Heights University Hospital

All Charges

Charge

Type

Setting

Price

CH ANTI STREPTOLYSIN O

Facility

$390.00

Service Code	HCPCS 86060
Hospital Charge Code	397041230
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CH ANTI THROMBIN 3

Facility

$128.00

Service Code	HCPCS 85300
Hospital Charge Code	397071224
Hospital Revenue Code	305
Min. Negotiated Rate	$5.92
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$38.39
Rate for Payer: Aetna Medicare Advantage	$11.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.85
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	$43.42
Rate for Payer: Cigna Commercial	$11.85
Rate for Payer: Cigna Medicare Advantage	$5.92
Rate for Payer: Clover Medicare Advantage	$11.26
Rate for Payer: EmblemHealth Commercial	$35.55
Rate for Payer: Humana Medicare Advantage	$12.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.64
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.20
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.85
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12.56
Rate for Payer: Wellcare Medicare Advantage	$11.85

CH ANTI THROMBIN 3

Facility

$128.00

Service Code	HCPCS 85300
Hospital Charge Code	397071224
Hospital Revenue Code	305
Min. Negotiated Rate	$19.20
Max. Negotiated Rate	$19.20
Rate for Payer: Qualcare PPO/HMO/WC	$19.20

CH ANTITHROMBIN III ACT REFL

Facility

$71.00

Service Code	HCPCS 85300
Hospital Charge Code	397071541
Hospital Revenue Code	305
Min. Negotiated Rate	$5.92
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$38.39
Rate for Payer: Aetna Medicare Advantage	$11.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.85
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	$43.42
Rate for Payer: Cigna Commercial	$11.85
Rate for Payer: Cigna Medicare Advantage	$5.92
Rate for Payer: Clover Medicare Advantage	$11.26
Rate for Payer: EmblemHealth Commercial	$35.55
Rate for Payer: Humana Medicare Advantage	$12.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.23
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.65
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.85
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12.56
Rate for Payer: Wellcare Medicare Advantage	$11.85

CH ANTITHROMBIN III ACT REFL

Facility

$71.00

Service Code	HCPCS 85300
Hospital Charge Code	397071541
Hospital Revenue Code	305
Min. Negotiated Rate	$10.65
Max. Negotiated Rate	$10.65
Rate for Payer: Qualcare PPO/HMO/WC	$10.65

CH ANTITHROMBIN III ACT REFL

Facility

$64.00

Service Code	HCPCS 85301
Hospital Charge Code	397071445
Hospital Revenue Code	305
Min. Negotiated Rate	$5.41
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$35.02
Rate for Payer: Aetna Medicare Advantage	$10.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.61
Rate for Payer: Cigna Commercial	$10.81
Rate for Payer: Cigna Medicare Advantage	$5.41
Rate for Payer: Clover Medicare Advantage	$10.27
Rate for Payer: EmblemHealth Commercial	$32.43
Rate for Payer: Humana Medicare Advantage	$11.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.32
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.60
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$10.81
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$11.46
Rate for Payer: Wellcare Medicare Advantage	$10.81

CH ANTITHROMBIN III ACT REFL

Facility

$64.00

Service Code	HCPCS 85301
Hospital Charge Code	397071445
Hospital Revenue Code	305
Min. Negotiated Rate	$9.60
Max. Negotiated Rate	$9.60
Rate for Payer: Qualcare PPO/HMO/WC	$9.60

CH ANTITHROMBIN III ANTIGEN

Facility

$732.00

Service Code	HCPCS 85301
Hospital Charge Code	397073645
Hospital Revenue Code	305
Min. Negotiated Rate	$109.80
Max. Negotiated Rate	$109.80
Rate for Payer: Qualcare PPO/HMO/WC	$109.80

CH ANTITHROMBIN III ANTIGEN

Facility

$732.00

Service Code	HCPCS 85301
Hospital Charge Code	397073645
Hospital Revenue Code	305
Min. Negotiated Rate	$5.41
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$35.02
Rate for Payer: Aetna Medicare Advantage	$10.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.61
Rate for Payer: Cigna Commercial	$10.81
Rate for Payer: Cigna Medicare Advantage	$5.41
Rate for Payer: Clover Medicare Advantage	$10.27
Rate for Payer: EmblemHealth Commercial	$32.43
Rate for Payer: Humana Medicare Advantage	$11.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$95.16
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$109.80
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$10.81
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$11.46
Rate for Payer: Wellcare Medicare Advantage	$10.81

CH ANTI THYROGLOBULIN

Facility

$238.00

Service Code	HCPCS 86800
Hospital Charge Code	397071222
Hospital Revenue Code	302
Min. Negotiated Rate	$35.70
Max. Negotiated Rate	$35.70
Rate for Payer: Qualcare PPO/HMO/WC	$35.70

CH ANTI THYROGLOBULIN

Facility

$238.00

Service Code	HCPCS 86800
Hospital Charge Code	397071222
Hospital Revenue Code	302
Min. Negotiated Rate	$7.96
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$51.55
Rate for Payer: Aetna Medicare Advantage	$15.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.29
Rate for Payer: Cigna Commercial	$15.91
Rate for Payer: Cigna Medicare Advantage	$7.96
Rate for Payer: Clover Medicare Advantage	$15.11
Rate for Payer: EmblemHealth Commercial	$47.73
Rate for Payer: Humana Medicare Advantage	$16.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.94
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$35.70
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$15.91
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$16.86
Rate for Payer: Wellcare Medicare Advantage	$15.91

CH ANTI THYROID MICRO

Facility

$186.00

Service Code	HCPCS 86376
Hospital Charge Code	397071220
Hospital Revenue Code	302
Min. Negotiated Rate	$7.28
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$47.14
Rate for Payer: Aetna Medicare Advantage	$14.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.55
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	$53.31
Rate for Payer: Cigna Commercial	$14.55
Rate for Payer: Cigna Medicare Advantage	$7.28
Rate for Payer: Clover Medicare Advantage	$13.82
Rate for Payer: EmblemHealth Commercial	$43.65
Rate for Payer: Humana Medicare Advantage	$14.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.18
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.90
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.55
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15.42
Rate for Payer: Wellcare Medicare Advantage	$14.55

CH ANTI THYROID MICRO

Facility

$186.00

Service Code	HCPCS 86376
Hospital Charge Code	397071220
Hospital Revenue Code	302
Min. Negotiated Rate	$27.90
Max. Negotiated Rate	$27.90
Rate for Payer: Qualcare PPO/HMO/WC	$27.90

CH APC RESISTANCE

Facility

$108.00

Service Code	HCPCS 85307
Hospital Charge Code	397073686
Hospital Revenue Code	305
Min. Negotiated Rate	$7.66
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$49.64
Rate for Payer: Aetna Medicare Advantage	$15.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.13
Rate for Payer: Cigna Commercial	$15.32
Rate for Payer: Cigna Medicare Advantage	$7.66
Rate for Payer: Clover Medicare Advantage	$14.55
Rate for Payer: EmblemHealth Commercial	$45.96
Rate for Payer: Humana Medicare Advantage	$15.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.04
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.20
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$15.32
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$16.24
Rate for Payer: Wellcare Medicare Advantage	$15.32

CH APC RESISTANCE

Facility

$108.00

Service Code	HCPCS 85307
Hospital Charge Code	397073686
Hospital Revenue Code	305
Min. Negotiated Rate	$16.20
Max. Negotiated Rate	$16.20
Rate for Payer: Qualcare PPO/HMO/WC	$16.20

CH A.PHAGOCYTOPHILUM,DNA,PCR

Facility

$339.00

Service Code	HCPCS 87798
Hospital Charge Code	397071373
Hospital Revenue Code	306
Min. Negotiated Rate	$17.55
Max. Negotiated Rate	$147.80
Rate for Payer: Aetna Commercial	$113.69
Rate for Payer: Aetna Medicare Advantage	$35.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$128.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$128.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$35.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$147.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$128.57
Rate for Payer: Cigna Commercial	$35.09
Rate for Payer: Cigna Medicare Advantage	$17.55
Rate for Payer: Clover Medicare Advantage	$33.34
Rate for Payer: EmblemHealth Commercial	$105.27
Rate for Payer: Humana Medicare Advantage	$36.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.07
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$50.85
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$35.09
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$37.20
Rate for Payer: Wellcare Medicare Advantage	$35.09

CH A.PHAGOCYTOPHILUM,DNA,PCR

Facility

$339.00

Service Code	HCPCS 87798
Hospital Charge Code	397071373
Hospital Revenue Code	306
Min. Negotiated Rate	$50.85
Max. Negotiated Rate	$50.85
Rate for Payer: Qualcare PPO/HMO/WC	$50.85

CH APHERESIS PLASMA

Facility

$3,550.00

Service Code	HCPCS 36514
Hospital Charge Code	93655001
Hospital Revenue Code	361
Min. Negotiated Rate	$461.50
Max. Negotiated Rate	$3,708.85
Rate for Payer: Aetna Commercial	$1,065.00
Rate for Payer: Aetna Medicare Advantage	$1,065.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$905.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$905.25
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	$905.25
Rate for Payer: Cigna Commercial	$3,708.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$461.50
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$532.50
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

CH APHERESIS PLASMA

Facility

$3,550.00

Service Code	HCPCS 36514
Hospital Charge Code	93655001
Hospital Revenue Code	361
Min. Negotiated Rate	$532.50
Max. Negotiated Rate	$532.50
Rate for Payer: Qualcare PPO/HMO/WC	$532.50

CH APOLIPOPROTEIN A

Facility

$180.00

Service Code	HCPCS 82172
Hospital Charge Code	397073095
Hospital Revenue Code	301
Min. Negotiated Rate	$27.00
Max. Negotiated Rate	$27.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00

CH APOLIPOPROTEIN A

Facility

$180.00

Service Code	HCPCS 82172
Hospital Charge Code	397073095
Hospital Revenue Code	301
Min. Negotiated Rate	$10.54
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$68.33
Rate for Payer: Aetna Medicare Advantage	$21.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21.09
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	$77.27
Rate for Payer: Cigna Commercial	$21.09
Rate for Payer: Cigna Medicare Advantage	$10.54
Rate for Payer: Clover Medicare Advantage	$20.04
Rate for Payer: EmblemHealth Commercial	$63.27
Rate for Payer: Humana Medicare Advantage	$21.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.40
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$21.09
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$22.36
Rate for Payer: Wellcare Medicare Advantage	$21.09

CH APOLIPOPROTEIN A1

Facility

$180.00

Service Code	HCPCS 82172
Hospital Charge Code	397073580
Hospital Revenue Code	301
Min. Negotiated Rate	$27.00
Max. Negotiated Rate	$27.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00

CH APOLIPOPROTEIN A1

Facility

$180.00

Service Code	HCPCS 82172
Hospital Charge Code	397073580
Hospital Revenue Code	301
Min. Negotiated Rate	$10.54
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$68.33
Rate for Payer: Aetna Medicare Advantage	$21.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21.09
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	$77.27
Rate for Payer: Cigna Commercial	$21.09
Rate for Payer: Cigna Medicare Advantage	$10.54
Rate for Payer: Clover Medicare Advantage	$20.04
Rate for Payer: EmblemHealth Commercial	$63.27
Rate for Payer: Humana Medicare Advantage	$21.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.40
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$21.09
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$22.36
Rate for Payer: Wellcare Medicare Advantage	$21.09

CH APOLIPOPROTEIN B

Facility

$226.00

Service Code	HCPCS 82172
Hospital Charge Code	397073096
Hospital Revenue Code	301
Min. Negotiated Rate	$33.90
Max. Negotiated Rate	$33.90
Rate for Payer: Qualcare PPO/HMO/WC	$33.90

CH APOLIPOPROTEIN B

Facility

$226.00

Service Code	HCPCS 82172
Hospital Charge Code	397073581
Hospital Revenue Code	301
Min. Negotiated Rate	$33.90
Max. Negotiated Rate	$33.90
Rate for Payer: Qualcare PPO/HMO/WC	$33.90

Know your out-of-pocket cost for care.

All Charges