Heights University Hospital

All Charges

Charge

Type

Setting

Price

CH OLIGOCLONAL BANDS

Facility

$336.00

Service Code	HCPCS 83916
Hospital Charge Code	397073232
Hospital Revenue Code	301
Min. Negotiated Rate	$13.70
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$88.74
Rate for Payer: Aetna Medicare Advantage	$27.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$27.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$41.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.36
Rate for Payer: Cigna Commercial	$27.39
Rate for Payer: Cigna Medicare Advantage	$13.70
Rate for Payer: Clover Medicare Advantage	$26.02
Rate for Payer: EmblemHealth Commercial	$82.17
Rate for Payer: Humana Medicare Advantage	$28.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.68
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$50.40
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$27.39
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$29.03
Rate for Payer: Wellcare Medicare Advantage	$27.39

CH OLIGOCLONAL BANDS

Facility

$402.00

Service Code	HCPCS 83916
Hospital Charge Code	397071039
Hospital Revenue Code	301
Min. Negotiated Rate	$13.70
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$88.74
Rate for Payer: Aetna Medicare Advantage	$27.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$27.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$41.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.36
Rate for Payer: Cigna Commercial	$27.39
Rate for Payer: Cigna Medicare Advantage	$13.70
Rate for Payer: Clover Medicare Advantage	$26.02
Rate for Payer: EmblemHealth Commercial	$82.17
Rate for Payer: Humana Medicare Advantage	$28.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.26
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.30
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$27.39
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$29.03
Rate for Payer: Wellcare Medicare Advantage	$27.39

CH OLIGOCLONAL BANDS

Facility

$402.00

Service Code	HCPCS 83916
Hospital Charge Code	397071039
Hospital Revenue Code	301
Min. Negotiated Rate	$60.30
Max. Negotiated Rate	$60.30
Rate for Payer: Qualcare PPO/HMO/WC	$60.30

CHOLINE MAG SALIC TAB 750MG

Facility

$10.45

Hospital Charge Code	60627679
Hospital Revenue Code	250
Min. Negotiated Rate	$1.57
Max. Negotiated Rate	$1.57
Rate for Payer: Qualcare PPO/HMO/WC	$1.57

CHOLINE MAG SALIC TAB 750MG

Facility

$10.45

Hospital Charge Code	60627679
Hospital Revenue Code	250
Min. Negotiated Rate	$1.36
Max. Negotiated Rate	$5.22
Rate for Payer: Aetna Commercial	$3.13
Rate for Payer: Aetna Medicare Advantage	$3.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.66
Rate for Payer: Cigna Commercial	$5.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.36
Rate for Payer: Oxford Commercial	$5.22
Rate for Payer: Qualcare PPO/HMO/WC	$1.57
Rate for Payer: UnitedHealthcare Commercial	$5.22

CHOLINESTERASE

Facility

$390.00

Service Code	HCPCS 82480
Hospital Charge Code	39900470
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CHOLINESTERASE

Facility

$390.00

Service Code	HCPCS 82480
Hospital Charge Code	39900470
Hospital Revenue Code	301
Min. Negotiated Rate	$3.94
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$25.50
Rate for Payer: Aetna Medicare Advantage	$7.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.84
Rate for Payer: Cigna Commercial	$7.87
Rate for Payer: Cigna Medicare Advantage	$3.94
Rate for Payer: Clover Medicare Advantage	$7.48
Rate for Payer: EmblemHealth Commercial	$23.61
Rate for Payer: Humana Medicare Advantage	$8.11
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	$7.87
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$8.34
Rate for Payer: Wellcare Medicare Advantage	$7.87

CHOLINESTERASE

Facility

$159.00

Service Code	HCPCS 82480
Hospital Charge Code	3035071A
Hospital Revenue Code	301
Min. Negotiated Rate	$23.85
Max. Negotiated Rate	$23.85
Rate for Payer: Qualcare PPO/HMO/WC	$23.85

CHOLINESTERASE

Facility

$159.00

Service Code	HCPCS 82480
Hospital Charge Code	3035071A
Hospital Revenue Code	301
Min. Negotiated Rate	$3.94
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$25.50
Rate for Payer: Aetna Medicare Advantage	$7.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.84
Rate for Payer: Cigna Commercial	$7.87
Rate for Payer: Cigna Medicare Advantage	$3.94
Rate for Payer: Clover Medicare Advantage	$7.48
Rate for Payer: EmblemHealth Commercial	$23.61
Rate for Payer: Humana Medicare Advantage	$8.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.67
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$23.85
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$7.87
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$8.34
Rate for Payer: Wellcare Medicare Advantage	$7.87

CHOLINESTERASE, BLOOD

Facility

$69.65

Service Code	HCPCS 82480
Hospital Charge Code	3030046
Hospital Revenue Code	301
Min. Negotiated Rate	$3.94
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$25.50
Rate for Payer: Aetna Medicare Advantage	$7.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.84
Rate for Payer: Cigna Commercial	$7.87
Rate for Payer: Cigna Medicare Advantage	$3.94
Rate for Payer: Clover Medicare Advantage	$7.48
Rate for Payer: EmblemHealth Commercial	$23.61
Rate for Payer: Humana Medicare Advantage	$8.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.05
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.45
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$7.87
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$8.34
Rate for Payer: Wellcare Medicare Advantage	$7.87

CHOLINESTERASE, BLOOD

Facility

$69.65

Service Code	HCPCS 82480
Hospital Charge Code	3030046
Hospital Revenue Code	301
Min. Negotiated Rate	$10.45
Max. Negotiated Rate	$10.45
Rate for Payer: Qualcare PPO/HMO/WC	$10.45

CHOLINESTERASE, RBC

Facility

$63.25

Service Code	HCPCS 82482
Hospital Charge Code	3030053
Hospital Revenue Code	301
Min. Negotiated Rate	$4.91
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$31.78
Rate for Payer: Aetna Medicare Advantage	$9.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.94
Rate for Payer: Cigna Commercial	$9.81
Rate for Payer: Cigna Medicare Advantage	$4.91
Rate for Payer: Clover Medicare Advantage	$9.32
Rate for Payer: EmblemHealth Commercial	$29.43
Rate for Payer: Humana Medicare Advantage	$10.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.22
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.49
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.81
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$10.40
Rate for Payer: Wellcare Medicare Advantage	$9.81

CHOLINESTERASE, RBC

Facility

$63.25

Service Code	HCPCS 82482
Hospital Charge Code	3030053
Hospital Revenue Code	301
Min. Negotiated Rate	$9.49
Max. Negotiated Rate	$9.49
Rate for Payer: Qualcare PPO/HMO/WC	$9.49

CHOLINESTERASE,RBC (ACETYL-CHO

Facility

$215.00

Service Code	HCPCS 82482
Hospital Charge Code	38472198
Hospital Revenue Code	301
Min. Negotiated Rate	$32.25
Max. Negotiated Rate	$32.25
Rate for Payer: Qualcare PPO/HMO/WC	$32.25

CHOLINESTERASE,RBC (ACETYL-CHO

Facility

$215.00

Service Code	HCPCS 82482
Hospital Charge Code	38472198
Hospital Revenue Code	301
Min. Negotiated Rate	$4.91
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$31.78
Rate for Payer: Aetna Medicare Advantage	$9.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.94
Rate for Payer: Cigna Commercial	$9.81
Rate for Payer: Cigna Medicare Advantage	$4.91
Rate for Payer: Clover Medicare Advantage	$9.32
Rate for Payer: EmblemHealth Commercial	$29.43
Rate for Payer: Humana Medicare Advantage	$10.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.95
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.25
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.81
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$10.40
Rate for Payer: Wellcare Medicare Advantage	$9.81

CHOLINESTERASE RBC,PL

Facility

$215.00

Service Code	HCPCS 82482
Hospital Charge Code	38479077
Hospital Revenue Code	301
Min. Negotiated Rate	$32.25
Max. Negotiated Rate	$32.25
Rate for Payer: Qualcare PPO/HMO/WC	$32.25

CHOLINESTERASE RBC,PL

Facility

$215.00

Service Code	HCPCS 82482
Hospital Charge Code	38479077
Hospital Revenue Code	301
Min. Negotiated Rate	$4.91
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$31.78
Rate for Payer: Aetna Medicare Advantage	$9.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.94
Rate for Payer: Cigna Commercial	$9.81
Rate for Payer: Cigna Medicare Advantage	$4.91
Rate for Payer: Clover Medicare Advantage	$9.32
Rate for Payer: EmblemHealth Commercial	$29.43
Rate for Payer: Humana Medicare Advantage	$10.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.95
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.25
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.81
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$10.40
Rate for Payer: Wellcare Medicare Advantage	$9.81

CHOLINESTERASE (SERUM)***

Facility

$35.00

Hospital Charge Code	3010790
Hospital Revenue Code	309
Min. Negotiated Rate	$5.25
Max. Negotiated Rate	$5.25
Rate for Payer: Qualcare PPO/HMO/WC	$5.25

CHOLINESTERASE (SERUM)***

Facility

$38.00

Service Code	HCPCS 82480
Hospital Charge Code	3000791
Hospital Revenue Code	301
Min. Negotiated Rate	$3.94
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$25.50
Rate for Payer: Aetna Medicare Advantage	$7.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.84
Rate for Payer: Cigna Commercial	$7.87
Rate for Payer: Cigna Medicare Advantage	$3.94
Rate for Payer: Clover Medicare Advantage	$7.48
Rate for Payer: EmblemHealth Commercial	$23.61
Rate for Payer: Humana Medicare Advantage	$8.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.94
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.70
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$7.87
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$8.34
Rate for Payer: Wellcare Medicare Advantage	$7.87

CHOLINESTERASE (SERUM)***

Facility

$35.00

Hospital Charge Code	3010790
Hospital Revenue Code	309
Min. Negotiated Rate	$4.55
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$10.50
Rate for Payer: Aetna Medicare Advantage	$10.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.93
Rate for Payer: Cigna Commercial	$17.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.55
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.25
Rate for Payer: UnitedHealthcare Commercial	$114.00

CHOLINESTERASE (SERUM)***

Facility

$38.00

Service Code	HCPCS 82480
Hospital Charge Code	3000791
Hospital Revenue Code	301
Min. Negotiated Rate	$5.70
Max. Negotiated Rate	$5.70
Rate for Payer: Qualcare PPO/HMO/WC	$5.70

CHOLINESTERASE,SERUM

Facility

$147.00

Service Code	HCPCS 82480
Hospital Charge Code	38472199
Hospital Revenue Code	301
Min. Negotiated Rate	$3.94
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$25.50
Rate for Payer: Aetna Medicare Advantage	$7.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.84
Rate for Payer: Cigna Commercial	$7.87
Rate for Payer: Cigna Medicare Advantage	$3.94
Rate for Payer: Clover Medicare Advantage	$7.48
Rate for Payer: EmblemHealth Commercial	$23.61
Rate for Payer: Humana Medicare Advantage	$8.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.11
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.05
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$7.87
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$8.34
Rate for Payer: Wellcare Medicare Advantage	$7.87

CHOLINESTERASE,SERUM

Facility

$147.00

Service Code	HCPCS 82480
Hospital Charge Code	38472199
Hospital Revenue Code	301
Min. Negotiated Rate	$22.05
Max. Negotiated Rate	$22.05
Rate for Payer: Qualcare PPO/HMO/WC	$22.05

CHONDROCYTES AUTOLOGOUS CULTRD

Facility

$188,000.00

Service Code	HCPCS J7330
Hospital Charge Code	270669117
Hospital Revenue Code	636
Min. Negotiated Rate	$28,200.00
Max. Negotiated Rate	$45,496.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45,496.00
Rate for Payer: Qualcare PPO/HMO/WC	$28,200.00

CHONDROCYTES AUTOLOGOUS CULTRD

Facility

$188,000.00

Service Code	HCPCS J7330
Hospital Charge Code	270669117
Hospital Revenue Code	636
Min. Negotiated Rate	$28,200.00
Max. Negotiated Rate	$94,000.00
Rate for Payer: Aetna Commercial	$56,400.00
Rate for Payer: Aetna Medicare Advantage	$56,400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47,940.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47,940.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47,940.00
Rate for Payer: Cigna Commercial	$94,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45,496.00
Rate for Payer: Qualcare PPO/HMO/WC	$28,200.00

Know your out-of-pocket cost for care.

All Charges