Heights University Hospital

All Charges

Charge

Type

Setting

Price

TCC CUTIMED OFF-LOADER

Facility

$391.90

Hospital Charge Code	270676385W
Hospital Revenue Code	272
Min. Negotiated Rate	$58.78
Max. Negotiated Rate	$58.78
Rate for Payer: Qualcare PPO/HMO/WC	$58.78

TCC CUTIMED OFF-LOADER

Facility

$391.90

Hospital Charge Code	270676385W
Hospital Revenue Code	272
Min. Negotiated Rate	$50.95
Max. Negotiated Rate	$195.95
Rate for Payer: Aetna Commercial	$117.57
Rate for Payer: Aetna Medicare Advantage	$117.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.93
Rate for Payer: Cigna Commercial	$195.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.95
Rate for Payer: Oxford Commercial	$195.95
Rate for Payer: Qualcare PPO/HMO/WC	$58.78
Rate for Payer: UnitedHealthcare Commercial	$195.95

TCC CUTIMED OFF-LOADER

Facility

$391.90

Hospital Charge Code	270676385
Hospital Revenue Code	272
Min. Negotiated Rate	$50.95
Max. Negotiated Rate	$195.95
Rate for Payer: Aetna Commercial	$117.57
Rate for Payer: Aetna Medicare Advantage	$117.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.93
Rate for Payer: Cigna Commercial	$195.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.95
Rate for Payer: Oxford Commercial	$195.95
Rate for Payer: Qualcare PPO/HMO/WC	$58.78
Rate for Payer: UnitedHealthcare Commercial	$195.95

TCC-EZ CASTING SYSTEMS 4

Facility

$512.33

Hospital Charge Code	270674025W
Hospital Revenue Code	272
Min. Negotiated Rate	$66.60
Max. Negotiated Rate	$256.17
Rate for Payer: Aetna Commercial	$153.70
Rate for Payer: Aetna Medicare Advantage	$153.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$130.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$130.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$130.64
Rate for Payer: Cigna Commercial	$256.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.60
Rate for Payer: Oxford Commercial	$256.17
Rate for Payer: Qualcare PPO/HMO/WC	$76.85
Rate for Payer: UnitedHealthcare Commercial	$256.17

TCC-EZ CASTING SYSTEMS 4

Facility

$512.33

Hospital Charge Code	270674025W
Hospital Revenue Code	272
Min. Negotiated Rate	$76.85
Max. Negotiated Rate	$76.85
Rate for Payer: Qualcare PPO/HMO/WC	$76.85

TCC-EZ CASTING SYSTEMS 4

Facility

$512.33

Hospital Charge Code	270674025
Hospital Revenue Code	272
Min. Negotiated Rate	$66.60
Max. Negotiated Rate	$256.17
Rate for Payer: Aetna Commercial	$153.70
Rate for Payer: Aetna Medicare Advantage	$153.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$130.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$130.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$130.64
Rate for Payer: Cigna Commercial	$256.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.60
Rate for Payer: Oxford Commercial	$256.17
Rate for Payer: Qualcare PPO/HMO/WC	$76.85
Rate for Payer: UnitedHealthcare Commercial	$256.17

TCC-EZ CASTING SYSTEMS 4

Facility

$512.33

Hospital Charge Code	270674025
Hospital Revenue Code	272
Min. Negotiated Rate	$76.85
Max. Negotiated Rate	$76.85
Rate for Payer: Qualcare PPO/HMO/WC	$76.85

TCD COMPLETE STUDY

Facility

$789.00

Service Code	HCPCS 93886
Hospital Charge Code	74117029
Hospital Revenue Code	920
Min. Negotiated Rate	$118.35
Max. Negotiated Rate	$118.35
Rate for Payer: Qualcare PPO/HMO/WC	$118.35

TCD COMPLETE STUDY

Facility

$5,100.00

Service Code	HCPCS 93886
Hospital Charge Code	2692025
Hospital Revenue Code	920
Min. Negotiated Rate	$338.10
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	$338.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$568.20
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

TCD COMPLETE STUDY

Facility

$789.00

Service Code	HCPCS 93886
Hospital Charge Code	74115029
Hospital Revenue Code	920
Min. Negotiated Rate	$118.35
Max. Negotiated Rate	$118.35
Rate for Payer: Qualcare PPO/HMO/WC	$118.35

TCD COMPLETE STUDY

Facility

$789.00

Service Code	HCPCS 93886
Hospital Charge Code	74117029
Hospital Revenue Code	920
Min. Negotiated Rate	$102.57
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$236.70
Rate for Payer: Aetna Medicare Advantage	$236.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$201.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$201.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$338.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$201.19
Rate for Payer: Cigna Commercial	$568.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.57
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$118.35
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

TCD COMPLETE STUDY

Facility

$789.00

Service Code	HCPCS 93886
Hospital Charge Code	74116029
Hospital Revenue Code	920
Min. Negotiated Rate	$118.35
Max. Negotiated Rate	$118.35
Rate for Payer: Qualcare PPO/HMO/WC	$118.35

TCD COMPLETE STUDY

Facility

$789.00

Service Code	HCPCS 93886
Hospital Charge Code	74116029
Hospital Revenue Code	920
Min. Negotiated Rate	$102.57
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$236.70
Rate for Payer: Aetna Medicare Advantage	$236.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$201.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$201.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$338.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$201.19
Rate for Payer: Cigna Commercial	$568.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.57
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$118.35
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

TCD COMPLETE STUDY

Facility

$5,100.00

Service Code	HCPCS 93886
Hospital Charge Code	2692025
Hospital Revenue Code	920
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

TCD COMPLETE STUDY

Facility

$789.00

Service Code	HCPCS 93886
Hospital Charge Code	74115029
Hospital Revenue Code	920
Min. Negotiated Rate	$102.57
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$236.70
Rate for Payer: Aetna Medicare Advantage	$236.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$201.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$201.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$338.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$201.19
Rate for Payer: Cigna Commercial	$568.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.57
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$118.35
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

TCD LIMITED STUDY

Facility

$517.00

Service Code	HCPCS 93888
Hospital Charge Code	74117030
Hospital Revenue Code	920
Min. Negotiated Rate	$77.55
Max. Negotiated Rate	$77.55
Rate for Payer: Qualcare PPO/HMO/WC	$77.55

TCD LIMITED STUDY

Facility

$5,100.00

Service Code	HCPCS 93888
Hospital Charge Code	2692030
Hospital Revenue Code	920
Min. Negotiated Rate	$157.55
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	$157.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$248.96
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

TCD LIMITED STUDY

Facility

$517.00

Service Code	HCPCS 93888
Hospital Charge Code	74117030
Hospital Revenue Code	920
Min. Negotiated Rate	$67.21
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$155.10
Rate for Payer: Aetna Medicare Advantage	$155.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$131.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$131.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$157.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$131.84
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.21
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$77.55
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

TCD LIMITED STUDY

Facility

$5,100.00

Service Code	HCPCS 93888
Hospital Charge Code	74115030
Hospital Revenue Code	920
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

TCD LIMITED STUDY

Facility

$5,100.00

Service Code	HCPCS 93888
Hospital Charge Code	74115030
Hospital Revenue Code	920
Min. Negotiated Rate	$157.55
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	$157.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$248.96
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

TCD LIMITED STUDY

Facility

$5,100.00

Service Code	HCPCS 93888
Hospital Charge Code	2692030
Hospital Revenue Code	920
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

TCD LIMITED STUDY

Facility

$517.00

Service Code	HCPCS 93888
Hospital Charge Code	74116030
Hospital Revenue Code	920
Min. Negotiated Rate	$67.21
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$155.10
Rate for Payer: Aetna Medicare Advantage	$155.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$131.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$131.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$157.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$131.84
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.21
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$77.55
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

TCD LIMITED STUDY

Facility

$517.00

Service Code	HCPCS 93888
Hospital Charge Code	74116030
Hospital Revenue Code	920
Min. Negotiated Rate	$77.55
Max. Negotiated Rate	$77.55
Rate for Payer: Qualcare PPO/HMO/WC	$77.55

T CELLS CD4 & CD8,INCL RATIO

Facility

$599.00

Service Code	HCPCS 86360
Hospital Charge Code	38476263
Hospital Revenue Code	302
Min. Negotiated Rate	$89.85
Max. Negotiated Rate	$89.85
Rate for Payer: Qualcare PPO/HMO/WC	$89.85

T CELLS CD4 & CD8,INCL RATIO

Facility

$599.00

Service Code	HCPCS 86360
Hospital Charge Code	38476263
Hospital Revenue Code	302
Min. Negotiated Rate	$23.49
Max. Negotiated Rate	$172.13
Rate for Payer: Aetna Commercial	$152.22
Rate for Payer: Aetna Medicare Advantage	$46.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$172.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$172.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$46.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$102.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$172.13
Rate for Payer: Cigna Commercial	$46.98
Rate for Payer: Cigna Medicare Advantage	$23.49
Rate for Payer: Clover Medicare Advantage	$44.63
Rate for Payer: EmblemHealth Commercial	$140.94
Rate for Payer: Humana Medicare Advantage	$48.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.87
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$89.85
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$46.98
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$49.80
Rate for Payer: Wellcare Medicare Advantage	$46.98

Know your out-of-pocket cost for care.

All Charges