Heights University Hospital

All Charges

Charge

Type

Setting

Price

ASENDIN/50MG/TAB

Facility

$6.00

Hospital Charge Code	60634351
Hospital Revenue Code	250
Min. Negotiated Rate	$0.78
Max. Negotiated Rate	$3.00
Rate for Payer: Aetna Commercial	$1.80
Rate for Payer: Aetna Medicare Advantage	$1.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.53
Rate for Payer: Cigna Commercial	$3.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.78
Rate for Payer: Oxford Commercial	$3.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.90
Rate for Payer: UnitedHealthcare Commercial	$3.00

ASF VIVACIT PS 12 MM SZ 6-9

Facility

$6,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270686545
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$3,000.00
Rate for Payer: Aetna Commercial	$1,800.00
Rate for Payer: Aetna Medicare Advantage	$1,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,530.00
Rate for Payer: Cigna Commercial	$3,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

ASF VIVACIT PS 12 MM SZ 6-9

Facility

$6,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270686545
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$1,452.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

ASMBLD PROTEAN FRAGMNT PLATE Y

Facility

$5,225.00

Service Code	HCPCS C1713
Hospital Charge Code	270668299
Hospital Revenue Code	278
Min. Negotiated Rate	$783.75
Max. Negotiated Rate	$2,612.50
Rate for Payer: Aetna Commercial	$1,567.50
Rate for Payer: Aetna Medicare Advantage	$1,567.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,332.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,332.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,045.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,332.38
Rate for Payer: Cigna Commercial	$2,612.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,264.45
Rate for Payer: Qualcare PPO/HMO/WC	$783.75

ASMBLD PROTEAN FRAGMNT PLATE Y

Facility

$5,225.00

Service Code	HCPCS C1713
Hospital Charge Code	270668299
Hospital Revenue Code	278
Min. Negotiated Rate	$783.75
Max. Negotiated Rate	$1,264.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,045.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,264.45
Rate for Payer: Qualcare PPO/HMO/WC	$783.75

ASNIS 6.5/105MM

Facility

$2,020.00

Hospital Charge Code	270664933
Hospital Revenue Code	270
Min. Negotiated Rate	$262.60
Max. Negotiated Rate	$1,010.00
Rate for Payer: Aetna Commercial	$606.00
Rate for Payer: Aetna Medicare Advantage	$606.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$515.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$515.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$515.10
Rate for Payer: Cigna Commercial	$1,010.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$262.60
Rate for Payer: Oxford Commercial	$1,010.00
Rate for Payer: Qualcare PPO/HMO/WC	$303.00
Rate for Payer: UnitedHealthcare Commercial	$1,010.00

ASNIS 6.5/105MM

Facility

$2,020.00

Hospital Charge Code	270664933
Hospital Revenue Code	270
Min. Negotiated Rate	$303.00
Max. Negotiated Rate	$303.00
Rate for Payer: Qualcare PPO/HMO/WC	$303.00

ASO AB

Facility

$390.00

Service Code	HCPCS 86060
Hospital Charge Code	39990022EX
Hospital Revenue Code	302
Min. Negotiated Rate	$3.65
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$23.65
Rate for Payer: Aetna Medicare Advantage	$7.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.75
Rate for Payer: Cigna Commercial	$7.30
Rate for Payer: Cigna Medicare Advantage	$3.65
Rate for Payer: Clover Medicare Advantage	$6.93
Rate for Payer: EmblemHealth Commercial	$21.90
Rate for Payer: Humana Medicare Advantage	$7.52
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	$7.30
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$7.74
Rate for Payer: Wellcare Medicare Advantage	$7.30

ASO AB

Facility

$390.00

Service Code	HCPCS 86060
Hospital Charge Code	39990022EX
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

ASO AB I

Facility

$50.15

Service Code	HCPCS 86060
Hospital Charge Code	39990022A
Hospital Revenue Code	306
Min. Negotiated Rate	$7.52
Max. Negotiated Rate	$7.52
Rate for Payer: Qualcare PPO/HMO/WC	$7.52

ASO AB I

Facility

$50.15

Service Code	HCPCS 86060
Hospital Charge Code	39990022A
Hospital Revenue Code	306
Min. Negotiated Rate	$3.65
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$23.65
Rate for Payer: Aetna Medicare Advantage	$7.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.75
Rate for Payer: Cigna Commercial	$7.30
Rate for Payer: Cigna Medicare Advantage	$3.65
Rate for Payer: Clover Medicare Advantage	$6.93
Rate for Payer: EmblemHealth Commercial	$21.90
Rate for Payer: Humana Medicare Advantage	$7.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.52
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.52
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$7.30
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$7.74
Rate for Payer: Wellcare Medicare Advantage	$7.30

ASO AB II

Facility

$39.65

Service Code	HCPCS 86063
Hospital Charge Code	39990022B
Hospital Revenue Code	306
Min. Negotiated Rate	$5.95
Max. Negotiated Rate	$5.95
Rate for Payer: Qualcare PPO/HMO/WC	$5.95

ASO AB II

Facility

$39.65

Service Code	HCPCS 86063
Hospital Charge Code	39990022B
Hospital Revenue Code	306
Min. Negotiated Rate	$2.24
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$18.69
Rate for Payer: Aetna Medicare Advantage	$5.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.14
Rate for Payer: Cigna Commercial	$5.77
Rate for Payer: Cigna Medicare Advantage	$2.88
Rate for Payer: Clover Medicare Advantage	$5.48
Rate for Payer: EmblemHealth Commercial	$17.31
Rate for Payer: Humana Medicare Advantage	$5.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.15
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.95
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.77
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.12
Rate for Payer: Wellcare Medicare Advantage	$5.77

ASO TITER

Facility

$453.00

Service Code	HCPCS 86060
Hospital Charge Code	38476047
Hospital Revenue Code	302
Min. Negotiated Rate	$67.95
Max. Negotiated Rate	$67.95
Rate for Payer: Qualcare PPO/HMO/WC	$67.95

ASO TITER

Facility

$453.00

Service Code	HCPCS 86060
Hospital Charge Code	38476047
Hospital Revenue Code	302
Min. Negotiated Rate	$3.65
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$23.65
Rate for Payer: Aetna Medicare Advantage	$7.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.75
Rate for Payer: Cigna Commercial	$7.30
Rate for Payer: Cigna Medicare Advantage	$3.65
Rate for Payer: Clover Medicare Advantage	$6.93
Rate for Payer: EmblemHealth Commercial	$21.90
Rate for Payer: Humana Medicare Advantage	$7.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.89
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$67.95
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$7.30
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$7.74
Rate for Payer: Wellcare Medicare Advantage	$7.30

ASPARAGINASE 10,000IU

Facility

$470.40

Hospital Charge Code	6000020
Hospital Revenue Code	636
Min. Negotiated Rate	$70.56
Max. Negotiated Rate	$113.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.84
Rate for Payer: Qualcare PPO/HMO/WC	$70.56

ASPARAGINASE 10,000IU

Facility

$470.40

Hospital Charge Code	6000020
Hospital Revenue Code	636
Min. Negotiated Rate	$70.56
Max. Negotiated Rate	$235.20
Rate for Payer: Aetna Commercial	$141.12
Rate for Payer: Aetna Medicare Advantage	$141.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.95
Rate for Payer: Cigna Commercial	$235.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.84
Rate for Payer: Qualcare PPO/HMO/WC	$70.56

ASPARAGINASE INJ 10MU

Facility

$329.55

Hospital Charge Code	60627363
Hospital Revenue Code	636
Min. Negotiated Rate	$49.43
Max. Negotiated Rate	$164.78
Rate for Payer: Aetna Commercial	$98.86
Rate for Payer: Aetna Medicare Advantage	$98.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.04
Rate for Payer: Cigna Commercial	$164.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.75
Rate for Payer: Qualcare PPO/HMO/WC	$49.43

ASPARAGINASE INJ 10MU

Facility

$329.55

Hospital Charge Code	60627363
Hospital Revenue Code	636
Min. Negotiated Rate	$49.43
Max. Negotiated Rate	$79.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.75
Rate for Payer: Qualcare PPO/HMO/WC	$49.43

ASPARTATE AMINOTRANSFERASE-AST

Facility

$313.00

Service Code	HCPCS 84450
Hospital Charge Code	38472128
Hospital Revenue Code	301
Min. Negotiated Rate	$2.59
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.78
Rate for Payer: Aetna Medicare Advantage	$5.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.18
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	$18.98
Rate for Payer: Cigna Commercial	$5.18
Rate for Payer: Cigna Medicare Advantage	$2.59
Rate for Payer: Clover Medicare Advantage	$4.92
Rate for Payer: EmblemHealth Commercial	$15.54
Rate for Payer: Humana Medicare Advantage	$5.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.69
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$46.95
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.18
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.49
Rate for Payer: Wellcare Medicare Advantage	$5.18

ASPARTATE AMINOTRANSFERASE-AST

Facility

$313.00

Service Code	HCPCS 84450
Hospital Charge Code	38472128
Hospital Revenue Code	301
Min. Negotiated Rate	$46.95
Max. Negotiated Rate	$46.95
Rate for Payer: Qualcare PPO/HMO/WC	$46.95

ASP BLADDER W INS SUPRAPUB

Facility

$9,671.92

Service Code	HCPCS 51102
Hospital Charge Code	2309104
Hospital Revenue Code	361
Min. Negotiated Rate	$1,257.35
Max. Negotiated Rate	$5,529.00
Rate for Payer: Aetna Commercial	$2,901.58
Rate for Payer: Aetna Medicare Advantage	$2,901.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,466.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,466.34
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	$2,466.34
Rate for Payer: Cigna Commercial	$4,978.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,257.35
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,450.79
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

ASP BLADDER W INS SUPRAPUB

Facility

$9,671.92

Service Code	HCPCS 51102
Hospital Charge Code	2309104
Hospital Revenue Code	361
Min. Negotiated Rate	$1,450.79
Max. Negotiated Rate	$1,450.79
Rate for Payer: Qualcare PPO/HMO/WC	$1,450.79

ASPERGILLIN ANTIBODIES

Facility

$131.00

Service Code	HCPCS 86606
Hospital Charge Code	38476188
Hospital Revenue Code	302
Min. Negotiated Rate	$19.65
Max. Negotiated Rate	$19.65
Rate for Payer: Qualcare PPO/HMO/WC	$19.65

ASPERGILLIN ANTIBODIES

Facility

$131.00

Service Code	HCPCS 86606
Hospital Charge Code	38476188
Hospital Revenue Code	302
Min. Negotiated Rate	$7.53
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$48.76
Rate for Payer: Aetna Medicare Advantage	$15.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55.14
Rate for Payer: Cigna Commercial	$15.05
Rate for Payer: Cigna Medicare Advantage	$7.53
Rate for Payer: Clover Medicare Advantage	$14.30
Rate for Payer: EmblemHealth Commercial	$45.15
Rate for Payer: Humana Medicare Advantage	$15.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.03
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.65
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$15.05
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15.95
Rate for Payer: Wellcare Medicare Advantage	$15.05

Know your out-of-pocket cost for care.

All Charges