Heights University Hospital

All Charges

Charge

Type

Setting

Price

CH ALCOHOL FRACTIONATION

Facility

$294.00

Service Code	HCPCS 80320
Hospital Charge Code	397071329
Hospital Revenue Code	301
Min. Negotiated Rate	$44.10
Max. Negotiated Rate	$44.10
Rate for Payer: Qualcare PPO/HMO/WC	$44.10

CH ALCOHOL FRACTIONATION

Facility

$294.00

Service Code	HCPCS 80320
Hospital Charge Code	397071329
Hospital Revenue Code	301
Min. Negotiated Rate	$38.22
Max. Negotiated Rate	$147.00
Rate for Payer: Aetna Commercial	$88.20
Rate for Payer: Aetna Medicare Advantage	$88.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.97
Rate for Payer: Cigna Commercial	$147.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.22
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$44.10
Rate for Payer: UnitedHealthcare Commercial	$114.00

CH ALDOLASE

Facility

$167.00

Service Code	HCPCS 82085
Hospital Charge Code	397071248
Hospital Revenue Code	307
Min. Negotiated Rate	$25.05
Max. Negotiated Rate	$25.05
Rate for Payer: Qualcare PPO/HMO/WC	$25.05

CH ALDOLASE

Facility

$167.00

Service Code	HCPCS 82085
Hospital Charge Code	397071248
Hospital Revenue Code	307
Min. Negotiated Rate	$4.86
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$31.46
Rate for Payer: Aetna Medicare Advantage	$9.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.58
Rate for Payer: Cigna Commercial	$9.71
Rate for Payer: Cigna Medicare Advantage	$4.86
Rate for Payer: Clover Medicare Advantage	$9.22
Rate for Payer: EmblemHealth Commercial	$29.13
Rate for Payer: Humana Medicare Advantage	$10.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.71
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$25.05
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.71
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$10.29
Rate for Payer: Wellcare Medicare Advantage	$9.71

CH ALDOSTERONE

Facility

$251.00

Service Code	HCPCS 82088
Hospital Charge Code	397071326
Hospital Revenue Code	307
Min. Negotiated Rate	$37.65
Max. Negotiated Rate	$37.65
Rate for Payer: Qualcare PPO/HMO/WC	$37.65

CH ALDOSTERONE

Facility

$251.00

Service Code	HCPCS 82088
Hospital Charge Code	397071326
Hospital Revenue Code	307
Min. Negotiated Rate	$20.38
Max. Negotiated Rate	$149.31
Rate for Payer: Aetna Commercial	$132.03
Rate for Payer: Aetna Medicare Advantage	$40.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$149.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$149.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$40.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$149.31
Rate for Payer: Cigna Commercial	$40.75
Rate for Payer: Cigna Medicare Advantage	$20.38
Rate for Payer: Clover Medicare Advantage	$38.71
Rate for Payer: EmblemHealth Commercial	$122.25
Rate for Payer: Humana Medicare Advantage	$41.97
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	$40.75
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$43.20
Rate for Payer: Wellcare Medicare Advantage	$40.75

CH ALDOSTERONE SERUM

Facility

$327.00

Service Code	HCPCS 82088
Hospital Charge Code	397073005
Hospital Revenue Code	307
Min. Negotiated Rate	$20.38
Max. Negotiated Rate	$149.31
Rate for Payer: Aetna Commercial	$132.03
Rate for Payer: Aetna Medicare Advantage	$40.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$149.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$149.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$40.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$149.31
Rate for Payer: Cigna Commercial	$40.75
Rate for Payer: Cigna Medicare Advantage	$20.38
Rate for Payer: Clover Medicare Advantage	$38.71
Rate for Payer: EmblemHealth Commercial	$122.25
Rate for Payer: Humana Medicare Advantage	$41.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.51
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$49.05
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$40.75
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$43.20
Rate for Payer: Wellcare Medicare Advantage	$40.75

CH ALDOSTERONE SERUM

Facility

$327.00

Service Code	HCPCS 82088
Hospital Charge Code	397073005
Hospital Revenue Code	307
Min. Negotiated Rate	$49.05
Max. Negotiated Rate	$49.05
Rate for Payer: Qualcare PPO/HMO/WC	$49.05

CH ALDOSTERONE URINE

Facility

$251.00

Service Code	HCPCS 82088
Hospital Charge Code	397073006
Hospital Revenue Code	307
Min. Negotiated Rate	$37.65
Max. Negotiated Rate	$37.65
Rate for Payer: Qualcare PPO/HMO/WC	$37.65

CH ALDOSTERONE URINE

Facility

$251.00

Service Code	HCPCS 82088
Hospital Charge Code	397073006
Hospital Revenue Code	307
Min. Negotiated Rate	$20.38
Max. Negotiated Rate	$149.31
Rate for Payer: Aetna Commercial	$132.03
Rate for Payer: Aetna Medicare Advantage	$40.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$149.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$149.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$40.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$149.31
Rate for Payer: Cigna Commercial	$40.75
Rate for Payer: Cigna Medicare Advantage	$20.38
Rate for Payer: Clover Medicare Advantage	$38.71
Rate for Payer: EmblemHealth Commercial	$122.25
Rate for Payer: Humana Medicare Advantage	$41.97
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	$40.75
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$43.20
Rate for Payer: Wellcare Medicare Advantage	$40.75

CH ALICIAN BLUE

Facility

$672.00

Service Code	HCPCS 88313
Hospital Charge Code	397061079
Hospital Revenue Code	310
Min. Negotiated Rate	$46.48
Max. Negotiated Rate	$316.85
Rate for Payer: Aetna Commercial	$201.60
Rate for Payer: Aetna Medicare Advantage	$201.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$171.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$171.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$171.36
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: Cigna Medicare Advantage	$46.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.36
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$100.80
Rate for Payer: UnitedHealthcare Commercial	$114.00

CH ALICIAN BLUE

Facility

$672.00

Service Code	HCPCS 88313
Hospital Charge Code	397061079
Hospital Revenue Code	310
Min. Negotiated Rate	$100.80
Max. Negotiated Rate	$100.80
Rate for Payer: Qualcare PPO/HMO/WC	$100.80

CH ALKALINE PHOS ISO

Facility

$442.00

Service Code	HCPCS 84080
Hospital Charge Code	397073041
Hospital Revenue Code	301
Min. Negotiated Rate	$66.30
Max. Negotiated Rate	$66.30
Rate for Payer: Qualcare PPO/HMO/WC	$66.30

CH ALKALINE PHOS ISO

Facility

$442.00

Service Code	HCPCS 84080
Hospital Charge Code	397073041
Hospital Revenue Code	301
Min. Negotiated Rate	$6.73
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$47.89
Rate for Payer: Aetna Medicare Advantage	$14.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.78
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	$54.15
Rate for Payer: Cigna Commercial	$14.78
Rate for Payer: Cigna Medicare Advantage	$7.39
Rate for Payer: Clover Medicare Advantage	$14.04
Rate for Payer: EmblemHealth Commercial	$44.34
Rate for Payer: Humana Medicare Advantage	$15.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.46
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$66.30
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.78
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15.67
Rate for Payer: Wellcare Medicare Advantage	$14.78

CH ALKALINE PHOSPHATASE

Facility

$84.00

Service Code	HCPCS 84075
Hospital Charge Code	397071203
Hospital Revenue Code	301
Min. Negotiated Rate	$12.60
Max. Negotiated Rate	$12.60
Rate for Payer: Qualcare PPO/HMO/WC	$12.60

CH ALKALINE PHOSPHATASE

Facility

$84.00

Service Code	HCPCS 84075
Hospital Charge Code	397071203
Hospital Revenue Code	301
Min. Negotiated Rate	$2.59
Max. Negotiated Rate	$114.00
Rate for Payer: Humana Medicare Advantage	$5.34
Rate for Payer: Aetna Commercial	$16.78
Rate for Payer: Aetna Medicare Advantage	$5.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.18
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	$18.98
Rate for Payer: Cigna Commercial	$5.18
Rate for Payer: Cigna Medicare Advantage	$2.59
Rate for Payer: Clover Medicare Advantage	$4.92
Rate for Payer: EmblemHealth Commercial	$15.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.92
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.60
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.18
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.49
Rate for Payer: Wellcare Medicare Advantage	$5.18

CH ALK PHOS HEAT STABILE

Facility

$120.00

Service Code	HCPCS 84078
Hospital Charge Code	397071100
Hospital Revenue Code	301
Min. Negotiated Rate	$18.00
Max. Negotiated Rate	$18.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.00

CH ALK PHOS HEAT STABILE

Facility

$120.00

Service Code	HCPCS 84078
Hospital Charge Code	397071100
Hospital Revenue Code	301
Min. Negotiated Rate	$4.13
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$26.76
Rate for Payer: Aetna Medicare Advantage	$8.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8.26
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	$30.26
Rate for Payer: Cigna Commercial	$8.26
Rate for Payer: Cigna Medicare Advantage	$4.13
Rate for Payer: Clover Medicare Advantage	$7.85
Rate for Payer: EmblemHealth Commercial	$24.78
Rate for Payer: Humana Medicare Advantage	$8.51
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	$8.26
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$8.76
Rate for Payer: Wellcare Medicare Advantage	$8.26

CH ALLERGEN SPECIFIC X10

Facility

$98.00

Service Code	HCPCS 86003
Hospital Charge Code	397073321
Hospital Revenue Code	305
Min. Negotiated Rate	$2.61
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.91
Rate for Payer: Aetna Medicare Advantage	$5.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.13
Rate for Payer: Cigna Commercial	$5.22
Rate for Payer: Cigna Medicare Advantage	$2.61
Rate for Payer: Clover Medicare Advantage	$4.96
Rate for Payer: EmblemHealth Commercial	$15.66
Rate for Payer: Humana Medicare Advantage	$5.38
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	$5.22
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.53
Rate for Payer: Wellcare Medicare Advantage	$5.22

CH ALLERGEN SPECIFIC X10

Facility

$98.00

Service Code	HCPCS 86003
Hospital Charge Code	397073321
Hospital Revenue Code	305
Min. Negotiated Rate	$14.70
Max. Negotiated Rate	$14.70
Rate for Payer: Qualcare PPO/HMO/WC	$14.70

CH ALLERGY TEST SCREENING

Facility

$315.00

Service Code	HCPCS 86005
Hospital Charge Code	397073644
Hospital Revenue Code	305
Min. Negotiated Rate	$3.07
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$25.82
Rate for Payer: Aetna Medicare Advantage	$7.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.20
Rate for Payer: Cigna Commercial	$7.97
Rate for Payer: Cigna Medicare Advantage	$3.98
Rate for Payer: Clover Medicare Advantage	$7.57
Rate for Payer: EmblemHealth Commercial	$23.91
Rate for Payer: Humana Medicare Advantage	$8.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.95
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$47.25
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$7.97
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$8.45
Rate for Payer: Wellcare Medicare Advantage	$7.97

CH ALLERGY TEST SCREENING

Facility

$315.00

Service Code	HCPCS 86005
Hospital Charge Code	397073644
Hospital Revenue Code	305
Min. Negotiated Rate	$47.25
Max. Negotiated Rate	$47.25
Rate for Payer: Qualcare PPO/HMO/WC	$47.25

CH ALPHA 1 ACID GLYCOPROTEIN

Facility

$109.00

Service Code	HCPCS 82985
Hospital Charge Code	397072102
Hospital Revenue Code	301
Min. Negotiated Rate	$8.38
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$54.30
Rate for Payer: Aetna Medicare Advantage	$16.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.41
Rate for Payer: Cigna Commercial	$16.76
Rate for Payer: Cigna Medicare Advantage	$8.38
Rate for Payer: Clover Medicare Advantage	$15.92
Rate for Payer: EmblemHealth Commercial	$50.28
Rate for Payer: Humana Medicare Advantage	$17.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.17
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.35
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.76
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$17.77
Rate for Payer: Wellcare Medicare Advantage	$16.76

CH ALPHA 1 ACID GLYCOPROTEIN

Facility

$109.00

Service Code	HCPCS 82985
Hospital Charge Code	397072102
Hospital Revenue Code	301
Min. Negotiated Rate	$16.35
Max. Negotiated Rate	$16.35
Rate for Payer: Qualcare PPO/HMO/WC	$16.35

CH ALPHA 1 ANTIT, PHENOT

Facility

$390.00

Service Code	HCPCS 82104
Hospital Charge Code	397073056
Hospital Revenue Code	301
Min. Negotiated Rate	$7.23
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$46.85
Rate for Payer: Aetna Medicare Advantage	$14.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.98
Rate for Payer: Cigna Commercial	$14.46
Rate for Payer: Cigna Medicare Advantage	$7.23
Rate for Payer: Clover Medicare Advantage	$13.74
Rate for Payer: EmblemHealth Commercial	$43.38
Rate for Payer: Humana Medicare Advantage	$14.89
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	$14.46
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15.33
Rate for Payer: Wellcare Medicare Advantage	$14.46

Know your out-of-pocket cost for care.

All Charges