Heights University Hospital

All Charges

Charge

Type

Setting

Price

TERIPARATIDE 750MCG/3ML

Facility

$3,804.50

Hospital Charge Code	60629880
Hospital Revenue Code	250
Min. Negotiated Rate	$570.67
Max. Negotiated Rate	$570.67
Rate for Payer: Qualcare PPO/HMO/WC	$570.67

TERM.DEOXYNUCLEOTIDYL TRANSFER

Facility

$218.74

Service Code	HCPCS 88346
Hospital Charge Code	38476180
Hospital Revenue Code	312
Min. Negotiated Rate	$28.44
Max. Negotiated Rate	$405.73
Rate for Payer: Aetna Commercial	$65.62
Rate for Payer: Aetna Medicare Advantage	$65.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55.78
Rate for Payer: Cigna Commercial	$405.73
Rate for Payer: Cigna Medicare Advantage	$78.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.44
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.81
Rate for Payer: UnitedHealthcare Commercial	$114.00

TERM.DEOXYNUCLEOTIDYL TRANSFER

Facility

$218.74

Service Code	HCPCS 88346
Hospital Charge Code	38476180
Hospital Revenue Code	312
Min. Negotiated Rate	$32.81
Max. Negotiated Rate	$32.81
Rate for Payer: Qualcare PPO/HMO/WC	$32.81

TERMINAL DEOXYNUCLEOTIDL STN**

Facility

$250.00

Service Code	HCPCS 85999
Hospital Charge Code	3008281
Hospital Revenue Code	306
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$37.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

TERMINAL DEOXYNUCLEOTIDL STN**

Facility

$250.00

Service Code	HCPCS 85999
Hospital Charge Code	3008281
Hospital Revenue Code	306
Min. Negotiated Rate	$32.50
Max. Negotiated Rate	$125.00
Rate for Payer: Aetna Commercial	$75.00
Rate for Payer: Aetna Medicare Advantage	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.75
Rate for Payer: Cigna Commercial	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.50
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.50
Rate for Payer: UnitedHealthcare Commercial	$114.00

TERPIN HYDRATE/COD LIQ 4 OZ

Facility

$122.90

Hospital Charge Code	6005151
Hospital Revenue Code	251
Min. Negotiated Rate	$18.43
Max. Negotiated Rate	$18.43
Rate for Payer: Qualcare PPO/HMO/WC	$18.43

TERPIN HYDRATE/COD LIQ 4 OZ

Facility

$122.90

Hospital Charge Code	6005151
Hospital Revenue Code	251
Min. Negotiated Rate	$15.98
Max. Negotiated Rate	$61.45
Rate for Payer: Aetna Commercial	$36.87
Rate for Payer: Aetna Medicare Advantage	$36.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.34
Rate for Payer: Cigna Commercial	$61.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.98
Rate for Payer: Oxford Commercial	$61.45
Rate for Payer: Qualcare PPO/HMO/WC	$18.43
Rate for Payer: UnitedHealthcare Commercial	$61.45

TERUMOBCT/PRP

Facility

$3,050.00

Hospital Charge Code	270681065
Hospital Revenue Code	272
Min. Negotiated Rate	$396.50
Max. Negotiated Rate	$1,525.00
Rate for Payer: Aetna Commercial	$915.00
Rate for Payer: Aetna Medicare Advantage	$915.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$777.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$777.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$777.75
Rate for Payer: Cigna Commercial	$1,525.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$396.50
Rate for Payer: Oxford Commercial	$1,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$457.50
Rate for Payer: UnitedHealthcare Commercial	$1,525.00

TERUMOBCT/PRP

Facility

$3,050.00

Hospital Charge Code	270681065
Hospital Revenue Code	272
Min. Negotiated Rate	$457.50
Max. Negotiated Rate	$457.50
Rate for Payer: Qualcare PPO/HMO/WC	$457.50

TERUMOBCT/PRP 120 ML

Facility

$11,475.00

Hospital Charge Code	270676585
Hospital Revenue Code	272
Min. Negotiated Rate	$1,721.25
Max. Negotiated Rate	$1,721.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,721.25

TERUMOBCT/PRP 120 ML

Facility

$11,475.00

Hospital Charge Code	270676585
Hospital Revenue Code	272
Min. Negotiated Rate	$1,491.75
Max. Negotiated Rate	$5,737.50
Rate for Payer: Aetna Commercial	$3,442.50
Rate for Payer: Aetna Medicare Advantage	$3,442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,926.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,926.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,926.12
Rate for Payer: Cigna Commercial	$5,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,491.75
Rate for Payer: Oxford Commercial	$5,737.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,721.25
Rate for Payer: UnitedHealthcare Commercial	$5,737.50

TERUMO CENTRIFUGAL HEAD

Facility

$1,115.50

Hospital Charge Code	2703110C
Hospital Revenue Code	272
Min. Negotiated Rate	$145.01
Max. Negotiated Rate	$557.75
Rate for Payer: Aetna Commercial	$334.65
Rate for Payer: Aetna Medicare Advantage	$334.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$284.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$284.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$284.45
Rate for Payer: Cigna Commercial	$557.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.01
Rate for Payer: Oxford Commercial	$557.75
Rate for Payer: Qualcare PPO/HMO/WC	$167.32
Rate for Payer: UnitedHealthcare Commercial	$557.75

TERUMO CENTRIFUGAL HEAD

Facility

$1,115.50

Hospital Charge Code	2703110C
Hospital Revenue Code	272
Min. Negotiated Rate	$167.32
Max. Negotiated Rate	$167.32
Rate for Payer: Qualcare PPO/HMO/WC	$167.32

TERUMO TORQUE DEVICE

Facility

$199.50

Hospital Charge Code	270662664
Hospital Revenue Code	270
Min. Negotiated Rate	$29.93
Max. Negotiated Rate	$29.93
Rate for Payer: Qualcare PPO/HMO/WC	$29.93

TERUMO TORQUE DEVICE

Facility

$199.50

Hospital Charge Code	270662664
Hospital Revenue Code	270
Min. Negotiated Rate	$25.93
Max. Negotiated Rate	$99.75
Rate for Payer: Aetna Commercial	$59.85
Rate for Payer: Aetna Medicare Advantage	$59.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.87
Rate for Payer: Cigna Commercial	$99.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.93
Rate for Payer: Oxford Commercial	$99.75
Rate for Payer: Qualcare PPO/HMO/WC	$29.93
Rate for Payer: UnitedHealthcare Commercial	$99.75

TESSIO MCTC 1035KD-A-1 ******

Facility

$1,058.00

Hospital Charge Code	1608207
Hospital Revenue Code	272
Min. Negotiated Rate	$137.54
Max. Negotiated Rate	$529.00
Rate for Payer: Aetna Commercial	$317.40
Rate for Payer: Aetna Medicare Advantage	$317.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$269.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$269.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$269.79
Rate for Payer: Cigna Commercial	$529.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.54
Rate for Payer: Oxford Commercial	$529.00
Rate for Payer: Qualcare PPO/HMO/WC	$158.70
Rate for Payer: UnitedHealthcare Commercial	$529.00

TESSIO MCTC 1035KD-A-1 ******

Facility

$1,058.00

Hospital Charge Code	1608207
Hospital Revenue Code	272
Min. Negotiated Rate	$158.70
Max. Negotiated Rate	$158.70
Rate for Payer: Qualcare PPO/HMO/WC	$158.70

TEST******

Facility

$5.00

Hospital Charge Code	9999999999
Hospital Revenue Code	519
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$2.50
Rate for Payer: Aetna Commercial	$1.50
Rate for Payer: Aetna Medicare Advantage	$1.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.27
Rate for Payer: Cigna Commercial	$2.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.65
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

TEST******

Facility

$5.00

Hospital Charge Code	9999999999
Hospital Revenue Code	519
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

TEST CLO

Facility

$60.85

Hospital Charge Code	270601181
Hospital Revenue Code	270
Min. Negotiated Rate	$7.91
Max. Negotiated Rate	$30.43
Rate for Payer: Aetna Commercial	$18.25
Rate for Payer: Aetna Medicare Advantage	$18.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.52
Rate for Payer: Cigna Commercial	$30.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.91
Rate for Payer: Oxford Commercial	$30.43
Rate for Payer: Qualcare PPO/HMO/WC	$9.13
Rate for Payer: UnitedHealthcare Commercial	$30.43

TEST CLO

Facility

$60.85

Hospital Charge Code	270601181
Hospital Revenue Code	270
Min. Negotiated Rate	$9.13
Max. Negotiated Rate	$9.13
Rate for Payer: Qualcare PPO/HMO/WC	$9.13

TESTER LEAKAGE GASTROSCOPE MU1

Facility

$1,120.00

Hospital Charge Code	270617457
Hospital Revenue Code	270
Min. Negotiated Rate	$168.00
Max. Negotiated Rate	$168.00
Rate for Payer: Qualcare PPO/HMO/WC	$168.00

TESTER LEAKAGE GASTROSCOPE MU1

Facility

$1,120.00

Hospital Charge Code	270617457
Hospital Revenue Code	270
Min. Negotiated Rate	$145.60
Max. Negotiated Rate	$560.00
Rate for Payer: Aetna Commercial	$336.00
Rate for Payer: Aetna Medicare Advantage	$336.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$285.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$285.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$285.60
Rate for Payer: Cigna Commercial	$560.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.60
Rate for Payer: Oxford Commercial	$560.00
Rate for Payer: Qualcare PPO/HMO/WC	$168.00
Rate for Payer: UnitedHealthcare Commercial	$560.00

TESTES PROCEDURES WITH CC/MCC

Facility

$72,306.06

Service Code	MSDRG 711
Min. Negotiated Rate	$22,739.64
Max. Negotiated Rate	$72,306.06
Rate for Payer: Aetna Commercial	$70,265.49
Rate for Payer: Aetna Medicare Advantage	$22,739.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58,442.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58,442.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$24,102.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58,442.04
Rate for Payer: Cigna Commercial	$44,845.46
Rate for Payer: Cigna Medicare Advantage	$24,102.02
Rate for Payer: Clover Medicare Advantage	$22,896.92
Rate for Payer: EmblemHealth Commercial	$72,306.06
Rate for Payer: Humana Medicare Advantage	$24,825.08
Rate for Payer: Oxford Commercial	$28,027.11
Rate for Payer: UnitedHealthcare Commercial	$31,813.37
Rate for Payer: UnitedHealthcare Medicare Advantage	$24,102.02
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$25,548.14
Rate for Payer: Wellcare Medicare Advantage	$24,102.02

TESTES PROCEDURES WITHOUT CC/MCC

Facility

$43,741.83

Service Code	MSDRG 712
Min. Negotiated Rate	$12,000.57
Max. Negotiated Rate	$43,741.83
Rate for Payer: Aetna Commercial	$37,081.76
Rate for Payer: Aetna Medicare Advantage	$12,000.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32,804.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32,804.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14,580.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32,804.73
Rate for Payer: Cigna Commercial	$23,666.64
Rate for Payer: Cigna Medicare Advantage	$14,580.61
Rate for Payer: Clover Medicare Advantage	$13,851.58
Rate for Payer: EmblemHealth Commercial	$43,741.83
Rate for Payer: Humana Medicare Advantage	$15,018.03
Rate for Payer: Oxford Commercial	$14,790.97
Rate for Payer: UnitedHealthcare Commercial	$16,789.12
Rate for Payer: UnitedHealthcare Medicare Advantage	$14,580.61
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15,455.45
Rate for Payer: Wellcare Medicare Advantage	$14,580.61

Know your out-of-pocket cost for care.

All Charges