Heights University Hospital

All Charges

Charge

Type

Setting

Price

PTCA W/RX STENT/POBA

Facility

$34,486.68

Hospital Charge Code	74110055
Hospital Revenue Code	481
Min. Negotiated Rate	$4,350.00
Max. Negotiated Rate	$17,243.34
Rate for Payer: Aetna Commercial	$10,346.00
Rate for Payer: Aetna Medicare Advantage	$10,346.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,794.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,794.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,794.10
Rate for Payer: Cigna Commercial	$17,243.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,483.27
Rate for Payer: Qualcare PPO/HMO/WC	$5,173.00

PT CHEST PHYSICAL THERAPY INIT

Facility

$102.40

Service Code	HCPCS 94667GP
Hospital Charge Code	9000068
Hospital Revenue Code	410
Min. Negotiated Rate	$13.31
Max. Negotiated Rate	$1,004.00
Rate for Payer: Aetna Commercial	$30.72
Rate for Payer: Aetna Medicare Advantage	$30.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.11
Rate for Payer: Cigna Commercial	$51.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.31
Rate for Payer: Oxford Commercial	$885.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.36
Rate for Payer: UnitedHealthcare Commercial	$1,004.00

PT CHEST PHYSICAL THERAPY INIT

Facility

$102.40

Service Code	HCPCS 94667GP
Hospital Charge Code	9000068
Hospital Revenue Code	410
Min. Negotiated Rate	$15.36
Max. Negotiated Rate	$15.36
Rate for Payer: Qualcare PPO/HMO/WC	$15.36

PT CHEST PHYSICAL THERAPY SUBS

Facility

$62.10

Service Code	HCPCS 94668GP
Hospital Charge Code	9000076
Hospital Revenue Code	410
Min. Negotiated Rate	$9.31
Max. Negotiated Rate	$9.31
Rate for Payer: Qualcare PPO/HMO/WC	$9.31

PT CHEST PHYSICAL THERAPY SUBS

Facility

$62.10

Service Code	HCPCS 94668GP
Hospital Charge Code	9000076
Hospital Revenue Code	410
Min. Negotiated Rate	$8.07
Max. Negotiated Rate	$1,004.00
Rate for Payer: Aetna Commercial	$18.63
Rate for Payer: Aetna Medicare Advantage	$18.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.84
Rate for Payer: Cigna Commercial	$31.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.07
Rate for Payer: Oxford Commercial	$885.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.31
Rate for Payer: UnitedHealthcare Commercial	$1,004.00

PT CHILD STUDY*****

Facility

$125.00

Service Code	HCPCS 97001
Hospital Charge Code	9000407
Hospital Revenue Code	424
Min. Negotiated Rate	$16.25
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$37.50
Rate for Payer: Aetna Medicare Advantage	$37.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.88
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	$31.88
Rate for Payer: Cigna Commercial	$62.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.25
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.75
Rate for Payer: UnitedHealthcare Commercial	$686.00

PT CHILD STUDY*****

Facility

$125.00

Service Code	HCPCS 97001
Hospital Charge Code	9000407
Hospital Revenue Code	424
Min. Negotiated Rate	$18.75
Max. Negotiated Rate	$18.75
Rate for Payer: Qualcare PPO/HMO/WC	$18.75

PT CHKOUT ORTH/PROS USE EA 15M

Facility

$92.60

Service Code	HCPCS 97763GP
Hospital Charge Code	9100140
Hospital Revenue Code	420
Min. Negotiated Rate	$12.04
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$27.78
Rate for Payer: Aetna Medicare Advantage	$27.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.61
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	$23.61
Rate for Payer: Cigna Commercial	$46.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.04
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.89
Rate for Payer: UnitedHealthcare Commercial	$686.00

PT CHKOUT ORTH/PROS USE EA 15M

Facility

$92.60

Service Code	HCPCS 97763GP
Hospital Charge Code	9100140
Hospital Revenue Code	420
Min. Negotiated Rate	$13.89
Max. Negotiated Rate	$13.89
Rate for Payer: Qualcare PPO/HMO/WC	$13.89

PT COGNITIV FUNC DIR PT 1ST 15

Facility

$141.00

Service Code	HCPCS 97129GP
Hospital Charge Code	422597129
Hospital Revenue Code	420
Min. Negotiated Rate	$21.15
Max. Negotiated Rate	$21.15
Rate for Payer: Qualcare PPO/HMO/WC	$21.15

PT COGNITIV FUNC DIR PT 1ST 15

Facility

$141.00

Service Code	HCPCS 97129GP
Hospital Charge Code	422597129
Hospital Revenue Code	420
Min. Negotiated Rate	$18.33
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$42.30
Rate for Payer: Aetna Medicare Advantage	$42.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.95
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	$35.95
Rate for Payer: Cigna Commercial	$70.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.33
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.15
Rate for Payer: UnitedHealthcare Commercial	$686.00

PT COGNITIV FUNC DIR PT ADD 15

Facility

$117.30

Service Code	HCPCS 97130GP
Hospital Charge Code	422597130
Hospital Revenue Code	420
Min. Negotiated Rate	$15.25
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$35.19
Rate for Payer: Aetna Medicare Advantage	$35.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.91
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	$29.91
Rate for Payer: Cigna Commercial	$58.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.25
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.59
Rate for Payer: UnitedHealthcare Commercial	$686.00

PT COGNITIV FUNC DIR PT ADD 15

Facility

$117.30

Service Code	HCPCS 97130GP
Hospital Charge Code	422597130
Hospital Revenue Code	420
Min. Negotiated Rate	$17.59
Max. Negotiated Rate	$17.59
Rate for Payer: Qualcare PPO/HMO/WC	$17.59

PT COMMUNITY/WORK REINTERGRA

Facility

$126.00

Service Code	HCPCS 97537
Hospital Charge Code	1008040
Hospital Revenue Code	420
Min. Negotiated Rate	$16.38
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$37.80
Rate for Payer: Aetna Medicare Advantage	$37.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.13
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	$32.13
Rate for Payer: Cigna Commercial	$35.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.38
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.90
Rate for Payer: UnitedHealthcare Commercial	$686.00

PT COMMUNITY/WORK REINTERGRA

Facility

$126.00

Service Code	HCPCS 97537
Hospital Charge Code	1008040
Hospital Revenue Code	420
Min. Negotiated Rate	$18.90
Max. Negotiated Rate	$18.90
Rate for Payer: Qualcare PPO/HMO/WC	$18.90

PT COMMUNITY/WORK REINTERGRATI

Facility

$161.00

Service Code	HCPCS 97537GP
Hospital Charge Code	9107001
Hospital Revenue Code	420
Min. Negotiated Rate	$20.93
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$48.30
Rate for Payer: Aetna Medicare Advantage	$48.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.05
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	$41.05
Rate for Payer: Cigna Commercial	$80.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.93
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.15
Rate for Payer: UnitedHealthcare Commercial	$686.00

PT COMMUNITY/WORK REINTERGRATI

Facility

$161.00

Service Code	HCPCS 97537GP
Hospital Charge Code	9107001
Hospital Revenue Code	420
Min. Negotiated Rate	$24.15
Max. Negotiated Rate	$24.15
Rate for Payer: Qualcare PPO/HMO/WC	$24.15

PT COMMUNITY/WORK TRAINING

Facility

$102.40

Service Code	HCPCS 97537GP
Hospital Charge Code	9100190
Hospital Revenue Code	420
Min. Negotiated Rate	$13.31
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$30.72
Rate for Payer: Aetna Medicare Advantage	$30.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.11
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	$26.11
Rate for Payer: Cigna Commercial	$51.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.31
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.36
Rate for Payer: UnitedHealthcare Commercial	$686.00

PT COMMUNITY/WORK TRAINING

Facility

$102.40

Service Code	HCPCS 97537GP
Hospital Charge Code	9100190
Hospital Revenue Code	420
Min. Negotiated Rate	$15.36
Max. Negotiated Rate	$15.36
Rate for Payer: Qualcare PPO/HMO/WC	$15.36

PT COMM/WORK REINTEG EA 15 MIN

Facility

$161.00

Service Code	HCPCS 97537GP
Hospital Charge Code	422597537
Hospital Revenue Code	420
Min. Negotiated Rate	$24.15
Max. Negotiated Rate	$24.15
Rate for Payer: Qualcare PPO/HMO/WC	$24.15

PT COMM/WORK REINTEG EA 15 MIN

Facility

$161.00

Service Code	HCPCS 97537GP
Hospital Charge Code	422597537
Hospital Revenue Code	420
Min. Negotiated Rate	$20.93
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$48.30
Rate for Payer: Aetna Medicare Advantage	$48.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.05
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	$41.05
Rate for Payer: Cigna Commercial	$80.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.93
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.15
Rate for Payer: UnitedHealthcare Commercial	$686.00

PT CONTRAST BATH EA 15 MIN

Facility

$106.00

Service Code	HCPCS 97034GP
Hospital Charge Code	422597034
Hospital Revenue Code	420
Min. Negotiated Rate	$15.90
Max. Negotiated Rate	$15.90
Rate for Payer: Qualcare PPO/HMO/WC	$15.90

PT CONTRAST BATH EA 15 MIN

Facility

$106.00

Service Code	HCPCS 97034GP
Hospital Charge Code	422597034
Hospital Revenue Code	420
Min. Negotiated Rate	$13.78
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$31.80
Rate for Payer: Aetna Medicare Advantage	$31.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.03
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	$27.03
Rate for Payer: Cigna Commercial	$53.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.78
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.90
Rate for Payer: UnitedHealthcare Commercial	$686.00

PT CONTRAST BATH EACH 15 MIN

Facility

$63.00

Service Code	HCPCS 97034GP
Hospital Charge Code	1008185
Hospital Revenue Code	420
Min. Negotiated Rate	$9.45
Max. Negotiated Rate	$9.45
Rate for Payer: Qualcare PPO/HMO/WC	$9.45

PT CONTRAST BATH EACH 15 MIN

Facility

$106.00

Service Code	HCPCS 97034
Hospital Charge Code	9108045
Hospital Revenue Code	420
Min. Negotiated Rate	$15.90
Max. Negotiated Rate	$15.90
Rate for Payer: Qualcare PPO/HMO/WC	$15.90

Know your out-of-pocket cost for care.

All Charges