Heights University Hospital

All Charges

Charge

Type

Setting

Price

PULMON RF ABALATION TX

Facility

$14,506.00

Service Code	HCPCS 32998
Hospital Charge Code	2690050
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

PULM STRESS TEST 6 MIN WALK

Facility

$6,100.00

Service Code	HCPCS 94618
Hospital Charge Code	95090389
Hospital Revenue Code	460
Min. Negotiated Rate	$915.00
Max. Negotiated Rate	$915.00
Rate for Payer: Qualcare PPO/HMO/WC	$915.00

PULM STRESS TEST 6 MIN WALK

Facility

$6,100.00

Service Code	HCPCS 94618
Hospital Charge Code	95090389
Hospital Revenue Code	460
Min. Negotiated Rate	$18.37
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	$18.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,555.50
Rate for Payer: Cigna Commercial	$316.85
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

PULM VENT IMAGING

Facility

$1,202.90

Service Code	HCPCS 78579
Hospital Charge Code	4508020
Hospital Revenue Code	341
Min. Negotiated Rate	$145.65
Max. Negotiated Rate	$3,540.00
Rate for Payer: Aetna Commercial	$360.87
Rate for Payer: Aetna Medicare Advantage	$360.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$306.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$306.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$145.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$306.74
Rate for Payer: Cigna Commercial	$952.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$156.38
Rate for Payer: Oxford Commercial	$3,120.00
Rate for Payer: Qualcare PPO/HMO/WC	$180.44
Rate for Payer: UnitedHealthcare Commercial	$3,540.00

PULM VENT IMAGING

Facility

$1,202.90

Service Code	HCPCS 78579
Hospital Charge Code	4508020
Hospital Revenue Code	341
Min. Negotiated Rate	$180.44
Max. Negotiated Rate	$180.44
Rate for Payer: Qualcare PPO/HMO/WC	$180.44

PULSA VAC

Facility

$433.20

Hospital Charge Code	270656072
Hospital Revenue Code	271
Min. Negotiated Rate	$64.98
Max. Negotiated Rate	$64.98
Rate for Payer: Qualcare PPO/HMO/WC	$64.98

PULSA VAC

Facility

$433.20

Hospital Charge Code	270656072
Hospital Revenue Code	271
Min. Negotiated Rate	$56.32
Max. Negotiated Rate	$216.60
Rate for Payer: Aetna Commercial	$129.96
Rate for Payer: Aetna Medicare Advantage	$129.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$110.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$110.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$110.47
Rate for Payer: Cigna Commercial	$216.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.32
Rate for Payer: Oxford Commercial	$216.60
Rate for Payer: Qualcare PPO/HMO/WC	$64.98
Rate for Payer: UnitedHealthcare Commercial	$216.60

PULSAVAC 9 S.M. TIP ********

Facility

$46.00

Hospital Charge Code	1606284
Hospital Revenue Code	279
Min. Negotiated Rate	$6.90
Max. Negotiated Rate	$6.90
Rate for Payer: Qualcare PPO/HMO/WC	$6.90

PULSAVAC 9 S.M. TIP ********

Facility

$46.00

Hospital Charge Code	1606284
Hospital Revenue Code	279
Min. Negotiated Rate	$5.98
Max. Negotiated Rate	$23.00
Rate for Payer: Aetna Commercial	$13.80
Rate for Payer: Aetna Medicare Advantage	$13.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.73
Rate for Payer: Cigna Commercial	$23.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.98
Rate for Payer: Oxford Commercial	$23.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.90
Rate for Payer: UnitedHealthcare Commercial	$23.00

PULSAVAC DUAL SPIKE SET *****

Facility

$66.00

Hospital Charge Code	1606292
Hospital Revenue Code	279
Min. Negotiated Rate	$8.58
Max. Negotiated Rate	$33.00
Rate for Payer: Aetna Commercial	$19.80
Rate for Payer: Aetna Medicare Advantage	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.83
Rate for Payer: Cigna Commercial	$33.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.58
Rate for Payer: Oxford Commercial	$33.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.90
Rate for Payer: UnitedHealthcare Commercial	$33.00

PULSAVAC DUAL SPIKE SET *****

Facility

$66.00

Hospital Charge Code	1606292
Hospital Revenue Code	279
Min. Negotiated Rate	$9.90
Max. Negotiated Rate	$9.90
Rate for Payer: Qualcare PPO/HMO/WC	$9.90

PULSAVAC HAND CONTROL 5150-020

Facility

$179.25

Hospital Charge Code	270600361
Hospital Revenue Code	272
Min. Negotiated Rate	$23.30
Max. Negotiated Rate	$89.62
Rate for Payer: Aetna Commercial	$53.77
Rate for Payer: Aetna Medicare Advantage	$53.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.71
Rate for Payer: Cigna Commercial	$89.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.30
Rate for Payer: Oxford Commercial	$89.62
Rate for Payer: Qualcare PPO/HMO/WC	$26.89
Rate for Payer: UnitedHealthcare Commercial	$89.62

PULSAVAC HAND CONTROL 5150-020

Facility

$179.25

Hospital Charge Code	270600361
Hospital Revenue Code	272
Min. Negotiated Rate	$26.89
Max. Negotiated Rate	$26.89
Rate for Payer: Qualcare PPO/HMO/WC	$26.89

PULSAVAC PUSH HAND CONTROL****

Facility

$96.00

Hospital Charge Code	1606235
Hospital Revenue Code	272
Min. Negotiated Rate	$14.40
Max. Negotiated Rate	$14.40
Rate for Payer: Qualcare PPO/HMO/WC	$14.40

PULSAVAC PUSH HAND CONTROL****

Facility

$96.00

Hospital Charge Code	1606235
Hospital Revenue Code	272
Min. Negotiated Rate	$12.48
Max. Negotiated Rate	$48.00
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) 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	$48.00
Rate for Payer: Qualcare PPO/HMO/WC	$14.40
Rate for Payer: UnitedHealthcare Commercial	$48.00

PULSAVAC WOUND DEBRIDEMENT SYS

Facility

$90.00

Hospital Charge Code	270638990
Hospital Revenue Code	272
Min. Negotiated Rate	$11.70
Max. Negotiated Rate	$45.00
Rate for Payer: Aetna Commercial	$27.00
Rate for Payer: Aetna Medicare Advantage	$27.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.95
Rate for Payer: Cigna Commercial	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.70
Rate for Payer: Oxford Commercial	$45.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.50
Rate for Payer: UnitedHealthcare Commercial	$45.00

PULSAVAC WOUND DEBRIDEMENT SYS

Facility

$90.00

Hospital Charge Code	270638990
Hospital Revenue Code	272
Min. Negotiated Rate	$13.50
Max. Negotiated Rate	$13.50
Rate for Payer: Qualcare PPO/HMO/WC	$13.50

PULSE GENERATOR KIT SC111002

Facility

$92,675.00

Hospital Charge Code	270641628
Hospital Revenue Code	278
Min. Negotiated Rate	$13,901.25
Max. Negotiated Rate	$46,337.50
Rate for Payer: Aetna Commercial	$27,802.50
Rate for Payer: Aetna Medicare Advantage	$27,802.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23,632.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23,632.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18,535.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23,632.12
Rate for Payer: Cigna Commercial	$46,337.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22,427.35
Rate for Payer: Qualcare PPO/HMO/WC	$13,901.25

PULSE GENERATOR KIT SC111002

Facility

$92,675.00

Hospital Charge Code	270641628
Hospital Revenue Code	278
Min. Negotiated Rate	$13,901.25
Max. Negotiated Rate	$22,427.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18,535.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22,427.35
Rate for Payer: Qualcare PPO/HMO/WC	$13,901.25

PULSE GENERATOR KIT SPECTRA

Facility

$102,500.00

Service Code	HCPCS C1767
Hospital Charge Code	270696217
Hospital Revenue Code	278
Min. Negotiated Rate	$15,375.00
Max. Negotiated Rate	$51,250.00
Rate for Payer: Aetna Commercial	$30,750.00
Rate for Payer: Aetna Medicare Advantage	$30,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26,137.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26,137.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26,137.50
Rate for Payer: Cigna Commercial	$51,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24,805.00
Rate for Payer: Qualcare PPO/HMO/WC	$15,375.00

PULSE GENERATOR KIT SPECTRA

Facility

$102,500.00

Service Code	HCPCS C1767
Hospital Charge Code	270696217
Hospital Revenue Code	278
Min. Negotiated Rate	$15,375.00
Max. Negotiated Rate	$24,805.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24,805.00
Rate for Payer: Qualcare PPO/HMO/WC	$15,375.00

PULSE OXIMERTY (CHILD)***

Facility

$103.20

Hospital Charge Code	9501172
Hospital Revenue Code	279
Min. Negotiated Rate	$15.48
Max. Negotiated Rate	$15.48
Rate for Payer: Qualcare PPO/HMO/WC	$15.48

PULSE OXIMERTY (CHILD)***

Facility

$103.20

Hospital Charge Code	9501172
Hospital Revenue Code	279
Min. Negotiated Rate	$13.42
Max. Negotiated Rate	$51.60
Rate for Payer: Aetna Commercial	$30.96
Rate for Payer: Aetna Medicare Advantage	$30.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.32
Rate for Payer: Cigna Commercial	$51.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.42
Rate for Payer: Oxford Commercial	$51.60
Rate for Payer: Qualcare PPO/HMO/WC	$15.48
Rate for Payer: UnitedHealthcare Commercial	$51.60

PULSE OXIMETRY****

Facility

$36.00

Service Code	HCPCS 94760
Hospital Charge Code	5100128
Hospital Revenue Code	469
Min. Negotiated Rate	$5.40
Max. Negotiated Rate	$5.40
Rate for Payer: Qualcare PPO/HMO/WC	$5.40

PULSE OXIMETRY****

Facility

$36.00

Service Code	HCPCS 94760
Hospital Charge Code	5100128
Hospital Revenue Code	469
Min. Negotiated Rate	$4.62
Max. Negotiated Rate	$1,793.00
Rate for Payer: Aetna Commercial	$10.80
Rate for Payer: Aetna Medicare Advantage	$10.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$57.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.18
Rate for Payer: Cigna Commercial	$4.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.68
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.40
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

Know your out-of-pocket cost for care.

All Charges