Heights University Hospital

All Charges

Charge

Type

Setting

Price

CH HLA B27

Facility

$233.00

Service Code	HCPCS 86812
Hospital Charge Code	397071079
Hospital Revenue Code	302
Min. Negotiated Rate	$12.90
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$83.62
Rate for Payer: Aetna Medicare Advantage	$25.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$25.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.57
Rate for Payer: Cigna Commercial	$25.81
Rate for Payer: Cigna Medicare Advantage	$12.90
Rate for Payer: Clover Medicare Advantage	$24.52
Rate for Payer: EmblemHealth Commercial	$77.43
Rate for Payer: Humana Medicare Advantage	$26.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.29
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$34.95
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$25.81
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$27.36
Rate for Payer: Wellcare Medicare Advantage	$25.81

CH HLA B27

Facility

$233.00

Service Code	HCPCS 86812
Hospital Charge Code	397071079
Hospital Revenue Code	302
Min. Negotiated Rate	$34.95
Max. Negotiated Rate	$34.95
Rate for Payer: Qualcare PPO/HMO/WC	$34.95

CH HLA DR TYPING

Facility

$743.00

Service Code	HCPCS 86817
Hospital Charge Code	397073324
Hospital Revenue Code	302
Min. Negotiated Rate	$111.45
Max. Negotiated Rate	$111.45
Rate for Payer: Qualcare PPO/HMO/WC	$111.45

CH HLA DR TYPING

Facility

$743.00

Service Code	HCPCS 86817
Hospital Charge Code	397073324
Hospital Revenue Code	302
Min. Negotiated Rate	$39.08
Max. Negotiated Rate	$388.90
Rate for Payer: Aetna Commercial	$343.89
Rate for Payer: Aetna Medicare Advantage	$106.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$388.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$388.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$106.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$388.90
Rate for Payer: Cigna Commercial	$106.14
Rate for Payer: Cigna Medicare Advantage	$53.07
Rate for Payer: Clover Medicare Advantage	$100.83
Rate for Payer: EmblemHealth Commercial	$318.42
Rate for Payer: Humana Medicare Advantage	$109.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.59
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$111.45
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$106.14
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$112.51
Rate for Payer: Wellcare Medicare Advantage	$106.14

CH HLA PANEL

Facility

$551.00

Service Code	HCPCS 86813
Hospital Charge Code	397072086
Hospital Revenue Code	302
Min. Negotiated Rate	$82.65
Max. Negotiated Rate	$82.65
Rate for Payer: Qualcare PPO/HMO/WC	$82.65

CH HLA PANEL

Facility

$551.00

Service Code	HCPCS 86813
Hospital Charge Code	397072086
Hospital Revenue Code	302
Min. Negotiated Rate	$29.00
Max. Negotiated Rate	$212.51
Rate for Payer: Aetna Commercial	$187.92
Rate for Payer: Aetna Medicare Advantage	$58.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$212.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$212.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$58.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$212.51
Rate for Payer: Cigna Commercial	$58.00
Rate for Payer: Cigna Medicare Advantage	$29.00
Rate for Payer: Clover Medicare Advantage	$55.10
Rate for Payer: EmblemHealth Commercial	$174.00
Rate for Payer: Humana Medicare Advantage	$59.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.63
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$82.65
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$58.00
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$61.48
Rate for Payer: Wellcare Medicare Advantage	$58.00

CH HLA TYPING 3X

Facility

$358.00

Service Code	HCPCS 86813
Hospital Charge Code	397073323
Hospital Revenue Code	302
Min. Negotiated Rate	$53.70
Max. Negotiated Rate	$53.70
Rate for Payer: Qualcare PPO/HMO/WC	$53.70

CH HLA TYPING 3X

Facility

$358.00

Service Code	HCPCS 86813
Hospital Charge Code	397073323
Hospital Revenue Code	302
Min. Negotiated Rate	$29.00
Max. Negotiated Rate	$212.51
Rate for Payer: Aetna Commercial	$187.92
Rate for Payer: Aetna Medicare Advantage	$58.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$212.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$212.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$58.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$212.51
Rate for Payer: Cigna Commercial	$58.00
Rate for Payer: Cigna Medicare Advantage	$29.00
Rate for Payer: Clover Medicare Advantage	$55.10
Rate for Payer: EmblemHealth Commercial	$174.00
Rate for Payer: Humana Medicare Advantage	$59.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.54
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$53.70
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$58.00
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$61.48
Rate for Payer: Wellcare Medicare Advantage	$58.00

CH HLA TYPING FOR NARCOLEPSY

Facility

$922.00

Service Code	HCPCS 83891
Hospital Charge Code	397071499
Hospital Revenue Code	301
Min. Negotiated Rate	$101.00
Max. Negotiated Rate	$461.00
Rate for Payer: Aetna Commercial	$276.60
Rate for Payer: Aetna Medicare Advantage	$276.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$235.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$235.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$235.11
Rate for Payer: Cigna Commercial	$461.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.86
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$138.30
Rate for Payer: UnitedHealthcare Commercial	$114.00

CH HLA TYPING FOR NARCOLEPSY

Facility

$922.00

Service Code	HCPCS 83891
Hospital Charge Code	397071499
Hospital Revenue Code	301
Min. Negotiated Rate	$138.30
Max. Negotiated Rate	$138.30
Rate for Payer: Qualcare PPO/HMO/WC	$138.30

CH HOMOCYSTEINE

Facility

$903.82

Service Code	HCPCS 83090
Hospital Charge Code	397073277
Hospital Revenue Code	301
Min. Negotiated Rate	$135.57
Max. Negotiated Rate	$135.57
Rate for Payer: Qualcare PPO/HMO/WC	$135.57

CH HOMOCYSTEINE

Facility

$903.82

Service Code	HCPCS 83090
Hospital Charge Code	397073277
Hospital Revenue Code	301
Min. Negotiated Rate	$8.96
Max. Negotiated Rate	$135.57
Rate for Payer: Aetna Commercial	$58.06
Rate for Payer: Aetna Medicare Advantage	$17.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.66
Rate for Payer: Cigna Commercial	$17.92
Rate for Payer: Cigna Medicare Advantage	$8.96
Rate for Payer: Clover Medicare Advantage	$17.02
Rate for Payer: EmblemHealth Commercial	$53.76
Rate for Payer: Humana Medicare Advantage	$18.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.50
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$135.57
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$17.92
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19.00
Rate for Payer: Wellcare Medicare Advantage	$17.92

CH HOMOCYSTINE PLASMA

Facility

$486.00

Service Code	HCPCS 83090
Hospital Charge Code	397072088
Hospital Revenue Code	301
Min. Negotiated Rate	$8.96
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$58.06
Rate for Payer: Aetna Medicare Advantage	$17.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.66
Rate for Payer: Cigna Commercial	$17.92
Rate for Payer: Cigna Medicare Advantage	$8.96
Rate for Payer: Clover Medicare Advantage	$17.02
Rate for Payer: EmblemHealth Commercial	$53.76
Rate for Payer: Humana Medicare Advantage	$18.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.18
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$72.90
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$17.92
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19.00
Rate for Payer: Wellcare Medicare Advantage	$17.92

CH HOMOCYSTINE PLASMA

Facility

$486.00

Service Code	HCPCS 83090
Hospital Charge Code	397072088
Hospital Revenue Code	301
Min. Negotiated Rate	$72.90
Max. Negotiated Rate	$72.90
Rate for Payer: Qualcare PPO/HMO/WC	$72.90

CH HOMOCYSTINE URINE

Facility

$671.00

Service Code	HCPCS 82131
Hospital Charge Code	397072087
Hospital Revenue Code	301
Min. Negotiated Rate	$11.49
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$74.46
Rate for Payer: Aetna Medicare Advantage	$22.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$22.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.20
Rate for Payer: Cigna Commercial	$22.98
Rate for Payer: Cigna Medicare Advantage	$11.49
Rate for Payer: Clover Medicare Advantage	$21.83
Rate for Payer: EmblemHealth Commercial	$68.94
Rate for Payer: Humana Medicare Advantage	$23.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.23
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$100.65
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$22.98
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$24.36
Rate for Payer: Wellcare Medicare Advantage	$22.98

CH HOMOCYSTINE URINE

Facility

$671.00

Service Code	HCPCS 82131
Hospital Charge Code	397072087
Hospital Revenue Code	301
Min. Negotiated Rate	$100.65
Max. Negotiated Rate	$100.65
Rate for Payer: Qualcare PPO/HMO/WC	$100.65

CH HOMOVANILLIC ACID, URINE

Facility

$390.00

Service Code	HCPCS 83150
Hospital Charge Code	397070016
Hospital Revenue Code	301
Min. Negotiated Rate	$11.21
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$72.61
Rate for Payer: Aetna Medicare Advantage	$22.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$22.41
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	$82.11
Rate for Payer: Cigna Commercial	$22.41
Rate for Payer: Cigna Medicare Advantage	$11.21
Rate for Payer: Clover Medicare Advantage	$21.29
Rate for Payer: EmblemHealth Commercial	$67.23
Rate for Payer: Humana Medicare Advantage	$23.08
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	$22.41
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$23.75
Rate for Payer: Wellcare Medicare Advantage	$22.41

CH HOMOVANILLIC ACID, URINE

Facility

$390.00

Service Code	HCPCS 83150
Hospital Charge Code	397070016
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CH H PYLORI AB IGA

Facility

$127.00

Service Code	HCPCS 86677
Hospital Charge Code	397073625
Hospital Revenue Code	302
Min. Negotiated Rate	$19.05
Max. Negotiated Rate	$19.05
Rate for Payer: Qualcare PPO/HMO/WC	$19.05

CH H PYLORI AB IGA

Facility

$127.00

Service Code	HCPCS 86677
Hospital Charge Code	397073625
Hospital Revenue Code	302
Min. Negotiated Rate	$8.43
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$54.59
Rate for Payer: Aetna Medicare Advantage	$16.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.85
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	$61.74
Rate for Payer: Cigna Commercial	$16.85
Rate for Payer: Cigna Medicare Advantage	$8.43
Rate for Payer: Clover Medicare Advantage	$16.01
Rate for Payer: EmblemHealth Commercial	$50.55
Rate for Payer: Humana Medicare Advantage	$17.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.51
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.05
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.85
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$17.86
Rate for Payer: Wellcare Medicare Advantage	$16.85

CH H.PYLORI AB (IGA),ELISA

Facility

$507.00

Service Code	HCPCS 86677
Hospital Charge Code	397073641
Hospital Revenue Code	302
Min. Negotiated Rate	$76.05
Max. Negotiated Rate	$76.05
Rate for Payer: Qualcare PPO/HMO/WC	$76.05

CH H.PYLORI AB (IGA),ELISA

Facility

$507.00

Service Code	HCPCS 86677
Hospital Charge Code	397073641
Hospital Revenue Code	302
Min. Negotiated Rate	$8.43
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$54.59
Rate for Payer: Aetna Medicare Advantage	$16.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.85
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	$61.74
Rate for Payer: Cigna Commercial	$16.85
Rate for Payer: Cigna Medicare Advantage	$8.43
Rate for Payer: Clover Medicare Advantage	$16.01
Rate for Payer: EmblemHealth Commercial	$50.55
Rate for Payer: Humana Medicare Advantage	$17.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.91
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$76.05
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.85
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$17.86
Rate for Payer: Wellcare Medicare Advantage	$16.85

CH H.PYLORI ANTIGEN

Facility

$75.00

Service Code	HCPCS 87449
Hospital Charge Code	397073605
Hospital Revenue Code	306
Min. Negotiated Rate	$5.99
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$38.82
Rate for Payer: Aetna Medicare Advantage	$11.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.98
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	$43.89
Rate for Payer: Cigna Commercial	$11.98
Rate for Payer: Cigna Medicare Advantage	$5.99
Rate for Payer: Clover Medicare Advantage	$11.38
Rate for Payer: EmblemHealth Commercial	$35.94
Rate for Payer: Humana Medicare Advantage	$12.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.75
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$11.25
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.98
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12.70
Rate for Payer: Wellcare Medicare Advantage	$11.98

CH H.PYLORI ANTIGEN

Facility

$75.00

Service Code	HCPCS 87449
Hospital Charge Code	397073605
Hospital Revenue Code	306
Min. Negotiated Rate	$11.25
Max. Negotiated Rate	$11.25
Rate for Payer: Qualcare PPO/HMO/WC	$11.25

CH H.PYLORI, IMMUNO 1ST

Facility

$1,082.30

Service Code	HCPCS 88342
Hospital Charge Code	397061372
Hospital Revenue Code	310
Min. Negotiated Rate	$162.34
Max. Negotiated Rate	$162.34
Rate for Payer: Qualcare PPO/HMO/WC	$162.34

Know your out-of-pocket cost for care.

All Charges