Heights University Hospital

All Charges

Charge

Type

Setting

Price

DEMI-REGROTON

Facility

$3.00

Hospital Charge Code	60634465
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

DEMO EVAL INH DEVICE

Facility

$182.75

Service Code	HCPCS 94664
Hospital Charge Code	9500620
Hospital Revenue Code	410
Min. Negotiated Rate	$23.76
Max. Negotiated Rate	$1,004.00
Rate for Payer: Aetna Commercial	$54.83
Rate for Payer: Aetna Medicare Advantage	$54.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$73.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.60
Rate for Payer: Cigna Commercial	$521.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.76
Rate for Payer: Oxford Commercial	$885.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.41
Rate for Payer: UnitedHealthcare Commercial	$1,004.00

DEMO EVAL INH DEVICE

Facility

$182.75

Service Code	HCPCS 94664
Hospital Charge Code	9500620
Hospital Revenue Code	410
Min. Negotiated Rate	$27.41
Max. Negotiated Rate	$27.41
Rate for Payer: Qualcare PPO/HMO/WC	$27.41

DEMO/EVAL INH DEVICE

Facility

$58.41

Service Code	HCPCS 94664
Hospital Charge Code	87502735
Hospital Revenue Code	412
Min. Negotiated Rate	$7.59
Max. Negotiated Rate	$1,004.00
Rate for Payer: Aetna Commercial	$17.52
Rate for Payer: Aetna Medicare Advantage	$17.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$73.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.89
Rate for Payer: Cigna Commercial	$521.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.59
Rate for Payer: Oxford Commercial	$885.00
Rate for Payer: Qualcare PPO/HMO/WC	$8.76
Rate for Payer: UnitedHealthcare Commercial	$1,004.00

DEMO/EVAL INH DEVICE

Facility

$58.41

Service Code	HCPCS 94664
Hospital Charge Code	87502735
Hospital Revenue Code	412
Min. Negotiated Rate	$8.76
Max. Negotiated Rate	$8.76
Rate for Payer: Qualcare PPO/HMO/WC	$8.76

DEMONSTRATION OF MDI/SVN/IPPB

Facility

$182.75

Service Code	HCPCS 94664
Hospital Charge Code	9501290
Hospital Revenue Code	410
Min. Negotiated Rate	$23.76
Max. Negotiated Rate	$1,004.00
Rate for Payer: Aetna Commercial	$54.83
Rate for Payer: Aetna Medicare Advantage	$54.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$73.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.60
Rate for Payer: Cigna Commercial	$521.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.76
Rate for Payer: Oxford Commercial	$885.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.41
Rate for Payer: UnitedHealthcare Commercial	$1,004.00

DEMONSTRATION OF MDI/SVN/IPPB

Facility

$182.75

Service Code	HCPCS 94664
Hospital Charge Code	9501290
Hospital Revenue Code	410
Min. Negotiated Rate	$27.41
Max. Negotiated Rate	$27.41
Rate for Payer: Qualcare PPO/HMO/WC	$27.41

DENGUE FEVER

Facility

$634.95

Hospital Charge Code	3035035
Hospital Revenue Code	302
Min. Negotiated Rate	$82.54
Max. Negotiated Rate	$317.48
Rate for Payer: Aetna Commercial	$190.49
Rate for Payer: Aetna Medicare Advantage	$190.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$161.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$161.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$161.91
Rate for Payer: Cigna Commercial	$317.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.54
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$95.24
Rate for Payer: UnitedHealthcare Commercial	$114.00

DENGUE FEVER

Facility

$93.65

Service Code	HCPCS 86790
Hospital Charge Code	3035035B
Hospital Revenue Code	302
Min. Negotiated Rate	$14.05
Max. Negotiated Rate	$14.05
Rate for Payer: Qualcare PPO/HMO/WC	$14.05

DENGUE FEVER

Facility

$634.95

Hospital Charge Code	3035035
Hospital Revenue Code	302
Min. Negotiated Rate	$95.24
Max. Negotiated Rate	$95.24
Rate for Payer: Qualcare PPO/HMO/WC	$95.24

DENGUE FEVER

Facility

$93.65

Service Code	HCPCS 86790
Hospital Charge Code	3035035B
Hospital Revenue Code	302
Min. Negotiated Rate	$6.44
Max. Negotiated Rate	$443.55
Rate for Payer: EmblemHealth Commercial	$38.64
Rate for Payer: Aetna Commercial	$41.73
Rate for Payer: Aetna Medicare Advantage	$12.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$443.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.19
Rate for Payer: Cigna Commercial	$12.88
Rate for Payer: Cigna Medicare Advantage	$6.44
Rate for Payer: Clover Medicare Advantage	$12.24
Rate for Payer: Humana Medicare Advantage	$13.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.17
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$14.05
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.88
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13.65
Rate for Payer: Wellcare Medicare Advantage	$12.88

DENGUE FEVER

Facility

$93.65

Service Code	HCPCS 86790
Hospital Charge Code	3035035A
Hospital Revenue Code	302
Min. Negotiated Rate	$14.05
Max. Negotiated Rate	$14.05
Rate for Payer: Qualcare PPO/HMO/WC	$14.05

DENGUE FEVER

Facility

$93.65

Service Code	HCPCS 86790
Hospital Charge Code	3035035A
Hospital Revenue Code	302
Min. Negotiated Rate	$6.44
Max. Negotiated Rate	$443.55
Rate for Payer: Aetna Commercial	$41.73
Rate for Payer: Aetna Medicare Advantage	$12.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$443.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.19
Rate for Payer: Cigna Commercial	$12.88
Rate for Payer: Cigna Medicare Advantage	$6.44
Rate for Payer: Clover Medicare Advantage	$12.24
Rate for Payer: EmblemHealth Commercial	$38.64
Rate for Payer: Humana Medicare Advantage	$13.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.17
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$14.05
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.88
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13.65
Rate for Payer: Wellcare Medicare Advantage	$12.88

DENGUE FEVER AB

Facility

$1,127.10

Service Code	HCPCS 86790
Hospital Charge Code	397040062
Hospital Revenue Code	302
Min. Negotiated Rate	$6.44
Max. Negotiated Rate	$443.55
Rate for Payer: Aetna Commercial	$41.73
Rate for Payer: Aetna Medicare Advantage	$12.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$443.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.19
Rate for Payer: Cigna Commercial	$12.88
Rate for Payer: Cigna Medicare Advantage	$6.44
Rate for Payer: Clover Medicare Advantage	$12.24
Rate for Payer: EmblemHealth Commercial	$38.64
Rate for Payer: Humana Medicare Advantage	$13.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.52
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$169.06
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.88
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13.65
Rate for Payer: Wellcare Medicare Advantage	$12.88

DENGUE FEVER AB

Facility

$1,127.10

Service Code	HCPCS 86790
Hospital Charge Code	397040062
Hospital Revenue Code	302
Min. Negotiated Rate	$169.06
Max. Negotiated Rate	$169.06
Rate for Payer: Qualcare PPO/HMO/WC	$169.06

DENGUE FEVER AB IGG, IGM, I

Facility

$390.00

Service Code	HCPCS 8679091
Hospital Charge Code	39990050A
Hospital Revenue Code	302
Min. Negotiated Rate	$50.70
Max. Negotiated Rate	$195.00
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	$195.00
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

DENGUE FEVER AB IGG, IGM, I

Facility

$390.00

Service Code	HCPCS 8679091
Hospital Charge Code	39990050A
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

DENGUE FEVER AB IGG, IGM, II

Facility

$390.00

Service Code	HCPCS 8679091
Hospital Charge Code	39990050B
Hospital Revenue Code	302
Min. Negotiated Rate	$50.70
Max. Negotiated Rate	$195.00
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	$195.00
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

DENGUE FEVER AB IGG, IGM, II

Facility

$390.00

Service Code	HCPCS 8679091
Hospital Charge Code	39990050B
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

DENOSUMAB 120 MG/1.7 ML ML

Facility

$14,728.07

Service Code	HCPCS J0897
Hospital Charge Code	6063943193
Hospital Revenue Code	636
Min. Negotiated Rate	$2,209.21
Max. Negotiated Rate	$4,418.42
Rate for Payer: Aetna Commercial	$4,418.42
Rate for Payer: Aetna Medicare Advantage	$4,418.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,755.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,755.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,755.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,564.19
Rate for Payer: Qualcare PPO/HMO/WC	$2,209.21

DENOSUMAB 120 MG/1.7 ML ML

Facility

$14,728.07

Service Code	HCPCS J0897
Hospital Charge Code	6063943193
Hospital Revenue Code	636
Min. Negotiated Rate	$2,209.21
Max. Negotiated Rate	$3,564.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,564.19
Rate for Payer: Qualcare PPO/HMO/WC	$2,209.21

DENOSUMAB 60MG/ML SOL (PROLIA)

Facility

$6,635.68

Service Code	HCPCS J0897
Hospital Charge Code	60630053
Hospital Revenue Code	636
Min. Negotiated Rate	$995.35
Max. Negotiated Rate	$1,990.70
Rate for Payer: Aetna Commercial	$1,990.70
Rate for Payer: Aetna Medicare Advantage	$1,990.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,692.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,692.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,692.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,605.83
Rate for Payer: Qualcare PPO/HMO/WC	$995.35

DENOSUMAB 60MG/ML SOL (PROLIA)

Facility

$6,635.68

Service Code	HCPCS J0897
Hospital Charge Code	60630053
Hospital Revenue Code	636
Min. Negotiated Rate	$995.35
Max. Negotiated Rate	$1,605.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,605.83
Rate for Payer: Qualcare PPO/HMO/WC	$995.35

DENTAL AND ORAL DISEASES WITH CC

Facility

$38,229.84

Service Code	MSDRG 158
Min. Negotiated Rate	$9,928.27
Max. Negotiated Rate	$38,229.84
Rate for Payer: Aetna Commercial	$30,678.35
Rate for Payer: Aetna Medicare Advantage	$9,928.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25,912.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25,912.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12,743.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25,912.98
Rate for Payer: Cigna Commercial	$19,579.81
Rate for Payer: Cigna Medicare Advantage	$12,743.28
Rate for Payer: Clover Medicare Advantage	$12,106.12
Rate for Payer: EmblemHealth Commercial	$38,229.84
Rate for Payer: Humana Medicare Advantage	$13,125.58
Rate for Payer: Oxford Commercial	$12,236.81
Rate for Payer: UnitedHealthcare Commercial	$13,889.92
Rate for Payer: UnitedHealthcare Medicare Advantage	$12,743.28
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13,507.88
Rate for Payer: Wellcare Medicare Advantage	$12,743.28

DENTAL AND ORAL DISEASES WITH MCC

Facility

$61,653.60

Service Code	MSDRG 157
Min. Negotiated Rate	$18,734.72
Max. Negotiated Rate	$61,653.60
Rate for Payer: Aetna Commercial	$57,890.28
Rate for Payer: Aetna Medicare Advantage	$18,734.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47,139.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47,139.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20,551.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47,139.57
Rate for Payer: Cigna Commercial	$36,947.25
Rate for Payer: Cigna Medicare Advantage	$20,551.20
Rate for Payer: Clover Medicare Advantage	$19,523.64
Rate for Payer: EmblemHealth Commercial	$61,653.60
Rate for Payer: Humana Medicare Advantage	$21,167.74
Rate for Payer: Oxford Commercial	$23,090.96
Rate for Payer: UnitedHealthcare Commercial	$26,210.39
Rate for Payer: UnitedHealthcare Medicare Advantage	$20,551.20
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$21,784.27
Rate for Payer: Wellcare Medicare Advantage	$20,551.20

Know your out-of-pocket cost for care.

All Charges