Heights University Hospital

All Charges

Charge

Type

Setting

Price

US GUIDED BREAST LOC RT

Facility

$776.25

Service Code	HCPCS 19285RT
Hospital Charge Code	2309101A
Hospital Revenue Code	361
Min. Negotiated Rate	$116.44
Max. Negotiated Rate	$116.44
Rate for Payer: Qualcare PPO/HMO/WC	$116.44

US GUIDED BRST BIOPSY 1ST LES

Facility

$6,346.20

Service Code	HCPCS 19083
Hospital Charge Code	87502808
Hospital Revenue Code	361
Min. Negotiated Rate	$825.01
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$1,903.86
Rate for Payer: Aetna Medicare Advantage	$1,903.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,618.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,618.28
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	$1,618.28
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$825.01
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$951.93
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

US GUIDED BRST BIOPSY 1ST LES

Facility

$6,419.95

Service Code	HCPCS 19083LT
Hospital Charge Code	94064005L
Hospital Revenue Code	361
Min. Negotiated Rate	$962.99
Max. Negotiated Rate	$962.99
Rate for Payer: Qualcare PPO/HMO/WC	$962.99

US GUIDED BRST BIOPSY 1ST LES

Facility

$6,419.95

Service Code	HCPCS 19083LT
Hospital Charge Code	94064005L
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 GUIDED BRST BIOPSY 1ST LES

Facility

$12,839.90

Service Code	HCPCS 1908350
Hospital Charge Code	94064005
Hospital Revenue Code	361
Min. Negotiated Rate	$1,925.98
Max. Negotiated Rate	$1,925.98
Rate for Payer: Qualcare PPO/HMO/WC	$1,925.98

US GUIDED BRST BIOPSY 1ST LES

Facility

$6,346.20

Service Code	HCPCS 19083
Hospital Charge Code	87502808
Hospital Revenue Code	361
Min. Negotiated Rate	$951.93
Max. Negotiated Rate	$951.93
Rate for Payer: Qualcare PPO/HMO/WC	$951.93

US GUIDED BRST BIOPSY 1ST LES

Facility

$6,419.95

Service Code	HCPCS 19083RT
Hospital Charge Code	94064005R
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 GUIDED BRST BIOPSY 1ST LES

Facility

$12,839.90

Service Code	HCPCS 1908350
Hospital Charge Code	94064005
Hospital Revenue Code	361
Min. Negotiated Rate	$1,669.19
Max. Negotiated Rate	$6,419.95
Rate for Payer: Aetna Commercial	$3,851.97
Rate for Payer: Aetna Medicare Advantage	$3,851.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,274.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,274.17
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	$3,274.17
Rate for Payer: Cigna Commercial	$6,419.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,669.19
Rate for Payer: Qualcare PPO/HMO/WC	$1,925.98

US GUIDED BRST BIOPSY 1ST LES

Facility

$6,419.95

Service Code	HCPCS 19083RT
Hospital Charge Code	94064005R
Hospital Revenue Code	361
Min. Negotiated Rate	$962.99
Max. Negotiated Rate	$962.99
Rate for Payer: Qualcare PPO/HMO/WC	$962.99

US GUIDED BRST BIOPSY ADD LES

Facility

$6,346.20

Service Code	HCPCS 19084
Hospital Charge Code	94064007
Hospital Revenue Code	361
Min. Negotiated Rate	$951.93
Max. Negotiated Rate	$951.93
Rate for Payer: Qualcare PPO/HMO/WC	$951.93

US GUIDED BRST BIOPSY ADD LES

Facility

$3,173.10

Service Code	HCPCS 19084
Hospital Charge Code	94064007L
Hospital Revenue Code	361
Min. Negotiated Rate	$70.17
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$951.93
Rate for Payer: Aetna Medicare Advantage	$951.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$809.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$809.14
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	$809.14
Rate for Payer: Cigna Commercial	$70.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$412.50
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$475.96
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

US GUIDED BRST BIOPSY ADD LES

Facility

$3,173.10

Service Code	HCPCS 19084
Hospital Charge Code	87502809
Hospital Revenue Code	361
Min. Negotiated Rate	$70.17
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$951.93
Rate for Payer: Aetna Medicare Advantage	$951.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$809.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$809.14
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	$809.14
Rate for Payer: Cigna Commercial	$70.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$412.50
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$475.96
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

US GUIDED BRST BIOPSY ADD LES

Facility

$3,173.10

Service Code	HCPCS 19084
Hospital Charge Code	87502809
Hospital Revenue Code	361
Min. Negotiated Rate	$475.96
Max. Negotiated Rate	$475.96
Rate for Payer: Qualcare PPO/HMO/WC	$475.96

US GUIDED BRST BIOPSY ADD LES

Facility

$3,173.10

Service Code	HCPCS 19084
Hospital Charge Code	94064007R
Hospital Revenue Code	361
Min. Negotiated Rate	$475.96
Max. Negotiated Rate	$475.96
Rate for Payer: Qualcare PPO/HMO/WC	$475.96

US GUIDED BRST BIOPSY ADD LES

Facility

$3,173.10

Service Code	HCPCS 19084
Hospital Charge Code	94064007R
Hospital Revenue Code	361
Min. Negotiated Rate	$70.17
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$951.93
Rate for Payer: Aetna Medicare Advantage	$951.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$809.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$809.14
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	$809.14
Rate for Payer: Cigna Commercial	$70.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$412.50
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$475.96
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

US GUIDED BRST BIOPSY ADD LES

Facility

$3,173.10

Service Code	HCPCS 19084
Hospital Charge Code	94064007L
Hospital Revenue Code	361
Min. Negotiated Rate	$475.96
Max. Negotiated Rate	$475.96
Rate for Payer: Qualcare PPO/HMO/WC	$475.96

US GUIDED BRST BIOPSY ADD LES

Facility

$6,346.20

Service Code	HCPCS 19084
Hospital Charge Code	94064007
Hospital Revenue Code	361
Min. Negotiated Rate	$70.17
Max. Negotiated Rate	$1,903.86
Rate for Payer: Aetna Commercial	$1,903.86
Rate for Payer: Aetna Medicare Advantage	$1,903.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,618.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,618.28
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	$1,618.28
Rate for Payer: Cigna Commercial	$70.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$825.01
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$951.93
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

US GUIDED CHORIONIC VILLUS SAM

Facility

$370.90

Service Code	HCPCS 76945
Hospital Charge Code	2301017
Hospital Revenue Code	402
Min. Negotiated Rate	$55.63
Max. Negotiated Rate	$55.63
Rate for Payer: Qualcare PPO/HMO/WC	$55.63

US GUIDED CHORIONIC VILLUS SAM

Facility

$370.90

Service Code	HCPCS 76945
Hospital Charge Code	2301017
Hospital Revenue Code	402
Min. Negotiated Rate	$48.22
Max. Negotiated Rate	$1,981.00
Rate for Payer: Aetna Commercial	$111.27
Rate for Payer: Aetna Medicare Advantage	$111.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.58
Rate for Payer: Cigna Commercial	$185.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.22
Rate for Payer: Oxford Commercial	$1,746.00
Rate for Payer: Qualcare PPO/HMO/WC	$55.63
Rate for Payer: UnitedHealthcare Commercial	$1,981.00

US GUIDED COMPRESS ART FL

Facility

$6,700.00

Service Code	HCPCS 76936
Hospital Charge Code	2692010
Hospital Revenue Code	402
Min. Negotiated Rate	$326.26
Max. Negotiated Rate	$2,010.00
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) NJ Health	$326.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,708.50
Rate for Payer: Cigna Commercial	$514.20
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

US GUIDED COMPRESS ART FL

Facility

$6,700.00

Service Code	HCPCS 76936
Hospital Charge Code	2692010
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 GUIDED ENDOMYOCARDIAL BOPSY

Facility

$370.90

Service Code	HCPCS 76932
Hospital Charge Code	2301018
Hospital Revenue Code	402
Min. Negotiated Rate	$55.63
Max. Negotiated Rate	$55.63
Rate for Payer: Qualcare PPO/HMO/WC	$55.63

US GUIDED ENDOMYOCARDIAL BOPSY

Facility

$370.90

Service Code	HCPCS 76932
Hospital Charge Code	2301018
Hospital Revenue Code	402
Min. Negotiated Rate	$48.22
Max. Negotiated Rate	$1,981.00
Rate for Payer: Aetna Commercial	$111.27
Rate for Payer: Aetna Medicare Advantage	$111.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$85.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.58
Rate for Payer: Cigna Commercial	$185.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.22
Rate for Payer: Oxford Commercial	$1,746.00
Rate for Payer: Qualcare PPO/HMO/WC	$55.63
Rate for Payer: UnitedHealthcare Commercial	$1,981.00

US GUIDED FETAL TRANSFUSION

Facility

$370.90

Service Code	HCPCS 76941
Hospital Charge Code	2301019
Hospital Revenue Code	402
Min. Negotiated Rate	$55.63
Max. Negotiated Rate	$55.63
Rate for Payer: Qualcare PPO/HMO/WC	$55.63

US GUIDED FETAL TRANSFUSION

Facility

$370.90

Service Code	HCPCS 76941
Hospital Charge Code	2301019
Hospital Revenue Code	402
Min. Negotiated Rate	$48.22
Max. Negotiated Rate	$1,981.00
Rate for Payer: Aetna Commercial	$111.27
Rate for Payer: Aetna Medicare Advantage	$111.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.58
Rate for Payer: Cigna Commercial	$185.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.22
Rate for Payer: Oxford Commercial	$1,746.00
Rate for Payer: Qualcare PPO/HMO/WC	$55.63
Rate for Payer: UnitedHealthcare Commercial	$1,981.00

Know your out-of-pocket cost for care.

All Charges