Heights University Hospital

All Charges

Charge

Type

Setting

Price

PT-KINETRON/ORTHROTRON****

Facility

$93.60

Service Code	HCPCS 97110
Hospital Charge Code	9000134
Hospital Revenue Code	420
Min. Negotiated Rate	$14.04
Max. Negotiated Rate	$14.04
Rate for Payer: Qualcare PPO/HMO/WC	$14.04

PT LASER TREATMENT

Facility

$133.00

Service Code	HCPCS 97039GP
Hospital Charge Code	422597039
Hospital Revenue Code	420
Min. Negotiated Rate	$19.95
Max. Negotiated Rate	$19.95
Rate for Payer: Qualcare PPO/HMO/WC	$19.95

PT LASER TREATMENT

Facility

$133.00

Service Code	HCPCS 97039GP
Hospital Charge Code	422597039
Hospital Revenue Code	420
Min. Negotiated Rate	$17.29
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$39.90
Rate for Payer: Aetna Medicare Advantage	$39.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.91
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	$33.91
Rate for Payer: Cigna Commercial	$66.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.29
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.95
Rate for Payer: UnitedHealthcare Commercial	$686.00

PTLLR TNDN BERING PTB CST

Facility

$618.00

Service Code	HCPCS 29435
Hospital Charge Code	94186065
Hospital Revenue Code	361
Min. Negotiated Rate	$92.70
Max. Negotiated Rate	$92.70
Rate for Payer: Qualcare PPO/HMO/WC	$92.70

PTLLR TNDN BERING PTB CST

Facility

$618.00

Service Code	HCPCS 29435
Hospital Charge Code	94186065
Hospital Revenue Code	361
Min. Negotiated Rate	$80.34
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$185.40
Rate for Payer: Aetna Medicare Advantage	$185.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$157.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$157.59
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	$157.59
Rate for Payer: Cigna Commercial	$666.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.34
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$92.70
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

PT LOW FREQ NON CONT/THERM PER

Facility

$1,105.55

Service Code	HCPCS 97610GP
Hospital Charge Code	422597610
Hospital Revenue Code	420
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$331.67
Rate for Payer: Aetna Medicare Advantage	$331.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$281.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$281.92
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	$281.92
Rate for Payer: Cigna Commercial	$552.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.72
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$165.83
Rate for Payer: UnitedHealthcare Commercial	$686.00

PT LOW FREQ NON CONT/THERM PER

Facility

$1,105.55

Service Code	HCPCS 97610GP
Hospital Charge Code	422597610
Hospital Revenue Code	420
Min. Negotiated Rate	$165.83
Max. Negotiated Rate	$165.83
Rate for Payer: Qualcare PPO/HMO/WC	$165.83

PT LR 11-29-11

Facility

$31,360.00

Hospital Charge Code	270657063
Hospital Revenue Code	278
Min. Negotiated Rate	$4,704.00
Max. Negotiated Rate	$15,680.00
Rate for Payer: Aetna Commercial	$9,408.00
Rate for Payer: Aetna Medicare Advantage	$9,408.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,996.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,996.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,272.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,996.80
Rate for Payer: Cigna Commercial	$15,680.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,589.12
Rate for Payer: Qualcare PPO/HMO/WC	$4,704.00

PT LR 11-29-11

Facility

$31,360.00

Hospital Charge Code	270657063
Hospital Revenue Code	278
Min. Negotiated Rate	$4,704.00
Max. Negotiated Rate	$7,589.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,272.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,589.12
Rate for Payer: Qualcare PPO/HMO/WC	$4,704.00

PT MANUAL THERAPY EA 15 MIN

Facility

$141.65

Service Code	HCPCS 97140GP
Hospital Charge Code	9100155
Hospital Revenue Code	420
Min. Negotiated Rate	$18.41
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$42.49
Rate for Payer: Aetna Medicare Advantage	$42.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.12
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	$36.12
Rate for Payer: Cigna Commercial	$70.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.41
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.25
Rate for Payer: UnitedHealthcare Commercial	$686.00

PT MANUAL THERAPY EA 15 MIN

Facility

$141.65

Service Code	HCPCS 97140GP
Hospital Charge Code	9100155
Hospital Revenue Code	420
Min. Negotiated Rate	$21.25
Max. Negotiated Rate	$21.25
Rate for Payer: Qualcare PPO/HMO/WC	$21.25

PT MANUAL THRPY EA 15 MIN

Facility

$286.00

Service Code	HCPCS 97140GP
Hospital Charge Code	422597140
Hospital Revenue Code	420
Min. Negotiated Rate	$37.18
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$85.80
Rate for Payer: Aetna Medicare Advantage	$85.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$72.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$72.93
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	$72.93
Rate for Payer: Cigna Commercial	$143.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.18
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.90
Rate for Payer: UnitedHealthcare Commercial	$686.00

PT MANUAL THRPY EA 15 MIN

Facility

$286.00

Service Code	HCPCS 97140GP
Hospital Charge Code	422597140
Hospital Revenue Code	420
Min. Negotiated Rate	$42.90
Max. Negotiated Rate	$42.90
Rate for Payer: Qualcare PPO/HMO/WC	$42.90

PT MASSAGE EA 15 MIN

Facility

$328.00

Service Code	HCPCS 97124GP
Hospital Charge Code	422597124
Hospital Revenue Code	420
Min. Negotiated Rate	$49.20
Max. Negotiated Rate	$49.20
Rate for Payer: Qualcare PPO/HMO/WC	$49.20

PT MASSAGE EA 15 MIN

Facility

$328.00

Service Code	HCPCS 97124GP
Hospital Charge Code	422597124
Hospital Revenue Code	420
Min. Negotiated Rate	$42.64
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$98.40
Rate for Payer: Aetna Medicare Advantage	$98.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.64
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	$83.64
Rate for Payer: Cigna Commercial	$164.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.64
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$49.20
Rate for Payer: UnitedHealthcare Commercial	$686.00

PT MASSAGE THERAPY EA 15 MIN

Facility

$116.85

Service Code	HCPCS 97124GP
Hospital Charge Code	9100075
Hospital Revenue Code	420
Min. Negotiated Rate	$15.19
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$35.05
Rate for Payer: Aetna Medicare Advantage	$35.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.80
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	$29.80
Rate for Payer: Cigna Commercial	$58.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.19
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.53
Rate for Payer: UnitedHealthcare Commercial	$686.00

PT MASSAGE THERAPY EA 15 MIN

Facility

$116.85

Service Code	HCPCS 97124GP
Hospital Charge Code	9100075
Hospital Revenue Code	420
Min. Negotiated Rate	$17.53
Max. Negotiated Rate	$17.53
Rate for Payer: Qualcare PPO/HMO/WC	$17.53

PT MASSAGE THERAPY EA 15MIN***

Facility

$40.00

Service Code	HCPCS 97124
Hospital Charge Code	9100120
Hospital Revenue Code	420
Min. Negotiated Rate	$6.00
Max. Negotiated Rate	$6.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.00

PT MASSAGE THERAPY EA 15MIN***

Facility

$40.00

Service Code	HCPCS 97124
Hospital Charge Code	9100120
Hospital Revenue Code	420
Min. Negotiated Rate	$5.20
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$12.00
Rate for Payer: Aetna Medicare Advantage	$12.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.20
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	$10.20
Rate for Payer: Cigna Commercial	$33.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.20
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.00
Rate for Payer: UnitedHealthcare Commercial	$686.00

PT-MAT CLASS*****

Facility

$61.00

Hospital Charge Code	9000126
Hospital Revenue Code	429
Min. Negotiated Rate	$9.15
Max. Negotiated Rate	$9.15
Rate for Payer: Qualcare PPO/HMO/WC	$9.15

PT-MAT CLASS*****

Facility

$61.00

Hospital Charge Code	9000126
Hospital Revenue Code	429
Min. Negotiated Rate	$7.93
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$18.30
Rate for Payer: Aetna Medicare Advantage	$18.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.55
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	$15.55
Rate for Payer: Cigna Commercial	$30.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.93
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.15
Rate for Payer: UnitedHealthcare Commercial	$686.00

PT MIXED STATUS

Facility

$400.00

Hospital Charge Code	3002285
Hospital Revenue Code	305
Min. Negotiated Rate	$52.00
Max. Negotiated Rate	$200.00
Rate for Payer: Aetna Commercial	$120.00
Rate for Payer: Aetna Medicare Advantage	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$102.00
Rate for Payer: Cigna Commercial	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.00
Rate for Payer: UnitedHealthcare Commercial	$114.00

PT MIXED STATUS

Facility

$400.00

Hospital Charge Code	3002285
Hospital Revenue Code	305
Min. Negotiated Rate	$60.00
Max. Negotiated Rate	$60.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.00

PT MIXED STUDY

Facility

$317.94

Service Code	HCPCS 85610
Hospital Charge Code	3002285A
Hospital Revenue Code	305
Min. Negotiated Rate	$2.15
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$13.90
Rate for Payer: Aetna Medicare Advantage	$4.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.29
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	$15.72
Rate for Payer: Cigna Commercial	$4.29
Rate for Payer: Cigna Medicare Advantage	$2.15
Rate for Payer: Clover Medicare Advantage	$4.08
Rate for Payer: EmblemHealth Commercial	$12.87
Rate for Payer: Humana Medicare Advantage	$4.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.33
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$47.69
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.29
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$4.55
Rate for Payer: Wellcare Medicare Advantage	$4.29

PT MIXED STUDY

Facility

$317.94

Service Code	HCPCS 85610
Hospital Charge Code	3002285A
Hospital Revenue Code	305
Min. Negotiated Rate	$47.69
Max. Negotiated Rate	$47.69
Rate for Payer: Qualcare PPO/HMO/WC	$47.69

Know your out-of-pocket cost for care.

All Charges