Heights University Hospital

All Charges

Charge

Type

Setting

Price

CH MUMPS AB IGG

Facility

$198.00

Service Code	HCPCS 86735
Hospital Charge Code	397041188
Hospital Revenue Code	302
Min. Negotiated Rate	$6.53
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$42.28
Rate for Payer: Aetna Medicare Advantage	$13.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.82
Rate for Payer: Cigna Commercial	$13.05
Rate for Payer: Cigna Medicare Advantage	$6.53
Rate for Payer: Clover Medicare Advantage	$12.40
Rate for Payer: EmblemHealth Commercial	$39.15
Rate for Payer: Humana Medicare Advantage	$13.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.74
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$29.70
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.05
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13.83
Rate for Payer: Wellcare Medicare Advantage	$13.05

CH MUSK AB

Facility

$3,185.70

Service Code	HCPCS 83519
Hospital Charge Code	397071431
Hospital Revenue Code	301
Min. Negotiated Rate	$477.86
Max. Negotiated Rate	$477.86
Rate for Payer: Qualcare PPO/HMO/WC	$477.86

CH MUSK AB

Facility

$3,185.70

Service Code	HCPCS 83519
Hospital Charge Code	397071431
Hospital Revenue Code	301
Min. Negotiated Rate	$9.20
Max. Negotiated Rate	$477.86
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	$414.14
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$477.86
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 MUTATION ID OLA/SBCE/ASPE

Facility

$101.00

Service Code	HCPCS 83914
Hospital Charge Code	397071418
Hospital Revenue Code	301
Min. Negotiated Rate	$13.13
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$30.30
Rate for Payer: Aetna Medicare Advantage	$30.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.75
Rate for Payer: Cigna Commercial	$50.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.13
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.15
Rate for Payer: UnitedHealthcare Commercial	$114.00

CH MUTATION ID OLA/SBCE/ASPE

Facility

$101.00

Service Code	HCPCS 83914
Hospital Charge Code	397071418
Hospital Revenue Code	301
Min. Negotiated Rate	$15.15
Max. Negotiated Rate	$15.15
Rate for Payer: Qualcare PPO/HMO/WC	$15.15

CH MUTATION SEQUENCE X8

Facility

$104.00

Service Code	HCPCS 83904
Hospital Charge Code	397073574
Hospital Revenue Code	301
Min. Negotiated Rate	$15.60
Max. Negotiated Rate	$15.60
Rate for Payer: Qualcare PPO/HMO/WC	$15.60

CH MUTATION SEQUENCE X8

Facility

$104.00

Service Code	HCPCS 83904
Hospital Charge Code	397073574
Hospital Revenue Code	301
Min. Negotiated Rate	$13.52
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$31.20
Rate for Payer: Aetna Medicare Advantage	$31.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.52
Rate for Payer: Cigna Commercial	$52.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.52
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.60
Rate for Payer: UnitedHealthcare Commercial	$114.00

CH MYASTHENIA GRAVIS EVAL

Facility

$532.00

Service Code	HCPCS 83519
Hospital Charge Code	397073205
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	$69.16
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$79.80
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 MYASTHENIA GRAVIS EVAL

Facility

$532.00

Service Code	HCPCS 83519
Hospital Charge Code	397073205
Hospital Revenue Code	301
Min. Negotiated Rate	$79.80
Max. Negotiated Rate	$79.80
Rate for Payer: Qualcare PPO/HMO/WC	$79.80

CH MYCOBACTERIUM TB DNAPCR B

Facility

$184.00

Service Code	HCPCS 87556
Hospital Charge Code	397073558
Hospital Revenue Code	306
Min. Negotiated Rate	$27.60
Max. Negotiated Rate	$27.60
Rate for Payer: Qualcare PPO/HMO/WC	$27.60

CH MYCOBACTERIUM TB DNAPCR B

Facility

$184.00

Service Code	HCPCS 87556
Hospital Charge Code	397073558
Hospital Revenue Code	306
Min. Negotiated Rate	$20.84
Max. Negotiated Rate	$152.72
Rate for Payer: Aetna Commercial	$135.04
Rate for Payer: Aetna Medicare Advantage	$41.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$152.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$152.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$41.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$152.72
Rate for Payer: Cigna Commercial	$41.68
Rate for Payer: Cigna Medicare Advantage	$20.84
Rate for Payer: Clover Medicare Advantage	$39.60
Rate for Payer: EmblemHealth Commercial	$125.04
Rate for Payer: Humana Medicare Advantage	$42.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.92
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.60
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$41.68
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$44.18
Rate for Payer: Wellcare Medicare Advantage	$41.68

CH MYCOPHENOLIC ACID

Facility

$393.00

Service Code	HCPCS 83789
Hospital Charge Code	397071386
Hospital Revenue Code	301
Min. Negotiated Rate	$12.05
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$78.12
Rate for Payer: Aetna Medicare Advantage	$24.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$24.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.34
Rate for Payer: Cigna Commercial	$24.11
Rate for Payer: Cigna Medicare Advantage	$12.05
Rate for Payer: Clover Medicare Advantage	$22.90
Rate for Payer: EmblemHealth Commercial	$72.33
Rate for Payer: Humana Medicare Advantage	$24.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.09
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.95
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$24.11
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$25.56
Rate for Payer: Wellcare Medicare Advantage	$24.11

CH MYCOPHENOLIC ACID

Facility

$393.00

Service Code	HCPCS 83789
Hospital Charge Code	397071386
Hospital Revenue Code	301
Min. Negotiated Rate	$58.95
Max. Negotiated Rate	$58.95
Rate for Payer: Qualcare PPO/HMO/WC	$58.95

CH MYCOPLASMA IGM

Facility

$66.20

Service Code	HCPCS 86738
Hospital Charge Code	397043216
Hospital Revenue Code	302
Min. Negotiated Rate	$9.93
Max. Negotiated Rate	$9.93
Rate for Payer: Qualcare PPO/HMO/WC	$9.93

CH MYCOPLASMA IGM

Facility

$66.20

Service Code	HCPCS 86738
Hospital Charge Code	397043216
Hospital Revenue Code	302
Min. Negotiated Rate	$6.62
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$42.90
Rate for Payer: Aetna Medicare Advantage	$13.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.24
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	$48.51
Rate for Payer: Cigna Commercial	$13.24
Rate for Payer: Cigna Medicare Advantage	$6.62
Rate for Payer: Clover Medicare Advantage	$12.58
Rate for Payer: EmblemHealth Commercial	$39.72
Rate for Payer: Humana Medicare Advantage	$13.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.61
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.93
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.24
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14.03
Rate for Payer: Wellcare Medicare Advantage	$13.24

CH MYELIN BASIC PROTEIN

Facility

$464.00

Service Code	HCPCS 83873
Hospital Charge Code	397071049
Hospital Revenue Code	301
Min. Negotiated Rate	$8.60
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$55.73
Rate for Payer: Aetna Medicare Advantage	$17.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$53.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.02
Rate for Payer: Cigna Commercial	$17.20
Rate for Payer: Cigna Medicare Advantage	$8.60
Rate for Payer: Clover Medicare Advantage	$16.34
Rate for Payer: EmblemHealth Commercial	$51.60
Rate for Payer: Humana Medicare Advantage	$17.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.32
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$69.60
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$17.20
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$18.23
Rate for Payer: Wellcare Medicare Advantage	$17.20

CH MYELIN BASIC PROTEIN

Facility

$464.00

Service Code	HCPCS 83873
Hospital Charge Code	397071049
Hospital Revenue Code	301
Min. Negotiated Rate	$69.60
Max. Negotiated Rate	$69.60
Rate for Payer: Qualcare PPO/HMO/WC	$69.60

CH MYELIN BASIC PROTEIN

Facility

$626.00

Service Code	HCPCS 83873
Hospital Charge Code	397073231
Hospital Revenue Code	301
Min. Negotiated Rate	$8.60
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$55.73
Rate for Payer: Aetna Medicare Advantage	$17.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$53.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.02
Rate for Payer: Cigna Commercial	$17.20
Rate for Payer: Cigna Medicare Advantage	$8.60
Rate for Payer: Clover Medicare Advantage	$16.34
Rate for Payer: EmblemHealth Commercial	$51.60
Rate for Payer: Humana Medicare Advantage	$17.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.38
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$93.90
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$17.20
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$18.23
Rate for Payer: Wellcare Medicare Advantage	$17.20

CH MYELIN BASIC PROTEIN

Facility

$626.00

Service Code	HCPCS 83873
Hospital Charge Code	397073231
Hospital Revenue Code	301
Min. Negotiated Rate	$93.90
Max. Negotiated Rate	$93.90
Rate for Payer: Qualcare PPO/HMO/WC	$93.90

CH MYOGLOBIN, SERUM

Facility

$207.00

Service Code	HCPCS 83874
Hospital Charge Code	397072115
Hospital Revenue Code	301
Min. Negotiated Rate	$31.05
Max. Negotiated Rate	$31.05
Rate for Payer: Qualcare PPO/HMO/WC	$31.05

CH MYOGLOBIN, SERUM

Facility

$207.00

Service Code	HCPCS 83874
Hospital Charge Code	397072115
Hospital Revenue Code	301
Min. Negotiated Rate	$6.46
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$41.86
Rate for Payer: Aetna Medicare Advantage	$12.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.34
Rate for Payer: Cigna Commercial	$12.92
Rate for Payer: Cigna Medicare Advantage	$6.46
Rate for Payer: Clover Medicare Advantage	$12.27
Rate for Payer: EmblemHealth Commercial	$38.76
Rate for Payer: Humana Medicare Advantage	$13.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.91
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$31.05
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.92
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13.70
Rate for Payer: Wellcare Medicare Advantage	$12.92

CH MYOGLOBIN URINE

Facility

$125.00

Service Code	HCPCS 83874
Hospital Charge Code	397071047
Hospital Revenue Code	301
Min. Negotiated Rate	$18.75
Max. Negotiated Rate	$18.75
Rate for Payer: Qualcare PPO/HMO/WC	$18.75

CH MYOGLOBIN URINE

Facility

$125.00

Service Code	HCPCS 83874
Hospital Charge Code	397071047
Hospital Revenue Code	301
Min. Negotiated Rate	$6.46
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$41.86
Rate for Payer: Aetna Medicare Advantage	$12.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.34
Rate for Payer: Cigna Commercial	$12.92
Rate for Payer: Cigna Medicare Advantage	$6.46
Rate for Payer: Clover Medicare Advantage	$12.27
Rate for Payer: EmblemHealth Commercial	$38.76
Rate for Payer: Humana Medicare Advantage	$13.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.25
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.75
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.92
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13.70
Rate for Payer: Wellcare Medicare Advantage	$12.92

CH NAPA

Facility

$154.00

Service Code	HCPCS 80192
Hospital Charge Code	397071243
Hospital Revenue Code	301
Min. Negotiated Rate	$8.38
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$54.27
Rate for Payer: Aetna Medicare Advantage	$16.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.37
Rate for Payer: Cigna Commercial	$16.75
Rate for Payer: Cigna Medicare Advantage	$8.38
Rate for Payer: Clover Medicare Advantage	$15.91
Rate for Payer: EmblemHealth Commercial	$50.25
Rate for Payer: Humana Medicare Advantage	$17.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.02
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$23.10
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.75
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$17.75
Rate for Payer: Wellcare Medicare Advantage	$16.75

CH NAPA

Facility

$154.00

Service Code	HCPCS 80192
Hospital Charge Code	397071243
Hospital Revenue Code	301
Min. Negotiated Rate	$23.10
Max. Negotiated Rate	$23.10
Rate for Payer: Qualcare PPO/HMO/WC	$23.10

Know your out-of-pocket cost for care.

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