Heights University Hospital

All Charges

Charge

Type

Setting

Price

THUMBWHEEL HII MICRO LENGTHENE

Facility

$1,234.65

Hospital Charge Code	270688810
Hospital Revenue Code	272
Min. Negotiated Rate	$185.20
Max. Negotiated Rate	$185.20
Rate for Payer: Qualcare PPO/HMO/WC	$185.20

THUMBWHEEL LENGTHENER MICRO HI

Facility

$1,234.65

Hospital Charge Code	270688788
Hospital Revenue Code	272
Min. Negotiated Rate	$160.50
Max. Negotiated Rate	$617.33
Rate for Payer: Aetna Commercial	$370.39
Rate for Payer: Aetna Medicare Advantage	$370.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$314.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$314.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$314.84
Rate for Payer: Cigna Commercial	$617.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.50
Rate for Payer: Oxford Commercial	$617.33
Rate for Payer: Qualcare PPO/HMO/WC	$185.20
Rate for Payer: UnitedHealthcare Commercial	$617.33

THUMBWHEEL LENGTHENER MICRO HI

Facility

$1,234.65

Hospital Charge Code	270688788
Hospital Revenue Code	272
Min. Negotiated Rate	$185.20
Max. Negotiated Rate	$185.20
Rate for Payer: Qualcare PPO/HMO/WC	$185.20

THYMOL POWD 15MG

Facility

$47.40

Hospital Charge Code	60629159
Hospital Revenue Code	250
Min. Negotiated Rate	$6.16
Max. Negotiated Rate	$23.70
Rate for Payer: Aetna Commercial	$14.22
Rate for Payer: Aetna Medicare Advantage	$14.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.09
Rate for Payer: Cigna Commercial	$23.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.16
Rate for Payer: Oxford Commercial	$23.70
Rate for Payer: Qualcare PPO/HMO/WC	$7.11
Rate for Payer: UnitedHealthcare Commercial	$23.70

THYMOL POWD 15MG

Facility

$47.40

Hospital Charge Code	60629159
Hospital Revenue Code	250
Min. Negotiated Rate	$7.11
Max. Negotiated Rate	$7.11
Rate for Payer: Qualcare PPO/HMO/WC	$7.11

THYRDCTMY AFTR PREV REM

Facility

$42,339.20

Service Code	HCPCS 60260
Hospital Charge Code	1600000690
Hospital Revenue Code	360
Min. Negotiated Rate	$6,350.88
Max. Negotiated Rate	$6,350.88
Rate for Payer: Qualcare PPO/HMO/WC	$6,350.88

THYRDCTMY AFTR PREV REM

Facility

$42,339.20

Service Code	HCPCS 60260
Hospital Charge Code	1600000690
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$14,097.46
Rate for Payer: Aetna Commercial	$12,701.76
Rate for Payer: Aetna Medicare Advantage	$12,701.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,796.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,796.50
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	$10,796.50
Rate for Payer: Cigna Commercial	$14,097.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,504.10
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,350.88
Rate for Payer: UnitedHealthcare Commercial	$8,580.00

THYREL TRH 500MCG/ML

Facility

$166.00

Hospital Charge Code	60635183
Hospital Revenue Code	250
Min. Negotiated Rate	$21.58
Max. Negotiated Rate	$83.00
Rate for Payer: Aetna Commercial	$49.80
Rate for Payer: Aetna Medicare Advantage	$49.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.33
Rate for Payer: Cigna Commercial	$83.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.58
Rate for Payer: Oxford Commercial	$83.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.90
Rate for Payer: UnitedHealthcare Commercial	$83.00

THYREL TRH 500MCG/ML

Facility

$166.00

Hospital Charge Code	60635183
Hospital Revenue Code	250
Min. Negotiated Rate	$24.90
Max. Negotiated Rate	$24.90
Rate for Payer: Qualcare PPO/HMO/WC	$24.90

THYRIOD IMAGING W/BLOOD FLOW

Facility

$12,000.00

Service Code	HCPCS 78014
Hospital Charge Code	4501041
Hospital Revenue Code	341
Min. Negotiated Rate	$202.86
Max. Negotiated Rate	$3,600.00
Rate for Payer: Aetna Commercial	$3,600.00
Rate for Payer: Aetna Medicare Advantage	$3,600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,060.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,060.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$202.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,060.00
Rate for Payer: Cigna Commercial	$952.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,560.00
Rate for Payer: Oxford Commercial	$3,120.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,800.00
Rate for Payer: UnitedHealthcare Commercial	$3,540.00

THYRIOD IMAGING W/BLOOD FLOW

Facility

$12,000.00

Service Code	HCPCS 78013
Hospital Charge Code	4501040
Hospital Revenue Code	341
Min. Negotiated Rate	$175.74
Max. Negotiated Rate	$3,600.00
Rate for Payer: Aetna Commercial	$3,600.00
Rate for Payer: Aetna Medicare Advantage	$3,600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,060.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,060.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,060.00
Rate for Payer: Cigna Commercial	$952.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,560.00
Rate for Payer: Oxford Commercial	$3,120.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,800.00
Rate for Payer: UnitedHealthcare Commercial	$3,540.00

THYRIOD IMAGING W/BLOOD FLOW

Facility

$12,000.00

Service Code	HCPCS 78013
Hospital Charge Code	4501040
Hospital Revenue Code	341
Min. Negotiated Rate	$1,800.00
Max. Negotiated Rate	$1,800.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,800.00

THYRIOD IMAGING W/BLOOD FLOW

Facility

$12,000.00

Service Code	HCPCS 78014
Hospital Charge Code	4501041
Hospital Revenue Code	341
Min. Negotiated Rate	$1,800.00
Max. Negotiated Rate	$1,800.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,800.00

THYRIOD UPTAKE MEASUREMENT

Facility

$671.78

Service Code	HCPCS 78012
Hospital Charge Code	4501039
Hospital Revenue Code	341
Min. Negotiated Rate	$100.77
Max. Negotiated Rate	$100.77
Rate for Payer: Qualcare PPO/HMO/WC	$100.77

THYRIOD UPTAKE MEASUREMENT

Facility

$671.78

Service Code	HCPCS 78012
Hospital Charge Code	4501039
Hospital Revenue Code	341
Min. Negotiated Rate	$69.38
Max. Negotiated Rate	$3,540.00
Rate for Payer: Aetna Commercial	$201.53
Rate for Payer: Aetna Medicare Advantage	$201.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$171.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$171.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$171.30
Rate for Payer: Cigna Commercial	$952.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.33
Rate for Payer: Oxford Commercial	$3,120.00
Rate for Payer: Qualcare PPO/HMO/WC	$100.77
Rate for Payer: UnitedHealthcare Commercial	$3,540.00

THYROGLOBULIN

Facility

$110.40

Service Code	HCPCS 84432
Hospital Charge Code	39900139
Hospital Revenue Code	301
Min. Negotiated Rate	$16.56
Max. Negotiated Rate	$16.56
Rate for Payer: Qualcare PPO/HMO/WC	$16.56

THYROGLOBULIN

Facility

$116.85

Service Code	HCPCS 84432
Hospital Charge Code	3007896
Hospital Revenue Code	301
Min. Negotiated Rate	$8.03
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$52.03
Rate for Payer: Aetna Medicare Advantage	$16.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.84
Rate for Payer: Cigna Commercial	$16.06
Rate for Payer: Cigna Medicare Advantage	$8.03
Rate for Payer: Clover Medicare Advantage	$15.26
Rate for Payer: EmblemHealth Commercial	$48.18
Rate for Payer: Humana Medicare Advantage	$16.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.19
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.53
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.06
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$17.02
Rate for Payer: Wellcare Medicare Advantage	$16.06

THYROGLOBULIN

Facility

$110.40

Service Code	HCPCS 84432
Hospital Charge Code	39900139
Hospital Revenue Code	301
Min. Negotiated Rate	$8.03
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$52.03
Rate for Payer: Aetna Medicare Advantage	$16.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.84
Rate for Payer: Cigna Commercial	$16.06
Rate for Payer: Cigna Medicare Advantage	$8.03
Rate for Payer: Clover Medicare Advantage	$15.26
Rate for Payer: EmblemHealth Commercial	$48.18
Rate for Payer: Humana Medicare Advantage	$16.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.35
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.56
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.06
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$17.02
Rate for Payer: Wellcare Medicare Advantage	$16.06

THYROGLOBULIN

Facility

$113.80

Service Code	HCPCS 84432
Hospital Charge Code	38477134
Hospital Revenue Code	301
Min. Negotiated Rate	$8.03
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$52.03
Rate for Payer: Aetna Medicare Advantage	$16.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.84
Rate for Payer: Cigna Commercial	$16.06
Rate for Payer: Cigna Medicare Advantage	$8.03
Rate for Payer: Clover Medicare Advantage	$15.26
Rate for Payer: EmblemHealth Commercial	$48.18
Rate for Payer: Humana Medicare Advantage	$16.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.79
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.07
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.06
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$17.02
Rate for Payer: Wellcare Medicare Advantage	$16.06

THYROGLOBULIN

Facility

$116.85

Service Code	HCPCS 84432
Hospital Charge Code	3007896
Hospital Revenue Code	301
Min. Negotiated Rate	$17.53
Max. Negotiated Rate	$17.53
Rate for Payer: Qualcare PPO/HMO/WC	$17.53

THYROGLOBULIN

Facility

$113.80

Service Code	HCPCS 84432
Hospital Charge Code	38477134
Hospital Revenue Code	301
Min. Negotiated Rate	$17.07
Max. Negotiated Rate	$17.07
Rate for Payer: Qualcare PPO/HMO/WC	$17.07

THYROGLOBULIN AB

Facility

$390.00

Service Code	HCPCS 86800
Hospital Charge Code	39900259
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

THYROGLOBULIN AB

Facility

$390.00

Service Code	HCPCS 86800
Hospital Charge Code	39900259
Hospital Revenue Code	302
Min. Negotiated Rate	$7.96
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$51.55
Rate for Payer: Aetna Medicare Advantage	$15.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.29
Rate for Payer: Cigna Commercial	$15.91
Rate for Payer: Cigna Medicare Advantage	$7.96
Rate for Payer: Clover Medicare Advantage	$15.11
Rate for Payer: EmblemHealth Commercial	$47.73
Rate for Payer: Humana Medicare Advantage	$16.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$15.91
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$16.86
Rate for Payer: Wellcare Medicare Advantage	$15.91

THYROGLOBULIN AB (SERUM)

Facility

$116.85

Service Code	HCPCS 86800
Hospital Charge Code	3007895
Hospital Revenue Code	302
Min. Negotiated Rate	$7.96
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$51.55
Rate for Payer: Aetna Medicare Advantage	$15.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.29
Rate for Payer: Cigna Commercial	$15.91
Rate for Payer: Cigna Medicare Advantage	$7.96
Rate for Payer: Clover Medicare Advantage	$15.11
Rate for Payer: EmblemHealth Commercial	$47.73
Rate for Payer: Humana Medicare Advantage	$16.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.19
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.53
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$15.91
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$16.86
Rate for Payer: Wellcare Medicare Advantage	$15.91

THYROGLOBULIN AB (SERUM)

Facility

$116.85

Service Code	HCPCS 86800
Hospital Charge Code	3007895
Hospital Revenue Code	302
Min. Negotiated Rate	$17.53
Max. Negotiated Rate	$17.53
Rate for Payer: Qualcare PPO/HMO/WC	$17.53

Know your out-of-pocket cost for care.

All Charges