Heights University Hospital

All Charges

Charge

Type

Setting

Price

BONE MARROW HARV TRANSPLANT

Facility

$5,392.12

Service Code	HCPCS 38222
Hospital Charge Code	16000355
Hospital Revenue Code	360
Min. Negotiated Rate	$808.82
Max. Negotiated Rate	$808.82
Rate for Payer: Qualcare PPO/HMO/WC	$808.82

BONE MARROW NEEDLE BIOPSY

Facility

$1,529.00

Service Code	HCPCS 38221
Hospital Charge Code	3407005
Hospital Revenue Code	361
Min. Negotiated Rate	$229.35
Max. Negotiated Rate	$229.35
Rate for Payer: Qualcare PPO/HMO/WC	$229.35

BONE MARROW NEEDLE BIOPSY

Facility

$1,529.00

Service Code	HCPCS 38221
Hospital Charge Code	3407005
Hospital Revenue Code	361
Min. Negotiated Rate	$198.77
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$458.70
Rate for Payer: Aetna Medicare Advantage	$458.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$389.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$389.89
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	$389.89
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$198.77
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$229.35
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

BONE MARROW NEEDLE BIOPSY-STAI

Facility

$1,529.00

Service Code	HCPCS 88313
Hospital Charge Code	38474076
Hospital Revenue Code	310
Min. Negotiated Rate	$46.48
Max. Negotiated Rate	$458.70
Rate for Payer: Aetna Commercial	$458.70
Rate for Payer: Aetna Medicare Advantage	$458.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$389.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$389.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$389.89
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: Cigna Medicare Advantage	$46.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$198.77
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$229.35
Rate for Payer: UnitedHealthcare Commercial	$114.00

BONE MARROW NEEDLE BIOPSY-STAI

Facility

$1,529.00

Service Code	HCPCS 88313
Hospital Charge Code	38474076
Hospital Revenue Code	310
Min. Negotiated Rate	$229.35
Max. Negotiated Rate	$229.35
Rate for Payer: Qualcare PPO/HMO/WC	$229.35

BONE MARROW SMEAR

Facility

$264.85

Service Code	HCPCS 88104
Hospital Charge Code	3005355
Hospital Revenue Code	310
Min. Negotiated Rate	$34.43
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$79.45
Rate for Payer: Aetna Medicare Advantage	$79.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.54
Rate for Payer: Cigna Commercial	$88.94
Rate for Payer: Cigna Medicare Advantage	$47.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.43
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$39.73
Rate for Payer: UnitedHealthcare Commercial	$114.00

BONE MARROW SMEAR

Facility

$264.85

Service Code	HCPCS 88104
Hospital Charge Code	3005355
Hospital Revenue Code	310
Min. Negotiated Rate	$39.73
Max. Negotiated Rate	$39.73
Rate for Payer: Qualcare PPO/HMO/WC	$39.73

BONE MARROW SMEAR INTERPRETATI

Facility

$473.00

Service Code	HCPCS 85097
Hospital Charge Code	38474013
Hospital Revenue Code	305
Min. Negotiated Rate	$21.10
Max. Negotiated Rate	$1,918.64
Rate for Payer: Aetna Commercial	$141.90
Rate for Payer: Aetna Medicare Advantage	$141.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$120.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$120.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$120.61
Rate for Payer: Cigna Commercial	$1,918.64
Rate for Payer: Cigna Medicare Advantage	$21.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.49
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$70.95
Rate for Payer: UnitedHealthcare Commercial	$114.00

BONE MARROW SMEAR INTERPRETATI

Facility

$473.00

Service Code	HCPCS 85097
Hospital Charge Code	38474013
Hospital Revenue Code	305
Min. Negotiated Rate	$70.95
Max. Negotiated Rate	$70.95
Rate for Payer: Qualcare PPO/HMO/WC	$70.95

BONE MARTIX ALLOGRAFT 1CC

Facility

$1,530.00

Service Code	HCPCS C1762
Hospital Charge Code	270671093
Hospital Revenue Code	278
Min. Negotiated Rate	$229.50
Max. Negotiated Rate	$370.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$306.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$370.26
Rate for Payer: Qualcare PPO/HMO/WC	$229.50

BONE MARTIX ALLOGRAFT 1CC

Facility

$1,530.00

Service Code	HCPCS C1762
Hospital Charge Code	270671093
Hospital Revenue Code	278
Min. Negotiated Rate	$229.50
Max. Negotiated Rate	$765.00
Rate for Payer: Aetna Commercial	$459.00
Rate for Payer: Aetna Medicare Advantage	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$390.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$390.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$390.15
Rate for Payer: Cigna Commercial	$765.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$370.26
Rate for Payer: Qualcare PPO/HMO/WC	$229.50

BONE MARTIX ALLOGRAFT 2CC

Facility

$2,953.75

Service Code	HCPCS C1762
Hospital Charge Code	270671094
Hospital Revenue Code	278
Min. Negotiated Rate	$443.06
Max. Negotiated Rate	$1,476.88
Rate for Payer: Aetna Commercial	$886.12
Rate for Payer: Aetna Medicare Advantage	$886.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$753.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$753.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$590.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$753.21
Rate for Payer: Cigna Commercial	$1,476.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$714.81
Rate for Payer: Qualcare PPO/HMO/WC	$443.06

BONE MARTIX ALLOGRAFT 2CC

Facility

$2,953.75

Service Code	HCPCS C1762
Hospital Charge Code	270671094
Hospital Revenue Code	278
Min. Negotiated Rate	$443.06
Max. Negotiated Rate	$714.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$590.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$714.81
Rate for Payer: Qualcare PPO/HMO/WC	$443.06

BONE MATRIX

Facility

$2,997.50

Service Code	HCPCS C1713
Hospital Charge Code	270692209
Hospital Revenue Code	278
Min. Negotiated Rate	$449.62
Max. Negotiated Rate	$725.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$599.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$725.39
Rate for Payer: Qualcare PPO/HMO/WC	$449.62

BONE MATRIX

Facility

$2,997.50

Service Code	HCPCS C1713
Hospital Charge Code	270692209
Hospital Revenue Code	278
Min. Negotiated Rate	$449.62
Max. Negotiated Rate	$1,498.75
Rate for Payer: Aetna Commercial	$899.25
Rate for Payer: Aetna Medicare Advantage	$899.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$764.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$764.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$599.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$764.36
Rate for Payer: Cigna Commercial	$1,498.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$725.39
Rate for Payer: Qualcare PPO/HMO/WC	$449.62

BONE MATRIX 10CC

Facility

$24,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270692703
Hospital Revenue Code	278
Min. Negotiated Rate	$3,693.75
Max. Negotiated Rate	$12,312.50
Rate for Payer: Aetna Commercial	$7,387.50
Rate for Payer: Aetna Medicare Advantage	$7,387.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,279.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,279.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,925.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,279.38
Rate for Payer: Cigna Commercial	$12,312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,959.25
Rate for Payer: Qualcare PPO/HMO/WC	$3,693.75

BONE MATRIX 10CC

Facility

$24,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270692703
Hospital Revenue Code	278
Min. Negotiated Rate	$3,693.75
Max. Negotiated Rate	$5,959.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,925.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,959.25
Rate for Payer: Qualcare PPO/HMO/WC	$3,693.75

BONE MATRIX 2.5MM

Facility

$9,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270692490
Hospital Revenue Code	278
Min. Negotiated Rate	$1,496.25
Max. Negotiated Rate	$4,987.50
Rate for Payer: Aetna Commercial	$2,992.50
Rate for Payer: Aetna Medicare Advantage	$2,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,543.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,543.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,995.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,543.62
Rate for Payer: Cigna Commercial	$4,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,413.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,496.25

BONE MATRIX 2.5MM

Facility

$9,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270692490
Hospital Revenue Code	278
Min. Negotiated Rate	$1,496.25
Max. Negotiated Rate	$2,413.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,995.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,413.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,496.25

BONE MATRIX 5.0 CC

Facility

$18,750.00

Hospital Charge Code	270702738
Hospital Revenue Code	278
Min. Negotiated Rate	$2,812.50
Max. Negotiated Rate	$4,537.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,537.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,812.50

BONE MATRIX 5.0 CC

Facility

$18,750.00

Hospital Charge Code	270702738
Hospital Revenue Code	278
Min. Negotiated Rate	$2,812.50
Max. Negotiated Rate	$9,375.00
Rate for Payer: Aetna Commercial	$5,625.00
Rate for Payer: Aetna Medicare Advantage	$5,625.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,781.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,781.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,781.25
Rate for Payer: Cigna Commercial	$9,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,537.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,812.50

BONE MATRIX 5CC

Facility

$17,055.00

Service Code	HCPCS C1713
Hospital Charge Code	270692583
Hospital Revenue Code	278
Min. Negotiated Rate	$2,558.25
Max. Negotiated Rate	$8,527.50
Rate for Payer: Aetna Commercial	$5,116.50
Rate for Payer: Aetna Medicare Advantage	$5,116.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,349.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,349.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,411.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,349.02
Rate for Payer: Cigna Commercial	$8,527.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,127.31
Rate for Payer: Qualcare PPO/HMO/WC	$2,558.25

BONE MATRIX 5CC

Facility

$17,055.00

Service Code	HCPCS C1713
Hospital Charge Code	270692583
Hospital Revenue Code	278
Min. Negotiated Rate	$2,558.25
Max. Negotiated Rate	$4,127.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,411.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,127.31
Rate for Payer: Qualcare PPO/HMO/WC	$2,558.25

BONE MATRIX ALLOGRAFT 10CC

Facility

$12,006.30

Hospital Charge Code	270670534
Hospital Revenue Code	278
Min. Negotiated Rate	$1,800.94
Max. Negotiated Rate	$6,003.15
Rate for Payer: Aetna Commercial	$3,601.89
Rate for Payer: Aetna Medicare Advantage	$3,601.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,061.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,061.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,401.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,061.61
Rate for Payer: Cigna Commercial	$6,003.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,905.52
Rate for Payer: Qualcare PPO/HMO/WC	$1,800.94

BONE MATRIX ALLOGRAFT 10CC

Facility

$12,006.25

Hospital Charge Code	270680534
Hospital Revenue Code	278
Min. Negotiated Rate	$1,800.94
Max. Negotiated Rate	$6,003.12
Rate for Payer: Aetna Commercial	$3,601.88
Rate for Payer: Aetna Medicare Advantage	$3,601.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,061.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,061.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,401.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,061.59
Rate for Payer: Cigna Commercial	$6,003.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,905.51
Rate for Payer: Qualcare PPO/HMO/WC	$1,800.94

Know your out-of-pocket cost for care.

All Charges