Heights University Hospital

All Charges

Charge

Type

Setting

Price

CHEM 6 PROFILE

Facility

$483.60

Service Code	HCPCS 80048
Hospital Charge Code	3004868
Hospital Revenue Code	301
Min. Negotiated Rate	$4.23
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$27.41
Rate for Payer: Aetna Medicare Advantage	$8.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.00
Rate for Payer: Cigna Commercial	$8.46
Rate for Payer: Cigna Medicare Advantage	$4.23
Rate for Payer: Clover Medicare Advantage	$8.04
Rate for Payer: EmblemHealth Commercial	$25.38
Rate for Payer: Humana Medicare Advantage	$8.71
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.87
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$72.54
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$8.46
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$8.97
Rate for Payer: Wellcare Medicare Advantage	$8.46

CHEM 7 PROFILE

Facility

$483.60

Service Code	HCPCS 80048
Hospital Charge Code	3004876
Hospital Revenue Code	301
Min. Negotiated Rate	$4.23
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$27.41
Rate for Payer: Aetna Medicare Advantage	$8.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.00
Rate for Payer: Cigna Commercial	$8.46
Rate for Payer: Cigna Medicare Advantage	$4.23
Rate for Payer: Clover Medicare Advantage	$8.04
Rate for Payer: EmblemHealth Commercial	$25.38
Rate for Payer: Humana Medicare Advantage	$8.71
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.87
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$72.54
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$8.46
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$8.97
Rate for Payer: Wellcare Medicare Advantage	$8.46

CHEM 7 PROFILE

Facility

$483.60

Service Code	HCPCS 80048
Hospital Charge Code	3004876
Hospital Revenue Code	301
Min. Negotiated Rate	$72.54
Max. Negotiated Rate	$72.54
Rate for Payer: Qualcare PPO/HMO/WC	$72.54

CHEM8+ LACTATE

Facility

$113.65

Service Code	HCPCS 83605
Hospital Charge Code	402083605
Hospital Revenue Code	450
Min. Negotiated Rate	$17.05
Max. Negotiated Rate	$17.05
Rate for Payer: Qualcare PPO/HMO/WC	$17.05

CHEM8+ LACTATE

Facility

$113.65

Service Code	HCPCS 83605
Hospital Charge Code	402083605
Hospital Revenue Code	450
Min. Negotiated Rate	$10.99
Max. Negotiated Rate	$42.39
Rate for Payer: Aetna Commercial	$37.49
Rate for Payer: Aetna Medicare Advantage	$11.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.39
Rate for Payer: Cigna Commercial	$11.57
Rate for Payer: Cigna Medicare Advantage	$11.57
Rate for Payer: Clover Medicare Advantage	$10.99
Rate for Payer: EmblemHealth Commercial	$34.71
Rate for Payer: Humana Medicare Advantage	$11.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.77
Rate for Payer: Qualcare PPO/HMO/WC	$17.05
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.57
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12.26
Rate for Payer: Wellcare Medicare Advantage	$11.57

CHEM CAUTERY GRANULATION TIS

Facility

$990.50

Service Code	HCPCS 17250
Hospital Charge Code	412317250
Hospital Revenue Code	361
Min. Negotiated Rate	$148.57
Max. Negotiated Rate	$148.57
Rate for Payer: Qualcare PPO/HMO/WC	$148.57

CHEM CAUTERY GRANULATION TIS

Facility

$990.50

Service Code	HCPCS 17250
Hospital Charge Code	412317250
Hospital Revenue Code	361
Min. Negotiated Rate	$128.76
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$297.15
Rate for Payer: Aetna Medicare Advantage	$297.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$252.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$252.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$252.58
Rate for Payer: Cigna Commercial	$477.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.76
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$148.57
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

CHEMET/100MG/CAP

Facility

$18.00

Hospital Charge Code	60632676
Hospital Revenue Code	250
Min. Negotiated Rate	$2.34
Max. Negotiated Rate	$9.00
Rate for Payer: Aetna Commercial	$5.40
Rate for Payer: Aetna Medicare Advantage	$5.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.59
Rate for Payer: Cigna Commercial	$9.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.34
Rate for Payer: Oxford Commercial	$9.00
Rate for Payer: Qualcare PPO/HMO/WC	$2.70
Rate for Payer: UnitedHealthcare Commercial	$9.00

CHEMET/100MG/CAP

Facility

$18.00

Hospital Charge Code	60632676
Hospital Revenue Code	250
Min. Negotiated Rate	$2.70
Max. Negotiated Rate	$2.70
Rate for Payer: Qualcare PPO/HMO/WC	$2.70

CHEMICAL CAUTERIZATION OF GRAN

Facility

$990.50

Service Code	HCPCS 17250
Hospital Charge Code	9800550
Hospital Revenue Code	510
Min. Negotiated Rate	$148.57
Max. Negotiated Rate	$148.57
Rate for Payer: Qualcare PPO/HMO/WC	$148.57

CHEMICAL CAUTERIZATION OF GRAN

Facility

$990.50

Service Code	HCPCS 17250
Hospital Charge Code	9800550
Hospital Revenue Code	510
Min. Negotiated Rate	$50.15
Max. Negotiated Rate	$477.79
Rate for Payer: Aetna Commercial	$297.15
Rate for Payer: Aetna Medicare Advantage	$297.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$252.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$252.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$252.58
Rate for Payer: Cigna Commercial	$477.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.76
Rate for Payer: Qualcare PPO/HMO/WC	$148.57

CHEMILUMINESCENT ASSAY

Facility

$100.50

Service Code	HCPCS 82397
Hospital Charge Code	38477121
Hospital Revenue Code	301
Min. Negotiated Rate	$15.07
Max. Negotiated Rate	$15.07
Rate for Payer: Qualcare PPO/HMO/WC	$15.07

CHEMILUMINESCENT ASSAY

Facility

$100.50

Service Code	HCPCS 82397
Hospital Charge Code	38477121
Hospital Revenue Code	301
Min. Negotiated Rate	$7.06
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$45.75
Rate for Payer: Aetna Medicare Advantage	$14.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.12
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	$51.74
Rate for Payer: Cigna Commercial	$14.12
Rate for Payer: Cigna Medicare Advantage	$7.06
Rate for Payer: Clover Medicare Advantage	$13.41
Rate for Payer: EmblemHealth Commercial	$42.36
Rate for Payer: Humana Medicare Advantage	$14.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.06
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.07
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.12
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14.97
Rate for Payer: Wellcare Medicare Advantage	$14.12

CHEMISTRY 14 PROFILE***

Facility

$78.00

Hospital Charge Code	3003589
Hospital Revenue Code	301
Min. Negotiated Rate	$10.14
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$23.40
Rate for Payer: Aetna Medicare Advantage	$23.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.89
Rate for Payer: Cigna Commercial	$39.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.14
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$11.70
Rate for Payer: UnitedHealthcare Commercial	$114.00

CHEMISTRY 14 PROFILE***

Facility

$78.00

Hospital Charge Code	3003589
Hospital Revenue Code	301
Min. Negotiated Rate	$11.70
Max. Negotiated Rate	$11.70
Rate for Payer: Qualcare PPO/HMO/WC	$11.70

CHEMISTRY PROFILE (COMPLETE***

Facility

$60.00

Service Code	HCPCS 85025
Hospital Charge Code	3008083
Hospital Revenue Code	301
Min. Negotiated Rate	$9.00
Max. Negotiated Rate	$9.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00

CHEMISTRY PROFILE (COMPLETE***

Facility

$60.00

Service Code	HCPCS 85025
Hospital Charge Code	3008083
Hospital Revenue Code	301
Min. Negotiated Rate	$3.88
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$25.17
Rate for Payer: Aetna Medicare Advantage	$7.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.47
Rate for Payer: Cigna Commercial	$7.77
Rate for Payer: Cigna Medicare Advantage	$3.88
Rate for Payer: Clover Medicare Advantage	$7.38
Rate for Payer: EmblemHealth Commercial	$23.31
Rate for Payer: Humana Medicare Advantage	$8.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.80
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$7.77
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$8.24
Rate for Payer: Wellcare Medicare Advantage	$7.77

CHEMISTRY SPECIAL PROFILE***

Facility

$208.80

Hospital Charge Code	3000536
Hospital Revenue Code	301
Min. Negotiated Rate	$27.14
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$62.64
Rate for Payer: Aetna Medicare Advantage	$62.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.24
Rate for Payer: Cigna Commercial	$104.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.14
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$31.32
Rate for Payer: UnitedHealthcare Commercial	$114.00

CHEMISTRY SPECIAL PROFILE***

Facility

$208.80

Hospital Charge Code	3000536
Hospital Revenue Code	301
Min. Negotiated Rate	$31.32
Max. Negotiated Rate	$31.32
Rate for Payer: Qualcare PPO/HMO/WC	$31.32

CHEMO ADMIN INFUSION 0-1HR***

Facility

$226.60

Service Code	HCPCS Q0084
Hospital Charge Code	3400140
Hospital Revenue Code	335
Min. Negotiated Rate	$29.46
Max. Negotiated Rate	$1,793.00
Rate for Payer: Aetna Commercial	$67.98
Rate for Payer: Aetna Medicare Advantage	$67.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.78
Rate for Payer: Cigna Commercial	$113.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.46
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.99
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

CHEMO ADMIN INFUSION 0-1HR***

Facility

$226.60

Service Code	HCPCS Q0084
Hospital Charge Code	3400140
Hospital Revenue Code	335
Min. Negotiated Rate	$33.99
Max. Negotiated Rate	$33.99
Rate for Payer: Qualcare PPO/HMO/WC	$33.99

CHEMO ADMIN INTRATHECAL

Facility

$1,242.40

Service Code	HCPCS 96450
Hospital Charge Code	93500097
Hospital Revenue Code	335
Min. Negotiated Rate	$186.36
Max. Negotiated Rate	$186.36
Rate for Payer: Qualcare PPO/HMO/WC	$186.36

CHEMO ADMIN INTRATHECAL

Facility

$1,242.40

Service Code	HCPCS 96450
Hospital Charge Code	93500097
Hospital Revenue Code	335
Min. Negotiated Rate	$161.51
Max. Negotiated Rate	$1,793.00
Rate for Payer: Aetna Commercial	$372.72
Rate for Payer: Aetna Medicare Advantage	$372.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$316.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$316.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$316.81
Rate for Payer: Cigna Commercial	$786.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$161.51
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$186.36
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

CHEMO ADMIN IV INFUS UP TO 1HR

Facility

$1,242.40

Service Code	HCPCS 96413
Hospital Charge Code	485096413
Hospital Revenue Code	335
Min. Negotiated Rate	$161.51
Max. Negotiated Rate	$1,793.00
Rate for Payer: Aetna Commercial	$372.72
Rate for Payer: Aetna Medicare Advantage	$372.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$316.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$316.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$316.81
Rate for Payer: Cigna Commercial	$786.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$161.51
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$186.36
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

CHEMO ADMIN IV INFUS UP TO 1HR

Facility

$1,242.40

Service Code	HCPCS 96413
Hospital Charge Code	93500087
Hospital Revenue Code	335
Min. Negotiated Rate	$161.51
Max. Negotiated Rate	$1,793.00
Rate for Payer: Aetna Commercial	$372.72
Rate for Payer: Aetna Medicare Advantage	$372.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$316.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$316.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$316.81
Rate for Payer: Cigna Commercial	$786.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$161.51
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$186.36
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

Know your out-of-pocket cost for care.

All Charges