Heights University Hospital

All Charges

Charge

Type

Setting

Price

CH EBV VIRUS DNA PCR

Facility

$287.00

Service Code	HCPCS 87798
Hospital Charge Code	397071097
Hospital Revenue Code	306
Min. Negotiated Rate	$43.05
Max. Negotiated Rate	$43.05
Rate for Payer: Qualcare PPO/HMO/WC	$43.05

CH EBV VIRUS DNA PCR

Facility

$287.00

Service Code	HCPCS 87798
Hospital Charge Code	397071097
Hospital Revenue Code	306
Min. Negotiated Rate	$17.55
Max. Negotiated Rate	$147.80
Rate for Payer: Aetna Commercial	$113.69
Rate for Payer: Aetna Medicare Advantage	$35.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$128.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$128.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$35.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$147.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$128.57
Rate for Payer: Cigna Commercial	$35.09
Rate for Payer: Cigna Medicare Advantage	$17.55
Rate for Payer: Clover Medicare Advantage	$33.34
Rate for Payer: EmblemHealth Commercial	$105.27
Rate for Payer: Humana Medicare Advantage	$36.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.31
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$43.05
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$35.09
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$37.20
Rate for Payer: Wellcare Medicare Advantage	$35.09

CH E.CHAFFEENSIS AB, LGG,LGM

Facility

$527.00

Service Code	HCPCS 86666
Hospital Charge Code	397071403
Hospital Revenue Code	302
Min. Negotiated Rate	$5.09
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$32.98
Rate for Payer: Aetna Medicare Advantage	$10.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.30
Rate for Payer: Cigna Commercial	$10.18
Rate for Payer: Cigna Medicare Advantage	$5.09
Rate for Payer: Clover Medicare Advantage	$9.67
Rate for Payer: EmblemHealth Commercial	$30.54
Rate for Payer: Humana Medicare Advantage	$10.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$68.51
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$79.05
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$10.18
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$10.79
Rate for Payer: Wellcare Medicare Advantage	$10.18

CH E.CHAFFEENSIS AB, LGG,LGM

Facility

$527.00

Service Code	HCPCS 86666
Hospital Charge Code	397071403
Hospital Revenue Code	302
Min. Negotiated Rate	$79.05
Max. Negotiated Rate	$79.05
Rate for Payer: Qualcare PPO/HMO/WC	$79.05

CH ECHO VIRUS AB

Facility

$155.00

Service Code	HCPCS 86658
Hospital Charge Code	397071477
Hospital Revenue Code	302
Min. Negotiated Rate	$6.51
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$42.22
Rate for Payer: Aetna Medicare Advantage	$13.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.74
Rate for Payer: Cigna Commercial	$13.03
Rate for Payer: Cigna Medicare Advantage	$6.51
Rate for Payer: Clover Medicare Advantage	$12.38
Rate for Payer: EmblemHealth Commercial	$39.09
Rate for Payer: Humana Medicare Advantage	$13.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.15
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$23.25
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.03
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13.81
Rate for Payer: Wellcare Medicare Advantage	$13.03

CH ECHO VIRUS AB

Facility

$155.00

Service Code	HCPCS 86658
Hospital Charge Code	397071477
Hospital Revenue Code	302
Min. Negotiated Rate	$23.25
Max. Negotiated Rate	$23.25
Rate for Payer: Qualcare PPO/HMO/WC	$23.25

CHECK FLO ACCESS ADPTR 606002

Facility

$50.00

Hospital Charge Code	270636700C
Hospital Revenue Code	278
Min. Negotiated Rate	$7.50
Max. Negotiated Rate	$25.00
Rate for Payer: Aetna Commercial	$15.00
Rate for Payer: Aetna Medicare Advantage	$15.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.75
Rate for Payer: Cigna Commercial	$25.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.10
Rate for Payer: Qualcare PPO/HMO/WC	$7.50

CHECK FLO ACCESS ADPTR 606002

Facility

$50.00

Hospital Charge Code	270636700C
Hospital Revenue Code	278
Min. Negotiated Rate	$7.50
Max. Negotiated Rate	$12.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.10
Rate for Payer: Qualcare PPO/HMO/WC	$7.50

CHECK FLO ACCESSORY ADAPTOR

Facility

$66.15

Hospital Charge Code	270636700
Hospital Revenue Code	272
Min. Negotiated Rate	$8.60
Max. Negotiated Rate	$33.08
Rate for Payer: Aetna Commercial	$19.84
Rate for Payer: Aetna Medicare Advantage	$19.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.87
Rate for Payer: Cigna Commercial	$33.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.60
Rate for Payer: Oxford Commercial	$33.08
Rate for Payer: Qualcare PPO/HMO/WC	$9.92
Rate for Payer: UnitedHealthcare Commercial	$33.08

CHECK FLO ACCESSORY ADAPTOR

Facility

$66.15

Hospital Charge Code	270636700
Hospital Revenue Code	272
Min. Negotiated Rate	$9.92
Max. Negotiated Rate	$9.92
Rate for Payer: Qualcare PPO/HMO/WC	$9.92

CHECKPOINT 3.5MM HEX IMPACTION

Facility

$610.00

Hospital Charge Code	270668099
Hospital Revenue Code	272
Min. Negotiated Rate	$79.30
Max. Negotiated Rate	$305.00
Rate for Payer: Aetna Commercial	$183.00
Rate for Payer: Aetna Medicare Advantage	$183.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$155.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$155.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$155.55
Rate for Payer: Cigna Commercial	$305.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.30
Rate for Payer: Oxford Commercial	$305.00
Rate for Payer: Qualcare PPO/HMO/WC	$91.50
Rate for Payer: UnitedHealthcare Commercial	$305.00

CHECKPOINT 3.5MM HEX IMPACTION

Facility

$610.00

Hospital Charge Code	270668099
Hospital Revenue Code	272
Min. Negotiated Rate	$91.50
Max. Negotiated Rate	$91.50
Rate for Payer: Qualcare PPO/HMO/WC	$91.50

CHECKPOINT HEX 3.5MMX15MM

Facility

$610.00

Hospital Charge Code	270668613
Hospital Revenue Code	272
Min. Negotiated Rate	$79.30
Max. Negotiated Rate	$305.00
Rate for Payer: Aetna Commercial	$183.00
Rate for Payer: Aetna Medicare Advantage	$183.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$155.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$155.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$155.55
Rate for Payer: Cigna Commercial	$305.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.30
Rate for Payer: Oxford Commercial	$305.00
Rate for Payer: Qualcare PPO/HMO/WC	$91.50
Rate for Payer: UnitedHealthcare Commercial	$305.00

CHECKPOINT HEX 3.5MMX15MM

Facility

$610.00

Hospital Charge Code	270668613
Hospital Revenue Code	272
Min. Negotiated Rate	$91.50
Max. Negotiated Rate	$91.50
Rate for Payer: Qualcare PPO/HMO/WC	$91.50

CHECK POINT KIT

Facility

$503.75

Hospital Charge Code	270691180
Hospital Revenue Code	272
Min. Negotiated Rate	$75.56
Max. Negotiated Rate	$75.56
Rate for Payer: Qualcare PPO/HMO/WC	$75.56

CHECK POINT KIT

Facility

$503.75

Hospital Charge Code	270691180
Hospital Revenue Code	272
Min. Negotiated Rate	$65.49
Max. Negotiated Rate	$251.88
Rate for Payer: Aetna Commercial	$151.12
Rate for Payer: Aetna Medicare Advantage	$151.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$128.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$128.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$128.46
Rate for Payer: Cigna Commercial	$251.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.49
Rate for Payer: Oxford Commercial	$251.88
Rate for Payer: Qualcare PPO/HMO/WC	$75.56
Rate for Payer: UnitedHealthcare Commercial	$251.88

CHECKPOINT KIT

Facility

$503.75

Hospital Charge Code	270690852
Hospital Revenue Code	272
Min. Negotiated Rate	$65.49
Max. Negotiated Rate	$251.88
Rate for Payer: Aetna Commercial	$151.12
Rate for Payer: Aetna Medicare Advantage	$151.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$128.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$128.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$128.46
Rate for Payer: Cigna Commercial	$251.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.49
Rate for Payer: Oxford Commercial	$251.88
Rate for Payer: Qualcare PPO/HMO/WC	$75.56
Rate for Payer: UnitedHealthcare Commercial	$251.88

CHECKPOINT KIT

Facility

$503.75

Hospital Charge Code	270668847
Hospital Revenue Code	272
Min. Negotiated Rate	$65.49
Max. Negotiated Rate	$251.88
Rate for Payer: Aetna Commercial	$151.12
Rate for Payer: Aetna Medicare Advantage	$151.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$128.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$128.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$128.46
Rate for Payer: Cigna Commercial	$251.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.49
Rate for Payer: Oxford Commercial	$251.88
Rate for Payer: Qualcare PPO/HMO/WC	$75.56
Rate for Payer: UnitedHealthcare Commercial	$251.88

CHECKPOINT KIT

Facility

$503.75

Hospital Charge Code	270690852
Hospital Revenue Code	272
Min. Negotiated Rate	$75.56
Max. Negotiated Rate	$75.56
Rate for Payer: Qualcare PPO/HMO/WC	$75.56

CHECKPOINT KIT

Facility

$503.75

Hospital Charge Code	270668847
Hospital Revenue Code	272
Min. Negotiated Rate	$75.56
Max. Negotiated Rate	$75.56
Rate for Payer: Qualcare PPO/HMO/WC	$75.56

CH EFFEXOR/VENLATAXINE

Facility

$260.00

Service Code	HCPCS 80299
Hospital Charge Code	397071359
Hospital Revenue Code	301
Min. Negotiated Rate	$39.00
Max. Negotiated Rate	$39.00
Rate for Payer: Qualcare PPO/HMO/WC	$39.00

CH EFFEXOR/VENLATAXINE

Facility

$260.00

Service Code	HCPCS 80299
Hospital Charge Code	397071359
Hospital Revenue Code	301
Min. Negotiated Rate	$9.32
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$60.39
Rate for Payer: Aetna Medicare Advantage	$18.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.30
Rate for Payer: Cigna Commercial	$18.64
Rate for Payer: Cigna Medicare Advantage	$9.32
Rate for Payer: Clover Medicare Advantage	$17.71
Rate for Payer: EmblemHealth Commercial	$55.92
Rate for Payer: Humana Medicare Advantage	$19.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.80
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$39.00
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.64
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19.76
Rate for Payer: Wellcare Medicare Advantage	$18.64

CH ELECTROLYTE PANEL

Facility

$179.00

Service Code	HCPCS 80051
Hospital Charge Code	397071355
Hospital Revenue Code	301
Min. Negotiated Rate	$26.85
Max. Negotiated Rate	$26.85
Rate for Payer: Qualcare PPO/HMO/WC	$26.85

CH ELECTROLYTE PANEL

Facility

$179.00

Service Code	HCPCS 80051
Hospital Charge Code	397071355
Hospital Revenue Code	301
Min. Negotiated Rate	$3.50
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$22.71
Rate for Payer: Aetna Medicare Advantage	$7.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.68
Rate for Payer: Cigna Commercial	$7.01
Rate for Payer: Cigna Medicare Advantage	$3.50
Rate for Payer: Clover Medicare Advantage	$6.66
Rate for Payer: EmblemHealth Commercial	$21.03
Rate for Payer: Humana Medicare Advantage	$7.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.27
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$26.85
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$7.01
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$7.43
Rate for Payer: Wellcare Medicare Advantage	$7.01

CHEM 6 PROFILE

Facility

$483.60

Service Code	HCPCS 80048
Hospital Charge Code	3004868
Hospital Revenue Code	301
Min. Negotiated Rate	$72.54
Max. Negotiated Rate	$72.54
Rate for Payer: Qualcare PPO/HMO/WC	$72.54

Know your out-of-pocket cost for care.

All Charges