Heights University Hospital

All Charges

Charge

Type

Setting

Price

CH IGE

Facility

$218.00

Service Code	HCPCS 82785
Hospital Charge Code	397071132
Hospital Revenue Code	301
Min. Negotiated Rate	$32.70
Max. Negotiated Rate	$32.70
Rate for Payer: Qualcare PPO/HMO/WC	$32.70

CH IGE BINDING PROTEIN 3

Facility

$472.07

Hospital Charge Code	3970732
Hospital Revenue Code	301
Min. Negotiated Rate	$61.37
Max. Negotiated Rate	$236.03
Rate for Payer: Aetna Commercial	$141.62
Rate for Payer: Aetna Medicare Advantage	$141.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$120.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$120.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$120.38
Rate for Payer: Cigna Commercial	$236.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.37
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$70.81
Rate for Payer: UnitedHealthcare Commercial	$114.00

CH IGE BINDING PROTEIN 3

Facility

$472.07

Hospital Charge Code	3970732
Hospital Revenue Code	301
Min. Negotiated Rate	$70.81
Max. Negotiated Rate	$70.81
Rate for Payer: Qualcare PPO/HMO/WC	$70.81

CH IGF-1

Facility

$649.00

Service Code	HCPCS 84305
Hospital Charge Code	397073195
Hospital Revenue Code	301
Min. Negotiated Rate	$10.63
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$68.88
Rate for Payer: Aetna Medicare Advantage	$21.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21.26
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	$77.90
Rate for Payer: Cigna Commercial	$21.26
Rate for Payer: Cigna Medicare Advantage	$10.63
Rate for Payer: Clover Medicare Advantage	$20.20
Rate for Payer: EmblemHealth Commercial	$63.78
Rate for Payer: Humana Medicare Advantage	$21.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.37
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$97.35
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$21.26
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$22.54
Rate for Payer: Wellcare Medicare Advantage	$21.26

CH IGF-1

Facility

$649.00

Service Code	HCPCS 84305
Hospital Charge Code	397073195
Hospital Revenue Code	301
Min. Negotiated Rate	$97.35
Max. Negotiated Rate	$97.35
Rate for Payer: Qualcare PPO/HMO/WC	$97.35

CH IGF-3

Facility

$132.00

Service Code	HCPCS 83519
Hospital Charge Code	397071081
Hospital Revenue Code	301
Min. Negotiated Rate	$9.20
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$59.62
Rate for Payer: Aetna Medicare Advantage	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.42
Rate for Payer: Cigna Commercial	$18.40
Rate for Payer: Cigna Medicare Advantage	$9.20
Rate for Payer: Clover Medicare Advantage	$17.48
Rate for Payer: EmblemHealth Commercial	$55.20
Rate for Payer: Humana Medicare Advantage	$18.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.16
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.80
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.40
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19.50
Rate for Payer: Wellcare Medicare Advantage	$18.40

CH IGF-3

Facility

$132.00

Service Code	HCPCS 83519
Hospital Charge Code	397071081
Hospital Revenue Code	301
Min. Negotiated Rate	$19.80
Max. Negotiated Rate	$19.80
Rate for Payer: Qualcare PPO/HMO/WC	$19.80

CH IGF BINDING PROTEIN-1

Facility

$395.00

Service Code	HCPCS 83519
Hospital Charge Code	397071493
Hospital Revenue Code	301
Min. Negotiated Rate	$9.20
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$59.62
Rate for Payer: Aetna Medicare Advantage	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.42
Rate for Payer: Cigna Commercial	$18.40
Rate for Payer: Cigna Medicare Advantage	$9.20
Rate for Payer: Clover Medicare Advantage	$17.48
Rate for Payer: EmblemHealth Commercial	$55.20
Rate for Payer: Humana Medicare Advantage	$18.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.35
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$59.25
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.40
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19.50
Rate for Payer: Wellcare Medicare Advantage	$18.40

CH IGF BINDING PROTEIN-1

Facility

$395.00

Service Code	HCPCS 83519
Hospital Charge Code	397071493
Hospital Revenue Code	301
Min. Negotiated Rate	$59.25
Max. Negotiated Rate	$59.25
Rate for Payer: Qualcare PPO/HMO/WC	$59.25

CH IGG

Facility

$161.00

Service Code	HCPCS 82784
Hospital Charge Code	397071136
Hospital Revenue Code	301
Min. Negotiated Rate	$4.65
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$30.13
Rate for Payer: Aetna Medicare Advantage	$9.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.08
Rate for Payer: Cigna Commercial	$9.30
Rate for Payer: Cigna Medicare Advantage	$4.65
Rate for Payer: Clover Medicare Advantage	$8.84
Rate for Payer: EmblemHealth Commercial	$27.90
Rate for Payer: Humana Medicare Advantage	$9.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.93
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.15
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.30
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$9.86
Rate for Payer: Wellcare Medicare Advantage	$9.30

CH IGG

Facility

$161.00

Service Code	HCPCS 82784
Hospital Charge Code	397071136
Hospital Revenue Code	301
Min. Negotiated Rate	$24.15
Max. Negotiated Rate	$24.15
Rate for Payer: Qualcare PPO/HMO/WC	$24.15

CH IGG 1

Facility

$186.00

Service Code	HCPCS 82787
Hospital Charge Code	397072095
Hospital Revenue Code	301
Min. Negotiated Rate	$4.01
Max. Negotiated Rate	$127.16
Rate for Payer: Aetna Commercial	$25.98
Rate for Payer: Aetna Medicare Advantage	$8.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$127.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.39
Rate for Payer: Cigna Commercial	$8.02
Rate for Payer: Cigna Medicare Advantage	$4.01
Rate for Payer: Clover Medicare Advantage	$7.62
Rate for Payer: EmblemHealth Commercial	$24.06
Rate for Payer: Humana Medicare Advantage	$8.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.18
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.90
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$8.02
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$8.50
Rate for Payer: Wellcare Medicare Advantage	$8.02

CH IGG 1

Facility

$186.00

Service Code	HCPCS 82787
Hospital Charge Code	397072095
Hospital Revenue Code	301
Min. Negotiated Rate	$27.90
Max. Negotiated Rate	$27.90
Rate for Payer: Qualcare PPO/HMO/WC	$27.90

CH IGG 1 - 4

Facility

$1,008.00

Service Code	HCPCS 82787
Hospital Charge Code	397072099
Hospital Revenue Code	301
Min. Negotiated Rate	$151.20
Max. Negotiated Rate	$151.20
Rate for Payer: Qualcare PPO/HMO/WC	$151.20

CH IGG 1 - 4

Facility

$1,008.00

Service Code	HCPCS 82787
Hospital Charge Code	397072099
Hospital Revenue Code	301
Min. Negotiated Rate	$4.01
Max. Negotiated Rate	$151.20
Rate for Payer: Aetna Commercial	$25.98
Rate for Payer: Aetna Medicare Advantage	$8.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$127.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.39
Rate for Payer: Cigna Commercial	$8.02
Rate for Payer: Cigna Medicare Advantage	$4.01
Rate for Payer: Clover Medicare Advantage	$7.62
Rate for Payer: EmblemHealth Commercial	$24.06
Rate for Payer: Humana Medicare Advantage	$8.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.04
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$151.20
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$8.02
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$8.50
Rate for Payer: Wellcare Medicare Advantage	$8.02

CH IGG 2

Facility

$256.00

Service Code	HCPCS 82787
Hospital Charge Code	397072096
Hospital Revenue Code	301
Min. Negotiated Rate	$4.01
Max. Negotiated Rate	$127.16
Rate for Payer: Aetna Commercial	$25.98
Rate for Payer: Aetna Medicare Advantage	$8.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$127.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.39
Rate for Payer: Cigna Commercial	$8.02
Rate for Payer: Cigna Medicare Advantage	$4.01
Rate for Payer: Clover Medicare Advantage	$7.62
Rate for Payer: EmblemHealth Commercial	$24.06
Rate for Payer: Humana Medicare Advantage	$8.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.28
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$38.40
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$8.02
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$8.50
Rate for Payer: Wellcare Medicare Advantage	$8.02

CH IGG 2

Facility

$256.00

Service Code	HCPCS 82787
Hospital Charge Code	397072096
Hospital Revenue Code	301
Min. Negotiated Rate	$38.40
Max. Negotiated Rate	$38.40
Rate for Payer: Qualcare PPO/HMO/WC	$38.40

CH IGG 3

Facility

$256.00

Service Code	HCPCS 82787
Hospital Charge Code	397072097
Hospital Revenue Code	301
Min. Negotiated Rate	$4.01
Max. Negotiated Rate	$127.16
Rate for Payer: Aetna Commercial	$25.98
Rate for Payer: Aetna Medicare Advantage	$8.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$127.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.39
Rate for Payer: Cigna Commercial	$8.02
Rate for Payer: Cigna Medicare Advantage	$4.01
Rate for Payer: Clover Medicare Advantage	$7.62
Rate for Payer: EmblemHealth Commercial	$24.06
Rate for Payer: Humana Medicare Advantage	$8.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.28
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$38.40
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$8.02
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$8.50
Rate for Payer: Wellcare Medicare Advantage	$8.02

CH IGG 3

Facility

$256.00

Service Code	HCPCS 82787
Hospital Charge Code	397072097
Hospital Revenue Code	301
Min. Negotiated Rate	$38.40
Max. Negotiated Rate	$38.40
Rate for Payer: Qualcare PPO/HMO/WC	$38.40

CH IGG 4

Facility

$390.00

Service Code	HCPCS 82787
Hospital Charge Code	397072098
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CH IGG 4

Facility

$390.00

Service Code	HCPCS 82787
Hospital Charge Code	397072098
Hospital Revenue Code	301
Min. Negotiated Rate	$4.01
Max. Negotiated Rate	$127.16
Rate for Payer: Aetna Commercial	$25.98
Rate for Payer: Aetna Medicare Advantage	$8.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$127.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.39
Rate for Payer: Cigna Commercial	$8.02
Rate for Payer: Cigna Medicare Advantage	$4.01
Rate for Payer: Clover Medicare Advantage	$7.62
Rate for Payer: EmblemHealth Commercial	$24.06
Rate for Payer: Humana Medicare Advantage	$8.26
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	$8.02
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$8.50
Rate for Payer: Wellcare Medicare Advantage	$8.02

CH IGG/ALBUMIN RATIO

Facility

$188.00

Service Code	HCPCS 82784
Hospital Charge Code	397071322
Hospital Revenue Code	301
Min. Negotiated Rate	$28.20
Max. Negotiated Rate	$28.20
Rate for Payer: Qualcare PPO/HMO/WC	$28.20

CH IGG/ALBUMIN RATIO

Facility

$188.00

Service Code	HCPCS 82784
Hospital Charge Code	397071322
Hospital Revenue Code	301
Min. Negotiated Rate	$4.65
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$30.13
Rate for Payer: Aetna Medicare Advantage	$9.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.08
Rate for Payer: Cigna Commercial	$9.30
Rate for Payer: Cigna Medicare Advantage	$4.65
Rate for Payer: Clover Medicare Advantage	$8.84
Rate for Payer: EmblemHealth Commercial	$27.90
Rate for Payer: Humana Medicare Advantage	$9.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.44
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.20
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.30
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$9.86
Rate for Payer: Wellcare Medicare Advantage	$9.30

CH IGG CSF

Facility

$390.00

Service Code	HCPCS 82784
Hospital Charge Code	397073185
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CH IGG CSF

Facility

$129.00

Service Code	HCPCS 82784
Hospital Charge Code	397073227
Hospital Revenue Code	301
Min. Negotiated Rate	$4.65
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$30.13
Rate for Payer: Aetna Medicare Advantage	$9.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.08
Rate for Payer: Cigna Commercial	$9.30
Rate for Payer: Cigna Medicare Advantage	$4.65
Rate for Payer: Clover Medicare Advantage	$8.84
Rate for Payer: EmblemHealth Commercial	$27.90
Rate for Payer: Humana Medicare Advantage	$9.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.77
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.35
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.30
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$9.86
Rate for Payer: Wellcare Medicare Advantage	$9.30

Know your out-of-pocket cost for care.

All Charges