Heights University Hospital

All Charges

Charge

Type

Setting

Price

US GUIDED NEEDLE BIOPSY

Facility

$6,700.00

Service Code	HCPCS 76942
Hospital Charge Code	2100238
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 NEEDLE BIOPSY

Facility

$6,700.00

Service Code	HCPCS 76942
Hospital Charge Code	2100238
Hospital Revenue Code	402
Min. Negotiated Rate	$69.19
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	$69.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,708.50
Rate for Payer: Cigna Commercial	$72.16
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 NEEDLE INS

Facility

$6,700.00

Service Code	HCPCS 76942
Hospital Charge Code	366876942
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 NEEDLE INS

Facility

$6,700.00

Service Code	HCPCS 76942
Hospital Charge Code	366876942
Hospital Revenue Code	402
Min. Negotiated Rate	$69.19
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	$69.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,708.50
Rate for Payer: Cigna Commercial	$72.16
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 NEEDLE INS

Facility

$6,700.00

Service Code	HCPCS 76942
Hospital Charge Code	7411169
Hospital Revenue Code	402
Min. Negotiated Rate	$69.19
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	$69.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,708.50
Rate for Payer: Cigna Commercial	$72.16
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 NEEDLE INS

Facility

$6,700.00

Service Code	HCPCS 76942
Hospital Charge Code	7411169
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 NEEDLE INSERT

Facility

$9,500.00

Service Code	HCPCS 76942
Hospital Charge Code	2250453
Hospital Revenue Code	402
Min. Negotiated Rate	$69.19
Max. Negotiated Rate	$2,850.00
Rate for Payer: Aetna Commercial	$2,850.00
Rate for Payer: Aetna Medicare Advantage	$2,850.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,422.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,422.50
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	$2,422.50
Rate for Payer: Cigna Commercial	$72.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,235.00
Rate for Payer: Oxford Commercial	$1,746.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00
Rate for Payer: UnitedHealthcare Commercial	$1,981.00

US GUIDED NEEDLE INSERT

Facility

$9,500.00

Service Code	HCPCS 76942
Hospital Charge Code	2250453
Hospital Revenue Code	402
Min. Negotiated Rate	$1,425.00
Max. Negotiated Rate	$1,425.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00

US GUIDED NEEDLE PLACEMENT

Facility

$2,085.70

Service Code	HCPCS 76942
Hospital Charge Code	1600000374
Hospital Revenue Code	360
Min. Negotiated Rate	$312.86
Max. Negotiated Rate	$312.86
Rate for Payer: Qualcare PPO/HMO/WC	$312.86

US GUIDED NEEDLE PLACEMENT

Facility

$2,085.70

Service Code	HCPCS 76942
Hospital Charge Code	1600000374
Hospital Revenue Code	360
Min. Negotiated Rate	$72.16
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$625.71
Rate for Payer: Aetna Medicare Advantage	$625.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$531.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$531.85
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	$531.85
Rate for Payer: Cigna Commercial	$72.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$271.14
Rate for Payer: Qualcare PPO/HMO/WC	$312.86

US GUIDED NEEDLE PLACEMENT S&I

Facility

$1,097.60

Service Code	HCPCS 76942
Hospital Charge Code	2301020
Hospital Revenue Code	402
Min. Negotiated Rate	$164.64
Max. Negotiated Rate	$164.64
Rate for Payer: Qualcare PPO/HMO/WC	$164.64

US GUIDED NEEDLE PLACEMENT S&I

Facility

$1,097.60

Service Code	HCPCS 76942
Hospital Charge Code	2301020
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 GUIDED OVA ASPIRATION

Facility

$905.70

Service Code	HCPCS 76948
Hospital Charge Code	2301022
Hospital Revenue Code	402
Min. Negotiated Rate	$135.85
Max. Negotiated Rate	$135.85
Rate for Payer: Qualcare PPO/HMO/WC	$135.85

US GUIDED OVA ASPIRATION

Facility

$905.70

Service Code	HCPCS 76948
Hospital Charge Code	2301022
Hospital Revenue Code	402
Min. Negotiated Rate	$70.22
Max. Negotiated Rate	$1,981.00
Rate for Payer: Aetna Commercial	$271.71
Rate for Payer: Aetna Medicare Advantage	$271.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$230.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$230.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$70.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$230.95
Rate for Payer: Cigna Commercial	$93.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.74
Rate for Payer: Oxford Commercial	$1,746.00
Rate for Payer: Qualcare PPO/HMO/WC	$135.85
Rate for Payer: UnitedHealthcare Commercial	$1,981.00

US GUIDED OVA ASPIRATION

Facility

$905.70

Service Code	HCPCS 76948
Hospital Charge Code	2301021
Hospital Revenue Code	402
Min. Negotiated Rate	$135.85
Max. Negotiated Rate	$135.85
Rate for Payer: Qualcare PPO/HMO/WC	$135.85

US GUIDED OVA ASPIRATION

Facility

$905.70

Service Code	HCPCS 76948
Hospital Charge Code	2301021
Hospital Revenue Code	402
Min. Negotiated Rate	$70.22
Max. Negotiated Rate	$1,981.00
Rate for Payer: Aetna Commercial	$271.71
Rate for Payer: Aetna Medicare Advantage	$271.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$230.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$230.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$70.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$230.95
Rate for Payer: Cigna Commercial	$93.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.74
Rate for Payer: Oxford Commercial	$1,746.00
Rate for Payer: Qualcare PPO/HMO/WC	$135.85
Rate for Payer: UnitedHealthcare Commercial	$1,981.00

US-GUIDED RFA

Facility

$420.00

Service Code	HCPCS 76940
Hospital Charge Code	2690265
Hospital Revenue Code	402
Min. Negotiated Rate	$54.60
Max. Negotiated Rate	$1,981.00
Rate for Payer: Aetna Commercial	$126.00
Rate for Payer: Aetna Medicare Advantage	$126.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$271.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.10
Rate for Payer: Cigna Commercial	$210.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.60
Rate for Payer: Oxford Commercial	$1,746.00
Rate for Payer: Qualcare PPO/HMO/WC	$63.00
Rate for Payer: UnitedHealthcare Commercial	$1,981.00

US-GUIDED RFA

Facility

$420.00

Service Code	HCPCS 76940
Hospital Charge Code	2690265
Hospital Revenue Code	402
Min. Negotiated Rate	$63.00
Max. Negotiated Rate	$63.00
Rate for Payer: Qualcare PPO/HMO/WC	$63.00

US-GUIDED RFA

Facility

$420.00

Service Code	HCPCS 76940
Hospital Charge Code	7411753
Hospital Revenue Code	402
Min. Negotiated Rate	$63.00
Max. Negotiated Rate	$63.00
Rate for Payer: Qualcare PPO/HMO/WC	$63.00

US-GUIDED RFA

Facility

$420.00

Service Code	HCPCS 76940
Hospital Charge Code	7411753
Hospital Revenue Code	402
Min. Negotiated Rate	$54.60
Max. Negotiated Rate	$1,981.00
Rate for Payer: Aetna Commercial	$126.00
Rate for Payer: Aetna Medicare Advantage	$126.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$271.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.10
Rate for Payer: Cigna Commercial	$210.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.60
Rate for Payer: Oxford Commercial	$1,746.00
Rate for Payer: Qualcare PPO/HMO/WC	$63.00
Rate for Payer: UnitedHealthcare Commercial	$1,981.00

US GUIDED THROM PSEUDOAN BUND

Facility

$2,101.17

Hospital Charge Code	2301001EX
Hospital Revenue Code	402
Min. Negotiated Rate	$315.18
Max. Negotiated Rate	$315.18
Rate for Payer: Qualcare PPO/HMO/WC	$315.18

US GUIDED THROM PSEUDOAN BUND

Facility

$2,101.17

Hospital Charge Code	2301001EX
Hospital Revenue Code	402
Min. Negotiated Rate	$273.15
Max. Negotiated Rate	$1,981.00
Rate for Payer: Aetna Commercial	$630.35
Rate for Payer: Aetna Medicare Advantage	$630.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$535.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$535.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$535.80
Rate for Payer: Cigna Commercial	$1,050.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$273.15
Rate for Payer: Oxford Commercial	$1,746.00
Rate for Payer: Qualcare PPO/HMO/WC	$315.18
Rate for Payer: UnitedHealthcare Commercial	$1,981.00

US GUIDED THROM PSEUDOAN CLINC

Facility

$6,700.00

Service Code	HCPCS 76942
Hospital Charge Code	23011001B
Hospital Revenue Code	402
Min. Negotiated Rate	$69.19
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	$69.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,708.50
Rate for Payer: Cigna Commercial	$72.16
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 THROM PSEUDOAN CLINC

Facility

$6,700.00

Service Code	HCPCS 76942
Hospital Charge Code	23011001B
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 THROM PSEUDOAN SURG

Facility

$1,003.57

Service Code	HCPCS 36002
Hospital Charge Code	23011001A
Hospital Revenue Code	361
Min. Negotiated Rate	$130.46
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$301.07
Rate for Payer: Aetna Medicare Advantage	$301.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.91
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	$255.91
Rate for Payer: Cigna Commercial	$1,493.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.46
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.54
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

Know your out-of-pocket cost for care.

All Charges