Heights University Hospital

All Charges

Charge

Type

Setting

Price

CH CITALOPRAM

Facility

$550.00

Hospital Charge Code	3970727
Hospital Revenue Code	301
Min. Negotiated Rate	$71.50
Max. Negotiated Rate	$275.00
Rate for Payer: Aetna Commercial	$165.00
Rate for Payer: Aetna Medicare Advantage	$165.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.50
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$82.50
Rate for Payer: UnitedHealthcare Commercial	$114.00

CH CITALOPRAM

Facility

$550.00

Hospital Charge Code	3970727
Hospital Revenue Code	301
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$82.50
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

CH CITRATE

Facility

$172.00

Service Code	HCPCS 82507
Hospital Charge Code	397071169
Hospital Revenue Code	301
Min. Negotiated Rate	$25.80
Max. Negotiated Rate	$25.80
Rate for Payer: Qualcare PPO/HMO/WC	$25.80

CH CITRATE

Facility

$172.00

Service Code	HCPCS 82507
Hospital Charge Code	397071169
Hospital Revenue Code	301
Min. Negotiated Rate	$13.90
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$90.07
Rate for Payer: Aetna Medicare Advantage	$27.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$101.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$101.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$27.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$101.86
Rate for Payer: Cigna Commercial	$27.80
Rate for Payer: Cigna Medicare Advantage	$13.90
Rate for Payer: Clover Medicare Advantage	$26.41
Rate for Payer: EmblemHealth Commercial	$83.40
Rate for Payer: Humana Medicare Advantage	$28.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.36
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$25.80
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$27.80
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$29.47
Rate for Payer: Wellcare Medicare Advantage	$27.80

CH CITRIC ACID, SERUM

Facility

$165.00

Service Code	HCPCS 82507
Hospital Charge Code	397071501
Hospital Revenue Code	301
Min. Negotiated Rate	$13.90
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$90.07
Rate for Payer: Aetna Medicare Advantage	$27.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$101.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$101.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$27.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$101.86
Rate for Payer: Cigna Commercial	$27.80
Rate for Payer: Cigna Medicare Advantage	$13.90
Rate for Payer: Clover Medicare Advantage	$26.41
Rate for Payer: EmblemHealth Commercial	$83.40
Rate for Payer: Humana Medicare Advantage	$28.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.45
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.75
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$27.80
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$29.47
Rate for Payer: Wellcare Medicare Advantage	$27.80

CH CITRIC ACID, SERUM

Facility

$165.00

Service Code	HCPCS 82507
Hospital Charge Code	397071501
Hospital Revenue Code	301
Min. Negotiated Rate	$24.75
Max. Negotiated Rate	$24.75
Rate for Payer: Qualcare PPO/HMO/WC	$24.75

CH CK (CPK)

Facility

$385.26

Service Code	HCPCS 82550
Hospital Charge Code	397071138
Hospital Revenue Code	301
Min. Negotiated Rate	$3.25
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$21.09
Rate for Payer: Aetna Medicare Advantage	$6.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.85
Rate for Payer: Cigna Commercial	$6.51
Rate for Payer: Cigna Medicare Advantage	$3.25
Rate for Payer: Clover Medicare Advantage	$6.18
Rate for Payer: EmblemHealth Commercial	$19.53
Rate for Payer: Humana Medicare Advantage	$6.71
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.08
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$57.79
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.51
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.90
Rate for Payer: Wellcare Medicare Advantage	$6.51

CH CK (CPK)

Facility

$385.26

Service Code	HCPCS 82550
Hospital Charge Code	397071138
Hospital Revenue Code	301
Min. Negotiated Rate	$57.79
Max. Negotiated Rate	$57.79
Rate for Payer: Qualcare PPO/HMO/WC	$57.79

CH CK ISOENZYMES

Facility

$83.00

Service Code	HCPCS 82552
Hospital Charge Code	397073255
Hospital Revenue Code	301
Min. Negotiated Rate	$12.45
Max. Negotiated Rate	$12.45
Rate for Payer: Qualcare PPO/HMO/WC	$12.45

CH CK ISOENZYMES

Facility

$83.00

Service Code	HCPCS 82552
Hospital Charge Code	397073033
Hospital Revenue Code	301
Min. Negotiated Rate	$12.45
Max. Negotiated Rate	$12.45
Rate for Payer: Qualcare PPO/HMO/WC	$12.45

CH CK ISOENZYMES

Facility

$83.00

Service Code	HCPCS 82552
Hospital Charge Code	397073255
Hospital Revenue Code	301
Min. Negotiated Rate	$6.70
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$43.38
Rate for Payer: Aetna Medicare Advantage	$13.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.06
Rate for Payer: Cigna Commercial	$13.39
Rate for Payer: Cigna Medicare Advantage	$6.70
Rate for Payer: Clover Medicare Advantage	$12.72
Rate for Payer: EmblemHealth Commercial	$40.17
Rate for Payer: Humana Medicare Advantage	$13.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.79
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.45
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.39
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14.19
Rate for Payer: Wellcare Medicare Advantage	$13.39

CH CK ISOENZYMES

Facility

$83.00

Service Code	HCPCS 82552
Hospital Charge Code	397073033
Hospital Revenue Code	301
Min. Negotiated Rate	$6.70
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$43.38
Rate for Payer: Aetna Medicare Advantage	$13.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.06
Rate for Payer: Cigna Commercial	$13.39
Rate for Payer: Cigna Medicare Advantage	$6.70
Rate for Payer: Clover Medicare Advantage	$12.72
Rate for Payer: EmblemHealth Commercial	$40.17
Rate for Payer: Humana Medicare Advantage	$13.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.79
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.45
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.39
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14.19
Rate for Payer: Wellcare Medicare Advantage	$13.39

CH CKMB

Facility

$807.65

Service Code	HCPCS 82553
Hospital Charge Code	397071108
Hospital Revenue Code	301
Min. Negotiated Rate	$121.15
Max. Negotiated Rate	$121.15
Rate for Payer: Qualcare PPO/HMO/WC	$121.15

CH CKMB

Facility

$807.65

Service Code	HCPCS 82553
Hospital Charge Code	397071108
Hospital Revenue Code	301
Min. Negotiated Rate	$5.78
Max. Negotiated Rate	$121.15
Rate for Payer: Aetna Commercial	$37.42
Rate for Payer: Aetna Medicare Advantage	$11.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.32
Rate for Payer: Cigna Commercial	$11.55
Rate for Payer: Cigna Medicare Advantage	$5.78
Rate for Payer: Clover Medicare Advantage	$10.97
Rate for Payer: EmblemHealth Commercial	$34.65
Rate for Payer: Humana Medicare Advantage	$11.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$104.99
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$121.15
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.55
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12.24
Rate for Payer: Wellcare Medicare Advantage	$11.55

CH CK W/MB FRACT RFX

Facility

$385.26

Service Code	HCPCS 82550
Hospital Charge Code	397073627
Hospital Revenue Code	301
Min. Negotiated Rate	$3.25
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$21.09
Rate for Payer: Aetna Medicare Advantage	$6.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.85
Rate for Payer: Cigna Commercial	$6.51
Rate for Payer: Cigna Medicare Advantage	$3.25
Rate for Payer: Clover Medicare Advantage	$6.18
Rate for Payer: EmblemHealth Commercial	$19.53
Rate for Payer: Humana Medicare Advantage	$6.71
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.08
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$57.79
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.51
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.90
Rate for Payer: Wellcare Medicare Advantage	$6.51

CH CK W/MB FRACT RFX

Facility

$385.26

Service Code	HCPCS 82550
Hospital Charge Code	397073627
Hospital Revenue Code	301
Min. Negotiated Rate	$57.79
Max. Negotiated Rate	$57.79
Rate for Payer: Qualcare PPO/HMO/WC	$57.79

CH CLOMIPRAMINE

Facility

$108.00

Service Code	HCPCS 82542
Hospital Charge Code	397072006
Hospital Revenue Code	301
Min. Negotiated Rate	$12.04
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$78.05
Rate for Payer: Aetna Medicare Advantage	$24.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$24.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.27
Rate for Payer: Cigna Commercial	$24.09
Rate for Payer: Cigna Medicare Advantage	$12.04
Rate for Payer: Clover Medicare Advantage	$22.89
Rate for Payer: EmblemHealth Commercial	$72.27
Rate for Payer: Humana Medicare Advantage	$24.81
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	$24.09
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$25.54
Rate for Payer: Wellcare Medicare Advantage	$24.09

CH CLOMIPRAMINE

Facility

$108.00

Service Code	HCPCS 82542
Hospital Charge Code	397072006
Hospital Revenue Code	301
Min. Negotiated Rate	$16.20
Max. Negotiated Rate	$16.20
Rate for Payer: Qualcare PPO/HMO/WC	$16.20

CH CLONAZEPAM

Facility

$114.00

Service Code	HCPCS 80346
Hospital Charge Code	397072047
Hospital Revenue Code	301
Min. Negotiated Rate	$17.10
Max. Negotiated Rate	$17.10
Rate for Payer: Qualcare PPO/HMO/WC	$17.10

CH CLONAZEPAM

Facility

$114.00

Service Code	HCPCS 80346
Hospital Charge Code	397072047
Hospital Revenue Code	301
Min. Negotiated Rate	$14.82
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$34.20
Rate for Payer: Aetna Medicare Advantage	$34.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.07
Rate for Payer: Cigna Commercial	$57.00
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

CH CLONIDINE

Facility

$228.00

Service Code	HCPCS 82542
Hospital Charge Code	397072048
Hospital Revenue Code	301
Min. Negotiated Rate	$12.04
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$78.05
Rate for Payer: Aetna Medicare Advantage	$24.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$24.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.27
Rate for Payer: Cigna Commercial	$24.09
Rate for Payer: Cigna Medicare Advantage	$12.04
Rate for Payer: Clover Medicare Advantage	$22.89
Rate for Payer: EmblemHealth Commercial	$72.27
Rate for Payer: Humana Medicare Advantage	$24.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.64
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$34.20
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$24.09
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$25.54
Rate for Payer: Wellcare Medicare Advantage	$24.09

CH CLONIDINE

Facility

$228.00

Service Code	HCPCS 82542
Hospital Charge Code	397072048
Hospital Revenue Code	301
Min. Negotiated Rate	$34.20
Max. Negotiated Rate	$34.20
Rate for Payer: Qualcare PPO/HMO/WC	$34.20

CH CLOT RETRACTION

Facility

$131.00

Service Code	HCPCS 85170
Hospital Charge Code	397021083
Hospital Revenue Code	305
Min. Negotiated Rate	$1.23
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$52.81
Rate for Payer: Aetna Medicare Advantage	$16.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.72
Rate for Payer: Cigna Commercial	$16.30
Rate for Payer: Cigna Medicare Advantage	$8.15
Rate for Payer: Clover Medicare Advantage	$15.48
Rate for Payer: EmblemHealth Commercial	$48.90
Rate for Payer: Humana Medicare Advantage	$16.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.03
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.65
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.30
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$17.28
Rate for Payer: Wellcare Medicare Advantage	$16.30

CH CLOT RETRACTION

Facility

$131.00

Service Code	HCPCS 85170
Hospital Charge Code	397021083
Hospital Revenue Code	305
Min. Negotiated Rate	$19.65
Max. Negotiated Rate	$19.65
Rate for Payer: Qualcare PPO/HMO/WC	$19.65

CH CLOTTING TIME

Facility

$81.00

Service Code	HCPCS 85348
Hospital Charge Code	397021079
Hospital Revenue Code	305
Min. Negotiated Rate	$12.15
Max. Negotiated Rate	$12.15
Rate for Payer: Qualcare PPO/HMO/WC	$12.15

Know your out-of-pocket cost for care.

All Charges