Heights University Hospital

All Charges

Charge

Type

Setting

Price

ENTEROVIRUS RNA,QL,RT-PCR

Facility

$390.00

Service Code	HCPCS 87498
Hospital Charge Code	39900396
Hospital Revenue Code	306
Min. Negotiated Rate	$17.55
Max. Negotiated Rate	$128.57
Rate for Payer: Cigna Commercial	$35.09
Rate for Payer: Cigna Medicare Advantage	$17.55
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: 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	$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	$35.09
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$37.20
Rate for Payer: Wellcare Medicare Advantage	$35.09

ENTEROVIRUS RNA, RT-PCR

Facility

$241.20

Service Code	HCPCS 87498
Hospital Charge Code	39900296
Hospital Revenue Code	306
Min. Negotiated Rate	$17.55
Max. Negotiated Rate	$128.57
Rate for Payer: Cigna Commercial	$35.09
Rate for Payer: Cigna Medicare Advantage	$17.55
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: 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	$31.36
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.18
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

ENTEROVIRUS RNA, RT-PCR

Facility

$241.20

Service Code	HCPCS 87498
Hospital Charge Code	39900296
Hospital Revenue Code	306
Min. Negotiated Rate	$36.18
Max. Negotiated Rate	$36.18
Rate for Payer: Qualcare PPO/HMO/WC	$36.18

ENTEX/480ML

Facility

$135.00

Hospital Charge Code	60632937
Hospital Revenue Code	250
Min. Negotiated Rate	$17.55
Max. Negotiated Rate	$67.50
Rate for Payer: Aetna Commercial	$40.50
Rate for Payer: Aetna Medicare Advantage	$40.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.42
Rate for Payer: Cigna Commercial	$67.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.55
Rate for Payer: Oxford Commercial	$67.50
Rate for Payer: Qualcare PPO/HMO/WC	$20.25
Rate for Payer: UnitedHealthcare Commercial	$67.50

ENTEX/480ML

Facility

$135.00

Hospital Charge Code	60632937
Hospital Revenue Code	250
Min. Negotiated Rate	$20.25
Max. Negotiated Rate	$20.25
Rate for Payer: Qualcare PPO/HMO/WC	$20.25

ENTEX LA/TAB

Facility

$4.00

Hospital Charge Code	60632938
Hospital Revenue Code	250
Min. Negotiated Rate	$0.52
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.20
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.52
Rate for Payer: Oxford Commercial	$2.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$2.00

ENTEX LA/TAB

Facility

$4.00

Hospital Charge Code	60632938
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

ENTIRE SPINE SURVEY

Facility

$422.00

Hospital Charge Code	94061051
Hospital Revenue Code	320
Min. Negotiated Rate	$54.86
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$126.60
Rate for Payer: Aetna Medicare Advantage	$126.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.61
Rate for Payer: Cigna Commercial	$211.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.86
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$63.30
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

ENTIRE SPINE SURVEY

Facility

$422.00

Hospital Charge Code	94061051
Hospital Revenue Code	320
Min. Negotiated Rate	$63.30
Max. Negotiated Rate	$63.30
Rate for Payer: Qualcare PPO/HMO/WC	$63.30

ENTRAP POLYP NET 230CM

Facility

$267.00

Hospital Charge Code	270700214
Hospital Revenue Code	272
Min. Negotiated Rate	$34.71
Max. Negotiated Rate	$133.50
Rate for Payer: Aetna Commercial	$80.10
Rate for Payer: Aetna Medicare Advantage	$80.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.08
Rate for Payer: Cigna Commercial	$133.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.71
Rate for Payer: Oxford Commercial	$133.50
Rate for Payer: Qualcare PPO/HMO/WC	$40.05
Rate for Payer: UnitedHealthcare Commercial	$133.50

ENTRAP POLYP NET 230CM

Facility

$267.00

Hospital Charge Code	270700214
Hospital Revenue Code	272
Min. Negotiated Rate	$40.05
Max. Negotiated Rate	$40.05
Rate for Payer: Qualcare PPO/HMO/WC	$40.05

ENTRFLEX W/STYLET 10FR X 55IN

Facility

$411.65

Hospital Charge Code	270665250
Hospital Revenue Code	270
Min. Negotiated Rate	$53.51
Max. Negotiated Rate	$205.82
Rate for Payer: Aetna Commercial	$123.50
Rate for Payer: Aetna Medicare Advantage	$123.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$104.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$104.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$104.97
Rate for Payer: Cigna Commercial	$205.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.51
Rate for Payer: Oxford Commercial	$205.82
Rate for Payer: Qualcare PPO/HMO/WC	$61.75
Rate for Payer: UnitedHealthcare Commercial	$205.82

ENTRFLEX W/STYLET 10FR X 55IN

Facility

$411.65

Hospital Charge Code	270665250
Hospital Revenue Code	270
Min. Negotiated Rate	$61.75
Max. Negotiated Rate	$61.75
Rate for Payer: Qualcare PPO/HMO/WC	$61.75

ENT STAPES PROSTHESIS

Facility

$318.00

Hospital Charge Code	270338805
Hospital Revenue Code	274
Min. Negotiated Rate	$47.70
Max. Negotiated Rate	$76.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.96
Rate for Payer: Qualcare PPO/HMO/WC	$47.70

ENT STAPES PROSTHESIS

Facility

$318.00

Hospital Charge Code	270338805
Hospital Revenue Code	274
Min. Negotiated Rate	$47.70
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) NJ Health	$63.60
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	$76.96
Rate for Payer: Qualcare PPO/HMO/WC	$47.70

ENVELOPE STEAM STERILER

Facility

$200.85

Hospital Charge Code	270650929
Hospital Revenue Code	272
Min. Negotiated Rate	$26.11
Max. Negotiated Rate	$100.42
Rate for Payer: Aetna Commercial	$60.26
Rate for Payer: Aetna Medicare Advantage	$60.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.22
Rate for Payer: Cigna Commercial	$100.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.11
Rate for Payer: Oxford Commercial	$100.42
Rate for Payer: Qualcare PPO/HMO/WC	$30.13
Rate for Payer: UnitedHealthcare Commercial	$100.42

ENVELOPE STEAM STERILER

Facility

$200.85

Hospital Charge Code	270650929
Hospital Revenue Code	272
Min. Negotiated Rate	$30.13
Max. Negotiated Rate	$30.13
Rate for Payer: Qualcare PPO/HMO/WC	$30.13

ENVIROMENTAL CULT

Facility

$349.00

Service Code	HCPCS 87070
Hospital Charge Code	38479066
Hospital Revenue Code	306
Min. Negotiated Rate	$52.35
Max. Negotiated Rate	$52.35
Rate for Payer: Qualcare PPO/HMO/WC	$52.35

ENVIROMENTAL CULT

Facility

$349.00

Service Code	HCPCS 87070
Hospital Charge Code	38479066
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	$45.37
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$52.35
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

ENZ IMMN. MULT HISTOPLASMA CAP

Facility

$77.95

Service Code	HCPCS 87385
Hospital Charge Code	38477095
Hospital Revenue Code	306
Min. Negotiated Rate	$11.69
Max. Negotiated Rate	$11.69
Rate for Payer: Qualcare PPO/HMO/WC	$11.69

ENZ IMMN. MULT HISTOPLASMA CAP

Facility

$77.95

Service Code	HCPCS 87385
Hospital Charge Code	38477095
Hospital Revenue Code	306
Min. Negotiated Rate	$6.62
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$42.93
Rate for Payer: Aetna Medicare Advantage	$13.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.55
Rate for Payer: Cigna Commercial	$13.25
Rate for Payer: Cigna Medicare Advantage	$6.62
Rate for Payer: Clover Medicare Advantage	$12.59
Rate for Payer: EmblemHealth Commercial	$39.75
Rate for Payer: Humana Medicare Advantage	$13.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.13
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$11.69
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.25
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14.04
Rate for Payer: Wellcare Medicare Advantage	$13.25

ENZYMATIC DIGESTION

Facility

$163.60

Hospital Charge Code	3009069A
Hospital Revenue Code	301
Min. Negotiated Rate	$21.27
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$49.08
Rate for Payer: Aetna Medicare Advantage	$49.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.72
Rate for Payer: Cigna Commercial	$81.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.27
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.54
Rate for Payer: UnitedHealthcare Commercial	$114.00

ENZYMATIC DIGESTION

Facility

$163.60

Hospital Charge Code	3009069A
Hospital Revenue Code	301
Min. Negotiated Rate	$24.54
Max. Negotiated Rate	$24.54
Rate for Payer: Qualcare PPO/HMO/WC	$24.54

ENZYMATIC DIGESTION, EACH

Facility

$163.60

Hospital Charge Code	3004166B
Hospital Revenue Code	301
Min. Negotiated Rate	$21.27
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$49.08
Rate for Payer: Aetna Medicare Advantage	$49.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.72
Rate for Payer: Cigna Commercial	$81.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.27
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.54
Rate for Payer: UnitedHealthcare Commercial	$114.00

ENZYMATIC DIGESTION, EACH

Facility

$163.60

Hospital Charge Code	3004166B
Hospital Revenue Code	301
Min. Negotiated Rate	$24.54
Max. Negotiated Rate	$24.54
Rate for Payer: Qualcare PPO/HMO/WC	$24.54

Know your out-of-pocket cost for care.

All Charges