Heights University Hospital

All Charges

Charge

Type

Setting

Price

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

BIOPSY NEEDLE

Facility

$269.00

Hospital Charge Code	270330792
Hospital Revenue Code	272
Min. Negotiated Rate	$40.35
Max. Negotiated Rate	$40.35
Rate for Payer: Qualcare PPO/HMO/WC	$40.35

BIOPSY NEEDLE

Facility

$269.00

Hospital Charge Code	270330792
Hospital Revenue Code	272
Min. Negotiated Rate	$34.97
Max. Negotiated Rate	$134.50
Rate for Payer: Aetna Commercial	$80.70
Rate for Payer: Aetna Medicare Advantage	$80.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.59
Rate for Payer: Cigna Commercial	$134.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.97
Rate for Payer: Oxford Commercial	$134.50
Rate for Payer: Qualcare PPO/HMO/WC	$40.35
Rate for Payer: UnitedHealthcare Commercial	$134.50

BIOPSY NEEDLE 10CM

Facility

$365.00

Hospital Charge Code	270332420
Hospital Revenue Code	272
Min. Negotiated Rate	$54.75
Max. Negotiated Rate	$54.75
Rate for Payer: Qualcare PPO/HMO/WC	$54.75

BIOPSY NEEDLE 10CM

Facility

$365.00

Hospital Charge Code	270332420
Hospital Revenue Code	272
Min. Negotiated Rate	$47.45
Max. Negotiated Rate	$182.50
Rate for Payer: Aetna Commercial	$109.50
Rate for Payer: Aetna Medicare Advantage	$109.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$93.08
Rate for Payer: Cigna Commercial	$182.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.45
Rate for Payer: Oxford Commercial	$182.50
Rate for Payer: Qualcare PPO/HMO/WC	$54.75
Rate for Payer: UnitedHealthcare Commercial	$182.50

BIOPSY NEEDLE/INTRODUCER 18X15

Facility

$244.80

Hospital Charge Code	270682310
Hospital Revenue Code	272
Min. Negotiated Rate	$36.72
Max. Negotiated Rate	$36.72
Rate for Payer: Qualcare PPO/HMO/WC	$36.72

BIOPSY NEEDLE/INTRODUCER 18X15

Facility

$244.80

Hospital Charge Code	270682310
Hospital Revenue Code	272
Min. Negotiated Rate	$31.82
Max. Negotiated Rate	$122.40
Rate for Payer: Aetna Commercial	$73.44
Rate for Payer: Aetna Medicare Advantage	$73.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.42
Rate for Payer: Cigna Commercial	$122.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.82
Rate for Payer: Oxford Commercial	$122.40
Rate for Payer: Qualcare PPO/HMO/WC	$36.72
Rate for Payer: UnitedHealthcare Commercial	$122.40

BIOPSY NEEDLE/INTRODUCER 20X11

Facility

$1,497.25

Hospital Charge Code	270682308
Hospital Revenue Code	272
Min. Negotiated Rate	$194.64
Max. Negotiated Rate	$748.62
Rate for Payer: Aetna Commercial	$449.18
Rate for Payer: Aetna Medicare Advantage	$449.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$381.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$381.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$381.80
Rate for Payer: Cigna Commercial	$748.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.64
Rate for Payer: Oxford Commercial	$748.62
Rate for Payer: Qualcare PPO/HMO/WC	$224.59
Rate for Payer: UnitedHealthcare Commercial	$748.62

BIOPSY NEEDLE/INTRODUCER 20X11

Facility

$1,497.25

Hospital Charge Code	270682308
Hospital Revenue Code	272
Min. Negotiated Rate	$224.59
Max. Negotiated Rate	$224.59
Rate for Payer: Qualcare PPO/HMO/WC	$224.59

BIOPSY NEEDLE/INTRODUCER 20X20

Facility

$144.78

Hospital Charge Code	270682309
Hospital Revenue Code	272
Min. Negotiated Rate	$21.72
Max. Negotiated Rate	$21.72
Rate for Payer: Qualcare PPO/HMO/WC	$21.72

BIOPSY NEEDLE/INTRODUCER 20X20

Facility

$144.78

Hospital Charge Code	270682309
Hospital Revenue Code	272
Min. Negotiated Rate	$18.82
Max. Negotiated Rate	$72.39
Rate for Payer: Aetna Commercial	$43.43
Rate for Payer: Aetna Medicare Advantage	$43.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.92
Rate for Payer: Cigna Commercial	$72.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.82
Rate for Payer: Oxford Commercial	$72.39
Rate for Payer: Qualcare PPO/HMO/WC	$21.72
Rate for Payer: UnitedHealthcare Commercial	$72.39

BIOPSY OF CERVIX

Facility

$3,374.65

Service Code	HCPCS 57500
Hospital Charge Code	412357500
Hospital Revenue Code	361
Min. Negotiated Rate	$438.70
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$1,012.39
Rate for Payer: Aetna Medicare Advantage	$1,012.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$860.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$860.54
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	$860.54
Rate for Payer: Cigna Commercial	$2,193.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$438.70
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$506.20
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

BIOPSY OF CERVIX

Facility

$3,374.65

Service Code	HCPCS 57500
Hospital Charge Code	412357500
Hospital Revenue Code	361
Min. Negotiated Rate	$506.20
Max. Negotiated Rate	$506.20
Rate for Payer: Qualcare PPO/HMO/WC	$506.20

BIOPSY OF CERVIX-

Facility

$4,384.70

Service Code	HCPCS 57500
Hospital Charge Code	160000185
Hospital Revenue Code	360
Min. Negotiated Rate	$570.01
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$1,315.41
Rate for Payer: Aetna Medicare Advantage	$1,315.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,118.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,118.10
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	$1,118.10
Rate for Payer: Cigna Commercial	$2,193.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$570.01
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$657.71
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

BIOPSY OF CERVIX-

Facility

$4,384.70

Service Code	HCPCS 57500
Hospital Charge Code	160000185
Hospital Revenue Code	360
Min. Negotiated Rate	$657.71
Max. Negotiated Rate	$657.71
Rate for Payer: Qualcare PPO/HMO/WC	$657.71

BIOPSY OF HEART LINING

Facility

$6,070.00

Service Code	HCPCS 93505
Hospital Charge Code	411093505
Hospital Revenue Code	481
Min. Negotiated Rate	$789.10
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Commercial	$1,821.00
Rate for Payer: Aetna Medicare Advantage	$1,821.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,547.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,547.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,547.85
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$789.10
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$910.50
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

BIOPSY OF HEART LINING

Facility

$6,070.00

Service Code	HCPCS 93505
Hospital Charge Code	411093505
Hospital Revenue Code	481
Min. Negotiated Rate	$910.50
Max. Negotiated Rate	$910.50
Rate for Payer: Qualcare PPO/HMO/WC	$910.50

BIOPSY OF PENIS

Facility

$7,632.36

Service Code	HCPCS 54100
Hospital Charge Code	1600000254
Hospital Revenue Code	360
Min. Negotiated Rate	$992.21
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$2,289.71
Rate for Payer: Aetna Medicare Advantage	$2,289.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,946.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,946.25
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	$1,946.25
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$992.21
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,144.85
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

BIOPSY OF PENIS

Facility

$7,632.36

Service Code	HCPCS 54100
Hospital Charge Code	1600000254
Hospital Revenue Code	360
Min. Negotiated Rate	$1,144.85
Max. Negotiated Rate	$1,144.85
Rate for Payer: Qualcare PPO/HMO/WC	$1,144.85

BIOPSY OF SALIVARY GLAND

Facility

$2,291.40

Service Code	HCPCS 42400
Hospital Charge Code	16000742
Hospital Revenue Code	360
Min. Negotiated Rate	$343.71
Max. Negotiated Rate	$343.71
Rate for Payer: Qualcare PPO/HMO/WC	$343.71

BIOPSY OF SALIVARY GLAND

Facility

$2,291.40

Service Code	HCPCS 42400
Hospital Charge Code	16000742
Hospital Revenue Code	360
Min. Negotiated Rate	$297.88
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$687.42
Rate for Payer: Aetna Medicare Advantage	$687.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$584.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$584.31
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	$584.31
Rate for Payer: Cigna Commercial	$1,686.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$297.88
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$343.71
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

Biopsy of soft tissues

Facility

$7,414.80

Service Code	HCPCS 27040
Hospital Charge Code	412357501
Hospital Revenue Code	361
Min. Negotiated Rate	$963.92
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$2,224.44
Rate for Payer: Aetna Medicare Advantage	$2,224.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,890.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,890.77
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	$1,890.77
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$963.92
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,112.22
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

Biopsy of soft tissues

Facility

$7,414.80

Service Code	HCPCS 27040
Hospital Charge Code	412357501
Hospital Revenue Code	361
Min. Negotiated Rate	$1,112.22
Max. Negotiated Rate	$1,112.22
Rate for Payer: Qualcare PPO/HMO/WC	$1,112.22

BIOPSY OF TESTIS

Facility

$20,308.55

Service Code	HCPCS 54505
Hospital Charge Code	1600000745
Hospital Revenue Code	360
Min. Negotiated Rate	$3,046.28
Max. Negotiated Rate	$3,046.28
Rate for Payer: Qualcare PPO/HMO/WC	$3,046.28

BIOPSY OF TESTIS

Facility

$20,308.55

Service Code	HCPCS 54505
Hospital Charge Code	1600000745
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$8,394.37
Rate for Payer: Aetna Commercial	$6,092.56
Rate for Payer: Aetna Medicare Advantage	$6,092.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,178.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,178.68
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	$5,178.68
Rate for Payer: Cigna Commercial	$8,394.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,640.11
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,046.28
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

Know your out-of-pocket cost for care.

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