Heights University Hospital

All Charges

Charge

Type

Setting

Price

CRYSTODIGIN/0.1MG/TAB

Facility

$3.00

Hospital Charge Code	60635872
Hospital Revenue Code	259
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

CRYSTODIGIN/0.1MG/TAB

Facility

$3.00

Hospital Charge Code	60635872
Hospital Revenue Code	259
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$1.50
Rate for Payer: Aetna Commercial	$0.90
Rate for Payer: Aetna Medicare Advantage	$0.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.77
Rate for Payer: Cigna Commercial	$1.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.39
Rate for Payer: Oxford Commercial	$1.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.45
Rate for Payer: UnitedHealthcare Commercial	$1.50

CS40G

Facility

$6,802.90

Hospital Charge Code	270657202
Hospital Revenue Code	278
Min. Negotiated Rate	$1,020.43
Max. Negotiated Rate	$1,646.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,360.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,646.30
Rate for Payer: Qualcare PPO/HMO/WC	$1,020.43

CS40G

Facility

$6,802.90

Hospital Charge Code	270657202
Hospital Revenue Code	278
Min. Negotiated Rate	$1,020.43
Max. Negotiated Rate	$3,401.45
Rate for Payer: Aetna Commercial	$2,040.87
Rate for Payer: Aetna Medicare Advantage	$2,040.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,734.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,734.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,360.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,734.74
Rate for Payer: Cigna Commercial	$3,401.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,646.30
Rate for Payer: Qualcare PPO/HMO/WC	$1,020.43

C-SECTION

Facility

$10,100.00

Hospital Charge Code	73190162
Hospital Revenue Code	720
Min. Negotiated Rate	$1,313.00
Max. Negotiated Rate	$5,050.00
Rate for Payer: Aetna Commercial	$3,030.00
Rate for Payer: Aetna Medicare Advantage	$3,030.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,575.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,575.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,575.50
Rate for Payer: Cigna Commercial	$5,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,313.00
Rate for Payer: Oxford Commercial	$2,624.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,515.00
Rate for Payer: UnitedHealthcare Commercial	$2,979.00

C-SECTION

Facility

$10,100.00

Hospital Charge Code	73190162
Hospital Revenue Code	720
Min. Negotiated Rate	$1,515.00
Max. Negotiated Rate	$1,515.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,515.00

C-SEC W/ PROC

Facility

$10,859.22

Hospital Charge Code	73190163
Hospital Revenue Code	720
Min. Negotiated Rate	$1,628.88
Max. Negotiated Rate	$1,628.88
Rate for Payer: Qualcare PPO/HMO/WC	$1,628.88

C-SEC W/ PROC

Facility

$10,859.22

Hospital Charge Code	73190163
Hospital Revenue Code	720
Min. Negotiated Rate	$1,411.70
Max. Negotiated Rate	$5,429.61
Rate for Payer: Aetna Commercial	$3,257.77
Rate for Payer: Aetna Medicare Advantage	$3,257.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,769.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,769.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,769.10
Rate for Payer: Cigna Commercial	$5,429.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,411.70
Rate for Payer: Oxford Commercial	$2,624.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,628.88
Rate for Payer: UnitedHealthcare Commercial	$2,979.00

CSF BATTERY

Facility

$156.00

Service Code	HCPCS 82947
Hospital Charge Code	38479007
Hospital Revenue Code	301
Min. Negotiated Rate	$23.40
Max. Negotiated Rate	$23.40
Rate for Payer: Qualcare PPO/HMO/WC	$23.40

CSF BATTERY

Facility

$156.00

Service Code	HCPCS 82947
Hospital Charge Code	38479007
Hospital Revenue Code	301
Min. Negotiated Rate	$1.97
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$12.73
Rate for Payer: Aetna Medicare Advantage	$3.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.40
Rate for Payer: Cigna Commercial	$3.93
Rate for Payer: Cigna Medicare Advantage	$1.97
Rate for Payer: Clover Medicare Advantage	$3.73
Rate for Payer: EmblemHealth Commercial	$11.79
Rate for Payer: Humana Medicare Advantage	$4.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.28
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$23.40
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$3.93
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$4.17
Rate for Payer: Wellcare Medicare Advantage	$3.93

CSF CELL COUNT***

Facility

$22.00

Hospital Charge Code	3010675
Hospital Revenue Code	309
Min. Negotiated Rate	$3.30
Max. Negotiated Rate	$3.30
Rate for Payer: Qualcare PPO/HMO/WC	$3.30

CSF CELL COUNT***

Facility

$22.00

Hospital Charge Code	3010675
Hospital Revenue Code	309
Min. Negotiated Rate	$2.86
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$6.60
Rate for Payer: Aetna Medicare Advantage	$6.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.61
Rate for Payer: Cigna Commercial	$11.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.86
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.30
Rate for Payer: UnitedHealthcare Commercial	$114.00

CSF CL***

Facility

$21.00

Hospital Charge Code	3010766
Hospital Revenue Code	309
Min. Negotiated Rate	$2.73
Max. Negotiated Rate	$114.00
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	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.15
Rate for Payer: UnitedHealthcare Commercial	$114.00

CSF CL***

Facility

$21.00

Hospital Charge Code	3010766
Hospital Revenue Code	309
Min. Negotiated Rate	$3.15
Max. Negotiated Rate	$3.15
Rate for Payer: Qualcare PPO/HMO/WC	$3.15

CSF CYTOLOGY

Facility

$264.85

Service Code	HCPCS 88104
Hospital Charge Code	3005352
Hospital Revenue Code	311
Min. Negotiated Rate	$39.73
Max. Negotiated Rate	$39.73
Rate for Payer: Qualcare PPO/HMO/WC	$39.73

CSF CYTOLOGY

Facility

$264.85

Service Code	HCPCS 88104
Hospital Charge Code	3005352
Hospital Revenue Code	311
Min. Negotiated Rate	$34.43
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$79.45
Rate for Payer: Aetna Medicare Advantage	$79.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.54
Rate for Payer: Cigna Commercial	$88.94
Rate for Payer: Cigna Medicare Advantage	$47.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.43
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$39.73
Rate for Payer: UnitedHealthcare Commercial	$114.00

CSF DIFFERENTIAL

Facility

$183.00

Service Code	HCPCS 89051
Hospital Charge Code	38479048
Hospital Revenue Code	309
Min. Negotiated Rate	$1.68
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$18.14
Rate for Payer: Aetna Medicare Advantage	$5.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.52
Rate for Payer: Cigna Commercial	$5.60
Rate for Payer: Cigna Medicare Advantage	$2.80
Rate for Payer: Clover Medicare Advantage	$5.32
Rate for Payer: EmblemHealth Commercial	$16.80
Rate for Payer: Humana Medicare Advantage	$5.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.79
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.45
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.60
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.94
Rate for Payer: Wellcare Medicare Advantage	$5.60

CSF DIFFERENTIAL

Facility

$183.00

Service Code	HCPCS 89051
Hospital Charge Code	38479048
Hospital Revenue Code	309
Min. Negotiated Rate	$27.45
Max. Negotiated Rate	$27.45
Rate for Payer: Qualcare PPO/HMO/WC	$27.45

CSF PROTEIN****

Facility

$21.00

Hospital Charge Code	3012234
Hospital Revenue Code	309
Min. Negotiated Rate	$2.73
Max. Negotiated Rate	$114.00
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	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.15
Rate for Payer: UnitedHealthcare Commercial	$114.00

CSF PROTEIN****

Facility

$21.00

Hospital Charge Code	3012234
Hospital Revenue Code	309
Min. Negotiated Rate	$3.15
Max. Negotiated Rate	$3.15
Rate for Payer: Qualcare PPO/HMO/WC	$3.15

CSF PROTEIN ELECTROPHORESIS I

Facility

$390.00

Service Code	HCPCS 84157
Hospital Charge Code	3990163A
Hospital Revenue Code	301
Min. Negotiated Rate	$2.00
Max. Negotiated Rate	$15,880.57
Rate for Payer: Aetna Better Health Medicaid	$15,569.19
Rate for Payer: Aetna Commercial	$12.96
Rate for Payer: Aetna Medicare Advantage	$4.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.66
Rate for Payer: Cigna Commercial	$4.00
Rate for Payer: Cigna Medicare Advantage	$2.00
Rate for Payer: Clover Medicare Advantage	$3.80
Rate for Payer: EmblemHealth Commercial	$12.00
Rate for Payer: Humana Medicare Advantage	$4.12
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	$4.00
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$4.24
Rate for Payer: Wellcare Medicare Advantage	$4.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$15,880.57

CSF PROTEIN ELECTROPHORESIS I

Facility

$390.00

Service Code	HCPCS 84157
Hospital Charge Code	3990163A
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CSF PROTEIN ELECTROPHORESIS II

Facility

$390.00

Service Code	HCPCS 84166
Hospital Charge Code	3990163B
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CSF PROTEIN ELECTROPHORESIS II

Facility

$390.00

Service Code	HCPCS 84166
Hospital Charge Code	3990163B
Hospital Revenue Code	301
Min. Negotiated Rate	$8.91
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$57.77
Rate for Payer: Aetna Medicare Advantage	$17.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.33
Rate for Payer: Cigna Commercial	$17.83
Rate for Payer: Cigna Medicare Advantage	$8.91
Rate for Payer: Clover Medicare Advantage	$16.94
Rate for Payer: EmblemHealth Commercial	$53.49
Rate for Payer: Humana Medicare Advantage	$18.36
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	$17.83
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$18.90
Rate for Payer: Wellcare Medicare Advantage	$17.83

CSF VENTRICULAR CATHETER

Facility

$318.00

Hospital Charge Code	270332021
Hospital Revenue Code	272
Min. Negotiated Rate	$41.34
Max. Negotiated Rate	$159.00
Rate for Payer: Aetna Commercial	$95.40
Rate for Payer: Aetna Medicare Advantage	$95.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.09
Rate for Payer: Cigna Commercial	$159.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.34
Rate for Payer: Oxford Commercial	$159.00
Rate for Payer: Qualcare PPO/HMO/WC	$47.70
Rate for Payer: UnitedHealthcare Commercial	$159.00

Know your out-of-pocket cost for care.

All Charges