Heights University Hospital

All Charges

Charge

Type

Setting

Price

BONE MARROW ASPIRATION ONLY

Facility

$1,686.65

Service Code	HCPCS 38220
Hospital Charge Code	3401032
Hospital Revenue Code	361
Min. Negotiated Rate	$219.26
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$506.00
Rate for Payer: Aetna Medicare Advantage	$506.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$430.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$430.10
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	$430.10
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.26
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$253.00
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

BONE MARROW ASPIRATION ONLY

Facility

$1,686.65

Service Code	HCPCS 38220
Hospital Charge Code	1001152
Hospital Revenue Code	361
Min. Negotiated Rate	$219.26
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$506.00
Rate for Payer: Aetna Medicare Advantage	$506.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$430.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$430.10
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	$430.10
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.26
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$253.00
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

BONE MARROW ASPIRAT-W/MOD

Facility

$746.00

Service Code	HCPCS 38220
Hospital Charge Code	3409010
Hospital Revenue Code	761
Min. Negotiated Rate	$111.90
Max. Negotiated Rate	$111.90
Rate for Payer: Qualcare PPO/HMO/WC	$111.90

BONE MARROW ASPIRAT-W/MOD

Facility

$746.00

Service Code	HCPCS 3822059
Hospital Charge Code	93500103
Hospital Revenue Code	761
Min. Negotiated Rate	$96.98
Max. Negotiated Rate	$373.00
Rate for Payer: Aetna Commercial	$223.80
Rate for Payer: Aetna Medicare Advantage	$223.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$190.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$190.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$190.23
Rate for Payer: Cigna Commercial	$373.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.98
Rate for Payer: Oxford Commercial	$373.00
Rate for Payer: Qualcare PPO/HMO/WC	$111.90
Rate for Payer: UnitedHealthcare Commercial	$373.00

BONE MARROW ASPIRAT-W/MOD

Facility

$746.00

Service Code	HCPCS 3822059
Hospital Charge Code	93500103
Hospital Revenue Code	761
Min. Negotiated Rate	$111.90
Max. Negotiated Rate	$111.90
Rate for Payer: Qualcare PPO/HMO/WC	$111.90

BONE MARROW ASPIRAT-W/MOD

Facility

$746.00

Service Code	HCPCS 38220
Hospital Charge Code	3409010
Hospital Revenue Code	761
Min. Negotiated Rate	$96.98
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$223.80
Rate for Payer: Aetna Medicare Advantage	$223.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$190.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$190.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$207.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$190.23
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.98
Rate for Payer: Oxford Commercial	$373.00
Rate for Payer: Qualcare PPO/HMO/WC	$111.90
Rate for Payer: UnitedHealthcare Commercial	$373.00

Bone marrow aspir bone grfg

Facility

$11,887.22

Service Code	HCPCS 20939
Hospital Charge Code	16000349
Hospital Revenue Code	360
Min. Negotiated Rate	$66.59
Max. Negotiated Rate	$3,566.17
Rate for Payer: Aetna Commercial	$3,566.17
Rate for Payer: Aetna Medicare Advantage	$3,566.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,031.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,031.24
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	$3,031.24
Rate for Payer: Cigna Commercial	$66.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,545.34
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,783.08
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

Bone marrow aspir bone grfg

Facility

$11,887.22

Service Code	HCPCS 20939
Hospital Charge Code	16000349
Hospital Revenue Code	360
Min. Negotiated Rate	$1,783.08
Max. Negotiated Rate	$1,783.08
Rate for Payer: Qualcare PPO/HMO/WC	$1,783.08

BONE MARROW ASP NEEDLE 11 GAUG

Facility

$278.00

Hospital Charge Code	270339050
Hospital Revenue Code	272
Min. Negotiated Rate	$41.70
Max. Negotiated Rate	$41.70
Rate for Payer: Qualcare PPO/HMO/WC	$41.70

BONE MARROW ASP NEEDLE 11 GAUG

Facility

$278.00

Hospital Charge Code	270339050
Hospital Revenue Code	272
Min. Negotiated Rate	$36.14
Max. Negotiated Rate	$139.00
Rate for Payer: Aetna Commercial	$83.40
Rate for Payer: Aetna Medicare Advantage	$83.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.89
Rate for Payer: Cigna Commercial	$139.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.14
Rate for Payer: Oxford Commercial	$139.00
Rate for Payer: Qualcare PPO/HMO/WC	$41.70
Rate for Payer: UnitedHealthcare Commercial	$139.00

BONE MARROW BIOPSY

Facility

$7,612.30

Service Code	HCPCS 38221
Hospital Charge Code	16000177
Hospital Revenue Code	360
Min. Negotiated Rate	$1,141.85
Max. Negotiated Rate	$1,141.85
Rate for Payer: Qualcare PPO/HMO/WC	$1,141.85

BONE MARROW BIOPSY

Facility

$7,612.30

Service Code	HCPCS 38221
Hospital Charge Code	16000177
Hospital Revenue Code	360
Min. Negotiated Rate	$989.60
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$2,283.69
Rate for Payer: Aetna Medicare Advantage	$2,283.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,941.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,941.14
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	$1,941.14
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$989.60
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,141.85
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

BONE MARROW BIOPSY

Facility

$1,457.45

Service Code	HCPCS 38221
Hospital Charge Code	93500145
Hospital Revenue Code	761
Min. Negotiated Rate	$218.62
Max. Negotiated Rate	$218.62
Rate for Payer: Qualcare PPO/HMO/WC	$218.62

BONE MARROW BIOPSY

Facility

$1,686.65

Service Code	HCPCS 38221
Hospital Charge Code	1001155
Hospital Revenue Code	361
Min. Negotiated Rate	$219.26
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$506.00
Rate for Payer: Aetna Medicare Advantage	$506.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$430.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$430.10
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	$430.10
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.26
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$253.00
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

BONE MARROW BIOPSY

Facility

$1,457.45

Service Code	HCPCS 38221
Hospital Charge Code	93500145
Hospital Revenue Code	761
Min. Negotiated Rate	$109.02
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$437.24
Rate for Payer: Aetna Medicare Advantage	$437.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$371.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$371.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$109.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$371.65
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$189.47
Rate for Payer: Oxford Commercial	$728.73
Rate for Payer: Qualcare PPO/HMO/WC	$218.62
Rate for Payer: UnitedHealthcare Commercial	$728.73

BONE MARROW BIOPSY

Facility

$1,686.65

Service Code	HCPCS 38221
Hospital Charge Code	1001155
Hospital Revenue Code	361
Min. Negotiated Rate	$253.00
Max. Negotiated Rate	$253.00
Rate for Payer: Qualcare PPO/HMO/WC	$253.00

BONE MARROW BIOPSY DX

Facility

$8,995.35

Service Code	HCPCS 38221
Hospital Charge Code	404138221
Hospital Revenue Code	361
Min. Negotiated Rate	$1,169.40
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$2,698.61
Rate for Payer: Aetna Medicare Advantage	$2,698.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,293.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,293.81
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	$2,293.81
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,169.40
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,349.30
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

BONE MARROW BIOPSY DX

Facility

$8,995.35

Service Code	HCPCS 38221
Hospital Charge Code	404138221
Hospital Revenue Code	361
Min. Negotiated Rate	$1,349.30
Max. Negotiated Rate	$1,349.30
Rate for Payer: Qualcare PPO/HMO/WC	$1,349.30

BONE MARROW CONC SYSTEM 60ML

Facility

$17,250.00

Hospital Charge Code	270672818
Hospital Revenue Code	272
Min. Negotiated Rate	$2,242.50
Max. Negotiated Rate	$8,625.00
Rate for Payer: Aetna Commercial	$5,175.00
Rate for Payer: Aetna Medicare Advantage	$5,175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,398.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,398.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,398.75
Rate for Payer: Cigna Commercial	$8,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,242.50
Rate for Payer: Oxford Commercial	$8,625.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,587.50
Rate for Payer: UnitedHealthcare Commercial	$8,625.00

BONE MARROW CONC SYSTEM 60ML

Facility

$17,250.00

Hospital Charge Code	270672818
Hospital Revenue Code	272
Min. Negotiated Rate	$2,587.50
Max. Negotiated Rate	$2,587.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,587.50

BONE MARROW HARVEST AUTOLOG

Facility

$37,494.00

Service Code	HCPCS 38232
Hospital Charge Code	16000740
Hospital Revenue Code	360
Min. Negotiated Rate	$5,624.10
Max. Negotiated Rate	$5,624.10
Rate for Payer: Qualcare PPO/HMO/WC	$5,624.10

BONE MARROW HARVEST AUTOLOG

Facility

$37,494.00

Service Code	HCPCS 38232
Hospital Charge Code	16000740
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$11,248.20
Rate for Payer: Aetna Commercial	$11,248.20
Rate for Payer: Aetna Medicare Advantage	$11,248.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,560.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,560.97
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	$9,560.97
Rate for Payer: Cigna Commercial	$10,372.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,874.22
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,624.10
Rate for Payer: UnitedHealthcare Commercial	$8,580.00

BONE MARROW HARVEST KIT

Facility

$11,475.00

Hospital Charge Code	270669061
Hospital Revenue Code	272
Min. Negotiated Rate	$1,721.25
Max. Negotiated Rate	$1,721.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,721.25

BONE MARROW HARVEST KIT

Facility

$11,475.00

Hospital Charge Code	270669061
Hospital Revenue Code	272
Min. Negotiated Rate	$1,491.75
Max. Negotiated Rate	$5,737.50
Rate for Payer: Aetna Commercial	$3,442.50
Rate for Payer: Aetna Medicare Advantage	$3,442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,926.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,926.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,926.12
Rate for Payer: Cigna Commercial	$5,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,491.75
Rate for Payer: Oxford Commercial	$5,737.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,721.25
Rate for Payer: UnitedHealthcare Commercial	$5,737.50

BONE MARROW HARV TRANSPLANT

Facility

$5,392.12

Service Code	HCPCS 38222
Hospital Charge Code	16000355
Hospital Revenue Code	360
Min. Negotiated Rate	$700.98
Max. Negotiated Rate	$6,917.28
Rate for Payer: Aetna Commercial	$1,617.64
Rate for Payer: Aetna Medicare Advantage	$1,617.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,374.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,374.99
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	$1,374.99
Rate for Payer: Cigna Commercial	$6,917.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$700.98
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$808.82
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

Know your out-of-pocket cost for care.

All Charges