Heights University Hospital

All Charges

Charge

Type

Setting

Price

CH ANDROSTENEDIONE

Facility

$1,038.00

Service Code	HCPCS 82157
Hospital Charge Code	397072029
Hospital Revenue Code	301
Min. Negotiated Rate	$155.70
Max. Negotiated Rate	$155.70
Rate for Payer: Qualcare PPO/HMO/WC	$155.70

CH ANDRROSTANEDIOL GLUCURON

Facility

$459.00

Service Code	HCPCS 82154
Hospital Charge Code	397073347
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 ANDRROSTANEDIOL GLUCURON

Facility

$459.00

Service Code	HCPCS 82154
Hospital Charge Code	397073347
Hospital Revenue Code	301
Min. Negotiated Rate	$68.85
Max. Negotiated Rate	$68.85
Rate for Payer: Qualcare PPO/HMO/WC	$68.85

CHANGE OF BLADDER TUBE

Facility

$1,076.57

Service Code	HCPCS 51705
Hospital Charge Code	160000191
Hospital Revenue Code	360
Min. Negotiated Rate	$139.95
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$322.97
Rate for Payer: Aetna Medicare Advantage	$322.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$274.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$274.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$274.53
Rate for Payer: Cigna Commercial	$594.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.95
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$161.49
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

CHANGE OF BLADDER TUBE

Facility

$1,076.57

Service Code	HCPCS 51705
Hospital Charge Code	160000191
Hospital Revenue Code	360
Min. Negotiated Rate	$161.49
Max. Negotiated Rate	$161.49
Rate for Payer: Qualcare PPO/HMO/WC	$161.49

CHANGE OF BLADDER TUBE

Facility

$543.70

Service Code	HCPCS 51705
Hospital Charge Code	1001160
Hospital Revenue Code	361
Min. Negotiated Rate	$81.56
Max. Negotiated Rate	$81.56
Rate for Payer: Qualcare PPO/HMO/WC	$81.56

CHANGE OF BLADDER TUBE

Facility

$543.70

Service Code	HCPCS 51705
Hospital Charge Code	1001160
Hospital Revenue Code	361
Min. Negotiated Rate	$70.68
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$163.11
Rate for Payer: Aetna Medicare Advantage	$163.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$138.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$138.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$138.64
Rate for Payer: Cigna Commercial	$594.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$70.68
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$81.56
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

CHANGE UTERINE STENT PERCUT

Facility

$12,062.25

Service Code	HCPCS 50382
Hospital Charge Code	1600000704
Hospital Revenue Code	360
Min. Negotiated Rate	$1,809.34
Max. Negotiated Rate	$1,809.34
Rate for Payer: Qualcare PPO/HMO/WC	$1,809.34

CHANGE UTERINE STENT PERCUT

Facility

$12,062.25

Service Code	HCPCS 50382
Hospital Charge Code	1600000704
Hospital Revenue Code	360
Min. Negotiated Rate	$1,568.09
Max. Negotiated Rate	$5,529.00
Rate for Payer: Aetna Commercial	$3,618.68
Rate for Payer: Aetna Medicare Advantage	$3,618.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,075.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,075.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,075.87
Rate for Payer: Cigna Commercial	$4,978.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,568.09
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,809.34
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

CH ANGIOTENSION/CONV EN

Facility

$134.00

Service Code	HCPCS 82164
Hospital Charge Code	397071232
Hospital Revenue Code	301
Min. Negotiated Rate	$7.30
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$47.30
Rate for Payer: Aetna Medicare Advantage	$14.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.60
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	$53.49
Rate for Payer: Cigna Commercial	$14.60
Rate for Payer: Cigna Medicare Advantage	$7.30
Rate for Payer: Clover Medicare Advantage	$13.87
Rate for Payer: EmblemHealth Commercial	$43.80
Rate for Payer: Humana Medicare Advantage	$15.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.42
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$20.10
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.60
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15.48
Rate for Payer: Wellcare Medicare Advantage	$14.60

CH ANGIOTENSION/CONV EN

Facility

$134.00

Service Code	HCPCS 82164
Hospital Charge Code	397071232
Hospital Revenue Code	301
Min. Negotiated Rate	$20.10
Max. Negotiated Rate	$20.10
Rate for Payer: Qualcare PPO/HMO/WC	$20.10

CHANNEL SIDE CARE EXTERNAL

Facility

$625.00

Hospital Charge Code	270679449
Hospital Revenue Code	272
Min. Negotiated Rate	$81.25
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$187.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.25
Rate for Payer: Oxford Commercial	$312.50
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Commercial	$312.50

CHANNEL SIDE CARE EXTERNAL

Facility

$625.00

Hospital Charge Code	270679449
Hospital Revenue Code	272
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$93.75
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

CH ANTIBIOTIC SENSITIVITY

Facility

$587.57

Service Code	HCPCS 87181
Hospital Charge Code	397041335
Hospital Revenue Code	309
Min. Negotiated Rate	$2.38
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$15.39
Rate for Payer: Aetna Medicare Advantage	$4.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.40
Rate for Payer: Cigna Commercial	$4.75
Rate for Payer: Cigna Medicare Advantage	$2.38
Rate for Payer: Clover Medicare Advantage	$4.51
Rate for Payer: EmblemHealth Commercial	$14.25
Rate for Payer: Humana Medicare Advantage	$4.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.38
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$88.14
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.75
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.04
Rate for Payer: Wellcare Medicare Advantage	$4.75

CH ANTIBIOTIC SENSITIVITY

Facility

$587.57

Service Code	HCPCS 87181
Hospital Charge Code	397041335
Hospital Revenue Code	309
Min. Negotiated Rate	$88.14
Max. Negotiated Rate	$88.14
Rate for Payer: Qualcare PPO/HMO/WC	$88.14

CH ANTIBODY ID

Facility

$170.00

Service Code	HCPCS 86870
Hospital Charge Code	397031014
Hospital Revenue Code	300
Min. Negotiated Rate	$25.50
Max. Negotiated Rate	$25.50
Rate for Payer: Qualcare PPO/HMO/WC	$25.50

CH ANTIBODY ID

Facility

$170.00

Service Code	HCPCS 86870
Hospital Charge Code	397031014
Hospital Revenue Code	300
Min. Negotiated Rate	$16.83
Max. Negotiated Rate	$853.60
Rate for Payer: Aetna Commercial	$51.00
Rate for Payer: Aetna Medicare Advantage	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.35
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	$43.35
Rate for Payer: Cigna Commercial	$853.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.10
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$25.50
Rate for Payer: UnitedHealthcare Commercial	$114.00

CH ANTIBODY SCREEN

Facility

$325.00

Service Code	HCPCS 86850
Hospital Charge Code	397031155
Hospital Revenue Code	300
Min. Negotiated Rate	$4.88
Max. Negotiated Rate	$124.10
Rate for Payer: Aetna Commercial	$31.65
Rate for Payer: Aetna Medicare Advantage	$9.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.80
Rate for Payer: Cigna Commercial	$124.10
Rate for Payer: Cigna Medicare Advantage	$4.88
Rate for Payer: Clover Medicare Advantage	$9.28
Rate for Payer: EmblemHealth Commercial	$29.31
Rate for Payer: Humana Medicare Advantage	$10.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.25
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$48.75
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.77
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$10.36
Rate for Payer: Wellcare Medicare Advantage	$9.77

CH ANTIBODY SCREEN

Facility

$325.00

Service Code	HCPCS 86850
Hospital Charge Code	397031155
Hospital Revenue Code	300
Min. Negotiated Rate	$48.75
Max. Negotiated Rate	$48.75
Rate for Payer: Qualcare PPO/HMO/WC	$48.75

CH ANTIBODY TITER

Facility

$65.00

Service Code	HCPCS 86886
Hospital Charge Code	397031029
Hospital Revenue Code	300
Min. Negotiated Rate	$9.75
Max. Negotiated Rate	$9.75
Rate for Payer: Qualcare PPO/HMO/WC	$9.75

CH ANTIBODY TITER

Facility

$65.00

Service Code	HCPCS 86886
Hospital Charge Code	397031029
Hospital Revenue Code	300
Min. Negotiated Rate	$2.59
Max. Negotiated Rate	$405.73
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	$9.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.98
Rate for Payer: Cigna Commercial	$405.73
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: Humana Medicare Advantage	$5.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.45
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.75
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 ANTI CARDIOLIPIN IGG

Facility

$292.00

Service Code	HCPCS 86147
Hospital Charge Code	397073163
Hospital Revenue Code	302
Min. Negotiated Rate	$12.72
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$82.46
Rate for Payer: Aetna Medicare Advantage	$25.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$25.45
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	$93.25
Rate for Payer: Cigna Commercial	$25.45
Rate for Payer: Cigna Medicare Advantage	$12.72
Rate for Payer: Clover Medicare Advantage	$24.18
Rate for Payer: EmblemHealth Commercial	$76.35
Rate for Payer: Humana Medicare Advantage	$26.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.96
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$43.80
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$25.45
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$26.98
Rate for Payer: Wellcare Medicare Advantage	$25.45

CH ANTI CARDIOLIPIN IGG

Facility

$292.00

Service Code	HCPCS 86147
Hospital Charge Code	397073163
Hospital Revenue Code	302
Min. Negotiated Rate	$43.80
Max. Negotiated Rate	$43.80
Rate for Payer: Qualcare PPO/HMO/WC	$43.80

CH ANTI CARDIOLIPIN IGG/IGA

Facility

$417.00

Service Code	HCPCS 86147
Hospital Charge Code	397073058
Hospital Revenue Code	302
Min. Negotiated Rate	$12.72
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$82.46
Rate for Payer: Aetna Medicare Advantage	$25.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$25.45
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	$93.25
Rate for Payer: Cigna Commercial	$25.45
Rate for Payer: Cigna Medicare Advantage	$12.72
Rate for Payer: Clover Medicare Advantage	$24.18
Rate for Payer: EmblemHealth Commercial	$76.35
Rate for Payer: Humana Medicare Advantage	$26.21
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
Rate for Payer: UnitedHealthcare Medicare Advantage	$25.45
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$26.98
Rate for Payer: Wellcare Medicare Advantage	$25.45

CH ANTI CARDIOLIPIN IGG/IGA

Facility

$417.00

Service Code	HCPCS 86147
Hospital Charge Code	397073058
Hospital Revenue Code	302
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