Heights University Hospital

All Charges

Charge

Type

Setting

Price

US PUNC/ASP CYST BREAST

Facility

$414.45

Service Code	HCPCS 19000
Hospital Charge Code	2100547
Hospital Revenue Code	361
Min. Negotiated Rate	$62.17
Max. Negotiated Rate	$62.17
Rate for Payer: Qualcare PPO/HMO/WC	$62.17

US PUNC/ASP CYST BRST EA ADDL

Facility

$9,757.55

Service Code	HCPCS 19001
Hospital Charge Code	2100545
Hospital Revenue Code	361
Min. Negotiated Rate	$1,463.63
Max. Negotiated Rate	$1,463.63
Rate for Payer: Qualcare PPO/HMO/WC	$1,463.63

US PUNC/ASP CYST BRST EA ADDL

Facility

$9,757.55

Service Code	HCPCS 19001
Hospital Charge Code	2100545
Hospital Revenue Code	361
Min. Negotiated Rate	$19.44
Max. Negotiated Rate	$2,927.26
Rate for Payer: Aetna Commercial	$2,927.26
Rate for Payer: Aetna Medicare Advantage	$2,927.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,488.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,488.18
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	$2,488.18
Rate for Payer: Cigna Commercial	$19.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,268.48
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,463.63
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

US RENAL DIAGNOSTIC COMPL

Facility

$6,700.00

Service Code	HCPCS 76770
Hospital Charge Code	2100113
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 RENAL DIAGNOSTIC COMPL

Facility

$6,700.00

Service Code	HCPCS 76770
Hospital Charge Code	2100113
Hospital Revenue Code	402
Min. Negotiated Rate	$123.42
Max. Negotiated Rate	$2,010.00
Rate for Payer: Aetna Better Health Medicaid	$399.88
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	$123.42
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
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$407.88

US-RENAL TRANSPLANT-LT

Facility

$428.00

Hospital Charge Code	2309070
Hospital Revenue Code	402
Min. Negotiated Rate	$55.64
Max. Negotiated Rate	$1,981.00
Rate for Payer: Aetna Commercial	$128.40
Rate for Payer: Aetna Medicare Advantage	$128.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.14
Rate for Payer: Cigna Commercial	$214.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.64
Rate for Payer: Oxford Commercial	$1,746.00
Rate for Payer: Qualcare PPO/HMO/WC	$64.20
Rate for Payer: UnitedHealthcare Commercial	$1,981.00

US-RENAL TRANSPLANT-LT

Facility

$428.00

Hospital Charge Code	2309070
Hospital Revenue Code	402
Min. Negotiated Rate	$64.20
Max. Negotiated Rate	$64.20
Rate for Payer: Qualcare PPO/HMO/WC	$64.20

US-RENAL TRANSPLANT-RT

Facility

$428.00

Hospital Charge Code	2309075
Hospital Revenue Code	402
Min. Negotiated Rate	$64.20
Max. Negotiated Rate	$64.20
Rate for Payer: Qualcare PPO/HMO/WC	$64.20

US-RENAL TRANSPLANT-RT

Facility

$428.00

Hospital Charge Code	2309075
Hospital Revenue Code	402
Min. Negotiated Rate	$55.64
Max. Negotiated Rate	$1,981.00
Rate for Payer: Aetna Commercial	$128.40
Rate for Payer: Aetna Medicare Advantage	$128.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.14
Rate for Payer: Cigna Commercial	$214.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.64
Rate for Payer: Oxford Commercial	$1,746.00
Rate for Payer: Qualcare PPO/HMO/WC	$64.20
Rate for Payer: UnitedHealthcare Commercial	$1,981.00

US RETROPER LMTD RENAL W/DPLEX

Facility

$6,700.00

Service Code	HCPCS 76775
Hospital Charge Code	2301087
Hospital Revenue Code	402
Min. Negotiated Rate	$123.42
Max. Negotiated Rate	$2,010.00
Rate for Payer: Aetna Better Health Medicaid	$399.88
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	$123.42
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
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$407.88

US RETROPER LMTD RENAL W/DPLEX

Facility

$6,700.00

Service Code	HCPCS 76775
Hospital Charge Code	2301087
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 RETROPER -RENAL,DUPLEX COMP

Facility

$6,700.00

Service Code	HCPCS 76770
Hospital Charge Code	2301086
Hospital Revenue Code	402
Min. Negotiated Rate	$123.42
Max. Negotiated Rate	$2,010.00
Rate for Payer: Aetna Better Health Medicaid	$399.88
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	$123.42
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
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$407.88

US RETROPER -RENAL,DUPLEX COMP

Facility

$6,700.00

Service Code	HCPCS 76770
Hospital Charge Code	2301086
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 R-L CAROTID W DOPPL-BI

Facility

$17,200.00

Service Code	HCPCS 93880
Hospital Charge Code	94061201
Hospital Revenue Code	921
Min. Negotiated Rate	$428.95
Max. Negotiated Rate	$5,160.00
Rate for Payer: Aetna Commercial	$5,160.00
Rate for Payer: Aetna Medicare Advantage	$5,160.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,386.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,386.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$428.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,386.00
Rate for Payer: Cigna Commercial	$568.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,236.00
Rate for Payer: Oxford Commercial	$4,459.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,580.00
Rate for Payer: UnitedHealthcare Commercial	$5,061.00

US R-L CAROTID W DOPPL-BI

Facility

$17,200.00

Service Code	HCPCS 93880
Hospital Charge Code	94061201
Hospital Revenue Code	921
Min. Negotiated Rate	$2,580.00
Max. Negotiated Rate	$2,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,580.00

US SPINAL CANAL

Facility

$6,700.00

Service Code	HCPCS 76800
Hospital Charge Code	2301058
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 SPINAL CANAL

Facility

$6,700.00

Service Code	HCPCS 76800
Hospital Charge Code	94061507
Hospital Revenue Code	402
Min. Negotiated Rate	$121.55
Max. Negotiated Rate	$2,766.59
Rate for Payer: Aetna Better Health Medicaid	$2,712.34
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	$121.55
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
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$2,766.59

US SPINAL CANAL

Facility

$6,700.00

Service Code	HCPCS 76800
Hospital Charge Code	2301058
Hospital Revenue Code	402
Min. Negotiated Rate	$121.55
Max. Negotiated Rate	$2,766.59
Rate for Payer: Aetna Better Health Medicaid	$2,712.34
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	$121.55
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
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$2,766.59

US SPINAL CANAL

Facility

$6,700.00

Service Code	HCPCS 76800
Hospital Charge Code	94061507
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-SPINAL CANAL

Facility

$676.00

Service Code	HCPCS 76800
Hospital Charge Code	2307001
Hospital Revenue Code	402
Min. Negotiated Rate	$87.88
Max. Negotiated Rate	$2,766.59
Rate for Payer: Aetna Better Health Medicaid	$2,712.34
Rate for Payer: Aetna Commercial	$202.80
Rate for Payer: Aetna Medicare Advantage	$202.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$172.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$172.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$121.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$172.38
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.88
Rate for Payer: Oxford Commercial	$1,746.00
Rate for Payer: Qualcare PPO/HMO/WC	$101.40
Rate for Payer: UnitedHealthcare Commercial	$1,981.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$2,766.59

US-SPINAL CANAL

Facility

$676.00

Service Code	HCPCS 76800
Hospital Charge Code	2307001
Hospital Revenue Code	402
Min. Negotiated Rate	$101.40
Max. Negotiated Rate	$101.40
Rate for Payer: Qualcare PPO/HMO/WC	$101.40

US SPLEEN

Facility

$6,700.00

Service Code	HCPCS 76705
Hospital Charge Code	2100121
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 SPLEEN

Facility

$6,700.00

Service Code	HCPCS 76705
Hospital Charge Code	2100121
Hospital Revenue Code	402
Min. Negotiated Rate	$82.28
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	$82.28
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 TESTES DUPLEX COMPLETE

Facility

$17,200.00

Service Code	HCPCS 93975
Hospital Charge Code	2101107
Hospital Revenue Code	921
Min. Negotiated Rate	$2,580.00
Max. Negotiated Rate	$2,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,580.00

US TESTES DUPLEX COMPLETE

Facility

$17,200.00

Service Code	HCPCS 93975
Hospital Charge Code	2101107
Hospital Revenue Code	921
Min. Negotiated Rate	$372.60
Max. Negotiated Rate	$5,160.00
Rate for Payer: Aetna Commercial	$5,160.00
Rate for Payer: Aetna Medicare Advantage	$5,160.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,386.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,386.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$372.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,386.00
Rate for Payer: Cigna Commercial	$568.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,236.00
Rate for Payer: Oxford Commercial	$4,459.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,580.00
Rate for Payer: UnitedHealthcare Commercial	$5,061.00

Know your out-of-pocket cost for care.

All Charges