Heights University Hospital

All Charges

Charge

Type

Setting

Price

CH CHROMOSOME ANALYSIS

Facility

$796.00

Service Code	HCPCS 88281
Hospital Charge Code	397073331
Hospital Revenue Code	311
Min. Negotiated Rate	$101.00
Max. Negotiated Rate	$398.00
Rate for Payer: Aetna Commercial	$238.80
Rate for Payer: Aetna Medicare Advantage	$238.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$202.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$202.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$202.98
Rate for Payer: Cigna Commercial	$398.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$103.48
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$119.40
Rate for Payer: UnitedHealthcare Commercial	$114.00

CH CHROMOSOME ANALYSIS

Facility

$1,108.00

Service Code	HCPCS 88267
Hospital Charge Code	397073330
Hospital Revenue Code	311
Min. Negotiated Rate	$94.28
Max. Negotiated Rate	$690.92
Rate for Payer: Aetna Commercial	$610.97
Rate for Payer: Aetna Medicare Advantage	$188.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$690.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$690.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$188.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$690.92
Rate for Payer: Cigna Commercial	$188.57
Rate for Payer: Cigna Medicare Advantage	$94.28
Rate for Payer: Clover Medicare Advantage	$179.14
Rate for Payer: EmblemHealth Commercial	$565.71
Rate for Payer: Humana Medicare Advantage	$194.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.04
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$166.20
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$188.57
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$199.88
Rate for Payer: Wellcare Medicare Advantage	$188.57

CH CHROMOSOME ANALYSIS

Facility

$1,593.00

Service Code	HCPCS 88262
Hospital Charge Code	397073314
Hospital Revenue Code	311
Min. Negotiated Rate	$62.74
Max. Negotiated Rate	$459.80
Rate for Payer: Aetna Commercial	$406.59
Rate for Payer: Aetna Medicare Advantage	$125.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$459.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$459.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$125.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$459.80
Rate for Payer: Cigna Commercial	$125.49
Rate for Payer: Cigna Medicare Advantage	$62.74
Rate for Payer: Clover Medicare Advantage	$119.22
Rate for Payer: EmblemHealth Commercial	$376.47
Rate for Payer: Humana Medicare Advantage	$129.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.09
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$238.95
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$125.49
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$133.02
Rate for Payer: Wellcare Medicare Advantage	$125.49

CH CHROMOSOME ANALYSIS

Facility

$1,593.00

Service Code	HCPCS 88262
Hospital Charge Code	397073314
Hospital Revenue Code	311
Min. Negotiated Rate	$238.95
Max. Negotiated Rate	$238.95
Rate for Payer: Qualcare PPO/HMO/WC	$238.95

CH CHROMOSOME ANALYSIS

Facility

$1,593.00

Service Code	HCPCS 88262
Hospital Charge Code	397073335
Hospital Revenue Code	311
Min. Negotiated Rate	$238.95
Max. Negotiated Rate	$238.95
Rate for Payer: Qualcare PPO/HMO/WC	$238.95

CH CHROMOSOME ANALYSIS

Facility

$1,593.00

Service Code	HCPCS 88262
Hospital Charge Code	397073327
Hospital Revenue Code	311
Min. Negotiated Rate	$238.95
Max. Negotiated Rate	$238.95
Rate for Payer: Qualcare PPO/HMO/WC	$238.95

CH CHROMOSOME ANALYSIS

Facility

$1,108.00

Service Code	HCPCS 88267
Hospital Charge Code	397073330
Hospital Revenue Code	311
Min. Negotiated Rate	$166.20
Max. Negotiated Rate	$166.20
Rate for Payer: Qualcare PPO/HMO/WC	$166.20

CH CHROMOSOME ANALYSIS

Facility

$1,593.00

Service Code	HCPCS 88262
Hospital Charge Code	397073335
Hospital Revenue Code	311
Min. Negotiated Rate	$62.74
Max. Negotiated Rate	$459.80
Rate for Payer: Aetna Commercial	$406.59
Rate for Payer: Aetna Medicare Advantage	$125.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$459.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$459.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$125.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$459.80
Rate for Payer: Cigna Commercial	$125.49
Rate for Payer: Cigna Medicare Advantage	$62.74
Rate for Payer: Clover Medicare Advantage	$119.22
Rate for Payer: EmblemHealth Commercial	$376.47
Rate for Payer: Humana Medicare Advantage	$129.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.09
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$238.95
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$125.49
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$133.02
Rate for Payer: Wellcare Medicare Advantage	$125.49

CH CHROMOSOME ANALYSIS

Facility

$796.00

Service Code	HCPCS 88281
Hospital Charge Code	397073331
Hospital Revenue Code	311
Min. Negotiated Rate	$119.40
Max. Negotiated Rate	$119.40
Rate for Payer: Qualcare PPO/HMO/WC	$119.40

CH CHROMOSOME ANALYSIS BLOOD

Facility

$1,374.00

Service Code	HCPCS 88261
Hospital Charge Code	397073007
Hospital Revenue Code	311
Min. Negotiated Rate	$206.10
Max. Negotiated Rate	$206.10
Rate for Payer: Qualcare PPO/HMO/WC	$206.10

CH CHROMOSOME ANALYSIS BLOOD

Facility

$1,374.00

Service Code	HCPCS 88261
Hospital Charge Code	397073007
Hospital Revenue Code	311
Min. Negotiated Rate	$101.00
Max. Negotiated Rate	$968.54
Rate for Payer: Aetna Commercial	$856.46
Rate for Payer: Aetna Medicare Advantage	$264.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$968.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$968.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$264.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$968.54
Rate for Payer: Cigna Commercial	$264.34
Rate for Payer: Cigna Medicare Advantage	$132.17
Rate for Payer: Clover Medicare Advantage	$251.12
Rate for Payer: EmblemHealth Commercial	$793.02
Rate for Payer: Humana Medicare Advantage	$272.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$178.62
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$206.10
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$264.34
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$280.20
Rate for Payer: Wellcare Medicare Advantage	$264.34

CH CHROMOSOME - BONE MARROW

Facility

$2,714.00

Service Code	HCPCS 88237
Hospital Charge Code	397072152
Hospital Revenue Code	311
Min. Negotiated Rate	$407.10
Max. Negotiated Rate	$407.10
Rate for Payer: Qualcare PPO/HMO/WC	$407.10

CH CHROMOSOME - BONE MARROW

Facility

$2,714.00

Service Code	HCPCS 88237
Hospital Charge Code	397072152
Hospital Revenue Code	311
Min. Negotiated Rate	$71.88
Max. Negotiated Rate	$526.70
Rate for Payer: Aetna Commercial	$465.75
Rate for Payer: Aetna Medicare Advantage	$143.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$526.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$526.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$143.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$526.70
Rate for Payer: Cigna Commercial	$143.75
Rate for Payer: Cigna Medicare Advantage	$71.88
Rate for Payer: Clover Medicare Advantage	$136.56
Rate for Payer: EmblemHealth Commercial	$431.25
Rate for Payer: Humana Medicare Advantage	$148.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$352.82
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$407.10
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$143.75
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$152.38
Rate for Payer: Wellcare Medicare Advantage	$143.75

CH CHROMOSOME - HEMATOLOGIC

Facility

$1,263.00

Service Code	HCPCS 88262
Hospital Charge Code	397072149
Hospital Revenue Code	311
Min. Negotiated Rate	$62.74
Max. Negotiated Rate	$459.80
Rate for Payer: Aetna Commercial	$406.59
Rate for Payer: Aetna Medicare Advantage	$125.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$459.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$459.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$125.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$459.80
Rate for Payer: Cigna Commercial	$125.49
Rate for Payer: Cigna Medicare Advantage	$62.74
Rate for Payer: Clover Medicare Advantage	$119.22
Rate for Payer: EmblemHealth Commercial	$376.47
Rate for Payer: Humana Medicare Advantage	$129.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$164.19
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$189.45
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$125.49
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$133.02
Rate for Payer: Wellcare Medicare Advantage	$125.49

CH CHROMOSOME - HEMATOLOGIC

Facility

$1,263.00

Service Code	HCPCS 88262
Hospital Charge Code	397072149
Hospital Revenue Code	311
Min. Negotiated Rate	$189.45
Max. Negotiated Rate	$189.45
Rate for Payer: Qualcare PPO/HMO/WC	$189.45

CH CHROMOSOME HR

Facility

$2,169.00

Service Code	HCPCS 88262
Hospital Charge Code	397073065
Hospital Revenue Code	311
Min. Negotiated Rate	$325.35
Max. Negotiated Rate	$325.35
Rate for Payer: Qualcare PPO/HMO/WC	$325.35

CH CHROMOSOME HR

Facility

$2,169.00

Service Code	HCPCS 88262
Hospital Charge Code	397073065
Hospital Revenue Code	311
Min. Negotiated Rate	$62.74
Max. Negotiated Rate	$459.80
Rate for Payer: Aetna Commercial	$406.59
Rate for Payer: Aetna Medicare Advantage	$125.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$459.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$459.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$125.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$459.80
Rate for Payer: Cigna Commercial	$125.49
Rate for Payer: Cigna Medicare Advantage	$62.74
Rate for Payer: Clover Medicare Advantage	$119.22
Rate for Payer: EmblemHealth Commercial	$376.47
Rate for Payer: Humana Medicare Advantage	$129.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$281.97
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$325.35
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$125.49
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$133.02
Rate for Payer: Wellcare Medicare Advantage	$125.49

CH CHROMOSOME, POC

Facility

$2,169.00

Service Code	HCPCS 88233
Hospital Charge Code	397073073
Hospital Revenue Code	311
Min. Negotiated Rate	$70.36
Max. Negotiated Rate	$515.63
Rate for Payer: Aetna Commercial	$455.97
Rate for Payer: Aetna Medicare Advantage	$140.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$515.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$515.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$140.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$515.63
Rate for Payer: Cigna Commercial	$140.73
Rate for Payer: Cigna Medicare Advantage	$70.36
Rate for Payer: Clover Medicare Advantage	$133.69
Rate for Payer: EmblemHealth Commercial	$422.19
Rate for Payer: Humana Medicare Advantage	$144.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$281.97
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$325.35
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$140.73
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$149.17
Rate for Payer: Wellcare Medicare Advantage	$140.73

CH CHROMOSOME, POC

Facility

$2,169.00

Service Code	HCPCS 88233
Hospital Charge Code	397073073
Hospital Revenue Code	311
Min. Negotiated Rate	$325.35
Max. Negotiated Rate	$325.35
Rate for Payer: Qualcare PPO/HMO/WC	$325.35

CH CHROMOSOME-ROUTINE G BAND

Facility

$1,914.00

Service Code	HCPCS 88262
Hospital Charge Code	397072150
Hospital Revenue Code	311
Min. Negotiated Rate	$287.10
Max. Negotiated Rate	$287.10
Rate for Payer: Qualcare PPO/HMO/WC	$287.10

CH CHROMOSOME-ROUTINE G BAND

Facility

$1,914.00

Service Code	HCPCS 88262
Hospital Charge Code	397072150
Hospital Revenue Code	311
Min. Negotiated Rate	$62.74
Max. Negotiated Rate	$459.80
Rate for Payer: Aetna Commercial	$406.59
Rate for Payer: Aetna Medicare Advantage	$125.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$459.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$459.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$125.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$459.80
Rate for Payer: Cigna Commercial	$125.49
Rate for Payer: Cigna Medicare Advantage	$62.74
Rate for Payer: Clover Medicare Advantage	$119.22
Rate for Payer: EmblemHealth Commercial	$376.47
Rate for Payer: Humana Medicare Advantage	$129.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$248.82
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$287.10
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$125.49
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$133.02
Rate for Payer: Wellcare Medicare Advantage	$125.49

CH CHROMOSOMES LEUK/LYMPH

Facility

$728.00

Service Code	HCPCS 85018
Hospital Charge Code	397073066
Hospital Revenue Code	305
Min. Negotiated Rate	$109.20
Max. Negotiated Rate	$109.20
Rate for Payer: Qualcare PPO/HMO/WC	$109.20

CH CHROMOSOMES LEUK/LYMPH

Facility

$728.00

Service Code	HCPCS 85018
Hospital Charge Code	397073066
Hospital Revenue Code	305
Min. Negotiated Rate	$1.19
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$7.68
Rate for Payer: Aetna Medicare Advantage	$2.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2.37
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	$8.68
Rate for Payer: Cigna Commercial	$2.37
Rate for Payer: Cigna Medicare Advantage	$1.19
Rate for Payer: Clover Medicare Advantage	$2.25
Rate for Payer: EmblemHealth Commercial	$7.11
Rate for Payer: Humana Medicare Advantage	$2.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.64
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$109.20
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$2.37
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$2.51
Rate for Payer: Wellcare Medicare Advantage	$2.37

CH CHROMOSOME - TISSUE

Facility

$2,933.00

Service Code	HCPCS 88233
Hospital Charge Code	397072151
Hospital Revenue Code	311
Min. Negotiated Rate	$70.36
Max. Negotiated Rate	$515.63
Rate for Payer: Aetna Commercial	$455.97
Rate for Payer: Aetna Medicare Advantage	$140.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$515.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$515.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$140.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$515.63
Rate for Payer: Cigna Commercial	$140.73
Rate for Payer: Cigna Medicare Advantage	$70.36
Rate for Payer: Clover Medicare Advantage	$133.69
Rate for Payer: EmblemHealth Commercial	$422.19
Rate for Payer: Humana Medicare Advantage	$144.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$381.29
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$439.95
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$140.73
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$149.17
Rate for Payer: Wellcare Medicare Advantage	$140.73

CH CHROMOSOME - TISSUE

Facility

$2,933.00

Service Code	HCPCS 88233
Hospital Charge Code	397072151
Hospital Revenue Code	311
Min. Negotiated Rate	$439.95
Max. Negotiated Rate	$439.95
Rate for Payer: Qualcare PPO/HMO/WC	$439.95

Know your out-of-pocket cost for care.

All Charges