Heights University Hospital

All Charges

Charge

Type

Setting

Price

ANDROGEL 5GM GEL PKT

Facility

$35.00

Hospital Charge Code	60635555
Hospital Revenue Code	250
Min. Negotiated Rate	$4.55
Max. Negotiated Rate	$17.50
Rate for Payer: Aetna Commercial	$10.50
Rate for Payer: Aetna Medicare Advantage	$10.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.93
Rate for Payer: Cigna Commercial	$17.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.55
Rate for Payer: Oxford Commercial	$17.50
Rate for Payer: Qualcare PPO/HMO/WC	$5.25
Rate for Payer: UnitedHealthcare Commercial	$17.50

ANDROGEL 5GM GEL PKT

Facility

$35.00

Hospital Charge Code	60635555
Hospital Revenue Code	250
Min. Negotiated Rate	$5.25
Max. Negotiated Rate	$5.25
Rate for Payer: Qualcare PPO/HMO/WC	$5.25

ANDROSTANEDIOL GLUCURONI

Facility

$333.00

Service Code	HCPCS 82154
Hospital Charge Code	38472438
Hospital Revenue Code	301
Min. Negotiated Rate	$49.95
Max. Negotiated Rate	$49.95
Rate for Payer: Qualcare PPO/HMO/WC	$49.95

ANDROSTANEDIOL GLUCURONI

Facility

$333.00

Service Code	HCPCS 82154
Hospital Charge Code	38472438
Hospital Revenue Code	301
Min. Negotiated Rate	$14.41
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$93.41
Rate for Payer: Aetna Medicare Advantage	$28.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$28.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$82.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$105.63
Rate for Payer: Cigna Commercial	$28.83
Rate for Payer: Cigna Medicare Advantage	$14.41
Rate for Payer: Clover Medicare Advantage	$27.39
Rate for Payer: EmblemHealth Commercial	$86.49
Rate for Payer: Humana Medicare Advantage	$29.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.29
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$49.95
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$28.83
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$30.56
Rate for Payer: Wellcare Medicare Advantage	$28.83

ANDROSTENEDIONE

Facility

$487.00

Service Code	HCPCS 82157
Hospital Charge Code	38472107
Hospital Revenue Code	301
Min. Negotiated Rate	$14.64
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$94.87
Rate for Payer: Aetna Medicare Advantage	$29.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$29.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.28
Rate for Payer: Cigna Commercial	$29.28
Rate for Payer: Cigna Medicare Advantage	$14.64
Rate for Payer: Clover Medicare Advantage	$27.82
Rate for Payer: EmblemHealth Commercial	$87.84
Rate for Payer: Humana Medicare Advantage	$30.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.31
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$73.05
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$29.28
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$31.04
Rate for Payer: Wellcare Medicare Advantage	$29.28

ANDROSTENEDIONE

Facility

$390.00

Service Code	HCPCS 82157
Hospital Charge Code	39900507
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

ANDROSTENEDIONE

Facility

$256.00

Service Code	HCPCS 82157
Hospital Charge Code	3008984
Hospital Revenue Code	301
Min. Negotiated Rate	$14.64
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$94.87
Rate for Payer: Aetna Medicare Advantage	$29.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$29.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.28
Rate for Payer: Cigna Commercial	$29.28
Rate for Payer: Cigna Medicare Advantage	$14.64
Rate for Payer: Clover Medicare Advantage	$27.82
Rate for Payer: EmblemHealth Commercial	$87.84
Rate for Payer: Humana Medicare Advantage	$30.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.28
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$38.40
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$29.28
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$31.04
Rate for Payer: Wellcare Medicare Advantage	$29.28

ANDROSTENEDIONE

Facility

$256.00

Service Code	HCPCS 82157
Hospital Charge Code	3008984
Hospital Revenue Code	301
Min. Negotiated Rate	$38.40
Max. Negotiated Rate	$38.40
Rate for Payer: Qualcare PPO/HMO/WC	$38.40

ANDROSTENEDIONE

Facility

$390.00

Service Code	HCPCS 82157
Hospital Charge Code	39900507
Hospital Revenue Code	301
Min. Negotiated Rate	$14.64
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$94.87
Rate for Payer: Aetna Medicare Advantage	$29.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$29.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.28
Rate for Payer: Cigna Commercial	$29.28
Rate for Payer: Cigna Medicare Advantage	$14.64
Rate for Payer: Clover Medicare Advantage	$27.82
Rate for Payer: EmblemHealth Commercial	$87.84
Rate for Payer: Humana Medicare Advantage	$30.16
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	$29.28
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$31.04
Rate for Payer: Wellcare Medicare Advantage	$29.28

ANDROSTENEDIONE

Facility

$487.00

Service Code	HCPCS 82157
Hospital Charge Code	38472107
Hospital Revenue Code	301
Min. Negotiated Rate	$73.05
Max. Negotiated Rate	$73.05
Rate for Payer: Qualcare PPO/HMO/WC	$73.05

ANDROSTENEDIONE,LC/MS/MS

Facility

$201.20

Service Code	HCPCS 82157
Hospital Charge Code	39900042
Hospital Revenue Code	301
Min. Negotiated Rate	$30.18
Max. Negotiated Rate	$30.18
Rate for Payer: Qualcare PPO/HMO/WC	$30.18

ANDROSTENEDIONE,LC/MS/MS

Facility

$201.20

Service Code	HCPCS 82157
Hospital Charge Code	39900042
Hospital Revenue Code	301
Min. Negotiated Rate	$14.64
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$94.87
Rate for Payer: Aetna Medicare Advantage	$29.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$29.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.28
Rate for Payer: Cigna Commercial	$29.28
Rate for Payer: Cigna Medicare Advantage	$14.64
Rate for Payer: Clover Medicare Advantage	$27.82
Rate for Payer: EmblemHealth Commercial	$87.84
Rate for Payer: Humana Medicare Advantage	$30.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.16
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.18
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$29.28
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$31.04
Rate for Payer: Wellcare Medicare Advantage	$29.28

ANECTINE/500MG

Facility

$49.00

Hospital Charge Code	60632466
Hospital Revenue Code	250
Min. Negotiated Rate	$7.35
Max. Negotiated Rate	$7.35
Rate for Payer: Qualcare PPO/HMO/WC	$7.35

ANECTINE/500MG

Facility

$49.00

Hospital Charge Code	60632466
Hospital Revenue Code	250
Min. Negotiated Rate	$6.37
Max. Negotiated Rate	$24.50
Rate for Payer: Aetna Commercial	$14.70
Rate for Payer: Aetna Medicare Advantage	$14.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.49
Rate for Payer: Cigna Commercial	$24.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.37
Rate for Payer: Oxford Commercial	$24.50
Rate for Payer: Qualcare PPO/HMO/WC	$7.35
Rate for Payer: UnitedHealthcare Commercial	$24.50

ANES BRC PLEXUS BLOCK PROC

Facility

$600.00

Service Code	HCPCS 64415
Hospital Charge Code	1650099
Hospital Revenue Code	361
Min. Negotiated Rate	$78.00
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$180.00
Rate for Payer: Aetna Medicare Advantage	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.00
Rate for Payer: Cigna Commercial	$2,106.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.00
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

ANES BRC PLEXUS BLOCK PROC

Facility

$600.00

Service Code	HCPCS 64415
Hospital Charge Code	1650099
Hospital Revenue Code	361
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$90.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

ANES BRC PLEXUS BLOCK US PROC

Facility

$700.00

Hospital Charge Code	1650100
Hospital Revenue Code	361
Min. Negotiated Rate	$91.00
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$210.00
Rate for Payer: Aetna Medicare Advantage	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.50
Rate for Payer: Cigna Commercial	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

ANES BRC PLEXUS BLOCK US PROC

Facility

$700.00

Hospital Charge Code	1650100
Hospital Revenue Code	361
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$105.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

ANES - C-SECTION

Facility

$2,802.00

Hospital Charge Code	73190158
Hospital Revenue Code	370
Min. Negotiated Rate	$420.30
Max. Negotiated Rate	$420.30
Rate for Payer: Qualcare PPO/HMO/WC	$420.30

ANES - C-SECTION

Facility

$2,802.00

Hospital Charge Code	73190158
Hospital Revenue Code	370
Min. Negotiated Rate	$364.26
Max. Negotiated Rate	$1,401.00
Rate for Payer: Aetna Commercial	$840.60
Rate for Payer: Aetna Medicare Advantage	$840.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$714.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$714.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$714.51
Rate for Payer: Cigna Commercial	$1,401.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$364.26
Rate for Payer: Oxford Commercial	$1,401.00
Rate for Payer: Qualcare PPO/HMO/WC	$420.30
Rate for Payer: UnitedHealthcare Commercial	$1,401.00

ANES - C-SEC W/ PROC

Facility

$3,308.00

Hospital Charge Code	73190159
Hospital Revenue Code	370
Min. Negotiated Rate	$496.20
Max. Negotiated Rate	$496.20
Rate for Payer: Qualcare PPO/HMO/WC	$496.20

ANES - C-SEC W/ PROC

Facility

$3,308.00

Hospital Charge Code	73190159
Hospital Revenue Code	370
Min. Negotiated Rate	$430.04
Max. Negotiated Rate	$1,654.00
Rate for Payer: Aetna Commercial	$992.40
Rate for Payer: Aetna Medicare Advantage	$992.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$843.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$843.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$843.54
Rate for Payer: Cigna Commercial	$1,654.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$430.04
Rate for Payer: Oxford Commercial	$1,654.00
Rate for Payer: Qualcare PPO/HMO/WC	$496.20
Rate for Payer: UnitedHealthcare Commercial	$1,654.00

ANES FEM NERVE BLOCK

Facility

$3,185.75

Service Code	HCPCS 64447
Hospital Charge Code	1650096
Hospital Revenue Code	361
Min. Negotiated Rate	$414.15
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$955.73
Rate for Payer: Aetna Medicare Advantage	$955.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$812.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$812.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$812.37
Rate for Payer: Cigna Commercial	$1,680.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$414.15
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$477.86
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

ANES FEM NERVE BLOCK

Facility

$3,185.75

Service Code	HCPCS 64447
Hospital Charge Code	1650096
Hospital Revenue Code	361
Min. Negotiated Rate	$477.86
Max. Negotiated Rate	$477.86
Rate for Payer: Qualcare PPO/HMO/WC	$477.86

ANES IV SED FIRST HR

Facility

$667.67

Hospital Charge Code	1650015
Hospital Revenue Code	370
Min. Negotiated Rate	$100.15
Max. Negotiated Rate	$100.15
Rate for Payer: Qualcare PPO/HMO/WC	$100.15

Know your out-of-pocket cost for care.

All Charges