Heights University Hospital

All Charges

Charge

Type

Setting

Price

COPE NEPHROUETERSTOMY 22 F

Facility

$687.45

Hospital Charge Code	270703091
Hospital Revenue Code	278
Min. Negotiated Rate	$103.12
Max. Negotiated Rate	$166.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$137.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$166.36
Rate for Payer: Qualcare PPO/HMO/WC	$103.12

COPE NEPHTOUERTEROSTOMY 24 F

Facility

$687.45

Hospital Charge Code	270703092
Hospital Revenue Code	278
Min. Negotiated Rate	$103.12
Max. Negotiated Rate	$343.73
Rate for Payer: Aetna Commercial	$206.24
Rate for Payer: Aetna Medicare Advantage	$206.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$175.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$175.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$137.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$175.30
Rate for Payer: Cigna Commercial	$343.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$166.36
Rate for Payer: Qualcare PPO/HMO/WC	$103.12

COPE NEPHTOUERTEROSTOMY 24 F

Facility

$687.45

Hospital Charge Code	270703092
Hospital Revenue Code	278
Min. Negotiated Rate	$103.12
Max. Negotiated Rate	$166.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$137.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$166.36
Rate for Payer: Qualcare PPO/HMO/WC	$103.12

COPEPTIN (SERUM)

Facility

$249.25

Service Code	HCPCS 86255
Hospital Charge Code	401186255Z
Hospital Revenue Code	302
Min. Negotiated Rate	$37.39
Max. Negotiated Rate	$37.39
Rate for Payer: Qualcare PPO/HMO/WC	$37.39

COPEPTIN (SERUM)

Facility

$249.25

Service Code	HCPCS 86255
Hospital Charge Code	401186255Z
Hospital Revenue Code	302
Min. Negotiated Rate	$6.03
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$39.04
Rate for Payer: Aetna Medicare Advantage	$12.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.15
Rate for Payer: Cigna Commercial	$12.05
Rate for Payer: Cigna Medicare Advantage	$6.03
Rate for Payer: Clover Medicare Advantage	$11.45
Rate for Payer: EmblemHealth Commercial	$36.15
Rate for Payer: Humana Medicare Advantage	$12.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.40
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.39
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.05
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12.77
Rate for Payer: Wellcare Medicare Advantage	$12.05

COPEPTIN SERUM

Facility

$249.25

Service Code	HCPCS 86255
Hospital Charge Code	401186255W
Hospital Revenue Code	302
Min. Negotiated Rate	$37.39
Max. Negotiated Rate	$37.39
Rate for Payer: Qualcare PPO/HMO/WC	$37.39

COPEPTIN SERUM

Facility

$249.25

Service Code	HCPCS 86255
Hospital Charge Code	401186255W
Hospital Revenue Code	302
Min. Negotiated Rate	$6.03
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$39.04
Rate for Payer: Aetna Medicare Advantage	$12.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.15
Rate for Payer: Cigna Commercial	$12.05
Rate for Payer: Cigna Medicare Advantage	$6.03
Rate for Payer: Clover Medicare Advantage	$11.45
Rate for Payer: EmblemHealth Commercial	$36.15
Rate for Payer: Humana Medicare Advantage	$12.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.40
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.39
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.05
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12.77
Rate for Payer: Wellcare Medicare Advantage	$12.05

COPE SUTURE ANCH 17X12

Facility

$66.01

Hospital Charge Code	270658336
Hospital Revenue Code	272
Min. Negotiated Rate	$8.58
Max. Negotiated Rate	$33.01
Rate for Payer: Aetna Commercial	$19.80
Rate for Payer: Aetna Medicare Advantage	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.83
Rate for Payer: Cigna Commercial	$33.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.58
Rate for Payer: Oxford Commercial	$33.01
Rate for Payer: Qualcare PPO/HMO/WC	$9.90
Rate for Payer: UnitedHealthcare Commercial	$33.01

COPE SUTURE ANCH 17X12

Facility

$66.01

Hospital Charge Code	270658336
Hospital Revenue Code	272
Min. Negotiated Rate	$9.90
Max. Negotiated Rate	$9.90
Rate for Payer: Qualcare PPO/HMO/WC	$9.90

COPILOT BLEEDBACK CONTROL VALV

Facility

$120.00

Hospital Charge Code	2709002253
Hospital Revenue Code	272
Min. Negotiated Rate	$15.60
Max. Negotiated Rate	$60.00
Rate for Payer: Aetna Commercial	$36.00
Rate for Payer: Aetna Medicare Advantage	$36.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.60
Rate for Payer: Cigna Commercial	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.60
Rate for Payer: Oxford Commercial	$60.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.00
Rate for Payer: UnitedHealthcare Commercial	$60.00

COPILOT BLEEDBACK CONTROL VALV

Facility

$120.00

Hospital Charge Code	2709002253
Hospital Revenue Code	272
Min. Negotiated Rate	$18.00
Max. Negotiated Rate	$18.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.00

COPPER

Facility

$146.00

Service Code	HCPCS 82525
Hospital Charge Code	38472218
Hospital Revenue Code	301
Min. Negotiated Rate	$21.90
Max. Negotiated Rate	$21.90
Rate for Payer: Qualcare PPO/HMO/WC	$21.90

COPPER

Facility

$146.00

Service Code	HCPCS 82525
Hospital Charge Code	38472218
Hospital Revenue Code	301
Min. Negotiated Rate	$6.21
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$40.21
Rate for Payer: Aetna Medicare Advantage	$12.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.41
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	$45.47
Rate for Payer: Cigna Commercial	$12.41
Rate for Payer: Cigna Medicare Advantage	$6.21
Rate for Payer: Clover Medicare Advantage	$11.79
Rate for Payer: EmblemHealth Commercial	$37.23
Rate for Payer: Humana Medicare Advantage	$12.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.98
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.90
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.41
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13.15
Rate for Payer: Wellcare Medicare Advantage	$12.41

COPPER,24 HOUR URINE

Facility

$390.00

Service Code	HCPCS 82525
Hospital Charge Code	3003663A
Hospital Revenue Code	301
Min. Negotiated Rate	$6.21
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$40.21
Rate for Payer: Aetna Medicare Advantage	$12.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.41
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	$45.47
Rate for Payer: Cigna Commercial	$12.41
Rate for Payer: Cigna Medicare Advantage	$6.21
Rate for Payer: Clover Medicare Advantage	$11.79
Rate for Payer: EmblemHealth Commercial	$37.23
Rate for Payer: Humana Medicare Advantage	$12.78
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	$12.41
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13.15
Rate for Payer: Wellcare Medicare Advantage	$12.41

COPPER,24 HOUR URINE

Facility

$390.00

Service Code	HCPCS 82525
Hospital Charge Code	3003663A
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

COPPER (PLASMA)***

Facility

$39.00

Hospital Charge Code	3010881
Hospital Revenue Code	309
Min. Negotiated Rate	$5.07
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$11.70
Rate for Payer: Aetna Medicare Advantage	$11.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.95
Rate for Payer: Cigna Commercial	$19.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.07
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.85
Rate for Payer: UnitedHealthcare Commercial	$114.00

COPPER (PLASMA)***

Facility

$39.00

Hospital Charge Code	3010881
Hospital Revenue Code	309
Min. Negotiated Rate	$5.85
Max. Negotiated Rate	$5.85
Rate for Payer: Qualcare PPO/HMO/WC	$5.85

COPPER PLASMA

Facility

$158.45

Service Code	HCPCS 82525
Hospital Charge Code	3035081
Hospital Revenue Code	300
Min. Negotiated Rate	$6.21
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$40.21
Rate for Payer: Aetna Medicare Advantage	$12.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.41
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	$45.47
Rate for Payer: Cigna Commercial	$12.41
Rate for Payer: Cigna Medicare Advantage	$6.21
Rate for Payer: Clover Medicare Advantage	$11.79
Rate for Payer: EmblemHealth Commercial	$37.23
Rate for Payer: Humana Medicare Advantage	$12.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.60
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$23.77
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.41
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13.15
Rate for Payer: Wellcare Medicare Advantage	$12.41

COPPER PLASMA

Facility

$158.45

Service Code	HCPCS 82525
Hospital Charge Code	3035081
Hospital Revenue Code	300
Min. Negotiated Rate	$23.77
Max. Negotiated Rate	$23.77
Rate for Payer: Qualcare PPO/HMO/WC	$23.77

COPPER, PLASMA AND RBC I

Facility

$177.00

Service Code	HCPCS 82525
Hospital Charge Code	3035080A
Hospital Revenue Code	300
Min. Negotiated Rate	$6.21
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$40.21
Rate for Payer: Aetna Medicare Advantage	$12.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.41
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	$45.47
Rate for Payer: Cigna Commercial	$12.41
Rate for Payer: Cigna Medicare Advantage	$6.21
Rate for Payer: Clover Medicare Advantage	$11.79
Rate for Payer: EmblemHealth Commercial	$37.23
Rate for Payer: Humana Medicare Advantage	$12.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.01
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$26.55
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.41
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13.15
Rate for Payer: Wellcare Medicare Advantage	$12.41

COPPER, PLASMA AND RBC I

Facility

$177.00

Service Code	HCPCS 82525
Hospital Charge Code	3035080A
Hospital Revenue Code	300
Min. Negotiated Rate	$26.55
Max. Negotiated Rate	$26.55
Rate for Payer: Qualcare PPO/HMO/WC	$26.55

COPPER, PLASMA AND RBC II

Facility

$177.00

Service Code	HCPCS 82525
Hospital Charge Code	3035080B
Hospital Revenue Code	300
Min. Negotiated Rate	$26.55
Max. Negotiated Rate	$26.55
Rate for Payer: Qualcare PPO/HMO/WC	$26.55

COPPER, PLASMA AND RBC II

Facility

$177.00

Service Code	HCPCS 82525
Hospital Charge Code	3035080B
Hospital Revenue Code	300
Min. Negotiated Rate	$6.21
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$40.21
Rate for Payer: Aetna Medicare Advantage	$12.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.41
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	$45.47
Rate for Payer: Cigna Commercial	$12.41
Rate for Payer: Cigna Medicare Advantage	$6.21
Rate for Payer: Clover Medicare Advantage	$11.79
Rate for Payer: EmblemHealth Commercial	$37.23
Rate for Payer: Humana Medicare Advantage	$12.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.01
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$26.55
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.41
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13.15
Rate for Payer: Wellcare Medicare Advantage	$12.41

COPPER SERUM

Facility

$158.45

Service Code	HCPCS 82525
Hospital Charge Code	3000882
Hospital Revenue Code	301
Min. Negotiated Rate	$23.77
Max. Negotiated Rate	$23.77
Rate for Payer: Qualcare PPO/HMO/WC	$23.77

COPPER SERUM

Facility

$158.45

Service Code	HCPCS 82525
Hospital Charge Code	3000882
Hospital Revenue Code	301
Min. Negotiated Rate	$6.21
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$40.21
Rate for Payer: Aetna Medicare Advantage	$12.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.41
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	$45.47
Rate for Payer: Cigna Commercial	$12.41
Rate for Payer: Cigna Medicare Advantage	$6.21
Rate for Payer: Clover Medicare Advantage	$11.79
Rate for Payer: EmblemHealth Commercial	$37.23
Rate for Payer: Humana Medicare Advantage	$12.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.60
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$23.77
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.41
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13.15
Rate for Payer: Wellcare Medicare Advantage	$12.41

Know your out-of-pocket cost for care.

All Charges