Heights University Hospital

All Charges

Charge

Type

Setting

Price

PT APPLY MULTLAY COMPRS BL KNE

Facility

$869.79

Service Code	HCPCS 29581GP
Hospital Charge Code	422529581
Hospital Revenue Code	420
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$260.94
Rate for Payer: Aetna Medicare Advantage	$260.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$221.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$221.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$221.80
Rate for Payer: Cigna Commercial	$434.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.07
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$130.47
Rate for Payer: UnitedHealthcare Commercial	$686.00

PT APPLY MULTLAY COMPRS BL KNE

Facility

$869.79

Service Code	HCPCS 29581GP
Hospital Charge Code	422529581
Hospital Revenue Code	420
Min. Negotiated Rate	$130.47
Max. Negotiated Rate	$130.47
Rate for Payer: Qualcare PPO/HMO/WC	$130.47

PT APPLY SPLINT LONG ARM

Facility

$777.42

Service Code	HCPCS 29105GP
Hospital Charge Code	422529105
Hospital Revenue Code	420
Min. Negotiated Rate	$116.61
Max. Negotiated Rate	$116.61
Rate for Payer: Qualcare PPO/HMO/WC	$116.61

PT APPLY SPLINT LONG ARM

Facility

$777.42

Service Code	HCPCS 29105GP
Hospital Charge Code	422529105
Hospital Revenue Code	420
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$233.23
Rate for Payer: Aetna Medicare Advantage	$233.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$198.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$198.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$198.24
Rate for Payer: Cigna Commercial	$388.71
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.06
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$116.61
Rate for Payer: UnitedHealthcare Commercial	$686.00

PT APPLY STRAPPING ANKLE/FOOT

Facility

$458.00

Service Code	HCPCS 29540GP
Hospital Charge Code	422529540
Hospital Revenue Code	420
Min. Negotiated Rate	$59.54
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$137.40
Rate for Payer: Aetna Medicare Advantage	$137.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$116.79
Rate for Payer: Cigna Commercial	$229.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.54
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$68.70
Rate for Payer: UnitedHealthcare Commercial	$686.00

PT APPLY STRAPPING ANKLE/FOOT

Facility

$458.00

Service Code	HCPCS 29540GP
Hospital Charge Code	422529540
Hospital Revenue Code	420
Min. Negotiated Rate	$68.70
Max. Negotiated Rate	$68.70
Rate for Payer: Qualcare PPO/HMO/WC	$68.70

PT APPLY STRAPPING ELBOW/WRIST

Facility

$342.69

Service Code	HCPCS 29260GP
Hospital Charge Code	422529260
Hospital Revenue Code	420
Min. Negotiated Rate	$44.55
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$102.81
Rate for Payer: Aetna Medicare Advantage	$102.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$87.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$87.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$87.39
Rate for Payer: Cigna Commercial	$171.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.55
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$51.40
Rate for Payer: UnitedHealthcare Commercial	$686.00

PT APPLY STRAPPING ELBOW/WRIST

Facility

$342.69

Service Code	HCPCS 29260GP
Hospital Charge Code	422529260
Hospital Revenue Code	420
Min. Negotiated Rate	$51.40
Max. Negotiated Rate	$51.40
Rate for Payer: Qualcare PPO/HMO/WC	$51.40

PT APPLY STRAPPING HAND/FINGER

Facility

$342.69

Service Code	HCPCS 29280GP
Hospital Charge Code	422529280
Hospital Revenue Code	420
Min. Negotiated Rate	$44.55
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$102.81
Rate for Payer: Aetna Medicare Advantage	$102.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$87.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$87.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$87.39
Rate for Payer: Cigna Commercial	$171.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.55
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$51.40
Rate for Payer: UnitedHealthcare Commercial	$686.00

PT APPLY STRAPPING HAND/FINGER

Facility

$342.69

Service Code	HCPCS 29280GP
Hospital Charge Code	422529280
Hospital Revenue Code	420
Min. Negotiated Rate	$51.40
Max. Negotiated Rate	$51.40
Rate for Payer: Qualcare PPO/HMO/WC	$51.40

PT APPLY STRAPPING HIP

Facility

$458.00

Service Code	HCPCS 29520GP
Hospital Charge Code	422529520
Hospital Revenue Code	420
Min. Negotiated Rate	$68.70
Max. Negotiated Rate	$68.70
Rate for Payer: Qualcare PPO/HMO/WC	$68.70

PT APPLY STRAPPING HIP

Facility

$458.00

Service Code	HCPCS 29520GP
Hospital Charge Code	422529520
Hospital Revenue Code	420
Min. Negotiated Rate	$59.54
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$137.40
Rate for Payer: Aetna Medicare Advantage	$137.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$116.79
Rate for Payer: Cigna Commercial	$229.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.54
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$68.70
Rate for Payer: UnitedHealthcare Commercial	$686.00

PT APPLY STRAPPING KNEE

Facility

$244.50

Service Code	HCPCS 29530GP
Hospital Charge Code	422529530
Hospital Revenue Code	420
Min. Negotiated Rate	$36.67
Max. Negotiated Rate	$36.67
Rate for Payer: Qualcare PPO/HMO/WC	$36.67

PT APPLY STRAPPING KNEE

Facility

$244.50

Service Code	HCPCS 29530GP
Hospital Charge Code	422529530
Hospital Revenue Code	420
Min. Negotiated Rate	$31.79
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$73.35
Rate for Payer: Aetna Medicare Advantage	$73.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.35
Rate for Payer: Cigna Commercial	$122.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.79
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.67
Rate for Payer: UnitedHealthcare Commercial	$686.00

PT APPLY STRAPPING SHOULDER

Facility

$458.00

Service Code	HCPCS 29240GP
Hospital Charge Code	422529240
Hospital Revenue Code	420
Min. Negotiated Rate	$59.54
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$137.40
Rate for Payer: Aetna Medicare Advantage	$137.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$116.79
Rate for Payer: Cigna Commercial	$229.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.54
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$68.70
Rate for Payer: UnitedHealthcare Commercial	$686.00

PT APPLY STRAPPING SHOULDER

Facility

$458.00

Service Code	HCPCS 29240GP
Hospital Charge Code	422529240
Hospital Revenue Code	420
Min. Negotiated Rate	$68.70
Max. Negotiated Rate	$68.70
Rate for Payer: Qualcare PPO/HMO/WC	$68.70

PT APPLY STRAPPING THORAX

Facility

$458.00

Service Code	HCPCS 29200GP
Hospital Charge Code	422529200
Hospital Revenue Code	420
Min. Negotiated Rate	$59.54
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$137.40
Rate for Payer: Aetna Medicare Advantage	$137.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$116.79
Rate for Payer: Cigna Commercial	$229.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.54
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$68.70
Rate for Payer: UnitedHealthcare Commercial	$686.00

PT APPLY STRAPPING THORAX

Facility

$458.00

Service Code	HCPCS 29200GP
Hospital Charge Code	422529200
Hospital Revenue Code	420
Min. Negotiated Rate	$68.70
Max. Negotiated Rate	$68.70
Rate for Payer: Qualcare PPO/HMO/WC	$68.70

PT APPLY STRAPPING TOES

Facility

$342.69

Service Code	HCPCS 29550GP
Hospital Charge Code	422529550
Hospital Revenue Code	420
Min. Negotiated Rate	$44.55
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$102.81
Rate for Payer: Aetna Medicare Advantage	$102.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$87.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$87.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$87.39
Rate for Payer: Cigna Commercial	$171.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.55
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$51.40
Rate for Payer: UnitedHealthcare Commercial	$686.00

PT APPLY STRAPPING TOES

Facility

$342.69

Service Code	HCPCS 29550GP
Hospital Charge Code	422529550
Hospital Revenue Code	420
Min. Negotiated Rate	$51.40
Max. Negotiated Rate	$51.40
Rate for Payer: Qualcare PPO/HMO/WC	$51.40

PT APPLY STRAPPING UNNA BOOT

Facility

$476.00

Service Code	HCPCS 29580GP
Hospital Charge Code	422529580
Hospital Revenue Code	420
Min. Negotiated Rate	$71.40
Max. Negotiated Rate	$71.40
Rate for Payer: Qualcare PPO/HMO/WC	$71.40

PT APPLY STRAPPING UNNA BOOT

Facility

$476.00

Service Code	HCPCS 29580GP
Hospital Charge Code	422529580
Hospital Revenue Code	420
Min. Negotiated Rate	$61.88
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$142.80
Rate for Payer: Aetna Medicare Advantage	$142.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$121.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$121.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$121.38
Rate for Payer: Cigna Commercial	$238.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.88
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$71.40
Rate for Payer: UnitedHealthcare Commercial	$686.00

PT AQUATIC THERAPY

Facility

$93.45

Service Code	HCPCS 97113GP
Hospital Charge Code	9100065
Hospital Revenue Code	420
Min. Negotiated Rate	$12.15
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$28.04
Rate for Payer: Aetna Medicare Advantage	$28.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.83
Rate for Payer: Cigna Commercial	$46.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.15
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$14.02
Rate for Payer: UnitedHealthcare Commercial	$686.00

PT AQUATIC THERAPY

Facility

$93.45

Service Code	HCPCS 97113GP
Hospital Charge Code	9100065
Hospital Revenue Code	420
Min. Negotiated Rate	$14.02
Max. Negotiated Rate	$14.02
Rate for Payer: Qualcare PPO/HMO/WC	$14.02

PT AQUATIC THRPY EA 15 MIN

Facility

$93.45

Service Code	HCPCS 97113GP
Hospital Charge Code	422597113
Hospital Revenue Code	420
Min. Negotiated Rate	$12.15
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$28.04
Rate for Payer: Aetna Medicare Advantage	$28.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.83
Rate for Payer: Cigna Commercial	$46.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.15
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$14.02
Rate for Payer: UnitedHealthcare Commercial	$686.00

Know your out-of-pocket cost for care.

All Charges