Heights University Hospital

All Charges

Charge

Type

Setting

Price

PHOSPHORUS, SERUM

Facility

$656.14

Service Code	HCPCS 84100
Hospital Charge Code	3002094
Hospital Revenue Code	301
Min. Negotiated Rate	$98.42
Max. Negotiated Rate	$98.42
Rate for Payer: Qualcare PPO/HMO/WC	$98.42

PHOSPHORUS SERUM PANEL***

Facility

$6.00

Service Code	HCPCS 84100
Hospital Charge Code	3002094P
Hospital Revenue Code	301
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$0.90
Rate for Payer: Qualcare PPO/HMO/WC	$0.90

PHOSPHORUS SERUM PANEL***

Facility

$6.00

Service Code	HCPCS 84100
Hospital Charge Code	3002094P
Hospital Revenue Code	301
Min. Negotiated Rate	$0.78
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$15.36
Rate for Payer: Aetna Medicare Advantage	$4.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.37
Rate for Payer: Cigna Commercial	$4.74
Rate for Payer: Cigna Medicare Advantage	$2.37
Rate for Payer: Clover Medicare Advantage	$4.50
Rate for Payer: EmblemHealth Commercial	$14.22
Rate for Payer: Humana Medicare Advantage	$4.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.78
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.90
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.74
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.02
Rate for Payer: Wellcare Medicare Advantage	$4.74

PHOSPHORUS SUPPLEMENT TABLET

Facility

$5.70

Service Code	NDC 486112501
Hospital Charge Code	60632341
Hospital Revenue Code	250
Min. Negotiated Rate	$0.86
Max. Negotiated Rate	$0.86
Rate for Payer: Qualcare PPO/HMO/WC	$0.86

PHOSPHORUS SUPPLEMENT TABLET

Facility

$5.70

Service Code	NDC 486112501
Hospital Charge Code	60632341
Hospital Revenue Code	250
Min. Negotiated Rate	$0.74
Max. Negotiated Rate	$2.85
Rate for Payer: Aetna Commercial	$1.71
Rate for Payer: Aetna Medicare Advantage	$1.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.45
Rate for Payer: Cigna Commercial	$2.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.74
Rate for Payer: Oxford Commercial	$2.85
Rate for Payer: Qualcare PPO/HMO/WC	$0.86
Rate for Payer: UnitedHealthcare Commercial	$2.85

PHOSPHORUS URINE

Facility

$390.00

Service Code	HCPCS 84105
Hospital Charge Code	3030855
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

PHOSPHORUS URINE

Facility

$390.00

Service Code	HCPCS 84105
Hospital Charge Code	3030855
Hospital Revenue Code	301
Min. Negotiated Rate	$2.89
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$18.73
Rate for Payer: Aetna Medicare Advantage	$5.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.18
Rate for Payer: Cigna Commercial	$5.78
Rate for Payer: Cigna Medicare Advantage	$2.89
Rate for Payer: Clover Medicare Advantage	$5.49
Rate for Payer: EmblemHealth Commercial	$17.34
Rate for Payer: Humana Medicare Advantage	$5.95
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	$5.78
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.13
Rate for Payer: Wellcare Medicare Advantage	$5.78

PHOSPHORUS, URINE

Facility

$163.00

Service Code	HCPCS 84105
Hospital Charge Code	38472542
Hospital Revenue Code	301
Min. Negotiated Rate	$24.45
Max. Negotiated Rate	$24.45
Rate for Payer: Qualcare PPO/HMO/WC	$24.45

PHOSPHORUS, URINE

Facility

$163.00

Service Code	HCPCS 84105
Hospital Charge Code	38472542
Hospital Revenue Code	301
Min. Negotiated Rate	$2.89
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$18.73
Rate for Payer: Aetna Medicare Advantage	$5.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.18
Rate for Payer: Cigna Commercial	$5.78
Rate for Payer: Cigna Medicare Advantage	$2.89
Rate for Payer: Clover Medicare Advantage	$5.49
Rate for Payer: EmblemHealth Commercial	$17.34
Rate for Payer: Humana Medicare Advantage	$5.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.19
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.45
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.78
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.13
Rate for Payer: Wellcare Medicare Advantage	$5.78

PHOSPHORUS, URINE 24 HOUR

Facility

$322.47

Service Code	HCPCS 82150
Hospital Charge Code	3030848
Hospital Revenue Code	301
Min. Negotiated Rate	$3.24
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$21.00
Rate for Payer: Aetna Medicare Advantage	$6.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.74
Rate for Payer: Cigna Commercial	$6.48
Rate for Payer: Cigna Medicare Advantage	$3.24
Rate for Payer: Clover Medicare Advantage	$6.16
Rate for Payer: EmblemHealth Commercial	$19.44
Rate for Payer: Humana Medicare Advantage	$6.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.92
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$48.37
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.48
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.87
Rate for Payer: Wellcare Medicare Advantage	$6.48

PHOSPHORUS, URINE 24 HOUR

Facility

$322.47

Service Code	HCPCS 82150
Hospital Charge Code	3030848
Hospital Revenue Code	301
Min. Negotiated Rate	$48.37
Max. Negotiated Rate	$48.37
Rate for Payer: Qualcare PPO/HMO/WC	$48.37

PHOSPHO-SODA FLAVORED/90M

Facility

$5.00

Hospital Charge Code	60633660
Hospital Revenue Code	250
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

PHOSPHO-SODA FLAVORED/90M

Facility

$5.00

Hospital Charge Code	60633660
Hospital Revenue Code	250
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$2.50
Rate for Payer: Aetna Commercial	$1.50
Rate for Payer: Aetna Medicare Advantage	$1.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.27
Rate for Payer: Cigna Commercial	$2.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.65
Rate for Payer: Oxford Commercial	$2.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.75
Rate for Payer: UnitedHealthcare Commercial	$2.50

PHOTHERAPY/ACTINOTHERAPY

Facility

$209.59

Service Code	HCPCS 96900
Hospital Charge Code	83092030
Hospital Revenue Code	940
Min. Negotiated Rate	$31.44
Max. Negotiated Rate	$31.44
Rate for Payer: Qualcare PPO/HMO/WC	$31.44

PHOTHERAPY/ACTINOTHERAPY

Facility

$209.59

Service Code	HCPCS 96900
Hospital Charge Code	83080045
Hospital Revenue Code	940
Min. Negotiated Rate	$31.44
Max. Negotiated Rate	$31.44
Rate for Payer: Qualcare PPO/HMO/WC	$31.44

PHOTHERAPY/ACTINOTHERAPY

Facility

$209.59

Service Code	HCPCS 96900
Hospital Charge Code	83090020
Hospital Revenue Code	940
Min. Negotiated Rate	$8.19
Max. Negotiated Rate	$1,558.00
Rate for Payer: Aetna Commercial	$62.88
Rate for Payer: Aetna Medicare Advantage	$62.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.45
Rate for Payer: Cigna Commercial	$88.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.25
Rate for Payer: Oxford Commercial	$1,373.00
Rate for Payer: Qualcare PPO/HMO/WC	$31.44
Rate for Payer: UnitedHealthcare Commercial	$1,558.00

PHOTHERAPY/ACTINOTHERAPY

Facility

$209.59

Service Code	HCPCS 96900
Hospital Charge Code	83090020
Hospital Revenue Code	940
Min. Negotiated Rate	$31.44
Max. Negotiated Rate	$31.44
Rate for Payer: Qualcare PPO/HMO/WC	$31.44

PHOTHERAPY/ACTINOTHERAPY

Facility

$209.59

Service Code	HCPCS 96900
Hospital Charge Code	83092030
Hospital Revenue Code	940
Min. Negotiated Rate	$8.19
Max. Negotiated Rate	$1,558.00
Rate for Payer: Aetna Commercial	$62.88
Rate for Payer: Aetna Medicare Advantage	$62.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.45
Rate for Payer: Cigna Commercial	$88.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.25
Rate for Payer: Oxford Commercial	$1,373.00
Rate for Payer: Qualcare PPO/HMO/WC	$31.44
Rate for Payer: UnitedHealthcare Commercial	$1,558.00

PHOTHERAPY/ACTINOTHERAPY

Facility

$209.59

Service Code	HCPCS 96900
Hospital Charge Code	83080045
Hospital Revenue Code	940
Min. Negotiated Rate	$8.19
Max. Negotiated Rate	$1,558.00
Rate for Payer: Aetna Commercial	$62.88
Rate for Payer: Aetna Medicare Advantage	$62.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.45
Rate for Payer: Cigna Commercial	$88.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.25
Rate for Payer: Oxford Commercial	$1,373.00
Rate for Payer: Qualcare PPO/HMO/WC	$31.44
Rate for Payer: UnitedHealthcare Commercial	$1,558.00

PHOTOBBLADE 3

Facility

$1,600.00

Hospital Charge Code	270703813
Hospital Revenue Code	272
Min. Negotiated Rate	$208.00
Max. Negotiated Rate	$800.00
Rate for Payer: Aetna Commercial	$480.00
Rate for Payer: Aetna Medicare Advantage	$480.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$408.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$408.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$408.00
Rate for Payer: Cigna Commercial	$800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$208.00
Rate for Payer: Oxford Commercial	$800.00
Rate for Payer: Qualcare PPO/HMO/WC	$240.00
Rate for Payer: UnitedHealthcare Commercial	$800.00

PHOTOBBLADE 3

Facility

$1,600.00

Hospital Charge Code	270703813
Hospital Revenue Code	272
Min. Negotiated Rate	$240.00
Max. Negotiated Rate	$240.00
Rate for Payer: Qualcare PPO/HMO/WC	$240.00

PHOTOBLADE 3 SMOKE EVACU

Facility

$2,100.00

Hospital Charge Code	270703814
Hospital Revenue Code	272
Min. Negotiated Rate	$315.00
Max. Negotiated Rate	$315.00
Rate for Payer: Qualcare PPO/HMO/WC	$315.00

PHOTOBLADE 3 SMOKE EVACU

Facility

$2,100.00

Hospital Charge Code	270703814
Hospital Revenue Code	272
Min. Negotiated Rate	$273.00
Max. Negotiated Rate	$1,050.00
Rate for Payer: Aetna Commercial	$630.00
Rate for Payer: Aetna Medicare Advantage	$630.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$535.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$535.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$535.50
Rate for Payer: Cigna Commercial	$1,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$273.00
Rate for Payer: Oxford Commercial	$1,050.00
Rate for Payer: Qualcare PPO/HMO/WC	$315.00
Rate for Payer: UnitedHealthcare Commercial	$1,050.00

PHOTOGRAPHS - (ENDOSCOPY)***

Facility

$121.00

Hospital Charge Code	2300671
Hospital Revenue Code	279
Min. Negotiated Rate	$15.73
Max. Negotiated Rate	$60.50
Rate for Payer: Aetna Commercial	$36.30
Rate for Payer: Aetna Medicare Advantage	$36.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.86
Rate for Payer: Cigna Commercial	$60.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.73
Rate for Payer: Oxford Commercial	$60.50
Rate for Payer: Qualcare PPO/HMO/WC	$18.15
Rate for Payer: UnitedHealthcare Commercial	$60.50

PHOTOGRAPHS - (ENDOSCOPY)***

Facility

$121.00

Hospital Charge Code	2300671
Hospital Revenue Code	279
Min. Negotiated Rate	$18.15
Max. Negotiated Rate	$18.15
Rate for Payer: Qualcare PPO/HMO/WC	$18.15

Know your out-of-pocket cost for care.

All Charges