Heights University Hospital

All Charges

Charge

Type

Setting

Price

CAT SCRATCH DISEASE AB PA III

Facility

$82.85

Service Code	HCPCS 8625591
Hospital Charge Code	39990028C
Hospital Revenue Code	302
Min. Negotiated Rate	$12.43
Max. Negotiated Rate	$12.43
Rate for Payer: Qualcare PPO/HMO/WC	$12.43

CAT SCRATCH DISEASE AB PA IV

Facility

$82.85

Service Code	HCPCS 8625591
Hospital Charge Code	39990028D
Hospital Revenue Code	302
Min. Negotiated Rate	$12.43
Max. Negotiated Rate	$12.43
Rate for Payer: Qualcare PPO/HMO/WC	$12.43

CAT SCRATCH DISEASE AB PA IV

Facility

$82.85

Service Code	HCPCS 8625591
Hospital Charge Code	39990028D
Hospital Revenue Code	302
Min. Negotiated Rate	$10.77
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$24.86
Rate for Payer: Aetna Medicare Advantage	$24.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.13
Rate for Payer: Cigna Commercial	$41.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.77
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.43
Rate for Payer: UnitedHealthcare Commercial	$114.00

CAT SCRATCH DISEASE AB PA V

Facility

$69.95

Service Code	HCPCS 8661191
Hospital Charge Code	39990028E
Hospital Revenue Code	302
Min. Negotiated Rate	$10.49
Max. Negotiated Rate	$10.49
Rate for Payer: Qualcare PPO/HMO/WC	$10.49

CAT SCRATCH DISEASE AB PA V

Facility

$69.95

Service Code	HCPCS 8661191
Hospital Charge Code	39990028E
Hospital Revenue Code	302
Min. Negotiated Rate	$9.09
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$20.98
Rate for Payer: Aetna Medicare Advantage	$20.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.84
Rate for Payer: Cigna Commercial	$34.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.09
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.49
Rate for Payer: UnitedHealthcare Commercial	$114.00

CAT SCRATCH DISEASE AB PA VI

Facility

$69.95

Service Code	HCPCS 8661191
Hospital Charge Code	39990028F
Hospital Revenue Code	302
Min. Negotiated Rate	$9.09
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$20.98
Rate for Payer: Aetna Medicare Advantage	$20.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.84
Rate for Payer: Cigna Commercial	$34.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.09
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.49
Rate for Payer: UnitedHealthcare Commercial	$114.00

CAT SCRATCH DISEASE AB PA VI

Facility

$69.95

Service Code	HCPCS 8661191
Hospital Charge Code	39990028F
Hospital Revenue Code	302
Min. Negotiated Rate	$10.49
Max. Negotiated Rate	$10.49
Rate for Payer: Qualcare PPO/HMO/WC	$10.49

CAT SCRATCH DISEASE AB PA VII

Facility

$69.95

Service Code	HCPCS 8661191
Hospital Charge Code	39990028G
Hospital Revenue Code	302
Min. Negotiated Rate	$10.49
Max. Negotiated Rate	$10.49
Rate for Payer: Qualcare PPO/HMO/WC	$10.49

CAT SCRATCH DISEASE AB PA VII

Facility

$69.95

Service Code	HCPCS 8661191
Hospital Charge Code	39990028G
Hospital Revenue Code	302
Min. Negotiated Rate	$9.09
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$20.98
Rate for Payer: Aetna Medicare Advantage	$20.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.84
Rate for Payer: Cigna Commercial	$34.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.09
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.49
Rate for Payer: UnitedHealthcare Commercial	$114.00

CAT SCRATCH DISEASE AB PA VIII

Facility

$69.95

Service Code	HCPCS 8661191
Hospital Charge Code	39990028H
Hospital Revenue Code	302
Min. Negotiated Rate	$10.49
Max. Negotiated Rate	$10.49
Rate for Payer: Qualcare PPO/HMO/WC	$10.49

CAT SCRATCH DISEASE AB PA VIII

Facility

$69.95

Service Code	HCPCS 8661191
Hospital Charge Code	39990028H
Hospital Revenue Code	302
Min. Negotiated Rate	$9.09
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$20.98
Rate for Payer: Aetna Medicare Advantage	$20.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.84
Rate for Payer: Cigna Commercial	$34.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.09
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.49
Rate for Payer: UnitedHealthcare Commercial	$114.00

CAT SCRATCH FEVER ANTIBODY

Facility

$100.00

Service Code	HCPCS 86609
Hospital Charge Code	3009305
Hospital Revenue Code	302
Min. Negotiated Rate	$6.44
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$41.73
Rate for Payer: Aetna Medicare Advantage	$12.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.19
Rate for Payer: Cigna Commercial	$12.88
Rate for Payer: Cigna Medicare Advantage	$6.44
Rate for Payer: Clover Medicare Advantage	$12.24
Rate for Payer: EmblemHealth Commercial	$38.64
Rate for Payer: Humana Medicare Advantage	$13.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.00
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.88
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13.65
Rate for Payer: Wellcare Medicare Advantage	$12.88

CAT SCRATCH FEVER ANTIBODY

Facility

$100.00

Service Code	HCPCS 86609
Hospital Charge Code	3009305
Hospital Revenue Code	302
Min. Negotiated Rate	$15.00
Max. Negotiated Rate	$15.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.00

CA URINE QUANT TIMED

Facility

$390.00

Service Code	HCPCS 82340
Hospital Charge Code	39990241B
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CA URINE QUANT TIMED

Facility

$390.00

Service Code	HCPCS 82340
Hospital Charge Code	39990241B
Hospital Revenue Code	301
Min. Negotiated Rate	$3.02
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$19.54
Rate for Payer: Aetna Medicare Advantage	$6.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.09
Rate for Payer: Cigna Commercial	$6.03
Rate for Payer: Cigna Medicare Advantage	$3.02
Rate for Payer: Clover Medicare Advantage	$5.73
Rate for Payer: EmblemHealth Commercial	$18.09
Rate for Payer: Humana Medicare Advantage	$6.21
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	$6.03
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.39
Rate for Payer: Wellcare Medicare Advantage	$6.03

CAUT AC-TEMP FINE TIP 8442000

Facility

$386.95

Hospital Charge Code	270635128
Hospital Revenue Code	272
Min. Negotiated Rate	$58.04
Max. Negotiated Rate	$58.04
Rate for Payer: Qualcare PPO/HMO/WC	$58.04

CAUT AC-TEMP FINE TIP 8442000

Facility

$386.95

Hospital Charge Code	270635128
Hospital Revenue Code	272
Min. Negotiated Rate	$50.30
Max. Negotiated Rate	$193.47
Rate for Payer: Aetna Commercial	$116.08
Rate for Payer: Aetna Medicare Advantage	$116.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$98.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$98.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$98.67
Rate for Payer: Cigna Commercial	$193.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.30
Rate for Payer: Oxford Commercial	$193.47
Rate for Payer: Qualcare PPO/HMO/WC	$58.04
Rate for Payer: UnitedHealthcare Commercial	$193.47

CAUTERY C-LINE ACUTEMP 8442000

Facility

$38.25

Hospital Charge Code	270600742
Hospital Revenue Code	272
Min. Negotiated Rate	$5.74
Max. Negotiated Rate	$5.74
Rate for Payer: Qualcare PPO/HMO/WC	$5.74

CAUTERY C-LINE ACUTEMP 8442000

Facility

$38.25

Hospital Charge Code	270600742
Hospital Revenue Code	272
Min. Negotiated Rate	$4.97
Max. Negotiated Rate	$19.12
Rate for Payer: Aetna Commercial	$11.47
Rate for Payer: Aetna Medicare Advantage	$11.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.75
Rate for Payer: Cigna Commercial	$19.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.97
Rate for Payer: Oxford Commercial	$19.12
Rate for Payer: Qualcare PPO/HMO/WC	$5.74
Rate for Payer: UnitedHealthcare Commercial	$19.12

CAUTERY HIGH TEMP

Facility

$63.46

Hospital Charge Code	270649975S
Hospital Revenue Code	272
Min. Negotiated Rate	$9.52
Max. Negotiated Rate	$9.52
Rate for Payer: Qualcare PPO/HMO/WC	$9.52

CAUTERY HIGH TEMP

Facility

$63.46

Hospital Charge Code	270649975
Hospital Revenue Code	272
Min. Negotiated Rate	$9.52
Max. Negotiated Rate	$9.52
Rate for Payer: Qualcare PPO/HMO/WC	$9.52

CAUTERY HIGH TEMP

Facility

$63.46

Hospital Charge Code	270649975S
Hospital Revenue Code	272
Min. Negotiated Rate	$8.25
Max. Negotiated Rate	$31.73
Rate for Payer: Aetna Commercial	$19.04
Rate for Payer: Aetna Medicare Advantage	$19.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.18
Rate for Payer: Cigna Commercial	$31.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.25
Rate for Payer: Oxford Commercial	$31.73
Rate for Payer: Qualcare PPO/HMO/WC	$9.52
Rate for Payer: UnitedHealthcare Commercial	$31.73

CAUTERY HIGH TEMP

Facility

$63.46

Hospital Charge Code	270649975
Hospital Revenue Code	272
Min. Negotiated Rate	$8.25
Max. Negotiated Rate	$31.73
Rate for Payer: Aetna Commercial	$19.04
Rate for Payer: Aetna Medicare Advantage	$19.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.18
Rate for Payer: Cigna Commercial	$31.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.25
Rate for Payer: Oxford Commercial	$31.73
Rate for Payer: Qualcare PPO/HMO/WC	$9.52
Rate for Payer: UnitedHealthcare Commercial	$31.73

CAUTERY HIGH TEMP

Facility

$45.50

Hospital Charge Code	270649975N
Hospital Revenue Code	272
Min. Negotiated Rate	$6.83
Max. Negotiated Rate	$6.83
Rate for Payer: Qualcare PPO/HMO/WC	$6.83

CAUTERY HIGH TEMP

Facility

$45.50

Hospital Charge Code	270649975N
Hospital Revenue Code	272
Min. Negotiated Rate	$5.92
Max. Negotiated Rate	$22.75
Rate for Payer: Aetna Commercial	$13.65
Rate for Payer: Aetna Medicare Advantage	$13.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.60
Rate for Payer: Cigna Commercial	$22.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.92
Rate for Payer: Oxford Commercial	$22.75
Rate for Payer: Qualcare PPO/HMO/WC	$6.83
Rate for Payer: UnitedHealthcare Commercial	$22.75

Know your out-of-pocket cost for care.

All Charges