Heights University Hospital

All Charges

Charge

Type

Setting

Price

PCR-HIV DNA #H61***

Facility

$431.00

Hospital Charge Code	3010816
Hospital Revenue Code	306
Min. Negotiated Rate	$64.65
Max. Negotiated Rate	$64.65
Rate for Payer: Qualcare PPO/HMO/WC	$64.65

PD 103 SPACERS IN NEEDLE 18gA

Facility

$175.50

Hospital Charge Code	270646148
Hospital Revenue Code	278
Min. Negotiated Rate	$26.32
Max. Negotiated Rate	$42.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.47
Rate for Payer: Qualcare PPO/HMO/WC	$26.32

PD 103 SPACERS IN NEEDLE 18gA

Facility

$175.50

Hospital Charge Code	270646148
Hospital Revenue Code	278
Min. Negotiated Rate	$26.32
Max. Negotiated Rate	$87.75
Rate for Payer: Aetna Commercial	$52.65
Rate for Payer: Aetna Medicare Advantage	$52.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.75
Rate for Payer: Cigna Commercial	$87.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.47
Rate for Payer: Qualcare PPO/HMO/WC	$26.32

PD-IT IRRIGATION TUBING

Facility

$705.55

Hospital Charge Code	270699126
Hospital Revenue Code	272
Min. Negotiated Rate	$105.83
Max. Negotiated Rate	$105.83
Rate for Payer: Qualcare PPO/HMO/WC	$105.83

PD-IT IRRIGATION TUBING

Facility

$705.55

Hospital Charge Code	270699126
Hospital Revenue Code	272
Min. Negotiated Rate	$91.72
Max. Negotiated Rate	$352.77
Rate for Payer: Aetna Commercial	$211.66
Rate for Payer: Aetna Medicare Advantage	$211.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$179.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$179.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$179.92
Rate for Payer: Cigna Commercial	$352.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.72
Rate for Payer: Oxford Commercial	$352.77
Rate for Payer: Qualcare PPO/HMO/WC	$105.83
Rate for Payer: UnitedHealthcare Commercial	$352.77

PEAK FLOW************

Facility

$48.40

Hospital Charge Code	9501008
Hospital Revenue Code	419
Min. Negotiated Rate	$7.26
Max. Negotiated Rate	$7.26
Rate for Payer: Qualcare PPO/HMO/WC	$7.26

PEAK FLOW************

Facility

$48.40

Hospital Charge Code	9501008
Hospital Revenue Code	419
Min. Negotiated Rate	$6.29
Max. Negotiated Rate	$1,004.00
Rate for Payer: Aetna Commercial	$14.52
Rate for Payer: Aetna Medicare Advantage	$14.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.34
Rate for Payer: Cigna Commercial	$24.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.29
Rate for Payer: Oxford Commercial	$885.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.26
Rate for Payer: UnitedHealthcare Commercial	$1,004.00

PEAK FLOW METER ASTHMA CHECK

Facility

$37.30

Hospital Charge Code	270643983
Hospital Revenue Code	270
Min. Negotiated Rate	$4.85
Max. Negotiated Rate	$18.65
Rate for Payer: Aetna Commercial	$11.19
Rate for Payer: Aetna Medicare Advantage	$11.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.51
Rate for Payer: Cigna Commercial	$18.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.85
Rate for Payer: Oxford Commercial	$18.65
Rate for Payer: Qualcare PPO/HMO/WC	$5.59
Rate for Payer: UnitedHealthcare Commercial	$18.65

PEAK FLOW METER ASTHMA CHECK

Facility

$37.30

Hospital Charge Code	270643983
Hospital Revenue Code	270
Min. Negotiated Rate	$5.59
Max. Negotiated Rate	$5.59
Rate for Payer: Qualcare PPO/HMO/WC	$5.59

PEAK FLOW METER LOW RANGE

Facility

$37.85

Hospital Charge Code	270638861
Hospital Revenue Code	270
Min. Negotiated Rate	$5.68
Max. Negotiated Rate	$5.68
Rate for Payer: Qualcare PPO/HMO/WC	$5.68

PEAK FLOW METER LOW RANGE

Facility

$37.85

Hospital Charge Code	270638861
Hospital Revenue Code	270
Min. Negotiated Rate	$4.92
Max. Negotiated Rate	$18.93
Rate for Payer: Aetna Commercial	$11.36
Rate for Payer: Aetna Medicare Advantage	$11.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.65
Rate for Payer: Cigna Commercial	$18.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.92
Rate for Payer: Oxford Commercial	$18.93
Rate for Payer: Qualcare PPO/HMO/WC	$5.68
Rate for Payer: UnitedHealthcare Commercial	$18.93

PEAK FLOW TREATMENT

Facility

$10,357.02

Service Code	HCPCS 94150
Hospital Charge Code	9500589
Hospital Revenue Code	460
Min. Negotiated Rate	$1,553.55
Max. Negotiated Rate	$1,553.55
Rate for Payer: Qualcare PPO/HMO/WC	$1,553.55

PEAK FLOW TREATMENT

Facility

$10,357.02

Service Code	HCPCS 94150
Hospital Charge Code	9500589
Hospital Revenue Code	460
Min. Negotiated Rate	$74.75
Max. Negotiated Rate	$3,107.11
Rate for Payer: Aetna Commercial	$3,107.11
Rate for Payer: Aetna Medicare Advantage	$3,107.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,641.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,641.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,641.04
Rate for Payer: Cigna Commercial	$306.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,346.41
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,553.55
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

PEAK FLOW TREATMENT - SUBSEQ**

Facility

$51.00

Service Code	HCPCS 94150
Hospital Charge Code	9500590
Hospital Revenue Code	419
Min. Negotiated Rate	$7.65
Max. Negotiated Rate	$7.65
Rate for Payer: Qualcare PPO/HMO/WC	$7.65

PEAK FLOW TREATMENT - SUBSEQ**

Facility

$51.00

Service Code	HCPCS 94150
Hospital Charge Code	9500590
Hospital Revenue Code	419
Min. Negotiated Rate	$6.63
Max. Negotiated Rate	$1,004.00
Rate for Payer: Aetna Commercial	$15.30
Rate for Payer: Aetna Medicare Advantage	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.01
Rate for Payer: Cigna Commercial	$306.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.63
Rate for Payer: Oxford Commercial	$885.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.65
Rate for Payer: UnitedHealthcare Commercial	$1,004.00

PEAK FLOW TRMT - INIT W/SUPPLY

Facility

$89.10

Service Code	HCPCS 94150
Hospital Charge Code	9500588
Hospital Revenue Code	419
Min. Negotiated Rate	$11.58
Max. Negotiated Rate	$1,004.00
Rate for Payer: Aetna Commercial	$26.73
Rate for Payer: Aetna Medicare Advantage	$26.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.72
Rate for Payer: Cigna Commercial	$306.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.58
Rate for Payer: Oxford Commercial	$885.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.37
Rate for Payer: UnitedHealthcare Commercial	$1,004.00

PEAK FLOW TRMT - INIT W/SUPPLY

Facility

$89.10

Service Code	HCPCS 94150
Hospital Charge Code	9500588
Hospital Revenue Code	419
Min. Negotiated Rate	$13.37
Max. Negotiated Rate	$13.37
Rate for Payer: Qualcare PPO/HMO/WC	$13.37

PEANUT ENDOSCOPIC DEVICE 5MM

Facility

$99.75

Hospital Charge Code	270660429
Hospital Revenue Code	272
Min. Negotiated Rate	$14.96
Max. Negotiated Rate	$14.96
Rate for Payer: Qualcare PPO/HMO/WC	$14.96

PEANUT ENDOSCOPIC DEVICE 5MM

Facility

$99.75

Hospital Charge Code	270660429
Hospital Revenue Code	272
Min. Negotiated Rate	$12.97
Max. Negotiated Rate	$49.88
Rate for Payer: Aetna Commercial	$29.93
Rate for Payer: Aetna Medicare Advantage	$29.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.44
Rate for Payer: Cigna Commercial	$49.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.97
Rate for Payer: Oxford Commercial	$49.88
Rate for Payer: Qualcare PPO/HMO/WC	$14.96
Rate for Payer: UnitedHealthcare Commercial	$49.88

PEANUT (F13) IGE

Facility

$390.00

Service Code	HCPCS 86003
Hospital Charge Code	39900353
Hospital Revenue Code	305
Min. Negotiated Rate	$2.61
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.91
Rate for Payer: Aetna Medicare Advantage	$5.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.13
Rate for Payer: Cigna Commercial	$5.22
Rate for Payer: Cigna Medicare Advantage	$2.61
Rate for Payer: Clover Medicare Advantage	$4.96
Rate for Payer: EmblemHealth Commercial	$15.66
Rate for Payer: Humana Medicare Advantage	$5.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.22
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.53
Rate for Payer: Wellcare Medicare Advantage	$5.22

PEANUT (F13) IGE

Facility

$390.00

Service Code	HCPCS 86003
Hospital Charge Code	39900353
Hospital Revenue Code	305
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

PEANUTS 16

Facility

$141.65

Hospital Charge Code	270608412
Hospital Revenue Code	270
Min. Negotiated Rate	$18.41
Max. Negotiated Rate	$70.83
Rate for Payer: Aetna Commercial	$42.49
Rate for Payer: Aetna Medicare Advantage	$42.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.12
Rate for Payer: Cigna Commercial	$70.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.41
Rate for Payer: Oxford Commercial	$70.83
Rate for Payer: Qualcare PPO/HMO/WC	$21.25
Rate for Payer: UnitedHealthcare Commercial	$70.83

PEANUTS 16

Facility

$141.65

Hospital Charge Code	270608412
Hospital Revenue Code	270
Min. Negotiated Rate	$21.25
Max. Negotiated Rate	$21.25
Rate for Payer: Qualcare PPO/HMO/WC	$21.25

PECA 4X30MM

Facility

$4,450.00

Service Code	HCPCS C1713
Hospital Charge Code	270705984
Hospital Revenue Code	278
Min. Negotiated Rate	$667.50
Max. Negotiated Rate	$2,225.00
Rate for Payer: Aetna Commercial	$1,335.00
Rate for Payer: Aetna Medicare Advantage	$1,335.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,134.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,134.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$890.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,134.75
Rate for Payer: Cigna Commercial	$2,225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,076.90
Rate for Payer: Qualcare PPO/HMO/WC	$667.50

PECA 4X30MM

Facility

$4,450.00

Service Code	HCPCS C1713
Hospital Charge Code	270705984
Hospital Revenue Code	278
Min. Negotiated Rate	$667.50
Max. Negotiated Rate	$1,076.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$890.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,076.90
Rate for Payer: Qualcare PPO/HMO/WC	$667.50

Know your out-of-pocket cost for care.

All Charges