Heights University Hospital

All Charges

Charge

Type

Setting

Price

COXSACKIE B ANTIBODIES

Facility

$225.00

Service Code	HCPCS 86658
Hospital Charge Code	38476091
Hospital Revenue Code	302
Min. Negotiated Rate	$6.51
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$42.22
Rate for Payer: Aetna Medicare Advantage	$13.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.74
Rate for Payer: Cigna Commercial	$13.03
Rate for Payer: Cigna Medicare Advantage	$6.51
Rate for Payer: Clover Medicare Advantage	$12.38
Rate for Payer: EmblemHealth Commercial	$39.09
Rate for Payer: Humana Medicare Advantage	$13.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.25
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.75
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.03
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13.81
Rate for Payer: Wellcare Medicare Advantage	$13.03

COXSACKIE B ANTIBODIES

Facility

$225.00

Service Code	HCPCS 86658
Hospital Charge Code	38476091
Hospital Revenue Code	302
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$33.75
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

COZAAR, 100MG TAB

Facility

$20.64

Service Code	NDC 65862020330
Hospital Charge Code	60635415
Hospital Revenue Code	250
Min. Negotiated Rate	$2.68
Max. Negotiated Rate	$10.32
Rate for Payer: Aetna Commercial	$6.19
Rate for Payer: Aetna Medicare Advantage	$6.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.26
Rate for Payer: Cigna Commercial	$10.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.68
Rate for Payer: Oxford Commercial	$10.32
Rate for Payer: Qualcare PPO/HMO/WC	$3.10
Rate for Payer: UnitedHealthcare Commercial	$10.32

COZAAR, 100MG TAB

Facility

$20.64

Service Code	NDC 65862020330
Hospital Charge Code	60635415
Hospital Revenue Code	250
Min. Negotiated Rate	$3.10
Max. Negotiated Rate	$3.10
Rate for Payer: Qualcare PPO/HMO/WC	$3.10

CPAP/BIPAP CIRCUIT

Facility

$33.24

Hospital Charge Code	270600621
Hospital Revenue Code	272
Min. Negotiated Rate	$4.32
Max. Negotiated Rate	$16.62
Rate for Payer: Aetna Commercial	$9.97
Rate for Payer: Aetna Medicare Advantage	$9.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.48
Rate for Payer: Cigna Commercial	$16.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.32
Rate for Payer: Oxford Commercial	$16.62
Rate for Payer: Qualcare PPO/HMO/WC	$4.99
Rate for Payer: UnitedHealthcare Commercial	$16.62

CPAP/BIPAP CIRCUIT

Facility

$33.24

Hospital Charge Code	270600621
Hospital Revenue Code	272
Min. Negotiated Rate	$4.99
Max. Negotiated Rate	$4.99
Rate for Payer: Qualcare PPO/HMO/WC	$4.99

CPAP PROCEDURE

Facility

$1,205.70

Service Code	HCPCS 94660
Hospital Charge Code	9500431
Hospital Revenue Code	410
Min. Negotiated Rate	$180.85
Max. Negotiated Rate	$180.85
Rate for Payer: Qualcare PPO/HMO/WC	$180.85

CPAP PROCEDURE

Facility

$1,205.70

Service Code	HCPCS 94660
Hospital Charge Code	9500431
Hospital Revenue Code	410
Min. Negotiated Rate	$63.25
Max. Negotiated Rate	$1,004.00
Rate for Payer: Aetna Commercial	$361.71
Rate for Payer: Aetna Medicare Advantage	$361.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$307.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$307.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$307.45
Rate for Payer: Cigna Commercial	$521.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$156.74
Rate for Payer: Oxford Commercial	$885.00
Rate for Payer: Qualcare PPO/HMO/WC	$180.85
Rate for Payer: UnitedHealthcare Commercial	$1,004.00

CPAP PROCEDURE***

Facility

$264.00

Service Code	HCPCS 94660
Hospital Charge Code	9500430
Hospital Revenue Code	419
Min. Negotiated Rate	$34.32
Max. Negotiated Rate	$1,004.00
Rate for Payer: Aetna Commercial	$79.20
Rate for Payer: Aetna Medicare Advantage	$79.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.32
Rate for Payer: Cigna Commercial	$521.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.32
Rate for Payer: Oxford Commercial	$885.00
Rate for Payer: Qualcare PPO/HMO/WC	$39.60
Rate for Payer: UnitedHealthcare Commercial	$1,004.00

CPAP PROCEDURE***

Facility

$264.00

Service Code	HCPCS 94660
Hospital Charge Code	9500430
Hospital Revenue Code	419
Min. Negotiated Rate	$39.60
Max. Negotiated Rate	$39.60
Rate for Payer: Qualcare PPO/HMO/WC	$39.60

CPAP PROCEDURE W/CIRCUIT****

Facility

$564.00

Service Code	HCPCS 94660
Hospital Charge Code	9500431P
Hospital Revenue Code	419
Min. Negotiated Rate	$63.25
Max. Negotiated Rate	$1,004.00
Rate for Payer: Oxford Commercial	$885.00
Rate for Payer: Aetna Commercial	$169.20
Rate for Payer: Aetna Medicare Advantage	$169.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$143.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$143.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$143.82
Rate for Payer: Cigna Commercial	$521.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.32
Rate for Payer: Qualcare PPO/HMO/WC	$84.60
Rate for Payer: UnitedHealthcare Commercial	$1,004.00

CPAP PROCEDURE W/CIRCUIT****

Facility

$564.00

Service Code	HCPCS 94660
Hospital Charge Code	9500431P
Hospital Revenue Code	419
Min. Negotiated Rate	$84.60
Max. Negotiated Rate	$84.60
Rate for Payer: Qualcare PPO/HMO/WC	$84.60

CP CLOPIDOGREL CYP2C19 GENOTYP

Facility

$1,456.80

Service Code	HCPCS 81225
Hospital Charge Code	401181225
Hospital Revenue Code	310
Min. Negotiated Rate	$218.52
Max. Negotiated Rate	$218.52
Rate for Payer: Qualcare PPO/HMO/WC	$218.52

CP CLOPIDOGREL CYP2C19 GENOTYP

Facility

$1,456.80

Service Code	HCPCS 81225
Hospital Charge Code	401181225
Hospital Revenue Code	310
Min. Negotiated Rate	$101.00
Max. Negotiated Rate	$1,067.54
Rate for Payer: EmblemHealth Commercial	$874.08
Rate for Payer: Aetna Commercial	$944.01
Rate for Payer: Aetna Medicare Advantage	$291.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,067.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,067.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$291.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,067.54
Rate for Payer: Cigna Commercial	$291.36
Rate for Payer: Cigna Medicare Advantage	$145.68
Rate for Payer: Clover Medicare Advantage	$276.79
Rate for Payer: Humana Medicare Advantage	$300.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$189.38
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$218.52
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$291.36
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$308.84
Rate for Payer: Wellcare Medicare Advantage	$291.36

C-PEPTIDE

Facility

$292.00

Service Code	HCPCS 84681
Hospital Charge Code	38472230
Hospital Revenue Code	301
Min. Negotiated Rate	$43.80
Max. Negotiated Rate	$43.80
Rate for Payer: Qualcare PPO/HMO/WC	$43.80

C-PEPTIDE

Facility

$292.00

Service Code	HCPCS 84681
Hospital Charge Code	38472230
Hospital Revenue Code	301
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	$41.14
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	$37.96
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$43.80
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

C-PEPTIDE

Facility

$667.59

Service Code	HCPCS 84681
Hospital Charge Code	39900154
Hospital Revenue Code	301
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	$41.14
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	$86.79
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$100.14
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

C-PEPTIDE

Facility

$667.59

Service Code	HCPCS 84681
Hospital Charge Code	39900154
Hospital Revenue Code	301
Min. Negotiated Rate	$100.14
Max. Negotiated Rate	$100.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.14

C PEPTIDE, SERUM

Facility

$192.85

Service Code	HCPCS 84681
Hospital Charge Code	3007341
Hospital Revenue Code	301
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	$41.14
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	$25.07
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.93
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

C PEPTIDE, SERUM

Facility

$192.85

Service Code	HCPCS 84681
Hospital Charge Code	3007341
Hospital Revenue Code	301
Min. Negotiated Rate	$28.93
Max. Negotiated Rate	$28.93
Rate for Payer: Qualcare PPO/HMO/WC	$28.93

CPK (CREATINE PHOS)***

Facility

$32.00

Hospital Charge Code	3010915
Hospital Revenue Code	309
Min. Negotiated Rate	$4.16
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$9.60
Rate for Payer: Aetna Medicare Advantage	$9.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.16
Rate for Payer: Cigna Commercial	$16.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.16
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.80
Rate for Payer: UnitedHealthcare Commercial	$114.00

CPK (CREATINE PHOS)***

Facility

$32.00

Hospital Charge Code	3010915
Hospital Revenue Code	309
Min. Negotiated Rate	$4.80
Max. Negotiated Rate	$4.80
Rate for Payer: Qualcare PPO/HMO/WC	$4.80

CPK FRACT (METPATH)***

Facility

$82.00

Service Code	HCPCS 82550
Hospital Charge Code	3030095
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	$10.66
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.30
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

CPK FRACT (METPATH)***

Facility

$82.00

Service Code	HCPCS 82550
Hospital Charge Code	3030095
Hospital Revenue Code	301
Min. Negotiated Rate	$12.30
Max. Negotiated Rate	$12.30
Rate for Payer: Qualcare PPO/HMO/WC	$12.30

CPK ISOENZYMES

Facility

$136.85

Service Code	HCPCS 82552
Hospital Charge Code	3003258
Hospital Revenue Code	301
Min. Negotiated Rate	$20.53
Max. Negotiated Rate	$20.53
Rate for Payer: Qualcare PPO/HMO/WC	$20.53

Know your out-of-pocket cost for care.

All Charges