Heights University Hospital

All Charges

Charge

Type

Setting

Price

CELL COUNT, BODY FLUID

Facility

$91.25

Service Code	HCPCS 89051
Hospital Charge Code	3008703
Hospital Revenue Code	300
Min. Negotiated Rate	$1.68
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$18.14
Rate for Payer: Aetna Medicare Advantage	$5.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.52
Rate for Payer: Cigna Commercial	$5.60
Rate for Payer: Cigna Medicare Advantage	$2.80
Rate for Payer: Clover Medicare Advantage	$5.32
Rate for Payer: EmblemHealth Commercial	$16.80
Rate for Payer: Humana Medicare Advantage	$5.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.86
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.69
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.60
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.94
Rate for Payer: Wellcare Medicare Advantage	$5.60

CELL COUNT, BODY FLUID

Facility

$91.25

Service Code	HCPCS 89051
Hospital Charge Code	3008703
Hospital Revenue Code	300
Min. Negotiated Rate	$13.69
Max. Negotiated Rate	$13.69
Rate for Payer: Qualcare PPO/HMO/WC	$13.69

CELL COUNT (CSF)

Facility

$390.00

Service Code	HCPCS 89050
Hospital Charge Code	3000676
Hospital Revenue Code	300
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CELL COUNT (CSF)

Facility

$390.00

Service Code	HCPCS 89050
Hospital Charge Code	3000676
Hospital Revenue Code	300
Min. Negotiated Rate	$2.36
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$15.29
Rate for Payer: Aetna Medicare Advantage	$4.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.29
Rate for Payer: Cigna Commercial	$4.72
Rate for Payer: Cigna Medicare Advantage	$2.36
Rate for Payer: Clover Medicare Advantage	$4.48
Rate for Payer: EmblemHealth Commercial	$14.16
Rate for Payer: Humana Medicare Advantage	$4.86
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	$4.72
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.00
Rate for Payer: Wellcare Medicare Advantage	$4.72

CELL COUNT/DIFF PERITONEAL FLD

Facility

$667.59

Service Code	HCPCS 89051
Hospital Charge Code	3008705
Hospital Revenue Code	309
Min. Negotiated Rate	$100.14
Max. Negotiated Rate	$100.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.14

CELL COUNT/DIFF PERITONEAL FLD

Facility

$667.59

Service Code	HCPCS 89051
Hospital Charge Code	3008705
Hospital Revenue Code	309
Min. Negotiated Rate	$1.68
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$18.14
Rate for Payer: Aetna Medicare Advantage	$5.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.52
Rate for Payer: Cigna Commercial	$5.60
Rate for Payer: Cigna Medicare Advantage	$2.80
Rate for Payer: Clover Medicare Advantage	$5.32
Rate for Payer: EmblemHealth Commercial	$16.80
Rate for Payer: Humana Medicare Advantage	$5.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.79
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$100.14
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.60
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.94
Rate for Payer: Wellcare Medicare Advantage	$5.60

CELL COUNT/DIFF SYNOVIAL FLUID

Facility

$91.25

Service Code	HCPCS 89051
Hospital Charge Code	3008704
Hospital Revenue Code	309
Min. Negotiated Rate	$1.68
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$18.14
Rate for Payer: Aetna Medicare Advantage	$5.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.52
Rate for Payer: Cigna Commercial	$5.60
Rate for Payer: Cigna Medicare Advantage	$2.80
Rate for Payer: Clover Medicare Advantage	$5.32
Rate for Payer: EmblemHealth Commercial	$16.80
Rate for Payer: Humana Medicare Advantage	$5.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.86
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.69
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.60
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.94
Rate for Payer: Wellcare Medicare Advantage	$5.60

CELL COUNT/DIFF SYNOVIAL FLUID

Facility

$91.25

Service Code	HCPCS 89051
Hospital Charge Code	3008704
Hospital Revenue Code	309
Min. Negotiated Rate	$13.69
Max. Negotiated Rate	$13.69
Rate for Payer: Qualcare PPO/HMO/WC	$13.69

CELL COUNT/DIF PERICARDIAL FLD

Facility

$91.25

Service Code	HCPCS 89051
Hospital Charge Code	3008706
Hospital Revenue Code	309
Min. Negotiated Rate	$13.69
Max. Negotiated Rate	$13.69
Rate for Payer: Qualcare PPO/HMO/WC	$13.69

CELL COUNT/DIF PERICARDIAL FLD

Facility

$91.25

Service Code	HCPCS 89051
Hospital Charge Code	3008706
Hospital Revenue Code	309
Min. Negotiated Rate	$1.68
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$18.14
Rate for Payer: Aetna Medicare Advantage	$5.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.52
Rate for Payer: Cigna Commercial	$5.60
Rate for Payer: Cigna Medicare Advantage	$2.80
Rate for Payer: Clover Medicare Advantage	$5.32
Rate for Payer: EmblemHealth Commercial	$16.80
Rate for Payer: Humana Medicare Advantage	$5.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.86
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.69
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.60
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.94
Rate for Payer: Wellcare Medicare Advantage	$5.60

CELL COUNT FLUID

Facility

$307.00

Service Code	HCPCS 89050
Hospital Charge Code	38472208
Hospital Revenue Code	309
Min. Negotiated Rate	$46.05
Max. Negotiated Rate	$46.05
Rate for Payer: Qualcare PPO/HMO/WC	$46.05

CELL COUNT FLUID

Facility

$307.00

Service Code	HCPCS 89050
Hospital Charge Code	38472208
Hospital Revenue Code	309
Min. Negotiated Rate	$2.36
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$15.29
Rate for Payer: Aetna Medicare Advantage	$4.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.29
Rate for Payer: Cigna Commercial	$4.72
Rate for Payer: Cigna Medicare Advantage	$2.36
Rate for Payer: Clover Medicare Advantage	$4.48
Rate for Payer: EmblemHealth Commercial	$14.16
Rate for Payer: Humana Medicare Advantage	$4.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.91
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$46.05
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.72
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.00
Rate for Payer: Wellcare Medicare Advantage	$4.72

CELL COUNT W/DIFF,FLUID

Facility

$183.00

Service Code	HCPCS 89051
Hospital Charge Code	38473027
Hospital Revenue Code	309
Min. Negotiated Rate	$1.68
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$18.14
Rate for Payer: Aetna Medicare Advantage	$5.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.52
Rate for Payer: Cigna Commercial	$5.60
Rate for Payer: Cigna Medicare Advantage	$2.80
Rate for Payer: Clover Medicare Advantage	$5.32
Rate for Payer: EmblemHealth Commercial	$16.80
Rate for Payer: Humana Medicare Advantage	$5.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.79
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.45
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.60
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.94
Rate for Payer: Wellcare Medicare Advantage	$5.60

CELL COUNT W/DIFF,FLUID

Facility

$183.00

Service Code	HCPCS 89051
Hospital Charge Code	38473027
Hospital Revenue Code	309
Min. Negotiated Rate	$27.45
Max. Negotiated Rate	$27.45
Rate for Payer: Qualcare PPO/HMO/WC	$27.45

CELLERATE WND FILL POWDER 5GM

Facility

$13,751.25

Service Code	HCPCS A6010
Hospital Charge Code	270695988
Hospital Revenue Code	272
Min. Negotiated Rate	$26.48
Max. Negotiated Rate	$6,875.62
Rate for Payer: Aetna Commercial	$4,125.38
Rate for Payer: Aetna Medicare Advantage	$4,125.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,506.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,506.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,506.57
Rate for Payer: Cigna Commercial	$44.14
Rate for Payer: Cigna Medicare Advantage	$26.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,787.66
Rate for Payer: Oxford Commercial	$6,875.62
Rate for Payer: Qualcare PPO/HMO/WC	$2,062.69
Rate for Payer: UnitedHealthcare Commercial	$6,875.62

CELLERATE WND FILL POWDER 5GM

Facility

$13,751.25

Service Code	HCPCS A6010
Hospital Charge Code	270695988
Hospital Revenue Code	272
Min. Negotiated Rate	$2,062.69
Max. Negotiated Rate	$2,062.69
Rate for Payer: Qualcare PPO/HMO/WC	$2,062.69

CELL FRAGILITY ERYTHRO***

Facility

$56.00

Hospital Charge Code	3010725
Hospital Revenue Code	309
Min. Negotiated Rate	$7.28
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.80
Rate for Payer: Aetna Medicare Advantage	$16.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.28
Rate for Payer: Cigna Commercial	$28.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.28
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$8.40
Rate for Payer: UnitedHealthcare Commercial	$114.00

CELL FRAGILITY ERYTHRO***

Facility

$56.00

Hospital Charge Code	3010725
Hospital Revenue Code	309
Min. Negotiated Rate	$8.40
Max. Negotiated Rate	$8.40
Rate for Payer: Qualcare PPO/HMO/WC	$8.40

CELL SAVER AUTOTRANSFUSION

Facility

$3,792.85

Hospital Charge Code	1604495
Hospital Revenue Code	270
Min. Negotiated Rate	$493.07
Max. Negotiated Rate	$1,896.42
Rate for Payer: Aetna Commercial	$1,137.86
Rate for Payer: Aetna Medicare Advantage	$1,137.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$967.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$967.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$967.18
Rate for Payer: Cigna Commercial	$1,896.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$493.07
Rate for Payer: Oxford Commercial	$1,896.42
Rate for Payer: Qualcare PPO/HMO/WC	$568.93
Rate for Payer: UnitedHealthcare Commercial	$1,896.42

CELL SAVER AUTOTRANSFUSION

Facility

$3,792.85

Hospital Charge Code	1604495
Hospital Revenue Code	270
Min. Negotiated Rate	$568.93
Max. Negotiated Rate	$568.93
Rate for Payer: Qualcare PPO/HMO/WC	$568.93

CELL SAVER PACK

Facility

$363.75

Hospital Charge Code	270661410
Hospital Revenue Code	272
Min. Negotiated Rate	$47.29
Max. Negotiated Rate	$181.88
Rate for Payer: Aetna Commercial	$109.12
Rate for Payer: Aetna Medicare Advantage	$109.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.76
Rate for Payer: Cigna Commercial	$181.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.29
Rate for Payer: Oxford Commercial	$181.88
Rate for Payer: Qualcare PPO/HMO/WC	$54.56
Rate for Payer: UnitedHealthcare Commercial	$181.88

CELL SAVER PACK

Facility

$363.75

Hospital Charge Code	270661410
Hospital Revenue Code	272
Min. Negotiated Rate	$54.56
Max. Negotiated Rate	$54.56
Rate for Payer: Qualcare PPO/HMO/WC	$54.56

CELL SAVER SORIN PACK 55ML

Facility

$363.75

Hospital Charge Code	270659421
Hospital Revenue Code	270
Min. Negotiated Rate	$54.56
Max. Negotiated Rate	$54.56
Rate for Payer: Qualcare PPO/HMO/WC	$54.56

CELL SAVER SORIN PACK 55ML

Facility

$363.75

Hospital Charge Code	270659421
Hospital Revenue Code	270
Min. Negotiated Rate	$47.29
Max. Negotiated Rate	$181.88
Rate for Payer: Aetna Commercial	$109.12
Rate for Payer: Aetna Medicare Advantage	$109.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.76
Rate for Payer: Cigna Commercial	$181.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.29
Rate for Payer: Oxford Commercial	$181.88
Rate for Payer: Qualcare PPO/HMO/WC	$54.56
Rate for Payer: UnitedHealthcare Commercial	$181.88

CELLSERCH CIRC TUMRCELLS COLON

Facility

$1,671.85

Hospital Charge Code	397043303
Hospital Revenue Code	301
Min. Negotiated Rate	$250.78
Max. Negotiated Rate	$250.78
Rate for Payer: Qualcare PPO/HMO/WC	$250.78

Know your out-of-pocket cost for care.

All Charges