18
Rate for Payer: Aetna Commercial	$59,566.18
Rate for Payer: Aetna Medicare Advantage	$19,277.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50,171.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50,171.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21,032.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50,171.94
Rate for Payer: Cigna Commercial	$38,016.85
Rate for Payer: Cigna Medicare Advantage	$21,032.06
Rate for Payer: Clover Medicare Advantage	$19,980.46
Rate for Payer: EmblemHealth Commercial	$63,096.18
Rate for Payer: Humana Medicare Advantage	$21,663.02
Rate for Payer: Oxford Commercial	$23,759.42
Rate for Payer: UnitedHealthcare Commercial	$26,969.16
Rate for Payer: UnitedHealthcare Medicare Advantage	$21,032.06
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$22,293.98
Rate for Payer: Wellcare Medicare Advantage	$21,032.06

PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC

Facility

$33,725.04

Service Code	MSDRG 544
Min. Negotiated Rate	$8,234.64
Max. Negotiated Rate	$33,725.04
Rate for Payer: Aetna Commercial	$25,445.04
Rate for Payer: Aetna Medicare Advantage	$8,234.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21,226.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21,226.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11,241.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21,226.59
Rate for Payer: Cigna Commercial	$16,239.75
Rate for Payer: Cigna Medicare Advantage	$11,241.68
Rate for Payer: Clover Medicare Advantage	$10,679.60
Rate for Payer: EmblemHealth Commercial	$33,725.04
Rate for Payer: Humana Medicare Advantage	$11,578.93
Rate for Payer: Oxford Commercial	$10,149.37
Rate for Payer: UnitedHealthcare Commercial	$11,520.48
Rate for Payer: UnitedHealthcare Medicare Advantage	$11,241.68
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$11,916.18
Rate for Payer: Wellcare Medicare Advantage	$11,241.68

PATHOLOGIST REVIEW, BODY FLUID

Facility

$65.65

Service Code	HCPCS 84155
Hospital Charge Code	3008588
Hospital Revenue Code	301
Min. Negotiated Rate	$1.83
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$11.89
Rate for Payer: Aetna Medicare Advantage	$3.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.45
Rate for Payer: Cigna Commercial	$3.67
Rate for Payer: Cigna Medicare Advantage	$1.83
Rate for Payer: Clover Medicare Advantage	$3.49
Rate for Payer: EmblemHealth Commercial	$11.01
Rate for Payer: Humana Medicare Advantage	$3.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.53
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.85
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$3.67
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$3.89
Rate for Payer: Wellcare Medicare Advantage	$3.67

PATHOLOGIST REVIEW, BODY FLUID

Facility

$65.65

Service Code	HCPCS 84155
Hospital Charge Code	3008588
Hospital Revenue Code	301
Min. Negotiated Rate	$9.85
Max. Negotiated Rate	$9.85
Rate for Payer: Qualcare PPO/HMO/WC	$9.85

PATHOLOGY CONSULT

Facility

$692.10

Service Code	HCPCS 88305
Hospital Charge Code	3035020
Hospital Revenue Code	319
Min. Negotiated Rate	$103.81
Max. Negotiated Rate	$103.81
Rate for Payer: Qualcare PPO/HMO/WC	$103.81

PATHOLOGY CONSULT

Facility

$692.10

Service Code	HCPCS 88305
Hospital Charge Code	3035020
Hospital Revenue Code	319
Min. Negotiated Rate	$39.47
Max. Negotiated Rate	$207.63
Rate for Payer: Aetna Commercial	$207.63
Rate for Payer: Aetna Medicare Advantage	$207.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$176.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$176.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$176.49
Rate for Payer: Cigna Commercial	$124.10
Rate for Payer: Cigna Medicare Advantage	$39.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.97
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$103.81
Rate for Payer: UnitedHealthcare Commercial	$114.00

PATHWAY JETWIRE

Facility

$1,250.00

Hospital Charge Code	270CH0071
Hospital Revenue Code	272
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

PATHWAY JETWIRE

Facility

$1,250.00

Hospital Charge Code	270CH0071
Hospital Revenue Code	272
Min. Negotiated Rate	$162.50
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$375.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.50
Rate for Payer: Oxford Commercial	$625.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Commercial	$625.00

PATHWAY JETWIRE

Facility

$1,250.00

Hospital Charge Code	2709007407
Hospital Revenue Code	272
Min. Negotiated Rate	$162.50
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$375.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.50
Rate for Payer: Oxford Commercial	$625.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Commercial	$625.00

PATHWAY JETWIRE

Facility

$1,250.00

Hospital Charge Code	2709007407
Hospital Revenue Code	272
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

PATIENT EDUCATION

Facility

$156.20

Hospital Charge Code	50009
Hospital Revenue Code	942
Min. Negotiated Rate	$20.31
Max. Negotiated Rate	$779.00
Rate for Payer: Aetna Commercial	$46.86
Rate for Payer: Aetna Medicare Advantage	$46.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.83
Rate for Payer: Cigna Commercial	$78.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.31
Rate for Payer: Oxford Commercial	$686.00
Rate for Payer: Qualcare PPO/HMO/WC	$23.43
Rate for Payer: UnitedHealthcare Commercial	$779.00

PATIENT EDUCATION

Facility

$156.20

Hospital Charge Code	50009
Hospital Revenue Code	942
Min. Negotiated Rate	$23.43
Max. Negotiated Rate	$23.43
Rate for Payer: Qualcare PPO/HMO/WC	$23.43

PATIENT PROGRAMMER

Facility

$4,500.00

Hospital Charge Code	270663406
Hospital Revenue Code	278
Min. Negotiated Rate	$675.00
Max. Negotiated Rate	$2,250.00
Rate for Payer: Aetna Commercial	$1,350.00
Rate for Payer: Aetna Medicare Advantage	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,147.50
Rate for Payer: Cigna Commercial	$2,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,089.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00

PATIENT PROGRAMMER

Facility

$4,500.00

Hospital Charge Code	270663406
Hospital Revenue Code	278
Min. Negotiated Rate	$675.00
Max. Negotiated Rate	$1,089.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,089.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00

PATIENT PROGRAMMER INTERSTIM

Facility

$5,950.00

Service Code	HCPCS C1787
Hospital Charge Code	270671690
Hospital Revenue Code	278
Min. Negotiated Rate	$892.50
Max. Negotiated Rate	$2,975.00
Rate for Payer: Aetna Commercial	$1,785.00
Rate for Payer: Aetna Medicare Advantage	$1,785.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,517.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,517.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,190.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,517.25
Rate for Payer: Cigna Commercial	$2,975.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,439.90
Rate for Payer: Qualcare PPO/HMO/WC	$892.50

PATIENT PROGRAMMER INTERSTIM

Facility

$5,950.00

Service Code	HCPCS C1787
Hospital Charge Code	270671690
Hospital Revenue Code	278
Min. Negotiated Rate	$892.50
Max. Negotiated Rate	$1,439.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,190.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,439.90
Rate for Payer: Qualcare PPO/HMO/WC	$892.50

PATIENT TRACTER

Facility

$1,025.00

Hospital Charge Code	270685916
Hospital Revenue Code	272
Min. Negotiated Rate	$153.75
Max. Negotiated Rate	$153.75
Rate for Payer: Qualcare PPO/HMO/WC	$153.75

PATIENT TRACTER

Facility

$1,025.00

Hospital Charge Code	270685916
Hospital Revenue Code	272
Min. Negotiated Rate	$133.25
Max. Negotiated Rate	$512.50
Rate for Payer: Aetna Commercial	$307.50
Rate for Payer: Aetna Medicare Advantage	$307.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$261.38
Rate for Payer: Cigna Commercial	$512.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: Oxford Commercial	$512.50
Rate for Payer: Qualcare PPO/HMO/WC	$153.75
Rate for Payer: UnitedHealthcare Commercial	$512.50

Know your out-of-pocket cost for care.

All Charges