Heights University Hospital

All Charges

Charge

Type

Setting

Price

RADIATION TX AID/S-TC

Facility

$300.50

Service Code	HCPCS 77332TC
Hospital Charge Code	85000600
Hospital Revenue Code	333
Min. Negotiated Rate	$39.06
Max. Negotiated Rate	$4,435.00
Rate for Payer: Aetna Commercial	$90.15
Rate for Payer: Aetna Medicare Advantage	$90.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.63
Rate for Payer: Cigna Commercial	$150.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.06
Rate for Payer: Oxford Commercial	$3,906.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.08
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	$67.67
Max. Negotiated Rate	$4,435.00
Rate for Payer: Aetna Commercial	$156.15
Rate for Payer: Aetna Medicare Advantage	$156.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.73
Rate for Payer: Cigna Commercial	$260.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.67
Rate for Payer: Oxford Commercial	$3,906.00
Rate for Payer: Qualcare PPO/HMO/WC	$78.08
Rate for Payer: UnitedHealthcare Commercial	$4,435.00

RADIATION TX AID/S-TC

Facility

$78.50

Service Code	HCPCS 77333TC
Hospital Charge Code	85000615
Hospital Revenue Code	333
Min. Negotiated Rate	$11.78
Max. Negotiated Rate	$11.78
Rate for Payer: Qualcare PPO/HMO/WC	$11.78

RADIATION TX AID/S-TC

Facility

$300.50

Service Code	HCPCS 77332TC
Hospital Charge Code	85000600
Hospital Revenue Code	333
Min. Negotiated Rate	$45.08
Max. Negotiated Rate	$45.08
Rate for Payer: Qualcare PPO/HMO/WC	$45.08

RADIATION TX COMPLEX

Facility

$887.30

Service Code	HCPCS 77263
Hospital Charge Code	85000372
Hospital Revenue Code	333
Min. Negotiated Rate	$115.35
Max. Negotiated Rate	$4,435.00
Rate for Payer: Aetna Commercial	$266.19
Rate for Payer: Aetna Medicare Advantage	$266.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$226.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$226.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$226.26
Rate for Payer: Cigna Commercial	$184.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$115.35
Rate for Payer: Oxford Commercial	$3,906.00
Rate for Payer: Qualcare PPO/HMO/WC	$133.09
Rate for Payer: UnitedHealthcare Commercial	$4,435.00

RADIATION TX COMPLEX

Facility

$887.30

Service Code	HCPCS 77263
Hospital Charge Code	85000372
Hospital Revenue Code	333
Min. Negotiated Rate	$133.09
Max. Negotiated Rate	$133.09
Rate for Payer: Qualcare PPO/HMO/WC	$133.09

RADIATION TX DELIVERY

Facility

$619.37

Service Code	HCPCS 77401
Hospital Charge Code	85000680
Hospital Revenue Code	333
Min. Negotiated Rate	$92.91
Max. Negotiated Rate	$92.91
Rate for Payer: Qualcare PPO/HMO/WC	$92.91

RADIATION TX DELIVERY

Facility

$1,164.28

Service Code	HCPCS 77412
Hospital Charge Code	85000730
Hospital Revenue Code	333
Min. Negotiated Rate	$151.36
Max. Negotiated Rate	$4,435.00
Rate for Payer: Aetna Commercial	$349.28
Rate for Payer: Aetna Medicare Advantage	$349.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$296.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$296.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$296.89
Rate for Payer: Cigna Commercial	$1,315.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.36
Rate for Payer: Oxford Commercial	$3,906.00
Rate for Payer: Qualcare PPO/HMO/WC	$174.64
Rate for Payer: UnitedHealthcare Commercial	$4,435.00

RADIATION TX DELIVERY

Facility

$1,164.28

Service Code	HCPCS 77407
Hospital Charge Code	85000720
Hospital Revenue Code	333
Min. Negotiated Rate	$151.36
Max. Negotiated Rate	$4,435.00
Rate for Payer: Aetna Commercial	$349.28
Rate for Payer: Aetna Medicare Advantage	$349.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$296.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$296.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$296.89
Rate for Payer: Cigna Commercial	$918.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.36
Rate for Payer: Oxford Commercial	$3,906.00
Rate for Payer: Qualcare PPO/HMO/WC	$174.64
Rate for Payer: UnitedHealthcare Commercial	$4,435.00

RADIATION TX DELIVERY

Facility

$619.37

Service Code	HCPCS 77402
Hospital Charge Code	85000700
Hospital Revenue Code	333
Min. Negotiated Rate	$92.91
Max. Negotiated Rate	$92.91
Rate for Payer: Qualcare PPO/HMO/WC	$92.91

RADIATION TX DELIVERY

Facility

$619.37

Service Code	HCPCS 77401
Hospital Charge Code	85000680
Hospital Revenue Code	333
Min. Negotiated Rate	$80.52
Max. Negotiated Rate	$4,435.00
Rate for Payer: Aetna Commercial	$185.81
Rate for Payer: Aetna Medicare Advantage	$185.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$157.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$157.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$157.94
Rate for Payer: Cigna Commercial	$309.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.52
Rate for Payer: Oxford Commercial	$3,906.00
Rate for Payer: Qualcare PPO/HMO/WC	$92.91
Rate for Payer: UnitedHealthcare Commercial	$4,435.00

RADIATION TX DELIVERY

Facility

$619.37

Service Code	HCPCS 77407
Hospital Charge Code	85000705
Hospital Revenue Code	333
Min. Negotiated Rate	$80.52
Max. Negotiated Rate	$4,435.00
Rate for Payer: Aetna Commercial	$185.81
Rate for Payer: Aetna Medicare Advantage	$185.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$157.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$157.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$157.94
Rate for Payer: Cigna Commercial	$918.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.52
Rate for Payer: Oxford Commercial	$3,906.00
Rate for Payer: Qualcare PPO/HMO/WC	$92.91
Rate for Payer: UnitedHealthcare Commercial	$4,435.00

RADIATION TX DELIVERY

Facility

$619.37

Service Code	HCPCS 77402
Hospital Charge Code	85000695
Hospital Revenue Code	333
Min. Negotiated Rate	$80.52
Max. Negotiated Rate	$4,435.00
Rate for Payer: Aetna Commercial	$185.81
Rate for Payer: Aetna Medicare Advantage	$185.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$157.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$157.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$157.94
Rate for Payer: Cigna Commercial	$242.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.52
Rate for Payer: Oxford Commercial	$3,906.00
Rate for Payer: Qualcare PPO/HMO/WC	$92.91
Rate for Payer: UnitedHealthcare Commercial	$4,435.00

RADIATION TX DELIVERY

Facility

$1,164.28

Service Code	HCPCS 77412
Hospital Charge Code	85000740
Hospital Revenue Code	333
Min. Negotiated Rate	$174.64
Max. Negotiated Rate	$174.64
Rate for Payer: Qualcare PPO/HMO/WC	$174.64

RADIATION TX DELIVERY

Facility

$1,164.28

Service Code	HCPCS 77412
Hospital Charge Code	85000735
Hospital Revenue Code	333
Min. Negotiated Rate	$174.64
Max. Negotiated Rate	$174.64
Rate for Payer: Qualcare PPO/HMO/WC	$174.64

RADIATION TX DELIVERY

Facility

$1,164.28

Service Code	HCPCS 77407
Hospital Charge Code	85000710
Hospital Revenue Code	333
Min. Negotiated Rate	$151.36
Max. Negotiated Rate	$4,435.00
Rate for Payer: Aetna Commercial	$349.28
Rate for Payer: Aetna Medicare Advantage	$349.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$296.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$296.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$296.89
Rate for Payer: Cigna Commercial	$918.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.36
Rate for Payer: Oxford Commercial	$3,906.00
Rate for Payer: Qualcare PPO/HMO/WC	$174.64
Rate for Payer: UnitedHealthcare Commercial	$4,435.00

RADIATION TX DELIVERY

Facility

$1,548.50

Service Code	HCPCS 77407
Hospital Charge Code	85000715
Hospital Revenue Code	333
Min. Negotiated Rate	$201.31
Max. Negotiated Rate	$4,435.00
Rate for Payer: Aetna Commercial	$464.55
Rate for Payer: Aetna Medicare Advantage	$464.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$394.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$394.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$394.87
Rate for Payer: Cigna Commercial	$918.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$201.31
Rate for Payer: Oxford Commercial	$3,906.00
Rate for Payer: Qualcare PPO/HMO/WC	$232.28
Rate for Payer: UnitedHealthcare Commercial	$4,435.00

RADIATION TX DELIVERY

Facility

$619.37

Service Code	HCPCS 77402
Hospital Charge Code	85000685
Hospital Revenue Code	333
Min. Negotiated Rate	$80.52
Max. Negotiated Rate	$4,435.00
Rate for Payer: Aetna Commercial	$185.81
Rate for Payer: Aetna Medicare Advantage	$185.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$157.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$157.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$157.94
Rate for Payer: Cigna Commercial	$242.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.52
Rate for Payer: Oxford Commercial	$3,906.00
Rate for Payer: Qualcare PPO/HMO/WC	$92.91
Rate for Payer: UnitedHealthcare Commercial	$4,435.00

RADIATION TX DELIVERY

Facility

$1,164.28

Service Code	HCPCS 77412
Hospital Charge Code	85000735
Hospital Revenue Code	333
Min. Negotiated Rate	$151.36
Max. Negotiated Rate	$4,435.00
Rate for Payer: Aetna Commercial	$349.28
Rate for Payer: Aetna Medicare Advantage	$349.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$296.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$296.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$296.89
Rate for Payer: Cigna Commercial	$1,315.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.36
Rate for Payer: Oxford Commercial	$3,906.00
Rate for Payer: Qualcare PPO/HMO/WC	$174.64
Rate for Payer: UnitedHealthcare Commercial	$4,435.00

RADIATION TX DELIVERY

Facility

$1,164.28

Service Code	HCPCS 77407
Hospital Charge Code	85000710
Hospital Revenue Code	333
Min. Negotiated Rate	$174.64
Max. Negotiated Rate	$174.64
Rate for Payer: Qualcare PPO/HMO/WC	$174.64

RADIATION TX DELIVERY

Facility

$1,164.28

Service Code	HCPCS 77412
Hospital Charge Code	85000725
Hospital Revenue Code	333
Min. Negotiated Rate	$151.36
Max. Negotiated Rate	$4,435.00
Rate for Payer: Aetna Commercial	$349.28
Rate for Payer: Aetna Medicare Advantage	$349.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$296.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$296.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$296.89
Rate for Payer: Cigna Commercial	$1,315.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.36
Rate for Payer: Oxford Commercial	$3,906.00
Rate for Payer: Qualcare PPO/HMO/WC	$174.64
Rate for Payer: UnitedHealthcare Commercial	$4,435.00

RADIATION TX DELIVERY

Facility

$619.37

Service Code	HCPCS 77407
Hospital Charge Code	85000705
Hospital Revenue Code	333
Min. Negotiated Rate	$92.91
Max. Negotiated Rate	$92.91
Rate for Payer: Qualcare PPO/HMO/WC	$92.91

RADIATION TX DELIVERY

Facility

$619.37

Service Code	HCPCS 77402
Hospital Charge Code	85000700
Hospital Revenue Code	333
Min. Negotiated Rate	$80.52
Max. Negotiated Rate	$4,435.00
Rate for Payer: Aetna Commercial	$185.81
Rate for Payer: Aetna Medicare Advantage	$185.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$157.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$157.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$157.94
Rate for Payer: Cigna Commercial	$242.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.52
Rate for Payer: Oxford Commercial	$3,906.00
Rate for Payer: Qualcare PPO/HMO/WC	$92.91
Rate for Payer: UnitedHealthcare Commercial	$4,435.00

RADIATION TX DELIVERY

Facility

$1,164.28

Service Code	HCPCS 77412
Hospital Charge Code	85000740
Hospital Revenue Code	333
Min. Negotiated Rate	$151.36
Max. Negotiated Rate	$4,435.00
Rate for Payer: Aetna Commercial	$349.28
Rate for Payer: Aetna Medicare Advantage	$349.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$296.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$296.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$296.89
Rate for Payer: Cigna Commercial	$1,315.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.36
Rate for Payer: Oxford Commercial	$3,906.00
Rate for Payer: Qualcare PPO/HMO/WC	$174.64
Rate for Payer: UnitedHealthcare Commercial	$4,435.00

RADIATION TX DELIVERY

Facility

$1,164.28

Service Code	HCPCS 77407
Hospital Charge Code	85000720
Hospital Revenue Code	333
Min. Negotiated Rate	$174.64
Max. Negotiated Rate	$174.64
Rate for Payer: Qualcare PPO/HMO/WC	$174.64

Know your out-of-pocket cost for care.

All Charges