Heights University Hospital

All Charges

Charge

Type

Setting

Price

CH ACTIVATED PROTEIN C RESIS

Facility

$200.00

Service Code	HCPCS 85307
Hospital Charge Code	397071364
Hospital Revenue Code	305
Min. Negotiated Rate	$7.66
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$49.64
Rate for Payer: Aetna Medicare Advantage	$15.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.13
Rate for Payer: Cigna Commercial	$15.32
Rate for Payer: Cigna Medicare Advantage	$7.66
Rate for Payer: Clover Medicare Advantage	$14.55
Rate for Payer: EmblemHealth Commercial	$45.96
Rate for Payer: Humana Medicare Advantage	$15.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$15.32
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$16.24
Rate for Payer: Wellcare Medicare Advantage	$15.32

CH ACTIVATED PROTEIN C RESIS

Facility

$200.00

Service Code	HCPCS 85307
Hospital Charge Code	397071364
Hospital Revenue Code	305
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

CH ACUTE HEPATITIS PANEL

Facility

$2,220.17

Service Code	HCPCS 80074
Hospital Charge Code	397073343
Hospital Revenue Code	301
Min. Negotiated Rate	$333.03
Max. Negotiated Rate	$333.03
Rate for Payer: Qualcare PPO/HMO/WC	$333.03

CH ACUTE HEPATITIS PANEL

Facility

$2,220.17

Service Code	HCPCS 80074
Hospital Charge Code	397073343
Hospital Revenue Code	301
Min. Negotiated Rate	$23.82
Max. Negotiated Rate	$333.03
Rate for Payer: Aetna Commercial	$154.32
Rate for Payer: Aetna Medicare Advantage	$47.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$174.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$174.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$47.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$174.52
Rate for Payer: Cigna Commercial	$47.63
Rate for Payer: Cigna Medicare Advantage	$23.82
Rate for Payer: Clover Medicare Advantage	$45.25
Rate for Payer: EmblemHealth Commercial	$142.89
Rate for Payer: Humana Medicare Advantage	$49.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$288.62
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$333.03
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$47.63
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$50.49
Rate for Payer: Wellcare Medicare Advantage	$47.63

CH ACUTE LEUKEMIA PANEL

Facility

$2,111.00

Service Code	HCPCS 86849
Hospital Charge Code	397073143
Hospital Revenue Code	302
Min. Negotiated Rate	$316.65
Max. Negotiated Rate	$316.65
Rate for Payer: Qualcare PPO/HMO/WC	$316.65

CH ACUTE LEUKEMIA PANEL

Facility

$2,111.00

Service Code	HCPCS 86849
Hospital Charge Code	397073143
Hospital Revenue Code	302
Min. Negotiated Rate	$101.00
Max. Negotiated Rate	$1,055.50
Rate for Payer: Aetna Commercial	$633.30
Rate for Payer: Aetna Medicare Advantage	$633.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$538.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$538.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$538.30
Rate for Payer: Cigna Commercial	$1,055.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$274.43
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$316.65
Rate for Payer: UnitedHealthcare Commercial	$114.00

CH ACUTE LEUKEMIA PROF B/BM

Facility

$1,066.00

Service Code	HCPCS 85018
Hospital Charge Code	397073097
Hospital Revenue Code	305
Min. Negotiated Rate	$159.90
Max. Negotiated Rate	$159.90
Rate for Payer: Qualcare PPO/HMO/WC	$159.90

CH ACUTE LEUKEMIA PROF B/BM

Facility

$1,066.00

Service Code	HCPCS 85018
Hospital Charge Code	397073097
Hospital Revenue Code	305
Min. Negotiated Rate	$1.19
Max. Negotiated Rate	$159.90
Rate for Payer: Cigna Commercial	$2.37
Rate for Payer: Cigna Medicare Advantage	$1.19
Rate for Payer: Aetna Commercial	$7.68
Rate for Payer: Aetna Medicare Advantage	$2.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.68
Rate for Payer: Clover Medicare Advantage	$2.25
Rate for Payer: EmblemHealth Commercial	$7.11
Rate for Payer: Humana Medicare Advantage	$2.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$138.58
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$159.90
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$2.37
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$2.51
Rate for Payer: Wellcare Medicare Advantage	$2.37

CH ACYLCARNITINE, PLASMA

Facility

$401.00

Service Code	HCPCS 82017
Hospital Charge Code	397071399
Hospital Revenue Code	307
Min. Negotiated Rate	$8.44
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$54.66
Rate for Payer: Aetna Medicare Advantage	$16.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.81
Rate for Payer: Cigna Commercial	$16.87
Rate for Payer: Cigna Medicare Advantage	$8.44
Rate for Payer: Clover Medicare Advantage	$16.03
Rate for Payer: EmblemHealth Commercial	$50.61
Rate for Payer: Humana Medicare Advantage	$17.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.13
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.15
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.87
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$17.88
Rate for Payer: Wellcare Medicare Advantage	$16.87

CH ACYLCARNITINE, PLASMA

Facility

$401.00

Service Code	HCPCS 82017
Hospital Charge Code	397071399
Hospital Revenue Code	307
Min. Negotiated Rate	$60.15
Max. Negotiated Rate	$60.15
Rate for Payer: Qualcare PPO/HMO/WC	$60.15

CH ADDIS COUNT

Facility

$98.00

Service Code	HCPCS 89050
Hospital Charge Code	397073055
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	$12.74
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$14.70
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

CH ADDIS COUNT

Facility

$98.00

Service Code	HCPCS 89050
Hospital Charge Code	397073055
Hospital Revenue Code	300
Min. Negotiated Rate	$14.70
Max. Negotiated Rate	$14.70
Rate for Payer: Qualcare PPO/HMO/WC	$14.70

CH ADENOSINE DEAMINASE

Facility

$107.00

Service Code	HCPCS 84311
Hospital Charge Code	397073676
Hospital Revenue Code	301
Min. Negotiated Rate	$4.05
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$26.24
Rate for Payer: Aetna Medicare Advantage	$8.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.68
Rate for Payer: Cigna Commercial	$8.10
Rate for Payer: Cigna Medicare Advantage	$4.05
Rate for Payer: Clover Medicare Advantage	$7.70
Rate for Payer: EmblemHealth Commercial	$24.30
Rate for Payer: Humana Medicare Advantage	$8.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.91
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.05
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$8.10
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$8.59
Rate for Payer: Wellcare Medicare Advantage	$8.10

CH ADENOSINE DEAMINASE

Facility

$107.00

Service Code	HCPCS 84311
Hospital Charge Code	397073676
Hospital Revenue Code	301
Min. Negotiated Rate	$16.05
Max. Negotiated Rate	$16.05
Rate for Payer: Qualcare PPO/HMO/WC	$16.05

CH ADENOSINE DEAMINASE,FLUID

Facility

$337.00

Service Code	HCPCS 84311
Hospital Charge Code	397071553
Hospital Revenue Code	301
Min. Negotiated Rate	$50.55
Max. Negotiated Rate	$50.55
Rate for Payer: Qualcare PPO/HMO/WC	$50.55

CH ADENOSINE DEAMINASE,FLUID

Facility

$337.00

Service Code	HCPCS 84311
Hospital Charge Code	397071553
Hospital Revenue Code	301
Min. Negotiated Rate	$4.05
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$26.24
Rate for Payer: Aetna Medicare Advantage	$8.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.68
Rate for Payer: Cigna Commercial	$8.10
Rate for Payer: Cigna Medicare Advantage	$4.05
Rate for Payer: Clover Medicare Advantage	$7.70
Rate for Payer: EmblemHealth Commercial	$24.30
Rate for Payer: Humana Medicare Advantage	$8.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.81
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$50.55
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$8.10
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$8.59
Rate for Payer: Wellcare Medicare Advantage	$8.10

CH ADENOVIRUS DNA,QI, RT PCR

Facility

$877.00

Hospital Charge Code	3970725
Hospital Revenue Code	301
Min. Negotiated Rate	$101.00
Max. Negotiated Rate	$438.50
Rate for Payer: Aetna Commercial	$263.10
Rate for Payer: Aetna Medicare Advantage	$263.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.63
Rate for Payer: Cigna Commercial	$438.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.01
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$131.55
Rate for Payer: UnitedHealthcare Commercial	$114.00

CH ADENOVIRUS DNA,QI, RT PCR

Facility

$877.00

Hospital Charge Code	3970725
Hospital Revenue Code	301
Min. Negotiated Rate	$131.55
Max. Negotiated Rate	$131.55
Rate for Payer: Qualcare PPO/HMO/WC	$131.55

CH ADENOVIRUS DNA,QN,RT-PCR

Facility

$1,114.00

Service Code	HCPCS 87799
Hospital Charge Code	397071410
Hospital Revenue Code	306
Min. Negotiated Rate	$167.10
Max. Negotiated Rate	$167.10
Rate for Payer: Qualcare PPO/HMO/WC	$167.10

CH ADENOVIRUS DNA,QN,RT-PCR

Facility

$1,114.00

Service Code	HCPCS 87799
Hospital Charge Code	397071410
Hospital Revenue Code	306
Min. Negotiated Rate	$21.42
Max. Negotiated Rate	$167.10
Rate for Payer: Aetna Commercial	$138.80
Rate for Payer: Aetna Medicare Advantage	$42.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$156.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$156.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$42.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$156.97
Rate for Payer: Cigna Commercial	$42.84
Rate for Payer: Cigna Medicare Advantage	$21.42
Rate for Payer: Clover Medicare Advantage	$40.70
Rate for Payer: EmblemHealth Commercial	$128.52
Rate for Payer: Humana Medicare Advantage	$44.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.82
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$167.10
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$42.84
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$45.41
Rate for Payer: Wellcare Medicare Advantage	$42.84

CH AFP MATERNAL

Facility

$210.00

Service Code	HCPCS 82105
Hospital Charge Code	397073037
Hospital Revenue Code	301
Min. Negotiated Rate	$8.38
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$54.33
Rate for Payer: Aetna Medicare Advantage	$16.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.45
Rate for Payer: Cigna Commercial	$16.77
Rate for Payer: Cigna Medicare Advantage	$8.38
Rate for Payer: Clover Medicare Advantage	$15.93
Rate for Payer: EmblemHealth Commercial	$50.31
Rate for Payer: Humana Medicare Advantage	$17.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.30
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$31.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.77
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$17.78
Rate for Payer: Wellcare Medicare Advantage	$16.77

CH AFP MATERNAL

Facility

$210.00

Service Code	HCPCS 82105
Hospital Charge Code	397073037
Hospital Revenue Code	301
Min. Negotiated Rate	$31.50
Max. Negotiated Rate	$31.50
Rate for Payer: Qualcare PPO/HMO/WC	$31.50

CH AFP XTRA

Facility

$233.00

Service Code	HCPCS 82105
Hospital Charge Code	397073173
Hospital Revenue Code	301
Min. Negotiated Rate	$34.95
Max. Negotiated Rate	$34.95
Rate for Payer: Qualcare PPO/HMO/WC	$34.95

CH AFP XTRA

Facility

$233.00

Service Code	HCPCS 82105
Hospital Charge Code	397073173
Hospital Revenue Code	301
Min. Negotiated Rate	$8.38
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$54.33
Rate for Payer: Aetna Medicare Advantage	$16.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.45
Rate for Payer: Cigna Commercial	$16.77
Rate for Payer: Cigna Medicare Advantage	$8.38
Rate for Payer: Clover Medicare Advantage	$15.93
Rate for Payer: EmblemHealth Commercial	$50.31
Rate for Payer: Humana Medicare Advantage	$17.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.29
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$34.95
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.77
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$17.78
Rate for Payer: Wellcare Medicare Advantage	$16.77

CHAIR BEACH POSITONER LOANER

Facility

$1,250.00

Hospital Charge Code	270648818
Hospital Revenue Code	271
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

Know your out-of-pocket cost for care.

All Charges