Heights University Hospital

All Charges

Charge

Type

Setting

Price

HELICAL BLADE 11 X95

Facility

$3,290.85

Hospital Charge Code	270679080
Hospital Revenue Code	272
Min. Negotiated Rate	$493.63
Max. Negotiated Rate	$493.63
Rate for Payer: Qualcare PPO/HMO/WC	$493.63

HELICAL BLADE 11 X95

Facility

$3,290.85

Hospital Charge Code	270679080
Hospital Revenue Code	272
Min. Negotiated Rate	$427.81
Max. Negotiated Rate	$1,645.42
Rate for Payer: Aetna Commercial	$987.25
Rate for Payer: Aetna Medicare Advantage	$987.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$839.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$839.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$839.17
Rate for Payer: Cigna Commercial	$1,645.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$427.81
Rate for Payer: Oxford Commercial	$1,645.42
Rate for Payer: Qualcare PPO/HMO/WC	$493.63
Rate for Payer: UnitedHealthcare Commercial	$1,645.42

HELICOBACTER PYELORO, AB

Facility

$1,080.00

Service Code	HCPCS 86677
Hospital Charge Code	38472493
Hospital Revenue Code	302
Min. Negotiated Rate	$162.00
Max. Negotiated Rate	$162.00
Rate for Payer: Qualcare PPO/HMO/WC	$162.00

HELICOBACTER PYELORO, AB

Facility

$1,080.00

Service Code	HCPCS 86677
Hospital Charge Code	38472493
Hospital Revenue Code	302
Min. Negotiated Rate	$8.43
Max. Negotiated Rate	$162.00
Rate for Payer: Aetna Commercial	$54.59
Rate for Payer: Aetna Medicare Advantage	$16.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.74
Rate for Payer: Cigna Commercial	$16.85
Rate for Payer: Cigna Medicare Advantage	$8.43
Rate for Payer: Clover Medicare Advantage	$16.01
Rate for Payer: EmblemHealth Commercial	$50.55
Rate for Payer: Humana Medicare Advantage	$17.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$140.40
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$162.00
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.85
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$17.86
Rate for Payer: Wellcare Medicare Advantage	$16.85

HELICOBACTER PYLORI

Facility

$307.50

Service Code	HCPCS 83013
Hospital Charge Code	38477204
Hospital Revenue Code	301
Min. Negotiated Rate	$46.12
Max. Negotiated Rate	$46.12
Rate for Payer: Qualcare PPO/HMO/WC	$46.12

HELICOBACTER PYLORI

Facility

$307.50

Service Code	HCPCS 83013
Hospital Charge Code	38477204
Hospital Revenue Code	301
Min. Negotiated Rate	$33.68
Max. Negotiated Rate	$246.81
Rate for Payer: Aetna Commercial	$218.25
Rate for Payer: Aetna Medicare Advantage	$67.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$246.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$246.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$67.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$246.81
Rate for Payer: Cigna Commercial	$67.36
Rate for Payer: Cigna Medicare Advantage	$33.68
Rate for Payer: Clover Medicare Advantage	$63.99
Rate for Payer: EmblemHealth Commercial	$202.08
Rate for Payer: Humana Medicare Advantage	$69.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.98
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$46.12
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$67.36
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$71.40
Rate for Payer: Wellcare Medicare Advantage	$67.36

HELICOBACTER PYLORI ANTIGEN I

Facility

$390.00

Service Code	HCPCS 87338
Hospital Charge Code	399900534
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

HELICOBACTER PYLORI ANTIGEN I

Facility

$390.00

Service Code	HCPCS 87338
Hospital Charge Code	399900534
Hospital Revenue Code	302
Min. Negotiated Rate	$7.19
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$46.59
Rate for Payer: Aetna Medicare Advantage	$14.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.69
Rate for Payer: Cigna Commercial	$14.38
Rate for Payer: Cigna Medicare Advantage	$7.19
Rate for Payer: Clover Medicare Advantage	$13.66
Rate for Payer: EmblemHealth Commercial	$43.14
Rate for Payer: Humana Medicare Advantage	$14.81
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	$14.38
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15.24
Rate for Payer: Wellcare Medicare Advantage	$14.38

HELICOBACTER PYLORI IGG

Facility

$390.00

Service Code	HCPCS 86677
Hospital Charge Code	39900375
Hospital Revenue Code	302
Min. Negotiated Rate	$8.43
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$54.59
Rate for Payer: Aetna Medicare Advantage	$16.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.74
Rate for Payer: Cigna Commercial	$16.85
Rate for Payer: Cigna Medicare Advantage	$8.43
Rate for Payer: Clover Medicare Advantage	$16.01
Rate for Payer: EmblemHealth Commercial	$50.55
Rate for Payer: Humana Medicare Advantage	$17.36
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	$16.85
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$17.86
Rate for Payer: Wellcare Medicare Advantage	$16.85

HELICOBACTER PYLORI IGG

Facility

$390.00

Service Code	HCPCS 86677
Hospital Charge Code	39900375
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

HELICOBACTER PYLORI STOOL AG

Facility

$942.45

Service Code	HCPCS 87338
Hospital Charge Code	3035048
Hospital Revenue Code	306
Min. Negotiated Rate	$7.19
Max. Negotiated Rate	$141.37
Rate for Payer: Aetna Commercial	$46.59
Rate for Payer: Aetna Medicare Advantage	$14.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.69
Rate for Payer: Cigna Commercial	$14.38
Rate for Payer: Cigna Medicare Advantage	$7.19
Rate for Payer: Clover Medicare Advantage	$13.66
Rate for Payer: EmblemHealth Commercial	$43.14
Rate for Payer: Humana Medicare Advantage	$14.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.52
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$141.37
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.38
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15.24
Rate for Payer: Wellcare Medicare Advantage	$14.38

HELICOBACTER PYLORI STOOL AG

Facility

$942.45

Service Code	HCPCS 87338
Hospital Charge Code	3035048
Hospital Revenue Code	306
Min. Negotiated Rate	$141.37
Max. Negotiated Rate	$141.37
Rate for Payer: Qualcare PPO/HMO/WC	$141.37

HELICOBACTOR PYLORI IGG IGA

Facility

$268.85

Service Code	HCPCS 86677
Hospital Charge Code	3009439
Hospital Revenue Code	302
Min. Negotiated Rate	$8.43
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$54.59
Rate for Payer: Aetna Medicare Advantage	$16.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.74
Rate for Payer: Cigna Commercial	$16.85
Rate for Payer: Cigna Medicare Advantage	$8.43
Rate for Payer: Clover Medicare Advantage	$16.01
Rate for Payer: EmblemHealth Commercial	$50.55
Rate for Payer: Humana Medicare Advantage	$17.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.95
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$40.33
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.85
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$17.86
Rate for Payer: Wellcare Medicare Advantage	$16.85

HELICOBACTOR PYLORI IGG IGA

Facility

$268.85

Service Code	HCPCS 86677
Hospital Charge Code	3009439
Hospital Revenue Code	302
Min. Negotiated Rate	$40.33
Max. Negotiated Rate	$40.33
Rate for Payer: Qualcare PPO/HMO/WC	$40.33

HELIOBACTER PYLORI AB IGG

Facility

$268.85

Service Code	HCPCS 86677
Hospital Charge Code	3009438
Hospital Revenue Code	302
Min. Negotiated Rate	$40.33
Max. Negotiated Rate	$40.33
Rate for Payer: Qualcare PPO/HMO/WC	$40.33

HELIOBACTER PYLORI AB IGG

Facility

$268.85

Service Code	HCPCS 86677
Hospital Charge Code	3009438
Hospital Revenue Code	302
Min. Negotiated Rate	$8.43
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$54.59
Rate for Payer: Aetna Medicare Advantage	$16.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.74
Rate for Payer: Cigna Commercial	$16.85
Rate for Payer: Cigna Medicare Advantage	$8.43
Rate for Payer: Clover Medicare Advantage	$16.01
Rate for Payer: EmblemHealth Commercial	$50.55
Rate for Payer: Humana Medicare Advantage	$17.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.95
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$40.33
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.85
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$17.86
Rate for Payer: Wellcare Medicare Advantage	$16.85

HELIOCOIDAL RAS MED 3.2x18.3MM

Facility

$592.25

Hospital Charge Code	270672709
Hospital Revenue Code	272
Min. Negotiated Rate	$76.99
Max. Negotiated Rate	$296.12
Rate for Payer: Aetna Commercial	$177.68
Rate for Payer: Aetna Medicare Advantage	$177.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.02
Rate for Payer: Cigna Commercial	$296.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.99
Rate for Payer: Oxford Commercial	$296.12
Rate for Payer: Qualcare PPO/HMO/WC	$88.84
Rate for Payer: UnitedHealthcare Commercial	$296.12

HELIOCOIDAL RAS MED 3.2x18.3MM

Facility

$592.25

Hospital Charge Code	270672709
Hospital Revenue Code	272
Min. Negotiated Rate	$88.84
Max. Negotiated Rate	$88.84
Rate for Payer: Qualcare PPO/HMO/WC	$88.84

HELIOGEN

Facility

$4,000.00

Service Code	HCPCS C1889
Hospital Charge Code	270706148
Hospital Revenue Code	278
Min. Negotiated Rate	$600.00
Max. Negotiated Rate	$2,000.00
Rate for Payer: Aetna Commercial	$1,200.00
Rate for Payer: Aetna Medicare Advantage	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,020.00
Rate for Payer: Cigna Commercial	$2,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$968.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00

HELIOGEN

Facility

$4,000.00

Service Code	HCPCS C1889
Hospital Charge Code	270706148
Hospital Revenue Code	278
Min. Negotiated Rate	$600.00
Max. Negotiated Rate	$968.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$968.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00

HELIOX PER HOUR

Facility

$76.88

Hospital Charge Code	95090386
Hospital Revenue Code	270
Min. Negotiated Rate	$9.99
Max. Negotiated Rate	$38.44
Rate for Payer: Aetna Commercial	$23.06
Rate for Payer: Aetna Medicare Advantage	$23.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.60
Rate for Payer: Cigna Commercial	$38.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.99
Rate for Payer: Oxford Commercial	$38.44
Rate for Payer: Qualcare PPO/HMO/WC	$11.53
Rate for Payer: UnitedHealthcare Commercial	$38.44

HELIOX PER HOUR

Facility

$76.88

Hospital Charge Code	95090385
Hospital Revenue Code	270
Min. Negotiated Rate	$11.53
Max. Negotiated Rate	$11.53
Rate for Payer: Qualcare PPO/HMO/WC	$11.53

HELIOX PER HOUR

Facility

$76.88

Hospital Charge Code	95090386
Hospital Revenue Code	270
Min. Negotiated Rate	$11.53
Max. Negotiated Rate	$11.53
Rate for Payer: Qualcare PPO/HMO/WC	$11.53

HELIOX PER HOUR

Facility

$76.88

Hospital Charge Code	95090385
Hospital Revenue Code	270
Min. Negotiated Rate	$9.99
Max. Negotiated Rate	$38.44
Rate for Payer: Aetna Commercial	$23.06
Rate for Payer: Aetna Medicare Advantage	$23.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.60
Rate for Payer: Cigna Commercial	$38.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.99
Rate for Payer: Oxford Commercial	$38.44
Rate for Payer: Qualcare PPO/HMO/WC	$11.53
Rate for Payer: UnitedHealthcare Commercial	$38.44

HELIXX SI LAG IMPLANT 12X50MM

Facility

$13,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270704261
Hospital Revenue Code	278
Min. Negotiated Rate	$2,062.50
Max. Negotiated Rate	$3,327.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,327.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,062.50

Know your out-of-pocket cost for care.

All Charges