Heights University Hospital

All Charges

Charge

Type

Setting

Price

THYROID CASCADE PROFILE

Facility

$244.26

Service Code	HCPCS 84443
Hospital Charge Code	3037015
Hospital Revenue Code	301
Min. Negotiated Rate	$8.40
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$54.43
Rate for Payer: Aetna Medicare Advantage	$16.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.80
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	$61.56
Rate for Payer: Cigna Commercial	$16.80
Rate for Payer: Cigna Medicare Advantage	$8.40
Rate for Payer: Clover Medicare Advantage	$15.96
Rate for Payer: EmblemHealth Commercial	$50.40
Rate for Payer: Humana Medicare Advantage	$17.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.75
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.64
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.80
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$17.81
Rate for Payer: Wellcare Medicare Advantage	$16.80

THYROID CASCADING REFLEX(SERUM

Facility

$130.00

Service Code	HCPCS 84443
Hospital Charge Code	401384443
Hospital Revenue Code	301
Min. Negotiated Rate	$8.40
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$54.43
Rate for Payer: Aetna Medicare Advantage	$16.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.80
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	$61.56
Rate for Payer: Cigna Commercial	$16.80
Rate for Payer: Cigna Medicare Advantage	$8.40
Rate for Payer: Clover Medicare Advantage	$15.96
Rate for Payer: EmblemHealth Commercial	$50.40
Rate for Payer: Humana Medicare Advantage	$17.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.90
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.80
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$17.81
Rate for Payer: Wellcare Medicare Advantage	$16.80

THYROID CASCADING REFLEX(SERUM

Facility

$130.00

Service Code	HCPCS 84443
Hospital Charge Code	401384443
Hospital Revenue Code	301
Min. Negotiated Rate	$19.50
Max. Negotiated Rate	$19.50
Rate for Payer: Qualcare PPO/HMO/WC	$19.50

THYROID DESICCATED 30 MG TAB

Facility

$4.00

Hospital Charge Code	60628261
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

THYROID DESICCATED 30 MG TAB

Facility

$4.00

Hospital Charge Code	60628261
Hospital Revenue Code	250
Min. Negotiated Rate	$0.52
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.20
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.52
Rate for Payer: Oxford Commercial	$2.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$2.00

THYROID DISORDERS

Facility

$6,215.76

Service Code	APR-DRG 4271
Min. Negotiated Rate	$6,093.88
Max. Negotiated Rate	$6,215.76
Rate for Payer: Aetna Better Health Medicaid	$6,093.88
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,215.76

THYROID DISORDERS

Facility

$27,632.58

Service Code	APR-DRG 4274
Min. Negotiated Rate	$27,090.76
Max. Negotiated Rate	$27,632.58
Rate for Payer: Aetna Better Health Medicaid	$27,090.76
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$27,632.58

THYROID DISORDERS

Facility

$13,656.17

Service Code	APR-DRG 4273
Min. Negotiated Rate	$13,388.40
Max. Negotiated Rate	$13,656.17
Rate for Payer: Aetna Better Health Medicaid	$13,388.40
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$13,656.17

THYROID DISORDERS

Facility

$8,497.92

Service Code	APR-DRG 4272
Min. Negotiated Rate	$8,331.29
Max. Negotiated Rate	$8,497.92
Rate for Payer: Aetna Better Health Medicaid	$8,331.29
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,497.92

THYROID PANEL

Facility

$390.00

Hospital Charge Code	39990058EX
Hospital Revenue Code	301
Min. Negotiated Rate	$50.70
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$117.00
Rate for Payer: Aetna Medicare Advantage	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.45
Rate for Payer: Cigna Commercial	$195.00
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

THYROID PANEL

Facility

$390.00

Hospital Charge Code	39990058EX
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

THYROID PANEL

Facility

$43.75

Hospital Charge Code	39900001
Hospital Revenue Code	301
Min. Negotiated Rate	$6.56
Max. Negotiated Rate	$6.56
Rate for Payer: Qualcare PPO/HMO/WC	$6.56

THYROID PANEL

Facility

$43.75

Hospital Charge Code	39900001
Hospital Revenue Code	301
Min. Negotiated Rate	$5.69
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$13.12
Rate for Payer: Aetna Medicare Advantage	$13.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.16
Rate for Payer: Cigna Commercial	$21.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.69
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.56
Rate for Payer: UnitedHealthcare Commercial	$114.00

THYROID PANEL I

Facility

$47.20

Service Code	HCPCS 84436
Hospital Charge Code	39990058A
Hospital Revenue Code	301
Min. Negotiated Rate	$3.44
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$22.26
Rate for Payer: Aetna Medicare Advantage	$6.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.17
Rate for Payer: Cigna Commercial	$6.87
Rate for Payer: Cigna Medicare Advantage	$3.44
Rate for Payer: Clover Medicare Advantage	$6.53
Rate for Payer: EmblemHealth Commercial	$20.61
Rate for Payer: Humana Medicare Advantage	$7.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.14
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.08
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.87
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$7.28
Rate for Payer: Wellcare Medicare Advantage	$6.87

THYROID PANEL I

Facility

$47.20

Service Code	HCPCS 84436
Hospital Charge Code	39990058A
Hospital Revenue Code	301
Min. Negotiated Rate	$7.08
Max. Negotiated Rate	$7.08
Rate for Payer: Qualcare PPO/HMO/WC	$7.08

THYROID PANEL II

Facility

$44.45

Service Code	HCPCS 84479
Hospital Charge Code	39990058B
Hospital Revenue Code	301
Min. Negotiated Rate	$6.67
Max. Negotiated Rate	$6.67
Rate for Payer: Qualcare PPO/HMO/WC	$6.67

THYROID PANEL II

Facility

$44.45

Service Code	HCPCS 84479
Hospital Charge Code	39990058B
Hospital Revenue Code	301
Min. Negotiated Rate	$3.23
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$20.96
Rate for Payer: Aetna Medicare Advantage	$6.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.71
Rate for Payer: Cigna Commercial	$6.47
Rate for Payer: Cigna Medicare Advantage	$3.23
Rate for Payer: Clover Medicare Advantage	$6.15
Rate for Payer: EmblemHealth Commercial	$19.41
Rate for Payer: Humana Medicare Advantage	$6.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.78
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.67
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.47
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.86
Rate for Payer: Wellcare Medicare Advantage	$6.47

THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES

Facility

$58,888.51

Service Code	APR-DRG 4044
Min. Negotiated Rate	$47,813.48
Max. Negotiated Rate	$58,888.51
Rate for Payer: Aetna Better Health Medicaid	$57,733.83
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$58,888.51
Rate for Payer: Wellpoint Medicaid Managed Care	$47,813.48

THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES

Facility

$30,897.77

Service Code	APR-DRG 4043
Min. Negotiated Rate	$19,950.31
Max. Negotiated Rate	$30,897.77
Rate for Payer: Aetna Better Health Medicaid	$30,291.93
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$30,897.77
Rate for Payer: Wellpoint Medicaid Managed Care	$19,950.31

THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES

Facility

$12,958.20

Service Code	APR-DRG 4041
Min. Negotiated Rate	$7,824.72
Max. Negotiated Rate	$12,958.20
Rate for Payer: Aetna Better Health Medicaid	$12,704.12
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,958.20
Rate for Payer: Wellpoint Medicaid Managed Care	$7,824.72

THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES

Facility

$18,831.31

Service Code	APR-DRG 4042
Min. Negotiated Rate	$10,484.04
Max. Negotiated Rate	$18,831.31
Rate for Payer: Aetna Better Health Medicaid	$18,462.07
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$18,831.31
Rate for Payer: Wellpoint Medicaid Managed Care	$10,484.04

THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC

Facility

$55,343.40

Service Code	MSDRG 626
Min. Negotiated Rate	$16,362.33
Max. Negotiated Rate	$55,343.40
Rate for Payer: Aetna Commercial	$50,559.60
Rate for Payer: Aetna Medicare Advantage	$16,362.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41,074.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41,074.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18,447.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41,074.83
Rate for Payer: Cigna Commercial	$32,268.59
Rate for Payer: Cigna Medicare Advantage	$18,447.80
Rate for Payer: Clover Medicare Advantage	$17,525.41
Rate for Payer: EmblemHealth Commercial	$55,343.40
Rate for Payer: Humana Medicare Advantage	$19,001.23
Rate for Payer: Oxford Commercial	$20,166.93
Rate for Payer: UnitedHealthcare Commercial	$22,891.34
Rate for Payer: UnitedHealthcare Medicare Advantage	$18,447.80
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19,554.67
Rate for Payer: Wellcare Medicare Advantage	$18,447.80

THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC

Facility

$101,837.41

Service Code	MSDRG 625
Min. Negotiated Rate	$31,502.90
Max. Negotiated Rate	$101,837.41
Rate for Payer: Aetna Commercial	$101,837.41
Rate for Payer: Aetna Medicare Advantage	$32,957.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80,495.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80,495.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$33,160.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80,495.64
Rate for Payer: Cigna Commercial	$64,995.57
Rate for Payer: Cigna Medicare Advantage	$33,160.95
Rate for Payer: Clover Medicare Advantage	$31,502.90
Rate for Payer: EmblemHealth Commercial	$99,482.85
Rate for Payer: Humana Medicare Advantage	$34,155.78
Rate for Payer: Oxford Commercial	$40,620.35
Rate for Payer: UnitedHealthcare Commercial	$46,107.87
Rate for Payer: UnitedHealthcare Medicare Advantage	$33,160.95
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$35,150.61
Rate for Payer: Wellcare Medicare Advantage	$33,160.95

THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC

Facility

$50,377.11

Service Code	MSDRG 627
Min. Negotiated Rate	$14,495.18
Max. Negotiated Rate	$50,377.11
Rate for Payer: Aetna Commercial	$44,790.11
Rate for Payer: Aetna Medicare Advantage	$14,495.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34,183.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34,183.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16,792.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34,183.08
Rate for Payer: Cigna Commercial	$28,586.34
Rate for Payer: Cigna Medicare Advantage	$16,792.37
Rate for Payer: Clover Medicare Advantage	$15,952.75
Rate for Payer: EmblemHealth Commercial	$50,377.11
Rate for Payer: Humana Medicare Advantage	$17,296.14
Rate for Payer: Oxford Commercial	$17,865.63
Rate for Payer: UnitedHealthcare Commercial	$20,279.16
Rate for Payer: UnitedHealthcare Medicare Advantage	$16,792.37
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$17,799.91
Rate for Payer: Wellcare Medicare Advantage	$16,792.37

THYROID PEROXIDASE AB

Facility

$667.59

Service Code	HCPCS 86376
Hospital Charge Code	39900221
Hospital Revenue Code	302
Min. Negotiated Rate	$100.14
Max. Negotiated Rate	$100.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.14

Know your out-of-pocket cost for care.

All Charges