Heights University Hospital

All Charges

Charge

Type

Setting

Price

CHLORIDE

Facility

$57.65

Service Code	HCPCS 82435
Hospital Charge Code	8200306RS
Hospital Revenue Code	301
Min. Negotiated Rate	$8.65
Max. Negotiated Rate	$8.65
Rate for Payer: Qualcare PPO/HMO/WC	$8.65

CHLORIDE (24 HR UR)

Facility

$71.25

Service Code	HCPCS 82436
Hospital Charge Code	3030459
Hospital Revenue Code	301
Min. Negotiated Rate	$10.69
Max. Negotiated Rate	$10.69
Rate for Payer: Qualcare PPO/HMO/WC	$10.69

CHLORIDE (24 HR UR)

Facility

$71.25

Service Code	HCPCS 82436
Hospital Charge Code	3030459
Hospital Revenue Code	301
Min. Negotiated Rate	$2.88
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$18.63
Rate for Payer: Aetna Medicare Advantage	$5.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.75
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	$21.07
Rate for Payer: Cigna Commercial	$5.75
Rate for Payer: Cigna Medicare Advantage	$2.88
Rate for Payer: Clover Medicare Advantage	$5.46
Rate for Payer: EmblemHealth Commercial	$17.25
Rate for Payer: Humana Medicare Advantage	$5.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.26
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.69
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.75
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.09
Rate for Payer: Wellcare Medicare Advantage	$5.75

CHLORIDE (BLOOD)***

Facility

$17.00

Hospital Charge Code	3010741
Hospital Revenue Code	309
Min. Negotiated Rate	$2.55
Max. Negotiated Rate	$2.55
Rate for Payer: Qualcare PPO/HMO/WC	$2.55

CHLORIDE (BLOOD)***

Facility

$17.00

Hospital Charge Code	3010741
Hospital Revenue Code	309
Min. Negotiated Rate	$2.21
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$5.10
Rate for Payer: Aetna Medicare Advantage	$5.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.33
Rate for Payer: Cigna Commercial	$8.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.21
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$2.55
Rate for Payer: UnitedHealthcare Commercial	$114.00

CHLORIDE BODY FLUID

Facility

$77.65

Service Code	HCPCS 82438
Hospital Charge Code	3031028
Hospital Revenue Code	301
Min. Negotiated Rate	$11.65
Max. Negotiated Rate	$11.65
Rate for Payer: Qualcare PPO/HMO/WC	$11.65

CHLORIDE BODY FLUID

Facility

$77.65

Service Code	HCPCS 82438
Hospital Charge Code	3031028
Hospital Revenue Code	301
Min. Negotiated Rate	$2.50
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.20
Rate for Payer: Aetna Medicare Advantage	$5.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.32
Rate for Payer: Cigna Commercial	$5.00
Rate for Payer: Cigna Medicare Advantage	$2.50
Rate for Payer: Clover Medicare Advantage	$4.75
Rate for Payer: EmblemHealth Commercial	$15.00
Rate for Payer: Humana Medicare Advantage	$5.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.09
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$11.65
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.00
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.30
Rate for Payer: Wellcare Medicare Advantage	$5.00

CHLORIDE CALC 10.2GM/PK

Facility

$9.65

Hospital Charge Code	270605772
Hospital Revenue Code	270
Min. Negotiated Rate	$1.45
Max. Negotiated Rate	$1.45
Rate for Payer: Qualcare PPO/HMO/WC	$1.45

CHLORIDE CALC 10.2GM/PK

Facility

$9.65

Hospital Charge Code	270605772
Hospital Revenue Code	270
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$4.83
Rate for Payer: Aetna Commercial	$2.90
Rate for Payer: Aetna Medicare Advantage	$2.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.46
Rate for Payer: Cigna Commercial	$4.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.25
Rate for Payer: Oxford Commercial	$4.83
Rate for Payer: Qualcare PPO/HMO/WC	$1.45
Rate for Payer: UnitedHealthcare Commercial	$4.83

CHLORIDE CALC 12.5GM/PK

Facility

$9.65

Hospital Charge Code	270605771
Hospital Revenue Code	270
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$4.83
Rate for Payer: Aetna Commercial	$2.90
Rate for Payer: Aetna Medicare Advantage	$2.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.46
Rate for Payer: Cigna Commercial	$4.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.25
Rate for Payer: Oxford Commercial	$4.83
Rate for Payer: Qualcare PPO/HMO/WC	$1.45
Rate for Payer: UnitedHealthcare Commercial	$4.83

CHLORIDE CALC 12.5GM/PK

Facility

$9.65

Hospital Charge Code	270605771
Hospital Revenue Code	270
Min. Negotiated Rate	$1.45
Max. Negotiated Rate	$1.45
Rate for Payer: Qualcare PPO/HMO/WC	$1.45

CHLORIDE CSF

Facility

$77.65

Service Code	HCPCS 82438
Hospital Charge Code	3000767
Hospital Revenue Code	301
Min. Negotiated Rate	$2.50
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.20
Rate for Payer: Aetna Medicare Advantage	$5.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.32
Rate for Payer: Cigna Commercial	$5.00
Rate for Payer: Cigna Medicare Advantage	$2.50
Rate for Payer: Clover Medicare Advantage	$4.75
Rate for Payer: EmblemHealth Commercial	$15.00
Rate for Payer: Humana Medicare Advantage	$5.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.09
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$11.65
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.00
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.30
Rate for Payer: Wellcare Medicare Advantage	$5.00

CHLORIDE CSF

Facility

$77.65

Service Code	HCPCS 82438
Hospital Charge Code	3000767
Hospital Revenue Code	301
Min. Negotiated Rate	$11.65
Max. Negotiated Rate	$11.65
Rate for Payer: Qualcare PPO/HMO/WC	$11.65

CHLORIDE,CSF

Facility

$120.00

Service Code	HCPCS 82438
Hospital Charge Code	38472191
Hospital Revenue Code	301
Min. Negotiated Rate	$2.50
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.20
Rate for Payer: Aetna Medicare Advantage	$5.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.32
Rate for Payer: Cigna Commercial	$5.00
Rate for Payer: Cigna Medicare Advantage	$2.50
Rate for Payer: Clover Medicare Advantage	$4.75
Rate for Payer: EmblemHealth Commercial	$15.00
Rate for Payer: Humana Medicare Advantage	$5.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.60
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.00
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.00
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.30
Rate for Payer: Wellcare Medicare Advantage	$5.00

CHLORIDE,CSF

Facility

$120.00

Service Code	HCPCS 82438
Hospital Charge Code	38472191
Hospital Revenue Code	301
Min. Negotiated Rate	$18.00
Max. Negotiated Rate	$18.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.00

CHLORIDE, SERUM

Facility

$390.00

Service Code	HCPCS 82435
Hospital Charge Code	3000742
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CHLORIDE, SERUM

Facility

$390.00

Service Code	HCPCS 82435
Hospital Charge Code	3000742
Hospital Revenue Code	301
Min. Negotiated Rate	$2.30
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$14.90
Rate for Payer: Aetna Medicare Advantage	$4.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.60
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	$16.85
Rate for Payer: Cigna Commercial	$4.60
Rate for Payer: Cigna Medicare Advantage	$2.30
Rate for Payer: Clover Medicare Advantage	$4.37
Rate for Payer: EmblemHealth Commercial	$13.80
Rate for Payer: Humana Medicare Advantage	$4.74
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	$4.60
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$4.88
Rate for Payer: Wellcare Medicare Advantage	$4.60

CHLORIDE,SERUM

Facility

$119.00

Service Code	HCPCS 82435
Hospital Charge Code	38472185
Hospital Revenue Code	301
Min. Negotiated Rate	$2.30
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$14.90
Rate for Payer: Aetna Medicare Advantage	$4.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.60
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	$16.85
Rate for Payer: Cigna Commercial	$4.60
Rate for Payer: Cigna Medicare Advantage	$2.30
Rate for Payer: Clover Medicare Advantage	$4.37
Rate for Payer: EmblemHealth Commercial	$13.80
Rate for Payer: Humana Medicare Advantage	$4.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.47
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.85
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.60
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$4.88
Rate for Payer: Wellcare Medicare Advantage	$4.60

CHLORIDE,SERUM

Facility

$119.00

Service Code	HCPCS 82435
Hospital Charge Code	38472185
Hospital Revenue Code	301
Min. Negotiated Rate	$17.85
Max. Negotiated Rate	$17.85
Rate for Payer: Qualcare PPO/HMO/WC	$17.85

CHLORIDE SODIUM 50GM PACK

Facility

$9.65

Hospital Charge Code	270606417
Hospital Revenue Code	270
Min. Negotiated Rate	$1.45
Max. Negotiated Rate	$1.45
Rate for Payer: Qualcare PPO/HMO/WC	$1.45

CHLORIDE SODIUM 50GM PACK

Facility

$9.65

Hospital Charge Code	270606417
Hospital Revenue Code	270
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$4.83
Rate for Payer: Aetna Commercial	$2.90
Rate for Payer: Aetna Medicare Advantage	$2.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.46
Rate for Payer: Cigna Commercial	$4.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.25
Rate for Payer: Oxford Commercial	$4.83
Rate for Payer: Qualcare PPO/HMO/WC	$1.45
Rate for Payer: UnitedHealthcare Commercial	$4.83

CHLORIDE (URINE)***

Facility

$21.00

Hospital Charge Code	3010758
Hospital Revenue Code	309
Min. Negotiated Rate	$2.73
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$6.30
Rate for Payer: Aetna Medicare Advantage	$6.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.36
Rate for Payer: Cigna Commercial	$10.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.73
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.15
Rate for Payer: UnitedHealthcare Commercial	$114.00

CHLORIDE (URINE)***

Facility

$21.00

Hospital Charge Code	3010758
Hospital Revenue Code	309
Min. Negotiated Rate	$3.15
Max. Negotiated Rate	$3.15
Rate for Payer: Qualcare PPO/HMO/WC	$3.15

CHLORIDE,URINE

Facility

$107.00

Service Code	HCPCS 82436
Hospital Charge Code	38472188
Hospital Revenue Code	301
Min. Negotiated Rate	$2.88
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$18.63
Rate for Payer: Aetna Medicare Advantage	$5.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.75
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	$21.07
Rate for Payer: Cigna Commercial	$5.75
Rate for Payer: Cigna Medicare Advantage	$2.88
Rate for Payer: Clover Medicare Advantage	$5.46
Rate for Payer: EmblemHealth Commercial	$17.25
Rate for Payer: Humana Medicare Advantage	$5.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.91
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.05
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.75
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.09
Rate for Payer: Wellcare Medicare Advantage	$5.75

CHLORIDE,URINE

Facility

$107.00

Service Code	HCPCS 82436
Hospital Charge Code	38472188
Hospital Revenue Code	301
Min. Negotiated Rate	$16.05
Max. Negotiated Rate	$16.05
Rate for Payer: Qualcare PPO/HMO/WC	$16.05

Know your out-of-pocket cost for care.

All Charges