Heights University Hospital

All Charges

Charge

Type

Setting

Price

ACID CITRIC 900GM

Facility

$76.85

Hospital Charge Code	270605263
Hospital Revenue Code	250
Min. Negotiated Rate	$11.53
Max. Negotiated Rate	$11.53
Rate for Payer: Qualcare PPO/HMO/WC	$11.53

ACID FAST BACILLI STAIN

Facility

$390.00

Service Code	HCPCS 87206
Hospital Charge Code	3000072
Hospital Revenue Code	306
Min. Negotiated Rate	$2.69
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$17.46
Rate for Payer: Aetna Medicare Advantage	$5.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.75
Rate for Payer: Cigna Commercial	$5.39
Rate for Payer: Cigna Medicare Advantage	$2.69
Rate for Payer: Clover Medicare Advantage	$5.12
Rate for Payer: EmblemHealth Commercial	$16.17
Rate for Payer: Humana Medicare Advantage	$5.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.39
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.71
Rate for Payer: Wellcare Medicare Advantage	$5.39

ACID FAST BACILLI STAIN

Facility

$324.85

Service Code	HCPCS 88312
Hospital Charge Code	3005410
Hospital Revenue Code	310
Min. Negotiated Rate	$42.23
Max. Negotiated Rate	$124.10
Rate for Payer: Aetna Commercial	$97.45
Rate for Payer: Aetna Medicare Advantage	$97.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.84
Rate for Payer: Cigna Commercial	$124.10
Rate for Payer: Cigna Medicare Advantage	$62.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.23
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$48.73
Rate for Payer: UnitedHealthcare Commercial	$114.00

ACID FAST BACILLI STAIN

Facility

$324.85

Service Code	HCPCS 88312
Hospital Charge Code	3005410
Hospital Revenue Code	310
Min. Negotiated Rate	$48.73
Max. Negotiated Rate	$48.73
Rate for Payer: Qualcare PPO/HMO/WC	$48.73

ACID FAST BACILLI STAIN

Facility

$390.00

Service Code	HCPCS 87206
Hospital Charge Code	3000072
Hospital Revenue Code	306
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

Acid-fast (Mycobacteria) Smear

Facility

$390.00

Service Code	HCPCS 87206
Hospital Charge Code	39880004B
Hospital Revenue Code	309
Min. Negotiated Rate	$2.69
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$17.46
Rate for Payer: Aetna Medicare Advantage	$5.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.75
Rate for Payer: Cigna Commercial	$5.39
Rate for Payer: Cigna Medicare Advantage	$2.69
Rate for Payer: Clover Medicare Advantage	$5.12
Rate for Payer: EmblemHealth Commercial	$16.17
Rate for Payer: Humana Medicare Advantage	$5.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.39
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.71
Rate for Payer: Wellcare Medicare Advantage	$5.39

Acid-fast (Mycobacteria) Smear

Facility

$390.00

Service Code	HCPCS 87116
Hospital Charge Code	39880004A
Hospital Revenue Code	309
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

Acid-fast (Mycobacteria) Smear

Facility

$390.00

Service Code	HCPCS 87206
Hospital Charge Code	39880004B
Hospital Revenue Code	309
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

Acid-fast (Mycobacteria) Smear

Facility

$390.00

Service Code	HCPCS 87116
Hospital Charge Code	39880004A
Hospital Revenue Code	309
Min. Negotiated Rate	$5.40
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$34.99
Rate for Payer: Aetna Medicare Advantage	$10.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.57
Rate for Payer: Cigna Commercial	$10.80
Rate for Payer: Cigna Medicare Advantage	$5.40
Rate for Payer: Clover Medicare Advantage	$10.26
Rate for Payer: EmblemHealth Commercial	$32.40
Rate for Payer: Humana Medicare Advantage	$11.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$10.80
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$11.45
Rate for Payer: Wellcare Medicare Advantage	$10.80

ACID FAST SMEAR****

Facility

$21.00

Hospital Charge Code	3010071
Hospital Revenue Code	309
Min. Negotiated Rate	$3.15
Max. Negotiated Rate	$3.15
Rate for Payer: Qualcare PPO/HMO/WC	$3.15

ACID FAST SMEAR****

Facility

$21.00

Hospital Charge Code	3010071
Hospital Revenue Code	309
Min. Negotiated Rate	$2.73
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$6.30
Rate for Payer: Aetna Medicare Advantage	$6.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.36
Rate for Payer: Cigna Commercial	$10.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.73
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.15
Rate for Payer: UnitedHealthcare Commercial	$114.00

ACID HEMOLYSIN (HAMS)

Facility

$159.00

Service Code	HCPCS 85475
Hospital Charge Code	38476041
Hospital Revenue Code	305
Min. Negotiated Rate	$23.85
Max. Negotiated Rate	$23.85
Rate for Payer: Qualcare PPO/HMO/WC	$23.85

ACID HEMOLYSIN (HAMS)

Facility

$159.00

Service Code	HCPCS 85475
Hospital Charge Code	38476041
Hospital Revenue Code	305
Min. Negotiated Rate	$4.43
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$28.74
Rate for Payer: Aetna Medicare Advantage	$8.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.50
Rate for Payer: Cigna Commercial	$8.87
Rate for Payer: Cigna Medicare Advantage	$4.43
Rate for Payer: Clover Medicare Advantage	$8.43
Rate for Payer: EmblemHealth Commercial	$26.61
Rate for Payer: Humana Medicare Advantage	$9.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.67
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$23.85
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$8.87
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$9.40
Rate for Payer: Wellcare Medicare Advantage	$8.87

ACID HEMOLYSIN TEST

Facility

$85.65

Service Code	HCPCS 85475
Hospital Charge Code	3006939
Hospital Revenue Code	305
Min. Negotiated Rate	$4.43
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$28.74
Rate for Payer: Aetna Medicare Advantage	$8.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.50
Rate for Payer: Cigna Commercial	$8.87
Rate for Payer: Cigna Medicare Advantage	$4.43
Rate for Payer: Clover Medicare Advantage	$8.43
Rate for Payer: EmblemHealth Commercial	$26.61
Rate for Payer: Humana Medicare Advantage	$9.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.13
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.85
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$8.87
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$9.40
Rate for Payer: Wellcare Medicare Advantage	$8.87

ACID HEMOLYSIN TEST

Facility

$85.65

Service Code	HCPCS 85475
Hospital Charge Code	3006939
Hospital Revenue Code	305
Min. Negotiated Rate	$12.85
Max. Negotiated Rate	$12.85
Rate for Payer: Qualcare PPO/HMO/WC	$12.85

ACIDOPHILUS/BULGASRICUS PACKET

Facility

$13.60

Service Code	NDC 64980014612
Hospital Charge Code	6063943049
Hospital Revenue Code	250
Min. Negotiated Rate	$2.04
Max. Negotiated Rate	$2.04
Rate for Payer: Qualcare PPO/HMO/WC	$2.04

ACIDOPHILUS/BULGASRICUS PACKET

Facility

$13.60

Service Code	NDC 64980014612
Hospital Charge Code	6063943049
Hospital Revenue Code	250
Min. Negotiated Rate	$1.77
Max. Negotiated Rate	$6.80
Rate for Payer: Aetna Commercial	$4.08
Rate for Payer: Aetna Medicare Advantage	$4.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.47
Rate for Payer: Cigna Commercial	$6.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.77
Rate for Payer: Oxford Commercial	$6.80
Rate for Payer: Qualcare PPO/HMO/WC	$2.04
Rate for Payer: UnitedHealthcare Commercial	$6.80

ACID PHOSPATASE***

Facility

$32.00

Hospital Charge Code	3010105
Hospital Revenue Code	309
Min. Negotiated Rate	$4.80
Max. Negotiated Rate	$4.80
Rate for Payer: Qualcare PPO/HMO/WC	$4.80

ACID PHOSPATASE***

Facility

$32.00

Hospital Charge Code	3010105
Hospital Revenue Code	309
Min. Negotiated Rate	$4.16
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$9.60
Rate for Payer: Aetna Medicare Advantage	$9.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.16
Rate for Payer: Cigna Commercial	$16.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.16
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.80
Rate for Payer: UnitedHealthcare Commercial	$114.00

ACID PHOSPHATASE,PROSTATI

Facility

$390.00

Service Code	HCPCS 84066
Hospital Charge Code	39900118
Hospital Revenue Code	301
Min. Negotiated Rate	$4.83
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$31.30
Rate for Payer: Aetna Medicare Advantage	$9.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.39
Rate for Payer: Cigna Commercial	$9.66
Rate for Payer: Cigna Medicare Advantage	$4.83
Rate for Payer: Clover Medicare Advantage	$9.18
Rate for Payer: EmblemHealth Commercial	$28.98
Rate for Payer: Humana Medicare Advantage	$9.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.66
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$10.24
Rate for Payer: Wellcare Medicare Advantage	$9.66

ACID PHOSPHATASE,PROSTATI

Facility

$390.00

Service Code	HCPCS 84066
Hospital Charge Code	39900118
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

ACID PHOSPHATASE, PROSTATIC

Facility

$120.00

Service Code	HCPCS 84066
Hospital Charge Code	3006483
Hospital Revenue Code	301
Min. Negotiated Rate	$4.83
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$31.30
Rate for Payer: Aetna Medicare Advantage	$9.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.39
Rate for Payer: Cigna Commercial	$9.66
Rate for Payer: Cigna Medicare Advantage	$4.83
Rate for Payer: Clover Medicare Advantage	$9.18
Rate for Payer: EmblemHealth Commercial	$28.98
Rate for Payer: Humana Medicare Advantage	$9.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.60
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.00
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.66
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$10.24
Rate for Payer: Wellcare Medicare Advantage	$9.66

ACID PHOSPHATASE, PROSTATIC

Facility

$120.00

Service Code	HCPCS 84066
Hospital Charge Code	3006483
Hospital Revenue Code	301
Min. Negotiated Rate	$18.00
Max. Negotiated Rate	$18.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.00

ACID PHOSPHATASE,PROSTATIC (PA

Facility

$251.00

Service Code	HCPCS 84066
Hospital Charge Code	38472029
Hospital Revenue Code	301
Min. Negotiated Rate	$37.65
Max. Negotiated Rate	$37.65
Rate for Payer: Qualcare PPO/HMO/WC	$37.65

ACID PHOSPHATASE,PROSTATIC (PA

Facility

$251.00

Service Code	HCPCS 84066
Hospital Charge Code	38472029
Hospital Revenue Code	301
Min. Negotiated Rate	$4.83
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$31.30
Rate for Payer: Aetna Medicare Advantage	$9.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.39
Rate for Payer: Cigna Commercial	$9.66
Rate for Payer: Cigna Medicare Advantage	$4.83
Rate for Payer: Clover Medicare Advantage	$9.18
Rate for Payer: EmblemHealth Commercial	$28.98
Rate for Payer: Humana Medicare Advantage	$9.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.63
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.65
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.66
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$10.24
Rate for Payer: Wellcare Medicare Advantage	$9.66

Know your out-of-pocket cost for care.

All Charges