Heights University Hospital

All Charges

Charge

Type

Setting

Price

PROSTATE NEEDLE PUNCH BX

Facility

$5,698.20

Service Code	HCPCS 55708
Hospital Charge Code	404155708
Hospital Revenue Code	361
Min. Negotiated Rate	$740.77
Max. Negotiated Rate	$8,394.37
Rate for Payer: Aetna Commercial	$1,709.46
Rate for Payer: Aetna Medicare Advantage	$1,709.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,453.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,453.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,453.04
Rate for Payer: Cigna Commercial	$8,394.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$740.77
Rate for Payer: Qualcare PPO/HMO/WC	$854.73

PROSTATE NEEDLE PUNCH BX

Facility

$5,698.20

Service Code	HCPCS 55708
Hospital Charge Code	1600000831
Hospital Revenue Code	360
Min. Negotiated Rate	$740.77
Max. Negotiated Rate	$8,394.37
Rate for Payer: Aetna Commercial	$1,709.46
Rate for Payer: Aetna Medicare Advantage	$1,709.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,453.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,453.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,453.04
Rate for Payer: Cigna Commercial	$8,394.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$740.77
Rate for Payer: Qualcare PPO/HMO/WC	$854.73

PROSTATE NEEDLE PUNCH BX

Facility

$5,698.20

Service Code	HCPCS 55705
Hospital Charge Code	160000213
Hospital Revenue Code	360
Min. Negotiated Rate	$854.73
Max. Negotiated Rate	$854.73
Rate for Payer: Qualcare PPO/HMO/WC	$854.73

PROSTATE NEEDLE PUNCH BX

Facility

$5,698.20

Service Code	HCPCS 55705
Hospital Charge Code	1600000829
Hospital Revenue Code	360
Min. Negotiated Rate	$854.73
Max. Negotiated Rate	$854.73
Rate for Payer: Qualcare PPO/HMO/WC	$854.73

PROSTATE NEEDLE PUNCH BX

Facility

$5,698.20

Service Code	HCPCS 55711
Hospital Charge Code	1600000844
Hospital Revenue Code	360
Min. Negotiated Rate	$854.73
Max. Negotiated Rate	$854.73
Rate for Payer: Qualcare PPO/HMO/WC	$854.73

PROSTATE NEEDLE PUNCH BX

Facility

$5,698.20

Service Code	HCPCS 55707
Hospital Charge Code	404155707
Hospital Revenue Code	361
Min. Negotiated Rate	$854.73
Max. Negotiated Rate	$854.73
Rate for Payer: Qualcare PPO/HMO/WC	$854.73

PROSTATE NEEDLE PUNCH BX

Facility

$5,698.20

Service Code	HCPCS 55710
Hospital Charge Code	404155710
Hospital Revenue Code	361
Min. Negotiated Rate	$854.73
Max. Negotiated Rate	$854.73
Rate for Payer: Qualcare PPO/HMO/WC	$854.73

PROSTATE NEEDLE PUNCH BX

Facility

$5,698.20

Service Code	HCPCS 55711
Hospital Charge Code	404155711
Hospital Revenue Code	361
Min. Negotiated Rate	$854.73
Max. Negotiated Rate	$854.73
Rate for Payer: Qualcare PPO/HMO/WC	$854.73

PROSTATE NEEDLE PUNCH BX

Facility

$5,698.20

Service Code	HCPCS 55709
Hospital Charge Code	404155709
Hospital Revenue Code	361
Min. Negotiated Rate	$740.77
Max. Negotiated Rate	$8,394.37
Rate for Payer: Aetna Commercial	$1,709.46
Rate for Payer: Aetna Medicare Advantage	$1,709.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,453.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,453.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,453.04
Rate for Payer: Cigna Commercial	$8,394.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$740.77
Rate for Payer: Qualcare PPO/HMO/WC	$854.73

PROSTATE NEEDLE PUNCH BX

Facility

$5,698.20

Service Code	HCPCS 55712
Hospital Charge Code	404155712
Hospital Revenue Code	361
Min. Negotiated Rate	$854.73
Max. Negotiated Rate	$854.73
Rate for Payer: Qualcare PPO/HMO/WC	$854.73

PROSTATE NEEDLE PUNCH BX

Facility

$5,698.20

Service Code	HCPCS 55711
Hospital Charge Code	1600000844
Hospital Revenue Code	360
Min. Negotiated Rate	$740.77
Max. Negotiated Rate	$8,394.37
Rate for Payer: Aetna Commercial	$1,709.46
Rate for Payer: Aetna Medicare Advantage	$1,709.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,453.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,453.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,453.04
Rate for Payer: Cigna Commercial	$8,394.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$740.77
Rate for Payer: Qualcare PPO/HMO/WC	$854.73

PROSTATE NEEDLE PUNCH BX

Facility

$5,698.20

Service Code	HCPCS 57714
Hospital Charge Code	404155714
Hospital Revenue Code	361
Min. Negotiated Rate	$740.77
Max. Negotiated Rate	$2,849.10
Rate for Payer: Aetna Commercial	$1,709.46
Rate for Payer: Aetna Medicare Advantage	$1,709.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,453.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,453.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,453.04
Rate for Payer: Cigna Commercial	$2,849.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$740.77
Rate for Payer: Qualcare PPO/HMO/WC	$854.73

PROSTATE NEEDLE PUNCH BX

Facility

$5,698.20

Service Code	HCPCS 55707
Hospital Charge Code	404155707
Hospital Revenue Code	361
Min. Negotiated Rate	$740.77
Max. Negotiated Rate	$8,394.37
Rate for Payer: Aetna Commercial	$1,709.46
Rate for Payer: Aetna Medicare Advantage	$1,709.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,453.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,453.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,453.04
Rate for Payer: Cigna Commercial	$8,394.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$740.77
Rate for Payer: Qualcare PPO/HMO/WC	$854.73

PROSTATE NEEDLE PUNCH BX

Facility

$5,698.20

Service Code	HCPCS 55712
Hospital Charge Code	1600000845
Hospital Revenue Code	360
Min. Negotiated Rate	$740.77
Max. Negotiated Rate	$8,394.37
Rate for Payer: Aetna Commercial	$1,709.46
Rate for Payer: Aetna Medicare Advantage	$1,709.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,453.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,453.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,453.04
Rate for Payer: Cigna Commercial	$8,394.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$740.77
Rate for Payer: Qualcare PPO/HMO/WC	$854.73

PROSTATE NEEDLE PUNCH BX

Facility

$5,698.20

Service Code	HCPCS 55712
Hospital Charge Code	404155712
Hospital Revenue Code	361
Min. Negotiated Rate	$740.77
Max. Negotiated Rate	$8,394.37
Rate for Payer: Aetna Commercial	$1,709.46
Rate for Payer: Aetna Medicare Advantage	$1,709.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,453.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,453.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,453.04
Rate for Payer: Cigna Commercial	$8,394.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$740.77
Rate for Payer: Qualcare PPO/HMO/WC	$854.73

PROSTATE NEEDLE PUNCH BX

Facility

$5,698.20

Service Code	HCPCS 55708
Hospital Charge Code	1600000831
Hospital Revenue Code	360
Min. Negotiated Rate	$854.73
Max. Negotiated Rate	$854.73
Rate for Payer: Qualcare PPO/HMO/WC	$854.73

PROSTATE NEEDLE PUNCH BX

Facility

$5,698.20

Service Code	HCPCS 57714
Hospital Charge Code	404155714
Hospital Revenue Code	361
Min. Negotiated Rate	$854.73
Max. Negotiated Rate	$854.73
Rate for Payer: Qualcare PPO/HMO/WC	$854.73

PROSTATE NEEDLE PUNCH BX

Facility

$5,698.20

Service Code	HCPCS 55707
Hospital Charge Code	1600000830
Hospital Revenue Code	360
Min. Negotiated Rate	$854.73
Max. Negotiated Rate	$854.73
Rate for Payer: Qualcare PPO/HMO/WC	$854.73

PROSTATE SPECIF ANTIGEN

Facility

$390.00

Service Code	HCPCS 84153
Hospital Charge Code	3007671
Hospital Revenue Code	309
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

PROSTATE SPECIF ANTIGEN

Facility

$390.00

Service Code	HCPCS 84153
Hospital Charge Code	3007671
Hospital Revenue Code	309
Min. Negotiated Rate	$9.20
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$59.58
Rate for Payer: Aetna Medicare Advantage	$18.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.38
Rate for Payer: Cigna Commercial	$18.39
Rate for Payer: Cigna Medicare Advantage	$9.20
Rate for Payer: Clover Medicare Advantage	$17.47
Rate for Payer: EmblemHealth Commercial	$55.17
Rate for Payer: Humana Medicare Advantage	$18.94
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	$18.39
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19.49
Rate for Payer: Wellcare Medicare Advantage	$18.39

PROSTATE SPECIFIC ANTIGEN FREE

Facility

$205.65

Hospital Charge Code	3007672
Hospital Revenue Code	309
Min. Negotiated Rate	$30.85
Max. Negotiated Rate	$30.85
Rate for Payer: Qualcare PPO/HMO/WC	$30.85

PROSTATE SPECIFIC ANTIGEN FREE

Facility

$205.65

Hospital Charge Code	3007672
Hospital Revenue Code	309
Min. Negotiated Rate	$26.73
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$61.70
Rate for Payer: Aetna Medicare Advantage	$61.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.44
Rate for Payer: Cigna Commercial	$102.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.73
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.85
Rate for Payer: UnitedHealthcare Commercial	$114.00

PROSTATE-SPECIFIC ANTIGEN,TOTA

Facility

$281.00

Service Code	HCPCS 84153
Hospital Charge Code	38472572
Hospital Revenue Code	301
Min. Negotiated Rate	$42.15
Max. Negotiated Rate	$42.15
Rate for Payer: Qualcare PPO/HMO/WC	$42.15

PROSTATE-SPECIFIC ANTIGEN,TOTA

Facility

$281.00

Service Code	HCPCS 84153
Hospital Charge Code	38472572
Hospital Revenue Code	301
Min. Negotiated Rate	$9.20
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$59.58
Rate for Payer: Aetna Medicare Advantage	$18.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.38
Rate for Payer: Cigna Commercial	$18.39
Rate for Payer: Cigna Medicare Advantage	$9.20
Rate for Payer: Clover Medicare Advantage	$17.47
Rate for Payer: EmblemHealth Commercial	$55.17
Rate for Payer: Humana Medicare Advantage	$18.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.53
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.15
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.39
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19.49
Rate for Payer: Wellcare Medicare Advantage	$18.39

PROSTATE SPECIFIC FREE

Facility

$390.00

Service Code	HCPCS 84154
Hospital Charge Code	3007673A
Hospital Revenue Code	301
Min. Negotiated Rate	$9.20
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$59.58
Rate for Payer: Aetna Medicare Advantage	$18.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.38
Rate for Payer: Cigna Commercial	$18.39
Rate for Payer: Cigna Medicare Advantage	$9.20
Rate for Payer: Clover Medicare Advantage	$17.47
Rate for Payer: EmblemHealth Commercial	$55.17
Rate for Payer: Humana Medicare Advantage	$18.94
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	$18.39
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19.49
Rate for Payer: Wellcare Medicare Advantage	$18.39

Know your out-of-pocket cost for care.

All Charges