Heights University Hospital

All Charges

Charge

Type

Setting

Price

NASAL TRACHEAL TUBE 4.0MM 17FR

Facility

$99.00

Hospital Charge Code	270332014
Hospital Revenue Code	272
Min. Negotiated Rate	$14.85
Max. Negotiated Rate	$14.85
Rate for Payer: Qualcare PPO/HMO/WC	$14.85

NASAL TRACHEAL TUBE 4.0MM 17FR

Facility

$99.00

Hospital Charge Code	270332014
Hospital Revenue Code	272
Min. Negotiated Rate	$12.87
Max. Negotiated Rate	$49.50
Rate for Payer: Aetna Commercial	$29.70
Rate for Payer: Aetna Medicare Advantage	$29.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.25
Rate for Payer: Cigna Commercial	$49.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.87
Rate for Payer: Oxford Commercial	$49.50
Rate for Payer: Qualcare PPO/HMO/WC	$14.85
Rate for Payer: UnitedHealthcare Commercial	$49.50

NASH FIBROSURE I

Facility

$205.65

Service Code	HCPCS 82172
Hospital Charge Code	3038530A
Hospital Revenue Code	301
Min. Negotiated Rate	$10.54
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$68.33
Rate for Payer: Aetna Medicare Advantage	$21.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$77.27
Rate for Payer: Cigna Commercial	$21.09
Rate for Payer: Cigna Medicare Advantage	$10.54
Rate for Payer: Clover Medicare Advantage	$20.04
Rate for Payer: EmblemHealth Commercial	$63.27
Rate for Payer: Humana Medicare Advantage	$21.72
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	$21.09
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$22.36
Rate for Payer: Wellcare Medicare Advantage	$21.09

NASH FIBROSURE I

Facility

$205.65

Service Code	HCPCS 82172
Hospital Charge Code	3038530A
Hospital Revenue Code	301
Min. Negotiated Rate	$30.85
Max. Negotiated Rate	$30.85
Rate for Payer: Qualcare PPO/HMO/WC	$30.85

NASH FIBROSURE II

Facility

$54.45

Service Code	HCPCS 82247
Hospital Charge Code	3038530B
Hospital Revenue Code	301
Min. Negotiated Rate	$8.17
Max. Negotiated Rate	$8.17
Rate for Payer: Qualcare PPO/HMO/WC	$8.17

NASH FIBROSURE II

Facility

$54.45

Service Code	HCPCS 82247
Hospital Charge Code	3038530B
Hospital Revenue Code	301
Min. Negotiated Rate	$2.51
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.26
Rate for Payer: Aetna Medicare Advantage	$5.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.39
Rate for Payer: Cigna Commercial	$5.02
Rate for Payer: Cigna Medicare Advantage	$2.51
Rate for Payer: Clover Medicare Advantage	$4.77
Rate for Payer: EmblemHealth Commercial	$15.06
Rate for Payer: Humana Medicare Advantage	$5.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.08
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$8.17
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.02
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.32
Rate for Payer: Wellcare Medicare Advantage	$5.02

NASH FIBROSURE III

Facility

$52.85

Service Code	HCPCS 82465
Hospital Charge Code	3038530C
Hospital Revenue Code	301
Min. Negotiated Rate	$2.17
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$14.09
Rate for Payer: Aetna Medicare Advantage	$4.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.35
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	$15.94
Rate for Payer: Cigna Commercial	$4.35
Rate for Payer: Cigna Medicare Advantage	$2.17
Rate for Payer: Clover Medicare Advantage	$4.13
Rate for Payer: EmblemHealth Commercial	$13.05
Rate for Payer: Humana Medicare Advantage	$4.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.87
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.93
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.35
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$4.61
Rate for Payer: Wellcare Medicare Advantage	$4.35

NASH FIBROSURE III

Facility

$52.85

Service Code	HCPCS 82465
Hospital Charge Code	3038530C
Hospital Revenue Code	301
Min. Negotiated Rate	$7.93
Max. Negotiated Rate	$7.93
Rate for Payer: Qualcare PPO/HMO/WC	$7.93

NASH FIBROSURE IV

Facility

$117.65

Service Code	HCPCS 82947
Hospital Charge Code	3038530D
Hospital Revenue Code	301
Min. Negotiated Rate	$17.65
Max. Negotiated Rate	$17.65
Rate for Payer: Qualcare PPO/HMO/WC	$17.65

NASH FIBROSURE IV

Facility

$117.65

Service Code	HCPCS 82947
Hospital Charge Code	3038530D
Hospital Revenue Code	301
Min. Negotiated Rate	$1.97
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$12.73
Rate for Payer: Aetna Medicare Advantage	$3.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.40
Rate for Payer: Cigna Commercial	$3.93
Rate for Payer: Cigna Medicare Advantage	$1.97
Rate for Payer: Clover Medicare Advantage	$3.73
Rate for Payer: EmblemHealth Commercial	$11.79
Rate for Payer: Humana Medicare Advantage	$4.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.29
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.65
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$3.93
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$4.17
Rate for Payer: Wellcare Medicare Advantage	$3.93

NASH FIBROSURE IX

Facility

$47.25

Service Code	HCPCS 84460
Hospital Charge Code	3038530I
Hospital Revenue Code	301
Min. Negotiated Rate	$7.09
Max. Negotiated Rate	$7.09
Rate for Payer: Qualcare PPO/HMO/WC	$7.09

NASH FIBROSURE IX

Facility

$47.25

Service Code	HCPCS 84460
Hospital Charge Code	3038530I
Hospital Revenue Code	301
Min. Negotiated Rate	$2.65
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$17.17
Rate for Payer: Aetna Medicare Advantage	$5.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.30
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	$19.42
Rate for Payer: Cigna Commercial	$5.30
Rate for Payer: Cigna Medicare Advantage	$2.65
Rate for Payer: Clover Medicare Advantage	$5.04
Rate for Payer: EmblemHealth Commercial	$15.90
Rate for Payer: Humana Medicare Advantage	$5.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.14
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.09
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.30
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.62
Rate for Payer: Wellcare Medicare Advantage	$5.30

NASH FIBROSURE V

Facility

$65.65

Service Code	HCPCS 82977
Hospital Charge Code	3038530E
Hospital Revenue Code	301
Min. Negotiated Rate	$3.60
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$23.33
Rate for Payer: Aetna Medicare Advantage	$7.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.38
Rate for Payer: Cigna Commercial	$7.20
Rate for Payer: Cigna Medicare Advantage	$3.60
Rate for Payer: Clover Medicare Advantage	$6.84
Rate for Payer: EmblemHealth Commercial	$21.60
Rate for Payer: Humana Medicare Advantage	$7.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.53
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.85
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$7.20
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$7.63
Rate for Payer: Wellcare Medicare Advantage	$7.20

NASH FIBROSURE V

Facility

$65.65

Service Code	HCPCS 82977
Hospital Charge Code	3038530E
Hospital Revenue Code	301
Min. Negotiated Rate	$9.85
Max. Negotiated Rate	$9.85
Rate for Payer: Qualcare PPO/HMO/WC	$9.85

NASH FIBROSURE VI

Facility

$119.25

Service Code	HCPCS 83010
Hospital Charge Code	3038530F
Hospital Revenue Code	301
Min. Negotiated Rate	$6.29
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$40.76
Rate for Payer: Aetna Medicare Advantage	$12.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.09
Rate for Payer: Cigna Commercial	$12.58
Rate for Payer: Cigna Medicare Advantage	$6.29
Rate for Payer: Clover Medicare Advantage	$11.95
Rate for Payer: EmblemHealth Commercial	$37.74
Rate for Payer: Humana Medicare Advantage	$12.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.50
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.89
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.58
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13.33
Rate for Payer: Wellcare Medicare Advantage	$12.58

NASH FIBROSURE VI

Facility

$119.25

Service Code	HCPCS 83010
Hospital Charge Code	3038530F
Hospital Revenue Code	301
Min. Negotiated Rate	$17.89
Max. Negotiated Rate	$17.89
Rate for Payer: Qualcare PPO/HMO/WC	$17.89

NASH FIBROSURE VII

Facility

$150.00

Service Code	HCPCS 83883
Hospital Charge Code	3038530G
Hospital Revenue Code	301
Min. Negotiated Rate	$22.50
Max. Negotiated Rate	$22.50
Rate for Payer: Qualcare PPO/HMO/WC	$22.50

NASH FIBROSURE VII

Facility

$150.00

Service Code	HCPCS 83883
Hospital Charge Code	3038530G
Hospital Revenue Code	301
Min. Negotiated Rate	$6.80
Max. Negotiated Rate	$165.64
Rate for Payer: Aetna Commercial	$44.06
Rate for Payer: Aetna Medicare Advantage	$13.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$165.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.83
Rate for Payer: Cigna Commercial	$13.60
Rate for Payer: Cigna Medicare Advantage	$6.80
Rate for Payer: Clover Medicare Advantage	$12.92
Rate for Payer: EmblemHealth Commercial	$40.80
Rate for Payer: Humana Medicare Advantage	$14.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.50
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.60
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14.42
Rate for Payer: Wellcare Medicare Advantage	$13.60

NASH FIBROSURE VIII

Facility

$47.25

Service Code	HCPCS 84450
Hospital Charge Code	3038530H
Hospital Revenue Code	301
Min. Negotiated Rate	$7.09
Max. Negotiated Rate	$7.09
Rate for Payer: Qualcare PPO/HMO/WC	$7.09

NASH FIBROSURE VIII

Facility

$47.25

Service Code	HCPCS 84450
Hospital Charge Code	3038530H
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	$6.14
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.09
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

NASH FIBROSURE X

Facility

$77.65

Service Code	HCPCS 84478
Hospital Charge Code	3038530J
Hospital Revenue Code	301
Min. Negotiated Rate	$11.65
Max. Negotiated Rate	$11.65
Rate for Payer: Qualcare PPO/HMO/WC	$11.65

NASH FIBROSURE X

Facility

$77.65

Service Code	HCPCS 84478
Hospital Charge Code	3038530J
Hospital Revenue Code	301
Min. Negotiated Rate	$2.87
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$18.60
Rate for Payer: Aetna Medicare Advantage	$5.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.03
Rate for Payer: Cigna Commercial	$5.74
Rate for Payer: Cigna Medicare Advantage	$2.87
Rate for Payer: Clover Medicare Advantage	$5.45
Rate for Payer: EmblemHealth Commercial	$17.22
Rate for Payer: Humana Medicare Advantage	$5.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.09
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$11.65
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.74
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.08
Rate for Payer: Wellcare Medicare Advantage	$5.74

NASOTRACHEAL ASPIRATION

Facility

$341.10

Service Code	HCPCS 31720
Hospital Charge Code	16000230
Hospital Revenue Code	360
Min. Negotiated Rate	$44.34
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$102.33
Rate for Payer: Aetna Medicare Advantage	$102.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.98
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	$86.98
Rate for Payer: Cigna Commercial	$521.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.34
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$51.16
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

NASOTRACHEAL ASPIRATION

Facility

$341.10

Service Code	HCPCS 31720
Hospital Charge Code	16000230
Hospital Revenue Code	360
Min. Negotiated Rate	$51.16
Max. Negotiated Rate	$51.16
Rate for Payer: Qualcare PPO/HMO/WC	$51.16

NATALIZUMAB 300MG VIAL

Facility

$24,723.00

Service Code	HCPCS J2323
Hospital Charge Code	60630029
Hospital Revenue Code	636
Min. Negotiated Rate	$3,708.45
Max. Negotiated Rate	$7,416.90
Rate for Payer: Aetna Commercial	$7,416.90
Rate for Payer: Aetna Medicare Advantage	$7,416.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,304.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,304.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,304.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,982.97
Rate for Payer: Qualcare PPO/HMO/WC	$3,708.45

Know your out-of-pocket cost for care.

All Charges