Heights University Hospital

All Charges

Charge

Type

Setting

Price

US ABD PARACENTESIS W IMAGING

Facility

$2,422.65

Service Code	HCPCS 49083
Hospital Charge Code	411093599
Hospital Revenue Code	481
Min. Negotiated Rate	$363.40
Max. Negotiated Rate	$363.40
Rate for Payer: Qualcare PPO/HMO/WC	$363.40

US ABLATION LIVER PERC/RF

Facility

$21,118.85

Service Code	HCPCS 47382
Hospital Charge Code	2100165
Hospital Revenue Code	361
Min. Negotiated Rate	$3,167.83
Max. Negotiated Rate	$3,167.83
Rate for Payer: Qualcare PPO/HMO/WC	$3,167.83

US ABLATION LIVER PERC/RF

Facility

$21,118.85

Service Code	HCPCS 47382
Hospital Charge Code	2100165
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$14,396.79
Rate for Payer: Aetna Commercial	$6,335.65
Rate for Payer: Aetna Medicare Advantage	$6,335.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,385.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,385.31
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	$5,385.31
Rate for Payer: Cigna Commercial	$14,396.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,745.45
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,167.83
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

US ABSCESS DRAINAGE, LIVER

Facility

$414.45

Hospital Charge Code	2100428
Hospital Revenue Code	361
Min. Negotiated Rate	$53.88
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$124.33
Rate for Payer: Aetna Medicare Advantage	$124.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.68
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	$105.68
Rate for Payer: Cigna Commercial	$207.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.88
Rate for Payer: Qualcare PPO/HMO/WC	$62.17

US ABSCESS DRAINAGE, LIVER

Facility

$414.45

Hospital Charge Code	2100428
Hospital Revenue Code	361
Min. Negotiated Rate	$62.17
Max. Negotiated Rate	$62.17
Rate for Payer: Qualcare PPO/HMO/WC	$62.17

US ABSCESS DRAINAGE,PERITONEAL

Facility

$414.45

Hospital Charge Code	2100444
Hospital Revenue Code	361
Min. Negotiated Rate	$53.88
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$124.33
Rate for Payer: Aetna Medicare Advantage	$124.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.68
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	$105.68
Rate for Payer: Cigna Commercial	$207.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.88
Rate for Payer: Qualcare PPO/HMO/WC	$62.17

US ABSCESS DRAINAGE,PERITONEAL

Facility

$414.45

Hospital Charge Code	2100444
Hospital Revenue Code	361
Min. Negotiated Rate	$62.17
Max. Negotiated Rate	$62.17
Rate for Payer: Qualcare PPO/HMO/WC	$62.17

US ABSCESS DRAINAGE, RETROPERI

Facility

$414.45

Hospital Charge Code	2100451
Hospital Revenue Code	361
Min. Negotiated Rate	$53.88
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$124.33
Rate for Payer: Aetna Medicare Advantage	$124.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.68
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	$105.68
Rate for Payer: Cigna Commercial	$207.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.88
Rate for Payer: Qualcare PPO/HMO/WC	$62.17

US ABSCESS DRAINAGE, RETROPERI

Facility

$414.45

Hospital Charge Code	2100451
Hospital Revenue Code	361
Min. Negotiated Rate	$62.17
Max. Negotiated Rate	$62.17
Rate for Payer: Qualcare PPO/HMO/WC	$62.17

US ABSCESS & DRAIN HEMOTHORAX

Facility

$2,422.65

Service Code	HCPCS 32551
Hospital Charge Code	2100436
Hospital Revenue Code	361
Min. Negotiated Rate	$363.40
Max. Negotiated Rate	$363.40
Rate for Payer: Qualcare PPO/HMO/WC	$363.40

US ABSCESS & DRAIN HEMOTHORAX

Facility

$2,422.65

Service Code	HCPCS 32551
Hospital Charge Code	2100436
Hospital Revenue Code	361
Min. Negotiated Rate	$314.94
Max. Negotiated Rate	$3,748.67
Rate for Payer: Aetna Better Health Medicaid	$2,426.75
Rate for Payer: Aetna Commercial	$726.79
Rate for Payer: Aetna Medicare Advantage	$726.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$617.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$617.78
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	$617.78
Rate for Payer: Cigna Commercial	$3,748.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$314.94
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$363.40
Rate for Payer: UnitedHealthcare Commercial	$2,575.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$2,475.28
Rate for Payer: Wellpoint Medicaid Managed Care	$2,426.75

US ABSCESS DRAIN,RENAL/PERIREN

Facility

$11,620.55

Hospital Charge Code	2100477
Hospital Revenue Code	361
Min. Negotiated Rate	$1,743.08
Max. Negotiated Rate	$1,743.08
Rate for Payer: Qualcare PPO/HMO/WC	$1,743.08

US ABSCESS DRAIN,RENAL/PERIREN

Facility

$11,620.55

Hospital Charge Code	2100477
Hospital Revenue Code	361
Min. Negotiated Rate	$1,510.67
Max. Negotiated Rate	$5,810.27
Rate for Payer: Aetna Commercial	$3,486.16
Rate for Payer: Aetna Medicare Advantage	$3,486.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,963.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,963.24
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	$2,963.24
Rate for Payer: Cigna Commercial	$5,810.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,510.67
Rate for Payer: Qualcare PPO/HMO/WC	$1,743.08

US ABSCESS DRAIN,SUBDIAPHRAGNE

Facility

$414.45

Hospital Charge Code	2100469
Hospital Revenue Code	361
Min. Negotiated Rate	$53.88
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$124.33
Rate for Payer: Aetna Medicare Advantage	$124.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.68
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	$105.68
Rate for Payer: Cigna Commercial	$207.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.88
Rate for Payer: Qualcare PPO/HMO/WC	$62.17

US ABSCESS DRAIN,SUBDIAPHRAGNE

Facility

$414.45

Hospital Charge Code	2100469
Hospital Revenue Code	361
Min. Negotiated Rate	$62.17
Max. Negotiated Rate	$62.17
Rate for Payer: Qualcare PPO/HMO/WC	$62.17

US AMNIOCENTESIS DIAGNOATIC

Facility

$414.45

Service Code	HCPCS 59000
Hospital Charge Code	2100998
Hospital Revenue Code	361
Min. Negotiated Rate	$53.88
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$124.33
Rate for Payer: Aetna Medicare Advantage	$124.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.68
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	$105.68
Rate for Payer: Cigna Commercial	$2,193.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.88
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$62.17
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

US AMNIOCENTESIS DIAGNOATIC

Facility

$414.45

Service Code	HCPCS 59000
Hospital Charge Code	2100998
Hospital Revenue Code	361
Min. Negotiated Rate	$62.17
Max. Negotiated Rate	$62.17
Rate for Payer: Qualcare PPO/HMO/WC	$62.17

US AORTA COMPL STUDY

Facility

$492.85

Service Code	HCPCS 76770
Hospital Charge Code	2100022
Hospital Revenue Code	402
Min. Negotiated Rate	$64.07
Max. Negotiated Rate	$1,981.00
Rate for Payer: Aetna Better Health Medicaid	$399.88
Rate for Payer: Aetna Commercial	$147.85
Rate for Payer: Aetna Medicare Advantage	$147.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$125.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$125.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$125.68
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.07
Rate for Payer: Oxford Commercial	$1,746.00
Rate for Payer: Qualcare PPO/HMO/WC	$73.93
Rate for Payer: UnitedHealthcare Commercial	$1,981.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$407.88

US AORTA COMPL STUDY

Facility

$492.85

Service Code	HCPCS 76770
Hospital Charge Code	2100022
Hospital Revenue Code	402
Min. Negotiated Rate	$73.93
Max. Negotiated Rate	$73.93
Rate for Payer: Qualcare PPO/HMO/WC	$73.93

US AORTA DUPLEX COMPLETE

Facility

$757.65

Service Code	HCPCS 93978
Hospital Charge Code	2301001
Hospital Revenue Code	921
Min. Negotiated Rate	$98.49
Max. Negotiated Rate	$5,061.00
Rate for Payer: Aetna Commercial	$227.29
Rate for Payer: Aetna Medicare Advantage	$227.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$193.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$193.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$460.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$193.20
Rate for Payer: Cigna Commercial	$568.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.49
Rate for Payer: Oxford Commercial	$4,459.00
Rate for Payer: Qualcare PPO/HMO/WC	$113.65
Rate for Payer: UnitedHealthcare Commercial	$5,061.00

US AORTA DUPLEX COMPLETE

Facility

$757.65

Service Code	HCPCS 93978
Hospital Charge Code	2301001
Hospital Revenue Code	921
Min. Negotiated Rate	$113.65
Max. Negotiated Rate	$113.65
Rate for Payer: Qualcare PPO/HMO/WC	$113.65

US AORTA DUPLEX LIMITED

Facility

$563.15

Service Code	HCPCS 93979
Hospital Charge Code	2301002
Hospital Revenue Code	921
Min. Negotiated Rate	$84.47
Max. Negotiated Rate	$84.47
Rate for Payer: Qualcare PPO/HMO/WC	$84.47

US AORTA DUPLEX LIMITED

Facility

$563.15

Service Code	HCPCS 93979
Hospital Charge Code	2301002
Hospital Revenue Code	921
Min. Negotiated Rate	$73.21
Max. Negotiated Rate	$5,061.00
Rate for Payer: Aetna Commercial	$168.94
Rate for Payer: Aetna Medicare Advantage	$168.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$143.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$143.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$220.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$143.60
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.21
Rate for Payer: Oxford Commercial	$4,459.00
Rate for Payer: Qualcare PPO/HMO/WC	$84.47
Rate for Payer: UnitedHealthcare Commercial	$5,061.00

US AORTA IVC ILIAC DUPLEX LMTD

Facility

$563.15

Service Code	HCPCS 93979
Hospital Charge Code	2301003
Hospital Revenue Code	921
Min. Negotiated Rate	$84.47
Max. Negotiated Rate	$84.47
Rate for Payer: Qualcare PPO/HMO/WC	$84.47

US AORTA IVC ILIAC DUPLEX LMTD

Facility

$563.15

Service Code	HCPCS 93979
Hospital Charge Code	2301003
Hospital Revenue Code	921
Min. Negotiated Rate	$73.21
Max. Negotiated Rate	$5,061.00
Rate for Payer: Aetna Commercial	$168.94
Rate for Payer: Aetna Medicare Advantage	$168.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$143.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$143.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$220.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$143.60
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.21
Rate for Payer: Oxford Commercial	$4,459.00
Rate for Payer: Qualcare PPO/HMO/WC	$84.47
Rate for Payer: UnitedHealthcare Commercial	$5,061.00

Know your out-of-pocket cost for care.

All Charges