Heights University Hospital

All Charges

Charge

Type

Setting

Price

CK ISOENZYMES

Facility

$385.26

Service Code	HCPCS 82550
Hospital Charge Code	3035131B
Hospital Revenue Code	301
Min. Negotiated Rate	$3.25
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$21.09
Rate for Payer: Aetna Medicare Advantage	$6.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.85
Rate for Payer: Cigna Commercial	$6.51
Rate for Payer: Cigna Medicare Advantage	$3.25
Rate for Payer: Clover Medicare Advantage	$6.18
Rate for Payer: EmblemHealth Commercial	$19.53
Rate for Payer: Humana Medicare Advantage	$6.71
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.08
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$57.79
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.51
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.90
Rate for Payer: Wellcare Medicare Advantage	$6.51

CK ISOENZYMES

Facility

$403.00

Service Code	HCPCS 82552
Hospital Charge Code	38472007
Hospital Revenue Code	301
Min. Negotiated Rate	$60.45
Max. Negotiated Rate	$60.45
Rate for Payer: Qualcare PPO/HMO/WC	$60.45

CK ISOENZYMES

Facility

$385.26

Service Code	HCPCS 82550
Hospital Charge Code	3035131B
Hospital Revenue Code	301
Min. Negotiated Rate	$57.79
Max. Negotiated Rate	$57.79
Rate for Payer: Qualcare PPO/HMO/WC	$57.79

CK MB

Facility

$807.65

Service Code	HCPCS 82553
Hospital Charge Code	3031432
Hospital Revenue Code	301
Min. Negotiated Rate	$121.15
Max. Negotiated Rate	$121.15
Rate for Payer: Qualcare PPO/HMO/WC	$121.15

CK MB

Facility

$807.65

Service Code	HCPCS 82553
Hospital Charge Code	3031432
Hospital Revenue Code	301
Min. Negotiated Rate	$5.78
Max. Negotiated Rate	$121.15
Rate for Payer: Aetna Commercial	$37.42
Rate for Payer: Aetna Medicare Advantage	$11.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.32
Rate for Payer: Cigna Commercial	$11.55
Rate for Payer: Cigna Medicare Advantage	$5.78
Rate for Payer: Clover Medicare Advantage	$10.97
Rate for Payer: EmblemHealth Commercial	$34.65
Rate for Payer: Humana Medicare Advantage	$11.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$104.99
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$121.15
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.55
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12.24
Rate for Payer: Wellcare Medicare Advantage	$11.55

CKMB

Facility

$240.00

Service Code	HCPCS 82553
Hospital Charge Code	38479006
Hospital Revenue Code	301
Min. Negotiated Rate	$36.00
Max. Negotiated Rate	$36.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.00

CKMB

Facility

$240.00

Service Code	HCPCS 82553
Hospital Charge Code	38479006
Hospital Revenue Code	301
Min. Negotiated Rate	$5.78
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$37.42
Rate for Payer: Aetna Medicare Advantage	$11.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.32
Rate for Payer: Cigna Commercial	$11.55
Rate for Payer: Cigna Medicare Advantage	$5.78
Rate for Payer: Clover Medicare Advantage	$10.97
Rate for Payer: EmblemHealth Commercial	$34.65
Rate for Payer: Humana Medicare Advantage	$11.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.20
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.00
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.55
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12.24
Rate for Payer: Wellcare Medicare Advantage	$11.55

CK MB CALCULATION %

Facility

$471.82

Service Code	HCPCS 82553
Hospital Charge Code	3031416
Hospital Revenue Code	301
Min. Negotiated Rate	$5.78
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$37.42
Rate for Payer: Aetna Medicare Advantage	$11.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.32
Rate for Payer: Cigna Commercial	$11.55
Rate for Payer: Cigna Medicare Advantage	$5.78
Rate for Payer: Clover Medicare Advantage	$10.97
Rate for Payer: EmblemHealth Commercial	$34.65
Rate for Payer: Humana Medicare Advantage	$11.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.34
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$70.77
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.55
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12.24
Rate for Payer: Wellcare Medicare Advantage	$11.55

CK MB CALCULATION %

Facility

$471.82

Service Code	HCPCS 82553
Hospital Charge Code	3031416
Hospital Revenue Code	301
Min. Negotiated Rate	$70.77
Max. Negotiated Rate	$70.77
Rate for Payer: Qualcare PPO/HMO/WC	$70.77

CLADRIBINE 10ML

Facility

$13.00

Hospital Charge Code	60635529
Hospital Revenue Code	636
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$6.50
Rate for Payer: Aetna Commercial	$3.90
Rate for Payer: Aetna Medicare Advantage	$3.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.31
Rate for Payer: Cigna Commercial	$6.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.15
Rate for Payer: Qualcare PPO/HMO/WC	$1.95

CLADRIBINE 10ML

Facility

$13.00

Hospital Charge Code	60635529
Hospital Revenue Code	636
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$3.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.15
Rate for Payer: Qualcare PPO/HMO/WC	$1.95

CLAM IGE

Facility

$390.00

Service Code	HCPCS 86003
Hospital Charge Code	401186003B
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CLAM IGE

Facility

$390.00

Service Code	HCPCS 86003
Hospital Charge Code	401186003B
Hospital Revenue Code	302
Min. Negotiated Rate	$2.61
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.91
Rate for Payer: Aetna Medicare Advantage	$5.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.13
Rate for Payer: Cigna Commercial	$5.22
Rate for Payer: Cigna Medicare Advantage	$2.61
Rate for Payer: Clover Medicare Advantage	$4.96
Rate for Payer: EmblemHealth Commercial	$15.66
Rate for Payer: Humana Medicare Advantage	$5.38
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	$5.22
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.53
Rate for Payer: Wellcare Medicare Advantage	$5.22

C-LAMINOPLASTY W/GRAFT/PLATE

Facility

$7,680.28

Service Code	HCPCS 63051
Hospital Charge Code	1600000521
Hospital Revenue Code	360
Min. Negotiated Rate	$1,152.04
Max. Negotiated Rate	$1,152.04
Rate for Payer: Qualcare PPO/HMO/WC	$1,152.04

C-LAMINOPLASTY W/GRAFT/PLATE

Facility

$7,680.28

Service Code	HCPCS 63051
Hospital Charge Code	1600000521
Hospital Revenue Code	360
Min. Negotiated Rate	$998.44
Max. Negotiated Rate	$6,873.00
Rate for Payer: Aetna Commercial	$2,304.08
Rate for Payer: Aetna Medicare Advantage	$2,304.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,958.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,958.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,958.47
Rate for Payer: Cigna Commercial	$1,723.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$998.44
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,152.04
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

CLAMP****

Facility

$21.00

Hospital Charge Code	8001364
Hospital Revenue Code	279
Min. Negotiated Rate	$3.15
Max. Negotiated Rate	$3.15
Rate for Payer: Qualcare PPO/HMO/WC	$3.15

CLAMP****

Facility

$21.00

Hospital Charge Code	8001364
Hospital Revenue Code	279
Min. Negotiated Rate	$2.73
Max. Negotiated Rate	$10.50
Rate for Payer: Aetna Commercial	$6.30
Rate for Payer: Aetna Medicare Advantage	$6.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.36
Rate for Payer: Cigna Commercial	$10.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.73
Rate for Payer: Oxford Commercial	$10.50
Rate for Payer: Qualcare PPO/HMO/WC	$3.15
Rate for Payer: UnitedHealthcare Commercial	$10.50

CLAMP 11MM CRANOFIX 2 TITANIUM

Facility

$654.00

Hospital Charge Code	270654483
Hospital Revenue Code	272
Min. Negotiated Rate	$85.02
Max. Negotiated Rate	$327.00
Rate for Payer: Aetna Commercial	$196.20
Rate for Payer: Aetna Medicare Advantage	$196.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$166.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$166.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$166.77
Rate for Payer: Cigna Commercial	$327.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.02
Rate for Payer: Oxford Commercial	$327.00
Rate for Payer: Qualcare PPO/HMO/WC	$98.10
Rate for Payer: UnitedHealthcare Commercial	$327.00

CLAMP 11MM CRANOFIX 2 TITANIUM

Facility

$654.00

Hospital Charge Code	270654483
Hospital Revenue Code	272
Min. Negotiated Rate	$98.10
Max. Negotiated Rate	$98.10
Rate for Payer: Qualcare PPO/HMO/WC	$98.10

CLAMP 16MM CRANOFIX 2 TITANIUM

Facility

$720.97

Hospital Charge Code	270684901
Hospital Revenue Code	272
Min. Negotiated Rate	$93.73
Max. Negotiated Rate	$360.49
Rate for Payer: Aetna Commercial	$216.29
Rate for Payer: Aetna Medicare Advantage	$216.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$183.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$183.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$183.85
Rate for Payer: Cigna Commercial	$360.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.73
Rate for Payer: Oxford Commercial	$360.49
Rate for Payer: Qualcare PPO/HMO/WC	$108.15
Rate for Payer: UnitedHealthcare Commercial	$360.49

CLAMP 16MM CRANOFIX 2 TITANIUM

Facility

$720.97

Hospital Charge Code	270684901
Hospital Revenue Code	272
Min. Negotiated Rate	$108.15
Max. Negotiated Rate	$108.15
Rate for Payer: Qualcare PPO/HMO/WC	$108.15

CLAMP 20MM CRANOFIX 2 TITANIUM

Facility

$877.69

Hospital Charge Code	270684900
Hospital Revenue Code	272
Min. Negotiated Rate	$114.10
Max. Negotiated Rate	$438.85
Rate for Payer: Aetna Commercial	$263.31
Rate for Payer: Aetna Medicare Advantage	$263.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.81
Rate for Payer: Cigna Commercial	$438.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.10
Rate for Payer: Oxford Commercial	$438.85
Rate for Payer: Qualcare PPO/HMO/WC	$131.65
Rate for Payer: UnitedHealthcare Commercial	$438.85

CLAMP 20MM CRANOFIX 2 TITANIUM

Facility

$877.69

Hospital Charge Code	270684900
Hospital Revenue Code	272
Min. Negotiated Rate	$131.65
Max. Negotiated Rate	$131.65
Rate for Payer: Qualcare PPO/HMO/WC	$131.65

CLAMP 2 3/5 POST

Facility

$1,080.00

Hospital Charge Code	270665211
Hospital Revenue Code	278
Min. Negotiated Rate	$162.00
Max. Negotiated Rate	$261.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$216.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$261.36
Rate for Payer: Qualcare PPO/HMO/WC	$162.00

CLAMP 2 3/5 POST

Facility

$1,080.00

Hospital Charge Code	270665211
Hospital Revenue Code	278
Min. Negotiated Rate	$162.00
Max. Negotiated Rate	$540.00
Rate for Payer: Aetna Commercial	$324.00
Rate for Payer: Aetna Medicare Advantage	$324.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$275.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$275.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$216.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$275.40
Rate for Payer: Cigna Commercial	$540.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$261.36
Rate for Payer: Qualcare PPO/HMO/WC	$162.00

Know your out-of-pocket cost for care.

All Charges