Heights University Hospital

All Charges

Charge

Type

Setting

Price

INTERLEUKIN-1 BETA

Facility

$582.68

Service Code	HCPCS 83520
Hospital Charge Code	401183520H
Hospital Revenue Code	301
Min. Negotiated Rate	$87.40
Max. Negotiated Rate	$87.40
Rate for Payer: Qualcare PPO/HMO/WC	$87.40

INTERLEUKIN 2 (IL-2)

Facility

$253.45

Service Code	HCPCS 83520
Hospital Charge Code	3006810
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

INTERLEUKIN 2 (IL-2)

Facility

$253.45

Service Code	HCPCS 83520
Hospital Charge Code	3006810
Hospital Revenue Code	301
Min. Negotiated Rate	$38.02
Max. Negotiated Rate	$38.02
Rate for Payer: Qualcare PPO/HMO/WC	$38.02

INTERLEUKIN 2 RECEPTOR

Facility

$205.65

Service Code	HCPCS 84238
Hospital Charge Code	3009164
Hospital Revenue Code	301
Min. Negotiated Rate	$30.85
Max. Negotiated Rate	$30.85
Rate for Payer: Qualcare PPO/HMO/WC	$30.85

INTERLEUKIN 2 RECEPTOR

Facility

$205.65

Service Code	HCPCS 84238
Hospital Charge Code	3009164
Hospital Revenue Code	301
Min. Negotiated Rate	$18.29
Max. Negotiated Rate	$133.99
Rate for Payer: Aetna Commercial	$118.49
Rate for Payer: Aetna Medicare Advantage	$36.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$36.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$88.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.99
Rate for Payer: Cigna Commercial	$36.57
Rate for Payer: Cigna Medicare Advantage	$18.29
Rate for Payer: Clover Medicare Advantage	$34.74
Rate for Payer: EmblemHealth Commercial	$109.71
Rate for Payer: Humana Medicare Advantage	$37.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.73
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.85
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$36.57
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$38.76
Rate for Payer: Wellcare Medicare Advantage	$36.57

INTERLEUKIN-2 VL 22ML UNITS

Facility

$3,025.95

Hospital Charge Code	6007470
Hospital Revenue Code	251
Min. Negotiated Rate	$453.89
Max. Negotiated Rate	$453.89
Rate for Payer: Qualcare PPO/HMO/WC	$453.89

INTERLEUKIN-2 VL 22ML UNITS

Facility

$3,025.95

Hospital Charge Code	6007470
Hospital Revenue Code	251
Min. Negotiated Rate	$393.37
Max. Negotiated Rate	$1,512.97
Rate for Payer: Aetna Commercial	$907.78
Rate for Payer: Aetna Medicare Advantage	$907.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$771.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$771.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$771.62
Rate for Payer: Cigna Commercial	$1,512.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$393.37
Rate for Payer: Oxford Commercial	$1,512.97
Rate for Payer: Qualcare PPO/HMO/WC	$453.89
Rate for Payer: UnitedHealthcare Commercial	$1,512.97

INTERLEUKIN 6 HIGH SENSITIVEIT

Facility

$390.00

Service Code	HCPCS 83520
Hospital Charge Code	39900440
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

INTERLEUKIN 6 HIGH SENSITIVEIT

Facility

$390.00

Service Code	HCPCS 83520
Hospital Charge Code	39900440
Hospital Revenue Code	301
Min. Negotiated Rate	$8.63
Max. Negotiated Rate	$114.00
Rate for Payer: Cigna Commercial	$17.27
Rate for Payer: Cigna Medicare Advantage	$8.63
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: 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	$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	$17.27
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$18.31
Rate for Payer: Wellcare Medicare Advantage	$17.27

INTERLINK INJECTION SITE

Facility

$610.00

Hospital Charge Code	270655515
Hospital Revenue Code	271
Min. Negotiated Rate	$79.30
Max. Negotiated Rate	$305.00
Rate for Payer: Aetna Commercial	$183.00
Rate for Payer: Aetna Medicare Advantage	$183.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$155.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$155.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$155.55
Rate for Payer: Cigna Commercial	$305.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.30
Rate for Payer: Oxford Commercial	$305.00
Rate for Payer: Qualcare PPO/HMO/WC	$91.50
Rate for Payer: UnitedHealthcare Commercial	$305.00

INTERLINK INJECTION SITE

Facility

$610.00

Hospital Charge Code	270655515
Hospital Revenue Code	271
Min. Negotiated Rate	$91.50
Max. Negotiated Rate	$91.50
Rate for Payer: Qualcare PPO/HMO/WC	$91.50

INTERLOCK 10MM X 30CM

Facility

$2,695.00

Hospital Charge Code	270662973
Hospital Revenue Code	278
Min. Negotiated Rate	$404.25
Max. Negotiated Rate	$652.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$539.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$652.19
Rate for Payer: Qualcare PPO/HMO/WC	$404.25

INTERLOCK 10MM X 30CM

Facility

$2,695.00

Hospital Charge Code	270662973
Hospital Revenue Code	278
Min. Negotiated Rate	$404.25
Max. Negotiated Rate	$1,347.50
Rate for Payer: Aetna Commercial	$808.50
Rate for Payer: Aetna Medicare Advantage	$808.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$687.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$687.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$539.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$687.23
Rate for Payer: Cigna Commercial	$1,347.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$652.19
Rate for Payer: Qualcare PPO/HMO/WC	$404.25

INTERLOCK 12MM X 30CM

Facility

$2,499.00

Hospital Charge Code	270662972
Hospital Revenue Code	278
Min. Negotiated Rate	$374.85
Max. Negotiated Rate	$604.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$499.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$604.76
Rate for Payer: Qualcare PPO/HMO/WC	$374.85

INTERLOCK 12MM X 30CM

Facility

$2,499.00

Hospital Charge Code	270662972
Hospital Revenue Code	278
Min. Negotiated Rate	$374.85
Max. Negotiated Rate	$1,249.50
Rate for Payer: Aetna Commercial	$749.70
Rate for Payer: Aetna Medicare Advantage	$749.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$637.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$637.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$499.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$637.25
Rate for Payer: Cigna Commercial	$1,249.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$604.76
Rate for Payer: Qualcare PPO/HMO/WC	$374.85

INTERLOCK 18MM X50CM

Facility

$4,777.50

Hospital Charge Code	270680002
Hospital Revenue Code	278
Min. Negotiated Rate	$716.62
Max. Negotiated Rate	$2,388.75
Rate for Payer: Aetna Commercial	$1,433.25
Rate for Payer: Aetna Medicare Advantage	$1,433.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,218.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,218.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$955.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,218.26
Rate for Payer: Cigna Commercial	$2,388.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,156.15
Rate for Payer: Qualcare PPO/HMO/WC	$716.62

INTERLOCK 18MM X50CM

Facility

$4,777.50

Hospital Charge Code	270680002
Hospital Revenue Code	278
Min. Negotiated Rate	$716.62
Max. Negotiated Rate	$1,156.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$955.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,156.15
Rate for Payer: Qualcare PPO/HMO/WC	$716.62

INTERLOCK 20MM X50CM

Facility

$4,777.50

Hospital Charge Code	270679996
Hospital Revenue Code	278
Min. Negotiated Rate	$716.62
Max. Negotiated Rate	$2,388.75
Rate for Payer: Aetna Commercial	$1,433.25
Rate for Payer: Aetna Medicare Advantage	$1,433.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,218.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,218.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$955.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,218.26
Rate for Payer: Cigna Commercial	$2,388.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,156.15
Rate for Payer: Qualcare PPO/HMO/WC	$716.62

INTERLOCK 20MM X50CM

Facility

$4,777.50

Hospital Charge Code	270679996
Hospital Revenue Code	278
Min. Negotiated Rate	$716.62
Max. Negotiated Rate	$1,156.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$955.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,156.15
Rate for Payer: Qualcare PPO/HMO/WC	$716.62

INTERLOCK 22MM X30CM

Facility

$4,777.50

Hospital Charge Code	270679995
Hospital Revenue Code	278
Min. Negotiated Rate	$716.62
Max. Negotiated Rate	$2,388.75
Rate for Payer: Aetna Commercial	$1,433.25
Rate for Payer: Aetna Medicare Advantage	$1,433.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,218.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,218.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$955.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,218.26
Rate for Payer: Cigna Commercial	$2,388.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,156.15
Rate for Payer: Qualcare PPO/HMO/WC	$716.62

INTERLOCK 22MM X30CM

Facility

$4,777.50

Hospital Charge Code	270679995
Hospital Revenue Code	278
Min. Negotiated Rate	$716.62
Max. Negotiated Rate	$1,156.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$955.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,156.15
Rate for Payer: Qualcare PPO/HMO/WC	$716.62

Interlock 2D 4mm x 8cm

Facility

$2,572.50

Hospital Charge Code	270679431
Hospital Revenue Code	272
Min. Negotiated Rate	$385.88
Max. Negotiated Rate	$385.88
Rate for Payer: Qualcare PPO/HMO/WC	$385.88

Interlock 2D 4mm x 8cm

Facility

$2,572.50

Hospital Charge Code	270679431
Hospital Revenue Code	272
Min. Negotiated Rate	$334.43
Max. Negotiated Rate	$1,286.25
Rate for Payer: Aetna Commercial	$771.75
Rate for Payer: Aetna Medicare Advantage	$771.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$655.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$655.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$655.99
Rate for Payer: Cigna Commercial	$1,286.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$334.43
Rate for Payer: Oxford Commercial	$1,286.25
Rate for Payer: Qualcare PPO/HMO/WC	$385.88
Rate for Payer: UnitedHealthcare Commercial	$1,286.25

INTERLOCK (3 WAY STOP COCK****

Facility

$4.00

Hospital Charge Code	8003154
Hospital Revenue Code	279
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

INTERLOCK (3 WAY STOP COCK****

Facility

$4.00

Hospital Charge Code	8003154
Hospital Revenue Code	279
Min. Negotiated Rate	$0.52
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.20
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.52
Rate for Payer: Oxford Commercial	$2.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$2.00

Know your out-of-pocket cost for care.

All Charges