Heights University Hospital

All Charges

Charge

Type

Setting

Price

CH SPEC STAIN INC BODIES

Facility

$78.00

Service Code	HCPCS 87207
Hospital Charge Code	397073657
Hospital Revenue Code	309
Min. Negotiated Rate	$11.70
Max. Negotiated Rate	$11.70
Rate for Payer: Qualcare PPO/HMO/WC	$11.70

CH SPEC STAIN INC BODIES

Facility

$78.00

Service Code	HCPCS 87207
Hospital Charge Code	397073657
Hospital Revenue Code	309
Min. Negotiated Rate	$3.00
Max. Negotiated Rate	$114.00
Rate for Payer: Qualcare PPO/HMO/WC	$11.70
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: Aetna Commercial	$19.41
Rate for Payer: Aetna Medicare Advantage	$5.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.99
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	$21.95
Rate for Payer: Cigna Commercial	$5.99
Rate for Payer: Cigna Medicare Advantage	$3.00
Rate for Payer: Clover Medicare Advantage	$5.69
Rate for Payer: EmblemHealth Commercial	$17.97
Rate for Payer: Humana Medicare Advantage	$6.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.14
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.99
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.35
Rate for Payer: Wellcare Medicare Advantage	$5.99

CH SPINOBULBAR MUSC ATROPHY

Facility

$1,948.00

Hospital Charge Code	3970726
Hospital Revenue Code	301
Min. Negotiated Rate	$101.00
Max. Negotiated Rate	$974.00
Rate for Payer: Aetna Commercial	$584.40
Rate for Payer: Aetna Medicare Advantage	$584.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$496.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$496.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$496.74
Rate for Payer: Cigna Commercial	$974.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$253.24
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$292.20
Rate for Payer: UnitedHealthcare Commercial	$114.00

CH SPINOBULBAR MUSC ATROPHY

Facility

$1,948.00

Hospital Charge Code	3970726
Hospital Revenue Code	301
Min. Negotiated Rate	$292.20
Max. Negotiated Rate	$292.20
Rate for Payer: Qualcare PPO/HMO/WC	$292.20

CH S PNEUMONIAE AG,LA

Facility

$166.00

Service Code	HCPCS 86403
Hospital Charge Code	397071455
Hospital Revenue Code	302
Min. Negotiated Rate	$5.77
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$37.39
Rate for Payer: Aetna Medicare Advantage	$11.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.28
Rate for Payer: Cigna Commercial	$11.54
Rate for Payer: Cigna Medicare Advantage	$5.77
Rate for Payer: Clover Medicare Advantage	$10.96
Rate for Payer: EmblemHealth Commercial	$34.62
Rate for Payer: Humana Medicare Advantage	$11.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.58
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.90
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.54
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12.23
Rate for Payer: Wellcare Medicare Advantage	$11.54

CH S PNEUMONIAE AG,LA

Facility

$166.00

Service Code	HCPCS 86403
Hospital Charge Code	397071455
Hospital Revenue Code	302
Min. Negotiated Rate	$24.90
Max. Negotiated Rate	$24.90
Rate for Payer: Qualcare PPO/HMO/WC	$24.90

CH S.PNEUMONIAE AG,LA

Facility

$494.00

Service Code	HCPCS 86403
Hospital Charge Code	397073643
Hospital Revenue Code	302
Min. Negotiated Rate	$74.10
Max. Negotiated Rate	$74.10
Rate for Payer: Qualcare PPO/HMO/WC	$74.10

CH S.PNEUMONIAE AG,LA

Facility

$494.00

Service Code	HCPCS 86403
Hospital Charge Code	397073643
Hospital Revenue Code	302
Min. Negotiated Rate	$5.77
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$37.39
Rate for Payer: Aetna Medicare Advantage	$11.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.28
Rate for Payer: Cigna Commercial	$11.54
Rate for Payer: Cigna Medicare Advantage	$5.77
Rate for Payer: Clover Medicare Advantage	$10.96
Rate for Payer: EmblemHealth Commercial	$34.62
Rate for Payer: Humana Medicare Advantage	$11.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.22
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$74.10
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.54
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12.23
Rate for Payer: Wellcare Medicare Advantage	$11.54

CH SQUAMOUS CELL CA

Facility

$184.00

Service Code	HCPCS 86316
Hospital Charge Code	397072126
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	$23.92
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.60
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

CH SQUAMOUS CELL CA

Facility

$184.00

Service Code	HCPCS 86316
Hospital Charge Code	397072126
Hospital Revenue Code	302
Min. Negotiated Rate	$27.60
Max. Negotiated Rate	$27.60
Rate for Payer: Qualcare PPO/HMO/WC	$27.60

CH SRP AUTOANTIBODIES

Facility

$247.00

Service Code	HCPCS 86235
Hospital Charge Code	397071396
Hospital Revenue Code	302
Min. Negotiated Rate	$37.05
Max. Negotiated Rate	$37.05
Rate for Payer: Qualcare PPO/HMO/WC	$37.05

CH SRP AUTOANTIBODIES

Facility

$247.00

Service Code	HCPCS 86235
Hospital Charge Code	397071396
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	$32.11
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.05
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

CH STAIN, AFB

Facility

$526.40

Service Code	HCPCS 88312
Hospital Charge Code	397061058
Hospital Revenue Code	310
Min. Negotiated Rate	$78.96
Max. Negotiated Rate	$78.96
Rate for Payer: Qualcare PPO/HMO/WC	$78.96

CH STAIN, AFB

Facility

$526.40

Service Code	HCPCS 88312
Hospital Charge Code	397061058
Hospital Revenue Code	310
Min. Negotiated Rate	$62.63
Max. Negotiated Rate	$157.92
Rate for Payer: Aetna Commercial	$157.92
Rate for Payer: Aetna Medicare Advantage	$157.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$134.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$134.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$134.23
Rate for Payer: Cigna Commercial	$124.10
Rate for Payer: Cigna Medicare Advantage	$62.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$68.43
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$78.96
Rate for Payer: UnitedHealthcare Commercial	$114.00

CH STAIN, FUNGUS

Facility

$526.40

Service Code	HCPCS 88312
Hospital Charge Code	397061067
Hospital Revenue Code	310
Min. Negotiated Rate	$62.63
Max. Negotiated Rate	$157.92
Rate for Payer: Aetna Commercial	$157.92
Rate for Payer: Aetna Medicare Advantage	$157.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$134.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$134.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$134.23
Rate for Payer: Cigna Commercial	$124.10
Rate for Payer: Cigna Medicare Advantage	$62.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$68.43
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$78.96
Rate for Payer: UnitedHealthcare Commercial	$114.00

CH STAIN, FUNGUS

Facility

$526.40

Service Code	HCPCS 88312
Hospital Charge Code	397061067
Hospital Revenue Code	310
Min. Negotiated Rate	$78.96
Max. Negotiated Rate	$78.96
Rate for Payer: Qualcare PPO/HMO/WC	$78.96

CH STAIN, GIEMSA

Facility

$672.00

Service Code	HCPCS 88313
Hospital Charge Code	397061073
Hospital Revenue Code	310
Min. Negotiated Rate	$46.48
Max. Negotiated Rate	$316.85
Rate for Payer: Aetna Commercial	$201.60
Rate for Payer: Aetna Medicare Advantage	$201.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$171.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$171.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$171.36
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: Cigna Medicare Advantage	$46.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.36
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$100.80
Rate for Payer: UnitedHealthcare Commercial	$114.00

CH STAIN, GIEMSA

Facility

$672.00

Service Code	HCPCS 88313
Hospital Charge Code	397061073
Hospital Revenue Code	310
Min. Negotiated Rate	$100.80
Max. Negotiated Rate	$100.80
Rate for Payer: Qualcare PPO/HMO/WC	$100.80

CH STAIN, GRAM

Facility

$390.00

Service Code	HCPCS 88312
Hospital Charge Code	397061062
Hospital Revenue Code	310
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CH STAIN, GRAM

Facility

$390.00

Service Code	HCPCS 88312
Hospital Charge Code	397061062
Hospital Revenue Code	310
Min. Negotiated Rate	$50.70
Max. Negotiated Rate	$124.10
Rate for Payer: Aetna Commercial	$117.00
Rate for Payer: Aetna Medicare Advantage	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.45
Rate for Payer: Cigna Commercial	$124.10
Rate for Payer: Cigna Medicare Advantage	$62.63
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

CH STAIN, H & E

Facility

$672.00

Service Code	HCPCS 88313
Hospital Charge Code	397061072
Hospital Revenue Code	310
Min. Negotiated Rate	$46.48
Max. Negotiated Rate	$316.85
Rate for Payer: Aetna Commercial	$201.60
Rate for Payer: Aetna Medicare Advantage	$201.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$171.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$171.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$171.36
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: Cigna Medicare Advantage	$46.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.36
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$100.80
Rate for Payer: UnitedHealthcare Commercial	$114.00

CH STAIN, H & E

Facility

$672.00

Service Code	HCPCS 88313
Hospital Charge Code	397061072
Hospital Revenue Code	310
Min. Negotiated Rate	$100.80
Max. Negotiated Rate	$100.80
Rate for Payer: Qualcare PPO/HMO/WC	$100.80

CH STAIN, IRON

Facility

$672.00

Service Code	HCPCS 88313
Hospital Charge Code	397061056
Hospital Revenue Code	310
Min. Negotiated Rate	$100.80
Max. Negotiated Rate	$100.80
Rate for Payer: Qualcare PPO/HMO/WC	$100.80

CH STAIN, IRON

Facility

$672.00

Service Code	HCPCS 88313
Hospital Charge Code	397061056
Hospital Revenue Code	310
Min. Negotiated Rate	$46.48
Max. Negotiated Rate	$316.85
Rate for Payer: Aetna Commercial	$201.60
Rate for Payer: Aetna Medicare Advantage	$201.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$171.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$171.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$171.36
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: Cigna Medicare Advantage	$46.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.36
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$100.80
Rate for Payer: UnitedHealthcare Commercial	$114.00

CH STAIN, METHENAMINE SILVER

Facility

$526.40

Service Code	HCPCS 88312
Hospital Charge Code	397061066
Hospital Revenue Code	310
Min. Negotiated Rate	$78.96
Max. Negotiated Rate	$78.96
Rate for Payer: Qualcare PPO/HMO/WC	$78.96

Know your out-of-pocket cost for care.

All Charges