Heights University Hospital

All Charges

Charge

Type

Setting

Price

CH C DIFF TOXIN B,QI,RT PCR

Facility

$208.00

Service Code	HCPCS 87493
Hospital Charge Code	397071437
Hospital Revenue Code	306
Min. Negotiated Rate	$31.20
Max. Negotiated Rate	$31.20
Rate for Payer: Qualcare PPO/HMO/WC	$31.20

CH C DIFF TOXIN B,QI,RT PCR

Facility

$208.00

Service Code	HCPCS 87493
Hospital Charge Code	397071437
Hospital Revenue Code	306
Min. Negotiated Rate	$18.64
Max. Negotiated Rate	$136.56
Rate for Payer: Aetna Commercial	$120.75
Rate for Payer: Aetna Medicare Advantage	$37.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$37.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.56
Rate for Payer: Cigna Commercial	$37.27
Rate for Payer: Cigna Medicare Advantage	$18.64
Rate for Payer: Clover Medicare Advantage	$35.41
Rate for Payer: EmblemHealth Commercial	$111.81
Rate for Payer: Humana Medicare Advantage	$38.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.04
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$31.20
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$37.27
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$39.51
Rate for Payer: Wellcare Medicare Advantage	$37.27

CH CEA

Facility

$158.00

Service Code	HCPCS 82378
Hospital Charge Code	397071151
Hospital Revenue Code	301
Min. Negotiated Rate	$9.48
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$61.43
Rate for Payer: Aetna Medicare Advantage	$18.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$69.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$69.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$41.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$69.47
Rate for Payer: Cigna Commercial	$18.96
Rate for Payer: Cigna Medicare Advantage	$9.48
Rate for Payer: Clover Medicare Advantage	$18.01
Rate for Payer: EmblemHealth Commercial	$56.88
Rate for Payer: Humana Medicare Advantage	$19.53
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	$18.96
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$20.10
Rate for Payer: Wellcare Medicare Advantage	$18.96

CH CEA

Facility

$158.00

Service Code	HCPCS 82378
Hospital Charge Code	397071151
Hospital Revenue Code	301
Min. Negotiated Rate	$23.70
Max. Negotiated Rate	$23.70
Rate for Payer: Qualcare PPO/HMO/WC	$23.70

CH CEA ANTIGEN FLUID

Facility

$390.00

Service Code	HCPCS 82378
Hospital Charge Code	397071075
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CH CEA ANTIGEN FLUID

Facility

$390.00

Service Code	HCPCS 82378
Hospital Charge Code	397071075
Hospital Revenue Code	301
Min. Negotiated Rate	$9.48
Max. Negotiated Rate	$114.00
Rate for Payer: Cigna Commercial	$18.96
Rate for Payer: Cigna Medicare Advantage	$9.48
Rate for Payer: Aetna Commercial	$61.43
Rate for Payer: Aetna Medicare Advantage	$18.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$69.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$69.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$41.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$69.47
Rate for Payer: Clover Medicare Advantage	$18.01
Rate for Payer: EmblemHealth Commercial	$56.88
Rate for Payer: Humana Medicare Advantage	$19.53
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	$18.96
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$20.10
Rate for Payer: Wellcare Medicare Advantage	$18.96

CH CELL BLOCK

Facility

$970.00

Service Code	HCPCS 88305
Hospital Charge Code	397061075
Hospital Revenue Code	310
Min. Negotiated Rate	$145.50
Max. Negotiated Rate	$145.50
Rate for Payer: Qualcare PPO/HMO/WC	$145.50

CH CELL BLOCK

Facility

$970.00

Service Code	HCPCS 88305
Hospital Charge Code	397061075
Hospital Revenue Code	310
Min. Negotiated Rate	$39.47
Max. Negotiated Rate	$291.00
Rate for Payer: Aetna Commercial	$291.00
Rate for Payer: Aetna Medicare Advantage	$291.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$247.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$247.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$247.35
Rate for Payer: Cigna Commercial	$124.10
Rate for Payer: Cigna Medicare Advantage	$39.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.10
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$145.50
Rate for Payer: UnitedHealthcare Commercial	$114.00

CH CELL COUNT BRONCHIAL WASH

Facility

$91.25

Service Code	HCPCS 89051
Hospital Charge Code	397021291
Hospital Revenue Code	300
Min. Negotiated Rate	$13.69
Max. Negotiated Rate	$13.69
Rate for Payer: Qualcare PPO/HMO/WC	$13.69

CH CELL COUNT BRONCHIAL WASH

Facility

$91.25

Service Code	HCPCS 89051
Hospital Charge Code	397021291
Hospital Revenue Code	300
Min. Negotiated Rate	$1.68
Max. Negotiated Rate	$114.00
Rate for Payer: Humana Medicare Advantage	$5.77
Rate for Payer: Aetna Commercial	$18.14
Rate for Payer: Aetna Medicare Advantage	$5.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.52
Rate for Payer: Cigna Commercial	$5.60
Rate for Payer: Cigna Medicare Advantage	$2.80
Rate for Payer: Clover Medicare Advantage	$5.32
Rate for Payer: EmblemHealth Commercial	$16.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.86
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.69
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.60
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.94
Rate for Payer: Wellcare Medicare Advantage	$5.60

CH CELL COUNT CSF

Facility

$137.00

Service Code	HCPCS 89051
Hospital Charge Code	397021024
Hospital Revenue Code	300
Min. Negotiated Rate	$1.68
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$18.14
Rate for Payer: Aetna Medicare Advantage	$5.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.52
Rate for Payer: Cigna Commercial	$5.60
Rate for Payer: Cigna Medicare Advantage	$2.80
Rate for Payer: Clover Medicare Advantage	$5.32
Rate for Payer: EmblemHealth Commercial	$16.80
Rate for Payer: Humana Medicare Advantage	$5.77
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	$5.60
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.94
Rate for Payer: Wellcare Medicare Advantage	$5.60

CH CELL COUNT CSF

Facility

$137.00

Service Code	HCPCS 89051
Hospital Charge Code	397021024
Hospital Revenue Code	300
Min. Negotiated Rate	$20.55
Max. Negotiated Rate	$20.55
Rate for Payer: Qualcare PPO/HMO/WC	$20.55

CH CELL COUNT MISC FLUID

Facility

$120.00

Service Code	HCPCS 89051
Hospital Charge Code	397021070
Hospital Revenue Code	300
Min. Negotiated Rate	$18.00
Max. Negotiated Rate	$18.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.00

CH CELL COUNT MISC FLUID

Facility

$120.00

Service Code	HCPCS 89051
Hospital Charge Code	397021070
Hospital Revenue Code	300
Min. Negotiated Rate	$1.68
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$18.14
Rate for Payer: Aetna Medicare Advantage	$5.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.52
Rate for Payer: Cigna Commercial	$5.60
Rate for Payer: Cigna Medicare Advantage	$2.80
Rate for Payer: Clover Medicare Advantage	$5.32
Rate for Payer: EmblemHealth Commercial	$16.80
Rate for Payer: Humana Medicare Advantage	$5.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.60
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.00
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.60
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.94
Rate for Payer: Wellcare Medicare Advantage	$5.60

CH CELL COUNT PERICARDIAL FL

Facility

$132.00

Service Code	HCPCS 89051
Hospital Charge Code	397021093
Hospital Revenue Code	300
Min. Negotiated Rate	$19.80
Max. Negotiated Rate	$19.80
Rate for Payer: Qualcare PPO/HMO/WC	$19.80

CH CELL COUNT PERICARDIAL FL

Facility

$132.00

Service Code	HCPCS 89051
Hospital Charge Code	397021093
Hospital Revenue Code	300
Min. Negotiated Rate	$1.68
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$18.14
Rate for Payer: Aetna Medicare Advantage	$5.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.52
Rate for Payer: Cigna Commercial	$5.60
Rate for Payer: Cigna Medicare Advantage	$2.80
Rate for Payer: Clover Medicare Advantage	$5.32
Rate for Payer: EmblemHealth Commercial	$16.80
Rate for Payer: Humana Medicare Advantage	$5.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.16
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.80
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.60
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.94
Rate for Payer: Wellcare Medicare Advantage	$5.60

CH CELL COUNT PERITONEAL FL

Facility

$145.00

Service Code	HCPCS 89051
Hospital Charge Code	397021091
Hospital Revenue Code	300
Min. Negotiated Rate	$21.75
Max. Negotiated Rate	$21.75
Rate for Payer: Qualcare PPO/HMO/WC	$21.75

CH CELL COUNT PERITONEAL FL

Facility

$145.00

Service Code	HCPCS 89051
Hospital Charge Code	397021091
Hospital Revenue Code	300
Min. Negotiated Rate	$1.68
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$18.14
Rate for Payer: Aetna Medicare Advantage	$5.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.52
Rate for Payer: Cigna Commercial	$5.60
Rate for Payer: Cigna Medicare Advantage	$2.80
Rate for Payer: Clover Medicare Advantage	$5.32
Rate for Payer: EmblemHealth Commercial	$16.80
Rate for Payer: Humana Medicare Advantage	$5.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.85
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.75
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.60
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.94
Rate for Payer: Wellcare Medicare Advantage	$5.60

CH CELL COUNT PLEURAL FLUID

Facility

$132.00

Service Code	HCPCS 89051
Hospital Charge Code	397021090
Hospital Revenue Code	300
Min. Negotiated Rate	$1.68
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$18.14
Rate for Payer: Aetna Medicare Advantage	$5.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.52
Rate for Payer: Cigna Commercial	$5.60
Rate for Payer: Cigna Medicare Advantage	$2.80
Rate for Payer: Clover Medicare Advantage	$5.32
Rate for Payer: EmblemHealth Commercial	$16.80
Rate for Payer: Humana Medicare Advantage	$5.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.16
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.80
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.60
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.94
Rate for Payer: Wellcare Medicare Advantage	$5.60

CH CELL COUNT PLEURAL FLUID

Facility

$132.00

Service Code	HCPCS 89051
Hospital Charge Code	397021090
Hospital Revenue Code	300
Min. Negotiated Rate	$19.80
Max. Negotiated Rate	$19.80
Rate for Payer: Qualcare PPO/HMO/WC	$19.80

CH CELL COUNT SYNOVIAL FLUID

Facility

$145.00

Service Code	HCPCS 89051
Hospital Charge Code	397021092
Hospital Revenue Code	300
Min. Negotiated Rate	$21.75
Max. Negotiated Rate	$21.75
Rate for Payer: Qualcare PPO/HMO/WC	$21.75

CH CELL COUNT SYNOVIAL FLUID

Facility

$145.00

Service Code	HCPCS 89051
Hospital Charge Code	397021092
Hospital Revenue Code	300
Min. Negotiated Rate	$1.68
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$18.14
Rate for Payer: Aetna Medicare Advantage	$5.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.52
Rate for Payer: Cigna Commercial	$5.60
Rate for Payer: Cigna Medicare Advantage	$2.80
Rate for Payer: Clover Medicare Advantage	$5.32
Rate for Payer: EmblemHealth Commercial	$16.80
Rate for Payer: Humana Medicare Advantage	$5.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.85
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.75
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.60
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.94
Rate for Payer: Wellcare Medicare Advantage	$5.60

CH CELL SURFACE MARKER CD20

Facility

$257.00

Service Code	HCPCS 86356
Hospital Charge Code	397071502
Hospital Revenue Code	302
Min. Negotiated Rate	$38.55
Max. Negotiated Rate	$38.55
Rate for Payer: Qualcare PPO/HMO/WC	$38.55

CH CELL SURFACE MARKER CD20

Facility

$257.00

Service Code	HCPCS 86356
Hospital Charge Code	397071502
Hospital Revenue Code	302
Min. Negotiated Rate	$13.39
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$86.77
Rate for Payer: Aetna Medicare Advantage	$26.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$98.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$98.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$26.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$98.12
Rate for Payer: Cigna Commercial	$26.78
Rate for Payer: Cigna Medicare Advantage	$13.39
Rate for Payer: Clover Medicare Advantage	$25.44
Rate for Payer: EmblemHealth Commercial	$80.34
Rate for Payer: Humana Medicare Advantage	$27.58
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	$26.78
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$28.39
Rate for Payer: Wellcare Medicare Advantage	$26.78

CH CEREBYX

Facility

$670.00

Service Code	HCPCS 80299
Hospital Charge Code	397073665
Hospital Revenue Code	301
Min. Negotiated Rate	$100.50
Max. Negotiated Rate	$100.50
Rate for Payer: Qualcare PPO/HMO/WC	$100.50

Know your out-of-pocket cost for care.

All Charges