Heights University Hospital

All Charges

Charge

Type

Setting

Price

BRONCHIOLITIS AND RSV PNEUMONIA

Facility

$25,539.01

Service Code	APR-DRG 1384
Min. Negotiated Rate	$21,232.32
Max. Negotiated Rate	$25,539.01
Rate for Payer: Aetna Better Health Medicaid	$21,232.32
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$21,656.97
Rate for Payer: Wellpoint Medicaid Managed Care	$25,539.01

BRONCHIOLITIS AND RSV PNEUMONIA

Facility

$10,272.17

Service Code	APR-DRG 1383
Min. Negotiated Rate	$8,970.11
Max. Negotiated Rate	$10,272.17
Rate for Payer: Aetna Better Health Medicaid	$8,970.11
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,149.51
Rate for Payer: Wellpoint Medicaid Managed Care	$10,272.17

BRONCHIOLITIS AND RSV PNEUMONIA

Facility

$5,724.24

Service Code	APR-DRG 1382
Min. Negotiated Rate	$4,291.50
Max. Negotiated Rate	$5,724.24
Rate for Payer: Aetna Better Health Medicaid	$5,612.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,724.24
Rate for Payer: Wellpoint Medicaid Managed Care	$4,291.50

BRONCHITIS AND ASTHMA WITH CC/MCC

Facility

$40,012.02

Service Code	MSDRG 202
Min. Negotiated Rate	$10,598.30
Max. Negotiated Rate	$40,012.02
Rate for Payer: Aetna Commercial	$32,748.75
Rate for Payer: Aetna Medicare Advantage	$10,598.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26,464.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26,464.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,337.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26,464.32
Rate for Payer: Cigna Commercial	$20,901.20
Rate for Payer: Cigna Medicare Advantage	$13,337.34
Rate for Payer: Clover Medicare Advantage	$12,670.47
Rate for Payer: EmblemHealth Commercial	$40,012.02
Rate for Payer: Humana Medicare Advantage	$13,737.46
Rate for Payer: Oxford Commercial	$13,062.64
Rate for Payer: UnitedHealthcare Commercial	$14,827.31
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,337.34
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14,137.58
Rate for Payer: Wellcare Medicare Advantage	$13,337.34

BRONCHITIS AND ASTHMA WITHOUT CC/MCC

Facility

$31,269.48

Service Code	MSDRG 203
Min. Negotiated Rate	$7,311.43
Max. Negotiated Rate	$31,269.48
Rate for Payer: Aetna Commercial	$22,592.32
Rate for Payer: Aetna Medicare Advantage	$7,311.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19,021.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19,021.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10,423.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19,021.23
Rate for Payer: Cigna Commercial	$14,419.07
Rate for Payer: Cigna Medicare Advantage	$10,423.16
Rate for Payer: Clover Medicare Advantage	$9,902.00
Rate for Payer: EmblemHealth Commercial	$31,269.48
Rate for Payer: Humana Medicare Advantage	$10,735.85
Rate for Payer: Oxford Commercial	$9,011.50
Rate for Payer: UnitedHealthcare Commercial	$10,228.89
Rate for Payer: UnitedHealthcare Medicare Advantage	$10,423.16
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$11,048.55
Rate for Payer: Wellcare Medicare Advantage	$10,423.16

BRONCHO CYTOLOGY BRUSH

Facility

$307.00

Hospital Charge Code	270331590
Hospital Revenue Code	272
Min. Negotiated Rate	$39.91
Max. Negotiated Rate	$153.50
Rate for Payer: Aetna Commercial	$92.10
Rate for Payer: Aetna Medicare Advantage	$92.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78.28
Rate for Payer: Cigna Commercial	$153.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.91
Rate for Payer: Oxford Commercial	$153.50
Rate for Payer: Qualcare PPO/HMO/WC	$46.05
Rate for Payer: UnitedHealthcare Commercial	$153.50

BRONCHO CYTOLOGY BRUSH

Facility

$307.00

Hospital Charge Code	270331590
Hospital Revenue Code	272
Min. Negotiated Rate	$46.05
Max. Negotiated Rate	$46.05
Rate for Payer: Qualcare PPO/HMO/WC	$46.05

BRONCHOSCOPE ASCOPE 4 LARGE

Facility

$7,850.00

Hospital Charge Code	270686017
Hospital Revenue Code	272
Min. Negotiated Rate	$1,177.50
Max. Negotiated Rate	$1,177.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,177.50

BRONCHOSCOPE ASCOPE 4 LARGE

Facility

$7,850.00

Hospital Charge Code	270686017
Hospital Revenue Code	272
Min. Negotiated Rate	$1,020.50
Max. Negotiated Rate	$3,925.00
Rate for Payer: Aetna Commercial	$2,355.00
Rate for Payer: Aetna Medicare Advantage	$2,355.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,001.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,001.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,001.75
Rate for Payer: Cigna Commercial	$3,925.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,020.50
Rate for Payer: Oxford Commercial	$3,925.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,177.50
Rate for Payer: UnitedHealthcare Commercial	$3,925.00

BRONCHOSCOPE ASCOPE 4 REGULAR

Facility

$6,825.00

Hospital Charge Code	270686016
Hospital Revenue Code	272
Min. Negotiated Rate	$1,023.75
Max. Negotiated Rate	$1,023.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,023.75

BRONCHOSCOPE ASCOPE 4 REGULAR

Facility

$6,825.00

Hospital Charge Code	270686016
Hospital Revenue Code	272
Min. Negotiated Rate	$887.25
Max. Negotiated Rate	$3,412.50
Rate for Payer: Aetna Commercial	$2,047.50
Rate for Payer: Aetna Medicare Advantage	$2,047.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,740.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,740.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,740.38
Rate for Payer: Cigna Commercial	$3,412.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$887.25
Rate for Payer: Oxford Commercial	$3,412.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,023.75
Rate for Payer: UnitedHealthcare Commercial	$3,412.50

BRONCHOSCOPE ASCOPE 4 SLIM

Facility

$6,825.00

Hospital Charge Code	270686015
Hospital Revenue Code	272
Min. Negotiated Rate	$887.25
Max. Negotiated Rate	$3,412.50
Rate for Payer: Aetna Commercial	$2,047.50
Rate for Payer: Aetna Medicare Advantage	$2,047.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,740.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,740.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,740.38
Rate for Payer: Cigna Commercial	$3,412.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$887.25
Rate for Payer: Oxford Commercial	$3,412.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,023.75
Rate for Payer: UnitedHealthcare Commercial	$3,412.50

BRONCHOSCOPE ASCOPE 4 SLIM

Facility

$6,825.00

Hospital Charge Code	270686015
Hospital Revenue Code	272
Min. Negotiated Rate	$1,023.75
Max. Negotiated Rate	$1,023.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,023.75

BRONCHOSCOPY

Facility

$5,294.80

Service Code	HCPCS 31622
Hospital Charge Code	1600000370
Hospital Revenue Code	360
Min. Negotiated Rate	$504.20
Max. Negotiated Rate	$4,238.63
Rate for Payer: Aetna Better Health Medicaid	$504.20
Rate for Payer: Aetna Commercial	$1,588.44
Rate for Payer: Aetna Medicare Advantage	$1,588.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,350.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,350.17
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	$1,350.17
Rate for Payer: Cigna Commercial	$4,238.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$688.32
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$794.22
Rate for Payer: UnitedHealthcare Commercial	$3,687.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$514.28
Rate for Payer: Wellpoint Medicaid Managed Care	$504.20

BRONCHOSCOPY

Facility

$5,294.80

Service Code	HCPCS 31622
Hospital Charge Code	1600000275
Hospital Revenue Code	360
Min. Negotiated Rate	$504.20
Max. Negotiated Rate	$4,238.63
Rate for Payer: Aetna Better Health Medicaid	$504.20
Rate for Payer: Aetna Commercial	$1,588.44
Rate for Payer: Aetna Medicare Advantage	$1,588.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,350.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,350.17
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	$1,350.17
Rate for Payer: Cigna Commercial	$4,238.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$688.32
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$794.22
Rate for Payer: UnitedHealthcare Commercial	$3,687.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$514.28
Rate for Payer: Wellpoint Medicaid Managed Care	$504.20

BRONCHOSCOPY

Facility

$5,294.80

Service Code	HCPCS 31622
Hospital Charge Code	1600000275
Hospital Revenue Code	360
Min. Negotiated Rate	$794.22
Max. Negotiated Rate	$794.22
Rate for Payer: Qualcare PPO/HMO/WC	$794.22

BRONCHOSCOPY

Facility

$5,294.80

Service Code	HCPCS 31622
Hospital Charge Code	1600000370
Hospital Revenue Code	360
Min. Negotiated Rate	$794.22
Max. Negotiated Rate	$794.22
Rate for Payer: Qualcare PPO/HMO/WC	$794.22

BRONCHOSCOPY DX W/WO CELL WASH

Facility

$4,632.10

Service Code	HCPCS 31622
Hospital Charge Code	9501275
Hospital Revenue Code	361
Min. Negotiated Rate	$504.20
Max. Negotiated Rate	$4,238.63
Rate for Payer: Aetna Better Health Medicaid	$504.20
Rate for Payer: Aetna Commercial	$1,389.63
Rate for Payer: Aetna Medicare Advantage	$1,389.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,181.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,181.19
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	$1,181.19
Rate for Payer: Cigna Commercial	$4,238.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$602.17
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$694.82
Rate for Payer: UnitedHealthcare Commercial	$3,687.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$514.28
Rate for Payer: Wellpoint Medicaid Managed Care	$504.20

BRONCHOSCOPY DX W/WO CELL WASH

Facility

$4,632.10

Service Code	HCPCS 31622
Hospital Charge Code	9501275
Hospital Revenue Code	361
Min. Negotiated Rate	$694.82
Max. Negotiated Rate	$694.82
Rate for Payer: Qualcare PPO/HMO/WC	$694.82

BRONCHOSCOPY/LUNG BX EACH

Facility

$11,302.80

Service Code	HCPCS 31628
Hospital Charge Code	1600000487
Hospital Revenue Code	360
Min. Negotiated Rate	$1,695.42
Max. Negotiated Rate	$1,695.42
Rate for Payer: Qualcare PPO/HMO/WC	$1,695.42

BRONCHOSCOPY/LUNG BX EACH

Facility

$11,302.80

Service Code	HCPCS 31628
Hospital Charge Code	1600000487
Hospital Revenue Code	360
Min. Negotiated Rate	$1,469.36
Max. Negotiated Rate	$8,878.66
Rate for Payer: Aetna Commercial	$3,390.84
Rate for Payer: Aetna Medicare Advantage	$3,390.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,882.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,882.21
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	$2,882.21
Rate for Payer: Cigna Commercial	$8,878.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,469.36
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,695.42
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

BRONCHOSCOPY W/BAL

Facility

$6,293.60

Service Code	HCPCS 31624
Hospital Charge Code	1600000354
Hospital Revenue Code	360
Min. Negotiated Rate	$818.17
Max. Negotiated Rate	$4,594.28
Rate for Payer: Aetna Better Health Medicaid	$4,504.20
Rate for Payer: Aetna Commercial	$1,888.08
Rate for Payer: Aetna Medicare Advantage	$1,888.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,604.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,604.87
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	$1,604.87
Rate for Payer: Cigna Commercial	$4,238.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$818.17
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$944.04
Rate for Payer: UnitedHealthcare Commercial	$3,687.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$4,594.28
Rate for Payer: Wellpoint Medicaid Managed Care	$4,504.20

BRONCHOSCOPY W/BAL

Facility

$6,293.60

Service Code	HCPCS 31624
Hospital Charge Code	1600000354
Hospital Revenue Code	360
Min. Negotiated Rate	$944.04
Max. Negotiated Rate	$944.04
Rate for Payer: Qualcare PPO/HMO/WC	$944.04

BRONCH W/BRUSHING

Facility

$6,293.60

Service Code	HCPCS 31623
Hospital Charge Code	1600000253
Hospital Revenue Code	360
Min. Negotiated Rate	$944.04
Max. Negotiated Rate	$944.04
Rate for Payer: Qualcare PPO/HMO/WC	$944.04

BRONCH W/BRUSHING

Facility

$6,293.60

Service Code	HCPCS 31623
Hospital Charge Code	1600000253
Hospital Revenue Code	360
Min. Negotiated Rate	$818.17
Max. Negotiated Rate	$4,238.63
Rate for Payer: Aetna Commercial	$1,888.08
Rate for Payer: Aetna Medicare Advantage	$1,888.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,604.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,604.87
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	$1,604.87
Rate for Payer: Cigna Commercial	$4,238.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$818.17
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$944.04
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

Know your out-of-pocket cost for care.

All Charges