Heights University Hospital

All Charges

Charge

Type

Setting

Price

CULTURE BACTERIA XCPT BLOOD-SO

Facility

$63.93

Service Code	HCPCS 87075
Hospital Charge Code	40134446B
Hospital Revenue Code	306
Min. Negotiated Rate	$9.59
Max. Negotiated Rate	$9.59
Rate for Payer: Qualcare PPO/HMO/WC	$9.59

CULTURE, BLOOD

Facility

$667.56

Service Code	HCPCS 87040
Hospital Charge Code	3008851
Hospital Revenue Code	306
Min. Negotiated Rate	$5.16
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$33.44
Rate for Payer: Aetna Medicare Advantage	$10.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10.32
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	$37.81
Rate for Payer: Cigna Commercial	$10.32
Rate for Payer: Cigna Medicare Advantage	$5.16
Rate for Payer: Clover Medicare Advantage	$9.80
Rate for Payer: EmblemHealth Commercial	$30.96
Rate for Payer: Humana Medicare Advantage	$10.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.78
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$100.13
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$10.32
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$10.94
Rate for Payer: Wellcare Medicare Advantage	$10.32

CULTURE, BLOOD

Facility

$667.56

Service Code	HCPCS 87040
Hospital Charge Code	3008851
Hospital Revenue Code	306
Min. Negotiated Rate	$100.13
Max. Negotiated Rate	$100.13
Rate for Payer: Qualcare PPO/HMO/WC	$100.13

CULTURE,BLOOD

Facility

$70.95

Service Code	HCPCS 87040
Hospital Charge Code	39900263
Hospital Revenue Code	306
Min. Negotiated Rate	$10.64
Max. Negotiated Rate	$10.64
Rate for Payer: Qualcare PPO/HMO/WC	$10.64

CULTURE,BLOOD

Facility

$70.95

Service Code	HCPCS 87040
Hospital Charge Code	39900263
Hospital Revenue Code	306
Min. Negotiated Rate	$5.16
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$33.44
Rate for Payer: Aetna Medicare Advantage	$10.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10.32
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	$37.81
Rate for Payer: Cigna Commercial	$10.32
Rate for Payer: Cigna Medicare Advantage	$5.16
Rate for Payer: Clover Medicare Advantage	$9.80
Rate for Payer: EmblemHealth Commercial	$30.96
Rate for Payer: Humana Medicare Advantage	$10.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.22
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.64
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$10.32
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$10.94
Rate for Payer: Wellcare Medicare Advantage	$10.32

CULTURE, BODY FLUID

Facility

$667.59

Service Code	HCPCS 87070
Hospital Charge Code	3009503
Hospital Revenue Code	306
Min. Negotiated Rate	$4.31
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$27.93
Rate for Payer: Aetna Medicare Advantage	$8.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8.62
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	$31.58
Rate for Payer: Cigna Commercial	$8.62
Rate for Payer: Cigna Medicare Advantage	$4.31
Rate for Payer: Clover Medicare Advantage	$8.19
Rate for Payer: EmblemHealth Commercial	$25.86
Rate for Payer: Humana Medicare Advantage	$8.88
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	$8.62
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$9.14
Rate for Payer: Wellcare Medicare Advantage	$8.62

CULTURE, BODY FLUID

Facility

$667.59

Service Code	HCPCS 87070
Hospital Charge Code	3009503
Hospital Revenue Code	306
Min. Negotiated Rate	$100.14
Max. Negotiated Rate	$100.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.14

CULTURE, BONE MARROW

Facility

$148.87

Service Code	HCPCS 87040
Hospital Charge Code	3009925
Hospital Revenue Code	306
Min. Negotiated Rate	$5.16
Max. Negotiated Rate	$114.00
Rate for Payer: Clover Medicare Advantage	$9.80
Rate for Payer: EmblemHealth Commercial	$30.96
Rate for Payer: Aetna Commercial	$33.44
Rate for Payer: Aetna Medicare Advantage	$10.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10.32
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	$37.81
Rate for Payer: Cigna Commercial	$10.32
Rate for Payer: Cigna Medicare Advantage	$5.16
Rate for Payer: Humana Medicare Advantage	$10.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.35
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.33
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$10.32
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$10.94
Rate for Payer: Wellcare Medicare Advantage	$10.32

CULTURE, BONE MARROW

Facility

$148.87

Service Code	HCPCS 87040
Hospital Charge Code	3009925
Hospital Revenue Code	306
Min. Negotiated Rate	$22.33
Max. Negotiated Rate	$22.33
Rate for Payer: Qualcare PPO/HMO/WC	$22.33

CULTURE, BRONCHIAL WASHING

Facility

$390.00

Service Code	HCPCS 87070
Hospital Charge Code	3009966
Hospital Revenue Code	306
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CULTURE, BRONCHIAL WASHING

Facility

$390.00

Service Code	HCPCS 87070
Hospital Charge Code	3009966
Hospital Revenue Code	306
Min. Negotiated Rate	$4.31
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$27.93
Rate for Payer: Aetna Medicare Advantage	$8.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8.62
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	$31.58
Rate for Payer: Cigna Commercial	$8.62
Rate for Payer: Cigna Medicare Advantage	$4.31
Rate for Payer: Clover Medicare Advantage	$8.19
Rate for Payer: EmblemHealth Commercial	$25.86
Rate for Payer: Humana Medicare Advantage	$8.88
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	$8.62
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$9.14
Rate for Payer: Wellcare Medicare Advantage	$8.62

Culture, Campylobacter

Facility

$82.19

Service Code	HCPCS 4475
Hospital Charge Code	3000075
Hospital Revenue Code	306
Min. Negotiated Rate	$10.68
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$24.66
Rate for Payer: Aetna Medicare Advantage	$24.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.96
Rate for Payer: Cigna Commercial	$41.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.68
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.33
Rate for Payer: UnitedHealthcare Commercial	$114.00

Culture, Campylobacter

Facility

$82.19

Service Code	HCPCS 4475
Hospital Charge Code	3000075
Hospital Revenue Code	306
Min. Negotiated Rate	$12.33
Max. Negotiated Rate	$12.33
Rate for Payer: Qualcare PPO/HMO/WC	$12.33

CULTURE CAMPYLOBACTER

Facility

$390.00

Service Code	HCPCS 87046
Hospital Charge Code	401187046B
Hospital Revenue Code	306
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CULTURE CAMPYLOBACTER

Facility

$390.00

Service Code	HCPCS 87046
Hospital Charge Code	401187046B
Hospital Revenue Code	306
Min. Negotiated Rate	$4.72
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$30.59
Rate for Payer: Aetna Medicare Advantage	$9.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.59
Rate for Payer: Cigna Commercial	$9.44
Rate for Payer: Cigna Medicare Advantage	$4.72
Rate for Payer: Clover Medicare Advantage	$8.97
Rate for Payer: EmblemHealth Commercial	$28.32
Rate for Payer: Humana Medicare Advantage	$9.72
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	$9.44
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$10.01
Rate for Payer: Wellcare Medicare Advantage	$9.44

CULTURE, CAMPYLOBACTER

Facility

$390.00

Service Code	HCPCS 87046
Hospital Charge Code	39990244
Hospital Revenue Code	309
Min. Negotiated Rate	$4.72
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$30.59
Rate for Payer: Aetna Medicare Advantage	$9.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.59
Rate for Payer: Cigna Commercial	$9.44
Rate for Payer: Cigna Medicare Advantage	$4.72
Rate for Payer: Clover Medicare Advantage	$8.97
Rate for Payer: EmblemHealth Commercial	$28.32
Rate for Payer: Humana Medicare Advantage	$9.72
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	$9.44
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$10.01
Rate for Payer: Wellcare Medicare Advantage	$9.44

CULTURE, CAMPYLOBACTER

Facility

$390.00

Service Code	HCPCS 87046
Hospital Charge Code	39990244
Hospital Revenue Code	309
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CULTURE, CHLAMYDIA

Facility

$225.65

Service Code	HCPCS 87110
Hospital Charge Code	3006764
Hospital Revenue Code	309
Min. Negotiated Rate	$9.80
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$63.50
Rate for Payer: Aetna Medicare Advantage	$19.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71.81
Rate for Payer: Cigna Commercial	$19.60
Rate for Payer: Cigna Medicare Advantage	$9.80
Rate for Payer: Clover Medicare Advantage	$18.62
Rate for Payer: EmblemHealth Commercial	$58.80
Rate for Payer: Humana Medicare Advantage	$20.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.33
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.85
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$19.60
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$20.78
Rate for Payer: Wellcare Medicare Advantage	$19.60

CULTURE, CHLAMYDIA

Facility

$225.65

Service Code	HCPCS 87110
Hospital Charge Code	3006764
Hospital Revenue Code	309
Min. Negotiated Rate	$33.85
Max. Negotiated Rate	$33.85
Rate for Payer: Qualcare PPO/HMO/WC	$33.85

CULTURE, CLOSTRIDIUM DIFFICILE

Facility

$179.25

Service Code	HCPCS 87075
Hospital Charge Code	3009123
Hospital Revenue Code	309
Min. Negotiated Rate	$4.74
Max. Negotiated Rate	$114.00
Rate for Payer: Cigna Commercial	$9.47
Rate for Payer: Aetna Commercial	$30.68
Rate for Payer: Aetna Medicare Advantage	$9.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.47
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	$34.70
Rate for Payer: Cigna Medicare Advantage	$4.74
Rate for Payer: Clover Medicare Advantage	$9.00
Rate for Payer: EmblemHealth Commercial	$28.41
Rate for Payer: Humana Medicare Advantage	$9.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.30
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$26.89
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.47
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$10.04
Rate for Payer: Wellcare Medicare Advantage	$9.47

CULTURE, CLOSTRIDIUM DIFFICILE

Facility

$179.25

Service Code	HCPCS 87075
Hospital Charge Code	3009123
Hospital Revenue Code	309
Min. Negotiated Rate	$26.89
Max. Negotiated Rate	$26.89
Rate for Payer: Qualcare PPO/HMO/WC	$26.89

CULTURE, CMV

Facility

$213.00

Service Code	HCPCS 87252
Hospital Charge Code	38475010
Hospital Revenue Code	309
Min. Negotiated Rate	$13.04
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$84.47
Rate for Payer: Aetna Medicare Advantage	$26.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$26.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.52
Rate for Payer: Cigna Commercial	$26.07
Rate for Payer: Cigna Medicare Advantage	$13.04
Rate for Payer: Clover Medicare Advantage	$24.77
Rate for Payer: EmblemHealth Commercial	$78.21
Rate for Payer: Humana Medicare Advantage	$26.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.69
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$31.95
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$26.07
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$27.63
Rate for Payer: Wellcare Medicare Advantage	$26.07

CULTURE, CMV

Facility

$213.00

Service Code	HCPCS 87252
Hospital Charge Code	38475010
Hospital Revenue Code	309
Min. Negotiated Rate	$31.95
Max. Negotiated Rate	$31.95
Rate for Payer: Qualcare PPO/HMO/WC	$31.95

CULTURE, CMV, CYTOMEGALOVIRUS

Facility

$287.25

Service Code	HCPCS 87252
Hospital Charge Code	3006608
Hospital Revenue Code	309
Min. Negotiated Rate	$13.04
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$84.47
Rate for Payer: Aetna Medicare Advantage	$26.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$26.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.52
Rate for Payer: Cigna Commercial	$26.07
Rate for Payer: Cigna Medicare Advantage	$13.04
Rate for Payer: Clover Medicare Advantage	$24.77
Rate for Payer: EmblemHealth Commercial	$78.21
Rate for Payer: Humana Medicare Advantage	$26.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.34
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$43.09
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$26.07
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$27.63
Rate for Payer: Wellcare Medicare Advantage	$26.07

CULTURE, CMV, CYTOMEGALOVIRUS

Facility

$287.25

Service Code	HCPCS 87252
Hospital Charge Code	3006608
Hospital Revenue Code	309
Min. Negotiated Rate	$43.09
Max. Negotiated Rate	$43.09
Rate for Payer: Qualcare PPO/HMO/WC	$43.09

Know your out-of-pocket cost for care.

All Charges