Heights University Hospital

All Charges

Charge

Type

Setting

Price

CH HISTAMINE RELEASE (CU)

Facility

$97.00

Service Code	HCPCS 86343
Hospital Charge Code	397071442
Hospital Revenue Code	302
Min. Negotiated Rate	$14.55
Max. Negotiated Rate	$14.55
Rate for Payer: Qualcare PPO/HMO/WC	$14.55

CH HISTAMINE URINE

Facility

$736.00

Service Code	HCPCS 83088
Hospital Charge Code	397072085
Hospital Revenue Code	301
Min. Negotiated Rate	$110.40
Max. Negotiated Rate	$110.40
Rate for Payer: Qualcare PPO/HMO/WC	$110.40

CH HISTAMINE URINE

Facility

$736.00

Service Code	HCPCS 83088
Hospital Charge Code	397072085
Hospital Revenue Code	301
Min. Negotiated Rate	$14.77
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$95.68
Rate for Payer: Aetna Medicare Advantage	$29.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$29.53
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	$108.20
Rate for Payer: Cigna Commercial	$29.53
Rate for Payer: Cigna Medicare Advantage	$14.77
Rate for Payer: Clover Medicare Advantage	$28.05
Rate for Payer: EmblemHealth Commercial	$88.59
Rate for Payer: Humana Medicare Advantage	$30.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$95.68
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$110.40
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$29.53
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$31.30
Rate for Payer: Wellcare Medicare Advantage	$29.53

CH HISTAMINE WHOLE BLOOD

Facility

$790.00

Service Code	HCPCS 83088
Hospital Charge Code	397072084
Hospital Revenue Code	301
Min. Negotiated Rate	$118.50
Max. Negotiated Rate	$118.50
Rate for Payer: Qualcare PPO/HMO/WC	$118.50

CH HISTAMINE WHOLE BLOOD

Facility

$790.00

Service Code	HCPCS 83088
Hospital Charge Code	397072084
Hospital Revenue Code	301
Min. Negotiated Rate	$14.77
Max. Negotiated Rate	$118.50
Rate for Payer: Aetna Commercial	$95.68
Rate for Payer: Aetna Medicare Advantage	$29.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$29.53
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	$108.20
Rate for Payer: Cigna Commercial	$29.53
Rate for Payer: Cigna Medicare Advantage	$14.77
Rate for Payer: Clover Medicare Advantage	$28.05
Rate for Payer: EmblemHealth Commercial	$88.59
Rate for Payer: Humana Medicare Advantage	$30.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$118.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$29.53
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$31.30
Rate for Payer: Wellcare Medicare Advantage	$29.53

CH HIV 1&2 ANTIBODIES

Facility

$667.59

Service Code	HCPCS 86703
Hospital Charge Code	397043273
Hospital Revenue Code	302
Min. Negotiated Rate	$6.86
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$44.42
Rate for Payer: Aetna Medicare Advantage	$13.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.23
Rate for Payer: Cigna Commercial	$13.71
Rate for Payer: Cigna Medicare Advantage	$6.86
Rate for Payer: Clover Medicare Advantage	$13.02
Rate for Payer: EmblemHealth Commercial	$41.13
Rate for Payer: Humana Medicare Advantage	$14.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.79
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$100.14
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.71
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14.53
Rate for Payer: Wellcare Medicare Advantage	$13.71

CH HIV 1&2 ANTIBODIES

Facility

$667.59

Service Code	HCPCS 86703
Hospital Charge Code	397043273
Hospital Revenue Code	302
Min. Negotiated Rate	$100.14
Max. Negotiated Rate	$100.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.14

CH HIV-1 CORECEPTOR TROPISM

Facility

$3,644.00

Service Code	HCPCS 87906
Hospital Charge Code	397071376
Hospital Revenue Code	306
Min. Negotiated Rate	$546.60
Max. Negotiated Rate	$546.60
Rate for Payer: Qualcare PPO/HMO/WC	$546.60

CH HIV-1 CORECEPTOR TROPISM

Facility

$3,644.00

Service Code	HCPCS 87906
Hospital Charge Code	397071376
Hospital Revenue Code	306
Min. Negotiated Rate	$64.36
Max. Negotiated Rate	$546.60
Rate for Payer: Aetna Commercial	$417.09
Rate for Payer: Aetna Medicare Advantage	$128.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$471.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$471.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$128.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$135.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$471.67
Rate for Payer: Cigna Commercial	$128.73
Rate for Payer: Cigna Medicare Advantage	$64.36
Rate for Payer: Clover Medicare Advantage	$122.29
Rate for Payer: EmblemHealth Commercial	$386.19
Rate for Payer: Humana Medicare Advantage	$132.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$473.72
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$546.60
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$128.73
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$136.45
Rate for Payer: Wellcare Medicare Advantage	$128.73

CH HIV1 GENOTYPEPR PLUS

Facility

$1,587.00

Service Code	HCPCS 87901
Hospital Charge Code	397073194
Hospital Revenue Code	306
Min. Negotiated Rate	$101.00
Max. Negotiated Rate	$943.30
Rate for Payer: Cigna Commercial	$257.45
Rate for Payer: Cigna Medicare Advantage	$128.72
Rate for Payer: Aetna Commercial	$834.14
Rate for Payer: Aetna Medicare Advantage	$257.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$943.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$943.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$257.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$272.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$943.30
Rate for Payer: Clover Medicare Advantage	$244.58
Rate for Payer: EmblemHealth Commercial	$772.35
Rate for Payer: Humana Medicare Advantage	$265.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$206.31
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$238.05
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$257.45
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$272.90
Rate for Payer: Wellcare Medicare Advantage	$257.45

CH HIV1 GENOTYPEPR PLUS

Facility

$1,587.00

Service Code	HCPCS 87901
Hospital Charge Code	397073194
Hospital Revenue Code	306
Min. Negotiated Rate	$238.05
Max. Negotiated Rate	$238.05
Rate for Payer: Qualcare PPO/HMO/WC	$238.05

CH HIV-1 RNA, QT RT-PCR,CSF

Facility

$509.00

Service Code	HCPCS 87536
Hospital Charge Code	397071508
Hospital Revenue Code	306
Min. Negotiated Rate	$76.35
Max. Negotiated Rate	$76.35
Rate for Payer: Qualcare PPO/HMO/WC	$76.35

CH HIV-1 RNA, QT RT-PCR,CSF

Facility

$509.00

Service Code	HCPCS 87536
Hospital Charge Code	397071508
Hospital Revenue Code	306
Min. Negotiated Rate	$42.55
Max. Negotiated Rate	$311.81
Rate for Payer: Aetna Commercial	$275.72
Rate for Payer: Aetna Medicare Advantage	$85.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$311.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$311.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$85.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$218.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$311.81
Rate for Payer: Cigna Commercial	$85.10
Rate for Payer: Cigna Medicare Advantage	$42.55
Rate for Payer: Clover Medicare Advantage	$80.84
Rate for Payer: EmblemHealth Commercial	$255.30
Rate for Payer: Humana Medicare Advantage	$87.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.17
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$76.35
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$85.10
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$90.21
Rate for Payer: Wellcare Medicare Advantage	$85.10

CH HIV-1 RNA QUANT PCR, CSF

Facility

$573.00

Service Code	HCPCS 87536
Hospital Charge Code	397073640
Hospital Revenue Code	306
Min. Negotiated Rate	$85.95
Max. Negotiated Rate	$85.95
Rate for Payer: Qualcare PPO/HMO/WC	$85.95

CH HIV-1 RNA QUANT PCR, CSF

Facility

$573.00

Service Code	HCPCS 87536
Hospital Charge Code	397073640
Hospital Revenue Code	306
Min. Negotiated Rate	$42.55
Max. Negotiated Rate	$311.81
Rate for Payer: Aetna Commercial	$275.72
Rate for Payer: Aetna Medicare Advantage	$85.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$311.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$311.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$85.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$218.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$311.81
Rate for Payer: Cigna Commercial	$85.10
Rate for Payer: Cigna Medicare Advantage	$42.55
Rate for Payer: Clover Medicare Advantage	$80.84
Rate for Payer: EmblemHealth Commercial	$255.30
Rate for Payer: Humana Medicare Advantage	$87.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.49
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$85.95
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$85.10
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$90.21
Rate for Payer: Wellcare Medicare Advantage	$85.10

CH HIV-2 AB, IMMUNOBLOT

Facility

$300.00

Service Code	HCPCS 86689
Hospital Charge Code	397071523
Hospital Revenue Code	302
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$45.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

CH HIV-2 AB, IMMUNOBLOT

Facility

$117.00

Service Code	HCPCS 86689
Hospital Charge Code	397071441
Hospital Revenue Code	302
Min. Negotiated Rate	$17.55
Max. Negotiated Rate	$17.55
Rate for Payer: Qualcare PPO/HMO/WC	$17.55

CH HIV-2 AB, IMMUNOBLOT

Facility

$300.00

Service Code	HCPCS 86689
Hospital Charge Code	397071523
Hospital Revenue Code	302
Min. Negotiated Rate	$9.68
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$62.69
Rate for Payer: Aetna Medicare Advantage	$19.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.90
Rate for Payer: Cigna Commercial	$19.35
Rate for Payer: Cigna Medicare Advantage	$9.68
Rate for Payer: Clover Medicare Advantage	$18.38
Rate for Payer: EmblemHealth Commercial	$58.05
Rate for Payer: Humana Medicare Advantage	$19.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$19.35
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$20.51
Rate for Payer: Wellcare Medicare Advantage	$19.35

CH HIV-2 AB, IMMUNOBLOT

Facility

$117.00

Service Code	HCPCS 86689
Hospital Charge Code	397071441
Hospital Revenue Code	302
Min. Negotiated Rate	$9.68
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$62.69
Rate for Payer: Aetna Medicare Advantage	$19.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.90
Rate for Payer: Cigna Commercial	$19.35
Rate for Payer: Cigna Medicare Advantage	$9.68
Rate for Payer: Clover Medicare Advantage	$18.38
Rate for Payer: EmblemHealth Commercial	$58.05
Rate for Payer: Humana Medicare Advantage	$19.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.21
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.55
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$19.35
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$20.51
Rate for Payer: Wellcare Medicare Advantage	$19.35

CH HIV PHENOSENSE G

Facility

$7,514.00

Service Code	HCPCS 87903
Hospital Charge Code	397071378
Hospital Revenue Code	306
Min. Negotiated Rate	$1,127.10
Max. Negotiated Rate	$1,127.10
Rate for Payer: Qualcare PPO/HMO/WC	$1,127.10

CH HIV PHENOSENSE G

Facility

$7,514.00

Service Code	HCPCS 87903
Hospital Charge Code	397071378
Hospital Revenue Code	306
Min. Negotiated Rate	$101.00
Max. Negotiated Rate	$1,790.45
Rate for Payer: Aetna Commercial	$1,583.26
Rate for Payer: Aetna Medicare Advantage	$488.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,790.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,790.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$488.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$517.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,790.45
Rate for Payer: Cigna Commercial	$488.66
Rate for Payer: Cigna Medicare Advantage	$244.33
Rate for Payer: Clover Medicare Advantage	$464.23
Rate for Payer: EmblemHealth Commercial	$1,465.98
Rate for Payer: Humana Medicare Advantage	$503.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$976.82
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,127.10
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$488.66
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$517.98
Rate for Payer: Wellcare Medicare Advantage	$488.66

CH HIV PHENOTYPE

Facility

$3,073.00

Service Code	HCPCS 83892
Hospital Charge Code	397073567
Hospital Revenue Code	301
Min. Negotiated Rate	$460.95
Max. Negotiated Rate	$460.95
Rate for Payer: Qualcare PPO/HMO/WC	$460.95

CH HIV PHENOTYPE

Facility

$3,073.00

Service Code	HCPCS 83892
Hospital Charge Code	397073567
Hospital Revenue Code	301
Min. Negotiated Rate	$101.00
Max. Negotiated Rate	$1,536.50
Rate for Payer: Aetna Commercial	$921.90
Rate for Payer: Aetna Medicare Advantage	$921.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$783.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$783.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$783.62
Rate for Payer: Cigna Commercial	$1,536.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$399.49
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$460.95
Rate for Payer: UnitedHealthcare Commercial	$114.00

CH HIV ULTRA QUANT

Facility

$1,084.00

Service Code	HCPCS 87536
Hospital Charge Code	397071048
Hospital Revenue Code	306
Min. Negotiated Rate	$42.55
Max. Negotiated Rate	$311.81
Rate for Payer: Aetna Commercial	$275.72
Rate for Payer: Aetna Medicare Advantage	$85.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$311.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$311.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$85.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$218.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$311.81
Rate for Payer: Cigna Commercial	$85.10
Rate for Payer: Cigna Medicare Advantage	$42.55
Rate for Payer: Clover Medicare Advantage	$80.84
Rate for Payer: EmblemHealth Commercial	$255.30
Rate for Payer: Humana Medicare Advantage	$87.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$140.92
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$162.60
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$85.10
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$90.21
Rate for Payer: Wellcare Medicare Advantage	$85.10

CH HIV ULTRA QUANT

Facility

$1,084.00

Service Code	HCPCS 87536
Hospital Charge Code	397071048
Hospital Revenue Code	306
Min. Negotiated Rate	$162.60
Max. Negotiated Rate	$162.60
Rate for Payer: Qualcare PPO/HMO/WC	$162.60

Know your out-of-pocket cost for care.

All Charges