Heights University Hospital

All Charges

Charge

Type

Setting

Price

EOSINOPHIL COUNT

Facility

$368.00

Service Code	HCPCS 85048
Hospital Charge Code	38473015
Hospital Revenue Code	301
Min. Negotiated Rate	$1.27
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$8.23
Rate for Payer: Aetna Medicare Advantage	$2.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.31
Rate for Payer: Cigna Commercial	$2.54
Rate for Payer: Cigna Medicare Advantage	$1.27
Rate for Payer: Clover Medicare Advantage	$2.41
Rate for Payer: EmblemHealth Commercial	$7.62
Rate for Payer: Humana Medicare Advantage	$2.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.84
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$55.20
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$2.54
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$2.69
Rate for Payer: Wellcare Medicare Advantage	$2.54

EOSINOPHIL COUNT, PLASMA

Facility

$24.85

Service Code	HCPCS 85048
Hospital Charge Code	3001146
Hospital Revenue Code	301
Min. Negotiated Rate	$1.27
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$8.23
Rate for Payer: Aetna Medicare Advantage	$2.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.31
Rate for Payer: Cigna Commercial	$2.54
Rate for Payer: Cigna Medicare Advantage	$1.27
Rate for Payer: Clover Medicare Advantage	$2.41
Rate for Payer: EmblemHealth Commercial	$7.62
Rate for Payer: Humana Medicare Advantage	$2.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.23
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.73
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$2.54
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$2.69
Rate for Payer: Wellcare Medicare Advantage	$2.54

EOSINOPHIL COUNT, PLASMA

Facility

$24.85

Service Code	HCPCS 85048
Hospital Charge Code	3001146
Hospital Revenue Code	301
Min. Negotiated Rate	$3.73
Max. Negotiated Rate	$3.73
Rate for Payer: Qualcare PPO/HMO/WC	$3.73

EOSINOPHIL COUNT, URINE

Facility

$222.00

Service Code	HCPCS 81015
Hospital Charge Code	38477031
Hospital Revenue Code	307
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$9.88
Rate for Payer: Aetna Medicare Advantage	$3.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$0.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.18
Rate for Payer: Cigna Commercial	$3.05
Rate for Payer: Cigna Medicare Advantage	$1.52
Rate for Payer: Clover Medicare Advantage	$2.90
Rate for Payer: EmblemHealth Commercial	$9.15
Rate for Payer: Humana Medicare Advantage	$3.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.86
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.30
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$3.05
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$3.23
Rate for Payer: Wellcare Medicare Advantage	$3.05

EOSINOPHIL COUNT, URINE

Facility

$222.00

Service Code	HCPCS 81015
Hospital Charge Code	38477031
Hospital Revenue Code	307
Min. Negotiated Rate	$33.30
Max. Negotiated Rate	$33.30
Rate for Payer: Qualcare PPO/HMO/WC	$33.30

EOSINOPHILS (NASAL SMEAR)

Facility

$60.00

Service Code	HCPCS 89190
Hospital Charge Code	3001153
Hospital Revenue Code	300
Min. Negotiated Rate	$9.00
Max. Negotiated Rate	$9.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00

EOSINOPHILS (NASAL SMEAR)

Facility

$60.00

Service Code	HCPCS 89190
Hospital Charge Code	3001153
Hospital Revenue Code	300
Min. Negotiated Rate	$2.90
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$18.76
Rate for Payer: Aetna Medicare Advantage	$5.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.21
Rate for Payer: Cigna Commercial	$5.79
Rate for Payer: Cigna Medicare Advantage	$2.90
Rate for Payer: Clover Medicare Advantage	$5.50
Rate for Payer: EmblemHealth Commercial	$17.37
Rate for Payer: Humana Medicare Advantage	$5.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.80
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.79
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.14
Rate for Payer: Wellcare Medicare Advantage	$5.79

EOSINOPHILS NASAL SMEAR

Facility

$60.00

Service Code	HCPCS 89190
Hospital Charge Code	3030087
Hospital Revenue Code	300
Min. Negotiated Rate	$9.00
Max. Negotiated Rate	$9.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00

EOSINOPHILS NASAL SMEAR

Facility

$60.00

Service Code	HCPCS 89190
Hospital Charge Code	3030087
Hospital Revenue Code	300
Min. Negotiated Rate	$2.90
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$18.76
Rate for Payer: Aetna Medicare Advantage	$5.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.21
Rate for Payer: Cigna Commercial	$5.79
Rate for Payer: Cigna Medicare Advantage	$2.90
Rate for Payer: Clover Medicare Advantage	$5.50
Rate for Payer: EmblemHealth Commercial	$17.37
Rate for Payer: Humana Medicare Advantage	$5.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.80
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.79
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.14
Rate for Payer: Wellcare Medicare Advantage	$5.79

EOSINOPHILS, NASAL SMEAR

Facility

$123.00

Service Code	HCPCS 89190
Hospital Charge Code	38475097
Hospital Revenue Code	309
Min. Negotiated Rate	$18.45
Max. Negotiated Rate	$18.45
Rate for Payer: Qualcare PPO/HMO/WC	$18.45

EOSINOPHILS, NASAL SMEAR

Facility

$123.00

Service Code	HCPCS 89190
Hospital Charge Code	38475097
Hospital Revenue Code	309
Min. Negotiated Rate	$2.90
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$18.76
Rate for Payer: Aetna Medicare Advantage	$5.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.21
Rate for Payer: Cigna Commercial	$5.79
Rate for Payer: Cigna Medicare Advantage	$2.90
Rate for Payer: Clover Medicare Advantage	$5.50
Rate for Payer: EmblemHealth Commercial	$17.37
Rate for Payer: Humana Medicare Advantage	$5.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.99
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.45
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.79
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.14
Rate for Payer: Wellcare Medicare Advantage	$5.79

EOSINOPHILS (URINE)

Facility

$390.00

Service Code	HCPCS 87205
Hospital Charge Code	3005436
Hospital Revenue Code	309
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

EOSINOPHILS (URINE)

Facility

$390.00

Service Code	HCPCS 87205
Hospital Charge Code	3005436
Hospital Revenue Code	309
Min. Negotiated Rate	$2.13
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$13.83
Rate for Payer: Aetna Medicare Advantage	$4.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.65
Rate for Payer: Cigna Commercial	$4.27
Rate for Payer: Cigna Medicare Advantage	$2.13
Rate for Payer: Clover Medicare Advantage	$4.06
Rate for Payer: EmblemHealth Commercial	$12.81
Rate for Payer: Humana Medicare Advantage	$4.40
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	$4.27
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$4.53
Rate for Payer: Wellcare Medicare Advantage	$4.27

EPF KIT

Facility

$3,734.50

Service Code	HCPCS C1889
Hospital Charge Code	270703555
Hospital Revenue Code	278
Min. Negotiated Rate	$560.17
Max. Negotiated Rate	$1,867.25
Rate for Payer: Aetna Commercial	$1,120.35
Rate for Payer: Aetna Medicare Advantage	$1,120.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$952.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$952.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$746.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$952.30
Rate for Payer: Cigna Commercial	$1,867.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$903.75
Rate for Payer: Qualcare PPO/HMO/WC	$560.17

EPF KIT

Facility

$3,734.50

Service Code	HCPCS C1889
Hospital Charge Code	270703555
Hospital Revenue Code	278
Min. Negotiated Rate	$560.17
Max. Negotiated Rate	$903.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$746.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$903.75
Rate for Payer: Qualcare PPO/HMO/WC	$560.17

EPHEDRINE

Facility

$47.35

Hospital Charge Code	270656754
Hospital Revenue Code	270
Min. Negotiated Rate	$7.10
Max. Negotiated Rate	$7.10
Rate for Payer: Qualcare PPO/HMO/WC	$7.10

EPHEDRINE

Facility

$47.35

Hospital Charge Code	270656754
Hospital Revenue Code	270
Min. Negotiated Rate	$6.16
Max. Negotiated Rate	$23.68
Rate for Payer: Aetna Commercial	$14.21
Rate for Payer: Aetna Medicare Advantage	$14.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.07
Rate for Payer: Cigna Commercial	$23.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.16
Rate for Payer: Oxford Commercial	$23.68
Rate for Payer: Qualcare PPO/HMO/WC	$7.10
Rate for Payer: UnitedHealthcare Commercial	$23.68

EPHEDRINE 25 MG CAP

Facility

$2.45

Hospital Charge Code	60627446
Hospital Revenue Code	251
Min. Negotiated Rate	$0.37
Max. Negotiated Rate	$0.37
Rate for Payer: Qualcare PPO/HMO/WC	$0.37

EPHEDRINE 25 MG CAP

Facility

$2.45

Hospital Charge Code	60627446
Hospital Revenue Code	251
Min. Negotiated Rate	$0.32
Max. Negotiated Rate	$1.23
Rate for Payer: Aetna Commercial	$0.74
Rate for Payer: Aetna Medicare Advantage	$0.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.62
Rate for Payer: Cigna Commercial	$1.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.32
Rate for Payer: Oxford Commercial	$1.23
Rate for Payer: Qualcare PPO/HMO/WC	$0.37
Rate for Payer: UnitedHealthcare Commercial	$1.23

EPHEDRINE/50MG/INJ

Facility

$125.00

Hospital Charge Code	60634723
Hospital Revenue Code	250
Min. Negotiated Rate	$16.25
Max. Negotiated Rate	$62.50
Rate for Payer: Aetna Commercial	$37.50
Rate for Payer: Aetna Medicare Advantage	$37.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.88
Rate for Payer: Cigna Commercial	$62.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.25
Rate for Payer: Oxford Commercial	$62.50
Rate for Payer: Qualcare PPO/HMO/WC	$18.75
Rate for Payer: UnitedHealthcare Commercial	$62.50

EPHEDRINE/50MG/INJ

Facility

$125.00

Hospital Charge Code	60634723
Hospital Revenue Code	250
Min. Negotiated Rate	$18.75
Max. Negotiated Rate	$18.75
Rate for Payer: Qualcare PPO/HMO/WC	$18.75

EPHEDRINE 50 MG/ML INJ

Facility

$353.63

Service Code	NDC 17478051500
Hospital Charge Code	6012488
Hospital Revenue Code	250
Min. Negotiated Rate	$45.97
Max. Negotiated Rate	$176.81
Rate for Payer: Aetna Commercial	$106.09
Rate for Payer: Aetna Medicare Advantage	$106.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$90.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$90.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$90.18
Rate for Payer: Cigna Commercial	$176.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.97
Rate for Payer: Oxford Commercial	$176.81
Rate for Payer: Qualcare PPO/HMO/WC	$53.04
Rate for Payer: UnitedHealthcare Commercial	$176.81

EPHEDRINE 50 MG/ML INJ

Facility

$353.63

Service Code	NDC 17478051500
Hospital Charge Code	6012488
Hospital Revenue Code	250
Min. Negotiated Rate	$53.04
Max. Negotiated Rate	$53.04
Rate for Payer: Qualcare PPO/HMO/WC	$53.04

EPIDERMAL ANTIBODY 2

Facility

$390.00

Service Code	HCPCS 86255
Hospital Charge Code	38476310
Hospital Revenue Code	302
Min. Negotiated Rate	$6.03
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$39.04
Rate for Payer: Aetna Medicare Advantage	$12.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.15
Rate for Payer: Cigna Commercial	$12.05
Rate for Payer: Cigna Medicare Advantage	$6.03
Rate for Payer: Clover Medicare Advantage	$11.45
Rate for Payer: EmblemHealth Commercial	$36.15
Rate for Payer: Humana Medicare Advantage	$12.41
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	$12.05
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12.77
Rate for Payer: Wellcare Medicare Advantage	$12.05

EPIDERMAL ANTIBODY 2

Facility

$390.00

Service Code	HCPCS 86255
Hospital Charge Code	38476310
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

Know your out-of-pocket cost for care.

All Charges