Heights University Hospital

All Charges

Charge

Type

Setting

Price

NON-HODGKIN LYMPHOMA PROFILE(F

Facility

$236.70

Service Code	HCPCS 88291
Hospital Charge Code	3038534L
Hospital Revenue Code	311
Min. Negotiated Rate	$35.51
Max. Negotiated Rate	$35.51
Rate for Payer: Qualcare PPO/HMO/WC	$35.51

NON-HODGKIN LYMPHOMA PROFILE(F

Facility

$22.40

Service Code	HCPCS 82271
Hospital Charge Code	3038534H
Hospital Revenue Code	301
Min. Negotiated Rate	$3.36
Max. Negotiated Rate	$3.36
Rate for Payer: Qualcare PPO/HMO/WC	$3.36

NON-HODGKIN LYMPHOMA PROFILE(F

Facility

$2,240.00

Service Code	HCPCS 82271
Hospital Charge Code	3038534J
Hospital Revenue Code	301
Min. Negotiated Rate	$336.00
Max. Negotiated Rate	$336.00
Rate for Payer: Qualcare PPO/HMO/WC	$336.00

NON-HODGKIN LYMPHOMA PROFILE(F

Facility

$22.40

Service Code	HCPCS 82271
Hospital Charge Code	3038534A
Hospital Revenue Code	301
Min. Negotiated Rate	$2.66
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$17.24
Rate for Payer: Aetna Medicare Advantage	$5.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.49
Rate for Payer: Cigna Commercial	$5.32
Rate for Payer: Cigna Medicare Advantage	$2.66
Rate for Payer: Clover Medicare Advantage	$5.05
Rate for Payer: EmblemHealth Commercial	$15.96
Rate for Payer: Humana Medicare Advantage	$5.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.91
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.36
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.32
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.64
Rate for Payer: Wellcare Medicare Advantage	$5.32

NON-HODGKIN LYMPHOMA PROFILE(F

Facility

$22.40

Hospital Charge Code	3038534B
Hospital Revenue Code	301
Min. Negotiated Rate	$3.36
Max. Negotiated Rate	$3.36
Rate for Payer: Qualcare PPO/HMO/WC	$3.36

NON-HODGKIN LYMPHOMA PROFILE(F

Facility

$22.40

Service Code	HCPCS 82271
Hospital Charge Code	3038534H
Hospital Revenue Code	301
Min. Negotiated Rate	$2.66
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$17.24
Rate for Payer: Aetna Medicare Advantage	$5.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.49
Rate for Payer: Cigna Commercial	$5.32
Rate for Payer: Cigna Medicare Advantage	$2.66
Rate for Payer: Clover Medicare Advantage	$5.05
Rate for Payer: EmblemHealth Commercial	$15.96
Rate for Payer: Humana Medicare Advantage	$5.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.91
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.36
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.32
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.64
Rate for Payer: Wellcare Medicare Advantage	$5.32

NON-HODGKIN LYMPHOMA PROFILE(F

Facility

$22.40

Service Code	HCPCS 82271
Hospital Charge Code	3038534C
Hospital Revenue Code	301
Min. Negotiated Rate	$2.66
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$17.24
Rate for Payer: Aetna Medicare Advantage	$5.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.49
Rate for Payer: Cigna Commercial	$5.32
Rate for Payer: Cigna Medicare Advantage	$2.66
Rate for Payer: Clover Medicare Advantage	$5.05
Rate for Payer: EmblemHealth Commercial	$15.96
Rate for Payer: Humana Medicare Advantage	$5.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.91
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.36
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.32
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.64
Rate for Payer: Wellcare Medicare Advantage	$5.32

NON-HODGKIN LYMPHOMA PROFILE(F

Facility

$22.40

Hospital Charge Code	3038534B
Hospital Revenue Code	301
Min. Negotiated Rate	$2.91
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$6.72
Rate for Payer: Aetna Medicare Advantage	$6.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.71
Rate for Payer: Cigna Commercial	$11.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.91
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.36
Rate for Payer: UnitedHealthcare Commercial	$114.00

NON-HODGKIN LYMPHOMA PROFILE(F

Facility

$2,240.00

Service Code	HCPCS 82271
Hospital Charge Code	3038534J
Hospital Revenue Code	301
Min. Negotiated Rate	$2.66
Max. Negotiated Rate	$336.00
Rate for Payer: Aetna Commercial	$17.24
Rate for Payer: Aetna Medicare Advantage	$5.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.49
Rate for Payer: Cigna Commercial	$5.32
Rate for Payer: Cigna Medicare Advantage	$2.66
Rate for Payer: Clover Medicare Advantage	$5.05
Rate for Payer: EmblemHealth Commercial	$15.96
Rate for Payer: Humana Medicare Advantage	$5.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$291.20
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$336.00
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.32
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.64
Rate for Payer: Wellcare Medicare Advantage	$5.32

NON-HODGKIN LYMPHOMA PROFILE(F

Facility

$22.40

Service Code	HCPCS 82271
Hospital Charge Code	3038534G
Hospital Revenue Code	301
Min. Negotiated Rate	$2.66
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$17.24
Rate for Payer: Aetna Medicare Advantage	$5.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.49
Rate for Payer: Cigna Commercial	$5.32
Rate for Payer: Cigna Medicare Advantage	$2.66
Rate for Payer: Clover Medicare Advantage	$5.05
Rate for Payer: EmblemHealth Commercial	$15.96
Rate for Payer: Humana Medicare Advantage	$5.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.91
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.36
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.32
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.64
Rate for Payer: Wellcare Medicare Advantage	$5.32

NON-HODGKIN LYMPHOMA PROFILE(F

Facility

$22.40

Service Code	HCPCS 82271
Hospital Charge Code	3038534F
Hospital Revenue Code	301
Min. Negotiated Rate	$3.36
Max. Negotiated Rate	$3.36
Rate for Payer: Qualcare PPO/HMO/WC	$3.36

NON-HODGKIN LYMPHOMA PROFILE(F

Facility

$22.40

Service Code	HCPCS 82271
Hospital Charge Code	3038534E
Hospital Revenue Code	301
Min. Negotiated Rate	$2.66
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$17.24
Rate for Payer: Aetna Medicare Advantage	$5.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.49
Rate for Payer: Cigna Commercial	$5.32
Rate for Payer: Cigna Medicare Advantage	$2.66
Rate for Payer: Clover Medicare Advantage	$5.05
Rate for Payer: EmblemHealth Commercial	$15.96
Rate for Payer: Humana Medicare Advantage	$5.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.91
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.36
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.32
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.64
Rate for Payer: Wellcare Medicare Advantage	$5.32

NON-HODGKIN LYMPHOMA PROFILE(F

Facility

$22.40

Service Code	HCPCS 82271
Hospital Charge Code	3038534C
Hospital Revenue Code	301
Min. Negotiated Rate	$3.36
Max. Negotiated Rate	$3.36
Rate for Payer: Qualcare PPO/HMO/WC	$3.36

NON-HODGKIN LYMPHOMA PROFILE(F

Facility

$22.40

Service Code	HCPCS 82271
Hospital Charge Code	3038534A
Hospital Revenue Code	301
Min. Negotiated Rate	$3.36
Max. Negotiated Rate	$3.36
Rate for Payer: Qualcare PPO/HMO/WC	$3.36

NON-HODGKIN LYMPHOMA PROFILE(F

Facility

$22.40

Service Code	HCPCS 82271
Hospital Charge Code	3038534D
Hospital Revenue Code	301
Min. Negotiated Rate	$2.66
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$17.24
Rate for Payer: Aetna Medicare Advantage	$5.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.49
Rate for Payer: Cigna Commercial	$5.32
Rate for Payer: Cigna Medicare Advantage	$2.66
Rate for Payer: Clover Medicare Advantage	$5.05
Rate for Payer: EmblemHealth Commercial	$15.96
Rate for Payer: Humana Medicare Advantage	$5.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.91
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.36
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.32
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.64
Rate for Payer: Wellcare Medicare Advantage	$5.32

NON-HODGKIN LYMPHOMA PROFILE(F

Facility

$22.40

Service Code	HCPCS 82271
Hospital Charge Code	3038534I
Hospital Revenue Code	301
Min. Negotiated Rate	$2.66
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$17.24
Rate for Payer: Aetna Medicare Advantage	$5.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.49
Rate for Payer: Cigna Commercial	$5.32
Rate for Payer: Cigna Medicare Advantage	$2.66
Rate for Payer: Clover Medicare Advantage	$5.05
Rate for Payer: EmblemHealth Commercial	$15.96
Rate for Payer: Humana Medicare Advantage	$5.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.91
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.36
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.32
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.64
Rate for Payer: Wellcare Medicare Advantage	$5.32

NON-HODGKIN LYMPHOMA PROFILE(F

Facility

$276.00

Service Code	HCPCS 88275
Hospital Charge Code	3038534K
Hospital Revenue Code	311
Min. Negotiated Rate	$25.59
Max. Negotiated Rate	$187.56
Rate for Payer: Aetna Commercial	$165.86
Rate for Payer: Aetna Medicare Advantage	$51.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$187.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$187.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$51.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$187.56
Rate for Payer: Cigna Commercial	$51.19
Rate for Payer: Cigna Medicare Advantage	$25.59
Rate for Payer: Clover Medicare Advantage	$48.63
Rate for Payer: EmblemHealth Commercial	$153.57
Rate for Payer: Humana Medicare Advantage	$52.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.88
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$41.40
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$51.19
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$54.26
Rate for Payer: Wellcare Medicare Advantage	$51.19

NON-HODGKIN LYMPHOMA PROFILE(F

Facility

$22.40

Service Code	HCPCS 82271
Hospital Charge Code	3038534G
Hospital Revenue Code	301
Min. Negotiated Rate	$3.36
Max. Negotiated Rate	$3.36
Rate for Payer: Qualcare PPO/HMO/WC	$3.36

NON-HYPOVOLEMIC SODIUM DISORDERS

Facility

$22,541.73

Service Code	APR-DRG 4264
Min. Negotiated Rate	$22,099.74
Max. Negotiated Rate	$22,541.73
Rate for Payer: Aetna Better Health Medicaid	$22,099.74
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$22,541.73

NON-HYPOVOLEMIC SODIUM DISORDERS

Facility

$12,550.99

Service Code	APR-DRG 4263
Min. Negotiated Rate	$12,304.89
Max. Negotiated Rate	$12,550.99
Rate for Payer: Aetna Better Health Medicaid	$12,304.89
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,550.99

NON-HYPOVOLEMIC SODIUM DISORDERS

Facility

$8,388.36

Service Code	APR-DRG 4262
Min. Negotiated Rate	$8,223.88
Max. Negotiated Rate	$8,388.36
Rate for Payer: Aetna Better Health Medicaid	$8,223.88
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,388.36

NON-HYPOVOLEMIC SODIUM DISORDERS

Facility

$6,373.07

Service Code	APR-DRG 4261
Min. Negotiated Rate	$6,248.11
Max. Negotiated Rate	$6,373.07
Rate for Payer: Aetna Better Health Medicaid	$6,248.11
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,373.07

NON INV STUDIES LOW EXTREM ART

Facility

$17,200.00

Service Code	HCPCS 93923
Hospital Charge Code	36540009
Hospital Revenue Code	921
Min. Negotiated Rate	$315.10
Max. Negotiated Rate	$5,160.00
Rate for Payer: Aetna Commercial	$5,160.00
Rate for Payer: Aetna Medicare Advantage	$5,160.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,386.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,386.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$315.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,386.00
Rate for Payer: Cigna Commercial	$514.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,236.00
Rate for Payer: Oxford Commercial	$4,459.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,580.00
Rate for Payer: UnitedHealthcare Commercial	$5,061.00

NON INV STUDIES LOW EXTREM ART

Facility

$17,200.00

Service Code	HCPCS 93923
Hospital Charge Code	36540009
Hospital Revenue Code	921
Min. Negotiated Rate	$2,580.00
Max. Negotiated Rate	$2,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,580.00

NON-IONIC CONTRAST-PER ML

Facility

$8.00

Hospital Charge Code	94061441
Hospital Revenue Code	255
Min. Negotiated Rate	$1.04
Max. Negotiated Rate	$4.00
Rate for Payer: Aetna Commercial	$2.40
Rate for Payer: Aetna Medicare Advantage	$2.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.04
Rate for Payer: Cigna Commercial	$4.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.04
Rate for Payer: Oxford Commercial	$4.00
Rate for Payer: Qualcare PPO/HMO/WC	$1.20
Rate for Payer: UnitedHealthcare Commercial	$4.00

Know your out-of-pocket cost for care.

All Charges