Heights University Hospital

All Charges

Charge

Type

Setting

Price

CH RISTOCETIN COFACTOR

Facility

$142.00

Service Code	HCPCS 85245
Hospital Charge Code	397073317
Hospital Revenue Code	305
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$21.30
Rate for Payer: Qualcare PPO/HMO/WC	$21.30

CH RISTOCETIN COFACTOR

Facility

$142.00

Service Code	HCPCS 85245
Hospital Charge Code	397073317
Hospital Revenue Code	305
Min. Negotiated Rate	$11.47
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$74.33
Rate for Payer: Aetna Medicare Advantage	$22.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$22.94
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	$84.05
Rate for Payer: Cigna Commercial	$22.94
Rate for Payer: Cigna Medicare Advantage	$11.47
Rate for Payer: Clover Medicare Advantage	$21.79
Rate for Payer: EmblemHealth Commercial	$68.82
Rate for Payer: Humana Medicare Advantage	$23.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.46
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.30
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$22.94
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$24.32
Rate for Payer: Wellcare Medicare Advantage	$22.94

CH RISTOCETIN COFACTOR VWF

Facility

$225.00

Service Code	HCPCS 85245
Hospital Charge Code	397072123
Hospital Revenue Code	305
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$33.75
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

CH RISTOCETIN COFACTOR VWF

Facility

$225.00

Service Code	HCPCS 85245
Hospital Charge Code	397072123
Hospital Revenue Code	305
Min. Negotiated Rate	$11.47
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$74.33
Rate for Payer: Aetna Medicare Advantage	$22.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$22.94
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	$84.05
Rate for Payer: Cigna Commercial	$22.94
Rate for Payer: Cigna Medicare Advantage	$11.47
Rate for Payer: Clover Medicare Advantage	$21.79
Rate for Payer: EmblemHealth Commercial	$68.82
Rate for Payer: Humana Medicare Advantage	$23.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.25
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.75
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$22.94
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$24.32
Rate for Payer: Wellcare Medicare Advantage	$22.94

CH RITALIN

Facility

$524.00

Service Code	HCPCS 80299
Hospital Charge Code	397073154
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	$68.12
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$78.60
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 RITALIN

Facility

$524.00

Service Code	HCPCS 80299
Hospital Charge Code	397073154
Hospital Revenue Code	301
Min. Negotiated Rate	$78.60
Max. Negotiated Rate	$78.60
Rate for Payer: Qualcare PPO/HMO/WC	$78.60

CH RITUXAN SENSITIVITY(CD20)

Facility

$340.00

Service Code	HCPCS 86356
Hospital Charge Code	397071507
Hospital Revenue Code	302
Min. Negotiated Rate	$13.39
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$86.77
Rate for Payer: Aetna Medicare Advantage	$26.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$98.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$98.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$26.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$98.12
Rate for Payer: Cigna Commercial	$26.78
Rate for Payer: Cigna Medicare Advantage	$13.39
Rate for Payer: Clover Medicare Advantage	$25.44
Rate for Payer: EmblemHealth Commercial	$80.34
Rate for Payer: Humana Medicare Advantage	$27.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.20
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$51.00
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$26.78
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$28.39
Rate for Payer: Wellcare Medicare Advantage	$26.78

CH RITUXAN SENSITIVITY(CD20)

Facility

$340.00

Service Code	HCPCS 86356
Hospital Charge Code	397071507
Hospital Revenue Code	302
Min. Negotiated Rate	$51.00
Max. Negotiated Rate	$51.00
Rate for Payer: Qualcare PPO/HMO/WC	$51.00

CHROM ANALYSIS ADDL CELLS EA S

Facility

$134.54

Service Code	HCPCS 88285
Hospital Charge Code	38477154
Hospital Revenue Code	311
Min. Negotiated Rate	$20.18
Max. Negotiated Rate	$20.18
Rate for Payer: Qualcare PPO/HMO/WC	$20.18

CHROM ANALYSIS ADDL CELLS EA S

Facility

$134.54

Service Code	HCPCS 88285
Hospital Charge Code	38477154
Hospital Revenue Code	311
Min. Negotiated Rate	$13.46
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$87.19
Rate for Payer: Aetna Medicare Advantage	$26.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$98.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$98.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$26.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$98.60
Rate for Payer: Cigna Commercial	$26.91
Rate for Payer: Cigna Medicare Advantage	$13.46
Rate for Payer: Clover Medicare Advantage	$25.56
Rate for Payer: EmblemHealth Commercial	$80.73
Rate for Payer: Humana Medicare Advantage	$27.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.49
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$20.18
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$26.91
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$28.52
Rate for Payer: Wellcare Medicare Advantage	$26.91

CHROM ANALYSIS ADDL HIGH RESOL

Facility

$243.85

Service Code	HCPCS 88289
Hospital Charge Code	38477191
Hospital Revenue Code	311
Min. Negotiated Rate	$36.58
Max. Negotiated Rate	$36.58
Rate for Payer: Qualcare PPO/HMO/WC	$36.58

CHROM ANALYSIS ADDL HIGH RESOL

Facility

$243.85

Service Code	HCPCS 88289
Hospital Charge Code	38477191
Hospital Revenue Code	311
Min. Negotiated Rate	$17.21
Max. Negotiated Rate	$126.15
Rate for Payer: Aetna Commercial	$111.55
Rate for Payer: Aetna Medicare Advantage	$34.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$34.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.15
Rate for Payer: Cigna Commercial	$34.43
Rate for Payer: Cigna Medicare Advantage	$17.21
Rate for Payer: Clover Medicare Advantage	$32.71
Rate for Payer: EmblemHealth Commercial	$103.29
Rate for Payer: Humana Medicare Advantage	$35.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.58
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$34.43
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$36.50
Rate for Payer: Wellcare Medicare Advantage	$34.43

CHROM ANALYSIS ADDL KARYOTYPES

Facility

$177.74

Service Code	HCPCS 88280
Hospital Charge Code	38477179
Hospital Revenue Code	311
Min. Negotiated Rate	$26.66
Max. Negotiated Rate	$26.66
Rate for Payer: Qualcare PPO/HMO/WC	$26.66

CHROM ANALYSIS ADDL KARYOTYPES

Facility

$177.74

Service Code	HCPCS 88280
Hospital Charge Code	38477179
Hospital Revenue Code	311
Min. Negotiated Rate	$16.73
Max. Negotiated Rate	$122.63
Rate for Payer: Aetna Commercial	$108.44
Rate for Payer: Aetna Medicare Advantage	$33.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$122.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$122.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$33.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$122.63
Rate for Payer: Cigna Commercial	$33.47
Rate for Payer: Cigna Medicare Advantage	$16.73
Rate for Payer: Clover Medicare Advantage	$31.80
Rate for Payer: EmblemHealth Commercial	$100.41
Rate for Payer: Humana Medicare Advantage	$34.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.11
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$26.66
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$33.47
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$35.48
Rate for Payer: Wellcare Medicare Advantage	$33.47

CHROM. ANALYSIS AMNIOTIC FLD

Facility

$2,060.00

Service Code	HCPCS 88267
Hospital Charge Code	3031549
Hospital Revenue Code	311
Min. Negotiated Rate	$309.00
Max. Negotiated Rate	$309.00
Rate for Payer: Qualcare PPO/HMO/WC	$309.00

CHROM. ANALYSIS AMNIOTIC FLD

Facility

$2,060.00

Service Code	HCPCS 88267
Hospital Charge Code	3031549
Hospital Revenue Code	311
Min. Negotiated Rate	$94.28
Max. Negotiated Rate	$690.92
Rate for Payer: Aetna Commercial	$610.97
Rate for Payer: Aetna Medicare Advantage	$188.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$690.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$690.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$188.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$690.92
Rate for Payer: Cigna Commercial	$188.57
Rate for Payer: Cigna Medicare Advantage	$94.28
Rate for Payer: Clover Medicare Advantage	$179.14
Rate for Payer: EmblemHealth Commercial	$565.71
Rate for Payer: Humana Medicare Advantage	$194.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$267.80
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$309.00
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$188.57
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$199.88
Rate for Payer: Wellcare Medicare Advantage	$188.57

CHROMATIN NUCLEOSOMAL AB

Facility

$390.00

Service Code	HCPCS 86235
Hospital Charge Code	401186235
Hospital Revenue Code	302
Min. Negotiated Rate	$8.96
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$58.09
Rate for Payer: Aetna Medicare Advantage	$17.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.70
Rate for Payer: Cigna Commercial	$17.93
Rate for Payer: Cigna Medicare Advantage	$8.96
Rate for Payer: Clover Medicare Advantage	$17.03
Rate for Payer: EmblemHealth Commercial	$53.79
Rate for Payer: Humana Medicare Advantage	$18.47
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	$17.93
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19.01
Rate for Payer: Wellcare Medicare Advantage	$17.93

CHROMATIN NUCLEOSOMAL AB

Facility

$390.00

Service Code	HCPCS 86235
Hospital Charge Code	401186235
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CHROMATOGRAPHY,QUANT,COLUMN

Facility

$127.84

Service Code	HCPCS 82542
Hospital Charge Code	38476779
Hospital Revenue Code	301
Min. Negotiated Rate	$12.04
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$78.05
Rate for Payer: Aetna Medicare Advantage	$24.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$24.09
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	$88.27
Rate for Payer: Cigna Commercial	$24.09
Rate for Payer: Cigna Medicare Advantage	$12.04
Rate for Payer: Clover Medicare Advantage	$22.89
Rate for Payer: EmblemHealth Commercial	$72.27
Rate for Payer: Humana Medicare Advantage	$24.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.62
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.18
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$24.09
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$25.54
Rate for Payer: Wellcare Medicare Advantage	$24.09

CHROMATOGRAPHY,QUANT,COLUMN

Facility

$127.84

Service Code	HCPCS 82542
Hospital Charge Code	38476779
Hospital Revenue Code	301
Min. Negotiated Rate	$19.18
Max. Negotiated Rate	$19.18
Rate for Payer: Qualcare PPO/HMO/WC	$19.18

CHROMATOGRAPHY,QUANT,COLUMN

Facility

$127.84

Service Code	HCPCS 82542
Hospital Charge Code	38476780
Hospital Revenue Code	301
Min. Negotiated Rate	$12.04
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$78.05
Rate for Payer: Aetna Medicare Advantage	$24.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$24.09
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	$88.27
Rate for Payer: Cigna Commercial	$24.09
Rate for Payer: Cigna Medicare Advantage	$12.04
Rate for Payer: Clover Medicare Advantage	$22.89
Rate for Payer: EmblemHealth Commercial	$72.27
Rate for Payer: Humana Medicare Advantage	$24.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.62
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.18
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$24.09
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$25.54
Rate for Payer: Wellcare Medicare Advantage	$24.09

CHROMATOGRAPHY,QUANT,COLUMN

Facility

$127.84

Service Code	HCPCS 82542
Hospital Charge Code	38476780
Hospital Revenue Code	301
Min. Negotiated Rate	$19.18
Max. Negotiated Rate	$19.18
Rate for Payer: Qualcare PPO/HMO/WC	$19.18

CHROMATOGRAPHY QUANT COLUMN M

Facility

$127.84

Service Code	HCPCS 82542
Hospital Charge Code	38477149
Hospital Revenue Code	301
Min. Negotiated Rate	$19.18
Max. Negotiated Rate	$19.18
Rate for Payer: Qualcare PPO/HMO/WC	$19.18

CHROMATOGRAPHY QUANT COLUMN M

Facility

$127.84

Service Code	HCPCS 82542
Hospital Charge Code	38477149
Hospital Revenue Code	301
Min. Negotiated Rate	$12.04
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$78.05
Rate for Payer: Aetna Medicare Advantage	$24.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$24.09
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	$88.27
Rate for Payer: Cigna Commercial	$24.09
Rate for Payer: Cigna Medicare Advantage	$12.04
Rate for Payer: Clover Medicare Advantage	$22.89
Rate for Payer: EmblemHealth Commercial	$72.27
Rate for Payer: Humana Medicare Advantage	$24.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.62
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.18
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$24.09
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$25.54
Rate for Payer: Wellcare Medicare Advantage	$24.09

CH ROMI

Facility

$1,013.58

Service Code	HCPCS 84484
Hospital Charge Code	397073189
Hospital Revenue Code	301
Min. Negotiated Rate	$152.04
Max. Negotiated Rate	$152.04
Rate for Payer: Qualcare PPO/HMO/WC	$152.04

Know your out-of-pocket cost for care.

All Charges