Heights University Hospital

All Charges

Charge

Type

Setting

Price

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

CH ALBUMIN

Facility

$36.00

Service Code	HCPCS 82040
Hospital Charge Code	397071261
Hospital Revenue Code	307
Min. Negotiated Rate	$5.40
Max. Negotiated Rate	$5.40
Rate for Payer: Qualcare PPO/HMO/WC	$5.40

CH ALBUMIN

Facility

$36.00

Service Code	HCPCS 82040
Hospital Charge Code	397071261
Hospital Revenue Code	307
Min. Negotiated Rate	$2.48
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.04
Rate for Payer: Aetna Medicare Advantage	$4.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.14
Rate for Payer: Cigna Commercial	$4.95
Rate for Payer: Cigna Medicare Advantage	$2.48
Rate for Payer: Clover Medicare Advantage	$4.70
Rate for Payer: EmblemHealth Commercial	$14.85
Rate for Payer: Humana Medicare Advantage	$5.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.68
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.40
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.95
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.25
Rate for Payer: Wellcare Medicare Advantage	$4.95

CH ALBUMIN CSF

Facility

$90.00

Service Code	HCPCS 82042
Hospital Charge Code	397073234
Hospital Revenue Code	307
Min. Negotiated Rate	$3.89
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$25.21
Rate for Payer: Aetna Medicare Advantage	$7.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.51
Rate for Payer: Cigna Commercial	$7.78
Rate for Payer: Cigna Medicare Advantage	$3.89
Rate for Payer: Clover Medicare Advantage	$7.39
Rate for Payer: EmblemHealth Commercial	$23.34
Rate for Payer: Humana Medicare Advantage	$8.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$7.78
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$8.25
Rate for Payer: Wellcare Medicare Advantage	$7.78

CH ALBUMIN CSF

Facility

$105.00

Service Code	HCPCS 82042
Hospital Charge Code	397073019
Hospital Revenue Code	307
Min. Negotiated Rate	$3.89
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Medicare Advantage	$7.78
Rate for Payer: Aetna Commercial	$25.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.51
Rate for Payer: Cigna Commercial	$7.78
Rate for Payer: Cigna Medicare Advantage	$3.89
Rate for Payer: Clover Medicare Advantage	$7.39
Rate for Payer: EmblemHealth Commercial	$23.34
Rate for Payer: Humana Medicare Advantage	$8.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.65
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.75
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$7.78
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$8.25
Rate for Payer: Wellcare Medicare Advantage	$7.78

CH ALBUMIN CSF

Facility

$90.00

Service Code	HCPCS 82042
Hospital Charge Code	397073234
Hospital Revenue Code	307
Min. Negotiated Rate	$13.50
Max. Negotiated Rate	$13.50
Rate for Payer: Qualcare PPO/HMO/WC	$13.50

CH ALBUMIN CSF

Facility

$90.00

Service Code	HCPCS 82042
Hospital Charge Code	397073223
Hospital Revenue Code	307
Min. Negotiated Rate	$3.89
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$25.21
Rate for Payer: Aetna Medicare Advantage	$7.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.51
Rate for Payer: Cigna Commercial	$7.78
Rate for Payer: Cigna Medicare Advantage	$3.89
Rate for Payer: Clover Medicare Advantage	$7.39
Rate for Payer: EmblemHealth Commercial	$23.34
Rate for Payer: Humana Medicare Advantage	$8.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$7.78
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$8.25
Rate for Payer: Wellcare Medicare Advantage	$7.78

CH ALBUMIN CSF

Facility

$105.00

Service Code	HCPCS 82042
Hospital Charge Code	397073019
Hospital Revenue Code	307
Min. Negotiated Rate	$15.75
Max. Negotiated Rate	$15.75
Rate for Payer: Qualcare PPO/HMO/WC	$15.75

CH ALBUMIN CSF

Facility

$90.00

Service Code	HCPCS 82042
Hospital Charge Code	397073223
Hospital Revenue Code	307
Min. Negotiated Rate	$13.50
Max. Negotiated Rate	$13.50
Rate for Payer: Qualcare PPO/HMO/WC	$13.50

CH ALBUMIN FLUID

Facility

$204.00

Service Code	HCPCS 82042
Hospital Charge Code	397073196
Hospital Revenue Code	307
Min. Negotiated Rate	$3.89
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$25.21
Rate for Payer: Aetna Medicare Advantage	$7.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.51
Rate for Payer: Cigna Commercial	$7.78
Rate for Payer: Cigna Medicare Advantage	$3.89
Rate for Payer: Clover Medicare Advantage	$7.39
Rate for Payer: EmblemHealth Commercial	$23.34
Rate for Payer: Humana Medicare Advantage	$8.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.52
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.60
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$7.78
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$8.25
Rate for Payer: Wellcare Medicare Advantage	$7.78

CH ALBUMIN FLUID

Facility

$204.00

Service Code	HCPCS 82042
Hospital Charge Code	397073196
Hospital Revenue Code	307
Min. Negotiated Rate	$30.60
Max. Negotiated Rate	$30.60
Rate for Payer: Qualcare PPO/HMO/WC	$30.60

CH ALBUMIN SERUM

Facility

$43.00

Service Code	HCPCS 82040
Hospital Charge Code	397073224
Hospital Revenue Code	307
Min. Negotiated Rate	$6.45
Max. Negotiated Rate	$6.45
Rate for Payer: Qualcare PPO/HMO/WC	$6.45

CH ALBUMIN SERUM

Facility

$43.00

Service Code	HCPCS 82040
Hospital Charge Code	397073224
Hospital Revenue Code	307
Min. Negotiated Rate	$2.48
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.04
Rate for Payer: Aetna Medicare Advantage	$4.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.14
Rate for Payer: Cigna Commercial	$4.95
Rate for Payer: Cigna Medicare Advantage	$2.48
Rate for Payer: Clover Medicare Advantage	$4.70
Rate for Payer: EmblemHealth Commercial	$14.85
Rate for Payer: Humana Medicare Advantage	$5.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.59
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.45
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.95
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.25
Rate for Payer: Wellcare Medicare Advantage	$4.95

CH ALBUMIN SERUM

Facility

$43.00

Service Code	HCPCS 82040
Hospital Charge Code	397073235
Hospital Revenue Code	307
Min. Negotiated Rate	$2.48
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.04
Rate for Payer: Aetna Medicare Advantage	$4.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.14
Rate for Payer: Cigna Commercial	$4.95
Rate for Payer: Cigna Medicare Advantage	$2.48
Rate for Payer: Clover Medicare Advantage	$4.70
Rate for Payer: EmblemHealth Commercial	$14.85
Rate for Payer: Humana Medicare Advantage	$5.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.59
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.45
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.95
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.25
Rate for Payer: Wellcare Medicare Advantage	$4.95

CH ALBUMIN SERUM

Facility

$43.00

Service Code	HCPCS 82040
Hospital Charge Code	397073235
Hospital Revenue Code	307
Min. Negotiated Rate	$6.45
Max. Negotiated Rate	$6.45
Rate for Payer: Qualcare PPO/HMO/WC	$6.45

CH ALCOHOL ETHYL

Facility

$417.00

Service Code	HCPCS 80320
Hospital Charge Code	397071250
Hospital Revenue Code	301
Min. Negotiated Rate	$54.21
Max. Negotiated Rate	$208.50
Rate for Payer: Aetna Commercial	$125.10
Rate for Payer: Aetna Medicare Advantage	$125.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$106.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$106.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$106.33
Rate for Payer: Cigna Commercial	$208.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.21
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$62.55
Rate for Payer: UnitedHealthcare Commercial	$114.00

CH ALCOHOL ETHYL

Facility

$417.00

Service Code	HCPCS 80320
Hospital Charge Code	397071250
Hospital Revenue Code	301
Min. Negotiated Rate	$62.55
Max. Negotiated Rate	$62.55
Rate for Payer: Qualcare PPO/HMO/WC	$62.55

CH ALCOHOL, ETHYL, QL, URINE

Facility

$430.00

Service Code	HCPCS 80320
Hospital Charge Code	397071436
Hospital Revenue Code	301
Min. Negotiated Rate	$55.90
Max. Negotiated Rate	$215.00
Rate for Payer: Aetna Commercial	$129.00
Rate for Payer: Aetna Medicare Advantage	$129.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.65
Rate for Payer: Cigna Commercial	$215.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.90
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$64.50
Rate for Payer: UnitedHealthcare Commercial	$114.00

CH ALCOHOL, ETHYL, QL, URINE

Facility

$157.00

Service Code	HCPCS 80320
Hospital Charge Code	397071425
Hospital Revenue Code	301
Min. Negotiated Rate	$23.55
Max. Negotiated Rate	$23.55
Rate for Payer: Qualcare PPO/HMO/WC	$23.55

CH ALCOHOL, ETHYL, QL, URINE

Facility

$430.00

Service Code	HCPCS 80320
Hospital Charge Code	397071436
Hospital Revenue Code	301
Min. Negotiated Rate	$64.50
Max. Negotiated Rate	$64.50
Rate for Payer: Qualcare PPO/HMO/WC	$64.50

CH ALCOHOL, ETHYL, QL, URINE

Facility

$157.00

Service Code	HCPCS 80320
Hospital Charge Code	397071425
Hospital Revenue Code	301
Min. Negotiated Rate	$20.41
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$47.10
Rate for Payer: Aetna Medicare Advantage	$47.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.03
Rate for Payer: Cigna Commercial	$78.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.41
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$23.55
Rate for Payer: UnitedHealthcare Commercial	$114.00

CH ALCOHOL, ETHYL, QL, URINE

Facility

$157.00

Hospital Charge Code	397071402
Hospital Revenue Code	301
Min. Negotiated Rate	$20.41
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$47.10
Rate for Payer: Aetna Medicare Advantage	$47.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.03
Rate for Payer: Cigna Commercial	$78.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.41
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$23.55
Rate for Payer: UnitedHealthcare Commercial	$114.00

CH ALCOHOL, ETHYL, QL, URINE

Facility

$157.00

Hospital Charge Code	397071402
Hospital Revenue Code	301
Min. Negotiated Rate	$23.55
Max. Negotiated Rate	$23.55
Rate for Payer: Qualcare PPO/HMO/WC	$23.55

CH ALCOHOL, ETHYL, QN, URINE

Facility

$417.00

Service Code	HCPCS 80320
Hospital Charge Code	397071426
Hospital Revenue Code	301
Min. Negotiated Rate	$54.21
Max. Negotiated Rate	$208.50
Rate for Payer: Aetna Commercial	$125.10
Rate for Payer: Aetna Medicare Advantage	$125.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$106.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$106.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$106.33
Rate for Payer: Cigna Commercial	$208.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.21
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$62.55
Rate for Payer: UnitedHealthcare Commercial	$114.00

CH ALCOHOL, ETHYL, QN, URINE

Facility

$417.00

Service Code	HCPCS 80320
Hospital Charge Code	397071426
Hospital Revenue Code	301
Min. Negotiated Rate	$62.55
Max. Negotiated Rate	$62.55
Rate for Payer: Qualcare PPO/HMO/WC	$62.55

Know your out-of-pocket cost for care.

All Charges