Heights University Hospital

All Charges

Charge

Type

Setting

Price

CH THYROID CASCADING REFLEX

Facility

$629.00

Service Code	HCPCS 84443
Hospital Charge Code	397071392
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	$81.77
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$94.35
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

CH THYROID CASCADING REFLEX

Facility

$629.00

Service Code	HCPCS 84443
Hospital Charge Code	397071392
Hospital Revenue Code	301
Min. Negotiated Rate	$94.35
Max. Negotiated Rate	$94.35
Rate for Payer: Qualcare PPO/HMO/WC	$94.35

CH THYROID STIM IMMUNOGLOBUL

Facility

$1,041.00

Service Code	HCPCS 84445
Hospital Charge Code	397072019
Hospital Revenue Code	301
Min. Negotiated Rate	$156.15
Max. Negotiated Rate	$156.15
Rate for Payer: Qualcare PPO/HMO/WC	$156.15

CH THYROID STIM IMMUNOGLOBUL

Facility

$1,041.00

Service Code	HCPCS 84445
Hospital Charge Code	397072019
Hospital Revenue Code	301
Min. Negotiated Rate	$25.43
Max. Negotiated Rate	$186.35
Rate for Payer: Aetna Commercial	$164.79
Rate for Payer: Aetna Medicare Advantage	$50.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$186.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$186.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$50.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$186.35
Rate for Payer: Cigna Commercial	$50.86
Rate for Payer: Cigna Medicare Advantage	$25.43
Rate for Payer: Clover Medicare Advantage	$48.32
Rate for Payer: EmblemHealth Commercial	$152.58
Rate for Payer: Humana Medicare Advantage	$52.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.33
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$156.15
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$50.86
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$53.91
Rate for Payer: Wellcare Medicare Advantage	$50.86

CH THYROXINE FREE

Facility

$453.00

Service Code	HCPCS 84439
Hospital Charge Code	397073610
Hospital Revenue Code	301
Min. Negotiated Rate	$4.51
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$29.22
Rate for Payer: Aetna Medicare Advantage	$9.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.02
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	$33.05
Rate for Payer: Cigna Commercial	$9.02
Rate for Payer: Cigna Medicare Advantage	$4.51
Rate for Payer: Clover Medicare Advantage	$8.57
Rate for Payer: EmblemHealth Commercial	$27.06
Rate for Payer: Humana Medicare Advantage	$9.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.89
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$67.95
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.02
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$9.56
Rate for Payer: Wellcare Medicare Advantage	$9.02

CH THYROXINE FREE

Facility

$453.00

Service Code	HCPCS 84439
Hospital Charge Code	397073610
Hospital Revenue Code	301
Min. Negotiated Rate	$67.95
Max. Negotiated Rate	$67.95
Rate for Payer: Qualcare PPO/HMO/WC	$67.95

CH TIBC

Facility

$390.00

Service Code	HCPCS 83550
Hospital Charge Code	397071312
Hospital Revenue Code	301
Min. Negotiated Rate	$4.37
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$28.32
Rate for Payer: Aetna Medicare Advantage	$8.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.02
Rate for Payer: Cigna Commercial	$8.74
Rate for Payer: Cigna Medicare Advantage	$4.37
Rate for Payer: Clover Medicare Advantage	$8.30
Rate for Payer: EmblemHealth Commercial	$26.22
Rate for Payer: Humana Medicare Advantage	$9.00
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	$8.74
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$9.26
Rate for Payer: Wellcare Medicare Advantage	$8.74

CH TIBC

Facility

$390.00

Service Code	HCPCS 83550
Hospital Charge Code	397071312
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CH TISSUE CULTURE

Facility

$93.65

Service Code	HCPCS 87070
Hospital Charge Code	397041247
Hospital Revenue Code	306
Min. Negotiated Rate	$4.31
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$27.93
Rate for Payer: Aetna Medicare Advantage	$8.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.58
Rate for Payer: Cigna Commercial	$8.62
Rate for Payer: Cigna Medicare Advantage	$4.31
Rate for Payer: Clover Medicare Advantage	$8.19
Rate for Payer: EmblemHealth Commercial	$25.86
Rate for Payer: Humana Medicare Advantage	$8.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.17
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$14.05
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$8.62
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$9.14
Rate for Payer: Wellcare Medicare Advantage	$8.62

CH TISSUE CULTURE

Facility

$1,149.00

Service Code	HCPCS 88230
Hospital Charge Code	397073334
Hospital Revenue Code	311
Min. Negotiated Rate	$58.24
Max. Negotiated Rate	$426.82
Rate for Payer: Aetna Commercial	$377.43
Rate for Payer: Aetna Medicare Advantage	$116.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$426.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$426.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$116.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$426.82
Rate for Payer: Cigna Commercial	$116.49
Rate for Payer: Cigna Medicare Advantage	$58.24
Rate for Payer: Clover Medicare Advantage	$110.67
Rate for Payer: EmblemHealth Commercial	$349.47
Rate for Payer: Humana Medicare Advantage	$119.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$149.37
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$172.35
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$116.49
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$123.48
Rate for Payer: Wellcare Medicare Advantage	$116.49

CH TISSUE CULTURE

Facility

$1,149.00

Service Code	HCPCS 88230
Hospital Charge Code	397073334
Hospital Revenue Code	311
Min. Negotiated Rate	$172.35
Max. Negotiated Rate	$172.35
Rate for Payer: Qualcare PPO/HMO/WC	$172.35

CH TISSUE CULTURE

Facility

$1,347.00

Service Code	HCPCS 88230
Hospital Charge Code	397073329
Hospital Revenue Code	311
Min. Negotiated Rate	$58.24
Max. Negotiated Rate	$426.82
Rate for Payer: Aetna Commercial	$377.43
Rate for Payer: Aetna Medicare Advantage	$116.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$426.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$426.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$116.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$426.82
Rate for Payer: Cigna Commercial	$116.49
Rate for Payer: Cigna Medicare Advantage	$58.24
Rate for Payer: Clover Medicare Advantage	$110.67
Rate for Payer: EmblemHealth Commercial	$349.47
Rate for Payer: Humana Medicare Advantage	$119.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$175.11
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$202.05
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$116.49
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$123.48
Rate for Payer: Wellcare Medicare Advantage	$116.49

CH TISSUE CULTURE

Facility

$1,331.00

Service Code	HCPCS 88231
Hospital Charge Code	397073326
Hospital Revenue Code	311
Min. Negotiated Rate	$199.65
Max. Negotiated Rate	$199.65
Rate for Payer: Qualcare PPO/HMO/WC	$199.65

CH TISSUE CULTURE

Facility

$93.65

Service Code	HCPCS 87070
Hospital Charge Code	397041247
Hospital Revenue Code	306
Min. Negotiated Rate	$14.05
Max. Negotiated Rate	$14.05
Rate for Payer: Qualcare PPO/HMO/WC	$14.05

CH TISSUE CULTURE

Facility

$1,331.00

Service Code	HCPCS 88231
Hospital Charge Code	397073326
Hospital Revenue Code	311
Min. Negotiated Rate	$101.00
Max. Negotiated Rate	$665.50
Rate for Payer: Aetna Commercial	$399.30
Rate for Payer: Aetna Medicare Advantage	$399.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$339.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$339.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$339.40
Rate for Payer: Cigna Commercial	$665.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.03
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$199.65
Rate for Payer: UnitedHealthcare Commercial	$114.00

CH TISSUE CULTURE

Facility

$1,347.00

Service Code	HCPCS 88230
Hospital Charge Code	397073329
Hospital Revenue Code	311
Min. Negotiated Rate	$202.05
Max. Negotiated Rate	$202.05
Rate for Payer: Qualcare PPO/HMO/WC	$202.05

CH TISSUE TRANSGLUTAM AB IGG

Facility

$74.00

Service Code	HCPCS 83516
Hospital Charge Code	397071368
Hospital Revenue Code	301
Min. Negotiated Rate	$5.76
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$37.36
Rate for Payer: Aetna Medicare Advantage	$11.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.25
Rate for Payer: Cigna Commercial	$11.53
Rate for Payer: Cigna Medicare Advantage	$5.76
Rate for Payer: Clover Medicare Advantage	$10.95
Rate for Payer: EmblemHealth Commercial	$34.59
Rate for Payer: Humana Medicare Advantage	$11.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.62
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$11.10
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.53
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12.22
Rate for Payer: Wellcare Medicare Advantage	$11.53

CH TISSUE TRANSGLUTAM AB IGG

Facility

$74.00

Service Code	HCPCS 83516
Hospital Charge Code	397071368
Hospital Revenue Code	301
Min. Negotiated Rate	$11.10
Max. Negotiated Rate	$11.10
Rate for Payer: Qualcare PPO/HMO/WC	$11.10

CH TOBRAMYCIN - PEAK

Facility

$390.00

Service Code	HCPCS 80200
Hospital Charge Code	397073146
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CH TOBRAMYCIN - PEAK

Facility

$390.00

Service Code	HCPCS 80200
Hospital Charge Code	397073146
Hospital Revenue Code	301
Min. Negotiated Rate	$8.06
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$52.26
Rate for Payer: Aetna Medicare Advantage	$16.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.10
Rate for Payer: Cigna Commercial	$16.13
Rate for Payer: Cigna Medicare Advantage	$8.06
Rate for Payer: Clover Medicare Advantage	$15.32
Rate for Payer: EmblemHealth Commercial	$48.39
Rate for Payer: Humana Medicare Advantage	$16.61
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	$16.13
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$17.10
Rate for Payer: Wellcare Medicare Advantage	$16.13

CH TOBRAMYCIN RANDOM

Facility

$390.00

Service Code	HCPCS 80200
Hospital Charge Code	397073180
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CH TOBRAMYCIN RANDOM

Facility

$390.00

Service Code	HCPCS 80200
Hospital Charge Code	397073180
Hospital Revenue Code	301
Min. Negotiated Rate	$8.06
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$52.26
Rate for Payer: Aetna Medicare Advantage	$16.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.10
Rate for Payer: Cigna Commercial	$16.13
Rate for Payer: Cigna Medicare Advantage	$8.06
Rate for Payer: Clover Medicare Advantage	$15.32
Rate for Payer: EmblemHealth Commercial	$48.39
Rate for Payer: Humana Medicare Advantage	$16.61
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	$16.13
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$17.10
Rate for Payer: Wellcare Medicare Advantage	$16.13

CH TOBRAMYCIN TROUGH

Facility

$390.00

Service Code	HCPCS 80200
Hospital Charge Code	397071319
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CH TOBRAMYCIN TROUGH

Facility

$390.00

Service Code	HCPCS 80200
Hospital Charge Code	397071319
Hospital Revenue Code	301
Min. Negotiated Rate	$8.06
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$52.26
Rate for Payer: Aetna Medicare Advantage	$16.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.10
Rate for Payer: Cigna Commercial	$16.13
Rate for Payer: Cigna Medicare Advantage	$8.06
Rate for Payer: Clover Medicare Advantage	$15.32
Rate for Payer: EmblemHealth Commercial	$48.39
Rate for Payer: Humana Medicare Advantage	$16.61
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	$16.13
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$17.10
Rate for Payer: Wellcare Medicare Advantage	$16.13

CH TOCAINIDE

Facility

$85.00

Service Code	HCPCS 80299
Hospital Charge Code	397073118
Hospital Revenue Code	301
Min. Negotiated Rate	$12.75
Max. Negotiated Rate	$12.75
Rate for Payer: Qualcare PPO/HMO/WC	$12.75

Know your out-of-pocket cost for care.

All Charges