Heights University Hospital

All Charges

Charge

Type

Setting

Price

AFIXIS NAIL AR HUMUNIV 7.5 X 2

Facility

$8,765.00

Service Code	HCPCS C1713
Hospital Charge Code	270688146
Hospital Revenue Code	278
Min. Negotiated Rate	$1,314.75
Max. Negotiated Rate	$2,121.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,753.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,121.13
Rate for Payer: Qualcare PPO/HMO/WC	$1,314.75

AFIXIX HUM BALL NOSE GW ST

Facility

$1,885.00

Hospital Charge Code	270688143
Hospital Revenue Code	272
Min. Negotiated Rate	$282.75
Max. Negotiated Rate	$282.75
Rate for Payer: Qualcare PPO/HMO/WC	$282.75

AFIXIX HUM BALL NOSE GW ST

Facility

$1,885.00

Hospital Charge Code	270688143
Hospital Revenue Code	272
Min. Negotiated Rate	$245.05
Max. Negotiated Rate	$942.50
Rate for Payer: Aetna Commercial	$565.50
Rate for Payer: Aetna Medicare Advantage	$565.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$480.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$480.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$480.68
Rate for Payer: Cigna Commercial	$942.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$245.05
Rate for Payer: Oxford Commercial	$942.50
Rate for Payer: Qualcare PPO/HMO/WC	$282.75
Rate for Payer: UnitedHealthcare Commercial	$942.50

AFLURIA TRIVALENT 0.5ML SYRING

Facility

$105.66

Service Code	NDC 33332002403
Hospital Charge Code	6063943391
Hospital Revenue Code	250
Min. Negotiated Rate	$13.74
Max. Negotiated Rate	$52.83
Rate for Payer: Aetna Commercial	$31.70
Rate for Payer: Aetna Medicare Advantage	$31.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.94
Rate for Payer: Cigna Commercial	$52.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.74
Rate for Payer: Oxford Commercial	$52.83
Rate for Payer: Qualcare PPO/HMO/WC	$15.85
Rate for Payer: UnitedHealthcare Commercial	$52.83

AFLURIA TRIVALENT 0.5ML SYRING

Facility

$105.66

Service Code	NDC 33332002403
Hospital Charge Code	6063943391
Hospital Revenue Code	250
Min. Negotiated Rate	$15.85
Max. Negotiated Rate	$15.85
Rate for Payer: Qualcare PPO/HMO/WC	$15.85

AFO BRACE - OFF THE SHELF

Facility

$1,129.65

Hospital Charge Code	270611605
Hospital Revenue Code	274
Min. Negotiated Rate	$169.45
Max. Negotiated Rate	$273.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$273.38
Rate for Payer: Qualcare PPO/HMO/WC	$169.45

AFO BRACE - OFF THE SHELF

Facility

$1,129.65

Hospital Charge Code	270611605
Hospital Revenue Code	274
Min. Negotiated Rate	$169.45
Max. Negotiated Rate	$564.83
Rate for Payer: Aetna Commercial	$338.89
Rate for Payer: Aetna Medicare Advantage	$338.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$288.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$288.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$288.06
Rate for Payer: Cigna Commercial	$564.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$273.38
Rate for Payer: Qualcare PPO/HMO/WC	$169.45

AFP (AMNIOTIC FLUID)

Facility

$150.45

Service Code	HCPCS 82106
Hospital Charge Code	3001252
Hospital Revenue Code	301
Min. Negotiated Rate	$22.57
Max. Negotiated Rate	$22.57
Rate for Payer: Qualcare PPO/HMO/WC	$22.57

AFP (AMNIOTIC FLUID)

Facility

$150.45

Service Code	HCPCS 82106
Hospital Charge Code	3001252
Hospital Revenue Code	301
Min. Negotiated Rate	$8.50
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$55.08
Rate for Payer: Aetna Medicare Advantage	$17.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.29
Rate for Payer: Cigna Commercial	$17.00
Rate for Payer: Cigna Medicare Advantage	$8.50
Rate for Payer: Clover Medicare Advantage	$16.15
Rate for Payer: EmblemHealth Commercial	$51.00
Rate for Payer: Humana Medicare Advantage	$17.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.56
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.57
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$17.00
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$18.02
Rate for Payer: Wellcare Medicare Advantage	$17.00

AFP AND AFP-L3

Facility

$399.70

Service Code	HCPCS 82107
Hospital Charge Code	3038544
Hospital Revenue Code	301
Min. Negotiated Rate	$59.95
Max. Negotiated Rate	$59.95
Rate for Payer: Qualcare PPO/HMO/WC	$59.95

AFP AND AFP-L3

Facility

$399.70

Service Code	HCPCS 82107
Hospital Charge Code	3038544
Hospital Revenue Code	301
Min. Negotiated Rate	$32.20
Max. Negotiated Rate	$236.00
Rate for Payer: Aetna Commercial	$208.69
Rate for Payer: Aetna Medicare Advantage	$64.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$236.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$236.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$64.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$168.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$236.00
Rate for Payer: Cigna Commercial	$64.41
Rate for Payer: Cigna Medicare Advantage	$32.20
Rate for Payer: Clover Medicare Advantage	$61.19
Rate for Payer: EmblemHealth Commercial	$193.23
Rate for Payer: Humana Medicare Advantage	$66.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.96
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$59.95
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$64.41
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$68.27
Rate for Payer: Wellcare Medicare Advantage	$64.41

AFP,MATERNAL,INITIAL,SERU

Facility

$390.00

Service Code	HCPCS 82105
Hospital Charge Code	39900039
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

AFP,MATERNAL,INITIAL,SERU

Facility

$390.00

Service Code	HCPCS 82105
Hospital Charge Code	39900039
Hospital Revenue Code	301
Min. Negotiated Rate	$8.38
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$54.33
Rate for Payer: Aetna Medicare Advantage	$16.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.45
Rate for Payer: Cigna Commercial	$16.77
Rate for Payer: Cigna Medicare Advantage	$8.38
Rate for Payer: Clover Medicare Advantage	$15.93
Rate for Payer: EmblemHealth Commercial	$50.31
Rate for Payer: Humana Medicare Advantage	$17.27
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	$16.77
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$17.78
Rate for Payer: Wellcare Medicare Advantage	$16.77

AFP MATERNAL SERUM INTI/REP

Facility

$121.25

Service Code	HCPCS 82105
Hospital Charge Code	3001245
Hospital Revenue Code	301
Min. Negotiated Rate	$8.38
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$54.33
Rate for Payer: Aetna Medicare Advantage	$16.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.45
Rate for Payer: Cigna Commercial	$16.77
Rate for Payer: Cigna Medicare Advantage	$8.38
Rate for Payer: Clover Medicare Advantage	$15.93
Rate for Payer: EmblemHealth Commercial	$50.31
Rate for Payer: Humana Medicare Advantage	$17.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.76
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.19
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.77
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$17.78
Rate for Payer: Wellcare Medicare Advantage	$16.77

AFP MATERNAL SERUM INTI/REP

Facility

$121.25

Service Code	HCPCS 82105
Hospital Charge Code	3001245
Hospital Revenue Code	301
Min. Negotiated Rate	$18.19
Max. Negotiated Rate	$18.19
Rate for Payer: Qualcare PPO/HMO/WC	$18.19

AFP MATERNAL SERUM (REPEAT)

Facility

$121.25

Service Code	HCPCS 82105
Hospital Charge Code	3001377
Hospital Revenue Code	301
Min. Negotiated Rate	$18.19
Max. Negotiated Rate	$18.19
Rate for Payer: Qualcare PPO/HMO/WC	$18.19

AFP MATERNAL SERUM (REPEAT)

Facility

$121.25

Service Code	HCPCS 82105
Hospital Charge Code	3001377
Hospital Revenue Code	301
Min. Negotiated Rate	$8.38
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$54.33
Rate for Payer: Aetna Medicare Advantage	$16.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.45
Rate for Payer: Cigna Commercial	$16.77
Rate for Payer: Cigna Medicare Advantage	$8.38
Rate for Payer: Clover Medicare Advantage	$15.93
Rate for Payer: EmblemHealth Commercial	$50.31
Rate for Payer: Humana Medicare Advantage	$17.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.76
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.19
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.77
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$17.78
Rate for Payer: Wellcare Medicare Advantage	$16.77

AFP TETRA

Facility

$121.25

Service Code	HCPCS 82105
Hospital Charge Code	3037050A
Hospital Revenue Code	301
Min. Negotiated Rate	$8.38
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$54.33
Rate for Payer: Aetna Medicare Advantage	$16.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.45
Rate for Payer: Cigna Commercial	$16.77
Rate for Payer: Cigna Medicare Advantage	$8.38
Rate for Payer: Clover Medicare Advantage	$15.93
Rate for Payer: EmblemHealth Commercial	$50.31
Rate for Payer: Humana Medicare Advantage	$17.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.76
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.19
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.77
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$17.78
Rate for Payer: Wellcare Medicare Advantage	$16.77

AFP TETRA

Facility

$121.25

Service Code	HCPCS 82105
Hospital Charge Code	3037050A
Hospital Revenue Code	301
Min. Negotiated Rate	$18.19
Max. Negotiated Rate	$18.19
Rate for Payer: Qualcare PPO/HMO/WC	$18.19

AFP TETRA II

Facility

$231.25

Service Code	HCPCS 82677
Hospital Charge Code	3037050B
Hospital Revenue Code	301
Min. Negotiated Rate	$34.69
Max. Negotiated Rate	$34.69
Rate for Payer: Qualcare PPO/HMO/WC	$34.69

AFP TETRA II

Facility

$231.25

Service Code	HCPCS 82677
Hospital Charge Code	3037050B
Hospital Revenue Code	301
Min. Negotiated Rate	$12.09
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$78.34
Rate for Payer: Aetna Medicare Advantage	$24.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$24.18
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	$88.60
Rate for Payer: Cigna Commercial	$24.18
Rate for Payer: Cigna Medicare Advantage	$12.09
Rate for Payer: Clover Medicare Advantage	$22.97
Rate for Payer: EmblemHealth Commercial	$72.54
Rate for Payer: Humana Medicare Advantage	$24.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.06
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$34.69
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$24.18
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$25.63
Rate for Payer: Wellcare Medicare Advantage	$24.18

AFP TETRA III

Facility

$164.00

Service Code	HCPCS 84702
Hospital Charge Code	3037050C
Hospital Revenue Code	301
Min. Negotiated Rate	$7.53
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$48.76
Rate for Payer: Aetna Medicare Advantage	$15.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55.14
Rate for Payer: Cigna Commercial	$15.05
Rate for Payer: Cigna Medicare Advantage	$7.53
Rate for Payer: Clover Medicare Advantage	$14.30
Rate for Payer: EmblemHealth Commercial	$45.15
Rate for Payer: Humana Medicare Advantage	$15.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.32
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.60
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$15.05
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15.95
Rate for Payer: Wellcare Medicare Advantage	$15.05

AFP TETRA III

Facility

$164.00

Service Code	HCPCS 84702
Hospital Charge Code	3037050C
Hospital Revenue Code	301
Min. Negotiated Rate	$24.60
Max. Negotiated Rate	$24.60
Rate for Payer: Qualcare PPO/HMO/WC	$24.60

AFP TETRA IV

Facility

$110.35

Service Code	HCPCS 86336
Hospital Charge Code	3037050D
Hospital Revenue Code	302
Min. Negotiated Rate	$7.79
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$50.51
Rate for Payer: Aetna Medicare Advantage	$15.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.12
Rate for Payer: Cigna Commercial	$15.59
Rate for Payer: Cigna Medicare Advantage	$7.79
Rate for Payer: Clover Medicare Advantage	$14.81
Rate for Payer: EmblemHealth Commercial	$46.77
Rate for Payer: Humana Medicare Advantage	$16.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.35
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.55
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$15.59
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$16.53
Rate for Payer: Wellcare Medicare Advantage	$15.59

AFP TETRA IV

Facility

$110.35

Service Code	HCPCS 86336
Hospital Charge Code	3037050D
Hospital Revenue Code	302
Min. Negotiated Rate	$16.55
Max. Negotiated Rate	$16.55
Rate for Payer: Qualcare PPO/HMO/WC	$16.55

Know your out-of-pocket cost for care.

All Charges