Heights University Hospital

All Charges

Charge

Type

Setting

Price

APRESOLINE/20MG/1ML

Facility

$28.00

Hospital Charge Code	60632477
Hospital Revenue Code	250
Min. Negotiated Rate	$4.20
Max. Negotiated Rate	$4.20
Rate for Payer: Qualcare PPO/HMO/WC	$4.20

APRESOLINE/20MG/1ML

Facility

$28.00

Hospital Charge Code	60632477
Hospital Revenue Code	250
Min. Negotiated Rate	$3.64
Max. Negotiated Rate	$14.00
Rate for Payer: Aetna Commercial	$8.40
Rate for Payer: Aetna Medicare Advantage	$8.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.14
Rate for Payer: Cigna Commercial	$14.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.64
Rate for Payer: Oxford Commercial	$14.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.20
Rate for Payer: UnitedHealthcare Commercial	$14.00

APRON ACTIVITY BLUE PRO5-1059

Facility

$89.17

Hospital Charge Code	270650456
Hospital Revenue Code	272
Min. Negotiated Rate	$13.38
Max. Negotiated Rate	$13.38
Rate for Payer: Qualcare PPO/HMO/WC	$13.38

APRON ACTIVITY BLUE PRO5-1059

Facility

$89.17

Hospital Charge Code	270650456
Hospital Revenue Code	272
Min. Negotiated Rate	$11.59
Max. Negotiated Rate	$44.59
Rate for Payer: Aetna Commercial	$26.75
Rate for Payer: Aetna Medicare Advantage	$26.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.74
Rate for Payer: Cigna Commercial	$44.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.59
Rate for Payer: Oxford Commercial	$44.59
Rate for Payer: Qualcare PPO/HMO/WC	$13.38
Rate for Payer: UnitedHealthcare Commercial	$44.59

APRON LEAD X-RAY

Facility

$2,078.75

Hospital Charge Code	270656098
Hospital Revenue Code	278
Min. Negotiated Rate	$311.81
Max. Negotiated Rate	$503.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$415.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$503.06
Rate for Payer: Qualcare PPO/HMO/WC	$311.81

APRON LEAD X-RAY

Facility

$2,078.75

Hospital Charge Code	270656098
Hospital Revenue Code	278
Min. Negotiated Rate	$311.81
Max. Negotiated Rate	$1,039.38
Rate for Payer: Aetna Commercial	$623.62
Rate for Payer: Aetna Medicare Advantage	$623.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$530.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$530.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$415.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$530.08
Rate for Payer: Cigna Commercial	$1,039.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$503.06
Rate for Payer: Qualcare PPO/HMO/WC	$311.81

APRON TUR STER

Facility

$141.65

Hospital Charge Code	270060015
Hospital Revenue Code	272
Min. Negotiated Rate	$21.25
Max. Negotiated Rate	$21.25
Rate for Payer: Qualcare PPO/HMO/WC	$21.25

APRON TUR STER

Facility

$141.65

Hospital Charge Code	270060015
Hospital Revenue Code	272
Min. Negotiated Rate	$18.41
Max. Negotiated Rate	$70.83
Rate for Payer: Aetna Commercial	$42.49
Rate for Payer: Aetna Medicare Advantage	$42.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.12
Rate for Payer: Cigna Commercial	$70.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.41
Rate for Payer: Oxford Commercial	$70.83
Rate for Payer: Qualcare PPO/HMO/WC	$21.25
Rate for Payer: UnitedHealthcare Commercial	$70.83

APRON TUR STER *******

Facility

$28.00

Hospital Charge Code	1601236
Hospital Revenue Code	272
Min. Negotiated Rate	$4.20
Max. Negotiated Rate	$4.20
Rate for Payer: Qualcare PPO/HMO/WC	$4.20

APRON TUR STER *******

Facility

$28.00

Hospital Charge Code	1601236
Hospital Revenue Code	272
Min. Negotiated Rate	$3.64
Max. Negotiated Rate	$14.00
Rate for Payer: Aetna Commercial	$8.40
Rate for Payer: Aetna Medicare Advantage	$8.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.14
Rate for Payer: Cigna Commercial	$14.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.64
Rate for Payer: Oxford Commercial	$14.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.20
Rate for Payer: UnitedHealthcare Commercial	$14.00

APTT MIXING STUDIES I

Facility

$390.00

Service Code	HCPCS 85732
Hospital Charge Code	3035067A
Hospital Revenue Code	305
Min. Negotiated Rate	$3.23
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$20.96
Rate for Payer: Aetna Medicare Advantage	$6.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.71
Rate for Payer: Cigna Commercial	$6.47
Rate for Payer: Cigna Medicare Advantage	$3.23
Rate for Payer: Clover Medicare Advantage	$6.15
Rate for Payer: EmblemHealth Commercial	$19.41
Rate for Payer: Humana Medicare Advantage	$6.66
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	$6.47
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.86
Rate for Payer: Wellcare Medicare Advantage	$6.47

APTT MIXING STUDIES I

Facility

$390.00

Service Code	HCPCS 85732
Hospital Charge Code	3035067A
Hospital Revenue Code	305
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

APTT MIXING STUDIES II

Facility

$390.00

Service Code	HCPCS 85730
Hospital Charge Code	3035067B
Hospital Revenue Code	305
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

APTT MIXING STUDIES II

Facility

$390.00

Service Code	HCPCS 85730
Hospital Charge Code	3035067B
Hospital Revenue Code	305
Min. Negotiated Rate	$3.00
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$19.47
Rate for Payer: Aetna Medicare Advantage	$6.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.02
Rate for Payer: Cigna Commercial	$6.01
Rate for Payer: Cigna Medicare Advantage	$3.00
Rate for Payer: Clover Medicare Advantage	$5.71
Rate for Payer: EmblemHealth Commercial	$18.03
Rate for Payer: Humana Medicare Advantage	$6.19
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	$6.01
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.37
Rate for Payer: Wellcare Medicare Advantage	$6.01

APTT MIXING STUDIES III

Facility

$390.00

Service Code	HCPCS 85732
Hospital Charge Code	3035067C
Hospital Revenue Code	300
Min. Negotiated Rate	$3.23
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$20.96
Rate for Payer: Aetna Medicare Advantage	$6.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.71
Rate for Payer: Cigna Commercial	$6.47
Rate for Payer: Cigna Medicare Advantage	$3.23
Rate for Payer: Clover Medicare Advantage	$6.15
Rate for Payer: EmblemHealth Commercial	$19.41
Rate for Payer: Humana Medicare Advantage	$6.66
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	$6.47
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.86
Rate for Payer: Wellcare Medicare Advantage	$6.47

APTT MIXING STUDIES III

Facility

$390.00

Service Code	HCPCS 85732
Hospital Charge Code	3035067C
Hospital Revenue Code	300
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

APTT MIXING STUDIES IV

Facility

$390.00

Service Code	HCPCS 85732
Hospital Charge Code	3035067D
Hospital Revenue Code	300
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

APTT MIXING STUDIES IV

Facility

$390.00

Service Code	HCPCS 85732
Hospital Charge Code	3035067D
Hospital Revenue Code	300
Min. Negotiated Rate	$3.23
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$20.96
Rate for Payer: Aetna Medicare Advantage	$6.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.71
Rate for Payer: Cigna Commercial	$6.47
Rate for Payer: Cigna Medicare Advantage	$3.23
Rate for Payer: Clover Medicare Advantage	$6.15
Rate for Payer: EmblemHealth Commercial	$19.41
Rate for Payer: Humana Medicare Advantage	$6.66
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	$6.47
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.86
Rate for Payer: Wellcare Medicare Advantage	$6.47

AQP4 ANTIBODY NMO-IGG ELISA

Facility

$815.50

Service Code	HCPCS 83516
Hospital Charge Code	401083516
Hospital Revenue Code	301
Min. Negotiated Rate	$5.76
Max. Negotiated Rate	$122.33
Rate for Payer: Aetna Commercial	$37.36
Rate for Payer: Aetna Medicare Advantage	$11.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.25
Rate for Payer: Cigna Commercial	$11.53
Rate for Payer: Cigna Medicare Advantage	$5.76
Rate for Payer: Clover Medicare Advantage	$10.95
Rate for Payer: EmblemHealth Commercial	$34.59
Rate for Payer: Humana Medicare Advantage	$11.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$106.02
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$122.33
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.53
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12.22
Rate for Payer: Wellcare Medicare Advantage	$11.53

AQP4 ANTIBODY NMO-IGG ELISA

Facility

$815.50

Service Code	HCPCS 83516
Hospital Charge Code	401083516
Hospital Revenue Code	301
Min. Negotiated Rate	$122.33
Max. Negotiated Rate	$122.33
Rate for Payer: Qualcare PPO/HMO/WC	$122.33

AQUAMANTUS MBS W/LIGHT

Facility

$3,420.00

Hospital Charge Code	270667850
Hospital Revenue Code	272
Min. Negotiated Rate	$444.60
Max. Negotiated Rate	$1,710.00
Rate for Payer: Aetna Commercial	$1,026.00
Rate for Payer: Aetna Medicare Advantage	$1,026.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$872.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$872.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$872.10
Rate for Payer: Cigna Commercial	$1,710.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$444.60
Rate for Payer: Oxford Commercial	$1,710.00
Rate for Payer: Qualcare PPO/HMO/WC	$513.00
Rate for Payer: UnitedHealthcare Commercial	$1,710.00

AQUAMANTUS MBS W/LIGHT

Facility

$3,420.00

Hospital Charge Code	270667850
Hospital Revenue Code	272
Min. Negotiated Rate	$513.00
Max. Negotiated Rate	$513.00
Rate for Payer: Qualcare PPO/HMO/WC	$513.00

AQUAMATICS BI POLAR SEALER 6.0

Facility

$2,756.25

Hospital Charge Code	270667262
Hospital Revenue Code	272
Min. Negotiated Rate	$358.31
Max. Negotiated Rate	$1,378.12
Rate for Payer: Aetna Commercial	$826.88
Rate for Payer: Aetna Medicare Advantage	$826.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$702.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$702.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$702.84
Rate for Payer: Cigna Commercial	$1,378.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$358.31
Rate for Payer: Oxford Commercial	$1,378.12
Rate for Payer: Qualcare PPO/HMO/WC	$413.44
Rate for Payer: UnitedHealthcare Commercial	$1,378.12

AQUAMATICS BI POLAR SEALER 6.0

Facility

$2,756.25

Hospital Charge Code	270667262
Hospital Revenue Code	272
Min. Negotiated Rate	$413.44
Max. Negotiated Rate	$413.44
Rate for Payer: Qualcare PPO/HMO/WC	$413.44

AQUAMEPHYTON/10MG/1ML

Facility

$24.00

Hospital Charge Code	60632478
Hospital Revenue Code	250
Min. Negotiated Rate	$3.60
Max. Negotiated Rate	$3.60
Rate for Payer: Qualcare PPO/HMO/WC	$3.60

Know your out-of-pocket cost for care.

All Charges