Heights University Hospital

All Charges

Charge

Type

Setting

Price

CH AMPLIFICATION X5

Facility

$104.00

Service Code	HCPCS 83898
Hospital Charge Code	397073573
Hospital Revenue Code	301
Min. Negotiated Rate	$13.52
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$31.20
Rate for Payer: Aetna Medicare Advantage	$31.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.52
Rate for Payer: Cigna Commercial	$52.00
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

CH AMPLIFICATION X5

Facility

$104.00

Service Code	HCPCS 83898
Hospital Charge Code	397073573
Hospital Revenue Code	301
Min. Negotiated Rate	$15.60
Max. Negotiated Rate	$15.60
Rate for Payer: Qualcare PPO/HMO/WC	$15.60

CH AMYLASE

Facility

$137.00

Service Code	HCPCS 82150
Hospital Charge Code	397071045
Hospital Revenue Code	301
Min. Negotiated Rate	$3.24
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$21.00
Rate for Payer: Aetna Medicare Advantage	$6.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.74
Rate for Payer: Cigna Commercial	$6.48
Rate for Payer: Cigna Medicare Advantage	$3.24
Rate for Payer: Clover Medicare Advantage	$6.16
Rate for Payer: EmblemHealth Commercial	$19.44
Rate for Payer: Humana Medicare Advantage	$6.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.81
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$20.55
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.48
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.87
Rate for Payer: Wellcare Medicare Advantage	$6.48

CH AMYLASE

Facility

$137.00

Service Code	HCPCS 82150
Hospital Charge Code	397071045
Hospital Revenue Code	301
Min. Negotiated Rate	$20.55
Max. Negotiated Rate	$20.55
Rate for Payer: Qualcare PPO/HMO/WC	$20.55

CH AMYLASE 2HR URINE

Facility

$195.00

Service Code	HCPCS 82150
Hospital Charge Code	397071205
Hospital Revenue Code	301
Min. Negotiated Rate	$3.24
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$21.00
Rate for Payer: Aetna Medicare Advantage	$6.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.74
Rate for Payer: Cigna Commercial	$6.48
Rate for Payer: Cigna Medicare Advantage	$3.24
Rate for Payer: Clover Medicare Advantage	$6.16
Rate for Payer: EmblemHealth Commercial	$19.44
Rate for Payer: Humana Medicare Advantage	$6.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.35
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$29.25
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.48
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.87
Rate for Payer: Wellcare Medicare Advantage	$6.48

CH AMYLASE 2HR URINE

Facility

$195.00

Service Code	HCPCS 82150
Hospital Charge Code	397071205
Hospital Revenue Code	301
Min. Negotiated Rate	$29.25
Max. Negotiated Rate	$29.25
Rate for Payer: Qualcare PPO/HMO/WC	$29.25

CH AMYLASE FLUID

Facility

$92.00

Service Code	HCPCS 82150
Hospital Charge Code	397073047
Hospital Revenue Code	301
Min. Negotiated Rate	$13.80
Max. Negotiated Rate	$13.80
Rate for Payer: Qualcare PPO/HMO/WC	$13.80

CH AMYLASE FLUID

Facility

$92.00

Service Code	HCPCS 82150
Hospital Charge Code	397073047
Hospital Revenue Code	301
Min. Negotiated Rate	$3.24
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$21.00
Rate for Payer: Aetna Medicare Advantage	$6.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.74
Rate for Payer: Cigna Commercial	$6.48
Rate for Payer: Cigna Medicare Advantage	$3.24
Rate for Payer: Clover Medicare Advantage	$6.16
Rate for Payer: EmblemHealth Commercial	$19.44
Rate for Payer: Humana Medicare Advantage	$6.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.96
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.80
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.48
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.87
Rate for Payer: Wellcare Medicare Advantage	$6.48

CH AMYLASE ISOENZYMES

Facility

$895.00

Service Code	HCPCS 82664
Hospital Charge Code	397072028
Hospital Revenue Code	301
Min. Negotiated Rate	$28.05
Max. Negotiated Rate	$225.34
Rate for Payer: Aetna Commercial	$199.26
Rate for Payer: Aetna Medicare Advantage	$61.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$225.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$225.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$61.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$225.34
Rate for Payer: Cigna Commercial	$61.50
Rate for Payer: Cigna Medicare Advantage	$30.75
Rate for Payer: Clover Medicare Advantage	$58.42
Rate for Payer: EmblemHealth Commercial	$184.50
Rate for Payer: Humana Medicare Advantage	$63.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.35
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$134.25
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$61.50
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$65.19
Rate for Payer: Wellcare Medicare Advantage	$61.50

CH AMYLASE ISOENZYMES

Facility

$1,012.00

Service Code	HCPCS 82664
Hospital Charge Code	397073258
Hospital Revenue Code	301
Min. Negotiated Rate	$28.05
Max. Negotiated Rate	$225.34
Rate for Payer: Aetna Commercial	$199.26
Rate for Payer: Aetna Medicare Advantage	$61.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$225.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$225.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$61.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$225.34
Rate for Payer: Cigna Commercial	$61.50
Rate for Payer: Cigna Medicare Advantage	$30.75
Rate for Payer: Clover Medicare Advantage	$58.42
Rate for Payer: EmblemHealth Commercial	$184.50
Rate for Payer: Humana Medicare Advantage	$63.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.56
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$151.80
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$61.50
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$65.19
Rate for Payer: Wellcare Medicare Advantage	$61.50

CH AMYLASE ISOENZYMES

Facility

$895.00

Service Code	HCPCS 82664
Hospital Charge Code	397072028
Hospital Revenue Code	301
Min. Negotiated Rate	$134.25
Max. Negotiated Rate	$134.25
Rate for Payer: Qualcare PPO/HMO/WC	$134.25

CH AMYLASE ISOENZYMES

Facility

$1,012.00

Service Code	HCPCS 82664
Hospital Charge Code	397073258
Hospital Revenue Code	301
Min. Negotiated Rate	$151.80
Max. Negotiated Rate	$151.80
Rate for Payer: Qualcare PPO/HMO/WC	$151.80

CH AMYLASE RANDOM URINE

Facility

$390.00

Service Code	HCPCS 82150
Hospital Charge Code	397073106
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CH AMYLASE RANDOM URINE

Facility

$390.00

Service Code	HCPCS 82150
Hospital Charge Code	397073106
Hospital Revenue Code	301
Min. Negotiated Rate	$3.24
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$21.00
Rate for Payer: Aetna Medicare Advantage	$6.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.74
Rate for Payer: Cigna Commercial	$6.48
Rate for Payer: Cigna Medicare Advantage	$3.24
Rate for Payer: Clover Medicare Advantage	$6.16
Rate for Payer: EmblemHealth Commercial	$19.44
Rate for Payer: Humana Medicare Advantage	$6.67
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	$6.48
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.87
Rate for Payer: Wellcare Medicare Advantage	$6.48

CH ANA

Facility

$667.59

Service Code	HCPCS 86038
Hospital Charge Code	397041355
Hospital Revenue Code	302
Min. Negotiated Rate	$6.04
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$39.17
Rate for Payer: Aetna Medicare Advantage	$12.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.09
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	$44.30
Rate for Payer: Cigna Commercial	$12.09
Rate for Payer: Cigna Medicare Advantage	$6.04
Rate for Payer: Clover Medicare Advantage	$11.49
Rate for Payer: EmblemHealth Commercial	$36.27
Rate for Payer: Humana Medicare Advantage	$12.45
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	$12.09
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12.82
Rate for Payer: Wellcare Medicare Advantage	$12.09

CH ANA

Facility

$667.59

Service Code	HCPCS 86038
Hospital Charge Code	397041355
Hospital Revenue Code	302
Min. Negotiated Rate	$100.14
Max. Negotiated Rate	$100.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.14

CH ANA TITER

Facility

$390.00

Service Code	HCPCS 86039
Hospital Charge Code	397041297
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CH ANA TITER

Facility

$390.00

Service Code	HCPCS 86039
Hospital Charge Code	397041297
Hospital Revenue Code	302
Min. Negotiated Rate	$5.58
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$36.16
Rate for Payer: Aetna Medicare Advantage	$11.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.89
Rate for Payer: Cigna Commercial	$11.16
Rate for Payer: Cigna Medicare Advantage	$5.58
Rate for Payer: Clover Medicare Advantage	$10.60
Rate for Payer: EmblemHealth Commercial	$33.48
Rate for Payer: Humana Medicare Advantage	$11.49
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	$11.16
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$11.83
Rate for Payer: Wellcare Medicare Advantage	$11.16

CH ANCA SCR W/MPO/PR3, W/RFL

Facility

$731.00

Service Code	HCPCS 86021
Hospital Charge Code	397071384
Hospital Revenue Code	302
Min. Negotiated Rate	$7.53
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$48.76
Rate for Payer: Aetna Medicare Advantage	$15.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55.14
Rate for Payer: Cigna Commercial	$15.05
Rate for Payer: Cigna Medicare Advantage	$7.53
Rate for Payer: Clover Medicare Advantage	$14.30
Rate for Payer: EmblemHealth Commercial	$45.15
Rate for Payer: Humana Medicare Advantage	$15.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$95.03
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$109.65
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$15.05
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15.95
Rate for Payer: Wellcare Medicare Advantage	$15.05

CH ANCA SCR W/MPO/PR3, W/RFL

Facility

$731.00

Service Code	HCPCS 86021
Hospital Charge Code	397071384
Hospital Revenue Code	302
Min. Negotiated Rate	$109.65
Max. Negotiated Rate	$109.65
Rate for Payer: Qualcare PPO/HMO/WC	$109.65

CHANDPER V PACING PROBE***

Facility

$181.00

Hospital Charge Code	8003113
Hospital Revenue Code	279
Min. Negotiated Rate	$27.15
Max. Negotiated Rate	$27.15
Rate for Payer: Qualcare PPO/HMO/WC	$27.15

CHANDPER V PACING PROBE***

Facility

$181.00

Hospital Charge Code	8003113
Hospital Revenue Code	279
Min. Negotiated Rate	$23.53
Max. Negotiated Rate	$90.50
Rate for Payer: Aetna Commercial	$54.30
Rate for Payer: Aetna Medicare Advantage	$54.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.16
Rate for Payer: Cigna Commercial	$90.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.53
Rate for Payer: Oxford Commercial	$90.50
Rate for Payer: Qualcare PPO/HMO/WC	$27.15
Rate for Payer: UnitedHealthcare Commercial	$90.50

CH ANDROSTANEDIOL GLUCRONIDE

Facility

$459.00

Service Code	HCPCS 82154
Hospital Charge Code	397073352
Hospital Revenue Code	301
Min. Negotiated Rate	$68.85
Max. Negotiated Rate	$68.85
Rate for Payer: Qualcare PPO/HMO/WC	$68.85

CH ANDROSTANEDIOL GLUCRONIDE

Facility

$459.00

Service Code	HCPCS 82154
Hospital Charge Code	397073352
Hospital Revenue Code	301
Min. Negotiated Rate	$14.41
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$93.41
Rate for Payer: Aetna Medicare Advantage	$28.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$28.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$82.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$105.63
Rate for Payer: Cigna Commercial	$28.83
Rate for Payer: Cigna Medicare Advantage	$14.41
Rate for Payer: Clover Medicare Advantage	$27.39
Rate for Payer: EmblemHealth Commercial	$86.49
Rate for Payer: Humana Medicare Advantage	$29.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.67
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$68.85
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$28.83
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$30.56
Rate for Payer: Wellcare Medicare Advantage	$28.83

CH ANDROSTENEDIONE

Facility

$1,038.00

Service Code	HCPCS 82157
Hospital Charge Code	397072029
Hospital Revenue Code	301
Min. Negotiated Rate	$14.64
Max. Negotiated Rate	$155.70
Rate for Payer: Aetna Commercial	$94.87
Rate for Payer: Aetna Medicare Advantage	$29.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$29.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.28
Rate for Payer: Cigna Commercial	$29.28
Rate for Payer: Cigna Medicare Advantage	$14.64
Rate for Payer: Clover Medicare Advantage	$27.82
Rate for Payer: EmblemHealth Commercial	$87.84
Rate for Payer: Humana Medicare Advantage	$30.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$134.94
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$155.70
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$29.28
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$31.04
Rate for Payer: Wellcare Medicare Advantage	$29.28

Know your out-of-pocket cost for care.

All Charges