Heights University Hospital

All Charges

Charge

Type

Setting

Price

US BIOPSY PLEURA LEFT

Facility

$1,097.60

Service Code	HCPCS 76942
Hospital Charge Code	2301076
Hospital Revenue Code	402
Min. Negotiated Rate	$164.64
Max. Negotiated Rate	$164.64
Rate for Payer: Qualcare PPO/HMO/WC	$164.64

US BIOPSY PLEURA RIGHT

Facility

$1,097.60

Service Code	HCPCS 76942
Hospital Charge Code	2301077
Hospital Revenue Code	402
Min. Negotiated Rate	$164.64
Max. Negotiated Rate	$164.64
Rate for Payer: Qualcare PPO/HMO/WC	$164.64

US BIOPSY PLEURA RIGHT

Facility

$1,097.60

Service Code	HCPCS 76942
Hospital Charge Code	2301077
Hospital Revenue Code	402
Min. Negotiated Rate	$69.19
Max. Negotiated Rate	$1,981.00
Rate for Payer: Aetna Commercial	$329.28
Rate for Payer: Aetna Medicare Advantage	$329.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$279.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$279.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$279.89
Rate for Payer: Cigna Commercial	$72.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$142.69
Rate for Payer: Oxford Commercial	$1,746.00
Rate for Payer: Qualcare PPO/HMO/WC	$164.64
Rate for Payer: UnitedHealthcare Commercial	$1,981.00

US BIOPSY RENAL BILATERAL

Facility

$1,097.60

Service Code	HCPCS 76942
Hospital Charge Code	2301078
Hospital Revenue Code	402
Min. Negotiated Rate	$164.64
Max. Negotiated Rate	$164.64
Rate for Payer: Qualcare PPO/HMO/WC	$164.64

US BIOPSY RENAL BILATERAL

Facility

$1,097.60

Service Code	HCPCS 76942
Hospital Charge Code	2301078
Hospital Revenue Code	402
Min. Negotiated Rate	$69.19
Max. Negotiated Rate	$1,981.00
Rate for Payer: Aetna Commercial	$329.28
Rate for Payer: Aetna Medicare Advantage	$329.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$279.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$279.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$279.89
Rate for Payer: Cigna Commercial	$72.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$142.69
Rate for Payer: Oxford Commercial	$1,746.00
Rate for Payer: Qualcare PPO/HMO/WC	$164.64
Rate for Payer: UnitedHealthcare Commercial	$1,981.00

US BIOPSY RENAL LEFT

Facility

$1,097.60

Service Code	HCPCS 76942
Hospital Charge Code	2301079
Hospital Revenue Code	402
Min. Negotiated Rate	$69.19
Max. Negotiated Rate	$1,981.00
Rate for Payer: Aetna Commercial	$329.28
Rate for Payer: Aetna Medicare Advantage	$329.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$279.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$279.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$279.89
Rate for Payer: Cigna Commercial	$72.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$142.69
Rate for Payer: Oxford Commercial	$1,746.00
Rate for Payer: Qualcare PPO/HMO/WC	$164.64
Rate for Payer: UnitedHealthcare Commercial	$1,981.00

US BIOPSY RENAL LEFT

Facility

$1,097.60

Service Code	HCPCS 76942
Hospital Charge Code	2301079
Hospital Revenue Code	402
Min. Negotiated Rate	$164.64
Max. Negotiated Rate	$164.64
Rate for Payer: Qualcare PPO/HMO/WC	$164.64

US BIOPSY RENAL RIGHT

Facility

$1,097.60

Service Code	HCPCS 76942
Hospital Charge Code	2301080
Hospital Revenue Code	402
Min. Negotiated Rate	$164.64
Max. Negotiated Rate	$164.64
Rate for Payer: Qualcare PPO/HMO/WC	$164.64

US BIOPSY RENAL RIGHT

Facility

$1,097.60

Service Code	HCPCS 76942
Hospital Charge Code	2301080
Hospital Revenue Code	402
Min. Negotiated Rate	$69.19
Max. Negotiated Rate	$1,981.00
Rate for Payer: Aetna Commercial	$329.28
Rate for Payer: Aetna Medicare Advantage	$329.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$279.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$279.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$279.89
Rate for Payer: Cigna Commercial	$72.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$142.69
Rate for Payer: Oxford Commercial	$1,746.00
Rate for Payer: Qualcare PPO/HMO/WC	$164.64
Rate for Payer: UnitedHealthcare Commercial	$1,981.00

US BIOPSY SOFT TISSUE NECK

Facility

$7,219.95

Service Code	HCPCS 21550
Hospital Charge Code	2101154
Hospital Revenue Code	361
Min. Negotiated Rate	$1,082.99
Max. Negotiated Rate	$1,082.99
Rate for Payer: Qualcare PPO/HMO/WC	$1,082.99

US BIOPSY SOFT TISSUE NECK

Facility

$7,219.95

Service Code	HCPCS 21550
Hospital Charge Code	2101154
Hospital Revenue Code	361
Min. Negotiated Rate	$938.59
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$2,165.99
Rate for Payer: Aetna Medicare Advantage	$2,165.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,841.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,841.09
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	$1,841.09
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$938.59
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,082.99
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

US BLADDER/RESIDUAL URINE

Facility

$272.65

Service Code	HCPCS 51798
Hospital Charge Code	2301099
Hospital Revenue Code	361
Min. Negotiated Rate	$35.44
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$81.80
Rate for Payer: Aetna Medicare Advantage	$81.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$69.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$69.53
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	$69.53
Rate for Payer: Cigna Commercial	$140.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.44
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$40.90
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

US BLADDER/RESIDUAL URINE

Facility

$272.65

Service Code	HCPCS 51798
Hospital Charge Code	2301099
Hospital Revenue Code	361
Min. Negotiated Rate	$40.90
Max. Negotiated Rate	$40.90
Rate for Payer: Qualcare PPO/HMO/WC	$40.90

US BONE DENSITY

Facility

$217.60

Service Code	HCPCS 76977
Hospital Charge Code	2301004
Hospital Revenue Code	402
Min. Negotiated Rate	$32.64
Max. Negotiated Rate	$32.64
Rate for Payer: Qualcare PPO/HMO/WC	$32.64

US BONE DENSITY

Facility

$217.60

Service Code	HCPCS 76977
Hospital Charge Code	2301004
Hospital Revenue Code	402
Min. Negotiated Rate	$18.33
Max. Negotiated Rate	$1,981.00
Rate for Payer: Aetna Commercial	$65.28
Rate for Payer: Aetna Medicare Advantage	$65.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55.49
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.29
Rate for Payer: Oxford Commercial	$1,746.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.64
Rate for Payer: UnitedHealthcare Commercial	$1,981.00

US BREAST BILATERAL

Facility

$1,943.95

Service Code	HCPCS 76645
Hospital Charge Code	2100386
Hospital Revenue Code	402
Min. Negotiated Rate	$252.71
Max. Negotiated Rate	$1,981.00
Rate for Payer: Aetna Commercial	$583.18
Rate for Payer: Aetna Medicare Advantage	$583.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$495.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$495.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$495.71
Rate for Payer: Cigna Commercial	$971.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$252.71
Rate for Payer: Oxford Commercial	$1,746.00
Rate for Payer: Qualcare PPO/HMO/WC	$291.59
Rate for Payer: UnitedHealthcare Commercial	$1,981.00

US BREAST BILATERAL

Facility

$1,943.95

Service Code	HCPCS 76645
Hospital Charge Code	2100386
Hospital Revenue Code	402
Min. Negotiated Rate	$291.59
Max. Negotiated Rate	$291.59
Rate for Payer: Qualcare PPO/HMO/WC	$291.59

US BREAST BX PERC VAC ASSIST

Facility

$6,419.95

Service Code	HCPCS 19083
Hospital Charge Code	2000920
Hospital Revenue Code	361
Min. Negotiated Rate	$834.59
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$1,925.98
Rate for Payer: Aetna Medicare Advantage	$1,925.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,637.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,637.09
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	$1,637.09
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$834.59
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$962.99
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

US BREAST BX PERC VAC ASSIST

Facility

$6,419.95

Service Code	HCPCS 19083
Hospital Charge Code	2000920
Hospital Revenue Code	361
Min. Negotiated Rate	$962.99
Max. Negotiated Rate	$962.99
Rate for Payer: Qualcare PPO/HMO/WC	$962.99

US BREAST BX W LOC LT

Facility

$6,419.95

Service Code	HCPCS 19083LT
Hospital Charge Code	2309103A
Hospital Revenue Code	361
Min. Negotiated Rate	$962.99
Max. Negotiated Rate	$962.99
Rate for Payer: Qualcare PPO/HMO/WC	$962.99

US BREAST BX W LOC LT

Facility

$6,419.95

Service Code	HCPCS 19083LT
Hospital Charge Code	2309103A
Hospital Revenue Code	361
Min. Negotiated Rate	$834.59
Max. Negotiated Rate	$3,209.97
Rate for Payer: Aetna Commercial	$1,925.98
Rate for Payer: Aetna Medicare Advantage	$1,925.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,637.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,637.09
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	$1,637.09
Rate for Payer: Cigna Commercial	$3,209.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$834.59
Rate for Payer: Qualcare PPO/HMO/WC	$962.99

US BREAST BX W LOC RT

Facility

$6,419.95

Service Code	HCPCS 19083RT
Hospital Charge Code	2309100A
Hospital Revenue Code	361
Min. Negotiated Rate	$834.59
Max. Negotiated Rate	$3,209.97
Rate for Payer: Aetna Commercial	$1,925.98
Rate for Payer: Aetna Medicare Advantage	$1,925.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,637.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,637.09
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	$1,637.09
Rate for Payer: Cigna Commercial	$3,209.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$834.59
Rate for Payer: Qualcare PPO/HMO/WC	$962.99

US BREAST BX W LOC RT

Facility

$6,419.95

Service Code	HCPCS 19083RT
Hospital Charge Code	2309100A
Hospital Revenue Code	361
Min. Negotiated Rate	$962.99
Max. Negotiated Rate	$962.99
Rate for Payer: Qualcare PPO/HMO/WC	$962.99

US BREAST COMPLETE BILAT

Facility

$6,700.00

Service Code	HCPCS 7664150
Hospital Charge Code	94061466
Hospital Revenue Code	402
Min. Negotiated Rate	$1,005.00
Max. Negotiated Rate	$1,005.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,005.00

US BREAST COMPLETE BILAT

Facility

$6,700.00

Service Code	HCPCS 7664150
Hospital Charge Code	94061466
Hospital Revenue Code	402
Min. Negotiated Rate	$871.00
Max. Negotiated Rate	$3,350.00
Rate for Payer: Aetna Commercial	$2,010.00
Rate for Payer: Aetna Medicare Advantage	$2,010.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,708.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,708.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,708.50
Rate for Payer: Cigna Commercial	$3,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$871.00
Rate for Payer: Oxford Commercial	$1,746.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,005.00
Rate for Payer: UnitedHealthcare Commercial	$1,981.00

Know your out-of-pocket cost for care.

All Charges