Heights University Hospital

All Charges

Charge

Type

Setting

Price

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

THORACOSCOPY W/WEDGE RESECT

Facility

$9,803.40

Service Code	HCPCS 32666
Hospital Charge Code	1600000780
Hospital Revenue Code	360
Min. Negotiated Rate	$1,470.51
Max. Negotiated Rate	$1,470.51
Rate for Payer: Qualcare PPO/HMO/WC	$1,470.51

THORACOSCOPY W/WEDGE RESECT

Facility

$9,803.40

Service Code	HCPCS 32666
Hospital Charge Code	1600000780
Hospital Revenue Code	360
Min. Negotiated Rate	$916.52
Max. Negotiated Rate	$6,873.00
Rate for Payer: Aetna Commercial	$2,941.02
Rate for Payer: Aetna Medicare Advantage	$2,941.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,499.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,499.87
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	$2,499.87
Rate for Payer: Cigna Commercial	$916.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,274.44
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,470.51
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

THORACSCOPY REM TOTL CORTEX

Facility

$34,707.40

Service Code	HCPCS 32652
Hospital Charge Code	1600000511
Hospital Revenue Code	360
Min. Negotiated Rate	$1,707.16
Max. Negotiated Rate	$10,997.00
Rate for Payer: Aetna Commercial	$10,412.22
Rate for Payer: Aetna Medicare Advantage	$10,412.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,850.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,850.39
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	$8,850.39
Rate for Payer: Cigna Commercial	$1,707.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,511.96
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,206.11
Rate for Payer: UnitedHealthcare Commercial	$10,997.00

THORACSCOPY REM TOTL CORTEX

Facility

$34,707.40

Service Code	HCPCS 32652
Hospital Charge Code	1600000511
Hospital Revenue Code	360
Min. Negotiated Rate	$5,206.11
Max. Negotiated Rate	$5,206.11
Rate for Payer: Qualcare PPO/HMO/WC	$5,206.11

THORAZINE/100MG/1ML

Facility

$76.00

Hospital Charge Code	60634022
Hospital Revenue Code	250
Min. Negotiated Rate	$9.88
Max. Negotiated Rate	$38.00
Rate for Payer: Aetna Commercial	$22.80
Rate for Payer: Aetna Medicare Advantage	$22.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.38
Rate for Payer: Cigna Commercial	$38.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.88
Rate for Payer: Oxford Commercial	$38.00
Rate for Payer: Qualcare PPO/HMO/WC	$11.40
Rate for Payer: UnitedHealthcare Commercial	$38.00

THORAZINE/100MG/1ML

Facility

$76.00

Hospital Charge Code	60634022
Hospital Revenue Code	250
Min. Negotiated Rate	$11.40
Max. Negotiated Rate	$11.40
Rate for Payer: Qualcare PPO/HMO/WC	$11.40

THORAZINE/10MG/5ML

Facility

$101.00

Hospital Charge Code	60634023
Hospital Revenue Code	250
Min. Negotiated Rate	$15.15
Max. Negotiated Rate	$15.15
Rate for Payer: Qualcare PPO/HMO/WC	$15.15

THORAZINE/10MG/5ML

Facility

$101.00

Hospital Charge Code	60634023
Hospital Revenue Code	250
Min. Negotiated Rate	$13.13
Max. Negotiated Rate	$50.50
Rate for Payer: Aetna Commercial	$30.30
Rate for Payer: Aetna Medicare Advantage	$30.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.75
Rate for Payer: Cigna Commercial	$50.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.13
Rate for Payer: Oxford Commercial	$50.50
Rate for Payer: Qualcare PPO/HMO/WC	$15.15
Rate for Payer: UnitedHealthcare Commercial	$50.50

THORAZINE 50MG

Facility

$74.90

Hospital Charge Code	6008205
Hospital Revenue Code	250
Min. Negotiated Rate	$9.74
Max. Negotiated Rate	$37.45
Rate for Payer: Aetna Commercial	$22.47
Rate for Payer: Aetna Medicare Advantage	$22.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.10
Rate for Payer: Cigna Commercial	$37.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.74
Rate for Payer: Oxford Commercial	$37.45
Rate for Payer: Qualcare PPO/HMO/WC	$11.23
Rate for Payer: UnitedHealthcare Commercial	$37.45

THORAZINE 50MG

Facility

$74.90

Hospital Charge Code	6008205
Hospital Revenue Code	250
Min. Negotiated Rate	$11.23
Max. Negotiated Rate	$11.23
Rate for Payer: Qualcare PPO/HMO/WC	$11.23

THORAZINE,SERUM

Facility

$324.00

Service Code	HCPCS 80299
Hospital Charge Code	38473108
Hospital Revenue Code	301
Min. Negotiated Rate	$48.60
Max. Negotiated Rate	$48.60
Rate for Payer: Qualcare PPO/HMO/WC	$48.60

THORAZINE,SERUM

Facility

$324.00

Service Code	HCPCS 80299
Hospital Charge Code	38473108
Hospital Revenue Code	301
Min. Negotiated Rate	$9.32
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$60.39
Rate for Payer: Aetna Medicare Advantage	$18.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.30
Rate for Payer: Cigna Commercial	$18.64
Rate for Payer: Cigna Medicare Advantage	$9.32
Rate for Payer: Clover Medicare Advantage	$17.71
Rate for Payer: EmblemHealth Commercial	$55.92
Rate for Payer: Humana Medicare Advantage	$19.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.12
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$48.60
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.64
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19.76
Rate for Payer: Wellcare Medicare Advantage	$18.64

THORAZINE,URINE

Facility

$324.00

Service Code	HCPCS 80342
Hospital Charge Code	38473109
Hospital Revenue Code	301
Min. Negotiated Rate	$42.12
Max. Negotiated Rate	$162.00
Rate for Payer: Aetna Commercial	$97.20
Rate for Payer: Aetna Medicare Advantage	$97.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.62
Rate for Payer: Cigna Commercial	$162.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.12
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$48.60
Rate for Payer: UnitedHealthcare Commercial	$114.00

THORAZINE,URINE

Facility

$324.00

Service Code	HCPCS 80342
Hospital Charge Code	38473109
Hospital Revenue Code	301
Min. Negotiated Rate	$48.60
Max. Negotiated Rate	$48.60
Rate for Payer: Qualcare PPO/HMO/WC	$48.60

THOROCEAL STERILE UNIT

Facility

$271.26

Hospital Charge Code	270300905
Hospital Revenue Code	272
Min. Negotiated Rate	$35.26
Max. Negotiated Rate	$135.63
Rate for Payer: Aetna Commercial	$81.38
Rate for Payer: Aetna Medicare Advantage	$81.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$69.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$69.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$69.17
Rate for Payer: Cigna Commercial	$135.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.26
Rate for Payer: Oxford Commercial	$135.63
Rate for Payer: Qualcare PPO/HMO/WC	$40.69
Rate for Payer: UnitedHealthcare Commercial	$135.63

THOROCEAL STERILE UNIT

Facility

$271.26

Hospital Charge Code	270300905
Hospital Revenue Code	272
Min. Negotiated Rate	$40.69
Max. Negotiated Rate	$40.69
Rate for Payer: Qualcare PPO/HMO/WC	$40.69

THOROCEAL STERILE UNIT *******

Facility

$224.00

Hospital Charge Code	8001232
Hospital Revenue Code	279
Min. Negotiated Rate	$33.60
Max. Negotiated Rate	$33.60
Rate for Payer: Qualcare PPO/HMO/WC	$33.60

THOROCEAL STERILE UNIT *******

Facility

$224.00

Hospital Charge Code	8001232
Hospital Revenue Code	279
Min. Negotiated Rate	$29.12
Max. Negotiated Rate	$112.00
Rate for Payer: Aetna Commercial	$67.20
Rate for Payer: Aetna Medicare Advantage	$67.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.12
Rate for Payer: Cigna Commercial	$112.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.12
Rate for Payer: Oxford Commercial	$112.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.60
Rate for Payer: UnitedHealthcare Commercial	$112.00

THOROSEAL III AUTOTRANS 713192

Facility

$817.65

Hospital Charge Code	270606870
Hospital Revenue Code	270
Min. Negotiated Rate	$122.65
Max. Negotiated Rate	$122.65
Rate for Payer: Qualcare PPO/HMO/WC	$122.65

THOROSEAL III AUTOTRANS 713192

Facility

$817.65

Hospital Charge Code	270606870
Hospital Revenue Code	270
Min. Negotiated Rate	$106.29
Max. Negotiated Rate	$408.82
Rate for Payer: Aetna Commercial	$245.29
Rate for Payer: Aetna Medicare Advantage	$245.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$208.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$208.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$208.50
Rate for Payer: Cigna Commercial	$408.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$106.29
Rate for Payer: Oxford Commercial	$408.82
Rate for Payer: Qualcare PPO/HMO/WC	$122.65
Rate for Payer: UnitedHealthcare Commercial	$408.82

THRD GUIDE PIN STE 3.2X 444MM

Facility

$600.00

Hospital Charge Code	270679178
Hospital Revenue Code	272
Min. Negotiated Rate	$78.00
Max. Negotiated Rate	$300.00
Rate for Payer: Aetna Commercial	$180.00
Rate for Payer: Aetna Medicare Advantage	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.00
Rate for Payer: Cigna Commercial	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.00
Rate for Payer: Oxford Commercial	$300.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00
Rate for Payer: UnitedHealthcare Commercial	$300.00

THRD GUIDE PIN STE 3.2X 444MM

Facility

$600.00

Hospital Charge Code	270679178
Hospital Revenue Code	272
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$90.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

THREAD BB TAK IMPLANT SYSTEM

Facility

$425.00

Service Code	HCPCS C1713
Hospital Charge Code	270682858
Hospital Revenue Code	278
Min. Negotiated Rate	$63.75
Max. Negotiated Rate	$212.50
Rate for Payer: Aetna Commercial	$127.50
Rate for Payer: Aetna Medicare Advantage	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$85.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$108.38
Rate for Payer: Cigna Commercial	$212.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.85
Rate for Payer: Qualcare PPO/HMO/WC	$63.75

THREAD BB TAK IMPLANT SYSTEM

Facility

$425.00

Service Code	HCPCS C1713
Hospital Charge Code	270682858
Hospital Revenue Code	278
Min. Negotiated Rate	$63.75
Max. Negotiated Rate	$102.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$85.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.85
Rate for Payer: Qualcare PPO/HMO/WC	$63.75

Know your out-of-pocket cost for care.

All Charges