Heights University Hospital

All Charges

Charge

Type

Setting

Price

STE PRO RX 2.75X28MM100954028B

Facility

$10,250.00

Hospital Charge Code	270642129C
Hospital Revenue Code	278
Min. Negotiated Rate	$1,537.50
Max. Negotiated Rate	$5,125.00
Rate for Payer: Aetna Commercial	$3,075.00
Rate for Payer: Aetna Medicare Advantage	$3,075.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,613.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,613.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,613.75
Rate for Payer: Cigna Commercial	$5,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,480.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,537.50

STEP STAPLE 6MM

Facility

$12,070.00

Hospital Charge Code	270700549
Hospital Revenue Code	272
Min. Negotiated Rate	$1,810.50
Max. Negotiated Rate	$1,810.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,810.50

STEP STAPLE 6MM

Facility

$12,070.00

Hospital Charge Code	270700549
Hospital Revenue Code	272
Min. Negotiated Rate	$1,569.10
Max. Negotiated Rate	$6,035.00
Rate for Payer: Aetna Commercial	$3,621.00
Rate for Payer: Aetna Medicare Advantage	$3,621.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,077.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,077.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,077.85
Rate for Payer: Cigna Commercial	$6,035.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,569.10
Rate for Payer: Oxford Commercial	$6,035.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,810.50
Rate for Payer: UnitedHealthcare Commercial	$6,035.00

STEREO BREAST BX EA ADDL LESIO

Facility

$3,214.70

Service Code	HCPCS 19082
Hospital Charge Code	2700025
Hospital Revenue Code	361
Min. Negotiated Rate	$74.85
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$964.41
Rate for Payer: Aetna Medicare Advantage	$964.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$819.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$819.75
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	$819.75
Rate for Payer: Cigna Commercial	$74.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$417.91
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$482.20
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

STEREO BREAST BX EA ADDL LESIO

Facility

$3,214.70

Service Code	HCPCS 19082
Hospital Charge Code	2700025
Hospital Revenue Code	361
Min. Negotiated Rate	$482.20
Max. Negotiated Rate	$482.20
Rate for Payer: Qualcare PPO/HMO/WC	$482.20

STEREO BREAST BX EA ADDL LESIO

Facility

$3,214.70

Service Code	HCPCS 19082
Hospital Charge Code	87502807
Hospital Revenue Code	361
Min. Negotiated Rate	$74.85
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$964.41
Rate for Payer: Aetna Medicare Advantage	$964.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$819.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$819.75
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	$819.75
Rate for Payer: Cigna Commercial	$74.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$417.91
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$482.20
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

STEREO BREAST BX EA ADDL LESIO

Facility

$3,214.70

Service Code	HCPCS 19082
Hospital Charge Code	87502807
Hospital Revenue Code	361
Min. Negotiated Rate	$482.20
Max. Negotiated Rate	$482.20
Rate for Payer: Qualcare PPO/HMO/WC	$482.20

STEREO BREAST LOCAL EA ADD LES

Facility

$1,184.85

Service Code	HCPCS 19284
Hospital Charge Code	2700027
Hospital Revenue Code	361
Min. Negotiated Rate	$45.69
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$355.45
Rate for Payer: Aetna Medicare Advantage	$355.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$302.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$302.14
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	$302.14
Rate for Payer: Cigna Commercial	$45.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$154.03
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$177.73
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

STEREO BREAST LOCAL EA ADD LES

Facility

$1,184.85

Service Code	HCPCS 19284
Hospital Charge Code	2700027
Hospital Revenue Code	361
Min. Negotiated Rate	$177.73
Max. Negotiated Rate	$177.73
Rate for Payer: Qualcare PPO/HMO/WC	$177.73

STEREOSCOPIC XRAY GUIDANCE-PC

Facility

$101.35

Service Code	HCPCS 7742126
Hospital Charge Code	85000765
Hospital Revenue Code	333
Min. Negotiated Rate	$13.18
Max. Negotiated Rate	$4,435.00
Rate for Payer: Aetna Commercial	$30.41
Rate for Payer: Aetna Medicare Advantage	$30.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.84
Rate for Payer: Cigna Commercial	$50.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.18
Rate for Payer: Oxford Commercial	$3,906.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.20
Rate for Payer: UnitedHealthcare Commercial	$4,435.00

STEREOSCOPIC XRAY GUIDANCE-PC

Facility

$101.35

Service Code	HCPCS 7742126
Hospital Charge Code	85000765
Hospital Revenue Code	333
Min. Negotiated Rate	$15.20
Max. Negotiated Rate	$15.20
Rate for Payer: Qualcare PPO/HMO/WC	$15.20

STEREOSCOPIC XRAY GUIDANCE-TC

Facility

$401.45

Service Code	HCPCS 77421TC
Hospital Charge Code	85000760
Hospital Revenue Code	333
Min. Negotiated Rate	$60.22
Max. Negotiated Rate	$60.22
Rate for Payer: Qualcare PPO/HMO/WC	$60.22

STEREOSCOPIC XRAY GUIDANCE-TC

Facility

$401.45

Service Code	HCPCS 77421TC
Hospital Charge Code	85000760
Hospital Revenue Code	333
Min. Negotiated Rate	$52.19
Max. Negotiated Rate	$4,435.00
Rate for Payer: Aetna Commercial	$120.44
Rate for Payer: Aetna Medicare Advantage	$120.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$102.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$102.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$102.37
Rate for Payer: Cigna Commercial	$200.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.19
Rate for Payer: Oxford Commercial	$3,906.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.22
Rate for Payer: UnitedHealthcare Commercial	$4,435.00

STEREOTACGUIDEBRSTBIOP1STLESLT

Facility

$4,169.44

Service Code	HCPCS 19081
Hospital Charge Code	94064001L
Hospital Revenue Code	361
Min. Negotiated Rate	$542.03
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$1,250.83
Rate for Payer: Aetna Medicare Advantage	$1,250.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,063.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,063.21
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	$1,063.21
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$542.03
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$625.42
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

STEREOTACGUIDEBRSTBIOP1STLESLT

Facility

$4,169.44

Service Code	HCPCS 19081
Hospital Charge Code	94064001L
Hospital Revenue Code	361
Min. Negotiated Rate	$625.42
Max. Negotiated Rate	$625.42
Rate for Payer: Qualcare PPO/HMO/WC	$625.42

STEREOTACGUIDEBRSTBIOP1STLESRT

Facility

$4,169.44

Service Code	HCPCS 19081
Hospital Charge Code	94064001R
Hospital Revenue Code	361
Min. Negotiated Rate	$625.42
Max. Negotiated Rate	$625.42
Rate for Payer: Qualcare PPO/HMO/WC	$625.42

STEREOTACGUIDEBRSTBIOP1STLESRT

Facility

$4,169.44

Service Code	HCPCS 19081
Hospital Charge Code	94064001R
Hospital Revenue Code	361
Min. Negotiated Rate	$542.03
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$1,250.83
Rate for Payer: Aetna Medicare Advantage	$1,250.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,063.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,063.21
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	$1,063.21
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$542.03
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$625.42
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

STEREOTACGUIDEBRSTBIOPADDLESLT

Facility

$3,214.70

Service Code	HCPCS 19082
Hospital Charge Code	94064003L
Hospital Revenue Code	361
Min. Negotiated Rate	$74.85
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$964.41
Rate for Payer: Aetna Medicare Advantage	$964.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$819.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$819.75
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	$819.75
Rate for Payer: Cigna Commercial	$74.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$417.91
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$482.20
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

STEREOTACGUIDEBRSTBIOPADDLESLT

Facility

$3,214.70

Service Code	HCPCS 19082
Hospital Charge Code	94064003L
Hospital Revenue Code	361
Min. Negotiated Rate	$482.20
Max. Negotiated Rate	$482.20
Rate for Payer: Qualcare PPO/HMO/WC	$482.20

STEREOTACGUIDEBRSTBIOPADDLESRT

Facility

$3,214.70

Service Code	HCPCS 19082
Hospital Charge Code	94064003R
Hospital Revenue Code	361
Min. Negotiated Rate	$74.85
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$964.41
Rate for Payer: Aetna Medicare Advantage	$964.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$819.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$819.75
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	$819.75
Rate for Payer: Cigna Commercial	$74.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$417.91
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$482.20
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

STEREOTACGUIDEBRSTBIOPADDLESRT

Facility

$3,214.70

Service Code	HCPCS 19082
Hospital Charge Code	94064003R
Hospital Revenue Code	361
Min. Negotiated Rate	$482.20
Max. Negotiated Rate	$482.20
Rate for Payer: Qualcare PPO/HMO/WC	$482.20

STEREOTACGUIDEBRSTBIOPSY1STLES

Facility

$8,338.88

Service Code	HCPCS 19081
Hospital Charge Code	94064001
Hospital Revenue Code	361
Min. Negotiated Rate	$1,084.05
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$2,501.66
Rate for Payer: Aetna Medicare Advantage	$2,501.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,126.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,126.41
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	$2,126.41
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,084.05
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,250.83
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

STEREOTACGUIDEBRSTBIOPSY1STLES

Facility

$8,338.88

Service Code	HCPCS 19081
Hospital Charge Code	94064001
Hospital Revenue Code	361
Min. Negotiated Rate	$1,250.83
Max. Negotiated Rate	$1,250.83
Rate for Payer: Qualcare PPO/HMO/WC	$1,250.83

STEREOTACGUIDEBRSTBIOPSYADDLES

Facility

$6,429.40

Service Code	HCPCS 19082
Hospital Charge Code	94064003
Hospital Revenue Code	361
Min. Negotiated Rate	$74.85
Max. Negotiated Rate	$1,928.82
Rate for Payer: Aetna Commercial	$1,928.82
Rate for Payer: Aetna Medicare Advantage	$1,928.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,639.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,639.50
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	$1,639.50
Rate for Payer: Cigna Commercial	$74.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$835.82
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$964.41
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

STEREOTACGUIDEBRSTBIOPSYADDLES

Facility

$6,429.40

Service Code	HCPCS 19082
Hospital Charge Code	94064003
Hospital Revenue Code	361
Min. Negotiated Rate	$964.41
Max. Negotiated Rate	$964.41
Rate for Payer: Qualcare PPO/HMO/WC	$964.41

Know your out-of-pocket cost for care.

All Charges