Heights University Hospital

All Charges

Charge

Type

Setting

Price

CHROMOSOMES,TISSUE I

Facility

$967.20

Service Code	HCPCS 88233
Hospital Charge Code	39990123A
Hospital Revenue Code	311
Min. Negotiated Rate	$145.08
Max. Negotiated Rate	$145.08
Rate for Payer: Qualcare PPO/HMO/WC	$145.08

CHROMOSOMES,TISSUE II

Facility

$856.65

Service Code	HCPCS 88262
Hospital Charge Code	39990123B
Hospital Revenue Code	311
Min. Negotiated Rate	$128.50
Max. Negotiated Rate	$128.50
Rate for Payer: Qualcare PPO/HMO/WC	$128.50

CHROMOSOMES,TISSUE II

Facility

$856.65

Service Code	HCPCS 88262
Hospital Charge Code	39990123B
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	$111.36
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$128.50
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

CHROMOSOM RFX TO MICROARRAY IV

Facility

$40.00

Service Code	HCPCS 88291
Hospital Charge Code	3038516D
Hospital Revenue Code	310
Min. Negotiated Rate	$6.00
Max. Negotiated Rate	$6.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.00

CHROMOSOM RFX TO MICROARRAY IV

Facility

$40.00

Service Code	HCPCS 88291
Hospital Charge Code	3038516D
Hospital Revenue Code	310
Min. Negotiated Rate	$5.20
Max. Negotiated Rate	$114.00
Rate for Payer: Cigna Medicare Advantage	$18.32
Rate for Payer: Aetna Commercial	$12.00
Rate for Payer: Aetna Medicare Advantage	$12.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.20
Rate for Payer: Cigna Commercial	$36.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.20
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.00
Rate for Payer: UnitedHealthcare Commercial	$114.00

CHROMOS RFX TO MICROARRAY III

Facility

$236.70

Service Code	HCPCS 88289
Hospital Charge Code	3038516C
Hospital Revenue Code	310
Min. Negotiated Rate	$35.51
Max. Negotiated Rate	$35.51
Rate for Payer: Qualcare PPO/HMO/WC	$35.51

CHROMOS RFX TO MICROARRAY III

Facility

$236.70

Service Code	HCPCS 88289
Hospital Charge Code	3038516C
Hospital Revenue Code	310
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	$30.77
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$35.51
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

CHRONIC KIDNEY DISEASE

Facility

$5,354.88

Service Code	APR-DRG 4701
Min. Negotiated Rate	$4,687.70
Max. Negotiated Rate	$5,354.88
Rate for Payer: Aetna Better Health Medicaid	$5,249.88
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,354.88
Rate for Payer: Wellpoint Medicaid Managed Care	$4,687.70

CHRONIC KIDNEY DISEASE

Facility

$22,592.25

Service Code	APR-DRG 4704
Min. Negotiated Rate	$18,837.20
Max. Negotiated Rate	$22,592.25
Rate for Payer: Aetna Better Health Medicaid	$22,149.26
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$22,592.25
Rate for Payer: Wellpoint Medicaid Managed Care	$18,837.20

CHRONIC KIDNEY DISEASE

Facility

$11,831.91

Service Code	APR-DRG 4703
Min. Negotiated Rate	$8,787.18
Max. Negotiated Rate	$11,831.91
Rate for Payer: Aetna Better Health Medicaid	$11,599.91
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,831.91
Rate for Payer: Wellpoint Medicaid Managed Care	$8,787.18

CHRONIC KIDNEY DISEASE

Facility

$6,885.70

Service Code	APR-DRG 4702
Min. Negotiated Rate	$5,968.15
Max. Negotiated Rate	$6,885.70
Rate for Payer: Aetna Better Health Medicaid	$6,750.69
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,885.70
Rate for Payer: Wellpoint Medicaid Managed Care	$5,968.15

CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Facility

$11,111.44

Service Code	APR-DRG 1403
Min. Negotiated Rate	$8,229.15
Max. Negotiated Rate	$11,111.44
Rate for Payer: Aetna Better Health Medicaid	$10,893.57
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,111.44
Rate for Payer: Wellpoint Medicaid Managed Care	$8,229.15

CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Facility

$7,266.29

Service Code	APR-DRG 1401
Min. Negotiated Rate	$4,828.85
Max. Negotiated Rate	$7,266.29
Rate for Payer: Aetna Better Health Medicaid	$7,123.81
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,266.29
Rate for Payer: Wellpoint Medicaid Managed Care	$4,828.85

CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Facility

$8,955.73

Service Code	APR-DRG 1402
Min. Negotiated Rate	$6,029.07
Max. Negotiated Rate	$8,955.73
Rate for Payer: Aetna Better Health Medicaid	$8,780.13
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,955.73
Rate for Payer: Wellpoint Medicaid Managed Care	$6,029.07

CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Facility

$20,383.18

Service Code	APR-DRG 1404
Min. Negotiated Rate	$15,988.22
Max. Negotiated Rate	$20,383.18
Rate for Payer: Aetna Better Health Medicaid	$19,983.51
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$20,383.18
Rate for Payer: Wellpoint Medicaid Managed Care	$15,988.22

CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC

Facility

$36,290.91

Service Code	MSDRG 191
Min. Negotiated Rate	$9,199.31
Max. Negotiated Rate	$36,290.91
Rate for Payer: Aetna Commercial	$28,425.87
Rate for Payer: Aetna Medicare Advantage	$9,199.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23,431.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23,431.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12,096.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23,431.95
Rate for Payer: Cigna Commercial	$18,142.20
Rate for Payer: Cigna Medicare Advantage	$12,096.97
Rate for Payer: Clover Medicare Advantage	$11,492.12
Rate for Payer: EmblemHealth Commercial	$36,290.91
Rate for Payer: Humana Medicare Advantage	$12,459.88
Rate for Payer: Oxford Commercial	$11,338.35
Rate for Payer: UnitedHealthcare Commercial	$12,870.08
Rate for Payer: UnitedHealthcare Medicare Advantage	$12,096.97
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12,822.79
Rate for Payer: Wellcare Medicare Advantage	$12,096.97

CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC

Facility

$43,974.03

Service Code	MSDRG 190
Min. Negotiated Rate	$12,087.87
Max. Negotiated Rate	$43,974.03
Rate for Payer: Aetna Commercial	$37,351.52
Rate for Payer: Aetna Medicare Advantage	$12,087.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30,323.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30,323.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14,658.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30,323.70
Rate for Payer: Cigna Commercial	$23,838.81
Rate for Payer: Cigna Medicare Advantage	$14,658.01
Rate for Payer: Clover Medicare Advantage	$13,925.11
Rate for Payer: EmblemHealth Commercial	$43,974.03
Rate for Payer: Humana Medicare Advantage	$15,097.75
Rate for Payer: Oxford Commercial	$14,898.57
Rate for Payer: UnitedHealthcare Commercial	$16,911.26
Rate for Payer: UnitedHealthcare Medicare Advantage	$14,658.01
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15,537.49
Rate for Payer: Wellcare Medicare Advantage	$14,658.01

CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC

Facility

$30,456.75

Service Code	MSDRG 192
Min. Negotiated Rate	$7,005.88
Max. Negotiated Rate	$30,456.75
Rate for Payer: Aetna Commercial	$21,648.17
Rate for Payer: Aetna Medicare Advantage	$7,005.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17,642.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17,642.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10,152.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17,642.88
Rate for Payer: Cigna Commercial	$13,816.48
Rate for Payer: Cigna Medicare Advantage	$10,152.25
Rate for Payer: Clover Medicare Advantage	$9,644.64
Rate for Payer: EmblemHealth Commercial	$30,456.75
Rate for Payer: Humana Medicare Advantage	$10,456.82
Rate for Payer: Oxford Commercial	$8,634.90
Rate for Payer: UnitedHealthcare Commercial	$9,801.41
Rate for Payer: UnitedHealthcare Medicare Advantage	$10,152.25
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$10,761.39
Rate for Payer: Wellcare Medicare Advantage	$10,152.25

CHRONIC URTICARIA

Facility

$85.65

Service Code	HCPCS 86343
Hospital Charge Code	3038145
Hospital Revenue Code	302
Min. Negotiated Rate	$12.85
Max. Negotiated Rate	$12.85
Rate for Payer: Qualcare PPO/HMO/WC	$12.85

CHRONIC URTICARIA

Facility

$85.65

Service Code	HCPCS 86343
Hospital Charge Code	3038145
Hospital Revenue Code	302
Min. Negotiated Rate	$6.23
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$40.37
Rate for Payer: Aetna Medicare Advantage	$12.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.65
Rate for Payer: Cigna Commercial	$12.46
Rate for Payer: Cigna Medicare Advantage	$6.23
Rate for Payer: Clover Medicare Advantage	$11.84
Rate for Payer: EmblemHealth Commercial	$37.38
Rate for Payer: Humana Medicare Advantage	$12.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.13
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.85
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.46
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13.21
Rate for Payer: Wellcare Medicare Advantage	$12.46

Chronic Uticaria panel A

Facility

$390.00

Service Code	HCPCS 84443
Hospital Charge Code	39708021A
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

Chronic Uticaria panel A

Facility

$390.00

Service Code	HCPCS 84443
Hospital Charge Code	39708021A
Hospital Revenue Code	301
Min. Negotiated Rate	$8.40
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$54.43
Rate for Payer: Aetna Medicare Advantage	$16.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.56
Rate for Payer: Cigna Commercial	$16.80
Rate for Payer: Cigna Medicare Advantage	$8.40
Rate for Payer: Clover Medicare Advantage	$15.96
Rate for Payer: EmblemHealth Commercial	$50.40
Rate for Payer: Humana Medicare Advantage	$17.30
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	$16.80
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$17.81
Rate for Payer: Wellcare Medicare Advantage	$16.80

Chronic Uticaria panel B

Facility

$390.00

Service Code	HCPCS 86343
Hospital Charge Code	39708021B
Hospital Revenue Code	302
Min. Negotiated Rate	$6.23
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$40.37
Rate for Payer: Aetna Medicare Advantage	$12.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.65
Rate for Payer: Cigna Commercial	$12.46
Rate for Payer: Cigna Medicare Advantage	$6.23
Rate for Payer: Clover Medicare Advantage	$11.84
Rate for Payer: EmblemHealth Commercial	$37.38
Rate for Payer: Humana Medicare Advantage	$12.83
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	$12.46
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13.21
Rate for Payer: Wellcare Medicare Advantage	$12.46

Chronic Uticaria panel B

Facility

$390.00

Service Code	HCPCS 86343
Hospital Charge Code	39708021B
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

Chronic Uticaria panel C

Facility

$390.00

Service Code	HCPCS 86376
Hospital Charge Code	39708021C
Hospital Revenue Code	302
Min. Negotiated Rate	$7.28
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$47.14
Rate for Payer: Aetna Medicare Advantage	$14.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.31
Rate for Payer: Cigna Commercial	$14.55
Rate for Payer: Cigna Medicare Advantage	$7.28
Rate for Payer: Clover Medicare Advantage	$13.82
Rate for Payer: EmblemHealth Commercial	$43.65
Rate for Payer: Humana Medicare Advantage	$14.99
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	$14.55
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15.42
Rate for Payer: Wellcare Medicare Advantage	$14.55

Know your out-of-pocket cost for care.

All Charges