Heights University Hospital

All Charges

Charge

Type

Setting

Price

HUMAN ANTI MOUSE AB

Facility

$253.45

Service Code	HCPCS 83520
Hospital Charge Code	3001911
Hospital Revenue Code	301
Min. Negotiated Rate	$8.63
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$55.95
Rate for Payer: Aetna Medicare Advantage	$17.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.28
Rate for Payer: Cigna Commercial	$17.27
Rate for Payer: Cigna Medicare Advantage	$8.63
Rate for Payer: Clover Medicare Advantage	$16.41
Rate for Payer: EmblemHealth Commercial	$51.81
Rate for Payer: Humana Medicare Advantage	$17.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.95
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$38.02
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$17.27
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$18.31
Rate for Payer: Wellcare Medicare Advantage	$17.27

HUMAN EPIDYDEMIS PROTEIN 4

Facility

$390.00

Service Code	HCPCS 86305
Hospital Charge Code	401086305B
Hospital Revenue Code	302
Min. Negotiated Rate	$10.40
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$67.42
Rate for Payer: Aetna Medicare Advantage	$20.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.25
Rate for Payer: Cigna Commercial	$20.81
Rate for Payer: Cigna Medicare Advantage	$10.40
Rate for Payer: Clover Medicare Advantage	$19.77
Rate for Payer: EmblemHealth Commercial	$62.43
Rate for Payer: Humana Medicare Advantage	$21.43
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	$20.81
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$22.06
Rate for Payer: Wellcare Medicare Advantage	$20.81

HUMAN EPIDYDEMIS PROTEIN 4

Facility

$390.00

Service Code	HCPCS 86305
Hospital Charge Code	401086305B
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

HUMAN HERPES VIRUS 6 AB IGG

Facility

$93.65

Service Code	HCPCS 86790
Hospital Charge Code	3035037
Hospital Revenue Code	302
Min. Negotiated Rate	$6.44
Max. Negotiated Rate	$443.55
Rate for Payer: Aetna Commercial	$41.73
Rate for Payer: Aetna Medicare Advantage	$12.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$443.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.19
Rate for Payer: Cigna Commercial	$12.88
Rate for Payer: Cigna Medicare Advantage	$6.44
Rate for Payer: Clover Medicare Advantage	$12.24
Rate for Payer: EmblemHealth Commercial	$38.64
Rate for Payer: Humana Medicare Advantage	$13.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.17
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$14.05
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.88
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13.65
Rate for Payer: Wellcare Medicare Advantage	$12.88

HUMAN HERPES VIRUS 6 AB IGG

Facility

$93.65

Service Code	HCPCS 86790
Hospital Charge Code	3035037
Hospital Revenue Code	302
Min. Negotiated Rate	$14.05
Max. Negotiated Rate	$14.05
Rate for Payer: Qualcare PPO/HMO/WC	$14.05

HUMAN INSULIN INJ 50/50 U-100

Facility

$155.55

Hospital Charge Code	60628224
Hospital Revenue Code	636
Min. Negotiated Rate	$23.33
Max. Negotiated Rate	$77.78
Rate for Payer: Aetna Commercial	$46.66
Rate for Payer: Aetna Medicare Advantage	$46.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.67
Rate for Payer: Cigna Commercial	$77.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.64
Rate for Payer: Qualcare PPO/HMO/WC	$23.33

HUMAN INSULIN INJ 50/50 U-100

Facility

$155.55

Hospital Charge Code	60628224
Hospital Revenue Code	636
Min. Negotiated Rate	$23.33
Max. Negotiated Rate	$37.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.64
Rate for Payer: Qualcare PPO/HMO/WC	$23.33

HUMAN INSULIN LISPRO INJ U-100

Facility

$93.02

Service Code	NDC 2753301
Hospital Charge Code	60628226
Hospital Revenue Code	250
Min. Negotiated Rate	$13.95
Max. Negotiated Rate	$13.95
Rate for Payer: Qualcare PPO/HMO/WC	$13.95

HUMAN INSULIN LISPRO INJ U-100

Facility

$93.02

Service Code	NDC 2753301
Hospital Charge Code	60628226
Hospital Revenue Code	250
Min. Negotiated Rate	$12.09
Max. Negotiated Rate	$46.51
Rate for Payer: Aetna Commercial	$27.91
Rate for Payer: Aetna Medicare Advantage	$27.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.72
Rate for Payer: Cigna Commercial	$46.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.09
Rate for Payer: Oxford Commercial	$46.51
Rate for Payer: Qualcare PPO/HMO/WC	$13.95
Rate for Payer: UnitedHealthcare Commercial	$46.51

HUMAN METAPNEUMOVIRUS RNA

Facility

$1,433.80

Service Code	HCPCS 87798
Hospital Charge Code	401087798
Hospital Revenue Code	306
Min. Negotiated Rate	$215.07
Max. Negotiated Rate	$215.07
Rate for Payer: Qualcare PPO/HMO/WC	$215.07

HUMAN METAPNEUMOVIRUS RNA

Facility

$1,433.80

Service Code	HCPCS 87798
Hospital Charge Code	401087798
Hospital Revenue Code	306
Min. Negotiated Rate	$17.55
Max. Negotiated Rate	$215.07
Rate for Payer: Aetna Commercial	$113.69
Rate for Payer: Aetna Medicare Advantage	$35.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$128.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$128.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$35.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$147.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$128.57
Rate for Payer: Cigna Commercial	$35.09
Rate for Payer: Cigna Medicare Advantage	$17.55
Rate for Payer: Clover Medicare Advantage	$33.34
Rate for Payer: EmblemHealth Commercial	$105.27
Rate for Payer: Humana Medicare Advantage	$36.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$186.39
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$215.07
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$35.09
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$37.20
Rate for Payer: Wellcare Medicare Advantage	$35.09

HUMAN T CELL HTLV I/II QUAL

Facility

$93.65

Service Code	HCPCS 86790
Hospital Charge Code	3008355
Hospital Revenue Code	302
Min. Negotiated Rate	$14.05
Max. Negotiated Rate	$14.05
Rate for Payer: Qualcare PPO/HMO/WC	$14.05

HUMAN T CELL HTLV I/II QUAL

Facility

$93.65

Service Code	HCPCS 86790
Hospital Charge Code	3008355
Hospital Revenue Code	302
Min. Negotiated Rate	$6.44
Max. Negotiated Rate	$443.55
Rate for Payer: Aetna Commercial	$41.73
Rate for Payer: Aetna Medicare Advantage	$12.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$443.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.19
Rate for Payer: Cigna Commercial	$12.88
Rate for Payer: Cigna Medicare Advantage	$6.44
Rate for Payer: Clover Medicare Advantage	$12.24
Rate for Payer: EmblemHealth Commercial	$38.64
Rate for Payer: Humana Medicare Advantage	$13.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.17
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$14.05
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.88
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13.65
Rate for Payer: Wellcare Medicare Advantage	$12.88

HUMATIN CAPS

Facility

$13.00

Hospital Charge Code	60635117
Hospital Revenue Code	250
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$1.95
Rate for Payer: Qualcare PPO/HMO/WC	$1.95

HUMATIN CAPS

Facility

$13.00

Hospital Charge Code	60635117
Hospital Revenue Code	250
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$6.50
Rate for Payer: Aetna Commercial	$3.90
Rate for Payer: Aetna Medicare Advantage	$3.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.31
Rate for Payer: Cigna Commercial	$6.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.69
Rate for Payer: Oxford Commercial	$6.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.95
Rate for Payer: UnitedHealthcare Commercial	$6.50

HUMERAL ADAPTER 5mm MIDDLE SEG

Facility

$8,392.35

Service Code	HCPCS C1776
Hospital Charge Code	270679731
Hospital Revenue Code	278
Min. Negotiated Rate	$1,258.85
Max. Negotiated Rate	$2,030.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,678.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,030.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,258.85

HUMERAL ADAPTER 5mm MIDDLE SEG

Facility

$8,392.35

Service Code	HCPCS C1776
Hospital Charge Code	270679731
Hospital Revenue Code	278
Min. Negotiated Rate	$1,258.85
Max. Negotiated Rate	$4,196.18
Rate for Payer: Aetna Commercial	$2,517.70
Rate for Payer: Aetna Medicare Advantage	$2,517.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,140.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,140.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,678.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,140.05
Rate for Payer: Cigna Commercial	$4,196.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,030.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,258.85

HUMERAL ADAPTER TRAY +10MM

Facility

$8,392.35

Service Code	HCPCS C1776
Hospital Charge Code	270673291
Hospital Revenue Code	278
Min. Negotiated Rate	$1,258.85
Max. Negotiated Rate	$2,030.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,678.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,030.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,258.85

HUMERAL ADAPTER TRAY +10MM

Facility

$8,392.35

Service Code	HCPCS C1776
Hospital Charge Code	270673291
Hospital Revenue Code	278
Min. Negotiated Rate	$1,258.85
Max. Negotiated Rate	$4,196.18
Rate for Payer: Aetna Commercial	$2,517.70
Rate for Payer: Aetna Medicare Advantage	$2,517.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,140.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,140.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,678.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,140.05
Rate for Payer: Cigna Commercial	$4,196.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,030.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,258.85

HUMERAL BEARING

Facility

$3,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270668580
Hospital Revenue Code	278
Min. Negotiated Rate	$525.00
Max. Negotiated Rate	$847.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$847.00
Rate for Payer: Qualcare PPO/HMO/WC	$525.00

HUMERAL BEARING

Facility

$3,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270668580
Hospital Revenue Code	278
Min. Negotiated Rate	$525.00
Max. Negotiated Rate	$1,750.00
Rate for Payer: Aetna Commercial	$1,050.00
Rate for Payer: Aetna Medicare Advantage	$1,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$892.50
Rate for Payer: Cigna Commercial	$1,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$847.00
Rate for Payer: Qualcare PPO/HMO/WC	$525.00

HUMERAL BEARING 44X36MM

Facility

$7,945.00

Hospital Charge Code	270670924
Hospital Revenue Code	278
Min. Negotiated Rate	$1,191.75
Max. Negotiated Rate	$3,972.50
Rate for Payer: Aetna Commercial	$2,383.50
Rate for Payer: Aetna Medicare Advantage	$2,383.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,025.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,025.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,589.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,025.97
Rate for Payer: Cigna Commercial	$3,972.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,922.69
Rate for Payer: Qualcare PPO/HMO/WC	$1,191.75

HUMERAL BEARING 44X36MM

Facility

$7,945.00

Hospital Charge Code	270670924
Hospital Revenue Code	278
Min. Negotiated Rate	$1,191.75
Max. Negotiated Rate	$1,922.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,589.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,922.69
Rate for Payer: Qualcare PPO/HMO/WC	$1,191.75

HUMERAL BODY FINNED REVERSE

Facility

$9,955.00

Service Code	HCPCS C1776
Hospital Charge Code	270672167
Hospital Revenue Code	278
Min. Negotiated Rate	$1,493.25
Max. Negotiated Rate	$2,409.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,991.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,409.11
Rate for Payer: Qualcare PPO/HMO/WC	$1,493.25

HUMERAL BODY FINNED REVERSE

Facility

$9,955.00

Service Code	HCPCS C1776
Hospital Charge Code	270672167
Hospital Revenue Code	278
Min. Negotiated Rate	$1,493.25
Max. Negotiated Rate	$4,977.50
Rate for Payer: Aetna Commercial	$2,986.50
Rate for Payer: Aetna Medicare Advantage	$2,986.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,538.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,538.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,991.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,538.53
Rate for Payer: Cigna Commercial	$4,977.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,409.11
Rate for Payer: Qualcare PPO/HMO/WC	$1,493.25

Know your out-of-pocket cost for care.

All Charges