Heights University Hospital

All Charges

Charge

Type

Setting

Price

CHARCO CAPS

Facility

$3.00

Hospital Charge Code	60634517
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

CH ARESENIC URINE

Facility

$128.00

Service Code	HCPCS 82175
Hospital Charge Code	397073243
Hospital Revenue Code	301
Min. Negotiated Rate	$9.48
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$61.46
Rate for Payer: Aetna Medicare Advantage	$18.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$69.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$69.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$69.51
Rate for Payer: Cigna Commercial	$18.97
Rate for Payer: Cigna Medicare Advantage	$9.48
Rate for Payer: Clover Medicare Advantage	$18.02
Rate for Payer: EmblemHealth Commercial	$56.91
Rate for Payer: Humana Medicare Advantage	$19.54
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	$18.97
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$20.11
Rate for Payer: Wellcare Medicare Advantage	$18.97

CH ARESENIC URINE

Facility

$128.00

Service Code	HCPCS 82175
Hospital Charge Code	397073243
Hospital Revenue Code	301
Min. Negotiated Rate	$19.20
Max. Negotiated Rate	$19.20
Rate for Payer: Qualcare PPO/HMO/WC	$19.20

CHARGER KIT SENSA 2500

Facility

$5,000.00

Hospital Charge Code	270693285
Hospital Revenue Code	272
Min. Negotiated Rate	$750.00
Max. Negotiated Rate	$750.00
Rate for Payer: Qualcare PPO/HMO/WC	$750.00

CHARGER KIT SENSA 2500

Facility

$5,000.00

Hospital Charge Code	270693285
Hospital Revenue Code	272
Min. Negotiated Rate	$650.00
Max. Negotiated Rate	$2,500.00
Rate for Payer: Aetna Commercial	$1,500.00
Rate for Payer: Aetna Medicare Advantage	$1,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,275.00
Rate for Payer: Cigna Commercial	$2,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$650.00
Rate for Payer: Oxford Commercial	$2,500.00
Rate for Payer: Qualcare PPO/HMO/WC	$750.00
Rate for Payer: UnitedHealthcare Commercial	$2,500.00

CHARGING SYSTEM

Facility

$7,875.00

Hospital Charge Code	270675087
Hospital Revenue Code	272
Min. Negotiated Rate	$1,023.75
Max. Negotiated Rate	$3,937.50
Rate for Payer: Aetna Commercial	$2,362.50
Rate for Payer: Aetna Medicare Advantage	$2,362.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,008.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,008.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,008.12
Rate for Payer: Cigna Commercial	$3,937.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,023.75
Rate for Payer: Oxford Commercial	$3,937.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,181.25
Rate for Payer: UnitedHealthcare Commercial	$3,937.50

CHARGING SYSTEM

Facility

$6,000.00

Hospital Charge Code	270647770
Hospital Revenue Code	272
Min. Negotiated Rate	$780.00
Max. Negotiated Rate	$3,000.00
Rate for Payer: Aetna Commercial	$1,800.00
Rate for Payer: Aetna Medicare Advantage	$1,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,530.00
Rate for Payer: Cigna Commercial	$3,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$780.00
Rate for Payer: Oxford Commercial	$3,000.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00
Rate for Payer: UnitedHealthcare Commercial	$3,000.00

CHARGING SYSTEM

Facility

$6,000.00

Hospital Charge Code	270647770
Hospital Revenue Code	272
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$900.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

CHARGING SYSTEM

Facility

$7,875.00

Hospital Charge Code	270675087
Hospital Revenue Code	272
Min. Negotiated Rate	$1,181.25
Max. Negotiated Rate	$1,181.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,181.25

CHARGING SYSTEM EON MINI LE

Facility

$7,875.00

Hospital Charge Code	270659616
Hospital Revenue Code	272
Min. Negotiated Rate	$1,023.75
Max. Negotiated Rate	$3,937.50
Rate for Payer: Aetna Commercial	$2,362.50
Rate for Payer: Aetna Medicare Advantage	$2,362.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,008.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,008.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,008.12
Rate for Payer: Cigna Commercial	$3,937.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,023.75
Rate for Payer: Oxford Commercial	$3,937.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,181.25
Rate for Payer: UnitedHealthcare Commercial	$3,937.50

CHARGING SYSTEM EON MINI LE

Facility

$7,875.00

Hospital Charge Code	270659616
Hospital Revenue Code	272
Min. Negotiated Rate	$1,181.25
Max. Negotiated Rate	$1,181.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,181.25

CH ARGININE VASOPRESS

Facility

$257.00

Service Code	HCPCS 84588
Hospital Charge Code	397073624
Hospital Revenue Code	301
Min. Negotiated Rate	$38.55
Max. Negotiated Rate	$38.55
Rate for Payer: Qualcare PPO/HMO/WC	$38.55

CH ARGININE VASOPRESS

Facility

$257.00

Service Code	HCPCS 84588
Hospital Charge Code	397073624
Hospital Revenue Code	301
Min. Negotiated Rate	$16.97
Max. Negotiated Rate	$124.36
Rate for Payer: Aetna Commercial	$109.97
Rate for Payer: Aetna Medicare Advantage	$33.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$33.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$92.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.36
Rate for Payer: Cigna Commercial	$33.94
Rate for Payer: Cigna Medicare Advantage	$16.97
Rate for Payer: Clover Medicare Advantage	$32.24
Rate for Payer: EmblemHealth Commercial	$101.82
Rate for Payer: Humana Medicare Advantage	$34.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.41
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$38.55
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$33.94
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$35.98
Rate for Payer: Wellcare Medicare Advantage	$33.94

CH ARSENIC, BLOOD

Facility

$802.00

Service Code	HCPCS 82175
Hospital Charge Code	397072030
Hospital Revenue Code	301
Min. Negotiated Rate	$120.30
Max. Negotiated Rate	$120.30
Rate for Payer: Qualcare PPO/HMO/WC	$120.30

CH ARSENIC, BLOOD

Facility

$802.00

Service Code	HCPCS 82175
Hospital Charge Code	397072030
Hospital Revenue Code	301
Min. Negotiated Rate	$9.48
Max. Negotiated Rate	$120.30
Rate for Payer: Aetna Commercial	$61.46
Rate for Payer: Aetna Medicare Advantage	$18.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$69.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$69.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$69.51
Rate for Payer: Cigna Commercial	$18.97
Rate for Payer: Cigna Medicare Advantage	$9.48
Rate for Payer: Clover Medicare Advantage	$18.02
Rate for Payer: EmblemHealth Commercial	$56.91
Rate for Payer: Humana Medicare Advantage	$19.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$104.26
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.30
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.97
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$20.11
Rate for Payer: Wellcare Medicare Advantage	$18.97

CH ARSENIC WHOLE BLOOD

Facility

$225.00

Service Code	HCPCS 82175
Hospital Charge Code	397073247
Hospital Revenue Code	301
Min. Negotiated Rate	$9.48
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$61.46
Rate for Payer: Aetna Medicare Advantage	$18.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$69.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$69.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$69.51
Rate for Payer: Cigna Commercial	$18.97
Rate for Payer: Cigna Medicare Advantage	$9.48
Rate for Payer: Clover Medicare Advantage	$18.02
Rate for Payer: EmblemHealth Commercial	$56.91
Rate for Payer: Humana Medicare Advantage	$19.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.25
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.75
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.97
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$20.11
Rate for Payer: Wellcare Medicare Advantage	$18.97

CH ARSENIC WHOLE BLOOD

Facility

$225.00

Service Code	HCPCS 82175
Hospital Charge Code	397073247
Hospital Revenue Code	301
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$33.75
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

CH ARYLSULFATASE A BLOOD

Facility

$579.00

Service Code	HCPCS 82657
Hospital Charge Code	397071099
Hospital Revenue Code	301
Min. Negotiated Rate	$11.09
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$71.83
Rate for Payer: Aetna Medicare Advantage	$22.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$22.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.23
Rate for Payer: Cigna Commercial	$22.17
Rate for Payer: Cigna Medicare Advantage	$11.09
Rate for Payer: Clover Medicare Advantage	$21.06
Rate for Payer: EmblemHealth Commercial	$66.51
Rate for Payer: Humana Medicare Advantage	$22.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.27
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$86.85
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$22.17
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$23.50
Rate for Payer: Wellcare Medicare Advantage	$22.17

CH ARYLSULFATASE A BLOOD

Facility

$579.00

Service Code	HCPCS 82657
Hospital Charge Code	397071099
Hospital Revenue Code	301
Min. Negotiated Rate	$86.85
Max. Negotiated Rate	$86.85
Rate for Payer: Qualcare PPO/HMO/WC	$86.85

CH ARYLSULFATASE A RANDOM U

Facility

$594.00

Service Code	HCPCS 84311
Hospital Charge Code	397072031
Hospital Revenue Code	301
Min. Negotiated Rate	$4.05
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$26.24
Rate for Payer: Aetna Medicare Advantage	$8.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.68
Rate for Payer: Cigna Commercial	$8.10
Rate for Payer: Cigna Medicare Advantage	$4.05
Rate for Payer: Clover Medicare Advantage	$7.70
Rate for Payer: EmblemHealth Commercial	$24.30
Rate for Payer: Humana Medicare Advantage	$8.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.22
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$89.10
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$8.10
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$8.59
Rate for Payer: Wellcare Medicare Advantage	$8.10

CH ARYLSULFATASE A RANDOM U

Facility

$594.00

Service Code	HCPCS 84311
Hospital Charge Code	397072031
Hospital Revenue Code	301
Min. Negotiated Rate	$89.10
Max. Negotiated Rate	$89.10
Rate for Payer: Qualcare PPO/HMO/WC	$89.10

CH ASCARIS (P1) IGE

Facility

$30.00

Service Code	HCPCS 86003
Hospital Charge Code	397071483
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	$3.90
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.50
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 ASCARIS (P1) IGE

Facility

$30.00

Service Code	HCPCS 86003
Hospital Charge Code	397071483
Hospital Revenue Code	305
Min. Negotiated Rate	$4.50
Max. Negotiated Rate	$4.50
Rate for Payer: Qualcare PPO/HMO/WC	$4.50

CH ASO TITER

Facility

$390.00

Service Code	HCPCS 86060
Hospital Charge Code	397041298
Hospital Revenue Code	300
Min. Negotiated Rate	$3.65
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$23.65
Rate for Payer: Aetna Medicare Advantage	$7.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7.30
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	$26.75
Rate for Payer: Cigna Commercial	$7.30
Rate for Payer: Cigna Medicare Advantage	$3.65
Rate for Payer: Clover Medicare Advantage	$6.93
Rate for Payer: EmblemHealth Commercial	$21.90
Rate for Payer: Humana Medicare Advantage	$7.52
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	$7.30
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$7.74
Rate for Payer: Wellcare Medicare Advantage	$7.30

CH ASO TITER

Facility

$390.00

Service Code	HCPCS 86060
Hospital Charge Code	397041298
Hospital Revenue Code	300
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

Know your out-of-pocket cost for care.

All Charges