Heights University Hospital

All Charges

Charge

Type

Setting

Price

AMRINONE LACT INJ 5MG/ML 20ML

Facility

$469.80

Hospital Charge Code	6000434
Hospital Revenue Code	250
Min. Negotiated Rate	$70.47
Max. Negotiated Rate	$70.47
Rate for Payer: Qualcare PPO/HMO/WC	$70.47

AMRINONE LACT INJ 5MG/ML 20ML

Facility

$469.80

Hospital Charge Code	6000434
Hospital Revenue Code	250
Min. Negotiated Rate	$61.07
Max. Negotiated Rate	$234.90
Rate for Payer: Aetna Commercial	$140.94
Rate for Payer: Aetna Medicare Advantage	$140.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.80
Rate for Payer: Cigna Commercial	$234.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.07
Rate for Payer: Oxford Commercial	$234.90
Rate for Payer: Qualcare PPO/HMO/WC	$70.47
Rate for Payer: UnitedHealthcare Commercial	$234.90

AMS 700 LGX MS PUMP 12MMX18CM

Facility

$75,950.00

Service Code	HCPCS C1778
Hospital Charge Code	270705746
Hospital Revenue Code	278
Min. Negotiated Rate	$11,392.50
Max. Negotiated Rate	$37,975.00
Rate for Payer: Aetna Commercial	$22,785.00
Rate for Payer: Aetna Medicare Advantage	$22,785.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19,367.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19,367.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15,190.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19,367.25
Rate for Payer: Cigna Commercial	$37,975.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18,379.90
Rate for Payer: Qualcare PPO/HMO/WC	$11,392.50

AMS 700 LGX MS PUMP 12MMX18CM

Facility

$75,950.00

Service Code	HCPCS C1778
Hospital Charge Code	270705746
Hospital Revenue Code	278
Min. Negotiated Rate	$11,392.50
Max. Negotiated Rate	$18,379.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15,190.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18,379.90
Rate for Payer: Qualcare PPO/HMO/WC	$11,392.50

AMS CX MS PENILE PROS 12MMX24C

Facility

$73,850.00

Service Code	HCPCS C1889
Hospital Charge Code	270705408
Hospital Revenue Code	278
Min. Negotiated Rate	$11,077.50
Max. Negotiated Rate	$36,925.00
Rate for Payer: Aetna Commercial	$22,155.00
Rate for Payer: Aetna Medicare Advantage	$22,155.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18,831.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18,831.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14,770.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18,831.75
Rate for Payer: Cigna Commercial	$36,925.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17,871.70
Rate for Payer: Qualcare PPO/HMO/WC	$11,077.50

AMS CX MS PENILE PROS 12MMX24C

Facility

$73,850.00

Service Code	HCPCS C1889
Hospital Charge Code	270705408
Hospital Revenue Code	278
Min. Negotiated Rate	$11,077.50
Max. Negotiated Rate	$17,871.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14,770.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17,871.70
Rate for Payer: Qualcare PPO/HMO/WC	$11,077.50

AMVISC PLUS/0.5ML

Facility

$444.00

Hospital Charge Code	60634469
Hospital Revenue Code	250
Min. Negotiated Rate	$66.60
Max. Negotiated Rate	$66.60
Rate for Payer: Qualcare PPO/HMO/WC	$66.60

AMVISC PLUS/0.5ML

Facility

$444.00

Hospital Charge Code	60634469
Hospital Revenue Code	250
Min. Negotiated Rate	$57.72
Max. Negotiated Rate	$222.00
Rate for Payer: Aetna Commercial	$133.20
Rate for Payer: Aetna Medicare Advantage	$133.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$113.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$113.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$113.22
Rate for Payer: Cigna Commercial	$222.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.72
Rate for Payer: Oxford Commercial	$222.00
Rate for Payer: Qualcare PPO/HMO/WC	$66.60
Rate for Payer: UnitedHealthcare Commercial	$222.00

AMYLASE

Facility

$249.20

Service Code	HCPCS 82150
Hospital Charge Code	38472101
Hospital Revenue Code	301
Min. Negotiated Rate	$37.38
Max. Negotiated Rate	$37.38
Rate for Payer: Qualcare PPO/HMO/WC	$37.38

AMYLASE

Facility

$249.20

Service Code	HCPCS 82150
Hospital Charge Code	38472101
Hospital Revenue Code	301
Min. Negotiated Rate	$3.24
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$21.00
Rate for Payer: Aetna Medicare Advantage	$6.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.74
Rate for Payer: Cigna Commercial	$6.48
Rate for Payer: Cigna Medicare Advantage	$3.24
Rate for Payer: Clover Medicare Advantage	$6.16
Rate for Payer: EmblemHealth Commercial	$19.44
Rate for Payer: Humana Medicare Advantage	$6.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.40
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.38
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.48
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.87
Rate for Payer: Wellcare Medicare Advantage	$6.48

AMYLASE***

Facility

$30.00

Hospital Charge Code	3010287
Hospital Revenue Code	309
Min. Negotiated Rate	$4.50
Max. Negotiated Rate	$4.50
Rate for Payer: Qualcare PPO/HMO/WC	$4.50

AMYLASE***

Facility

$30.00

Hospital Charge Code	3010287
Hospital Revenue Code	309
Min. Negotiated Rate	$3.90
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$9.00
Rate for Payer: Aetna Medicare Advantage	$9.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.65
Rate for Payer: Cigna Commercial	$15.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.90
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.50
Rate for Payer: UnitedHealthcare Commercial	$114.00

AMYLASE,24HR

Facility

$249.20

Service Code	HCPCS 82150
Hospital Charge Code	38479011
Hospital Revenue Code	301
Min. Negotiated Rate	$3.24
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$21.00
Rate for Payer: Aetna Medicare Advantage	$6.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.74
Rate for Payer: Cigna Commercial	$6.48
Rate for Payer: Cigna Medicare Advantage	$3.24
Rate for Payer: Clover Medicare Advantage	$6.16
Rate for Payer: EmblemHealth Commercial	$19.44
Rate for Payer: Humana Medicare Advantage	$6.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.40
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.38
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.48
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.87
Rate for Payer: Wellcare Medicare Advantage	$6.48

AMYLASE,24HR

Facility

$249.20

Service Code	HCPCS 82150
Hospital Charge Code	38479011
Hospital Revenue Code	301
Min. Negotiated Rate	$37.38
Max. Negotiated Rate	$37.38
Rate for Payer: Qualcare PPO/HMO/WC	$37.38

AMYLASE,34HR URINE

Facility

$249.20

Service Code	HCPCS 82150
Hospital Charge Code	38479012
Hospital Revenue Code	301
Min. Negotiated Rate	$3.24
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$21.00
Rate for Payer: Aetna Medicare Advantage	$6.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.74
Rate for Payer: Cigna Commercial	$6.48
Rate for Payer: Cigna Medicare Advantage	$3.24
Rate for Payer: Clover Medicare Advantage	$6.16
Rate for Payer: EmblemHealth Commercial	$19.44
Rate for Payer: Humana Medicare Advantage	$6.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.40
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.38
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.48
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.87
Rate for Payer: Wellcare Medicare Advantage	$6.48

AMYLASE,34HR URINE

Facility

$249.20

Service Code	HCPCS 82150
Hospital Charge Code	38479012
Hospital Revenue Code	301
Min. Negotiated Rate	$37.38
Max. Negotiated Rate	$37.38
Rate for Payer: Qualcare PPO/HMO/WC	$37.38

AMYLASE BODY FLUID

Facility

$322.47

Service Code	HCPCS 82150
Hospital Charge Code	3031010
Hospital Revenue Code	301
Min. Negotiated Rate	$3.24
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$21.00
Rate for Payer: Aetna Medicare Advantage	$6.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.74
Rate for Payer: Cigna Commercial	$6.48
Rate for Payer: Cigna Medicare Advantage	$3.24
Rate for Payer: Clover Medicare Advantage	$6.16
Rate for Payer: EmblemHealth Commercial	$19.44
Rate for Payer: Humana Medicare Advantage	$6.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.92
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$48.37
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.48
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.87
Rate for Payer: Wellcare Medicare Advantage	$6.48

AMYLASE BODY FLUID

Facility

$322.47

Service Code	HCPCS 82150
Hospital Charge Code	3031010
Hospital Revenue Code	301
Min. Negotiated Rate	$48.37
Max. Negotiated Rate	$48.37
Rate for Payer: Qualcare PPO/HMO/WC	$48.37

AMYLASE,FLUID

Facility

$249.20

Service Code	HCPCS 82150
Hospital Charge Code	38479009
Hospital Revenue Code	301
Min. Negotiated Rate	$3.24
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$21.00
Rate for Payer: Aetna Medicare Advantage	$6.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.74
Rate for Payer: Cigna Commercial	$6.48
Rate for Payer: Cigna Medicare Advantage	$3.24
Rate for Payer: Clover Medicare Advantage	$6.16
Rate for Payer: EmblemHealth Commercial	$19.44
Rate for Payer: Humana Medicare Advantage	$6.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.40
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.38
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.48
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.87
Rate for Payer: Wellcare Medicare Advantage	$6.48

AMYLASE,FLUID

Facility

$249.20

Service Code	HCPCS 82150
Hospital Charge Code	38479009
Hospital Revenue Code	301
Min. Negotiated Rate	$37.38
Max. Negotiated Rate	$37.38
Rate for Payer: Qualcare PPO/HMO/WC	$37.38

AMYLASE ISOENZEYMES SERUM

Facility

$390.00

Service Code	HCPCS 82150XU
Hospital Charge Code	3000288B
Hospital Revenue Code	301
Min. Negotiated Rate	$50.70
Max. Negotiated Rate	$195.00
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) PPO	$99.45
Rate for Payer: Cigna Commercial	$195.00
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

AMYLASE ISOENZEYMES SERUM

Facility

$390.00

Service Code	HCPCS 82150XU
Hospital Charge Code	3000288B
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

AMYLASE ISOENZYMES

Facility

$322.47

Service Code	HCPCS 82150
Hospital Charge Code	3007036
Hospital Revenue Code	301
Min. Negotiated Rate	$3.24
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$21.00
Rate for Payer: Aetna Medicare Advantage	$6.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.74
Rate for Payer: Cigna Commercial	$6.48
Rate for Payer: Cigna Medicare Advantage	$3.24
Rate for Payer: Clover Medicare Advantage	$6.16
Rate for Payer: EmblemHealth Commercial	$19.44
Rate for Payer: Humana Medicare Advantage	$6.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.92
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$48.37
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.48
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.87
Rate for Payer: Wellcare Medicare Advantage	$6.48

AMYLASE ISOENZYMES

Facility

$322.47

Service Code	HCPCS 82150
Hospital Charge Code	3007036
Hospital Revenue Code	301
Min. Negotiated Rate	$48.37
Max. Negotiated Rate	$48.37
Rate for Payer: Qualcare PPO/HMO/WC	$48.37

AMYLASE ISOENZYMES I

Facility

$322.47

Service Code	HCPCS 82150
Hospital Charge Code	3038526A
Hospital Revenue Code	300
Min. Negotiated Rate	$48.37
Max. Negotiated Rate	$48.37
Rate for Payer: Qualcare PPO/HMO/WC	$48.37

Know your out-of-pocket cost for care.

All Charges