Heights University Hospital

All Charges

Charge

Type

Setting

Price

THORACENTESIS-RT

Facility

$985.00

Service Code	HCPCS 32554RT
Hospital Charge Code	93500137
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	93500137
Hospital Revenue Code	361
Min. Negotiated Rate	$147.75
Max. Negotiated Rate	$147.75
Rate for Payer: Qualcare PPO/HMO/WC	$147.75

THORACENTESIS SET48/CS 4653-48

Facility

$14.25

Hospital Charge Code	270100961
Hospital Revenue Code	272
Min. Negotiated Rate	$2.14
Max. Negotiated Rate	$2.14
Rate for Payer: Qualcare PPO/HMO/WC	$2.14

THORACENTESIS SET48/CS 4653-48

Facility

$14.25

Hospital Charge Code	270100961
Hospital Revenue Code	272
Min. Negotiated Rate	$1.85
Max. Negotiated Rate	$7.12
Rate for Payer: Aetna Commercial	$4.28
Rate for Payer: Aetna Medicare Advantage	$4.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.63
Rate for Payer: Cigna Commercial	$7.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.85
Rate for Payer: Oxford Commercial	$7.12
Rate for Payer: Qualcare PPO/HMO/WC	$2.14
Rate for Payer: UnitedHealthcare Commercial	$7.12

THORACIC AORTOGRAM

Facility

$6,122.00

Hospital Charge Code	2009040
Hospital Revenue Code	323
Min. Negotiated Rate	$795.86
Max. Negotiated Rate	$3,061.00
Rate for Payer: Aetna Commercial	$1,836.60
Rate for Payer: Aetna Medicare Advantage	$1,836.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,561.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,561.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,561.11
Rate for Payer: Cigna Commercial	$3,061.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$795.86
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$918.30
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

THORACIC AORTOGRAM

Facility

$6,122.00

Hospital Charge Code	2009040
Hospital Revenue Code	323
Min. Negotiated Rate	$918.30
Max. Negotiated Rate	$918.30
Rate for Payer: Qualcare PPO/HMO/WC	$918.30

THORACIC CATH RT. ANGLE 36FR

Facility

$42.00

Hospital Charge Code	270331012
Hospital Revenue Code	272
Min. Negotiated Rate	$5.46
Max. Negotiated Rate	$21.00
Rate for Payer: Aetna Commercial	$12.60
Rate for Payer: Aetna Medicare Advantage	$12.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.71
Rate for Payer: Cigna Commercial	$21.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.46
Rate for Payer: Oxford Commercial	$21.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.30
Rate for Payer: UnitedHealthcare Commercial	$21.00

THORACIC CATH RT. ANGLE 36FR

Facility

$42.00

Hospital Charge Code	270331012
Hospital Revenue Code	272
Min. Negotiated Rate	$6.30
Max. Negotiated Rate	$6.30
Rate for Payer: Qualcare PPO/HMO/WC	$6.30

THORACIC SPINE 2 VIEWS

Facility

$5,100.00

Service Code	HCPCS 72070
Hospital Charge Code	94061061
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

THORACIC SPINE 2 VIEWS

Facility

$5,100.00

Service Code	HCPCS 72070
Hospital Charge Code	94061061
Hospital Revenue Code	320
Min. Negotiated Rate	$34.88
Max. Negotiated Rate	$1,530.00
Rate for Payer: Aetna Better Health Medicaid	$399.88
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	$34.88
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
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$407.88

THORACIC SPINE 4VW

Facility

$204.00

Service Code	HCPCS 72074
Hospital Charge Code	2009355
Hospital Revenue Code	320
Min. Negotiated Rate	$30.60
Max. Negotiated Rate	$30.60
Rate for Payer: Qualcare PPO/HMO/WC	$30.60

THORACIC SPINE 4VW

Facility

$204.00

Service Code	HCPCS 72074
Hospital Charge Code	2009355
Hospital Revenue Code	320
Min. Negotiated Rate	$26.52
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Better Health Medicaid	$399.88
Rate for Payer: Aetna Commercial	$61.20
Rate for Payer: Aetna Medicare Advantage	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.02
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.52
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.60
Rate for Payer: UnitedHealthcare Commercial	$1,489.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$407.88

THORACIC TROCAR 12MM

Facility

$99.00

Hospital Charge Code	270338723
Hospital Revenue Code	272
Min. Negotiated Rate	$14.85
Max. Negotiated Rate	$14.85
Rate for Payer: Qualcare PPO/HMO/WC	$14.85

THORACIC TROCAR 12MM

Facility

$99.00

Hospital Charge Code	270338723
Hospital Revenue Code	272
Min. Negotiated Rate	$12.87
Max. Negotiated Rate	$49.50
Rate for Payer: Aetna Commercial	$29.70
Rate for Payer: Aetna Medicare Advantage	$29.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.25
Rate for Payer: Cigna Commercial	$49.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.87
Rate for Payer: Oxford Commercial	$49.50
Rate for Payer: Qualcare PPO/HMO/WC	$14.85
Rate for Payer: UnitedHealthcare Commercial	$49.50

THORACOPORT 11.5MM********

Facility

$174.00

Hospital Charge Code	1606029
Hospital Revenue Code	272
Min. Negotiated Rate	$26.10
Max. Negotiated Rate	$26.10
Rate for Payer: Qualcare PPO/HMO/WC	$26.10

THORACOPORT 11.5MM********

Facility

$174.00

Hospital Charge Code	1606029
Hospital Revenue Code	272
Min. Negotiated Rate	$22.62
Max. Negotiated Rate	$87.00
Rate for Payer: Aetna Commercial	$52.20
Rate for Payer: Aetna Medicare Advantage	$52.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.37
Rate for Payer: Cigna Commercial	$87.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.62
Rate for Payer: Oxford Commercial	$87.00
Rate for Payer: Qualcare PPO/HMO/WC	$26.10
Rate for Payer: UnitedHealthcare Commercial	$87.00

THORACOPORT 15MM TROCAR

Facility

$198.00

Hospital Charge Code	270330812
Hospital Revenue Code	272
Min. Negotiated Rate	$29.70
Max. Negotiated Rate	$29.70
Rate for Payer: Qualcare PPO/HMO/WC	$29.70

THORACOPORT 15MM TROCAR

Facility

$198.00

Hospital Charge Code	270330812
Hospital Revenue Code	272
Min. Negotiated Rate	$25.74
Max. Negotiated Rate	$99.00
Rate for Payer: Aetna Commercial	$59.40
Rate for Payer: Aetna Medicare Advantage	$59.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.49
Rate for Payer: Cigna Commercial	$99.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.74
Rate for Payer: Oxford Commercial	$99.00
Rate for Payer: Qualcare PPO/HMO/WC	$29.70
Rate for Payer: UnitedHealthcare Commercial	$99.00

THORACOSCOPY REMOV FB/FIBRIN

Facility

$22,271.40

Service Code	HCPCS 32653
Hospital Charge Code	1600000512
Hospital Revenue Code	360
Min. Negotiated Rate	$1,096.98
Max. Negotiated Rate	$9,851.00
Rate for Payer: Aetna Commercial	$6,681.42
Rate for Payer: Aetna Medicare Advantage	$6,681.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,679.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,679.21
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	$5,679.21
Rate for Payer: Cigna Commercial	$1,096.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,895.28
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,340.71
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

THORACOSCOPY REMOV FB/FIBRIN

Facility

$22,271.40

Service Code	HCPCS 32653
Hospital Charge Code	1600000512
Hospital Revenue Code	360
Min. Negotiated Rate	$3,340.71
Max. Negotiated Rate	$3,340.71
Rate for Payer: Qualcare PPO/HMO/WC	$3,340.71

THORACOSCOPY W/BX INFILTRATE

Facility

$61,304.40

Service Code	HCPCS 32607
Hospital Charge Code	1600000368
Hospital Revenue Code	360
Min. Negotiated Rate	$9,195.66
Max. Negotiated Rate	$9,195.66
Rate for Payer: Qualcare PPO/HMO/WC	$9,195.66

THORACOSCOPY W/BX INFILTRATE

Facility

$61,304.40

Service Code	HCPCS 32607
Hospital Charge Code	1600000368
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$25,313.84
Rate for Payer: Aetna Commercial	$18,391.32
Rate for Payer: Aetna Medicare Advantage	$18,391.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15,632.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15,632.62
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	$15,632.62
Rate for Payer: Cigna Commercial	$25,313.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,969.57
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$9,195.66
Rate for Payer: UnitedHealthcare Commercial	$8,580.00

THORACOSCOPY W/PLEURECTOMY

Facility

$16,987.20

Service Code	HCPCS 32656
Hospital Charge Code	1600000720
Hospital Revenue Code	360
Min. Negotiated Rate	$852.07
Max. Negotiated Rate	$10,997.00
Rate for Payer: Aetna Commercial	$5,096.16
Rate for Payer: Aetna Medicare Advantage	$5,096.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,331.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,331.74
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	$4,331.74
Rate for Payer: Cigna Commercial	$852.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,208.34
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,548.08
Rate for Payer: UnitedHealthcare Commercial	$10,997.00

THORACOSCOPY W/PLEURECTOMY

Facility

$16,987.20

Service Code	HCPCS 32656
Hospital Charge Code	1600000720
Hospital Revenue Code	360
Min. Negotiated Rate	$2,548.08
Max. Negotiated Rate	$2,548.08
Rate for Payer: Qualcare PPO/HMO/WC	$2,548.08

THORACOSCOPY W/PLEURODESIS

Facility

$7,506.90

Service Code	HCPCS 32650
Hospital Charge Code	1600000367
Hospital Revenue Code	360
Min. Negotiated Rate	$1,126.04
Max. Negotiated Rate	$1,126.04
Rate for Payer: Qualcare PPO/HMO/WC	$1,126.04

Know your out-of-pocket cost for care.

All Charges