Heights University Hospital

All Charges

Charge

Type

Setting

Price

CH CREATININE

Facility

$40.00

Service Code	HCPCS 82565
Hospital Charge Code	397071098
Hospital Revenue Code	301
Min. Negotiated Rate	$6.00
Max. Negotiated Rate	$6.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.00

CH CREATININE

Facility

$40.00

Service Code	HCPCS 82565
Hospital Charge Code	397071098
Hospital Revenue Code	301
Min. Negotiated Rate	$2.56
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.59
Rate for Payer: Aetna Medicare Advantage	$5.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.76
Rate for Payer: Cigna Commercial	$5.12
Rate for Payer: Cigna Medicare Advantage	$2.56
Rate for Payer: Clover Medicare Advantage	$4.86
Rate for Payer: EmblemHealth Commercial	$15.36
Rate for Payer: Humana Medicare Advantage	$5.27
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	$5.12
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.43
Rate for Payer: Wellcare Medicare Advantage	$5.12

CH CREATININE CLEARANCE

Facility

$118.00

Service Code	HCPCS 82575
Hospital Charge Code	397071102
Hospital Revenue Code	301
Min. Negotiated Rate	$17.70
Max. Negotiated Rate	$17.70
Rate for Payer: Qualcare PPO/HMO/WC	$17.70

CH CREATININE CLEARANCE

Facility

$118.00

Service Code	HCPCS 82575
Hospital Charge Code	397071102
Hospital Revenue Code	301
Min. Negotiated Rate	$4.73
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$30.65
Rate for Payer: Aetna Medicare Advantage	$9.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.66
Rate for Payer: Cigna Commercial	$9.46
Rate for Payer: Cigna Medicare Advantage	$4.73
Rate for Payer: Clover Medicare Advantage	$8.99
Rate for Payer: EmblemHealth Commercial	$28.38
Rate for Payer: Humana Medicare Advantage	$9.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.34
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.70
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.46
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$10.03
Rate for Payer: Wellcare Medicare Advantage	$9.46

CH CREATININE FLUID

Facility

$152.65

Service Code	HCPCS 82570
Hospital Charge Code	397073049
Hospital Revenue Code	301
Min. Negotiated Rate	$2.59
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.78
Rate for Payer: Aetna Medicare Advantage	$5.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.98
Rate for Payer: Cigna Commercial	$5.18
Rate for Payer: Cigna Medicare Advantage	$2.59
Rate for Payer: Clover Medicare Advantage	$4.92
Rate for Payer: EmblemHealth Commercial	$15.54
Rate for Payer: Humana Medicare Advantage	$5.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.84
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.90
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.18
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.49
Rate for Payer: Wellcare Medicare Advantage	$5.18

CH CREATININE FLUID

Facility

$152.65

Service Code	HCPCS 82570
Hospital Charge Code	397073049
Hospital Revenue Code	301
Min. Negotiated Rate	$22.90
Max. Negotiated Rate	$22.90
Rate for Payer: Qualcare PPO/HMO/WC	$22.90

CH CREATININE (RANDOM)

Facility

$382.58

Service Code	HCPCS 82570
Hospital Charge Code	397073107
Hospital Revenue Code	301
Min. Negotiated Rate	$57.39
Max. Negotiated Rate	$57.39
Rate for Payer: Qualcare PPO/HMO/WC	$57.39

CH CREATININE (RANDOM)

Facility

$382.58

Service Code	HCPCS 82570
Hospital Charge Code	397073107
Hospital Revenue Code	301
Min. Negotiated Rate	$2.59
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.78
Rate for Payer: Aetna Medicare Advantage	$5.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.98
Rate for Payer: Cigna Commercial	$5.18
Rate for Payer: Cigna Medicare Advantage	$2.59
Rate for Payer: Clover Medicare Advantage	$4.92
Rate for Payer: EmblemHealth Commercial	$15.54
Rate for Payer: Humana Medicare Advantage	$5.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.74
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$57.39
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.18
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.49
Rate for Payer: Wellcare Medicare Advantage	$5.18

CH CREATININE URINE 24 HR

Facility

$57.00

Service Code	HCPCS 82570
Hospital Charge Code	397071265
Hospital Revenue Code	301
Min. Negotiated Rate	$8.55
Max. Negotiated Rate	$8.55
Rate for Payer: Qualcare PPO/HMO/WC	$8.55

CH CREATININE URINE 24 HR

Facility

$57.00

Service Code	HCPCS 82570
Hospital Charge Code	397071265
Hospital Revenue Code	301
Min. Negotiated Rate	$2.59
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.78
Rate for Payer: Aetna Medicare Advantage	$5.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.98
Rate for Payer: Cigna Commercial	$5.18
Rate for Payer: Cigna Medicare Advantage	$2.59
Rate for Payer: Clover Medicare Advantage	$4.92
Rate for Payer: EmblemHealth Commercial	$15.54
Rate for Payer: Humana Medicare Advantage	$5.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.41
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$8.55
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.18
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.49
Rate for Payer: Wellcare Medicare Advantage	$5.18

CH CROSSMATCH

Facility

$246.00

Service Code	HCPCS 86920
Hospital Charge Code	397031008
Hospital Revenue Code	300
Min. Negotiated Rate	$36.90
Max. Negotiated Rate	$36.90
Rate for Payer: Qualcare PPO/HMO/WC	$36.90

CH CROSSMATCH

Facility

$246.00

Service Code	HCPCS 86920
Hospital Charge Code	397031008
Hospital Revenue Code	300
Min. Negotiated Rate	$24.74
Max. Negotiated Rate	$405.73
Rate for Payer: Aetna Commercial	$73.80
Rate for Payer: Aetna Medicare Advantage	$73.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.73
Rate for Payer: Cigna Commercial	$405.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.98
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.90
Rate for Payer: UnitedHealthcare Commercial	$114.00

CH CROSSMATCH PRE-WARM

Facility

$320.00

Service Code	HCPCS 86922
Hospital Charge Code	397031059
Hospital Revenue Code	300
Min. Negotiated Rate	$24.68
Max. Negotiated Rate	$405.73
Rate for Payer: Aetna Commercial	$96.00
Rate for Payer: Aetna Medicare Advantage	$96.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.60
Rate for Payer: Cigna Commercial	$405.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.60
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$48.00
Rate for Payer: UnitedHealthcare Commercial	$114.00

CH CROSSMATCH PRE-WARM

Facility

$320.00

Service Code	HCPCS 86922
Hospital Charge Code	397031059
Hospital Revenue Code	300
Min. Negotiated Rate	$48.00
Max. Negotiated Rate	$48.00
Rate for Payer: Qualcare PPO/HMO/WC	$48.00

CH CRYOGLOBULIN

Facility

$390.00

Service Code	HCPCS 82595
Hospital Charge Code	397071064
Hospital Revenue Code	301
Min. Negotiated Rate	$2.81
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$20.96
Rate for Payer: Aetna Medicare Advantage	$6.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.71
Rate for Payer: Cigna Commercial	$6.47
Rate for Payer: Cigna Medicare Advantage	$3.23
Rate for Payer: Clover Medicare Advantage	$6.15
Rate for Payer: EmblemHealth Commercial	$19.41
Rate for Payer: Humana Medicare Advantage	$6.66
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	$6.47
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.86
Rate for Payer: Wellcare Medicare Advantage	$6.47

CH CRYOGLOBULIN

Facility

$390.00

Service Code	HCPCS 82595
Hospital Charge Code	397071064
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CH CRYOPRECIPITATE

Facility

$291.95

Hospital Charge Code	397031005
Hospital Revenue Code	390
Min. Negotiated Rate	$43.79
Max. Negotiated Rate	$43.79
Rate for Payer: Qualcare PPO/HMO/WC	$43.79

CH CRYOPRECIPITATE

Facility

$291.95

Hospital Charge Code	397031005
Hospital Revenue Code	390
Min. Negotiated Rate	$37.95
Max. Negotiated Rate	$756.00
Rate for Payer: Aetna Commercial	$87.58
Rate for Payer: Aetna Medicare Advantage	$87.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.45
Rate for Payer: Cigna Commercial	$145.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.95
Rate for Payer: Oxford Commercial	$666.00
Rate for Payer: Qualcare PPO/HMO/WC	$43.79
Rate for Payer: UnitedHealthcare Commercial	$756.00

CH CRYPTOCOCCUS ANTIGEN

Facility

$390.00

Service Code	HCPCS 87327
Hospital Charge Code	397041052
Hospital Revenue Code	306
Min. Negotiated Rate	$6.71
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$43.48
Rate for Payer: Aetna Medicare Advantage	$13.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.17
Rate for Payer: Cigna Commercial	$13.42
Rate for Payer: Cigna Medicare Advantage	$6.71
Rate for Payer: Clover Medicare Advantage	$12.75
Rate for Payer: EmblemHealth Commercial	$40.26
Rate for Payer: Humana Medicare Advantage	$13.82
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	$13.42
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14.23
Rate for Payer: Wellcare Medicare Advantage	$13.42

CH CRYPTOCOCCUS ANTIGEN

Facility

$390.00

Service Code	HCPCS 87327
Hospital Charge Code	397041052
Hospital Revenue Code	306
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CH CRYSTALS FLUID

Facility

$390.00

Service Code	HCPCS 89060
Hospital Charge Code	397021087
Hospital Revenue Code	300
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CH CRYSTALS FLUID

Facility

$390.00

Service Code	HCPCS 89060
Hospital Charge Code	397021087
Hospital Revenue Code	300
Min. Negotiated Rate	$3.67
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$23.75
Rate for Payer: Aetna Medicare Advantage	$7.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.86
Rate for Payer: Cigna Commercial	$7.33
Rate for Payer: Cigna Medicare Advantage	$3.67
Rate for Payer: Clover Medicare Advantage	$6.96
Rate for Payer: EmblemHealth Commercial	$21.99
Rate for Payer: Humana Medicare Advantage	$7.55
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	$7.33
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$7.77
Rate for Payer: Wellcare Medicare Advantage	$7.33

CH CRYTOCOCCUS AB

Facility

$79.00

Service Code	HCPCS 86403
Hospital Charge Code	397071470
Hospital Revenue Code	302
Min. Negotiated Rate	$5.77
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$37.39
Rate for Payer: Aetna Medicare Advantage	$11.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.28
Rate for Payer: Cigna Commercial	$11.54
Rate for Payer: Cigna Medicare Advantage	$5.77
Rate for Payer: Clover Medicare Advantage	$10.96
Rate for Payer: EmblemHealth Commercial	$34.62
Rate for Payer: Humana Medicare Advantage	$11.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.27
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$11.85
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.54
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12.23
Rate for Payer: Wellcare Medicare Advantage	$11.54

CH CRYTOCOCCUS AB

Facility

$79.00

Service Code	HCPCS 86403
Hospital Charge Code	397071470
Hospital Revenue Code	302
Min. Negotiated Rate	$11.85
Max. Negotiated Rate	$11.85
Rate for Payer: Qualcare PPO/HMO/WC	$11.85

CH CSF FOR CREUTZFELDT JAKOB

Facility

$123.00

Service Code	HCPCS 83520
Hospital Charge Code	397071478
Hospital Revenue Code	301
Min. Negotiated Rate	$18.45
Max. Negotiated Rate	$18.45
Rate for Payer: Qualcare PPO/HMO/WC	$18.45

Know your out-of-pocket cost for care.

All Charges