Heights University Hospital

All Charges

Charge

Type

Setting

Price

US TESTICULAR

Facility

$641.00

Service Code	HCPCS 76870
Hospital Charge Code	2100253
Hospital Revenue Code	402
Min. Negotiated Rate	$83.33
Max. Negotiated Rate	$1,981.00
Rate for Payer: Aetna Better Health Medicaid	$399.88
Rate for Payer: Aetna Commercial	$192.30
Rate for Payer: Aetna Medicare Advantage	$192.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$163.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$163.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$96.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$163.46
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.33
Rate for Payer: Oxford Commercial	$1,746.00
Rate for Payer: Qualcare PPO/HMO/WC	$96.15
Rate for Payer: UnitedHealthcare Commercial	$1,981.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$407.88

US TESTICULAR

Facility

$641.00

Service Code	HCPCS 76870
Hospital Charge Code	2100253
Hospital Revenue Code	402
Min. Negotiated Rate	$96.15
Max. Negotiated Rate	$96.15
Rate for Payer: Qualcare PPO/HMO/WC	$96.15

US THORACENTES FOR ASP INI/SUB

Facility

$2,429.50

Service Code	HCPCS 32555
Hospital Charge Code	2100501
Hospital Revenue Code	361
Min. Negotiated Rate	$315.83
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$728.85
Rate for Payer: Aetna Medicare Advantage	$728.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$619.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$619.52
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	$619.52
Rate for Payer: Cigna Commercial	$1,493.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$315.83
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$364.43
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

US THORACENTES FOR ASP INI/SUB

Facility

$2,429.50

Service Code	HCPCS 32555
Hospital Charge Code	2100501
Hospital Revenue Code	361
Min. Negotiated Rate	$364.43
Max. Negotiated Rate	$364.43
Rate for Payer: Qualcare PPO/HMO/WC	$364.43

US THORACENTESIS,W/INSERT TUBE

Facility

$2,422.65

Hospital Charge Code	2100519
Hospital Revenue Code	361
Min. Negotiated Rate	$314.94
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$726.79
Rate for Payer: Aetna Medicare Advantage	$726.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$617.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$617.78
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	$617.78
Rate for Payer: Cigna Commercial	$1,211.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$314.94
Rate for Payer: Qualcare PPO/HMO/WC	$363.40

US THORACENTESIS,W/INSERT TUBE

Facility

$2,422.65

Hospital Charge Code	2100519
Hospital Revenue Code	361
Min. Negotiated Rate	$363.40
Max. Negotiated Rate	$363.40
Rate for Payer: Qualcare PPO/HMO/WC	$363.40

US THYROID

Facility

$6,700.00

Service Code	HCPCS 76536
Hospital Charge Code	2100139
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 THYROID

Facility

$6,700.00

Service Code	HCPCS 76536
Hospital Charge Code	2100139
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 TRANSCRANIAL DOPPLER CMPLTE

Facility

$905.70

Service Code	HCPCS 93886
Hospital Charge Code	2301059
Hospital Revenue Code	920
Min. Negotiated Rate	$117.74
Max. Negotiated Rate	$1,489.00
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	$338.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$230.95
Rate for Payer: Cigna Commercial	$568.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.74
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$135.85
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

US TRANSCRANIAL DOPPLER CMPLTE

Facility

$905.70

Service Code	HCPCS 93886
Hospital Charge Code	2301059
Hospital Revenue Code	920
Min. Negotiated Rate	$135.85
Max. Negotiated Rate	$135.85
Rate for Payer: Qualcare PPO/HMO/WC	$135.85

US TRANSCRANIAL DOPPLER LIMTED

Facility

$563.15

Service Code	HCPCS 93888
Hospital Charge Code	2301060
Hospital Revenue Code	920
Min. Negotiated Rate	$84.47
Max. Negotiated Rate	$84.47
Rate for Payer: Qualcare PPO/HMO/WC	$84.47

US TRANSCRANIAL DOPPLER LIMTED

Facility

$563.15

Service Code	HCPCS 93888
Hospital Charge Code	2301060
Hospital Revenue Code	920
Min. Negotiated Rate	$73.21
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$168.94
Rate for Payer: Aetna Medicare Advantage	$168.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$143.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$143.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$157.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$143.60
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.21
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$84.47
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

US TRANSVAGINAL (NON-OB)

Facility

$563.15

Service Code	HCPCS 76830
Hospital Charge Code	2301088
Hospital Revenue Code	402
Min. Negotiated Rate	$73.21
Max. Negotiated Rate	$1,981.00
Rate for Payer: Aetna Commercial	$168.94
Rate for Payer: Aetna Medicare Advantage	$168.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$143.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$143.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$137.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$143.60
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.21
Rate for Payer: Oxford Commercial	$1,746.00
Rate for Payer: Qualcare PPO/HMO/WC	$84.47
Rate for Payer: UnitedHealthcare Commercial	$1,981.00

US TRANSVAGINAL (NON-OB)

Facility

$563.15

Service Code	HCPCS 76830
Hospital Charge Code	2301088
Hospital Revenue Code	402
Min. Negotiated Rate	$84.47
Max. Negotiated Rate	$84.47
Rate for Payer: Qualcare PPO/HMO/WC	$84.47

US TRANSVAGINAL PREGNANT UTERU

Facility

$6,700.00

Service Code	HCPCS 76817
Hospital Charge Code	2307010
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 TRANSVAGINAL PREGNANT UTERU

Facility

$6,700.00

Service Code	HCPCS 76817
Hospital Charge Code	94061501
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 TRANSVAGINAL PREGNANT UTERU

Facility

$6,700.00

Service Code	HCPCS 76817
Hospital Charge Code	2307010
Hospital Revenue Code	402
Min. Negotiated Rate	$151.47
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	$151.47
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 TRANSVAGINAL PREGNANT UTERU

Facility

$6,700.00

Service Code	HCPCS 76817
Hospital Charge Code	94061501
Hospital Revenue Code	402
Min. Negotiated Rate	$151.47
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	$151.47
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 UE ARTERIAL DUPLEX RIGHT

Facility

$757.65

Service Code	HCPCS 93931
Hospital Charge Code	2301062
Hospital Revenue Code	921
Min. Negotiated Rate	$98.49
Max. Negotiated Rate	$5,061.00
Rate for Payer: Aetna Commercial	$227.29
Rate for Payer: Aetna Medicare Advantage	$227.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$193.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$193.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$289.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$193.20
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.49
Rate for Payer: Oxford Commercial	$4,459.00
Rate for Payer: Qualcare PPO/HMO/WC	$113.65
Rate for Payer: UnitedHealthcare Commercial	$5,061.00

US UE ARTERIAL DUPLEX RIGHT

Facility

$757.65

Service Code	HCPCS 93931
Hospital Charge Code	2301062
Hospital Revenue Code	921
Min. Negotiated Rate	$113.65
Max. Negotiated Rate	$113.65
Rate for Payer: Qualcare PPO/HMO/WC	$113.65

US UE ARTRAL DPPLR SNGL LVL BL

Facility

$17,200.00

Service Code	HCPCS 93922
Hospital Charge Code	2301061
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 UE ARTRAL DPPLR SNGL LVL BL

Facility

$17,200.00

Service Code	HCPCS 93922
Hospital Charge Code	2301061
Hospital Revenue Code	921
Min. Negotiated Rate	$253.00
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	$253.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,386.00
Rate for Payer: Cigna Commercial	$316.85
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 UE ARTRAL DPPLR SNGL UNI LT

Facility

$17,200.00

Service Code	HCPCS 9392252LT
Hospital Charge Code	2101104
Hospital Revenue Code	921
Min. Negotiated Rate	$2,236.00
Max. Negotiated Rate	$8,600.00
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) PPO	$4,386.00
Rate for Payer: Cigna Commercial	$8,600.00
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 UE ARTRAL DPPLR SNGL UNI LT

Facility

$17,200.00

Service Code	HCPCS 9392252LT
Hospital Charge Code	2101104
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 UE ARTRAL DPPLR SNGL UNI RT

Facility

$17,200.00

Service Code	HCPCS 9392252RT
Hospital Charge Code	2101103
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

Know your out-of-pocket cost for care.

All Charges