Heights University Hospital

All Charges

Charge

Type

Setting

Price

CH ALPHA 1 ANTIT, PHENOT

Facility

$390.00

Service Code	HCPCS 82104
Hospital Charge Code	397073056
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CH ALPHA 1 ANTITRYPSIN

Facility

$119.00

Service Code	HCPCS 82103
Hospital Charge Code	397071262
Hospital Revenue Code	301
Min. Negotiated Rate	$6.72
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$43.55
Rate for Payer: Aetna Medicare Advantage	$13.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.44
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	$49.24
Rate for Payer: Cigna Commercial	$13.44
Rate for Payer: Cigna Medicare Advantage	$6.72
Rate for Payer: Clover Medicare Advantage	$12.77
Rate for Payer: EmblemHealth Commercial	$40.32
Rate for Payer: Humana Medicare Advantage	$13.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.47
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.85
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.44
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14.25
Rate for Payer: Wellcare Medicare Advantage	$13.44

CH ALPHA 1 ANTITRYPSIN

Facility

$119.00

Service Code	HCPCS 82103
Hospital Charge Code	397071262
Hospital Revenue Code	301
Min. Negotiated Rate	$17.85
Max. Negotiated Rate	$17.85
Rate for Payer: Qualcare PPO/HMO/WC	$17.85

CH ALPHA 2 MACROGLOBIN

Facility

$144.00

Service Code	HCPCS 83883
Hospital Charge Code	397072055
Hospital Revenue Code	301
Min. Negotiated Rate	$21.60
Max. Negotiated Rate	$21.60
Rate for Payer: Qualcare PPO/HMO/WC	$21.60

CH ALPHA 2 MACROGLOBIN

Facility

$144.00

Service Code	HCPCS 83883
Hospital Charge Code	397072055
Hospital Revenue Code	301
Min. Negotiated Rate	$6.80
Max. Negotiated Rate	$165.64
Rate for Payer: Aetna Commercial	$44.06
Rate for Payer: Aetna Medicare Advantage	$13.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$165.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.83
Rate for Payer: Cigna Commercial	$13.60
Rate for Payer: Cigna Medicare Advantage	$6.80
Rate for Payer: Clover Medicare Advantage	$12.92
Rate for Payer: EmblemHealth Commercial	$40.80
Rate for Payer: Humana Medicare Advantage	$14.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.72
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.60
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.60
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14.42
Rate for Payer: Wellcare Medicare Advantage	$13.60

CH ALPHA FETO PROTEIN

Facility

$229.00

Service Code	HCPCS 82105
Hospital Charge Code	397071242
Hospital Revenue Code	301
Min. Negotiated Rate	$34.35
Max. Negotiated Rate	$34.35
Rate for Payer: Qualcare PPO/HMO/WC	$34.35

CH ALPHA FETO PROTEIN

Facility

$229.00

Service Code	HCPCS 82105
Hospital Charge Code	397071242
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	$29.77
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$34.35
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 ALPHA FETOPROTEIN

Facility

$104.00

Service Code	HCPCS 82105
Hospital Charge Code	397073239
Hospital Revenue Code	301
Min. Negotiated Rate	$15.60
Max. Negotiated Rate	$15.60
Rate for Payer: Qualcare PPO/HMO/WC	$15.60

CH ALPHA FETOPROTEIN

Facility

$104.00

Service Code	HCPCS 82105
Hospital Charge Code	397073239
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	$13.52
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.60
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 ALPHA FETOPROTEIN L3SERUM

Facility

$381.00

Service Code	HCPCS 82107
Hospital Charge Code	397071496
Hospital Revenue Code	301
Min. Negotiated Rate	$57.15
Max. Negotiated Rate	$57.15
Rate for Payer: Qualcare PPO/HMO/WC	$57.15

CH ALPHA FETOPROTEIN L3SERUM

Facility

$381.00

Service Code	HCPCS 82107
Hospital Charge Code	397071496
Hospital Revenue Code	301
Min. Negotiated Rate	$32.20
Max. Negotiated Rate	$236.00
Rate for Payer: Aetna Commercial	$208.69
Rate for Payer: Aetna Medicare Advantage	$64.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$236.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$236.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$64.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$168.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$236.00
Rate for Payer: Cigna Commercial	$64.41
Rate for Payer: Cigna Medicare Advantage	$32.20
Rate for Payer: Clover Medicare Advantage	$61.19
Rate for Payer: EmblemHealth Commercial	$193.23
Rate for Payer: Humana Medicare Advantage	$66.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.53
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$57.15
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$64.41
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$68.27
Rate for Payer: Wellcare Medicare Advantage	$64.41

CH ALPHA NAPA BUT ESTEB ST

Facility

$278.00

Service Code	HCPCS 88319
Hospital Charge Code	397073152
Hospital Revenue Code	310
Min. Negotiated Rate	$41.70
Max. Negotiated Rate	$41.70
Rate for Payer: Qualcare PPO/HMO/WC	$41.70

CH ALPHA NAPA BUT ESTEB ST

Facility

$278.00

Service Code	HCPCS 88319
Hospital Charge Code	397073152
Hospital Revenue Code	310
Min. Negotiated Rate	$36.14
Max. Negotiated Rate	$1,918.64
Rate for Payer: Aetna Commercial	$83.40
Rate for Payer: Aetna Medicare Advantage	$83.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.89
Rate for Payer: Cigna Commercial	$1,918.64
Rate for Payer: Cigna Medicare Advantage	$75.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.14
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$41.70
Rate for Payer: UnitedHealthcare Commercial	$114.00

CH ALPHRAZOLAM

Facility

$422.00

Service Code	HCPCS 80299
Hospital Charge Code	397073057
Hospital Revenue Code	301
Min. Negotiated Rate	$9.32
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$60.39
Rate for Payer: Aetna Medicare Advantage	$18.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.30
Rate for Payer: Cigna Commercial	$18.64
Rate for Payer: Cigna Medicare Advantage	$9.32
Rate for Payer: Clover Medicare Advantage	$17.71
Rate for Payer: EmblemHealth Commercial	$55.92
Rate for Payer: Humana Medicare Advantage	$19.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.86
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$63.30
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.64
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19.76
Rate for Payer: Wellcare Medicare Advantage	$18.64

CH ALPHRAZOLAM

Facility

$422.00

Service Code	HCPCS 80299
Hospital Charge Code	397073057
Hospital Revenue Code	301
Min. Negotiated Rate	$63.30
Max. Negotiated Rate	$63.30
Rate for Payer: Qualcare PPO/HMO/WC	$63.30

CH ALT (SGPT)

Facility

$146.00

Service Code	HCPCS 84460
Hospital Charge Code	397071086
Hospital Revenue Code	301
Min. Negotiated Rate	$2.65
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$17.17
Rate for Payer: Aetna Medicare Advantage	$5.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.42
Rate for Payer: Cigna Commercial	$5.30
Rate for Payer: Cigna Medicare Advantage	$2.65
Rate for Payer: Clover Medicare Advantage	$5.04
Rate for Payer: EmblemHealth Commercial	$15.90
Rate for Payer: Humana Medicare Advantage	$5.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.98
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.90
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.30
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.62
Rate for Payer: Wellcare Medicare Advantage	$5.30

CH ALT (SGPT)

Facility

$146.00

Service Code	HCPCS 84460
Hospital Charge Code	397071086
Hospital Revenue Code	301
Min. Negotiated Rate	$21.90
Max. Negotiated Rate	$21.90
Rate for Payer: Qualcare PPO/HMO/WC	$21.90

CH ALUMINUM SERUM

Facility

$166.00

Service Code	HCPCS 82108
Hospital Charge Code	397072023
Hospital Revenue Code	301
Min. Negotiated Rate	$12.74
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$82.56
Rate for Payer: Aetna Medicare Advantage	$25.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$25.48
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	$93.36
Rate for Payer: Cigna Commercial	$25.48
Rate for Payer: Cigna Medicare Advantage	$12.74
Rate for Payer: Clover Medicare Advantage	$24.21
Rate for Payer: EmblemHealth Commercial	$76.44
Rate for Payer: Humana Medicare Advantage	$26.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.58
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.90
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$25.48
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$27.01
Rate for Payer: Wellcare Medicare Advantage	$25.48

CH ALUMINUM SERUM

Facility

$166.00

Service Code	HCPCS 82108
Hospital Charge Code	397072023
Hospital Revenue Code	301
Min. Negotiated Rate	$24.90
Max. Negotiated Rate	$24.90
Rate for Payer: Qualcare PPO/HMO/WC	$24.90

CH ALUMINUM URINE

Facility

$293.00

Service Code	HCPCS 82108
Hospital Charge Code	397072024
Hospital Revenue Code	301
Min. Negotiated Rate	$12.74
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$82.56
Rate for Payer: Aetna Medicare Advantage	$25.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$25.48
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	$93.36
Rate for Payer: Cigna Commercial	$25.48
Rate for Payer: Cigna Medicare Advantage	$12.74
Rate for Payer: Clover Medicare Advantage	$24.21
Rate for Payer: EmblemHealth Commercial	$76.44
Rate for Payer: Humana Medicare Advantage	$26.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.09
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$43.95
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$25.48
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$27.01
Rate for Payer: Wellcare Medicare Advantage	$25.48

CH ALUMINUM URINE

Facility

$293.00

Service Code	HCPCS 82108
Hospital Charge Code	397072024
Hospital Revenue Code	301
Min. Negotiated Rate	$43.95
Max. Negotiated Rate	$43.95
Rate for Payer: Qualcare PPO/HMO/WC	$43.95

CHAMBER AUTO FEED

Facility

$51.74

Hospital Charge Code	270643696
Hospital Revenue Code	270
Min. Negotiated Rate	$7.76
Max. Negotiated Rate	$7.76
Rate for Payer: Qualcare PPO/HMO/WC	$7.76

CHAMBER AUTO FEED

Facility

$51.74

Hospital Charge Code	270643696
Hospital Revenue Code	270
Min. Negotiated Rate	$6.73
Max. Negotiated Rate	$25.87
Rate for Payer: Aetna Commercial	$15.52
Rate for Payer: Aetna Medicare Advantage	$15.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.19
Rate for Payer: Cigna Commercial	$25.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.73
Rate for Payer: Oxford Commercial	$25.87
Rate for Payer: Qualcare PPO/HMO/WC	$7.76
Rate for Payer: UnitedHealthcare Commercial	$25.87

CHAMBER DRUG HOLDING INSPIREA-

Facility

$44.89

Hospital Charge Code	270639104
Hospital Revenue Code	270
Min. Negotiated Rate	$5.84
Max. Negotiated Rate	$22.45
Rate for Payer: Aetna Commercial	$13.47
Rate for Payer: Aetna Medicare Advantage	$13.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.45
Rate for Payer: Cigna Commercial	$22.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.84
Rate for Payer: Oxford Commercial	$22.45
Rate for Payer: Qualcare PPO/HMO/WC	$6.73
Rate for Payer: UnitedHealthcare Commercial	$22.45

CHAMBER DRUG HOLDING INSPIREA-

Facility

$44.89

Hospital Charge Code	270639104
Hospital Revenue Code	270
Min. Negotiated Rate	$6.73
Max. Negotiated Rate	$6.73
Rate for Payer: Qualcare PPO/HMO/WC	$6.73

Know your out-of-pocket cost for care.

All Charges