Heights University Hospital

All Charges

Charge

Type

Setting

Price

PUL ART BALLOON REPR PERCUT

Facility

$35,998.40

Service Code	HCPCS 92997
Hospital Charge Code	411092997
Hospital Revenue Code	481
Min. Negotiated Rate	$4,350.00
Max. Negotiated Rate	$27,491.26
Rate for Payer: Aetna Commercial	$10,799.52
Rate for Payer: Aetna Medicare Advantage	$10,799.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,179.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,179.59
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	$9,179.59
Rate for Payer: Cigna Commercial	$27,491.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,679.79
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,399.76
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

PULLER BMT PLUG 6MM 423868

Facility

$1,556.85

Hospital Charge Code	270615809
Hospital Revenue Code	272
Min. Negotiated Rate	$233.53
Max. Negotiated Rate	$233.53
Rate for Payer: Qualcare PPO/HMO/WC	$233.53

PULLER BMT PLUG 6MM 423868

Facility

$1,556.85

Hospital Charge Code	270615809
Hospital Revenue Code	272
Min. Negotiated Rate	$202.39
Max. Negotiated Rate	$778.42
Rate for Payer: Aetna Commercial	$467.06
Rate for Payer: Aetna Medicare Advantage	$467.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$397.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$397.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$397.00
Rate for Payer: Cigna Commercial	$778.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$202.39
Rate for Payer: Oxford Commercial	$778.42
Rate for Payer: Qualcare PPO/HMO/WC	$233.53
Rate for Payer: UnitedHealthcare Commercial	$778.42

PULM FUNC PRE/POST BRONCHDL

Facility

$6,100.00

Service Code	HCPCS 94060
Hospital Charge Code	9500034
Hospital Revenue Code	460
Min. Negotiated Rate	$915.00
Max. Negotiated Rate	$915.00
Rate for Payer: Qualcare PPO/HMO/WC	$915.00

PULM FUNC PRE/POST BRONCHDL

Facility

$6,100.00

Service Code	HCPCS 94060
Hospital Charge Code	9500034
Hospital Revenue Code	460
Min. Negotiated Rate	$249.55
Max. Negotiated Rate	$1,830.00
Rate for Payer: Aetna Commercial	$1,830.00
Rate for Payer: Aetna Medicare Advantage	$1,830.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,555.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,555.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$249.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,555.50
Rate for Payer: Cigna Commercial	$888.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$793.00
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$915.00
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

PULMO-AIDE DEVILBISS

Facility

$760.00

Hospital Charge Code	270600617
Hospital Revenue Code	272
Min. Negotiated Rate	$114.00
Max. Negotiated Rate	$114.00
Rate for Payer: Qualcare PPO/HMO/WC	$114.00

PULMO-AIDE DEVILBISS

Facility

$760.00

Hospital Charge Code	270600617
Hospital Revenue Code	272
Min. Negotiated Rate	$98.80
Max. Negotiated Rate	$380.00
Rate for Payer: Aetna Commercial	$228.00
Rate for Payer: Aetna Medicare Advantage	$228.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$193.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$193.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$193.80
Rate for Payer: Cigna Commercial	$380.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.80
Rate for Payer: Oxford Commercial	$380.00
Rate for Payer: Qualcare PPO/HMO/WC	$114.00
Rate for Payer: UnitedHealthcare Commercial	$380.00

PULMOCARE

Facility

$7.00

Hospital Charge Code	60635159
Hospital Revenue Code	250
Min. Negotiated Rate	$0.91
Max. Negotiated Rate	$3.50
Rate for Payer: Aetna Commercial	$2.10
Rate for Payer: Aetna Medicare Advantage	$2.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.78
Rate for Payer: Cigna Commercial	$3.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.91
Rate for Payer: Oxford Commercial	$3.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.05
Rate for Payer: UnitedHealthcare Commercial	$3.50

PULMOCARE

Facility

$7.00

Hospital Charge Code	60635159
Hospital Revenue Code	250
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$1.05
Rate for Payer: Qualcare PPO/HMO/WC	$1.05

PULMONARY EDEMA AND RESPIRATORY FAILURE

Facility

$47,680.62

Service Code	MSDRG 189
Min. Negotiated Rate	$13,481.40
Max. Negotiated Rate	$47,680.62
Rate for Payer: Aetna Commercial	$41,657.53
Rate for Payer: Aetna Medicare Advantage	$13,481.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33,907.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33,907.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15,893.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33,907.41
Rate for Payer: Cigna Commercial	$26,587.04
Rate for Payer: Cigna Medicare Advantage	$15,893.54
Rate for Payer: Clover Medicare Advantage	$15,098.86
Rate for Payer: EmblemHealth Commercial	$47,680.62
Rate for Payer: Humana Medicare Advantage	$16,370.35
Rate for Payer: Oxford Commercial	$16,616.13
Rate for Payer: UnitedHealthcare Commercial	$18,860.85
Rate for Payer: UnitedHealthcare Medicare Advantage	$15,893.54
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$16,847.15
Rate for Payer: Wellcare Medicare Advantage	$15,893.54

PULMONARY EMBOLISM

Facility

$14,802.20

Service Code	APR-DRG 1343
Min. Negotiated Rate	$11,778.88
Max. Negotiated Rate	$14,802.20
Rate for Payer: Aetna Better Health Medicaid	$14,511.96
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$14,802.20
Rate for Payer: Wellpoint Medicaid Managed Care	$11,778.88

PULMONARY EMBOLISM

Facility

$9,999.19

Service Code	APR-DRG 1342
Min. Negotiated Rate	$8,069.25
Max. Negotiated Rate	$9,999.19
Rate for Payer: Aetna Better Health Medicaid	$9,803.13
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,999.19
Rate for Payer: Wellpoint Medicaid Managed Care	$8,069.25

PULMONARY EMBOLISM

Facility

$7,832.19

Service Code	APR-DRG 1341
Min. Negotiated Rate	$6,219.34
Max. Negotiated Rate	$7,832.19
Rate for Payer: Aetna Better Health Medicaid	$7,678.62
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,832.19
Rate for Payer: Wellpoint Medicaid Managed Care	$6,219.34

PULMONARY EMBOLISM

Facility

$24,478.40

Service Code	APR-DRG 1344
Min. Negotiated Rate	$20,439.56
Max. Negotiated Rate	$24,478.40
Rate for Payer: Aetna Better Health Medicaid	$23,998.43
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$24,478.40
Rate for Payer: Wellpoint Medicaid Managed Care	$20,439.56

PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE

Facility

$51,691.98

Service Code	MSDRG 175
Min. Negotiated Rate	$14,989.52
Max. Negotiated Rate	$51,691.98
Rate for Payer: Aetna Commercial	$46,317.62
Rate for Payer: Aetna Medicare Advantage	$14,989.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38,593.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38,593.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17,230.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38,593.80
Rate for Payer: Cigna Commercial	$29,561.25
Rate for Payer: Cigna Medicare Advantage	$17,230.66
Rate for Payer: Clover Medicare Advantage	$16,369.13
Rate for Payer: EmblemHealth Commercial	$51,691.98
Rate for Payer: Humana Medicare Advantage	$17,747.58
Rate for Payer: Oxford Commercial	$18,474.92
Rate for Payer: UnitedHealthcare Commercial	$20,970.75
Rate for Payer: UnitedHealthcare Medicare Advantage	$17,230.66
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$18,264.50
Rate for Payer: Wellcare Medicare Advantage	$17,230.66

PULMONARY EMBOLISM WITHOUT MCC

Facility

$35,187.93

Service Code	MSDRG 176
Min. Negotiated Rate	$8,784.63
Max. Negotiated Rate	$35,187.93
Rate for Payer: Aetna Commercial	$27,144.51
Rate for Payer: Aetna Medicare Advantage	$8,784.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22,604.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22,604.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11,729.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22,604.94
Rate for Payer: Cigna Commercial	$17,324.40
Rate for Payer: Cigna Medicare Advantage	$11,729.31
Rate for Payer: Clover Medicare Advantage	$11,142.84
Rate for Payer: EmblemHealth Commercial	$35,187.93
Rate for Payer: Humana Medicare Advantage	$12,081.19
Rate for Payer: Oxford Commercial	$10,827.25
Rate for Payer: UnitedHealthcare Commercial	$12,289.93
Rate for Payer: UnitedHealthcare Medicare Advantage	$11,729.31
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12,433.07
Rate for Payer: Wellcare Medicare Advantage	$11,729.31

PULMONARY FUNC DIFFUSION

Facility

$6,100.00

Service Code	HCPCS 94729
Hospital Charge Code	9500042
Hospital Revenue Code	460
Min. Negotiated Rate	$915.00
Max. Negotiated Rate	$915.00
Rate for Payer: Qualcare PPO/HMO/WC	$915.00

PULMONARY FUNC DIFFUSION

Facility

$6,100.00

Service Code	HCPCS 94729
Hospital Charge Code	9500042
Hospital Revenue Code	460
Min. Negotiated Rate	$35.91
Max. Negotiated Rate	$1,830.00
Rate for Payer: Aetna Commercial	$1,830.00
Rate for Payer: Aetna Medicare Advantage	$1,830.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,555.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,555.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,555.50
Rate for Payer: Cigna Commercial	$72.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$793.00
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$915.00
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

PULMONARY FUNC LUNG VOLUME

Facility

$6,100.00

Service Code	HCPCS 94727
Hospital Charge Code	9500043
Hospital Revenue Code	460
Min. Negotiated Rate	$28.00
Max. Negotiated Rate	$1,830.00
Rate for Payer: Aetna Commercial	$1,830.00
Rate for Payer: Aetna Medicare Advantage	$1,830.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,555.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,555.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,555.50
Rate for Payer: Cigna Commercial	$514.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$793.00
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$915.00
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

PULMONARY FUNC LUNG VOLUME

Facility

$6,100.00

Service Code	HCPCS 94727
Hospital Charge Code	9500043
Hospital Revenue Code	460
Min. Negotiated Rate	$915.00
Max. Negotiated Rate	$915.00
Rate for Payer: Qualcare PPO/HMO/WC	$915.00

PULMONARY FUNCTION SCREENING

Facility

$6,100.00

Service Code	HCPCS 94010
Hospital Charge Code	9500026
Hospital Revenue Code	460
Min. Negotiated Rate	$182.85
Max. Negotiated Rate	$1,830.00
Rate for Payer: Aetna Commercial	$1,830.00
Rate for Payer: Aetna Medicare Advantage	$1,830.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,555.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,555.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$182.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,555.50
Rate for Payer: Cigna Commercial	$514.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$793.00
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$915.00
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

PULMONARY FUNCTION SCREENING

Facility

$6,100.00

Service Code	HCPCS 94010
Hospital Charge Code	9500026
Hospital Revenue Code	460
Min. Negotiated Rate	$915.00
Max. Negotiated Rate	$915.00
Rate for Payer: Qualcare PPO/HMO/WC	$915.00

PULMON RF ABALATION TX

Facility

$14,506.00

Service Code	HCPCS 32998
Hospital Charge Code	7411388
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$14,396.79
Rate for Payer: Aetna Commercial	$4,351.80
Rate for Payer: Aetna Medicare Advantage	$4,351.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,699.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,699.03
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	$3,699.03
Rate for Payer: Cigna Commercial	$14,396.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,885.78
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,175.90
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

PULMON RF ABALATION TX

Facility

$14,506.00

Service Code	HCPCS 32998
Hospital Charge Code	7411388
Hospital Revenue Code	361
Min. Negotiated Rate	$2,175.90
Max. Negotiated Rate	$2,175.90
Rate for Payer: Qualcare PPO/HMO/WC	$2,175.90

PULMON RF ABALATION TX

Facility

$14,506.00

Service Code	HCPCS 32998
Hospital Charge Code	2690050
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$14,396.79
Rate for Payer: Aetna Commercial	$4,351.80
Rate for Payer: Aetna Medicare Advantage	$4,351.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,699.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,699.03
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	$3,699.03
Rate for Payer: Cigna Commercial	$14,396.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,885.78
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,175.90
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

Know your out-of-pocket cost for care.

All Charges