Heights University Hospital

All Charges

Charge

Type

Setting

Price

GLUCOSE 1 HR

Facility

$117.65

Service Code	HCPCS 82947
Hospital Charge Code	3008497
Hospital Revenue Code	301
Min. Negotiated Rate	$1.97
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$12.73
Rate for Payer: Aetna Medicare Advantage	$3.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.40
Rate for Payer: Cigna Commercial	$3.93
Rate for Payer: Cigna Medicare Advantage	$1.97
Rate for Payer: Clover Medicare Advantage	$3.73
Rate for Payer: EmblemHealth Commercial	$11.79
Rate for Payer: Humana Medicare Advantage	$4.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.29
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.65
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$3.93
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$4.17
Rate for Payer: Wellcare Medicare Advantage	$3.93

GLUCOSE,1HR O'SULL

Facility

$335.00

Service Code	HCPCS 82950
Hospital Charge Code	38479020
Hospital Revenue Code	301
Min. Negotiated Rate	$50.25
Max. Negotiated Rate	$50.25
Rate for Payer: Qualcare PPO/HMO/WC	$50.25

GLUCOSE,1HR O'SULL

Facility

$335.00

Service Code	HCPCS 82950
Hospital Charge Code	38479020
Hospital Revenue Code	301
Min. Negotiated Rate	$2.38
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$15.39
Rate for Payer: Aetna Medicare Advantage	$4.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.40
Rate for Payer: Cigna Commercial	$4.75
Rate for Payer: Cigna Medicare Advantage	$2.38
Rate for Payer: Clover Medicare Advantage	$4.51
Rate for Payer: EmblemHealth Commercial	$14.25
Rate for Payer: Humana Medicare Advantage	$4.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.55
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$50.25
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.75
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.04
Rate for Payer: Wellcare Medicare Advantage	$4.75

GLUCOSE,24HR URINE

Facility

$335.00

Hospital Charge Code	38479018
Hospital Revenue Code	301
Min. Negotiated Rate	$43.55
Max. Negotiated Rate	$167.50
Rate for Payer: Aetna Commercial	$100.50
Rate for Payer: Aetna Medicare Advantage	$100.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$85.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$85.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$85.42
Rate for Payer: Cigna Commercial	$167.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.55
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$50.25
Rate for Payer: UnitedHealthcare Commercial	$114.00

GLUCOSE,24HR URINE

Facility

$335.00

Hospital Charge Code	38479018
Hospital Revenue Code	301
Min. Negotiated Rate	$50.25
Max. Negotiated Rate	$50.25
Rate for Payer: Qualcare PPO/HMO/WC	$50.25

GLUCOSE, 2 HOUR POST PRANDIAL

Facility

$117.65

Service Code	HCPCS 82950
Hospital Charge Code	3030178
Hospital Revenue Code	301
Min. Negotiated Rate	$17.65
Max. Negotiated Rate	$17.65
Rate for Payer: Qualcare PPO/HMO/WC	$17.65

GLUCOSE, 2 HOUR POST PRANDIAL

Facility

$117.65

Service Code	HCPCS 82950
Hospital Charge Code	3030178
Hospital Revenue Code	301
Min. Negotiated Rate	$2.38
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$15.39
Rate for Payer: Aetna Medicare Advantage	$4.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.40
Rate for Payer: Cigna Commercial	$4.75
Rate for Payer: Cigna Medicare Advantage	$2.38
Rate for Payer: Clover Medicare Advantage	$4.51
Rate for Payer: EmblemHealth Commercial	$14.25
Rate for Payer: Humana Medicare Advantage	$4.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.29
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.65
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.75
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.04
Rate for Payer: Wellcare Medicare Advantage	$4.75

GLUCOSE 2 HR

Facility

$117.65

Service Code	HCPCS 82947
Hospital Charge Code	3008505
Hospital Revenue Code	301
Min. Negotiated Rate	$17.65
Max. Negotiated Rate	$17.65
Rate for Payer: Qualcare PPO/HMO/WC	$17.65

GLUCOSE 2 HR

Facility

$117.65

Service Code	HCPCS 82947
Hospital Charge Code	3008505
Hospital Revenue Code	301
Min. Negotiated Rate	$1.97
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$12.73
Rate for Payer: Aetna Medicare Advantage	$3.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.40
Rate for Payer: Cigna Commercial	$3.93
Rate for Payer: Cigna Medicare Advantage	$1.97
Rate for Payer: Clover Medicare Advantage	$3.73
Rate for Payer: EmblemHealth Commercial	$11.79
Rate for Payer: Humana Medicare Advantage	$4.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.29
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.65
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$3.93
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$4.17
Rate for Payer: Wellcare Medicare Advantage	$3.93

GLUCOSE 2HR PP

Facility

$156.00

Service Code	HCPCS 82947
Hospital Charge Code	38479000
Hospital Revenue Code	301
Min. Negotiated Rate	$23.40
Max. Negotiated Rate	$23.40
Rate for Payer: Qualcare PPO/HMO/WC	$23.40

GLUCOSE 2HR PP

Facility

$156.00

Service Code	HCPCS 82947
Hospital Charge Code	38479000
Hospital Revenue Code	301
Min. Negotiated Rate	$1.97
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$12.73
Rate for Payer: Aetna Medicare Advantage	$3.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.40
Rate for Payer: Cigna Commercial	$3.93
Rate for Payer: Cigna Medicare Advantage	$1.97
Rate for Payer: Clover Medicare Advantage	$3.73
Rate for Payer: EmblemHealth Commercial	$11.79
Rate for Payer: Humana Medicare Advantage	$4.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.28
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$23.40
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$3.93
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$4.17
Rate for Payer: Wellcare Medicare Advantage	$3.93

GLUCOSE 3 HR

Facility

$304.85

Service Code	HCPCS 82951
Hospital Charge Code	3008513
Hospital Revenue Code	301
Min. Negotiated Rate	$45.73
Max. Negotiated Rate	$45.73
Rate for Payer: Qualcare PPO/HMO/WC	$45.73

GLUCOSE 3 HR

Facility

$304.85

Service Code	HCPCS 82951
Hospital Charge Code	3008513
Hospital Revenue Code	301
Min. Negotiated Rate	$6.43
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$41.70
Rate for Payer: Aetna Medicare Advantage	$12.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.16
Rate for Payer: Cigna Commercial	$12.87
Rate for Payer: Cigna Medicare Advantage	$6.43
Rate for Payer: Clover Medicare Advantage	$12.23
Rate for Payer: EmblemHealth Commercial	$38.61
Rate for Payer: Humana Medicare Advantage	$13.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.63
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.73
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.87
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13.64
Rate for Payer: Wellcare Medicare Advantage	$12.87

GLUCOSE,3HR

Facility

$403.00

Service Code	HCPCS 82952
Hospital Charge Code	38479023
Hospital Revenue Code	301
Min. Negotiated Rate	$1.87
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$12.70
Rate for Payer: Aetna Medicare Advantage	$3.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.36
Rate for Payer: Cigna Commercial	$3.92
Rate for Payer: Cigna Medicare Advantage	$1.96
Rate for Payer: Clover Medicare Advantage	$3.72
Rate for Payer: EmblemHealth Commercial	$11.76
Rate for Payer: Humana Medicare Advantage	$4.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.39
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.45
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$3.92
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$4.16
Rate for Payer: Wellcare Medicare Advantage	$3.92

GLUCOSE,3HR

Facility

$403.00

Service Code	HCPCS 82952
Hospital Charge Code	38479023
Hospital Revenue Code	301
Min. Negotiated Rate	$60.45
Max. Negotiated Rate	$60.45
Rate for Payer: Qualcare PPO/HMO/WC	$60.45

GLUCOSE 4HR

Facility

$304.85

Service Code	HCPCS 82951
Hospital Charge Code	3008521
Hospital Revenue Code	301
Min. Negotiated Rate	$6.43
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$41.70
Rate for Payer: Aetna Medicare Advantage	$12.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.16
Rate for Payer: Cigna Commercial	$12.87
Rate for Payer: Cigna Medicare Advantage	$6.43
Rate for Payer: Clover Medicare Advantage	$12.23
Rate for Payer: EmblemHealth Commercial	$38.61
Rate for Payer: Humana Medicare Advantage	$13.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.63
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.73
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.87
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13.64
Rate for Payer: Wellcare Medicare Advantage	$12.87

GLUCOSE 4HR

Facility

$304.85

Service Code	HCPCS 82951
Hospital Charge Code	3008521
Hospital Revenue Code	301
Min. Negotiated Rate	$45.73
Max. Negotiated Rate	$45.73
Rate for Payer: Qualcare PPO/HMO/WC	$45.73

GLUCOSE,4HR

Facility

$403.00

Service Code	HCPCS 82952
Hospital Charge Code	38479024
Hospital Revenue Code	301
Min. Negotiated Rate	$60.45
Max. Negotiated Rate	$60.45
Rate for Payer: Qualcare PPO/HMO/WC	$60.45

GLUCOSE,4HR

Facility

$403.00

Service Code	HCPCS 82952
Hospital Charge Code	38479024
Hospital Revenue Code	301
Min. Negotiated Rate	$1.87
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$12.70
Rate for Payer: Aetna Medicare Advantage	$3.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.36
Rate for Payer: Cigna Commercial	$3.92
Rate for Payer: Cigna Medicare Advantage	$1.96
Rate for Payer: Clover Medicare Advantage	$3.72
Rate for Payer: EmblemHealth Commercial	$11.76
Rate for Payer: Humana Medicare Advantage	$4.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.39
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.45
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$3.92
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$4.16
Rate for Payer: Wellcare Medicare Advantage	$3.92

GLUCOSE 5 GM TAB

Facility

$2.00

Hospital Charge Code	83652565
Hospital Revenue Code	250
Min. Negotiated Rate	$0.26
Max. Negotiated Rate	$1.00
Rate for Payer: Aetna Commercial	$0.60
Rate for Payer: Aetna Medicare Advantage	$0.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.51
Rate for Payer: Cigna Commercial	$1.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.26
Rate for Payer: Oxford Commercial	$1.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.30
Rate for Payer: UnitedHealthcare Commercial	$1.00

GLUCOSE 5 GM TAB

Facility

$2.00

Hospital Charge Code	83652565
Hospital Revenue Code	250
Min. Negotiated Rate	$0.30
Max. Negotiated Rate	$0.30
Rate for Payer: Qualcare PPO/HMO/WC	$0.30

GLUCOSE 5HR

Facility

$304.85

Service Code	HCPCS 82951
Hospital Charge Code	3008539
Hospital Revenue Code	301
Min. Negotiated Rate	$6.43
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$41.70
Rate for Payer: Aetna Medicare Advantage	$12.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.16
Rate for Payer: Cigna Commercial	$12.87
Rate for Payer: Cigna Medicare Advantage	$6.43
Rate for Payer: Clover Medicare Advantage	$12.23
Rate for Payer: EmblemHealth Commercial	$38.61
Rate for Payer: Humana Medicare Advantage	$13.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.63
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.73
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.87
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13.64
Rate for Payer: Wellcare Medicare Advantage	$12.87

GLUCOSE 5HR

Facility

$304.85

Service Code	HCPCS 82951
Hospital Charge Code	3008539
Hospital Revenue Code	301
Min. Negotiated Rate	$45.73
Max. Negotiated Rate	$45.73
Rate for Payer: Qualcare PPO/HMO/WC	$45.73

GLUCOSE 6 PHOS DEHY (G6PD)

Facility

$113.00

Service Code	HCPCS 82955
Hospital Charge Code	3001443A
Hospital Revenue Code	301
Min. Negotiated Rate	$4.85
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$31.43
Rate for Payer: Aetna Medicare Advantage	$9.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.54
Rate for Payer: Cigna Commercial	$9.70
Rate for Payer: Cigna Medicare Advantage	$4.85
Rate for Payer: Clover Medicare Advantage	$9.21
Rate for Payer: EmblemHealth Commercial	$29.10
Rate for Payer: Humana Medicare Advantage	$9.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.69
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.95
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.70
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$10.28
Rate for Payer: Wellcare Medicare Advantage	$9.70

GLUCOSE 6 PHOS DEHY (G6PD)

Facility

$103.25

Service Code	HCPCS 82955
Hospital Charge Code	3001443
Hospital Revenue Code	301
Min. Negotiated Rate	$15.49
Max. Negotiated Rate	$15.49
Rate for Payer: Qualcare PPO/HMO/WC	$15.49

Know your out-of-pocket cost for care.

All Charges