Heights University Hospital

All Charges

Charge

Type

Setting

Price

CYST W INS INDWELLING URTR ST

Facility

$32,050.10

Service Code	HCPCS 52332
Hospital Charge Code	16000757
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$9,615.03
Rate for Payer: Aetna Commercial	$9,615.03
Rate for Payer: Aetna Medicare Advantage	$9,615.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,172.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,172.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,172.78
Rate for Payer: Cigna Commercial	$8,394.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,166.51
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,807.52
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

CYST W REMFB/STNT UR/BLD, CML

Facility

$23,841.70

Service Code	HCPCS 52315
Hospital Charge Code	1600000323
Hospital Revenue Code	360
Min. Negotiated Rate	$3,576.26
Max. Negotiated Rate	$3,576.26
Rate for Payer: Qualcare PPO/HMO/WC	$3,576.26

CYST W REMFB/STNT UR/BLD, CML

Facility

$23,841.70

Service Code	HCPCS 52315
Hospital Charge Code	1600000323
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,152.51
Rate for Payer: Aetna Commercial	$7,152.51
Rate for Payer: Aetna Medicare Advantage	$7,152.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,079.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,079.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,079.63
Rate for Payer: Cigna Commercial	$4,978.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,099.42
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,576.26
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

CYTADREN/250MG/TAB

Facility

$3.00

Hospital Charge Code	60634364
Hospital Revenue Code	250
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

CYTADREN/250MG/TAB

Facility

$3.00

Hospital Charge Code	60634364
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

CYTAL ACEL WND MATRIX 7X10CM

Facility

$14,241.00

Service Code	HCPCS Q4166
Hospital Charge Code	270696524
Hospital Revenue Code	278
Min. Negotiated Rate	$2,136.15
Max. Negotiated Rate	$3,446.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,848.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,446.32
Rate for Payer: Qualcare PPO/HMO/WC	$2,136.15

CYTAL ACEL WND MATRIX 7X10CM

Facility

$14,241.00

Service Code	HCPCS Q4166
Hospital Charge Code	270696524
Hospital Revenue Code	278
Min. Negotiated Rate	$296.35
Max. Negotiated Rate	$4,272.30
Rate for Payer: Aetna Commercial	$4,272.30
Rate for Payer: Aetna Medicare Advantage	$4,272.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,631.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,631.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,848.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,631.45
Rate for Payer: Cigna Commercial	$296.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,446.32
Rate for Payer: Qualcare PPO/HMO/WC	$2,136.15

CYTARABINE 500 MG

Facility

$172.00

Hospital Charge Code	60632768
Hospital Revenue Code	636
Min. Negotiated Rate	$25.80
Max. Negotiated Rate	$86.00
Rate for Payer: Aetna Commercial	$51.60
Rate for Payer: Aetna Medicare Advantage	$51.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.86
Rate for Payer: Cigna Commercial	$86.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.62
Rate for Payer: Qualcare PPO/HMO/WC	$25.80

CYTARABINE 500 MG

Facility

$172.00

Hospital Charge Code	60632768
Hospital Revenue Code	636
Min. Negotiated Rate	$25.80
Max. Negotiated Rate	$41.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.62
Rate for Payer: Qualcare PPO/HMO/WC	$25.80

CYTARABINE HCL INJ 100MG

Facility

$34.60

Hospital Charge Code	6001564
Hospital Revenue Code	250
Min. Negotiated Rate	$4.50
Max. Negotiated Rate	$17.30
Rate for Payer: Aetna Commercial	$10.38
Rate for Payer: Aetna Medicare Advantage	$10.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.82
Rate for Payer: Cigna Commercial	$17.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.50
Rate for Payer: Oxford Commercial	$17.30
Rate for Payer: Qualcare PPO/HMO/WC	$5.19
Rate for Payer: UnitedHealthcare Commercial	$17.30

CYTARABINE HCL INJ 100MG

Facility

$34.60

Hospital Charge Code	6001564
Hospital Revenue Code	250
Min. Negotiated Rate	$5.19
Max. Negotiated Rate	$5.19
Rate for Payer: Qualcare PPO/HMO/WC	$5.19

CYTO BRONCHIAL BRUSHING

Facility

$264.85

Service Code	HCPCS 88104
Hospital Charge Code	3005337
Hospital Revenue Code	311
Min. Negotiated Rate	$39.73
Max. Negotiated Rate	$39.73
Rate for Payer: Qualcare PPO/HMO/WC	$39.73

CYTO BRONCHIAL BRUSHING

Facility

$264.85

Service Code	HCPCS 88104
Hospital Charge Code	3005337
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

CYTO BRONCHIAL WASHING

Facility

$264.85

Service Code	HCPCS 88104
Hospital Charge Code	3005329
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

CYTO BRONCHIAL WASHING

Facility

$264.85

Service Code	HCPCS 88104
Hospital Charge Code	3005329
Hospital Revenue Code	311
Min. Negotiated Rate	$39.73
Max. Negotiated Rate	$39.73
Rate for Payer: Qualcare PPO/HMO/WC	$39.73

CYTO CELL BLOCK

Facility

$692.10

Service Code	HCPCS 88305
Hospital Charge Code	3005204
Hospital Revenue Code	310
Min. Negotiated Rate	$103.81
Max. Negotiated Rate	$103.81
Rate for Payer: Qualcare PPO/HMO/WC	$103.81

CYTO CELL BLOCK

Facility

$692.10

Service Code	HCPCS 88305
Hospital Charge Code	3005204
Hospital Revenue Code	310
Min. Negotiated Rate	$39.47
Max. Negotiated Rate	$207.63
Rate for Payer: Aetna Commercial	$207.63
Rate for Payer: Aetna Medicare Advantage	$207.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$176.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$176.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$176.49
Rate for Payer: Cigna Commercial	$124.10
Rate for Payer: Cigna Medicare Advantage	$39.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.97
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$103.81
Rate for Payer: UnitedHealthcare Commercial	$114.00

CYTOCENT 2

Facility

$390.00

Service Code	HCPCS 88108
Hospital Charge Code	3005360
Hospital Revenue Code	311
Min. Negotiated Rate	$39.18
Max. Negotiated Rate	$117.00
Rate for Payer: Aetna Commercial	$117.00
Rate for Payer: Aetna Medicare Advantage	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.45
Rate for Payer: Cigna Commercial	$88.94
Rate for Payer: Cigna Medicare Advantage	$39.18
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

CYTOCENT 2

Facility

$390.00

Service Code	HCPCS 88108
Hospital Charge Code	3005360
Hospital Revenue Code	311
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CYTOCHROME P450 2C9 GENOTYPING

Facility

$100.00

Service Code	HCPCS 81227
Hospital Charge Code	3038094
Hospital Revenue Code	310
Min. Negotiated Rate	$15.00
Max. Negotiated Rate	$15.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.00

CYTOCHROME P450 2C9 GENOTYPING

Facility

$100.00

Service Code	HCPCS 81227
Hospital Charge Code	3038094
Hospital Revenue Code	310
Min. Negotiated Rate	$13.00
Max. Negotiated Rate	$640.50
Rate for Payer: Aetna Commercial	$566.38
Rate for Payer: Aetna Medicare Advantage	$174.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$640.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$640.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$174.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$640.50
Rate for Payer: Cigna Commercial	$174.81
Rate for Payer: Cigna Medicare Advantage	$87.41
Rate for Payer: Clover Medicare Advantage	$166.07
Rate for Payer: EmblemHealth Commercial	$524.43
Rate for Payer: Humana Medicare Advantage	$180.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.00
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$174.81
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$185.30
Rate for Payer: Wellcare Medicare Advantage	$174.81

CYTO-CONCENTRATION TECHNIQUE

Facility

$390.00

Service Code	HCPCS 88108
Hospital Charge Code	38474153
Hospital Revenue Code	311
Min. Negotiated Rate	$39.18
Max. Negotiated Rate	$117.00
Rate for Payer: Aetna Commercial	$117.00
Rate for Payer: Aetna Medicare Advantage	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.45
Rate for Payer: Cigna Commercial	$88.94
Rate for Payer: Cigna Medicare Advantage	$39.18
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

CYTO-CONCENTRATION TECHNIQUE

Facility

$390.00

Service Code	HCPCS 88108
Hospital Charge Code	38474153
Hospital Revenue Code	311
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CYTO FINE NEEDLE ASPIRATE

Facility

$538.00

Service Code	HCPCS 88172
Hospital Charge Code	3005287
Hospital Revenue Code	311
Min. Negotiated Rate	$80.70
Max. Negotiated Rate	$80.70
Rate for Payer: Qualcare PPO/HMO/WC	$80.70

CYTO FINE NEEDLE ASPIRATE

Facility

$538.00

Service Code	HCPCS 88172
Hospital Charge Code	3005287
Hospital Revenue Code	311
Min. Negotiated Rate	$30.27
Max. Negotiated Rate	$405.73
Rate for Payer: Aetna Commercial	$161.40
Rate for Payer: Aetna Medicare Advantage	$161.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$137.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$137.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$137.19
Rate for Payer: Cigna Commercial	$405.73
Rate for Payer: Cigna Medicare Advantage	$30.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.94
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$80.70
Rate for Payer: UnitedHealthcare Commercial	$114.00

Know your out-of-pocket cost for care.

All Charges