Heights University Hospital

All Charges

Charge

Type

Setting

Price

CH BILE URINE

Facility

$22.45

Service Code	HCPCS 81005
Hospital Charge Code	397073024
Hospital Revenue Code	307
Min. Negotiated Rate	$1.08
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$7.03
Rate for Payer: Aetna Medicare Advantage	$2.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.95
Rate for Payer: Cigna Commercial	$2.17
Rate for Payer: Cigna Medicare Advantage	$1.08
Rate for Payer: Clover Medicare Advantage	$2.06
Rate for Payer: EmblemHealth Commercial	$6.51
Rate for Payer: Humana Medicare Advantage	$2.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.92
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.37
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$2.17
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$2.30
Rate for Payer: Wellcare Medicare Advantage	$2.17

CH BILE URINE

Facility

$22.45

Service Code	HCPCS 81005
Hospital Charge Code	397073024
Hospital Revenue Code	307
Min. Negotiated Rate	$3.37
Max. Negotiated Rate	$3.37
Rate for Payer: Qualcare PPO/HMO/WC	$3.37

CH BILIRUBIN DIRECT

Facility

$60.00

Service Code	HCPCS 82248
Hospital Charge Code	397071076
Hospital Revenue Code	301
Min. Negotiated Rate	$2.51
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.26
Rate for Payer: Aetna Medicare Advantage	$5.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.02
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	$18.39
Rate for Payer: Cigna Commercial	$5.02
Rate for Payer: Cigna Medicare Advantage	$2.51
Rate for Payer: Clover Medicare Advantage	$4.77
Rate for Payer: EmblemHealth Commercial	$15.06
Rate for Payer: Humana Medicare Advantage	$5.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.80
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.02
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.32
Rate for Payer: Wellcare Medicare Advantage	$5.02

CH BILIRUBIN DIRECT

Facility

$60.00

Service Code	HCPCS 82248
Hospital Charge Code	397071076
Hospital Revenue Code	301
Min. Negotiated Rate	$9.00
Max. Negotiated Rate	$9.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00

CH BILIRUBIN,NEONATAL

Facility

$40.00

Service Code	HCPCS 82247
Hospital Charge Code	397071260
Hospital Revenue Code	301
Min. Negotiated Rate	$2.51
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.26
Rate for Payer: Aetna Medicare Advantage	$5.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.39
Rate for Payer: Cigna Commercial	$5.02
Rate for Payer: Cigna Medicare Advantage	$2.51
Rate for Payer: Clover Medicare Advantage	$4.77
Rate for Payer: EmblemHealth Commercial	$15.06
Rate for Payer: Humana Medicare Advantage	$5.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.20
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.00
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.02
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.32
Rate for Payer: Wellcare Medicare Advantage	$5.02

CH BILIRUBIN,NEONATAL

Facility

$40.00

Service Code	HCPCS 82247
Hospital Charge Code	397071260
Hospital Revenue Code	301
Min. Negotiated Rate	$6.00
Max. Negotiated Rate	$6.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.00

CH BILIRUBIN TOTAL

Facility

$40.00

Service Code	HCPCS 82247
Hospital Charge Code	397071140
Hospital Revenue Code	301
Min. Negotiated Rate	$6.00
Max. Negotiated Rate	$6.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.00

CH BILIRUBIN TOTAL

Facility

$40.00

Service Code	HCPCS 82247
Hospital Charge Code	397071140
Hospital Revenue Code	301
Min. Negotiated Rate	$2.51
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.26
Rate for Payer: Aetna Medicare Advantage	$5.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.39
Rate for Payer: Cigna Commercial	$5.02
Rate for Payer: Cigna Medicare Advantage	$2.51
Rate for Payer: Clover Medicare Advantage	$4.77
Rate for Payer: EmblemHealth Commercial	$15.06
Rate for Payer: Humana Medicare Advantage	$5.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.20
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.00
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.02
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.32
Rate for Payer: Wellcare Medicare Advantage	$5.02

CH BIRCH (T3) IGE

Facility

$110.00

Service Code	HCPCS 86003
Hospital Charge Code	397071433
Hospital Revenue Code	305
Min. Negotiated Rate	$16.50
Max. Negotiated Rate	$16.50
Rate for Payer: Qualcare PPO/HMO/WC	$16.50

CH BIRCH (T3) IGE

Facility

$110.00

Service Code	HCPCS 86003
Hospital Charge Code	397071433
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	$14.30
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.50
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 BK VIRUS DNA,QN,RTPCR URN

Facility

$422.00

Service Code	HCPCS 87799
Hospital Charge Code	397071370
Hospital Revenue Code	306
Min. Negotiated Rate	$63.30
Max. Negotiated Rate	$63.30
Rate for Payer: Qualcare PPO/HMO/WC	$63.30

CH BK VIRUS DNA,QN,RTPCR URN

Facility

$422.00

Service Code	HCPCS 87799
Hospital Charge Code	397071370
Hospital Revenue Code	306
Min. Negotiated Rate	$21.42
Max. Negotiated Rate	$156.97
Rate for Payer: Aetna Commercial	$138.80
Rate for Payer: Aetna Medicare Advantage	$42.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$156.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$156.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$42.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$156.97
Rate for Payer: Cigna Commercial	$42.84
Rate for Payer: Cigna Medicare Advantage	$21.42
Rate for Payer: Clover Medicare Advantage	$40.70
Rate for Payer: EmblemHealth Commercial	$128.52
Rate for Payer: Humana Medicare Advantage	$44.13
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	$42.84
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$45.41
Rate for Payer: Wellcare Medicare Advantage	$42.84

CH BLADDER TUMOR ANTIGEN

Facility

$158.00

Service Code	HCPCS 86316
Hospital Charge Code	397073201
Hospital Revenue Code	302
Min. Negotiated Rate	$10.40
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$67.42
Rate for Payer: Aetna Medicare Advantage	$20.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$52.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.25
Rate for Payer: Cigna Commercial	$20.81
Rate for Payer: Cigna Medicare Advantage	$10.40
Rate for Payer: Clover Medicare Advantage	$19.77
Rate for Payer: EmblemHealth Commercial	$62.43
Rate for Payer: Humana Medicare Advantage	$21.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.54
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$23.70
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$20.81
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$22.06
Rate for Payer: Wellcare Medicare Advantage	$20.81

CH BLADDER TUMOR ANTIGEN

Facility

$158.00

Service Code	HCPCS 86316
Hospital Charge Code	397073201
Hospital Revenue Code	302
Min. Negotiated Rate	$23.70
Max. Negotiated Rate	$23.70
Rate for Payer: Qualcare PPO/HMO/WC	$23.70

CH BLEEDING TIME

Facility

$114.00

Service Code	HCPCS 85002
Hospital Charge Code	397021040
Hospital Revenue Code	301
Min. Negotiated Rate	$17.10
Max. Negotiated Rate	$17.10
Rate for Payer: Qualcare PPO/HMO/WC	$17.10

CH BLEEDING TIME

Facility

$114.00

Service Code	HCPCS 85002
Hospital Charge Code	397021040
Hospital Revenue Code	301
Min. Negotiated Rate	$2.24
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$15.62
Rate for Payer: Aetna Medicare Advantage	$4.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.66
Rate for Payer: Cigna Commercial	$4.82
Rate for Payer: Cigna Medicare Advantage	$2.41
Rate for Payer: Clover Medicare Advantage	$4.58
Rate for Payer: EmblemHealth Commercial	$14.46
Rate for Payer: Humana Medicare Advantage	$4.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.82
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.10
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.82
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.11
Rate for Payer: Wellcare Medicare Advantage	$4.82

CH BLOOD LEUKO DEGLYC WASHED

Facility

$1,771.00

Service Code	HCPCS P9054
Hospital Charge Code	397031169
Hospital Revenue Code	390
Min. Negotiated Rate	$230.23
Max. Negotiated Rate	$756.00
Rate for Payer: Aetna Commercial	$531.30
Rate for Payer: Aetna Medicare Advantage	$531.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$451.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$451.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$451.61
Rate for Payer: Cigna Commercial	$618.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$230.23
Rate for Payer: Oxford Commercial	$666.00
Rate for Payer: Qualcare PPO/HMO/WC	$265.65
Rate for Payer: UnitedHealthcare Commercial	$756.00

CH BLOOD LEUKO DEGLYC WASHED

Facility

$1,771.00

Service Code	HCPCS P9054
Hospital Charge Code	397031169
Hospital Revenue Code	390
Min. Negotiated Rate	$265.65
Max. Negotiated Rate	$265.65
Rate for Payer: Qualcare PPO/HMO/WC	$265.65

CH BLOODLINE AUTO

Facility

$695.00

Service Code	HCPCS P9011
Hospital Charge Code	397031030
Hospital Revenue Code	390
Min. Negotiated Rate	$90.35
Max. Negotiated Rate	$756.00
Rate for Payer: Aetna Commercial	$208.50
Rate for Payer: Aetna Medicare Advantage	$208.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$177.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$177.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$177.22
Rate for Payer: Cigna Commercial	$363.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.35
Rate for Payer: Oxford Commercial	$666.00
Rate for Payer: Qualcare PPO/HMO/WC	$104.25
Rate for Payer: UnitedHealthcare Commercial	$756.00

CH BLOODLINE AUTO

Facility

$695.00

Service Code	HCPCS P9011
Hospital Charge Code	397031030
Hospital Revenue Code	390
Min. Negotiated Rate	$104.25
Max. Negotiated Rate	$104.25
Rate for Payer: Qualcare PPO/HMO/WC	$104.25

CH BLOODLINE DIRECTED

Facility

$695.00

Service Code	HCPCS P9011
Hospital Charge Code	397031031
Hospital Revenue Code	390
Min. Negotiated Rate	$104.25
Max. Negotiated Rate	$104.25
Rate for Payer: Qualcare PPO/HMO/WC	$104.25

CH BLOODLINE DIRECTED

Facility

$695.00

Service Code	HCPCS P9011
Hospital Charge Code	397031031
Hospital Revenue Code	390
Min. Negotiated Rate	$90.35
Max. Negotiated Rate	$756.00
Rate for Payer: Aetna Commercial	$208.50
Rate for Payer: Aetna Medicare Advantage	$208.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$177.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$177.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$177.22
Rate for Payer: Cigna Commercial	$363.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.35
Rate for Payer: Oxford Commercial	$666.00
Rate for Payer: Qualcare PPO/HMO/WC	$104.25
Rate for Payer: UnitedHealthcare Commercial	$756.00

CH BLOOD PROD IRRADIATED

Facility

$778.00

Service Code	HCPCS P9056
Hospital Charge Code	397031043
Hospital Revenue Code	390
Min. Negotiated Rate	$116.70
Max. Negotiated Rate	$116.70
Rate for Payer: Qualcare PPO/HMO/WC	$116.70

CH BLOOD PROD IRRADIATED

Facility

$778.00

Service Code	HCPCS P9056
Hospital Charge Code	397031043
Hospital Revenue Code	390
Min. Negotiated Rate	$101.14
Max. Negotiated Rate	$756.00
Rate for Payer: Aetna Commercial	$233.40
Rate for Payer: Aetna Medicare Advantage	$233.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$198.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$198.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$198.39
Rate for Payer: Cigna Commercial	$197.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.14
Rate for Payer: Oxford Commercial	$666.00
Rate for Payer: Qualcare PPO/HMO/WC	$116.70
Rate for Payer: UnitedHealthcare Commercial	$756.00

CH BLOOD SPLIT UNIT

Facility

$693.00

Service Code	HCPCS P9011
Hospital Charge Code	397031160
Hospital Revenue Code	390
Min. Negotiated Rate	$90.09
Max. Negotiated Rate	$756.00
Rate for Payer: Aetna Commercial	$207.90
Rate for Payer: Aetna Medicare Advantage	$207.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$176.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$176.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$176.72
Rate for Payer: Cigna Commercial	$363.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.09
Rate for Payer: Oxford Commercial	$666.00
Rate for Payer: Qualcare PPO/HMO/WC	$103.95
Rate for Payer: UnitedHealthcare Commercial	$756.00

Know your out-of-pocket cost for care.

All Charges