Heights University Hospital

All Charges

Charge

Type

Setting

Price

THIOTHIXENE (NAVANE)

Facility

$324.00

Service Code	HCPCS 82542
Hospital Charge Code	38473123
Hospital Revenue Code	301
Min. Negotiated Rate	$48.60
Max. Negotiated Rate	$48.60
Rate for Payer: Qualcare PPO/HMO/WC	$48.60

THNA TI CANNULATED 235 MM

Facility

$9,653.15

Service Code	HCPCS C1713
Hospital Charge Code	270688448
Hospital Revenue Code	278
Min. Negotiated Rate	$1,447.97
Max. Negotiated Rate	$2,336.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,930.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,336.06
Rate for Payer: Qualcare PPO/HMO/WC	$1,447.97

THNA TI CANNULATED 235 MM

Facility

$9,653.15

Service Code	HCPCS C1713
Hospital Charge Code	270688448
Hospital Revenue Code	278
Min. Negotiated Rate	$1,447.97
Max. Negotiated Rate	$4,826.57
Rate for Payer: Qualcare PPO/HMO/WC	$1,447.97
Rate for Payer: Aetna Commercial	$2,895.95
Rate for Payer: Aetna Medicare Advantage	$2,895.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,461.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,461.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,930.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,461.55
Rate for Payer: Cigna Commercial	$4,826.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,336.06

THOMBO W/RFLX

Facility

$121.00

Hospital Charge Code	3035086G
Hospital Revenue Code	301
Min. Negotiated Rate	$15.73
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$36.30
Rate for Payer: Aetna Medicare Advantage	$36.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.86
Rate for Payer: Cigna Commercial	$60.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.73
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.15
Rate for Payer: UnitedHealthcare Commercial	$114.00

THOMBO W/RFLX

Facility

$121.00

Hospital Charge Code	3035086G
Hospital Revenue Code	301
Min. Negotiated Rate	$18.15
Max. Negotiated Rate	$18.15
Rate for Payer: Qualcare PPO/HMO/WC	$18.15

THORACENTESIS

Facility

$331.55

Service Code	HCPCS 32421
Hospital Charge Code	3400215
Hospital Revenue Code	761
Min. Negotiated Rate	$49.73
Max. Negotiated Rate	$49.73
Rate for Payer: Qualcare PPO/HMO/WC	$49.73

THORACENTESIS

Facility

$331.55

Service Code	HCPCS 32421
Hospital Charge Code	3400215
Hospital Revenue Code	761
Min. Negotiated Rate	$43.10
Max. Negotiated Rate	$165.78
Rate for Payer: Aetna Commercial	$99.47
Rate for Payer: Aetna Medicare Advantage	$99.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.55
Rate for Payer: Cigna Commercial	$165.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.10
Rate for Payer: Oxford Commercial	$165.78
Rate for Payer: Qualcare PPO/HMO/WC	$49.73
Rate for Payer: UnitedHealthcare Commercial	$165.78

THORACENTESIS *******

Facility

$270.00

Service Code	HCPCS 32000
Hospital Charge Code	1001140
Hospital Revenue Code	361
Min. Negotiated Rate	$35.10
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$81.00
Rate for Payer: Aetna Medicare Advantage	$81.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.85
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	$68.85
Rate for Payer: Cigna Commercial	$135.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.10
Rate for Payer: Qualcare PPO/HMO/WC	$40.50

THORACENTESIS *******

Facility

$270.00

Service Code	HCPCS 32000
Hospital Charge Code	1001140
Hospital Revenue Code	361
Min. Negotiated Rate	$40.50
Max. Negotiated Rate	$40.50
Rate for Payer: Qualcare PPO/HMO/WC	$40.50

THORACENTESIS-BILAT

Facility

$985.00

Service Code	HCPCS 3255450
Hospital Charge Code	3409005
Hospital Revenue Code	361
Min. Negotiated Rate	$128.05
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$295.50
Rate for Payer: Aetna Medicare Advantage	$295.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$251.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$251.18
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	$251.18
Rate for Payer: Cigna Commercial	$492.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.05
Rate for Payer: Qualcare PPO/HMO/WC	$147.75

THORACENTESIS-BILAT

Facility

$985.00

Service Code	HCPCS 3255450
Hospital Charge Code	3409005
Hospital Revenue Code	361
Min. Negotiated Rate	$147.75
Max. Negotiated Rate	$147.75
Rate for Payer: Qualcare PPO/HMO/WC	$147.75

THORACENTESIS-BILAT

Facility

$985.00

Service Code	HCPCS 3255450
Hospital Charge Code	93500133
Hospital Revenue Code	361
Min. Negotiated Rate	$147.75
Max. Negotiated Rate	$147.75
Rate for Payer: Qualcare PPO/HMO/WC	$147.75

THORACENTESIS-BILAT

Facility

$985.00

Service Code	HCPCS 3255450
Hospital Charge Code	93500133
Hospital Revenue Code	361
Min. Negotiated Rate	$128.05
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$295.50
Rate for Payer: Aetna Medicare Advantage	$295.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$251.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$251.18
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	$251.18
Rate for Payer: Cigna Commercial	$492.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.05
Rate for Payer: Qualcare PPO/HMO/WC	$147.75

THORACENTESIS FLUID CYTOLOGY

Facility

$264.85

Service Code	HCPCS 88104
Hospital Charge Code	3005354
Hospital Revenue Code	311
Min. Negotiated Rate	$39.73
Max. Negotiated Rate	$39.73
Rate for Payer: Qualcare PPO/HMO/WC	$39.73

THORACENTESIS FLUID CYTOLOGY

Facility

$264.85

Service Code	HCPCS 88104
Hospital Charge Code	3005354
Hospital Revenue Code	311
Min. Negotiated Rate	$34.43
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$79.45
Rate for Payer: Aetna Medicare Advantage	$79.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.54
Rate for Payer: Cigna Commercial	$88.94
Rate for Payer: Cigna Medicare Advantage	$47.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.43
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$39.73
Rate for Payer: UnitedHealthcare Commercial	$114.00

THORACENTESIS-LT

Facility

$985.00

Service Code	HCPCS 32554LT
Hospital Charge Code	93500135
Hospital Revenue Code	361
Min. Negotiated Rate	$128.05
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$295.50
Rate for Payer: Aetna Medicare Advantage	$295.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$251.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$251.18
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	$251.18
Rate for Payer: Cigna Commercial	$492.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.05
Rate for Payer: Qualcare PPO/HMO/WC	$147.75

THORACENTESIS-LT

Facility

$985.00

Service Code	HCPCS 32554LT
Hospital Charge Code	3409040
Hospital Revenue Code	361
Min. Negotiated Rate	$147.75
Max. Negotiated Rate	$147.75
Rate for Payer: Qualcare PPO/HMO/WC	$147.75

THORACENTESIS-LT

Facility

$985.00

Service Code	HCPCS 32554LT
Hospital Charge Code	93500135
Hospital Revenue Code	361
Min. Negotiated Rate	$147.75
Max. Negotiated Rate	$147.75
Rate for Payer: Qualcare PPO/HMO/WC	$147.75

THORACENTESIS-LT

Facility

$985.00

Service Code	HCPCS 32554LT
Hospital Charge Code	3409040
Hospital Revenue Code	361
Min. Negotiated Rate	$128.05
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$295.50
Rate for Payer: Aetna Medicare Advantage	$295.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$251.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$251.18
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	$251.18
Rate for Payer: Cigna Commercial	$492.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.05
Rate for Payer: Qualcare PPO/HMO/WC	$147.75

THORACENTESIS OR NEEDLE CHEST

Facility

$2,289.68

Service Code	HCPCS 32421
Hospital Charge Code	5780170
Hospital Revenue Code	450
Min. Negotiated Rate	$343.45
Max. Negotiated Rate	$343.45
Rate for Payer: Qualcare PPO/HMO/WC	$343.45

THORACENTESIS OR NEEDLE CHEST

Facility

$2,289.68

Service Code	HCPCS 32421
Hospital Charge Code	5780170
Hospital Revenue Code	450
Min. Negotiated Rate	$297.66
Max. Negotiated Rate	$1,144.84
Rate for Payer: Aetna Commercial	$686.90
Rate for Payer: Aetna Medicare Advantage	$686.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$583.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$583.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$583.87
Rate for Payer: Cigna Commercial	$1,144.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$297.66
Rate for Payer: Qualcare PPO/HMO/WC	$343.45

THORACENTESIS PUNCT PLEURL CAV

Facility

$4,709.90

Service Code	HCPCS 32405
Hospital Charge Code	2008001
Hospital Revenue Code	361
Min. Negotiated Rate	$706.49
Max. Negotiated Rate	$706.49
Rate for Payer: Qualcare PPO/HMO/WC	$706.49

THORACENTESIS PUNCT PLEURL CAV

Facility

$4,709.90

Service Code	HCPCS 32405
Hospital Charge Code	2008001
Hospital Revenue Code	361
Min. Negotiated Rate	$612.29
Max. Negotiated Rate	$2,354.95
Rate for Payer: Aetna Commercial	$1,412.97
Rate for Payer: Aetna Medicare Advantage	$1,412.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,201.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,201.02
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	$1,201.02
Rate for Payer: Cigna Commercial	$2,354.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$612.29
Rate for Payer: Qualcare PPO/HMO/WC	$706.49

THORACENTESIS-RT

Facility

$985.00

Service Code	HCPCS 32554RT
Hospital Charge Code	3409045
Hospital Revenue Code	361
Min. Negotiated Rate	$128.05
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$295.50
Rate for Payer: Aetna Medicare Advantage	$295.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$251.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$251.18
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	$251.18
Rate for Payer: Cigna Commercial	$492.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.05
Rate for Payer: Qualcare PPO/HMO/WC	$147.75

THORACENTESIS-RT

Facility

$985.00

Service Code	HCPCS 32554RT
Hospital Charge Code	3409045
Hospital Revenue Code	361
Min. Negotiated Rate	$147.75
Max. Negotiated Rate	$147.75
Rate for Payer: Qualcare PPO/HMO/WC	$147.75

Know your out-of-pocket cost for care.

All Charges