Heights University Hospital

All Charges

Charge

Type

Setting

Price

TTE W CONTRAST OR W/O & W COMP

Facility

$4,087.90

Hospital Charge Code	44053305
Hospital Revenue Code	483
Min. Negotiated Rate	$613.18
Max. Negotiated Rate	$613.18
Rate for Payer: Qualcare PPO/HMO/WC	$613.18

TTE W CONTRAST W DOPPLER

Facility

$5,900.00

Service Code	HCPCS C8929
Hospital Charge Code	365438929
Hospital Revenue Code	483
Min. Negotiated Rate	$885.00
Max. Negotiated Rate	$885.00
Rate for Payer: Qualcare PPO/HMO/WC	$885.00

TTE W CONTRAST W DOPPLER

Facility

$5,900.00

Service Code	HCPCS C8929
Hospital Charge Code	365438929
Hospital Revenue Code	483
Min. Negotiated Rate	$767.00
Max. Negotiated Rate	$1,866.82
Rate for Payer: Aetna Commercial	$1,770.00
Rate for Payer: Aetna Medicare Advantage	$1,770.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,504.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,504.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,504.50
Rate for Payer: Cigna Commercial	$1,866.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$767.00
Rate for Payer: Oxford Commercial	$1,514.00
Rate for Payer: Qualcare PPO/HMO/WC	$885.00
Rate for Payer: UnitedHealthcare Commercial	$1,719.00

TTE W/O DOPPLER COMPLETE

Facility

$1,615.00

Service Code	HCPCS 93307
Hospital Charge Code	395093307
Hospital Revenue Code	480
Min. Negotiated Rate	$242.25
Max. Negotiated Rate	$242.25
Rate for Payer: Qualcare PPO/HMO/WC	$242.25

TTE W/O DOPPLER COMPLETE

Facility

$1,615.00

Service Code	HCPCS 93307
Hospital Charge Code	395093307
Hospital Revenue Code	480
Min. Negotiated Rate	$209.95
Max. Negotiated Rate	$1,793.00
Rate for Payer: Aetna Commercial	$484.50
Rate for Payer: Aetna Medicare Advantage	$484.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$411.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$411.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$374.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$411.82
Rate for Payer: Cigna Commercial	$568.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$209.95
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$242.25
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

TTL THYROID LOBECTMY UNIL

Facility

$47,194.00

Service Code	HCPCS 60220
Hospital Charge Code	1600000307
Hospital Revenue Code	360
Min. Negotiated Rate	$7,079.10
Max. Negotiated Rate	$7,079.10
Rate for Payer: Qualcare PPO/HMO/WC	$7,079.10

TTL THYROID LOBECTMY UNIL

Facility

$47,194.00

Service Code	HCPCS 60220
Hospital Charge Code	1600000307
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$14,396.79
Rate for Payer: Aetna Commercial	$14,158.20
Rate for Payer: Aetna Medicare Advantage	$14,158.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,034.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,034.47
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	$12,034.47
Rate for Payer: Cigna Commercial	$14,396.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,135.22
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,079.10
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

T-TRANSGLUTAMINASE IGA

Facility

$121.00

Service Code	HCPCS 83516
Hospital Charge Code	3038119
Hospital Revenue Code	300
Min. Negotiated Rate	$5.76
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$37.36
Rate for Payer: Aetna Medicare Advantage	$11.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.25
Rate for Payer: Cigna Commercial	$11.53
Rate for Payer: Cigna Medicare Advantage	$5.76
Rate for Payer: Clover Medicare Advantage	$10.95
Rate for Payer: EmblemHealth Commercial	$34.59
Rate for Payer: Humana Medicare Advantage	$11.88
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
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.53
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12.22
Rate for Payer: Wellcare Medicare Advantage	$11.53

T-TRANSGLUTAMINASE IGA

Facility

$121.00

Service Code	HCPCS 83516
Hospital Charge Code	3038119
Hospital Revenue Code	300
Min. Negotiated Rate	$18.15
Max. Negotiated Rate	$18.15
Rate for Payer: Qualcare PPO/HMO/WC	$18.15

TTR DNA SEQUENCE TST WHOLE BLD

Facility

$1,215.00

Service Code	HCPCS 81404
Hospital Charge Code	401381404
Hospital Revenue Code	310
Min. Negotiated Rate	$101.00
Max. Negotiated Rate	$1,006.98
Rate for Payer: Aetna Commercial	$890.45
Rate for Payer: Aetna Medicare Advantage	$274.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,006.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,006.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$274.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,006.98
Rate for Payer: Cigna Commercial	$274.83
Rate for Payer: Cigna Medicare Advantage	$137.41
Rate for Payer: Clover Medicare Advantage	$261.09
Rate for Payer: EmblemHealth Commercial	$824.49
Rate for Payer: Humana Medicare Advantage	$283.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.95
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$182.25
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$274.83
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$291.32
Rate for Payer: Wellcare Medicare Advantage	$274.83

TTR DNA SEQUENCE TST WHOLE BLD

Facility

$1,215.00

Service Code	HCPCS 81404
Hospital Charge Code	401381404
Hospital Revenue Code	310
Min. Negotiated Rate	$182.25
Max. Negotiated Rate	$182.25
Rate for Payer: Qualcare PPO/HMO/WC	$182.25

TT REM OF THYROID

Facility

$15,267.90

Service Code	HCPCS 60270
Hospital Charge Code	1600000787
Hospital Revenue Code	360
Min. Negotiated Rate	$1,337.73
Max. Negotiated Rate	$4,580.37
Rate for Payer: Aetna Commercial	$4,580.37
Rate for Payer: Aetna Medicare Advantage	$4,580.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,893.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,893.31
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	$3,893.31
Rate for Payer: Cigna Commercial	$1,337.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,984.83
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,290.18
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

TT REM OF THYROID

Facility

$15,267.90

Service Code	HCPCS 60270
Hospital Charge Code	1600000787
Hospital Revenue Code	360
Min. Negotiated Rate	$2,290.18
Max. Negotiated Rate	$2,290.18
Rate for Payer: Qualcare PPO/HMO/WC	$2,290.18

TUBE 2 REPL CURVED 16FR

Facility

$158.90

Hospital Charge Code	270673191
Hospital Revenue Code	272
Min. Negotiated Rate	$20.66
Max. Negotiated Rate	$79.45
Rate for Payer: Aetna Commercial	$47.67
Rate for Payer: Aetna Medicare Advantage	$47.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.52
Rate for Payer: Cigna Commercial	$79.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.66
Rate for Payer: Oxford Commercial	$79.45
Rate for Payer: Qualcare PPO/HMO/WC	$23.84
Rate for Payer: UnitedHealthcare Commercial	$79.45

TUBE 2 REPL CURVED 16FR

Facility

$158.90

Hospital Charge Code	270673191
Hospital Revenue Code	272
Min. Negotiated Rate	$23.84
Max. Negotiated Rate	$23.84
Rate for Payer: Qualcare PPO/HMO/WC	$23.84

TUBE 2 REPL CURVED 18FR

Facility

$158.90

Hospital Charge Code	270673192
Hospital Revenue Code	272
Min. Negotiated Rate	$23.84
Max. Negotiated Rate	$23.84
Rate for Payer: Qualcare PPO/HMO/WC	$23.84

TUBE 2 REPL CURVED 18FR

Facility

$158.90

Hospital Charge Code	270673192
Hospital Revenue Code	272
Min. Negotiated Rate	$20.66
Max. Negotiated Rate	$79.45
Rate for Payer: Aetna Commercial	$47.67
Rate for Payer: Aetna Medicare Advantage	$47.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.52
Rate for Payer: Cigna Commercial	$79.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.66
Rate for Payer: Oxford Commercial	$79.45
Rate for Payer: Qualcare PPO/HMO/WC	$23.84
Rate for Payer: UnitedHealthcare Commercial	$79.45

TUBE 4.0 CUFFED ORAL REA

Facility

$187.45

Hospital Charge Code	270655762
Hospital Revenue Code	271
Min. Negotiated Rate	$28.12
Max. Negotiated Rate	$28.12
Rate for Payer: Qualcare PPO/HMO/WC	$28.12

TUBE 4.0 CUFFED ORAL REA

Facility

$187.45

Hospital Charge Code	270655762
Hospital Revenue Code	271
Min. Negotiated Rate	$24.37
Max. Negotiated Rate	$93.72
Rate for Payer: Aetna Commercial	$56.23
Rate for Payer: Aetna Medicare Advantage	$56.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.80
Rate for Payer: Cigna Commercial	$93.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.37
Rate for Payer: Oxford Commercial	$93.72
Rate for Payer: Qualcare PPO/HMO/WC	$28.12
Rate for Payer: UnitedHealthcare Commercial	$93.72

TUBE 48' HIGH PRESS CP47078000

Facility

$18.45

Hospital Charge Code	270601496
Hospital Revenue Code	272
Min. Negotiated Rate	$2.40
Max. Negotiated Rate	$9.22
Rate for Payer: Aetna Commercial	$5.54
Rate for Payer: Aetna Medicare Advantage	$5.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.70
Rate for Payer: Cigna Commercial	$9.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.40
Rate for Payer: Oxford Commercial	$9.22
Rate for Payer: Qualcare PPO/HMO/WC	$2.77
Rate for Payer: UnitedHealthcare Commercial	$9.22

TUBE 48' HIGH PRESS CP47078000

Facility

$18.45

Hospital Charge Code	270601496
Hospital Revenue Code	272
Min. Negotiated Rate	$2.77
Max. Negotiated Rate	$2.77
Rate for Payer: Qualcare PPO/HMO/WC	$2.77

TUBE, 72 LOW PRESSURE EXTENSO

Facility

$640.00

Hospital Charge Code	270654228
Hospital Revenue Code	272
Min. Negotiated Rate	$96.00
Max. Negotiated Rate	$96.00
Rate for Payer: Qualcare PPO/HMO/WC	$96.00

TUBE, 72 LOW PRESSURE EXTENSO

Facility

$640.00

Hospital Charge Code	270654228
Hospital Revenue Code	272
Min. Negotiated Rate	$83.20
Max. Negotiated Rate	$320.00
Rate for Payer: Aetna Commercial	$192.00
Rate for Payer: Aetna Medicare Advantage	$192.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$163.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$163.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$163.20
Rate for Payer: Cigna Commercial	$320.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.20
Rate for Payer: Oxford Commercial	$320.00
Rate for Payer: Qualcare PPO/HMO/WC	$96.00
Rate for Payer: UnitedHealthcare Commercial	$320.00

TUBE AFT DIVERTED 3/4 FILL

Facility

$1,325.00

Hospital Charge Code	270674910
Hospital Revenue Code	272
Min. Negotiated Rate	$172.25
Max. Negotiated Rate	$662.50
Rate for Payer: Aetna Commercial	$397.50
Rate for Payer: Aetna Medicare Advantage	$397.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$337.88
Rate for Payer: Cigna Commercial	$662.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$172.25
Rate for Payer: Oxford Commercial	$662.50
Rate for Payer: Qualcare PPO/HMO/WC	$198.75
Rate for Payer: UnitedHealthcare Commercial	$662.50

TUBE AFT DIVERTED 3/4 FILL

Facility

$1,325.00

Hospital Charge Code	270674910
Hospital Revenue Code	272
Min. Negotiated Rate	$198.75
Max. Negotiated Rate	$198.75
Rate for Payer: Qualcare PPO/HMO/WC	$198.75

Know your out-of-pocket cost for care.

All Charges