Heights University Hospital

All Charges

Charge

Type

Setting

Price

RADIATION PHYSICS CONSULT

Facility

$711.65

Service Code	HCPCS 77336
Hospital Charge Code	85000640
Hospital Revenue Code	333
Min. Negotiated Rate	$106.75
Max. Negotiated Rate	$106.75
Rate for Payer: Qualcare PPO/HMO/WC	$106.75

RADIATION PHYSICS CONSULT

Facility

$711.65

Service Code	HCPCS 77336
Hospital Charge Code	85000640
Hospital Revenue Code	333
Min. Negotiated Rate	$92.51
Max. Negotiated Rate	$4,435.00
Rate for Payer: Aetna Commercial	$213.50
Rate for Payer: Aetna Medicare Advantage	$213.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$181.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$181.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$181.47
Rate for Payer: Cigna Commercial	$320.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.51
Rate for Payer: Oxford Commercial	$3,906.00
Rate for Payer: Qualcare PPO/HMO/WC	$106.75
Rate for Payer: UnitedHealthcare Commercial	$4,435.00

RADIATION PHYSICS CONSULT

Facility

$711.65

Service Code	HCPCS 77370
Hospital Charge Code	85000660
Hospital Revenue Code	333
Min. Negotiated Rate	$106.75
Max. Negotiated Rate	$106.75
Rate for Payer: Qualcare PPO/HMO/WC	$106.75

RADIATION PHYSICS CONSULT

Facility

$711.65

Service Code	HCPCS 77336
Hospital Charge Code	85000640M
Hospital Revenue Code	333
Min. Negotiated Rate	$106.75
Max. Negotiated Rate	$106.75
Rate for Payer: Qualcare PPO/HMO/WC	$106.75

RADIATION PHYSICS CONSULT

Facility

$711.65

Service Code	HCPCS 77336
Hospital Charge Code	85000640M
Hospital Revenue Code	333
Min. Negotiated Rate	$92.51
Max. Negotiated Rate	$4,435.00
Rate for Payer: Aetna Commercial	$213.50
Rate for Payer: Aetna Medicare Advantage	$213.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$181.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$181.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$181.47
Rate for Payer: Cigna Commercial	$320.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.51
Rate for Payer: Oxford Commercial	$3,906.00
Rate for Payer: Qualcare PPO/HMO/WC	$106.75
Rate for Payer: UnitedHealthcare Commercial	$4,435.00

RADIATION RESISTANT GLOVES SZ8

Facility

$190.00

Hospital Charge Code	270655376
Hospital Revenue Code	270
Min. Negotiated Rate	$24.70
Max. Negotiated Rate	$95.00
Rate for Payer: Aetna Commercial	$57.00
Rate for Payer: Aetna Medicare Advantage	$57.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.45
Rate for Payer: Cigna Commercial	$95.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.70
Rate for Payer: Oxford Commercial	$95.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.50
Rate for Payer: UnitedHealthcare Commercial	$95.00

RADIATION RESISTANT GLOVES SZ8

Facility

$190.00

Hospital Charge Code	270655376
Hospital Revenue Code	270
Min. Negotiated Rate	$28.50
Max. Negotiated Rate	$28.50
Rate for Payer: Qualcare PPO/HMO/WC	$28.50

RADIATION TREATMENT DELIVERY>=

Facility

$644.75

Service Code	HCPCS 77402
Hospital Charge Code	85000899
Hospital Revenue Code	333
Min. Negotiated Rate	$96.71
Max. Negotiated Rate	$96.71
Rate for Payer: Qualcare PPO/HMO/WC	$96.71

RADIATION TREATMENT DELIVERY>=

Facility

$644.75

Service Code	HCPCS 77402
Hospital Charge Code	85000899
Hospital Revenue Code	333
Min. Negotiated Rate	$83.82
Max. Negotiated Rate	$4,435.00
Rate for Payer: Aetna Commercial	$193.43
Rate for Payer: Aetna Medicare Advantage	$193.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$164.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$164.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$164.41
Rate for Payer: Cigna Commercial	$242.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.82
Rate for Payer: Oxford Commercial	$3,906.00
Rate for Payer: Qualcare PPO/HMO/WC	$96.71
Rate for Payer: UnitedHealthcare Commercial	$4,435.00

RADIATION TX AID/S-GL

Facility

$1,308.51

Service Code	HCPCS 77334
Hospital Charge Code	85000625
Hospital Revenue Code	333
Min. Negotiated Rate	$170.11
Max. Negotiated Rate	$4,435.00
Rate for Payer: Aetna Commercial	$392.55
Rate for Payer: Aetna Medicare Advantage	$392.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$333.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$333.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$333.67
Rate for Payer: Cigna Commercial	$891.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.11
Rate for Payer: Oxford Commercial	$3,906.00
Rate for Payer: Qualcare PPO/HMO/WC	$196.28
Rate for Payer: UnitedHealthcare Commercial	$4,435.00

RADIATION TX AID/S-GL

Facility

$1,308.51

Service Code	HCPCS 77334
Hospital Charge Code	85000625M
Hospital Revenue Code	333
Min. Negotiated Rate	$196.28
Max. Negotiated Rate	$196.28
Rate for Payer: Qualcare PPO/HMO/WC	$196.28

RADIATION TX AID/S-GL

Facility

$1,308.51

Service Code	HCPCS 77332
Hospital Charge Code	85000595
Hospital Revenue Code	333
Min. Negotiated Rate	$196.28
Max. Negotiated Rate	$196.28
Rate for Payer: Qualcare PPO/HMO/WC	$196.28

RADIATION TX AID/S-GL

Facility

$1,308.51

Service Code	HCPCS 77332
Hospital Charge Code	85000595
Hospital Revenue Code	333
Min. Negotiated Rate	$170.11
Max. Negotiated Rate	$4,435.00
Rate for Payer: Aetna Commercial	$392.55
Rate for Payer: Aetna Medicare Advantage	$392.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$333.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$333.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$333.67
Rate for Payer: Cigna Commercial	$320.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.11
Rate for Payer: Oxford Commercial	$3,906.00
Rate for Payer: Qualcare PPO/HMO/WC	$196.28
Rate for Payer: UnitedHealthcare Commercial	$4,435.00

RADIATION TX AID/S-GL

Facility

$1,308.51

Service Code	HCPCS 77334
Hospital Charge Code	85000625
Hospital Revenue Code	333
Min. Negotiated Rate	$196.28
Max. Negotiated Rate	$196.28
Rate for Payer: Qualcare PPO/HMO/WC	$196.28

RADIATION TX AID/S-GL

Facility

$1,308.51

Service Code	HCPCS 77333
Hospital Charge Code	85000610
Hospital Revenue Code	333
Min. Negotiated Rate	$196.28
Max. Negotiated Rate	$196.28
Rate for Payer: Qualcare PPO/HMO/WC	$196.28

RADIATION TX AID/S-GL

Facility

$1,308.51

Service Code	HCPCS 77333
Hospital Charge Code	85000610
Hospital Revenue Code	333
Min. Negotiated Rate	$170.11
Max. Negotiated Rate	$4,435.00
Rate for Payer: Aetna Commercial	$392.55
Rate for Payer: Aetna Medicare Advantage	$392.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$333.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$333.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$333.67
Rate for Payer: Cigna Commercial	$320.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.11
Rate for Payer: Oxford Commercial	$3,906.00
Rate for Payer: Qualcare PPO/HMO/WC	$196.28
Rate for Payer: UnitedHealthcare Commercial	$4,435.00

RADIATION TX AID/S-GL

Facility

$1,308.51

Service Code	HCPCS 77334
Hospital Charge Code	85000625M
Hospital Revenue Code	333
Min. Negotiated Rate	$170.11
Max. Negotiated Rate	$4,435.00
Rate for Payer: Aetna Commercial	$392.55
Rate for Payer: Aetna Medicare Advantage	$392.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$333.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$333.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$333.67
Rate for Payer: Cigna Commercial	$891.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.11
Rate for Payer: Oxford Commercial	$3,906.00
Rate for Payer: Qualcare PPO/HMO/WC	$196.28
Rate for Payer: UnitedHealthcare Commercial	$4,435.00

RADIATION TX AID/S-PC

Facility

$143.65

Service Code	HCPCS 7733226
Hospital Charge Code	85000605
Hospital Revenue Code	333
Min. Negotiated Rate	$21.55
Max. Negotiated Rate	$21.55
Rate for Payer: Qualcare PPO/HMO/WC	$21.55

RADIATION TX AID/S-PC

Facility

$328.10

Service Code	HCPCS 7733426
Hospital Charge Code	85000635
Hospital Revenue Code	333
Min. Negotiated Rate	$49.22
Max. Negotiated Rate	$49.22
Rate for Payer: Qualcare PPO/HMO/WC	$49.22

RADIATION TX AID/S-PC

Facility

$143.65

Service Code	HCPCS 7733226
Hospital Charge Code	85000605
Hospital Revenue Code	333
Min. Negotiated Rate	$18.67
Max. Negotiated Rate	$4,435.00
Rate for Payer: Aetna Commercial	$43.09
Rate for Payer: Aetna Medicare Advantage	$43.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.63
Rate for Payer: Cigna Commercial	$71.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.67
Rate for Payer: Oxford Commercial	$3,906.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.55
Rate for Payer: UnitedHealthcare Commercial	$4,435.00

RADIATION TX AID/S-PC

Facility

$328.10

Service Code	HCPCS 7733426
Hospital Charge Code	85000635
Hospital Revenue Code	333
Min. Negotiated Rate	$42.65
Max. Negotiated Rate	$4,435.00
Rate for Payer: Aetna Commercial	$98.43
Rate for Payer: Aetna Medicare Advantage	$98.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.67
Rate for Payer: Cigna Commercial	$164.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.65
Rate for Payer: Oxford Commercial	$3,906.00
Rate for Payer: Qualcare PPO/HMO/WC	$49.22
Rate for Payer: UnitedHealthcare Commercial	$4,435.00

RADIATION TX AID/S-PC

Facility

$222.95

Service Code	HCPCS 7733326
Hospital Charge Code	85000620
Hospital Revenue Code	333
Min. Negotiated Rate	$33.44
Max. Negotiated Rate	$33.44
Rate for Payer: Qualcare PPO/HMO/WC	$33.44

RADIATION TX AID/S-PC

Facility

$222.95

Service Code	HCPCS 7733326
Hospital Charge Code	85000620
Hospital Revenue Code	333
Min. Negotiated Rate	$28.98
Max. Negotiated Rate	$4,435.00
Rate for Payer: Aetna Commercial	$66.89
Rate for Payer: Aetna Medicare Advantage	$66.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.85
Rate for Payer: Cigna Commercial	$111.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.98
Rate for Payer: Oxford Commercial	$3,906.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.44
Rate for Payer: UnitedHealthcare Commercial	$4,435.00

RADIATION TX AID/S-TC

Facility

$520.50

Service Code	HCPCS 77334TC
Hospital Charge Code	85000630
Hospital Revenue Code	333
Min. Negotiated Rate	$78.08
Max. Negotiated Rate	$78.08
Rate for Payer: Qualcare PPO/HMO/WC	$78.08

RADIATION TX AID/S-TC

Facility

$78.50

Service Code	HCPCS 77333TC
Hospital Charge Code	85000615
Hospital Revenue Code	333
Min. Negotiated Rate	$10.21
Max. Negotiated Rate	$4,435.00
Rate for Payer: Aetna Commercial	$23.55
Rate for Payer: Aetna Medicare Advantage	$23.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.02
Rate for Payer: Cigna Commercial	$39.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.21
Rate for Payer: Oxford Commercial	$3,906.00
Rate for Payer: Qualcare PPO/HMO/WC	$11.78
Rate for Payer: UnitedHealthcare Commercial	$4,435.00

Know your out-of-pocket cost for care.

All Charges