Heights University Hospital

All Charges

Charge

Type

Setting

Price

PT GAIT TRAINING EA 15 MIN

Facility

$412.61

Service Code	HCPCS 97116GP
Hospital Charge Code	9000092
Hospital Revenue Code	420
Min. Negotiated Rate	$61.89
Max. Negotiated Rate	$61.89
Rate for Payer: Qualcare PPO/HMO/WC	$61.89

PT GAIT TRAINING EACH 15 MIN

Facility

$364.00

Service Code	HCPCS 97116GP
Hospital Charge Code	1008250
Hospital Revenue Code	420
Min. Negotiated Rate	$54.60
Max. Negotiated Rate	$54.60
Rate for Payer: Qualcare PPO/HMO/WC	$54.60

PT GAIT TRAINING EACH 15 MIN

Facility

$364.00

Service Code	HCPCS 97116GP
Hospital Charge Code	1008250
Hospital Revenue Code	420
Min. Negotiated Rate	$47.32
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$109.20
Rate for Payer: Aetna Medicare Advantage	$109.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.82
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	$92.82
Rate for Payer: Cigna Commercial	$182.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.32
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$54.60
Rate for Payer: UnitedHealthcare Commercial	$686.00

PTH INTACT

Facility

$390.00

Service Code	HCPCS 83970
Hospital Charge Code	39708034A
Hospital Revenue Code	306
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

PTH INTACT

Facility

$390.00

Service Code	HCPCS 83970
Hospital Charge Code	39708034A
Hospital Revenue Code	306
Min. Negotiated Rate	$20.64
Max. Negotiated Rate	$151.25
Rate for Payer: Aetna Commercial	$133.75
Rate for Payer: Aetna Medicare Advantage	$41.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$41.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.25
Rate for Payer: Cigna Commercial	$41.28
Rate for Payer: Cigna Medicare Advantage	$20.64
Rate for Payer: Clover Medicare Advantage	$39.22
Rate for Payer: EmblemHealth Commercial	$123.84
Rate for Payer: Humana Medicare Advantage	$42.52
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	$41.28
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$43.76
Rate for Payer: Wellcare Medicare Advantage	$41.28

PTH INTACT

Facility

$667.59

Service Code	HCPCS 83970
Hospital Charge Code	39900116
Hospital Revenue Code	301
Min. Negotiated Rate	$100.14
Max. Negotiated Rate	$100.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.14

PTH INTACT

Facility

$667.59

Service Code	HCPCS 83970
Hospital Charge Code	39900116
Hospital Revenue Code	301
Min. Negotiated Rate	$20.64
Max. Negotiated Rate	$151.25
Rate for Payer: Aetna Commercial	$133.75
Rate for Payer: Aetna Medicare Advantage	$41.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$41.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.25
Rate for Payer: Cigna Commercial	$41.28
Rate for Payer: Cigna Medicare Advantage	$20.64
Rate for Payer: Clover Medicare Advantage	$39.22
Rate for Payer: EmblemHealth Commercial	$123.84
Rate for Payer: Humana Medicare Advantage	$42.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.79
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$100.14
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$41.28
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$43.76
Rate for Payer: Wellcare Medicare Advantage	$41.28

PTH-INTACT

Facility

$394.45

Service Code	HCPCS 83970
Hospital Charge Code	8200320RS
Hospital Revenue Code	301
Min. Negotiated Rate	$59.17
Max. Negotiated Rate	$59.17
Rate for Payer: Qualcare PPO/HMO/WC	$59.17

PTH-INTACT

Facility

$394.45

Service Code	HCPCS 83970
Hospital Charge Code	8200320RS
Hospital Revenue Code	301
Min. Negotiated Rate	$20.64
Max. Negotiated Rate	$151.25
Rate for Payer: Aetna Commercial	$133.75
Rate for Payer: Aetna Medicare Advantage	$41.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$41.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.25
Rate for Payer: Cigna Commercial	$41.28
Rate for Payer: Cigna Medicare Advantage	$20.64
Rate for Payer: Clover Medicare Advantage	$39.22
Rate for Payer: EmblemHealth Commercial	$123.84
Rate for Payer: Humana Medicare Advantage	$42.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.28
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$59.17
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$41.28
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$43.76
Rate for Payer: Wellcare Medicare Advantage	$41.28

PT HOT/COLD PACK

Facility

$93.71

Service Code	HCPCS 97010GP
Hospital Charge Code	422597010
Hospital Revenue Code	420
Min. Negotiated Rate	$12.18
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$28.11
Rate for Payer: Aetna Medicare Advantage	$28.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.90
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	$23.90
Rate for Payer: Cigna Commercial	$46.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.18
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$14.06
Rate for Payer: UnitedHealthcare Commercial	$686.00

PT HOT/COLD PACK

Facility

$93.71

Service Code	HCPCS 97010GP
Hospital Charge Code	422597010
Hospital Revenue Code	420
Min. Negotiated Rate	$14.06
Max. Negotiated Rate	$14.06
Rate for Payer: Qualcare PPO/HMO/WC	$14.06

PTH RELATED PROTEIN

Facility

$1,422.00

Service Code	HCPCS 83519
Hospital Charge Code	38472800
Hospital Revenue Code	301
Min. Negotiated Rate	$213.30
Max. Negotiated Rate	$213.30
Rate for Payer: Qualcare PPO/HMO/WC	$213.30

PTH RELATED PROTEIN

Facility

$1,422.00

Service Code	HCPCS 83519
Hospital Charge Code	38472800
Hospital Revenue Code	301
Min. Negotiated Rate	$9.20
Max. Negotiated Rate	$213.30
Rate for Payer: Aetna Commercial	$59.62
Rate for Payer: Aetna Medicare Advantage	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.42
Rate for Payer: Cigna Commercial	$18.40
Rate for Payer: Cigna Medicare Advantage	$9.20
Rate for Payer: Clover Medicare Advantage	$17.48
Rate for Payer: EmblemHealth Commercial	$55.20
Rate for Payer: Humana Medicare Advantage	$18.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$184.86
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$213.30
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.40
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19.50
Rate for Payer: Wellcare Medicare Advantage	$18.40

PTH,RELATED PROTEIN

Facility

$390.00

Service Code	HCPCS 83519
Hospital Charge Code	39900334
Hospital Revenue Code	301
Min. Negotiated Rate	$9.20
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$59.62
Rate for Payer: Aetna Medicare Advantage	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.42
Rate for Payer: Cigna Commercial	$18.40
Rate for Payer: Cigna Medicare Advantage	$9.20
Rate for Payer: Clover Medicare Advantage	$17.48
Rate for Payer: EmblemHealth Commercial	$55.20
Rate for Payer: Humana Medicare Advantage	$18.95
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	$18.40
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19.50
Rate for Payer: Wellcare Medicare Advantage	$18.40

PTH,RELATED PROTEIN

Facility

$390.00

Service Code	HCPCS 83519
Hospital Charge Code	39900334
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

PT HUBBARD TANK EACH 15 MIN

Facility

$96.00

Service Code	HCPCS 97036GP
Hospital Charge Code	9108065
Hospital Revenue Code	420
Min. Negotiated Rate	$14.40
Max. Negotiated Rate	$14.40
Rate for Payer: Qualcare PPO/HMO/WC	$14.40

PT HUBBARD TANK EACH 15 MIN

Facility

$96.00

Service Code	HCPCS 97036GP
Hospital Charge Code	9108065
Hospital Revenue Code	420
Min. Negotiated Rate	$12.48
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$28.80
Rate for Payer: Aetna Medicare Advantage	$28.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.48
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	$24.48
Rate for Payer: Cigna Commercial	$48.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.48
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$14.40
Rate for Payer: UnitedHealthcare Commercial	$686.00

PT HUBBARD TANK EACH 15 MIN

Facility

$96.00

Service Code	HCPCS 97036GP
Hospital Charge Code	1008200
Hospital Revenue Code	420
Min. Negotiated Rate	$14.40
Max. Negotiated Rate	$14.40
Rate for Payer: Qualcare PPO/HMO/WC	$14.40

PT HUBBARD TANK EACH 15 MIN

Facility

$96.00

Service Code	HCPCS 97036GP
Hospital Charge Code	1008200
Hospital Revenue Code	420
Min. Negotiated Rate	$12.48
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$28.80
Rate for Payer: Aetna Medicare Advantage	$28.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.48
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	$24.48
Rate for Payer: Cigna Commercial	$48.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.48
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$14.40
Rate for Payer: UnitedHealthcare Commercial	$686.00

PTHYBRID GLEN POST REGENEREX

Facility

$2,875.00

Service Code	HCPCS C1776
Hospital Charge Code	270687347
Hospital Revenue Code	278
Min. Negotiated Rate	$431.25
Max. Negotiated Rate	$1,437.50
Rate for Payer: Aetna Commercial	$862.50
Rate for Payer: Aetna Medicare Advantage	$862.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$733.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$733.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$575.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$733.12
Rate for Payer: Cigna Commercial	$1,437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$695.75
Rate for Payer: Qualcare PPO/HMO/WC	$431.25

PTHYBRID GLEN POST REGENEREX

Facility

$2,875.00

Service Code	HCPCS C1776
Hospital Charge Code	270687347
Hospital Revenue Code	278
Min. Negotiated Rate	$431.25
Max. Negotiated Rate	$695.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$575.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$695.75
Rate for Payer: Qualcare PPO/HMO/WC	$431.25

PT HYDROTHERAPY

Facility

$62.10

Service Code	HCPCS 97022GP
Hospital Charge Code	9000175
Hospital Revenue Code	420
Min. Negotiated Rate	$9.31
Max. Negotiated Rate	$9.31
Rate for Payer: Qualcare PPO/HMO/WC	$9.31

PT HYDROTHERAPY

Facility

$62.10

Service Code	HCPCS 97022GP
Hospital Charge Code	9000175
Hospital Revenue Code	420
Min. Negotiated Rate	$8.07
Max. Negotiated Rate	$686.00
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) NJ Health	$90.00
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	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.31
Rate for Payer: UnitedHealthcare Commercial	$686.00

PT-HYDROTHERAPY DBL SESSION***

Facility

$88.00

Hospital Charge Code	9000183
Hospital Revenue Code	429
Min. Negotiated Rate	$13.20
Max. Negotiated Rate	$13.20
Rate for Payer: Qualcare PPO/HMO/WC	$13.20

PT-HYDROTHERAPY DBL SESSION***

Facility

$88.00

Hospital Charge Code	9000183
Hospital Revenue Code	429
Min. Negotiated Rate	$11.44
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$26.40
Rate for Payer: Aetna Medicare Advantage	$26.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.44
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	$22.44
Rate for Payer: Cigna Commercial	$44.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.44
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.20
Rate for Payer: UnitedHealthcare Commercial	$686.00

Know your out-of-pocket cost for care.

All Charges