Heights University Hospital

All Charges

Charge

Type

Setting

Price

BCR/ABL GENE QN, PCR W/RFLX

Facility

$535.15

Hospital Charge Code	3000365
Hospital Revenue Code	301
Min. Negotiated Rate	$69.57
Max. Negotiated Rate	$267.57
Rate for Payer: Aetna Commercial	$160.54
Rate for Payer: Aetna Medicare Advantage	$160.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.46
Rate for Payer: Cigna Commercial	$267.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.57
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$80.27
Rate for Payer: UnitedHealthcare Commercial	$114.00

BCR GENE PCR

Facility

$111.00

Hospital Charge Code	3036013
Hospital Revenue Code	301
Min. Negotiated Rate	$14.43
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$33.30
Rate for Payer: Aetna Medicare Advantage	$33.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.30
Rate for Payer: Cigna Commercial	$55.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.43
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.65
Rate for Payer: UnitedHealthcare Commercial	$114.00

BCR GENE PCR

Facility

$111.00

Hospital Charge Code	3036013
Hospital Revenue Code	301
Min. Negotiated Rate	$16.65
Max. Negotiated Rate	$16.65
Rate for Payer: Qualcare PPO/HMO/WC	$16.65

BD DEXA FOREARM BMD LEFT

Facility

$5,100.00

Service Code	HCPCS 77081
Hospital Charge Code	2709005
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

BD DEXA FOREARM BMD LEFT

Facility

$5,100.00

Service Code	HCPCS 77081
Hospital Charge Code	2709005
Hospital Revenue Code	320
Min. Negotiated Rate	$84.15
Max. Negotiated Rate	$1,530.00
Rate for Payer: Aetna Commercial	$1,530.00
Rate for Payer: Aetna Medicare Advantage	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$207.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$663.00
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

BD DEXA FOREARM BMD RIGHT

Facility

$607.50

Service Code	HCPCS 77081
Hospital Charge Code	2709006
Hospital Revenue Code	320
Min. Negotiated Rate	$91.12
Max. Negotiated Rate	$91.12
Rate for Payer: Qualcare PPO/HMO/WC	$91.12

BD DEXA FOREARM BMD RIGHT

Facility

$607.50

Service Code	HCPCS 77081
Hospital Charge Code	2709006
Hospital Revenue Code	320
Min. Negotiated Rate	$78.97
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$182.25
Rate for Payer: Aetna Medicare Advantage	$182.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$154.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$154.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$154.91
Rate for Payer: Cigna Commercial	$207.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.97
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$91.12
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

BD DEXA HIP AND/OR SPINE BMD

Facility

$1,571.90

Service Code	HCPCS 77080
Hospital Charge Code	2709004
Hospital Revenue Code	320
Min. Negotiated Rate	$121.55
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$471.57
Rate for Payer: Aetna Medicare Advantage	$471.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$400.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$400.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$121.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$400.83
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$204.35
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$235.78
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

BD DEXA HIP AND/OR SPINE BMD

Facility

$1,571.90

Service Code	HCPCS 77080
Hospital Charge Code	2709004
Hospital Revenue Code	320
Min. Negotiated Rate	$235.78
Max. Negotiated Rate	$235.78
Rate for Payer: Qualcare PPO/HMO/WC	$235.78

BD DEXA HIP & FOREARM LEFT

Facility

$1,571.90

Service Code	HCPCS 77080
Hospital Charge Code	2709007
Hospital Revenue Code	320
Min. Negotiated Rate	$235.78
Max. Negotiated Rate	$235.78
Rate for Payer: Qualcare PPO/HMO/WC	$235.78

BD DEXA HIP & FOREARM LEFT

Facility

$1,571.90

Service Code	HCPCS 77080
Hospital Charge Code	2709007
Hospital Revenue Code	320
Min. Negotiated Rate	$121.55
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$471.57
Rate for Payer: Aetna Medicare Advantage	$471.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$400.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$400.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$121.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$400.83
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$204.35
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$235.78
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

BD DEXA HIP & FOREARM RIGHT

Facility

$1,571.90

Service Code	HCPCS 77080
Hospital Charge Code	2709008
Hospital Revenue Code	320
Min. Negotiated Rate	$121.55
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$471.57
Rate for Payer: Aetna Medicare Advantage	$471.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$400.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$400.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$121.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$400.83
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$204.35
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$235.78
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

BD DEXA HIP & FOREARM RIGHT

Facility

$1,571.90

Service Code	HCPCS 77080
Hospital Charge Code	2709008
Hospital Revenue Code	320
Min. Negotiated Rate	$235.78
Max. Negotiated Rate	$235.78
Rate for Payer: Qualcare PPO/HMO/WC	$235.78

B-D NEEDLE 18G x 1-5

Facility

$4.65

Hospital Charge Code	60629322
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$2.33
Rate for Payer: Aetna Commercial	$1.40
Rate for Payer: Aetna Medicare Advantage	$1.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.19
Rate for Payer: Cigna Commercial	$2.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.60
Rate for Payer: Oxford Commercial	$2.33
Rate for Payer: Qualcare PPO/HMO/WC	$0.70
Rate for Payer: UnitedHealthcare Commercial	$2.33

B-D NEEDLE 18G x 1-5

Facility

$4.65

Hospital Charge Code	60629322
Hospital Revenue Code	250
Min. Negotiated Rate	$0.70
Max. Negotiated Rate	$0.70
Rate for Payer: Qualcare PPO/HMO/WC	$0.70

BD OF ED DRUG/ALCOHL SCREEN ID

Facility

$128.00

Service Code	HCPCS 80102
Hospital Charge Code	9400178
Hospital Revenue Code	301
Min. Negotiated Rate	$19.20
Max. Negotiated Rate	$19.20
Rate for Payer: Qualcare PPO/HMO/WC	$19.20

BD OF ED DRUG/ALCOHL SCREEN ID

Facility

$128.00

Service Code	HCPCS 80102
Hospital Charge Code	9400178
Hospital Revenue Code	301
Min. Negotiated Rate	$16.64
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$38.40
Rate for Payer: Aetna Medicare Advantage	$38.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.64
Rate for Payer: Cigna Commercial	$64.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.64
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.20
Rate for Payer: UnitedHealthcare Commercial	$114.00

B DRILL FOR TRANSFIX

Facility

$1,025.00

Hospital Charge Code	270656491
Hospital Revenue Code	272
Min. Negotiated Rate	$133.25
Max. Negotiated Rate	$512.50
Rate for Payer: Aetna Commercial	$307.50
Rate for Payer: Aetna Medicare Advantage	$307.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$261.38
Rate for Payer: Cigna Commercial	$512.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: Oxford Commercial	$512.50
Rate for Payer: Qualcare PPO/HMO/WC	$153.75
Rate for Payer: UnitedHealthcare Commercial	$512.50

B DRILL FOR TRANSFIX

Facility

$1,025.00

Hospital Charge Code	270656491
Hospital Revenue Code	272
Min. Negotiated Rate	$153.75
Max. Negotiated Rate	$153.75
Rate for Payer: Qualcare PPO/HMO/WC	$153.75

BEADED CABLE/SLEEVE SET 2.0MM

Facility

$2,205.00

Service Code	HCPCS C1713
Hospital Charge Code	270669191
Hospital Revenue Code	278
Min. Negotiated Rate	$330.75
Max. Negotiated Rate	$1,102.50
Rate for Payer: Aetna Commercial	$661.50
Rate for Payer: Aetna Medicare Advantage	$661.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$562.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$562.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$441.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$562.27
Rate for Payer: Cigna Commercial	$1,102.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$533.61
Rate for Payer: Qualcare PPO/HMO/WC	$330.75

BEADED CABLE/SLEEVE SET 2.0MM

Facility

$2,205.00

Service Code	HCPCS C1713
Hospital Charge Code	270669191
Hospital Revenue Code	278
Min. Negotiated Rate	$330.75
Max. Negotiated Rate	$533.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$441.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$533.61
Rate for Payer: Qualcare PPO/HMO/WC	$330.75

BEAD TIP GUIDEWIRE 100CM

Facility

$1,237.50

Hospital Charge Code	270703324
Hospital Revenue Code	272
Min. Negotiated Rate	$185.62
Max. Negotiated Rate	$185.62
Rate for Payer: Qualcare PPO/HMO/WC	$185.62

BEAD TIP GUIDEWIRE 100CM

Facility

$1,237.50

Hospital Charge Code	270703324
Hospital Revenue Code	272
Min. Negotiated Rate	$160.88
Max. Negotiated Rate	$618.75
Rate for Payer: Aetna Commercial	$371.25
Rate for Payer: Aetna Medicare Advantage	$371.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$315.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$315.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$315.56
Rate for Payer: Cigna Commercial	$618.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.88
Rate for Payer: Oxford Commercial	$618.75
Rate for Payer: Qualcare PPO/HMO/WC	$185.62
Rate for Payer: UnitedHealthcare Commercial	$618.75

BEAM 7 X 125

Facility

$8,130.00

Service Code	HCPCS C1713
Hospital Charge Code	270702618
Hospital Revenue Code	278
Min. Negotiated Rate	$1,219.50
Max. Negotiated Rate	$4,065.00
Rate for Payer: Aetna Commercial	$2,439.00
Rate for Payer: Aetna Medicare Advantage	$2,439.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,073.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,073.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,073.15
Rate for Payer: Cigna Commercial	$4,065.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,967.46
Rate for Payer: Qualcare PPO/HMO/WC	$1,219.50

BEAM 7 X 125

Facility

$8,130.00

Service Code	HCPCS C1713
Hospital Charge Code	270702618
Hospital Revenue Code	278
Min. Negotiated Rate	$1,219.50
Max. Negotiated Rate	$1,967.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,967.46
Rate for Payer: Qualcare PPO/HMO/WC	$1,219.50

Know your out-of-pocket cost for care.

All Charges