Heights University Hospital

All Charges

Charge

Type

Setting

Price

BIOPINCE DISP AUTO BIOPSY INST

Facility

$223.58

Hospital Charge Code	270654226
Hospital Revenue Code	272
Min. Negotiated Rate	$33.54
Max. Negotiated Rate	$33.54
Rate for Payer: Qualcare PPO/HMO/WC	$33.54

BIOPINCE DISP AUTO BIOPSY INST

Facility

$223.58

Hospital Charge Code	270654226
Hospital Revenue Code	272
Min. Negotiated Rate	$29.07
Max. Negotiated Rate	$111.79
Rate for Payer: Aetna Commercial	$67.07
Rate for Payer: Aetna Medicare Advantage	$67.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.01
Rate for Payer: Cigna Commercial	$111.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.07
Rate for Payer: Oxford Commercial	$111.79
Rate for Payer: Qualcare PPO/HMO/WC	$33.54
Rate for Payer: UnitedHealthcare Commercial	$111.79

BIOPIN DISPAUTOBIOPSY 18Gx10cm

Facility

$225.00

Hospital Charge Code	2709003583
Hospital Revenue Code	272
Min. Negotiated Rate	$29.25
Max. Negotiated Rate	$112.50
Rate for Payer: Aetna Commercial	$67.50
Rate for Payer: Aetna Medicare Advantage	$67.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.38
Rate for Payer: Cigna Commercial	$112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.25
Rate for Payer: Oxford Commercial	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$33.75
Rate for Payer: UnitedHealthcare Commercial	$112.50

BIOPIN DISPAUTOBIOPSY 18Gx10cm

Facility

$225.00

Hospital Charge Code	2709003583
Hospital Revenue Code	272
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$33.75
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

BIOPIN DISPAUTOBIOPSY 18Gx15cm

Facility

$225.00

Hospital Charge Code	2709003584
Hospital Revenue Code	272
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$33.75
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

BIOPIN DISPAUTOBIOPSY 18Gx15cm

Facility

$225.00

Hospital Charge Code	2709003584
Hospital Revenue Code	272
Min. Negotiated Rate	$29.25
Max. Negotiated Rate	$112.50
Rate for Payer: Aetna Commercial	$67.50
Rate for Payer: Aetna Medicare Advantage	$67.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.38
Rate for Payer: Cigna Commercial	$112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.25
Rate for Payer: Oxford Commercial	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$33.75
Rate for Payer: UnitedHealthcare Commercial	$112.50

BIOPOLAR COMPONENT 28x43MM

Facility

$3,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270675090
Hospital Revenue Code	278
Min. Negotiated Rate	$450.00
Max. Negotiated Rate	$726.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$726.00
Rate for Payer: Qualcare PPO/HMO/WC	$450.00

BIOPOLAR COMPONENT 28x43MM

Facility

$3,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270675090
Hospital Revenue Code	278
Min. Negotiated Rate	$450.00
Max. Negotiated Rate	$1,500.00
Rate for Payer: Aetna Commercial	$900.00
Rate for Payer: Aetna Medicare Advantage	$900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$765.00
Rate for Payer: Cigna Commercial	$1,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$726.00
Rate for Payer: Qualcare PPO/HMO/WC	$450.00

BIOPOLAR SHELL (43)

Facility

$2,256.50

Hospital Charge Code	270656967
Hospital Revenue Code	278
Min. Negotiated Rate	$338.48
Max. Negotiated Rate	$546.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$451.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$546.07
Rate for Payer: Qualcare PPO/HMO/WC	$338.48

BIOPOLAR SHELL (43)

Facility

$2,256.50

Hospital Charge Code	270656967
Hospital Revenue Code	278
Min. Negotiated Rate	$338.48
Max. Negotiated Rate	$1,128.25
Rate for Payer: Aetna Commercial	$676.95
Rate for Payer: Aetna Medicare Advantage	$676.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$575.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$575.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$451.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$575.41
Rate for Payer: Cigna Commercial	$1,128.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$546.07
Rate for Payer: Qualcare PPO/HMO/WC	$338.48

BIOP SALIVAR GLAND NDL-BI

Facility

$2,357.00

Service Code	HCPCS 4240050
Hospital Charge Code	7411815
Hospital Revenue Code	361
Min. Negotiated Rate	$353.55
Max. Negotiated Rate	$353.55
Rate for Payer: Qualcare PPO/HMO/WC	$353.55

BIOP SALIVAR GLAND NDL-BI

Facility

$2,357.00

Service Code	HCPCS 4240050
Hospital Charge Code	7411815
Hospital Revenue Code	361
Min. Negotiated Rate	$306.41
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$707.10
Rate for Payer: Aetna Medicare Advantage	$707.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$601.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$601.03
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	$601.03
Rate for Payer: Cigna Commercial	$1,178.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$306.41
Rate for Payer: Qualcare PPO/HMO/WC	$353.55

BIOP SALIVAR GLAND NDL-BI

Facility

$2,357.00

Service Code	HCPCS 4240050
Hospital Charge Code	2690585
Hospital Revenue Code	361
Min. Negotiated Rate	$306.41
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$707.10
Rate for Payer: Aetna Medicare Advantage	$707.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$601.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$601.03
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	$601.03
Rate for Payer: Cigna Commercial	$1,178.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$306.41
Rate for Payer: Qualcare PPO/HMO/WC	$353.55

BIOP SALIVAR GLAND NDL-BI

Facility

$2,357.00

Service Code	HCPCS 4240050
Hospital Charge Code	2690585
Hospital Revenue Code	361
Min. Negotiated Rate	$353.55
Max. Negotiated Rate	$353.55
Rate for Payer: Qualcare PPO/HMO/WC	$353.55

BIOP SALIVAR GLAND NDL-LT

Facility

$2,357.00

Service Code	HCPCS 42400LT
Hospital Charge Code	2691500
Hospital Revenue Code	361
Min. Negotiated Rate	$306.41
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$707.10
Rate for Payer: Aetna Medicare Advantage	$707.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$601.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$601.03
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	$601.03
Rate for Payer: Cigna Commercial	$1,178.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$306.41
Rate for Payer: Qualcare PPO/HMO/WC	$353.55

BIOP SALIVAR GLAND NDL-LT

Facility

$2,357.00

Service Code	HCPCS 42400LT
Hospital Charge Code	2691500
Hospital Revenue Code	361
Min. Negotiated Rate	$353.55
Max. Negotiated Rate	$353.55
Rate for Payer: Qualcare PPO/HMO/WC	$353.55

BIOP SALIVAR GLAND NDL-LT

Facility

$2,357.00

Service Code	HCPCS 42400LT
Hospital Charge Code	7411950
Hospital Revenue Code	361
Min. Negotiated Rate	$353.55
Max. Negotiated Rate	$353.55
Rate for Payer: Qualcare PPO/HMO/WC	$353.55

BIOP SALIVAR GLAND NDL-LT

Facility

$2,357.00

Service Code	HCPCS 42400LT
Hospital Charge Code	7411950
Hospital Revenue Code	361
Min. Negotiated Rate	$306.41
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$707.10
Rate for Payer: Aetna Medicare Advantage	$707.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$601.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$601.03
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	$601.03
Rate for Payer: Cigna Commercial	$1,178.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$306.41
Rate for Payer: Qualcare PPO/HMO/WC	$353.55

BIOP SALIVAR GLAND NDL-RT

Facility

$2,357.00

Service Code	HCPCS 42400RT
Hospital Charge Code	7411951
Hospital Revenue Code	361
Min. Negotiated Rate	$306.41
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$707.10
Rate for Payer: Aetna Medicare Advantage	$707.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$601.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$601.03
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	$601.03
Rate for Payer: Cigna Commercial	$1,178.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$306.41
Rate for Payer: Qualcare PPO/HMO/WC	$353.55

BIOP SALIVAR GLAND NDL-RT

Facility

$3,392.55

Service Code	HCPCS 42400RT
Hospital Charge Code	321042400R
Hospital Revenue Code	361
Min. Negotiated Rate	$508.88
Max. Negotiated Rate	$508.88
Rate for Payer: Qualcare PPO/HMO/WC	$508.88

BIOP SALIVAR GLAND NDL-RT

Facility

$2,357.00

Service Code	HCPCS 42400RT
Hospital Charge Code	7411951
Hospital Revenue Code	361
Min. Negotiated Rate	$353.55
Max. Negotiated Rate	$353.55
Rate for Payer: Qualcare PPO/HMO/WC	$353.55

BIOP SALIVAR GLAND NDL-RT

Facility

$3,392.55

Service Code	HCPCS 42400RT
Hospital Charge Code	2691505
Hospital Revenue Code	361
Min. Negotiated Rate	$508.88
Max. Negotiated Rate	$508.88
Rate for Payer: Qualcare PPO/HMO/WC	$508.88

BIOP SALIVAR GLAND NDL-RT

Facility

$3,392.55

Service Code	HCPCS 42400RT
Hospital Charge Code	321042400R
Hospital Revenue Code	361
Min. Negotiated Rate	$441.03
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$1,017.76
Rate for Payer: Aetna Medicare Advantage	$1,017.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$865.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$865.10
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	$865.10
Rate for Payer: Cigna Commercial	$1,696.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$441.03
Rate for Payer: Qualcare PPO/HMO/WC	$508.88

BIOP SALIVAR GLAND NDL-RT

Facility

$3,392.55

Service Code	HCPCS 42400RT
Hospital Charge Code	2691505
Hospital Revenue Code	361
Min. Negotiated Rate	$441.03
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$1,017.76
Rate for Payer: Aetna Medicare Advantage	$1,017.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$865.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$865.10
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	$865.10
Rate for Payer: Cigna Commercial	$1,696.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$441.03
Rate for Payer: Qualcare PPO/HMO/WC	$508.88

BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC

Facility

$83,202.33

Service Code	MSDRG 478
Min. Negotiated Rate	$26,347.40
Max. Negotiated Rate	$83,202.33
Rate for Payer: Aetna Commercial	$82,923.92
Rate for Payer: Aetna Medicare Advantage	$26,836.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65,609.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65,609.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$27,734.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65,609.46
Rate for Payer: Cigna Commercial	$52,924.44
Rate for Payer: Cigna Medicare Advantage	$27,734.11
Rate for Payer: Clover Medicare Advantage	$26,347.40
Rate for Payer: EmblemHealth Commercial	$83,202.33
Rate for Payer: Humana Medicare Advantage	$28,566.13
Rate for Payer: Oxford Commercial	$33,076.24
Rate for Payer: UnitedHealthcare Commercial	$37,544.61
Rate for Payer: UnitedHealthcare Medicare Advantage	$27,734.11
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$29,398.16
Rate for Payer: Wellcare Medicare Advantage	$27,734.11

Know your out-of-pocket cost for care.

All Charges