Heights University Hospital

All Charges

Charge

Type

Setting

Price

IMMUNOFIXATION,URINE

Facility

$390.00

Service Code	HCPCS 86335
Hospital Charge Code	39900215
Hospital Revenue Code	302
Min. Negotiated Rate	$14.68
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$95.09
Rate for Payer: Aetna Medicare Advantage	$29.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$29.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.54
Rate for Payer: Cigna Commercial	$29.35
Rate for Payer: Cigna Medicare Advantage	$14.68
Rate for Payer: Clover Medicare Advantage	$27.88
Rate for Payer: EmblemHealth Commercial	$88.05
Rate for Payer: Humana Medicare Advantage	$30.23
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	$29.35
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$31.11
Rate for Payer: Wellcare Medicare Advantage	$29.35

IMMUNOFIXATION (URINE IFE)

Facility

$450.27

Service Code	HCPCS 86335
Hospital Charge Code	3031499
Hospital Revenue Code	302
Min. Negotiated Rate	$67.54
Max. Negotiated Rate	$67.54
Rate for Payer: Qualcare PPO/HMO/WC	$67.54

IMMUNOFIXATION (URINE IFE)

Facility

$450.27

Service Code	HCPCS 86335
Hospital Charge Code	3031499
Hospital Revenue Code	302
Min. Negotiated Rate	$14.68
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$95.09
Rate for Payer: Aetna Medicare Advantage	$29.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$29.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.54
Rate for Payer: Cigna Commercial	$29.35
Rate for Payer: Cigna Medicare Advantage	$14.68
Rate for Payer: Clover Medicare Advantage	$27.88
Rate for Payer: EmblemHealth Commercial	$88.05
Rate for Payer: Humana Medicare Advantage	$30.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.54
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$67.54
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$29.35
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$31.11
Rate for Payer: Wellcare Medicare Advantage	$29.35

IMMUNOFIX ELECT-PJORESIS FLUID

Facility

$207.84

Service Code	HCPCS 86335
Hospital Charge Code	38477181
Hospital Revenue Code	302
Min. Negotiated Rate	$14.68
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$95.09
Rate for Payer: Aetna Medicare Advantage	$29.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$29.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.54
Rate for Payer: Cigna Commercial	$29.35
Rate for Payer: Cigna Medicare Advantage	$14.68
Rate for Payer: Clover Medicare Advantage	$27.88
Rate for Payer: EmblemHealth Commercial	$88.05
Rate for Payer: Humana Medicare Advantage	$30.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.02
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$31.18
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$29.35
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$31.11
Rate for Payer: Wellcare Medicare Advantage	$29.35

IMMUNOFIX ELECT-PJORESIS FLUID

Facility

$207.84

Service Code	HCPCS 86335
Hospital Charge Code	38477181
Hospital Revenue Code	302
Min. Negotiated Rate	$31.18
Max. Negotiated Rate	$31.18
Rate for Payer: Qualcare PPO/HMO/WC	$31.18

IMMUNOFLUOR STDY EA ANTIB DIRC

Facility

$218.74

Service Code	HCPCS 88346
Hospital Charge Code	38477185
Hospital Revenue Code	312
Min. Negotiated Rate	$32.81
Max. Negotiated Rate	$32.81
Rate for Payer: Qualcare PPO/HMO/WC	$32.81

IMMUNOFLUOR STDY EA ANTIB DIRC

Facility

$218.74

Service Code	HCPCS 88346
Hospital Charge Code	38477185
Hospital Revenue Code	312
Min. Negotiated Rate	$28.44
Max. Negotiated Rate	$405.73
Rate for Payer: Aetna Commercial	$65.62
Rate for Payer: Aetna Medicare Advantage	$65.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55.78
Rate for Payer: Cigna Commercial	$405.73
Rate for Payer: Cigna Medicare Advantage	$78.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.44
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.81
Rate for Payer: UnitedHealthcare Commercial	$114.00

IMMUNOGLOBULIN 5G IV

Facility

$1,877.15

Hospital Charge Code	60629197
Hospital Revenue Code	636
Min. Negotiated Rate	$281.57
Max. Negotiated Rate	$938.58
Rate for Payer: Aetna Commercial	$563.14
Rate for Payer: Aetna Medicare Advantage	$563.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$478.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$478.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$478.67
Rate for Payer: Cigna Commercial	$938.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$454.27
Rate for Payer: Qualcare PPO/HMO/WC	$281.57

IMMUNOGLOBULIN 5G IV

Facility

$1,877.15

Hospital Charge Code	60629197
Hospital Revenue Code	636
Min. Negotiated Rate	$281.57
Max. Negotiated Rate	$454.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$454.27
Rate for Payer: Qualcare PPO/HMO/WC	$281.57

Immunoglobulin A

Facility

$390.00

Service Code	HCPCS 82784
Hospital Charge Code	39888026
Hospital Revenue Code	301
Min. Negotiated Rate	$4.65
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$30.13
Rate for Payer: Aetna Medicare Advantage	$9.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.08
Rate for Payer: Cigna Commercial	$9.30
Rate for Payer: Cigna Medicare Advantage	$4.65
Rate for Payer: Clover Medicare Advantage	$8.84
Rate for Payer: EmblemHealth Commercial	$27.90
Rate for Payer: Humana Medicare Advantage	$9.58
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	$9.30
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$9.86
Rate for Payer: Wellcare Medicare Advantage	$9.30

Immunoglobulin A

Facility

$390.00

Service Code	HCPCS 82784
Hospital Charge Code	39888026
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

IMMUNOGLOBULIN A (IGA)

Facility

$81.25

Service Code	HCPCS 82784
Hospital Charge Code	3009669
Hospital Revenue Code	301
Min. Negotiated Rate	$12.19
Max. Negotiated Rate	$12.19
Rate for Payer: Qualcare PPO/HMO/WC	$12.19

IMMUNOGLOBULIN A (IGA)

Facility

$81.25

Service Code	HCPCS 82784
Hospital Charge Code	3001625C
Hospital Revenue Code	301
Min. Negotiated Rate	$12.19
Max. Negotiated Rate	$12.19
Rate for Payer: Qualcare PPO/HMO/WC	$12.19

IMMUNOGLOBULIN A (IGA)

Facility

$81.25

Service Code	HCPCS 82784
Hospital Charge Code	3001625C
Hospital Revenue Code	301
Min. Negotiated Rate	$4.65
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$30.13
Rate for Payer: Aetna Medicare Advantage	$9.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.08
Rate for Payer: Cigna Commercial	$9.30
Rate for Payer: Cigna Medicare Advantage	$4.65
Rate for Payer: Clover Medicare Advantage	$8.84
Rate for Payer: EmblemHealth Commercial	$27.90
Rate for Payer: Humana Medicare Advantage	$9.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.56
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.19
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.30
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$9.86
Rate for Payer: Wellcare Medicare Advantage	$9.30

IMMUNOGLOBULIN A (IGA)

Facility

$81.25

Service Code	HCPCS 82784
Hospital Charge Code	3009669
Hospital Revenue Code	301
Min. Negotiated Rate	$4.65
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$30.13
Rate for Payer: Aetna Medicare Advantage	$9.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.08
Rate for Payer: Cigna Commercial	$9.30
Rate for Payer: Cigna Medicare Advantage	$4.65
Rate for Payer: Clover Medicare Advantage	$8.84
Rate for Payer: EmblemHealth Commercial	$27.90
Rate for Payer: Humana Medicare Advantage	$9.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.56
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.19
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.30
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$9.86
Rate for Payer: Wellcare Medicare Advantage	$9.30

IMMUNOGLOBULIN D

Facility

$81.25

Service Code	HCPCS 82784
Hospital Charge Code	3009672
Hospital Revenue Code	301
Min. Negotiated Rate	$12.19
Max. Negotiated Rate	$12.19
Rate for Payer: Qualcare PPO/HMO/WC	$12.19

IMMUNOGLOBULIN D

Facility

$81.25

Service Code	HCPCS 82784
Hospital Charge Code	3009672
Hospital Revenue Code	301
Min. Negotiated Rate	$4.65
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$30.13
Rate for Payer: Aetna Medicare Advantage	$9.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.08
Rate for Payer: Cigna Commercial	$9.30
Rate for Payer: Cigna Medicare Advantage	$4.65
Rate for Payer: Clover Medicare Advantage	$8.84
Rate for Payer: EmblemHealth Commercial	$27.90
Rate for Payer: Humana Medicare Advantage	$9.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.56
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.19
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.30
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$9.86
Rate for Payer: Wellcare Medicare Advantage	$9.30

Immunoglobulin E

Facility

$390.00

Service Code	HCPCS 82784
Hospital Charge Code	39888029
Hospital Revenue Code	301
Min. Negotiated Rate	$4.65
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$30.13
Rate for Payer: Aetna Medicare Advantage	$9.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.08
Rate for Payer: Cigna Commercial	$9.30
Rate for Payer: Cigna Medicare Advantage	$4.65
Rate for Payer: Clover Medicare Advantage	$8.84
Rate for Payer: EmblemHealth Commercial	$27.90
Rate for Payer: Humana Medicare Advantage	$9.58
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	$9.30
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$9.86
Rate for Payer: Wellcare Medicare Advantage	$9.30

Immunoglobulin E

Facility

$390.00

Service Code	HCPCS 82784
Hospital Charge Code	39888029
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

IMMUNOGLOBULIN E (IgE)

Facility

$390.00

Service Code	HCPCS 82785
Hospital Charge Code	401182785
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

IMMUNOGLOBULIN E (IgE)

Facility

$390.00

Service Code	HCPCS 82785
Hospital Charge Code	401182785
Hospital Revenue Code	301
Min. Negotiated Rate	$8.23
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$53.33
Rate for Payer: Aetna Medicare Advantage	$16.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.31
Rate for Payer: Cigna Commercial	$16.46
Rate for Payer: Cigna Medicare Advantage	$8.23
Rate for Payer: Clover Medicare Advantage	$15.64
Rate for Payer: EmblemHealth Commercial	$49.38
Rate for Payer: Humana Medicare Advantage	$16.95
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	$16.46
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$17.45
Rate for Payer: Wellcare Medicare Advantage	$16.46

IMMUNOGLOBULIN E (IGE)

Facility

$91.25

Service Code	HCPCS 82785
Hospital Charge Code	3004736
Hospital Revenue Code	301
Min. Negotiated Rate	$8.23
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$53.33
Rate for Payer: Aetna Medicare Advantage	$16.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.31
Rate for Payer: Cigna Commercial	$16.46
Rate for Payer: Cigna Medicare Advantage	$8.23
Rate for Payer: Clover Medicare Advantage	$15.64
Rate for Payer: EmblemHealth Commercial	$49.38
Rate for Payer: Humana Medicare Advantage	$16.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.86
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.69
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.46
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$17.45
Rate for Payer: Wellcare Medicare Advantage	$16.46

IMMUNOGLOBULIN E (IGE)

Facility

$91.25

Service Code	HCPCS 82785
Hospital Charge Code	3004736
Hospital Revenue Code	301
Min. Negotiated Rate	$13.69
Max. Negotiated Rate	$13.69
Rate for Payer: Qualcare PPO/HMO/WC	$13.69

Immunoglobulin G

Facility

$390.00

Service Code	HCPCS 82784
Hospital Charge Code	39888027
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

Immunoglobulin G

Facility

$390.00

Service Code	HCPCS 82784
Hospital Charge Code	39888027
Hospital Revenue Code	301
Min. Negotiated Rate	$4.65
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$30.13
Rate for Payer: Aetna Medicare Advantage	$9.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.08
Rate for Payer: Cigna Commercial	$9.30
Rate for Payer: Cigna Medicare Advantage	$4.65
Rate for Payer: Clover Medicare Advantage	$8.84
Rate for Payer: EmblemHealth Commercial	$27.90
Rate for Payer: Humana Medicare Advantage	$9.58
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	$9.30
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$9.86
Rate for Payer: Wellcare Medicare Advantage	$9.30

Know your out-of-pocket cost for care.

All Charges