Heights University Hospital

All Charges

Charge

Type

Setting

Price

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

CHROMIUM

Facility

$667.59

Service Code	HCPCS 82495
Hospital Charge Code	38473066
Hospital Revenue Code	301
Min. Negotiated Rate	$100.14
Max. Negotiated Rate	$100.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.14

CHROMIUM

Facility

$667.59

Service Code	HCPCS 82495
Hospital Charge Code	38473066
Hospital Revenue Code	301
Min. Negotiated Rate	$10.14
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$65.71
Rate for Payer: Aetna Medicare Advantage	$20.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$57.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.31
Rate for Payer: Cigna Commercial	$20.28
Rate for Payer: Cigna Medicare Advantage	$10.14
Rate for Payer: Clover Medicare Advantage	$19.27
Rate for Payer: EmblemHealth Commercial	$60.84
Rate for Payer: Humana Medicare Advantage	$20.89
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	$20.28
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$21.50
Rate for Payer: Wellcare Medicare Advantage	$20.28

CHROMIUM

Facility

$139.40

Service Code	HCPCS 82495
Hospital Charge Code	39900061
Hospital Revenue Code	301
Min. Negotiated Rate	$10.14
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$65.71
Rate for Payer: Aetna Medicare Advantage	$20.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$57.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.31
Rate for Payer: Cigna Commercial	$20.28
Rate for Payer: Cigna Medicare Advantage	$10.14
Rate for Payer: Clover Medicare Advantage	$19.27
Rate for Payer: EmblemHealth Commercial	$60.84
Rate for Payer: Humana Medicare Advantage	$20.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.12
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$20.91
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$20.28
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$21.50
Rate for Payer: Wellcare Medicare Advantage	$20.28

CHROMIUM

Facility

$139.40

Service Code	HCPCS 82495
Hospital Charge Code	39900061
Hospital Revenue Code	301
Min. Negotiated Rate	$20.91
Max. Negotiated Rate	$20.91
Rate for Payer: Qualcare PPO/HMO/WC	$20.91

CHROMIUM ASSAY PLASMA

Facility

$101.40

Service Code	HCPCS 82495
Hospital Charge Code	401182495
Hospital Revenue Code	301
Min. Negotiated Rate	$10.14
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$65.71
Rate for Payer: Aetna Medicare Advantage	$20.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$57.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.31
Rate for Payer: Cigna Commercial	$20.28
Rate for Payer: Cigna Medicare Advantage	$10.14
Rate for Payer: Clover Medicare Advantage	$19.27
Rate for Payer: EmblemHealth Commercial	$60.84
Rate for Payer: Humana Medicare Advantage	$20.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.18
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.21
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$20.28
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$21.50
Rate for Payer: Wellcare Medicare Advantage	$20.28

CHROMIUM ASSAY PLASMA

Facility

$101.40

Service Code	HCPCS 82495
Hospital Charge Code	401182495
Hospital Revenue Code	301
Min. Negotiated Rate	$15.21
Max. Negotiated Rate	$15.21
Rate for Payer: Qualcare PPO/HMO/WC	$15.21

CHROMIUM, SERUM

Facility

$205.65

Service Code	HCPCS 82495
Hospital Charge Code	3007291
Hospital Revenue Code	301
Min. Negotiated Rate	$30.85
Max. Negotiated Rate	$30.85
Rate for Payer: Qualcare PPO/HMO/WC	$30.85

CHROMIUM, SERUM

Facility

$205.65

Service Code	HCPCS 82495
Hospital Charge Code	3007291
Hospital Revenue Code	301
Min. Negotiated Rate	$10.14
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$65.71
Rate for Payer: Aetna Medicare Advantage	$20.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$57.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.31
Rate for Payer: Cigna Commercial	$20.28
Rate for Payer: Cigna Medicare Advantage	$10.14
Rate for Payer: Clover Medicare Advantage	$19.27
Rate for Payer: EmblemHealth Commercial	$60.84
Rate for Payer: Humana Medicare Advantage	$20.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.73
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.85
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$20.28
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$21.50
Rate for Payer: Wellcare Medicare Advantage	$20.28

CHROMIUM, URINE I

Facility

$759.00

Service Code	HCPCS 82495
Hospital Charge Code	3038523A
Hospital Revenue Code	300
Min. Negotiated Rate	$113.85
Max. Negotiated Rate	$113.85
Rate for Payer: Qualcare PPO/HMO/WC	$113.85

CHROMIUM, URINE I

Facility

$759.00

Service Code	HCPCS 82495
Hospital Charge Code	3038523A
Hospital Revenue Code	300
Min. Negotiated Rate	$10.14
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$65.71
Rate for Payer: Aetna Medicare Advantage	$20.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$57.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.31
Rate for Payer: Cigna Commercial	$20.28
Rate for Payer: Cigna Medicare Advantage	$10.14
Rate for Payer: Clover Medicare Advantage	$19.27
Rate for Payer: EmblemHealth Commercial	$60.84
Rate for Payer: Humana Medicare Advantage	$20.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.67
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$113.85
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$20.28
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$21.50
Rate for Payer: Wellcare Medicare Advantage	$20.28

CHROMIUM, URINE II

Facility

$107.00

Service Code	HCPCS 82570
Hospital Charge Code	3038523B
Hospital Revenue Code	300
Min. Negotiated Rate	$16.05
Max. Negotiated Rate	$16.05
Rate for Payer: Qualcare PPO/HMO/WC	$16.05

CHROMIUM, URINE II

Facility

$107.00

Service Code	HCPCS 82570
Hospital Charge Code	3038523B
Hospital Revenue Code	300
Min. Negotiated Rate	$2.59
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.78
Rate for Payer: Aetna Medicare Advantage	$5.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.18
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	$18.98
Rate for Payer: Cigna Commercial	$5.18
Rate for Payer: Cigna Medicare Advantage	$2.59
Rate for Payer: Clover Medicare Advantage	$4.92
Rate for Payer: EmblemHealth Commercial	$15.54
Rate for Payer: Humana Medicare Advantage	$5.34
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	$5.18
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.49
Rate for Payer: Wellcare Medicare Advantage	$5.18

CHROMOGENIC SUBST ASSAY

Facility

$305.00

Service Code	HCPCS 85130
Hospital Charge Code	38477104
Hospital Revenue Code	305
Min. Negotiated Rate	$45.75
Max. Negotiated Rate	$45.75
Rate for Payer: Qualcare PPO/HMO/WC	$45.75

CHROMOGENIC SUBST ASSAY

Facility

$305.00

Service Code	HCPCS 85130
Hospital Charge Code	38477104
Hospital Revenue Code	305
Min. Negotiated Rate	$5.95
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$38.52
Rate for Payer: Aetna Medicare Advantage	$11.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.56
Rate for Payer: Cigna Commercial	$11.89
Rate for Payer: Cigna Medicare Advantage	$5.95
Rate for Payer: Clover Medicare Advantage	$11.30
Rate for Payer: EmblemHealth Commercial	$35.67
Rate for Payer: Humana Medicare Advantage	$12.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.65
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.75
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.89
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12.60
Rate for Payer: Wellcare Medicare Advantage	$11.89

CHROMOGRANIN A

Facility

$218.45

Service Code	HCPCS 86316
Hospital Charge Code	3007689
Hospital Revenue Code	302
Min. Negotiated Rate	$10.40
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$67.42
Rate for Payer: Aetna Medicare Advantage	$20.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$52.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.25
Rate for Payer: Cigna Commercial	$20.81
Rate for Payer: Cigna Medicare Advantage	$10.40
Rate for Payer: Clover Medicare Advantage	$19.77
Rate for Payer: EmblemHealth Commercial	$62.43
Rate for Payer: Humana Medicare Advantage	$21.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.40
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.77
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$20.81
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$22.06
Rate for Payer: Wellcare Medicare Advantage	$20.81

CHROMOGRANIN A

Facility

$218.45

Service Code	HCPCS 86316
Hospital Charge Code	3007689
Hospital Revenue Code	302
Min. Negotiated Rate	$32.77
Max. Negotiated Rate	$32.77
Rate for Payer: Qualcare PPO/HMO/WC	$32.77

CHROMOGRANIN A,ECL

Facility

$667.59

Service Code	HCPCS 86316
Hospital Charge Code	39900210
Hospital Revenue Code	302
Min. Negotiated Rate	$10.40
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$67.42
Rate for Payer: Aetna Medicare Advantage	$20.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$52.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.25
Rate for Payer: Cigna Commercial	$20.81
Rate for Payer: Cigna Medicare Advantage	$10.40
Rate for Payer: Clover Medicare Advantage	$19.77
Rate for Payer: EmblemHealth Commercial	$62.43
Rate for Payer: Humana Medicare Advantage	$21.43
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	$20.81
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$22.06
Rate for Payer: Wellcare Medicare Advantage	$20.81

CHROMOGRANIN A,ECL

Facility

$667.59

Service Code	HCPCS 86316
Hospital Charge Code	39900210
Hospital Revenue Code	302
Min. Negotiated Rate	$100.14
Max. Negotiated Rate	$100.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.14

CHROMOSOMAL MICROARRAY

Facility

$1.00

Hospital Charge Code	39708032
Hospital Revenue Code	301
Min. Negotiated Rate	$0.13
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$0.30
Rate for Payer: Aetna Medicare Advantage	$0.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.26
Rate for Payer: Cigna Commercial	$0.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.13
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.15
Rate for Payer: UnitedHealthcare Commercial	$114.00

CHROMOSOMAL MICROARRAY

Facility

$1.00

Hospital Charge Code	39708032
Hospital Revenue Code	301
Min. Negotiated Rate	$0.15
Max. Negotiated Rate	$0.15
Rate for Payer: Qualcare PPO/HMO/WC	$0.15

CHROMOSOME, 15-20 CELLS

Facility

$882.69

Service Code	HCPCS 88262
Hospital Charge Code	38474057
Hospital Revenue Code	311
Min. Negotiated Rate	$62.74
Max. Negotiated Rate	$459.80
Rate for Payer: Aetna Commercial	$406.59
Rate for Payer: Aetna Medicare Advantage	$125.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$459.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$459.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$125.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$459.80
Rate for Payer: Cigna Commercial	$125.49
Rate for Payer: Cigna Medicare Advantage	$62.74
Rate for Payer: Clover Medicare Advantage	$119.22
Rate for Payer: EmblemHealth Commercial	$376.47
Rate for Payer: Humana Medicare Advantage	$129.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.75
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$132.40
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$125.49
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$133.02
Rate for Payer: Wellcare Medicare Advantage	$125.49

CHROMOSOME, 15-20 CELLS

Facility

$882.69

Service Code	HCPCS 88262
Hospital Charge Code	38474057
Hospital Revenue Code	311
Min. Negotiated Rate	$132.40
Max. Negotiated Rate	$132.40
Rate for Payer: Qualcare PPO/HMO/WC	$132.40

CHROMOSOME AMNIOTIC/CHORIONIC

Facility

$1,273.99

Service Code	HCPCS 88267
Hospital Charge Code	38477216
Hospital Revenue Code	311
Min. Negotiated Rate	$191.10
Max. Negotiated Rate	$191.10
Rate for Payer: Qualcare PPO/HMO/WC	$191.10

CHROMOSOME AMNIOTIC/CHORIONIC

Facility

$1,273.99

Service Code	HCPCS 88267
Hospital Charge Code	38477216
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	$165.62
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$191.10
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

Know your out-of-pocket cost for care.

All Charges