Heights University Hospital

All Charges

Charge

Type

Setting

Price

US NDL BIOPSY BONE DEEP PERC

Facility

$7,219.95

Service Code	HCPCS 20225
Hospital Charge Code	2101061
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 NDL BIOPSY BONE SUPERFIC

Facility

$3,749.80

Service Code	HCPCS 20220
Hospital Charge Code	2101053
Hospital Revenue Code	361
Min. Negotiated Rate	$487.47
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$1,124.94
Rate for Payer: Aetna Medicare Advantage	$1,124.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$956.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$956.20
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	$956.20
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$487.47
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$562.47
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

US NDL BIOPSY BONE SUPERFIC

Facility

$3,749.80

Service Code	HCPCS 20220
Hospital Charge Code	2101053
Hospital Revenue Code	361
Min. Negotiated Rate	$562.47
Max. Negotiated Rate	$562.47
Rate for Payer: Qualcare PPO/HMO/WC	$562.47

US NECK/HEAD SOFT TISSUES

Facility

$6,700.00

Service Code	HCPCS 76536
Hospital Charge Code	2100923
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 NECK/HEAD SOFT TISSUES

Facility

$6,700.00

Service Code	HCPCS 76536
Hospital Charge Code	2100923
Hospital Revenue Code	402
Min. Negotiated Rate	$76.56
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	$76.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,708.50
Rate for Payer: Cigna Commercial	$248.96
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 NEEDLE BIOPSY ABD/RETROPER

Facility

$4,709.90

Service Code	HCPCS 49180
Hospital Charge Code	2101079
Hospital Revenue Code	361
Min. Negotiated Rate	$706.49
Max. Negotiated Rate	$706.49
Rate for Payer: Qualcare PPO/HMO/WC	$706.49

US NEEDLE BIOPSY ABD/RETROPER

Facility

$4,709.90

Service Code	HCPCS 49180
Hospital Charge Code	2101079
Hospital Revenue Code	361
Min. Negotiated Rate	$612.29
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$1,412.97
Rate for Payer: Aetna Medicare Advantage	$1,412.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,201.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,201.02
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	$1,201.02
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$612.29
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$706.49
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

US NEEDLE BIOPSY LIVER

Facility

$4,709.90

Service Code	HCPCS 47000
Hospital Charge Code	2101038
Hospital Revenue Code	361
Min. Negotiated Rate	$612.29
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$1,412.97
Rate for Payer: Aetna Medicare Advantage	$1,412.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,201.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,201.02
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	$1,201.02
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$612.29
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$706.49
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

US NEEDLE BIOPSY LIVER

Facility

$4,709.90

Service Code	HCPCS 47000
Hospital Charge Code	2101038
Hospital Revenue Code	361
Min. Negotiated Rate	$706.49
Max. Negotiated Rate	$706.49
Rate for Payer: Qualcare PPO/HMO/WC	$706.49

US NEEDLE BIOPSY LUNG/MEDIAST

Facility

$4,709.90

Service Code	HCPCS 32405
Hospital Charge Code	2101046
Hospital Revenue Code	361
Min. Negotiated Rate	$612.29
Max. Negotiated Rate	$2,354.95
Rate for Payer: Aetna Commercial	$1,412.97
Rate for Payer: Aetna Medicare Advantage	$1,412.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,201.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,201.02
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	$1,201.02
Rate for Payer: Cigna Commercial	$2,354.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$612.29
Rate for Payer: Qualcare PPO/HMO/WC	$706.49

US NEEDLE BIOPSY LUNG/MEDIAST

Facility

$4,709.90

Service Code	HCPCS 32405
Hospital Charge Code	2101046
Hospital Revenue Code	361
Min. Negotiated Rate	$706.49
Max. Negotiated Rate	$706.49
Rate for Payer: Qualcare PPO/HMO/WC	$706.49

US NEEDLE BIOPSY MUSCLE PERC

Facility

$4,709.90

Service Code	HCPCS 20206
Hospital Charge Code	2101020
Hospital Revenue Code	361
Min. Negotiated Rate	$612.29
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$1,412.97
Rate for Payer: Aetna Medicare Advantage	$1,412.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,201.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,201.02
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	$1,201.02
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$612.29
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$706.49
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

US NEEDLE BIOPSY MUSCLE PERC

Facility

$4,709.90

Service Code	HCPCS 20206
Hospital Charge Code	2101020
Hospital Revenue Code	361
Min. Negotiated Rate	$706.49
Max. Negotiated Rate	$706.49
Rate for Payer: Qualcare PPO/HMO/WC	$706.49

US NEEDLE BIOPSY PANCREAS

Facility

$4,350.20

Service Code	HCPCS 48102
Hospital Charge Code	2101012
Hospital Revenue Code	361
Min. Negotiated Rate	$652.53
Max. Negotiated Rate	$652.53
Rate for Payer: Qualcare PPO/HMO/WC	$652.53

US NEEDLE BIOPSY PANCREAS

Facility

$4,350.20

Service Code	HCPCS 48102
Hospital Charge Code	2101012
Hospital Revenue Code	361
Min. Negotiated Rate	$565.53
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$1,305.06
Rate for Payer: Aetna Medicare Advantage	$1,305.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,109.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,109.30
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	$1,109.30
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$565.53
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$652.53
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

US NEEDLE BIOPSY PLEURA

Facility

$4,350.20

Service Code	HCPCS 32400
Hospital Charge Code	2101004
Hospital Revenue Code	361
Min. Negotiated Rate	$652.53
Max. Negotiated Rate	$652.53
Rate for Payer: Qualcare PPO/HMO/WC	$652.53

US NEEDLE BIOPSY PLEURA

Facility

$4,350.20

Service Code	HCPCS 32400
Hospital Charge Code	2101004
Hospital Revenue Code	361
Min. Negotiated Rate	$565.53
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$1,305.06
Rate for Payer: Aetna Medicare Advantage	$1,305.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,109.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,109.30
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	$1,109.30
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$565.53
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$652.53
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

US NEEDLE BIOPSY PROSTATE

Facility

$5,244.50

Service Code	HCPCS 55700
Hospital Charge Code	2101087
Hospital Revenue Code	361
Min. Negotiated Rate	$786.67
Max. Negotiated Rate	$786.67
Rate for Payer: Qualcare PPO/HMO/WC	$786.67

US NEEDLE BIOPSY PROSTATE

Facility

$5,244.50

Service Code	HCPCS 55700
Hospital Charge Code	2101087
Hospital Revenue Code	361
Min. Negotiated Rate	$681.78
Max. Negotiated Rate	$3,687.00
Rate for Payer: Aetna Commercial	$1,573.35
Rate for Payer: Aetna Medicare Advantage	$1,573.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,337.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,337.35
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	$1,337.35
Rate for Payer: Cigna Commercial	$2,622.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$681.78
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$786.67
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

US NEEDLE PLACEMENT RENAL BLTL

Facility

$1,097.60

Service Code	HCPCS 76942
Hospital Charge Code	2301033
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 NEEDLE PLACEMENT RENAL BLTL

Facility

$1,097.60

Service Code	HCPCS 76942
Hospital Charge Code	2301033
Hospital Revenue Code	402
Min. Negotiated Rate	$164.64
Max. Negotiated Rate	$164.64
Rate for Payer: Qualcare PPO/HMO/WC	$164.64

US NEEDLE PLACEMENT RENAL LEFT

Facility

$1,097.60

Service Code	HCPCS 76942
Hospital Charge Code	2301034
Hospital Revenue Code	402
Min. Negotiated Rate	$164.64
Max. Negotiated Rate	$164.64
Rate for Payer: Qualcare PPO/HMO/WC	$164.64

US NEEDLE PLACEMENT RENAL LEFT

Facility

$1,097.60

Service Code	HCPCS 76942
Hospital Charge Code	2301034
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 NEEDLE PLACEMENT RENAL RGHT

Facility

$1,097.60

Service Code	HCPCS 76942
Hospital Charge Code	2301035
Hospital Revenue Code	402
Min. Negotiated Rate	$164.64
Max. Negotiated Rate	$164.64
Rate for Payer: Qualcare PPO/HMO/WC	$164.64

US NEEDLE PLACEMENT RENAL RGHT

Facility

$1,097.60

Service Code	HCPCS 76942
Hospital Charge Code	2301035
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

Know your out-of-pocket cost for care.

All Charges