Heights University Hospital

All Charges

Charge

Type

Setting

Price

BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC

Facility

$116,488.70

Service Code	MSDRG 477
Min. Negotiated Rate	$35,496.61
Max. Negotiated Rate	$116,488.70
Rate for Payer: Aetna Commercial	$116,488.70
Rate for Payer: Aetna Medicare Advantage	$37,698.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92,900.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92,900.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$37,364.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92,900.79
Rate for Payer: Cigna Commercial	$74,346.45
Rate for Payer: Cigna Medicare Advantage	$37,364.85
Rate for Payer: Clover Medicare Advantage	$35,496.61
Rate for Payer: EmblemHealth Commercial	$112,094.55
Rate for Payer: Humana Medicare Advantage	$38,485.80
Rate for Payer: Oxford Commercial	$46,464.37
Rate for Payer: UnitedHealthcare Commercial	$52,741.38
Rate for Payer: UnitedHealthcare Medicare Advantage	$37,364.85
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$39,606.74
Rate for Payer: Wellcare Medicare Advantage	$37,364.85

BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC

Facility

$65,778.18

Service Code	MSDRG 479
Min. Negotiated Rate	$20,285.40
Max. Negotiated Rate	$65,778.18
Rate for Payer: Aetna Commercial	$62,681.89
Rate for Payer: Aetna Medicare Advantage	$20,285.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51,274.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51,274.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21,926.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51,274.62
Rate for Payer: Cigna Commercial	$40,005.39
Rate for Payer: Cigna Medicare Advantage	$21,926.06
Rate for Payer: Clover Medicare Advantage	$20,829.76
Rate for Payer: EmblemHealth Commercial	$65,778.18
Rate for Payer: Humana Medicare Advantage	$22,583.84
Rate for Payer: Oxford Commercial	$25,002.21
Rate for Payer: UnitedHealthcare Commercial	$28,379.83
Rate for Payer: UnitedHealthcare Medicare Advantage	$21,926.06
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$23,241.62
Rate for Payer: Wellcare Medicare Advantage	$21,926.06

BIOPSY 2ND SITE IDENTIFIER 14G

Facility

$449.00

Hospital Charge Code	270645925
Hospital Revenue Code	271
Min. Negotiated Rate	$58.37
Max. Negotiated Rate	$224.50
Rate for Payer: Aetna Commercial	$134.70
Rate for Payer: Aetna Medicare Advantage	$134.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.50
Rate for Payer: Cigna Commercial	$224.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.37
Rate for Payer: Oxford Commercial	$224.50
Rate for Payer: Qualcare PPO/HMO/WC	$67.35
Rate for Payer: UnitedHealthcare Commercial	$224.50

BIOPSY 2ND SITE IDENTIFIER 14G

Facility

$449.00

Hospital Charge Code	270645925
Hospital Revenue Code	271
Min. Negotiated Rate	$67.35
Max. Negotiated Rate	$67.35
Rate for Payer: Qualcare PPO/HMO/WC	$67.35

BIOPSY BREAST MR GUIDE

Facility

$5,961.30

Service Code	HCPCS 19085
Hospital Charge Code	2409025
Hospital Revenue Code	361
Min. Negotiated Rate	$774.97
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$1,788.39
Rate for Payer: Aetna Medicare Advantage	$1,788.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,520.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,520.13
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	$1,520.13
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$774.97
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$894.20
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

BIOPSY BREAST MR GUIDE

Facility

$5,961.30

Service Code	HCPCS 19085
Hospital Charge Code	2409025
Hospital Revenue Code	361
Min. Negotiated Rate	$894.20
Max. Negotiated Rate	$894.20
Rate for Payer: Qualcare PPO/HMO/WC	$894.20

BIOPSY FINGER JOINT LINING

Facility

$9,423.70

Service Code	HCPCS 26110
Hospital Charge Code	1600000518
Hospital Revenue Code	360
Min. Negotiated Rate	$1,413.56
Max. Negotiated Rate	$1,413.56
Rate for Payer: Qualcare PPO/HMO/WC	$1,413.56

BIOPSY FINGER JOINT LINING

Facility

$9,423.70

Service Code	HCPCS 26110
Hospital Charge Code	1600000518
Hospital Revenue Code	360
Min. Negotiated Rate	$1,225.08
Max. Negotiated Rate	$3,829.26
Rate for Payer: Aetna Commercial	$2,827.11
Rate for Payer: Aetna Medicare Advantage	$2,827.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,403.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,403.04
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	$2,403.04
Rate for Payer: Cigna Commercial	$3,829.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,225.08
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,413.56
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

BIOPSY FORCEP 230 CM OVAL

Facility

$21.25

Hospital Charge Code	270700216
Hospital Revenue Code	272
Min. Negotiated Rate	$3.19
Max. Negotiated Rate	$3.19
Rate for Payer: Qualcare PPO/HMO/WC	$3.19

BIOPSY FORCEP 230 CM OVAL

Facility

$21.25

Hospital Charge Code	270700216
Hospital Revenue Code	272
Min. Negotiated Rate	$2.76
Max. Negotiated Rate	$10.62
Rate for Payer: Aetna Commercial	$6.38
Rate for Payer: Aetna Medicare Advantage	$6.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.42
Rate for Payer: Cigna Commercial	$10.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.76
Rate for Payer: Oxford Commercial	$10.62
Rate for Payer: Qualcare PPO/HMO/WC	$3.19
Rate for Payer: UnitedHealthcare Commercial	$10.62

BIOPSY FRAN LUNG22G 15 CM

Facility

$121.75

Hospital Charge Code	2709006403
Hospital Revenue Code	272
Min. Negotiated Rate	$15.83
Max. Negotiated Rate	$60.88
Rate for Payer: Aetna Commercial	$36.52
Rate for Payer: Aetna Medicare Advantage	$36.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.05
Rate for Payer: Cigna Commercial	$60.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.83
Rate for Payer: Oxford Commercial	$60.88
Rate for Payer: Qualcare PPO/HMO/WC	$18.26
Rate for Payer: UnitedHealthcare Commercial	$60.88

BIOPSY FRAN LUNG22G 15 CM

Facility

$121.75

Hospital Charge Code	2709006403
Hospital Revenue Code	272
Min. Negotiated Rate	$18.26
Max. Negotiated Rate	$18.26
Rate for Payer: Qualcare PPO/HMO/WC	$18.26

BIOPSY KIDNEY-BI

Facility

$10,607.10

Service Code	HCPCS 5020050
Hospital Charge Code	2250441
Hospital Revenue Code	361
Min. Negotiated Rate	$1,378.92
Max. Negotiated Rate	$5,303.55
Rate for Payer: Aetna Commercial	$3,182.13
Rate for Payer: Aetna Medicare Advantage	$3,182.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,704.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,704.81
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	$2,704.81
Rate for Payer: Cigna Commercial	$5,303.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,378.92
Rate for Payer: Qualcare PPO/HMO/WC	$1,591.07

BIOPSY KIDNEY-BI

Facility

$10,607.10

Service Code	HCPCS 5020050
Hospital Charge Code	2101204
Hospital Revenue Code	361
Min. Negotiated Rate	$1,591.07
Max. Negotiated Rate	$1,591.07
Rate for Payer: Qualcare PPO/HMO/WC	$1,591.07

BIOPSY KIDNEY-BI

Facility

$10,607.10

Service Code	HCPCS 5020050
Hospital Charge Code	2250441
Hospital Revenue Code	361
Min. Negotiated Rate	$1,591.07
Max. Negotiated Rate	$1,591.07
Rate for Payer: Qualcare PPO/HMO/WC	$1,591.07

BIOPSY KIDNEY-BI

Facility

$10,607.10

Service Code	HCPCS 5020050
Hospital Charge Code	2101204
Hospital Revenue Code	361
Min. Negotiated Rate	$1,378.92
Max. Negotiated Rate	$5,303.55
Rate for Payer: Aetna Commercial	$3,182.13
Rate for Payer: Aetna Medicare Advantage	$3,182.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,704.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,704.81
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	$2,704.81
Rate for Payer: Cigna Commercial	$5,303.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,378.92
Rate for Payer: Qualcare PPO/HMO/WC	$1,591.07

BIOPSY KIDNEY-LT

Facility

$7,071.40

Service Code	HCPCS 50200LT
Hospital Charge Code	2250442
Hospital Revenue Code	361
Min. Negotiated Rate	$919.28
Max. Negotiated Rate	$3,535.70
Rate for Payer: Aetna Commercial	$2,121.42
Rate for Payer: Aetna Medicare Advantage	$2,121.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,803.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,803.21
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	$1,803.21
Rate for Payer: Cigna Commercial	$3,535.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$919.28
Rate for Payer: Qualcare PPO/HMO/WC	$1,060.71

BIOPSY KIDNEY-LT

Facility

$7,071.40

Service Code	HCPCS 50200LT
Hospital Charge Code	2101205
Hospital Revenue Code	361
Min. Negotiated Rate	$1,060.71
Max. Negotiated Rate	$1,060.71
Rate for Payer: Qualcare PPO/HMO/WC	$1,060.71

BIOPSY KIDNEY-LT

Facility

$7,071.40

Service Code	HCPCS 50200LT
Hospital Charge Code	2101205
Hospital Revenue Code	361
Min. Negotiated Rate	$919.28
Max. Negotiated Rate	$3,535.70
Rate for Payer: Aetna Commercial	$2,121.42
Rate for Payer: Aetna Medicare Advantage	$2,121.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,803.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,803.21
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	$1,803.21
Rate for Payer: Cigna Commercial	$3,535.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$919.28
Rate for Payer: Qualcare PPO/HMO/WC	$1,060.71

BIOPSY KIDNEY-LT

Facility

$7,071.40

Service Code	HCPCS 50200LT
Hospital Charge Code	2250442
Hospital Revenue Code	361
Min. Negotiated Rate	$1,060.71
Max. Negotiated Rate	$1,060.71
Rate for Payer: Qualcare PPO/HMO/WC	$1,060.71

BIOPSY KIDNEY-RT

Facility

$7,071.40

Service Code	HCPCS 50200RT
Hospital Charge Code	2101206
Hospital Revenue Code	361
Min. Negotiated Rate	$919.28
Max. Negotiated Rate	$3,535.70
Rate for Payer: Aetna Commercial	$2,121.42
Rate for Payer: Aetna Medicare Advantage	$2,121.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,803.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,803.21
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	$1,803.21
Rate for Payer: Cigna Commercial	$3,535.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$919.28
Rate for Payer: Qualcare PPO/HMO/WC	$1,060.71

BIOPSY KIDNEY-RT

Facility

$7,071.40

Service Code	HCPCS 50200RT
Hospital Charge Code	2101206
Hospital Revenue Code	361
Min. Negotiated Rate	$1,060.71
Max. Negotiated Rate	$1,060.71
Rate for Payer: Qualcare PPO/HMO/WC	$1,060.71

BIOPSY KIDNEY-RT

Facility

$7,071.40

Service Code	HCPCS 50200RT
Hospital Charge Code	2250443
Hospital Revenue Code	361
Min. Negotiated Rate	$919.28
Max. Negotiated Rate	$3,535.70
Rate for Payer: Aetna Commercial	$2,121.42
Rate for Payer: Aetna Medicare Advantage	$2,121.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,803.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,803.21
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	$1,803.21
Rate for Payer: Cigna Commercial	$3,535.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$919.28
Rate for Payer: Qualcare PPO/HMO/WC	$1,060.71

BIOPSY KIDNEY-RT

Facility

$7,071.40

Service Code	HCPCS 50200RT
Hospital Charge Code	2250443
Hospital Revenue Code	361
Min. Negotiated Rate	$1,060.71
Max. Negotiated Rate	$1,060.71
Rate for Payer: Qualcare PPO/HMO/WC	$1,060.71

BIOPSYNEDDLEFRANLUNG22G 10CM

Facility

$121.75

Hospital Charge Code	2709006402
Hospital Revenue Code	272
Min. Negotiated Rate	$15.83
Max. Negotiated Rate	$60.88
Rate for Payer: Aetna Commercial	$36.52
Rate for Payer: Aetna Medicare Advantage	$36.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.05
Rate for Payer: Cigna Commercial	$60.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.83
Rate for Payer: Oxford Commercial	$60.88
Rate for Payer: Qualcare PPO/HMO/WC	$18.26
Rate for Payer: UnitedHealthcare Commercial	$60.88

Know your out-of-pocket cost for care.

All Charges