Heights University Hospital

All Charges

Charge

Type

Setting

Price

CH FECAL GLOBULIN, MEDICARE

Facility

$94.00

Service Code	HCPCS 82274
Hospital Charge Code	397071462
Hospital Revenue Code	301
Min. Negotiated Rate	$14.10
Max. Negotiated Rate	$14.10
Rate for Payer: Qualcare PPO/HMO/WC	$14.10

CH FERRITIN

Facility

$116.00

Service Code	HCPCS 82728
Hospital Charge Code	397071046
Hospital Revenue Code	301
Min. Negotiated Rate	$6.82
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$44.16
Rate for Payer: Aetna Medicare Advantage	$13.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.94
Rate for Payer: Cigna Commercial	$13.63
Rate for Payer: Cigna Medicare Advantage	$6.82
Rate for Payer: Clover Medicare Advantage	$12.95
Rate for Payer: EmblemHealth Commercial	$40.89
Rate for Payer: Humana Medicare Advantage	$14.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.08
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.40
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.63
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14.45
Rate for Payer: Wellcare Medicare Advantage	$13.63

CH FERRITIN

Facility

$116.00

Service Code	HCPCS 82728
Hospital Charge Code	397071046
Hospital Revenue Code	301
Min. Negotiated Rate	$17.40
Max. Negotiated Rate	$17.40
Rate for Payer: Qualcare PPO/HMO/WC	$17.40

CH FETAL MAT HEM TEST

Facility

$153.00

Service Code	HCPCS 85460
Hospital Charge Code	397031061
Hospital Revenue Code	305
Min. Negotiated Rate	$3.87
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$25.05
Rate for Payer: Aetna Medicare Advantage	$7.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.32
Rate for Payer: Cigna Commercial	$7.73
Rate for Payer: Cigna Medicare Advantage	$3.87
Rate for Payer: Clover Medicare Advantage	$7.34
Rate for Payer: EmblemHealth Commercial	$23.19
Rate for Payer: Humana Medicare Advantage	$7.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.89
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.95
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$7.73
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$8.19
Rate for Payer: Wellcare Medicare Advantage	$7.73

CH FETAL MAT HEM TEST

Facility

$153.00

Service Code	HCPCS 85460
Hospital Charge Code	397031061
Hospital Revenue Code	305
Min. Negotiated Rate	$22.95
Max. Negotiated Rate	$22.95
Rate for Payer: Qualcare PPO/HMO/WC	$22.95

CH FFP SERIES 1

Facility

$688.00

Service Code	HCPCS P9017
Hospital Charge Code	397031041
Hospital Revenue Code	390
Min. Negotiated Rate	$103.20
Max. Negotiated Rate	$103.20
Rate for Payer: Qualcare PPO/HMO/WC	$103.20

CH FFP SERIES 1

Facility

$688.00

Service Code	HCPCS P9017
Hospital Charge Code	397031041
Hospital Revenue Code	390
Min. Negotiated Rate	$89.44
Max. Negotiated Rate	$756.00
Rate for Payer: Aetna Commercial	$206.40
Rate for Payer: Aetna Medicare Advantage	$206.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$175.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$175.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$175.44
Rate for Payer: Cigna Commercial	$200.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.44
Rate for Payer: Oxford Commercial	$666.00
Rate for Payer: Qualcare PPO/HMO/WC	$103.20
Rate for Payer: UnitedHealthcare Commercial	$756.00

CH FFP SERIES 3

Facility

$352.35

Service Code	HCPCS P9017
Hospital Charge Code	397031042
Hospital Revenue Code	390
Min. Negotiated Rate	$45.81
Max. Negotiated Rate	$756.00
Rate for Payer: Aetna Commercial	$105.70
Rate for Payer: Aetna Medicare Advantage	$105.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.85
Rate for Payer: Cigna Commercial	$200.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.81
Rate for Payer: Oxford Commercial	$666.00
Rate for Payer: Qualcare PPO/HMO/WC	$52.85
Rate for Payer: UnitedHealthcare Commercial	$756.00

CH FFP SERIES 3

Facility

$352.35

Service Code	HCPCS P9017
Hospital Charge Code	397031042
Hospital Revenue Code	390
Min. Negotiated Rate	$52.85
Max. Negotiated Rate	$52.85
Rate for Payer: Qualcare PPO/HMO/WC	$52.85

CH FFP X1

Facility

$352.35

Service Code	HCPCS P9017
Hospital Charge Code	397031006
Hospital Revenue Code	390
Min. Negotiated Rate	$45.81
Max. Negotiated Rate	$756.00
Rate for Payer: Aetna Commercial	$105.70
Rate for Payer: Aetna Medicare Advantage	$105.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.85
Rate for Payer: Cigna Commercial	$200.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.81
Rate for Payer: Oxford Commercial	$666.00
Rate for Payer: Qualcare PPO/HMO/WC	$52.85
Rate for Payer: UnitedHealthcare Commercial	$756.00

CH FFP X1

Facility

$352.35

Service Code	HCPCS P9017
Hospital Charge Code	397031006
Hospital Revenue Code	390
Min. Negotiated Rate	$52.85
Max. Negotiated Rate	$52.85
Rate for Payer: Qualcare PPO/HMO/WC	$52.85

CH FIBRIN DEG PROD

Facility

$390.00

Service Code	HCPCS 85362
Hospital Charge Code	397021006
Hospital Revenue Code	305
Min. Negotiated Rate	$3.44
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$22.32
Rate for Payer: Aetna Medicare Advantage	$6.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.89
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	$25.24
Rate for Payer: Cigna Commercial	$6.89
Rate for Payer: Cigna Medicare Advantage	$3.44
Rate for Payer: Clover Medicare Advantage	$6.55
Rate for Payer: EmblemHealth Commercial	$20.67
Rate for Payer: Humana Medicare Advantage	$7.10
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	$6.89
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$7.30
Rate for Payer: Wellcare Medicare Advantage	$6.89

CH FIBRIN DEG PROD

Facility

$390.00

Service Code	HCPCS 85362
Hospital Charge Code	397021006
Hospital Revenue Code	305
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CH FIBRINOGEN

Facility

$53.00

Service Code	HCPCS 85384
Hospital Charge Code	397021071
Hospital Revenue Code	305
Min. Negotiated Rate	$4.86
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$31.49
Rate for Payer: Aetna Medicare Advantage	$9.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.61
Rate for Payer: Cigna Commercial	$9.72
Rate for Payer: Cigna Medicare Advantage	$4.86
Rate for Payer: Clover Medicare Advantage	$9.23
Rate for Payer: EmblemHealth Commercial	$29.16
Rate for Payer: Humana Medicare Advantage	$10.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.89
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.95
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.72
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$10.30
Rate for Payer: Wellcare Medicare Advantage	$9.72

CH FIBRINOGEN

Facility

$53.00

Service Code	HCPCS 85384
Hospital Charge Code	397021071
Hospital Revenue Code	305
Min. Negotiated Rate	$7.95
Max. Negotiated Rate	$7.95
Rate for Payer: Qualcare PPO/HMO/WC	$7.95

CH FLEXERIL

Facility

$441.00

Service Code	HCPCS 80299
Hospital Charge Code	397072070
Hospital Revenue Code	301
Min. Negotiated Rate	$66.15
Max. Negotiated Rate	$66.15
Rate for Payer: Qualcare PPO/HMO/WC	$66.15

CH FLEXERIL

Facility

$441.00

Service Code	HCPCS 80299
Hospital Charge Code	397072070
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	$57.33
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$66.15
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 FLOWCTOMETRY/TC ADD-ON

Facility

$115.00

Service Code	HCPCS 88185
Hospital Charge Code	397071458
Hospital Revenue Code	311
Min. Negotiated Rate	$13.37
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$34.50
Rate for Payer: Aetna Medicare Advantage	$34.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.32
Rate for Payer: Cigna Commercial	$26.73
Rate for Payer: Cigna Medicare Advantage	$13.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.95
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.25
Rate for Payer: UnitedHealthcare Commercial	$114.00

CH FLOWCTOMETRY/TC ADD-ON

Facility

$115.00

Service Code	HCPCS 88185
Hospital Charge Code	397071458
Hospital Revenue Code	311
Min. Negotiated Rate	$17.25
Max. Negotiated Rate	$17.25
Rate for Payer: Qualcare PPO/HMO/WC	$17.25

CH FLOWCYTOMETRY/TC 1 MARKER

Facility

$115.00

Service Code	HCPCS 88184
Hospital Charge Code	397071457
Hospital Revenue Code	311
Min. Negotiated Rate	$17.25
Max. Negotiated Rate	$17.25
Rate for Payer: Qualcare PPO/HMO/WC	$17.25

CH FLOWCYTOMETRY/TC 1 MARKER

Facility

$115.00

Service Code	HCPCS 88184
Hospital Charge Code	397071457
Hospital Revenue Code	311
Min. Negotiated Rate	$14.95
Max. Negotiated Rate	$853.60
Rate for Payer: Aetna Commercial	$34.50
Rate for Payer: Aetna Medicare Advantage	$34.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.32
Rate for Payer: Cigna Commercial	$853.60
Rate for Payer: Cigna Medicare Advantage	$47.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.95
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.25
Rate for Payer: UnitedHealthcare Commercial	$114.00

CH FLOW CYTOMETRY X19

Facility

$147.00

Service Code	HCPCS 88182
Hospital Charge Code	397073305
Hospital Revenue Code	311
Min. Negotiated Rate	$19.11
Max. Negotiated Rate	$124.10
Rate for Payer: Aetna Commercial	$44.10
Rate for Payer: Aetna Medicare Advantage	$44.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.48
Rate for Payer: Cigna Commercial	$124.10
Rate for Payer: Cigna Medicare Advantage	$85.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.11
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.05
Rate for Payer: UnitedHealthcare Commercial	$114.00

CH FLOW CYTOMETRY X19

Facility

$147.00

Service Code	HCPCS 88182
Hospital Charge Code	397073305
Hospital Revenue Code	311
Min. Negotiated Rate	$22.05
Max. Negotiated Rate	$22.05
Rate for Payer: Qualcare PPO/HMO/WC	$22.05

CH FLOW CYTOMETRY X23

Facility

$149.00

Service Code	HCPCS 88182
Hospital Charge Code	397073311
Hospital Revenue Code	311
Min. Negotiated Rate	$22.35
Max. Negotiated Rate	$22.35
Rate for Payer: Qualcare PPO/HMO/WC	$22.35

CH FLOW CYTOMETRY X23

Facility

$149.00

Service Code	HCPCS 88182
Hospital Charge Code	397073311
Hospital Revenue Code	311
Min. Negotiated Rate	$19.37
Max. Negotiated Rate	$124.10
Rate for Payer: Aetna Commercial	$44.70
Rate for Payer: Aetna Medicare Advantage	$44.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.99
Rate for Payer: Cigna Commercial	$124.10
Rate for Payer: Cigna Medicare Advantage	$85.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.37
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.35
Rate for Payer: UnitedHealthcare Commercial	$114.00

Know your out-of-pocket cost for care.

All Charges