Heights University Hospital

All Charges

Charge

Type

Setting

Price

CH PTT

Facility

$263.57

Service Code	HCPCS 85730
Hospital Charge Code	397021014
Hospital Revenue Code	305
Min. Negotiated Rate	$3.00
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$19.47
Rate for Payer: Aetna Medicare Advantage	$6.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.01
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	$22.02
Rate for Payer: Cigna Commercial	$6.01
Rate for Payer: Cigna Medicare Advantage	$3.00
Rate for Payer: Clover Medicare Advantage	$5.71
Rate for Payer: EmblemHealth Commercial	$18.03
Rate for Payer: Humana Medicare Advantage	$6.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.26
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$39.54
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.01
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.37
Rate for Payer: Wellcare Medicare Advantage	$6.01

CH PTT SUBSTITUTION

Facility

$390.00

Service Code	HCPCS 85732
Hospital Charge Code	397021085
Hospital Revenue Code	305
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CH PTT SUBSTITUTION

Facility

$390.00

Service Code	HCPCS 85732
Hospital Charge Code	397021085
Hospital Revenue Code	305
Min. Negotiated Rate	$3.23
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$20.96
Rate for Payer: Aetna Medicare Advantage	$6.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.47
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	$23.71
Rate for Payer: Cigna Commercial	$6.47
Rate for Payer: Cigna Medicare Advantage	$3.23
Rate for Payer: Clover Medicare Advantage	$6.15
Rate for Payer: EmblemHealth Commercial	$19.41
Rate for Payer: Humana Medicare Advantage	$6.66
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	$6.47
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.86
Rate for Payer: Wellcare Medicare Advantage	$6.47

CH PYRUVATE, BLOOD

Facility

$497.00

Service Code	HCPCS 84210
Hospital Charge Code	397070015
Hospital Revenue Code	301
Min. Negotiated Rate	$7.24
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$46.92
Rate for Payer: Aetna Medicare Advantage	$14.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.48
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	$53.05
Rate for Payer: Cigna Commercial	$14.48
Rate for Payer: Cigna Medicare Advantage	$7.24
Rate for Payer: Clover Medicare Advantage	$13.76
Rate for Payer: EmblemHealth Commercial	$43.44
Rate for Payer: Humana Medicare Advantage	$14.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.61
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$74.55
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.48
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15.35
Rate for Payer: Wellcare Medicare Advantage	$14.48

CH PYRUVATE, BLOOD

Facility

$497.00

Service Code	HCPCS 84210
Hospital Charge Code	397070015
Hospital Revenue Code	301
Min. Negotiated Rate	$74.55
Max. Negotiated Rate	$74.55
Rate for Payer: Qualcare PPO/HMO/WC	$74.55

CH PYRUVIC ACID

Facility

$441.00

Service Code	HCPCS 84210
Hospital Charge Code	397070012
Hospital Revenue Code	301
Min. Negotiated Rate	$66.15
Max. Negotiated Rate	$66.15
Rate for Payer: Qualcare PPO/HMO/WC	$66.15

CH PYRUVIC ACID

Facility

$441.00

Service Code	HCPCS 84210
Hospital Charge Code	397070012
Hospital Revenue Code	301
Min. Negotiated Rate	$7.24
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$46.92
Rate for Payer: Aetna Medicare Advantage	$14.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.48
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	$53.05
Rate for Payer: Cigna Commercial	$14.48
Rate for Payer: Cigna Medicare Advantage	$7.24
Rate for Payer: Clover Medicare Advantage	$13.76
Rate for Payer: EmblemHealth Commercial	$43.44
Rate for Payer: Humana Medicare Advantage	$14.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.33
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$66.15
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.48
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15.35
Rate for Payer: Wellcare Medicare Advantage	$14.48

CH QUINIDINE

Facility

$170.00

Service Code	HCPCS 80194
Hospital Charge Code	397071015
Hospital Revenue Code	301
Min. Negotiated Rate	$7.30
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$47.30
Rate for Payer: Aetna Medicare Advantage	$14.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.60
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	$53.49
Rate for Payer: Cigna Commercial	$14.60
Rate for Payer: Cigna Medicare Advantage	$7.30
Rate for Payer: Clover Medicare Advantage	$13.87
Rate for Payer: EmblemHealth Commercial	$43.80
Rate for Payer: Humana Medicare Advantage	$15.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.10
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$25.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.60
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15.48
Rate for Payer: Wellcare Medicare Advantage	$14.60

CH QUINIDINE

Facility

$170.00

Service Code	HCPCS 80194
Hospital Charge Code	397071015
Hospital Revenue Code	301
Min. Negotiated Rate	$25.50
Max. Negotiated Rate	$25.50
Rate for Payer: Qualcare PPO/HMO/WC	$25.50

CH RAPAMYCIN

Facility

$331.00

Service Code	HCPCS 80299
Hospital Charge Code	397071083
Hospital Revenue Code	301
Min. Negotiated Rate	$9.32
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$60.39
Rate for Payer: Aetna Medicare Advantage	$18.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.30
Rate for Payer: Cigna Commercial	$18.64
Rate for Payer: Cigna Medicare Advantage	$9.32
Rate for Payer: Clover Medicare Advantage	$17.71
Rate for Payer: EmblemHealth Commercial	$55.92
Rate for Payer: Humana Medicare Advantage	$19.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.03
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$49.65
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.64
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19.76
Rate for Payer: Wellcare Medicare Advantage	$18.64

CH RAPAMYCIN

Facility

$331.00

Service Code	HCPCS 80299
Hospital Charge Code	397071083
Hospital Revenue Code	301
Min. Negotiated Rate	$49.65
Max. Negotiated Rate	$49.65
Rate for Payer: Qualcare PPO/HMO/WC	$49.65

CH RA, SERUM

Facility

$667.59

Service Code	HCPCS 86430
Hospital Charge Code	397041082
Hospital Revenue Code	302
Min. Negotiated Rate	$100.14
Max. Negotiated Rate	$100.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.14

CH RA, SERUM

Facility

$667.59

Service Code	HCPCS 86430
Hospital Charge Code	397041082
Hospital Revenue Code	302
Min. Negotiated Rate	$3.07
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$19.89
Rate for Payer: Aetna Medicare Advantage	$6.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.50
Rate for Payer: Cigna Commercial	$6.14
Rate for Payer: Cigna Medicare Advantage	$3.07
Rate for Payer: Clover Medicare Advantage	$5.83
Rate for Payer: EmblemHealth Commercial	$18.42
Rate for Payer: Humana Medicare Advantage	$6.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.79
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$100.14
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.14
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.51
Rate for Payer: Wellcare Medicare Advantage	$6.14

CH RAST ANTIGEN, EA

Facility

$153.00

Service Code	HCPCS 86003
Hospital Charge Code	397072147
Hospital Revenue Code	305
Min. Negotiated Rate	$22.95
Max. Negotiated Rate	$22.95
Rate for Payer: Qualcare PPO/HMO/WC	$22.95

CH RAST ANTIGEN, EA

Facility

$153.00

Service Code	HCPCS 86003
Hospital Charge Code	397072147
Hospital Revenue Code	305
Min. Negotiated Rate	$2.61
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.91
Rate for Payer: Aetna Medicare Advantage	$5.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.13
Rate for Payer: Cigna Commercial	$5.22
Rate for Payer: Cigna Medicare Advantage	$2.61
Rate for Payer: Clover Medicare Advantage	$4.96
Rate for Payer: EmblemHealth Commercial	$15.66
Rate for Payer: Humana Medicare Advantage	$5.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.89
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.95
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.22
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.53
Rate for Payer: Wellcare Medicare Advantage	$5.22

CH RAST ANTIGEN, EA

Facility

$153.00

Service Code	HCPCS 86003
Hospital Charge Code	397073617
Hospital Revenue Code	305
Min. Negotiated Rate	$2.61
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.91
Rate for Payer: Aetna Medicare Advantage	$5.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.13
Rate for Payer: Cigna Commercial	$5.22
Rate for Payer: Cigna Medicare Advantage	$2.61
Rate for Payer: Clover Medicare Advantage	$4.96
Rate for Payer: EmblemHealth Commercial	$15.66
Rate for Payer: Humana Medicare Advantage	$5.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.89
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.95
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.22
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.53
Rate for Payer: Wellcare Medicare Advantage	$5.22

CH RAST ANTIGEN, EA

Facility

$153.00

Service Code	HCPCS 86003
Hospital Charge Code	397073617
Hospital Revenue Code	305
Min. Negotiated Rate	$22.95
Max. Negotiated Rate	$22.95
Rate for Payer: Qualcare PPO/HMO/WC	$22.95

CH RAST REGIONAL PANEL

Facility

$752.00

Service Code	HCPCS 86003
Hospital Charge Code	397072148
Hospital Revenue Code	305
Min. Negotiated Rate	$2.61
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.91
Rate for Payer: Aetna Medicare Advantage	$5.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.13
Rate for Payer: Cigna Commercial	$5.22
Rate for Payer: Cigna Medicare Advantage	$2.61
Rate for Payer: Clover Medicare Advantage	$4.96
Rate for Payer: EmblemHealth Commercial	$15.66
Rate for Payer: Humana Medicare Advantage	$5.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.76
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.80
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.22
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.53
Rate for Payer: Wellcare Medicare Advantage	$5.22

CH RAST REGIONAL PANEL

Facility

$752.00

Service Code	HCPCS 86003
Hospital Charge Code	397072148
Hospital Revenue Code	305
Min. Negotiated Rate	$112.80
Max. Negotiated Rate	$112.80
Rate for Payer: Qualcare PPO/HMO/WC	$112.80

CH RBC AUTOLOGOUS

Facility

$820.00

Service Code	HCPCS P9021
Hospital Charge Code	397031032
Hospital Revenue Code	390
Min. Negotiated Rate	$106.60
Max. Negotiated Rate	$756.00
Rate for Payer: Aetna Commercial	$246.00
Rate for Payer: Aetna Medicare Advantage	$246.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$209.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$209.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$209.10
Rate for Payer: Cigna Commercial	$350.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$106.60
Rate for Payer: Oxford Commercial	$666.00
Rate for Payer: Qualcare PPO/HMO/WC	$123.00
Rate for Payer: UnitedHealthcare Commercial	$756.00

CH RBC AUTOLOGOUS

Facility

$820.00

Service Code	HCPCS P9021
Hospital Charge Code	397031032
Hospital Revenue Code	390
Min. Negotiated Rate	$123.00
Max. Negotiated Rate	$123.00
Rate for Payer: Qualcare PPO/HMO/WC	$123.00

CH RBC CMV NEG LEUKORED

Facility

$990.90

Service Code	HCPCS P9051
Hospital Charge Code	397031167
Hospital Revenue Code	390
Min. Negotiated Rate	$128.82
Max. Negotiated Rate	$756.00
Rate for Payer: Aetna Commercial	$297.27
Rate for Payer: Aetna Medicare Advantage	$297.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$252.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$252.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$252.68
Rate for Payer: Cigna Commercial	$353.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.82
Rate for Payer: Oxford Commercial	$666.00
Rate for Payer: Qualcare PPO/HMO/WC	$148.63
Rate for Payer: UnitedHealthcare Commercial	$756.00

CH RBC CMV NEG LEUKORED

Facility

$990.90

Service Code	HCPCS P9051
Hospital Charge Code	397031167
Hospital Revenue Code	390
Min. Negotiated Rate	$148.63
Max. Negotiated Rate	$148.63
Rate for Payer: Qualcare PPO/HMO/WC	$148.63

CH RBC COUNT

Facility

$76.00

Service Code	HCPCS 85041
Hospital Charge Code	397021076
Hospital Revenue Code	301
Min. Negotiated Rate	$1.51
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$9.78
Rate for Payer: Aetna Medicare Advantage	$3.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.07
Rate for Payer: Cigna Commercial	$3.02
Rate for Payer: Cigna Medicare Advantage	$1.51
Rate for Payer: Clover Medicare Advantage	$2.87
Rate for Payer: EmblemHealth Commercial	$9.06
Rate for Payer: Humana Medicare Advantage	$3.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.88
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$11.40
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$3.02
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$3.20
Rate for Payer: Wellcare Medicare Advantage	$3.02

CH RBC COUNT

Facility

$76.00

Service Code	HCPCS 85041
Hospital Charge Code	397021076
Hospital Revenue Code	301
Min. Negotiated Rate	$11.40
Max. Negotiated Rate	$11.40
Rate for Payer: Qualcare PPO/HMO/WC	$11.40

Know your out-of-pocket cost for care.

All Charges