Heights University Hospital

All Charges

Charge

Type

Setting

Price

FDP

Facility

$119.25

Service Code	HCPCS 85362
Hospital Charge Code	3036015
Hospital Revenue Code	305
Min. Negotiated Rate	$17.89
Max. Negotiated Rate	$17.89
Rate for Payer: Qualcare PPO/HMO/WC	$17.89

FEATHER RASP BONE CONTOURING

Facility

$2,750.00

Hospital Charge Code	270704102
Hospital Revenue Code	272
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$412.50
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

FEATHER RASP BONE CONTOURING

Facility

$2,750.00

Hospital Charge Code	270704102
Hospital Revenue Code	272
Min. Negotiated Rate	$357.50
Max. Negotiated Rate	$1,375.00
Rate for Payer: Aetna Commercial	$825.00
Rate for Payer: Aetna Medicare Advantage	$825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$701.25
Rate for Payer: Cigna Commercial	$1,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$357.50
Rate for Payer: Oxford Commercial	$1,375.00
Rate for Payer: Qualcare PPO/HMO/WC	$412.50
Rate for Payer: UnitedHealthcare Commercial	$1,375.00

FEATL DOPPLER ECHO COMPLETE

Facility

$904.00

Service Code	HCPCS 76827
Hospital Charge Code	83653105
Hospital Revenue Code	402
Min. Negotiated Rate	$117.52
Max. Negotiated Rate	$1,981.00
Rate for Payer: Aetna Commercial	$271.20
Rate for Payer: Aetna Medicare Advantage	$271.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$230.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$230.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$230.52
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.52
Rate for Payer: Oxford Commercial	$1,746.00
Rate for Payer: Qualcare PPO/HMO/WC	$135.60
Rate for Payer: UnitedHealthcare Commercial	$1,981.00

FEATL DOPPLER ECHO COMPLETE

Facility

$904.00

Service Code	HCPCS 76827
Hospital Charge Code	83653105
Hospital Revenue Code	402
Min. Negotiated Rate	$135.60
Max. Negotiated Rate	$135.60
Rate for Payer: Qualcare PPO/HMO/WC	$135.60

FEATURE PACK BRACHYTHERAPY

Facility

$500.00

Hospital Charge Code	270638684
Hospital Revenue Code	272
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

FEATURE PACK BRACHYTHERAPY

Facility

$500.00

Hospital Charge Code	270638684
Hospital Revenue Code	272
Min. Negotiated Rate	$65.00
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$150.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.00
Rate for Payer: Oxford Commercial	$250.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Commercial	$250.00

FEBRILE AGGLUTININS

Facility

$128.00

Service Code	HCPCS 86000
Hospital Charge Code	3001260
Hospital Revenue Code	305
Min. Negotiated Rate	$1.68
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$22.62
Rate for Payer: Aetna Medicare Advantage	$6.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.57
Rate for Payer: Cigna Commercial	$6.98
Rate for Payer: Cigna Medicare Advantage	$3.49
Rate for Payer: Clover Medicare Advantage	$6.63
Rate for Payer: EmblemHealth Commercial	$20.94
Rate for Payer: Humana Medicare Advantage	$7.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.64
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.20
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.98
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$7.40
Rate for Payer: Wellcare Medicare Advantage	$6.98

FEBRILE AGGLUTININS

Facility

$128.00

Service Code	HCPCS 86000
Hospital Charge Code	3001260
Hospital Revenue Code	305
Min. Negotiated Rate	$19.20
Max. Negotiated Rate	$19.20
Rate for Payer: Qualcare PPO/HMO/WC	$19.20

FEBRILE AGGLUTININS,EACH

Facility

$128.00

Service Code	HCPCS 86000
Hospital Charge Code	38476212
Hospital Revenue Code	305
Min. Negotiated Rate	$19.20
Max. Negotiated Rate	$19.20
Rate for Payer: Qualcare PPO/HMO/WC	$19.20

FEBRILE AGGLUTININS,EACH

Facility

$128.00

Service Code	HCPCS 86000
Hospital Charge Code	38476212
Hospital Revenue Code	305
Min. Negotiated Rate	$1.68
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$22.62
Rate for Payer: Aetna Medicare Advantage	$6.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.57
Rate for Payer: Cigna Commercial	$6.98
Rate for Payer: Cigna Medicare Advantage	$3.49
Rate for Payer: Clover Medicare Advantage	$6.63
Rate for Payer: EmblemHealth Commercial	$20.94
Rate for Payer: Humana Medicare Advantage	$7.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.64
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.20
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.98
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$7.40
Rate for Payer: Wellcare Medicare Advantage	$6.98

FECAL FAT,QL

Facility

$390.00

Service Code	HCPCS 82705
Hospital Charge Code	39990006EX
Hospital Revenue Code	301
Min. Negotiated Rate	$1.12
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.52
Rate for Payer: Aetna Medicare Advantage	$5.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.69
Rate for Payer: Cigna Commercial	$5.10
Rate for Payer: Cigna Medicare Advantage	$2.55
Rate for Payer: Clover Medicare Advantage	$4.84
Rate for Payer: EmblemHealth Commercial	$15.30
Rate for Payer: Humana Medicare Advantage	$5.25
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	$5.10
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.41
Rate for Payer: Wellcare Medicare Advantage	$5.10

FECAL FAT,QL

Facility

$390.00

Service Code	HCPCS 82705
Hospital Charge Code	39990006EX
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

FECAL FAT,QL I

Facility

$34.95

Service Code	HCPCS 8270591
Hospital Charge Code	39990006A
Hospital Revenue Code	301
Min. Negotiated Rate	$4.54
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$10.48
Rate for Payer: Aetna Medicare Advantage	$10.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.91
Rate for Payer: Cigna Commercial	$17.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.54
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.24
Rate for Payer: UnitedHealthcare Commercial	$114.00

FECAL FAT,QL I

Facility

$34.95

Service Code	HCPCS 8270591
Hospital Charge Code	39990006A
Hospital Revenue Code	301
Min. Negotiated Rate	$5.24
Max. Negotiated Rate	$5.24
Rate for Payer: Qualcare PPO/HMO/WC	$5.24

FECAL FAT,QL II

Facility

$29.35

Service Code	HCPCS 8270591
Hospital Charge Code	39990006B
Hospital Revenue Code	301
Min. Negotiated Rate	$4.40
Max. Negotiated Rate	$4.40
Rate for Payer: Qualcare PPO/HMO/WC	$4.40

FECAL FAT,QL II

Facility

$29.35

Service Code	HCPCS 8270591
Hospital Charge Code	39990006B
Hospital Revenue Code	301
Min. Negotiated Rate	$3.82
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$8.80
Rate for Payer: Aetna Medicare Advantage	$8.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.48
Rate for Payer: Cigna Commercial	$14.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.82
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.40
Rate for Payer: UnitedHealthcare Commercial	$114.00

FECAL FAT QNT

Facility

$121.10

Service Code	HCPCS 82710
Hospital Charge Code	3000951
Hospital Revenue Code	300
Min. Negotiated Rate	$18.16
Max. Negotiated Rate	$18.16
Rate for Payer: Qualcare PPO/HMO/WC	$18.16

FECAL FAT QNT

Facility

$121.10

Service Code	HCPCS 82710
Hospital Charge Code	3000951
Hospital Revenue Code	300
Min. Negotiated Rate	$8.40
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$54.43
Rate for Payer: Aetna Medicare Advantage	$16.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.80
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	$61.56
Rate for Payer: Cigna Commercial	$16.80
Rate for Payer: Cigna Medicare Advantage	$8.40
Rate for Payer: Clover Medicare Advantage	$15.96
Rate for Payer: EmblemHealth Commercial	$50.40
Rate for Payer: Humana Medicare Advantage	$17.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.74
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.16
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.80
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$17.81
Rate for Payer: Wellcare Medicare Advantage	$16.80

FECAL FAT, QUANTITATIVE

Facility

$116.00

Service Code	HCPCS 82705
Hospital Charge Code	3030665
Hospital Revenue Code	301
Min. Negotiated Rate	$17.40
Max. Negotiated Rate	$17.40
Rate for Payer: Qualcare PPO/HMO/WC	$17.40

FECAL FAT, QUANTITATIVE

Facility

$116.00

Service Code	HCPCS 82705
Hospital Charge Code	3030665
Hospital Revenue Code	301
Min. Negotiated Rate	$1.12
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.52
Rate for Payer: Aetna Medicare Advantage	$5.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.69
Rate for Payer: Cigna Commercial	$5.10
Rate for Payer: Cigna Medicare Advantage	$2.55
Rate for Payer: Clover Medicare Advantage	$4.84
Rate for Payer: EmblemHealth Commercial	$15.30
Rate for Payer: Humana Medicare Advantage	$5.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.08
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.40
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.10
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.41
Rate for Payer: Wellcare Medicare Advantage	$5.10

FECAL GLOBIN IMMUNOASSAY FIT

Facility

$90.25

Service Code	HCPCS 82274
Hospital Charge Code	401182274
Hospital Revenue Code	301
Min. Negotiated Rate	$7.96
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$51.58
Rate for Payer: Aetna Medicare Advantage	$15.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.33
Rate for Payer: Cigna Commercial	$15.92
Rate for Payer: Cigna Medicare Advantage	$7.96
Rate for Payer: Clover Medicare Advantage	$15.12
Rate for Payer: EmblemHealth Commercial	$47.76
Rate for Payer: Humana Medicare Advantage	$16.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.73
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.54
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$15.92
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$16.88
Rate for Payer: Wellcare Medicare Advantage	$15.92

FECAL GLOBIN IMMUNOASSAY FIT

Facility

$90.25

Service Code	HCPCS 82274
Hospital Charge Code	401182274
Hospital Revenue Code	301
Min. Negotiated Rate	$13.54
Max. Negotiated Rate	$13.54
Rate for Payer: Qualcare PPO/HMO/WC	$13.54

FECAL GLOBIN, IMMUNO CHEM

Facility

$390.00

Service Code	HCPCS 82274
Hospital Charge Code	305086
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

FECAL GLOBIN, IMMUNO CHEM

Facility

$390.00

Service Code	HCPCS 82274
Hospital Charge Code	305086
Hospital Revenue Code	301
Min. Negotiated Rate	$7.96
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$51.58
Rate for Payer: Aetna Medicare Advantage	$15.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.33
Rate for Payer: Cigna Commercial	$15.92
Rate for Payer: Cigna Medicare Advantage	$7.96
Rate for Payer: Clover Medicare Advantage	$15.12
Rate for Payer: EmblemHealth Commercial	$47.76
Rate for Payer: Humana Medicare Advantage	$16.40
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	$15.92
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$16.88
Rate for Payer: Wellcare Medicare Advantage	$15.92

Know your out-of-pocket cost for care.

All Charges