Heights University Hospital

All Charges

Charge

Type

Setting

Price

FLOWABLE, 2.5CC

Facility

$5,065.00

Hospital Charge Code	270703497
Hospital Revenue Code	278
Min. Negotiated Rate	$759.75
Max. Negotiated Rate	$2,532.50
Rate for Payer: Aetna Commercial	$1,519.50
Rate for Payer: Aetna Medicare Advantage	$1,519.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,291.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,291.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,013.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,291.58
Rate for Payer: Cigna Commercial	$2,532.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,225.73
Rate for Payer: Qualcare PPO/HMO/WC	$759.75

FLOWABLE, 2.5CC

Facility

$5,065.00

Hospital Charge Code	270703497
Hospital Revenue Code	278
Min. Negotiated Rate	$759.75
Max. Negotiated Rate	$1,225.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,013.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,225.73
Rate for Payer: Qualcare PPO/HMO/WC	$759.75

FLOW CYTOM, CELL SURF,CYTO

Facility

$101.00

Service Code	HCPCS 88184
Hospital Charge Code	38476306
Hospital Revenue Code	311
Min. Negotiated Rate	$15.15
Max. Negotiated Rate	$15.15
Rate for Payer: Qualcare PPO/HMO/WC	$15.15

FLOW CYTOM, CELL SURF,CYTO

Facility

$101.00

Service Code	HCPCS 88184
Hospital Charge Code	38476306
Hospital Revenue Code	311
Min. Negotiated Rate	$13.13
Max. Negotiated Rate	$853.60
Rate for Payer: Aetna Commercial	$30.30
Rate for Payer: Aetna Medicare Advantage	$30.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.75
Rate for Payer: Cigna Commercial	$853.60
Rate for Payer: Cigna Medicare Advantage	$47.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.13
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.15
Rate for Payer: UnitedHealthcare Commercial	$114.00

FLOW CYTOMETRY

Facility

$310.00

Service Code	HCPCS 88182
Hospital Charge Code	38474157
Hospital Revenue Code	311
Min. Negotiated Rate	$40.30
Max. Negotiated Rate	$124.10
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Aetna Commercial	$93.00
Rate for Payer: Aetna Medicare Advantage	$93.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$79.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$79.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$79.05
Rate for Payer: Cigna Commercial	$124.10
Rate for Payer: Cigna Medicare Advantage	$85.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.30
Rate for Payer: Qualcare PPO/HMO/WC	$46.50
Rate for Payer: UnitedHealthcare Commercial	$114.00

FLOW CYTOMETRY

Facility

$310.00

Service Code	HCPCS 88182
Hospital Charge Code	38474157
Hospital Revenue Code	311
Min. Negotiated Rate	$46.50
Max. Negotiated Rate	$46.50
Rate for Payer: Qualcare PPO/HMO/WC	$46.50

FLOW CYTOMETRY;16 OR MORE

Facility

$218.74

Service Code	HCPCS 88189
Hospital Charge Code	38474162
Hospital Revenue Code	311
Min. Negotiated Rate	$28.44
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$65.62
Rate for Payer: Aetna Medicare Advantage	$65.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55.78
Rate for Payer: Cigna Commercial	$86.23
Rate for Payer: Cigna Medicare Advantage	$43.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.44
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.81
Rate for Payer: UnitedHealthcare Commercial	$114.00

FLOW CYTOMETRY;16 OR MORE

Facility

$218.74

Service Code	HCPCS 88189
Hospital Charge Code	38474162
Hospital Revenue Code	311
Min. Negotiated Rate	$32.81
Max. Negotiated Rate	$32.81
Rate for Payer: Qualcare PPO/HMO/WC	$32.81

FLOW CYTOMETRY ADDL MARKER

Facility

$390.00

Service Code	HCPCS 88185
Hospital Charge Code	401088185
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

FLOW CYTOMETRY ADDL MARKER

Facility

$390.00

Service Code	HCPCS 88185
Hospital Charge Code	401088185
Hospital Revenue Code	301
Min. Negotiated Rate	$13.37
Max. Negotiated Rate	$117.00
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) NJ Health	$49.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.45
Rate for Payer: Cigna Commercial	$26.73
Rate for Payer: Cigna Medicare Advantage	$13.37
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

FLOW CYTOMETRY ADDL MARKER

Facility

$631.50

Service Code	HCPCS 88185
Hospital Charge Code	401088184B
Hospital Revenue Code	301
Min. Negotiated Rate	$94.72
Max. Negotiated Rate	$94.72
Rate for Payer: Qualcare PPO/HMO/WC	$94.72

FLOW CYTOMETRY ADDL MARKER

Facility

$631.50

Service Code	HCPCS 88185
Hospital Charge Code	401088184B
Hospital Revenue Code	301
Min. Negotiated Rate	$13.37
Max. Negotiated Rate	$189.45
Rate for Payer: Aetna Commercial	$189.45
Rate for Payer: Aetna Medicare Advantage	$189.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$161.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$161.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$161.03
Rate for Payer: Cigna Commercial	$26.73
Rate for Payer: Cigna Medicare Advantage	$13.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.09
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$94.72
Rate for Payer: UnitedHealthcare Commercial	$114.00

FLOW CYTOMETRY:CELL CYCLE

Facility

$218.74

Service Code	HCPCS 88182
Hospital Charge Code	38474151
Hospital Revenue Code	311
Min. Negotiated Rate	$32.81
Max. Negotiated Rate	$32.81
Rate for Payer: Qualcare PPO/HMO/WC	$32.81

FLOW CYTOMETRY:CELL CYCLE

Facility

$218.74

Service Code	HCPCS 88182
Hospital Charge Code	38474151
Hospital Revenue Code	311
Min. Negotiated Rate	$28.44
Max. Negotiated Rate	$124.10
Rate for Payer: Aetna Commercial	$65.62
Rate for Payer: Aetna Medicare Advantage	$65.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55.78
Rate for Payer: Cigna Commercial	$124.10
Rate for Payer: Cigna Medicare Advantage	$85.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.44
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.81
Rate for Payer: UnitedHealthcare Commercial	$114.00

FLOW CYTOMETRY;EA ADD'L MARKER

Facility

$101.00

Service Code	HCPCS 88185
Hospital Charge Code	38474161
Hospital Revenue Code	311
Min. Negotiated Rate	$15.15
Max. Negotiated Rate	$15.15
Rate for Payer: Qualcare PPO/HMO/WC	$15.15

FLOW CYTOMETRY;EA ADD'L MARKER

Facility

$101.00

Service Code	HCPCS 88185
Hospital Charge Code	38474161
Hospital Revenue Code	311
Min. Negotiated Rate	$13.13
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$30.30
Rate for Payer: Aetna Medicare Advantage	$30.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.75
Rate for Payer: Cigna Commercial	$26.73
Rate for Payer: Cigna Medicare Advantage	$13.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.13
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.15
Rate for Payer: UnitedHealthcare Commercial	$114.00

FLOW CYTOMETRY,INT 2-8 MARKERS

Facility

$292.00

Service Code	HCPCS 88187
Hospital Charge Code	38474050
Hospital Revenue Code	311
Min. Negotiated Rate	$43.80
Max. Negotiated Rate	$43.80
Rate for Payer: Qualcare PPO/HMO/WC	$43.80

FLOW CYTOMETRY,INT 2-8 MARKERS

Facility

$292.00

Service Code	HCPCS 88187
Hospital Charge Code	38474050
Hospital Revenue Code	311
Min. Negotiated Rate	$19.13
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$87.60
Rate for Payer: Aetna Medicare Advantage	$87.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.46
Rate for Payer: Cigna Commercial	$38.26
Rate for Payer: Cigna Medicare Advantage	$19.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.96
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$43.80
Rate for Payer: UnitedHealthcare Commercial	$114.00

FLOW CYTOMETRY INT 9-15 MARKER

Facility

$307.00

Service Code	HCPCS 88188
Hospital Charge Code	38474051
Hospital Revenue Code	311
Min. Negotiated Rate	$31.91
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$92.10
Rate for Payer: Aetna Medicare Advantage	$92.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78.28
Rate for Payer: Cigna Commercial	$63.83
Rate for Payer: Cigna Medicare Advantage	$31.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.91
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$46.05
Rate for Payer: UnitedHealthcare Commercial	$114.00

FLOW CYTOMETRY INT 9-15 MARKER

Facility

$307.00

Service Code	HCPCS 88188
Hospital Charge Code	38474051
Hospital Revenue Code	311
Min. Negotiated Rate	$46.05
Max. Negotiated Rate	$46.05
Rate for Payer: Qualcare PPO/HMO/WC	$46.05

FLOW CYTOMETRY STUDIES/MARKER

Facility

$2,071.00

Service Code	HCPCS 88184
Hospital Charge Code	3400314
Hospital Revenue Code	311
Min. Negotiated Rate	$310.65
Max. Negotiated Rate	$310.65
Rate for Payer: Qualcare PPO/HMO/WC	$310.65

FLOW CYTOMETRY STUDIES/MARKER

Facility

$2,071.00

Service Code	HCPCS 88184
Hospital Charge Code	3400314
Hospital Revenue Code	311
Min. Negotiated Rate	$47.05
Max. Negotiated Rate	$853.60
Rate for Payer: Aetna Commercial	$621.30
Rate for Payer: Aetna Medicare Advantage	$621.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$528.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$528.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$528.11
Rate for Payer: Cigna Commercial	$853.60
Rate for Payer: Cigna Medicare Advantage	$47.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$269.23
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$310.65
Rate for Payer: UnitedHealthcare Commercial	$114.00

FLOW CYTOMETRY TC 1 MARKER

Facility

$16.38

Service Code	HCPCS 88184
Hospital Charge Code	401030580A
Hospital Revenue Code	311
Min. Negotiated Rate	$2.13
Max. Negotiated Rate	$853.60
Rate for Payer: Aetna Commercial	$4.91
Rate for Payer: Aetna Medicare Advantage	$4.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.18
Rate for Payer: Cigna Commercial	$853.60
Rate for Payer: Cigna Medicare Advantage	$47.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.13
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$2.46
Rate for Payer: UnitedHealthcare Commercial	$114.00

FLOW CYTOMETRY TC 1 MARKER

Facility

$1,263.00

Service Code	HCPCS 88184
Hospital Charge Code	401088184A
Hospital Revenue Code	301
Min. Negotiated Rate	$47.05
Max. Negotiated Rate	$853.60
Rate for Payer: Aetna Commercial	$378.90
Rate for Payer: Aetna Medicare Advantage	$378.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$322.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$322.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$322.06
Rate for Payer: Cigna Commercial	$853.60
Rate for Payer: Cigna Medicare Advantage	$47.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$164.19
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$189.45
Rate for Payer: UnitedHealthcare Commercial	$114.00

FLOW CYTOMETRY TC 1 MARKER

Facility

$16.38

Service Code	HCPCS 88184
Hospital Charge Code	401030580A
Hospital Revenue Code	311
Min. Negotiated Rate	$2.46
Max. Negotiated Rate	$2.46
Rate for Payer: Qualcare PPO/HMO/WC	$2.46

Know your out-of-pocket cost for care.

All Charges