Heights University Hospital

All Charges

Charge

Type

Setting

Price

DETECT BY NUC ACD STAPHYLOCOCC

Facility

$248.54

Service Code	HCPCS 87640
Hospital Charge Code	38477197
Hospital Revenue Code	306
Min. Negotiated Rate	$17.55
Max. Negotiated Rate	$128.57
Rate for Payer: Aetna Commercial	$113.69
Rate for Payer: Aetna Medicare Advantage	$35.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$128.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$128.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$35.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$128.57
Rate for Payer: Cigna Commercial	$35.09
Rate for Payer: Cigna Medicare Advantage	$17.55
Rate for Payer: Clover Medicare Advantage	$33.34
Rate for Payer: EmblemHealth Commercial	$105.27
Rate for Payer: Humana Medicare Advantage	$36.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.31
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.28
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$35.09
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$37.20
Rate for Payer: Wellcare Medicare Advantage	$35.09

DETECT BY NUC ACID CYTOMEGALOV

Facility

$141.99

Service Code	HCPCS 87495
Hospital Charge Code	38477160
Hospital Revenue Code	306
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$21.30
Rate for Payer: Qualcare PPO/HMO/WC	$21.30

DETECT BY NUC ACID CYTOMEGALOV

Facility

$141.99

Service Code	HCPCS 87495
Hospital Charge Code	38477160
Hospital Revenue Code	306
Min. Negotiated Rate	$15.02
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$97.30
Rate for Payer: Aetna Medicare Advantage	$30.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$110.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$110.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$30.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$110.03
Rate for Payer: Cigna Commercial	$30.03
Rate for Payer: Cigna Medicare Advantage	$15.02
Rate for Payer: Clover Medicare Advantage	$28.53
Rate for Payer: EmblemHealth Commercial	$90.09
Rate for Payer: Humana Medicare Advantage	$30.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.46
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.30
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$30.03
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$31.83
Rate for Payer: Wellcare Medicare Advantage	$30.03

DETECT BY NUC ACID GARDNERELLA

Facility

$141.99

Service Code	HCPCS 87510
Hospital Charge Code	38477161
Hospital Revenue Code	306
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$21.30
Rate for Payer: Qualcare PPO/HMO/WC	$21.30

DETECT BY NUC ACID GARDNERELLA

Facility

$141.99

Service Code	HCPCS 87510
Hospital Charge Code	38477161
Hospital Revenue Code	306
Min. Negotiated Rate	$10.03
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$64.96
Rate for Payer: Aetna Medicare Advantage	$20.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$73.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$73.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$73.46
Rate for Payer: Cigna Commercial	$20.05
Rate for Payer: Cigna Medicare Advantage	$10.03
Rate for Payer: Clover Medicare Advantage	$19.05
Rate for Payer: EmblemHealth Commercial	$60.15
Rate for Payer: Humana Medicare Advantage	$20.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.46
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.30
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$20.05
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$21.25
Rate for Payer: Wellcare Medicare Advantage	$20.05

DETECT BY NUC ACID MULT ORG AM

Facility

$497.99

Service Code	HCPCS 87801
Hospital Charge Code	38477229
Hospital Revenue Code	306
Min. Negotiated Rate	$74.70
Max. Negotiated Rate	$74.70
Rate for Payer: Qualcare PPO/HMO/WC	$74.70

DETECT BY NUC ACID MULT ORG AM

Facility

$497.99

Service Code	HCPCS 87801
Hospital Charge Code	38477229
Hospital Revenue Code	306
Min. Negotiated Rate	$35.10
Max. Negotiated Rate	$257.21
Rate for Payer: Aetna Commercial	$227.45
Rate for Payer: Aetna Medicare Advantage	$70.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$257.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$257.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$70.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$257.21
Rate for Payer: Cigna Commercial	$70.20
Rate for Payer: Cigna Medicare Advantage	$35.10
Rate for Payer: Clover Medicare Advantage	$66.69
Rate for Payer: EmblemHealth Commercial	$210.60
Rate for Payer: Humana Medicare Advantage	$72.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.74
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$74.70
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$70.20
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$74.41
Rate for Payer: Wellcare Medicare Advantage	$70.20

DETECT BY NUCL ACD CLOSTRIDIUM

Facility

$248.54

Service Code	HCPCS 87493
Hospital Charge Code	38477193
Hospital Revenue Code	306
Min. Negotiated Rate	$18.64
Max. Negotiated Rate	$136.56
Rate for Payer: Aetna Commercial	$120.75
Rate for Payer: Aetna Medicare Advantage	$37.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$37.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.56
Rate for Payer: Cigna Commercial	$37.27
Rate for Payer: Cigna Medicare Advantage	$18.64
Rate for Payer: Clover Medicare Advantage	$35.41
Rate for Payer: EmblemHealth Commercial	$111.81
Rate for Payer: Humana Medicare Advantage	$38.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.31
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.28
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$37.27
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$39.51
Rate for Payer: Wellcare Medicare Advantage	$37.27

DETECT BY NUCL ACD CLOSTRIDIUM

Facility

$248.54

Service Code	HCPCS 87493
Hospital Charge Code	38477193
Hospital Revenue Code	306
Min. Negotiated Rate	$37.28
Max. Negotiated Rate	$37.28
Rate for Payer: Qualcare PPO/HMO/WC	$37.28

DETECT BY NUCL ACD HEPATITIS B

Facility

$248.54

Service Code	HCPCS 87516
Hospital Charge Code	38477195
Hospital Revenue Code	306
Min. Negotiated Rate	$17.55
Max. Negotiated Rate	$128.57
Rate for Payer: Aetna Commercial	$113.69
Rate for Payer: Aetna Medicare Advantage	$35.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$128.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$128.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$35.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$128.57
Rate for Payer: Cigna Commercial	$35.09
Rate for Payer: Cigna Medicare Advantage	$17.55
Rate for Payer: Clover Medicare Advantage	$33.34
Rate for Payer: EmblemHealth Commercial	$105.27
Rate for Payer: Humana Medicare Advantage	$36.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.31
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.28
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$35.09
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$37.20
Rate for Payer: Wellcare Medicare Advantage	$35.09

DETECT BY NUCL ACD HEPATITIS B

Facility

$248.54

Service Code	HCPCS 87516
Hospital Charge Code	38477195
Hospital Revenue Code	306
Min. Negotiated Rate	$37.28
Max. Negotiated Rate	$37.28
Rate for Payer: Qualcare PPO/HMO/WC	$37.28

DETECT BY NUCLEIC ACD ENTEROV

Facility

$248.54

Service Code	HCPCS 87498
Hospital Charge Code	38477194
Hospital Revenue Code	306
Min. Negotiated Rate	$37.28
Max. Negotiated Rate	$37.28
Rate for Payer: Qualcare PPO/HMO/WC	$37.28

DETECT BY NUCLEIC ACD ENTEROV

Facility

$248.54

Service Code	HCPCS 87498
Hospital Charge Code	38477194
Hospital Revenue Code	306
Min. Negotiated Rate	$17.55
Max. Negotiated Rate	$128.57
Rate for Payer: Aetna Commercial	$113.69
Rate for Payer: Aetna Medicare Advantage	$35.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$128.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$128.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$35.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$128.57
Rate for Payer: Cigna Commercial	$35.09
Rate for Payer: Cigna Medicare Advantage	$17.55
Rate for Payer: Clover Medicare Advantage	$33.34
Rate for Payer: EmblemHealth Commercial	$105.27
Rate for Payer: Humana Medicare Advantage	$36.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.31
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.28
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$35.09
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$37.20
Rate for Payer: Wellcare Medicare Advantage	$35.09

DETECT BY NUCLEIC ACID CHLAMYD

Facility

$141.99

Service Code	HCPCS 87490
Hospital Charge Code	38477159
Hospital Revenue Code	306
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$21.30
Rate for Payer: Qualcare PPO/HMO/WC	$21.30

DETECT BY NUCLEIC ACID CHLAMYD

Facility

$141.99

Service Code	HCPCS 87490
Hospital Charge Code	38477159
Hospital Revenue Code	306
Min. Negotiated Rate	$11.38
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$73.71
Rate for Payer: Aetna Medicare Advantage	$22.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$22.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.36
Rate for Payer: Cigna Commercial	$22.75
Rate for Payer: Cigna Medicare Advantage	$11.38
Rate for Payer: Clover Medicare Advantage	$21.61
Rate for Payer: EmblemHealth Commercial	$68.25
Rate for Payer: Humana Medicare Advantage	$23.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.46
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.30
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$22.75
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$24.11
Rate for Payer: Wellcare Medicare Advantage	$22.75

DETECT NUCLEIC ACID CANDIDA DI

Facility

$141.99

Service Code	HCPCS 87480
Hospital Charge Code	38477158
Hospital Revenue Code	306
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$21.30
Rate for Payer: Qualcare PPO/HMO/WC	$21.30

DETECT NUCLEIC ACID CANDIDA DI

Facility

$141.99

Service Code	HCPCS 87480
Hospital Charge Code	38477158
Hospital Revenue Code	306
Min. Negotiated Rate	$10.03
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$64.96
Rate for Payer: Aetna Medicare Advantage	$20.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$73.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$73.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$73.46
Rate for Payer: Cigna Commercial	$20.05
Rate for Payer: Cigna Medicare Advantage	$10.03
Rate for Payer: Clover Medicare Advantage	$19.05
Rate for Payer: EmblemHealth Commercial	$60.15
Rate for Payer: Humana Medicare Advantage	$20.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.46
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.30
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$20.05
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$21.25
Rate for Payer: Wellcare Medicare Advantage	$20.05

DETECTOR C02 ADULT

Facility

$37.50

Hospital Charge Code	270646412
Hospital Revenue Code	270
Min. Negotiated Rate	$5.62
Max. Negotiated Rate	$5.62
Rate for Payer: Qualcare PPO/HMO/WC	$5.62

DETECTOR C02 ADULT

Facility

$37.50

Hospital Charge Code	270646412
Hospital Revenue Code	270
Min. Negotiated Rate	$4.88
Max. Negotiated Rate	$18.75
Rate for Payer: Aetna Commercial	$11.25
Rate for Payer: Aetna Medicare Advantage	$11.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.56
Rate for Payer: Cigna Commercial	$18.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.88
Rate for Payer: Oxford Commercial	$18.75
Rate for Payer: Qualcare PPO/HMO/WC	$5.62
Rate for Payer: UnitedHealthcare Commercial	$18.75

DETECTOR CO2 DISP *****

Facility

$108.00

Hospital Charge Code	8003626
Hospital Revenue Code	279
Min. Negotiated Rate	$16.20
Max. Negotiated Rate	$16.20
Rate for Payer: Qualcare PPO/HMO/WC	$16.20

DETECTOR CO2 DISP *****

Facility

$108.00

Hospital Charge Code	8003626
Hospital Revenue Code	279
Min. Negotiated Rate	$14.04
Max. Negotiated Rate	$54.00
Rate for Payer: Aetna Commercial	$32.40
Rate for Payer: Aetna Medicare Advantage	$32.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.54
Rate for Payer: Cigna Commercial	$54.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.04
Rate for Payer: Oxford Commercial	$54.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.20
Rate for Payer: UnitedHealthcare Commercial	$54.00

DETECTOR CO2 PEDIATRIC PEDICAP

Facility

$76.85

Hospital Charge Code	270608072
Hospital Revenue Code	272
Min. Negotiated Rate	$9.99
Max. Negotiated Rate	$38.42
Rate for Payer: Aetna Commercial	$23.05
Rate for Payer: Aetna Medicare Advantage	$23.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.60
Rate for Payer: Cigna Commercial	$38.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.99
Rate for Payer: Oxford Commercial	$38.42
Rate for Payer: Qualcare PPO/HMO/WC	$11.53
Rate for Payer: UnitedHealthcare Commercial	$38.42

DETECTOR CO2 PEDIATRIC PEDICAP

Facility

$76.85

Hospital Charge Code	270608072
Hospital Revenue Code	272
Min. Negotiated Rate	$11.53
Max. Negotiated Rate	$11.53
Rate for Payer: Qualcare PPO/HMO/WC	$11.53

DETECTOR CO2 STATCO2 END TIDAL

Facility

$71.84

Hospital Charge Code	270645180
Hospital Revenue Code	271
Min. Negotiated Rate	$10.78
Max. Negotiated Rate	$10.78
Rate for Payer: Qualcare PPO/HMO/WC	$10.78

DETECTOR CO2 STATCO2 END TIDAL

Facility

$71.84

Hospital Charge Code	270645180
Hospital Revenue Code	271
Min. Negotiated Rate	$9.34
Max. Negotiated Rate	$35.92
Rate for Payer: Aetna Commercial	$21.55
Rate for Payer: Aetna Medicare Advantage	$21.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.32
Rate for Payer: Cigna Commercial	$35.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.34
Rate for Payer: Oxford Commercial	$35.92
Rate for Payer: Qualcare PPO/HMO/WC	$10.78
Rate for Payer: UnitedHealthcare Commercial	$35.92

Know your out-of-pocket cost for care.

All Charges