Heights University Hospital

All Charges

Charge

Type

Setting

Price

Homocysteine nutritional

Facility

$390.00

Service Code	HCPCS 83090
Hospital Charge Code	39708022
Hospital Revenue Code	301
Min. Negotiated Rate	$8.96
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$58.06
Rate for Payer: Aetna Medicare Advantage	$17.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.66
Rate for Payer: Cigna Commercial	$17.92
Rate for Payer: Cigna Medicare Advantage	$8.96
Rate for Payer: Clover Medicare Advantage	$17.02
Rate for Payer: EmblemHealth Commercial	$53.76
Rate for Payer: Humana Medicare Advantage	$18.46
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	$17.92
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19.00
Rate for Payer: Wellcare Medicare Advantage	$17.92

Homocysteine nutritional

Facility

$390.00

Service Code	HCPCS 83090
Hospital Charge Code	39708022
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

HOMOCYSTINE, CYSTINE PLASMA

Facility

$153.65

Service Code	HCPCS 83090
Hospital Charge Code	3001568
Hospital Revenue Code	301
Min. Negotiated Rate	$8.96
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$58.06
Rate for Payer: Aetna Medicare Advantage	$17.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.66
Rate for Payer: Cigna Commercial	$17.92
Rate for Payer: Cigna Medicare Advantage	$8.96
Rate for Payer: Clover Medicare Advantage	$17.02
Rate for Payer: EmblemHealth Commercial	$53.76
Rate for Payer: Humana Medicare Advantage	$18.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.97
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$23.05
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$17.92
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19.00
Rate for Payer: Wellcare Medicare Advantage	$17.92

HOMOCYSTINE, CYSTINE PLASMA

Facility

$153.65

Service Code	HCPCS 83090
Hospital Charge Code	3001568
Hospital Revenue Code	301
Min. Negotiated Rate	$23.05
Max. Negotiated Rate	$23.05
Rate for Payer: Qualcare PPO/HMO/WC	$23.05

HOMOCYSTINE TOTAL URINE

Facility

$486.00

Service Code	HCPCS 83090
Hospital Charge Code	3001570A
Hospital Revenue Code	301
Min. Negotiated Rate	$72.90
Max. Negotiated Rate	$72.90
Rate for Payer: Qualcare PPO/HMO/WC	$72.90

HOMOCYSTINE TOTAL URINE

Facility

$486.00

Service Code	HCPCS 83090
Hospital Charge Code	3001570A
Hospital Revenue Code	301
Min. Negotiated Rate	$8.96
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$58.06
Rate for Payer: Aetna Medicare Advantage	$17.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.66
Rate for Payer: Cigna Commercial	$17.92
Rate for Payer: Cigna Medicare Advantage	$8.96
Rate for Payer: Clover Medicare Advantage	$17.02
Rate for Payer: EmblemHealth Commercial	$53.76
Rate for Payer: Humana Medicare Advantage	$18.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.18
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$72.90
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$17.92
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19.00
Rate for Payer: Wellcare Medicare Advantage	$17.92

HOMOCYSTINE URINE

Facility

$153.65

Service Code	HCPCS 83090
Hospital Charge Code	3001569
Hospital Revenue Code	301
Min. Negotiated Rate	$23.05
Max. Negotiated Rate	$23.05
Rate for Payer: Qualcare PPO/HMO/WC	$23.05

HOMOCYSTINE URINE

Facility

$153.65

Service Code	HCPCS 83090
Hospital Charge Code	3001569
Hospital Revenue Code	301
Min. Negotiated Rate	$8.96
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$58.06
Rate for Payer: Aetna Medicare Advantage	$17.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.66
Rate for Payer: Cigna Commercial	$17.92
Rate for Payer: Cigna Medicare Advantage	$8.96
Rate for Payer: Clover Medicare Advantage	$17.02
Rate for Payer: EmblemHealth Commercial	$53.76
Rate for Payer: Humana Medicare Advantage	$18.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.97
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$23.05
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$17.92
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19.00
Rate for Payer: Wellcare Medicare Advantage	$17.92

HOMOCYSTINE, URINE

Facility

$169.00

Service Code	HCPCS 82615
Hospital Charge Code	38473074
Hospital Revenue Code	301
Min. Negotiated Rate	$25.35
Max. Negotiated Rate	$25.35
Rate for Payer: Qualcare PPO/HMO/WC	$25.35

HOMOCYSTINE, URINE

Facility

$169.00

Service Code	HCPCS 82615
Hospital Charge Code	38473074
Hospital Revenue Code	301
Min. Negotiated Rate	$4.78
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$30.94
Rate for Payer: Aetna Medicare Advantage	$9.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.99
Rate for Payer: Cigna Commercial	$9.55
Rate for Payer: Cigna Medicare Advantage	$4.78
Rate for Payer: Clover Medicare Advantage	$9.07
Rate for Payer: EmblemHealth Commercial	$28.65
Rate for Payer: Humana Medicare Advantage	$9.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.97
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$25.35
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.55
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$10.12
Rate for Payer: Wellcare Medicare Advantage	$9.55

HOMOGENTISIC ACID,URINE

Facility

$148.00

Service Code	HCPCS 81005
Hospital Charge Code	38473075
Hospital Revenue Code	307
Min. Negotiated Rate	$1.08
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$7.03
Rate for Payer: Aetna Medicare Advantage	$2.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2.17
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	$7.95
Rate for Payer: Cigna Commercial	$2.17
Rate for Payer: Cigna Medicare Advantage	$1.08
Rate for Payer: Clover Medicare Advantage	$2.06
Rate for Payer: EmblemHealth Commercial	$6.51
Rate for Payer: Humana Medicare Advantage	$2.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.24
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.20
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$2.17
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$2.30
Rate for Payer: Wellcare Medicare Advantage	$2.17

HOMOGENTISIC ACID,URINE

Facility

$148.00

Service Code	HCPCS 81005
Hospital Charge Code	38473075
Hospital Revenue Code	307
Min. Negotiated Rate	$22.20
Max. Negotiated Rate	$22.20
Rate for Payer: Qualcare PPO/HMO/WC	$22.20

HOMOGENTISIC ACID,URINE,QUAL**

Facility

$38.00

Service Code	HCPCS 82489
Hospital Charge Code	3001567
Hospital Revenue Code	301
Min. Negotiated Rate	$4.94
Max. Negotiated Rate	$114.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.70
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: Aetna Commercial	$11.40
Rate for Payer: Aetna Medicare Advantage	$11.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.69
Rate for Payer: Cigna Commercial	$19.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.94
Rate for Payer: Oxford Commercial	$101.00

HOMOGENTISIC ACID,URINE,QUAL**

Facility

$38.00

Service Code	HCPCS 82489
Hospital Charge Code	3001567
Hospital Revenue Code	301
Min. Negotiated Rate	$5.70
Max. Negotiated Rate	$5.70
Rate for Payer: Qualcare PPO/HMO/WC	$5.70

HOMOVANILLIC ACID (HVA)

Facility

$136.99

Service Code	HCPCS 83150
Hospital Charge Code	38477155
Hospital Revenue Code	301
Min. Negotiated Rate	$11.21
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$72.61
Rate for Payer: Aetna Medicare Advantage	$22.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$22.41
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	$82.11
Rate for Payer: Cigna Commercial	$22.41
Rate for Payer: Cigna Medicare Advantage	$11.21
Rate for Payer: Clover Medicare Advantage	$21.29
Rate for Payer: EmblemHealth Commercial	$67.23
Rate for Payer: Humana Medicare Advantage	$23.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.81
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$20.55
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$22.41
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$23.75
Rate for Payer: Wellcare Medicare Advantage	$22.41

HOMOVANILLIC ACID (HVA)

Facility

$136.99

Service Code	HCPCS 83150
Hospital Charge Code	38477155
Hospital Revenue Code	301
Min. Negotiated Rate	$20.55
Max. Negotiated Rate	$20.55
Rate for Payer: Qualcare PPO/HMO/WC	$20.55

HOMOVANILLIC ACID, URINE

Facility

$170.45

Service Code	HCPCS 83150
Hospital Charge Code	3001575
Hospital Revenue Code	301
Min. Negotiated Rate	$25.57
Max. Negotiated Rate	$25.57
Rate for Payer: Qualcare PPO/HMO/WC	$25.57

HOMOVANILLIC ACID, URINE

Facility

$170.45

Service Code	HCPCS 83150
Hospital Charge Code	3001575
Hospital Revenue Code	301
Min. Negotiated Rate	$11.21
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$72.61
Rate for Payer: Aetna Medicare Advantage	$22.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$22.41
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	$82.11
Rate for Payer: Cigna Commercial	$22.41
Rate for Payer: Cigna Medicare Advantage	$11.21
Rate for Payer: Clover Medicare Advantage	$21.29
Rate for Payer: EmblemHealth Commercial	$67.23
Rate for Payer: Humana Medicare Advantage	$23.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.16
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$25.57
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$22.41
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$23.75
Rate for Payer: Wellcare Medicare Advantage	$22.41

HOOD FLYTE

Facility

$232.13

Hospital Charge Code	270660463
Hospital Revenue Code	272
Min. Negotiated Rate	$34.82
Max. Negotiated Rate	$34.82
Rate for Payer: Qualcare PPO/HMO/WC	$34.82

HOOD FLYTE

Facility

$232.13

Hospital Charge Code	270660463
Hospital Revenue Code	272
Min. Negotiated Rate	$30.18
Max. Negotiated Rate	$116.06
Rate for Payer: Aetna Commercial	$69.64
Rate for Payer: Aetna Medicare Advantage	$69.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.19
Rate for Payer: Cigna Commercial	$116.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.18
Rate for Payer: Oxford Commercial	$116.06
Rate for Payer: Qualcare PPO/HMO/WC	$34.82
Rate for Payer: UnitedHealthcare Commercial	$116.06

HOOD INFANT LARGE

Facility

$119.25

Hospital Charge Code	270600475
Hospital Revenue Code	270
Min. Negotiated Rate	$15.50
Max. Negotiated Rate	$59.62
Rate for Payer: Aetna Commercial	$35.77
Rate for Payer: Aetna Medicare Advantage	$35.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.41
Rate for Payer: Cigna Commercial	$59.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.50
Rate for Payer: Oxford Commercial	$59.62
Rate for Payer: Qualcare PPO/HMO/WC	$17.89
Rate for Payer: UnitedHealthcare Commercial	$59.62

HOOD INFANT LARGE

Facility

$119.25

Hospital Charge Code	270600475
Hospital Revenue Code	270
Min. Negotiated Rate	$17.89
Max. Negotiated Rate	$17.89
Rate for Payer: Qualcare PPO/HMO/WC	$17.89

HOOD SURGICAL DISP

Facility

$0.65

Hospital Charge Code	270650234
Hospital Revenue Code	272
Min. Negotiated Rate	$0.08
Max. Negotiated Rate	$0.33
Rate for Payer: Aetna Commercial	$0.20
Rate for Payer: Aetna Medicare Advantage	$0.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.17
Rate for Payer: Cigna Commercial	$0.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.08
Rate for Payer: Oxford Commercial	$0.33
Rate for Payer: Qualcare PPO/HMO/WC	$0.10
Rate for Payer: UnitedHealthcare Commercial	$0.33

HOOD SURGICAL DISP

Facility

$0.65

Hospital Charge Code	270650234
Hospital Revenue Code	272
Min. Negotiated Rate	$0.10
Max. Negotiated Rate	$0.10
Rate for Payer: Qualcare PPO/HMO/WC	$0.10

HOOD W/HI EFFECIENCY FI 601436

Facility

$104.17

Hospital Charge Code	270601436
Hospital Revenue Code	272
Min. Negotiated Rate	$15.63
Max. Negotiated Rate	$15.63
Rate for Payer: Qualcare PPO/HMO/WC	$15.63

Know your out-of-pocket cost for care.

All Charges