Heights University Hospital

All Charges

Charge

Type

Setting

Price

NUCLEAR MATRIX PROTEINS (NMP2

Facility

$132.60

Service Code	HCPCS 86316
Hospital Charge Code	397080017
Hospital Revenue Code	302
Min. Negotiated Rate	$19.89
Max. Negotiated Rate	$19.89
Rate for Payer: Qualcare PPO/HMO/WC	$19.89

NUCLEAR MATRIX PROTEINS (NMP2

Facility

$132.60

Service Code	HCPCS 86316
Hospital Charge Code	397080017
Hospital Revenue Code	302
Min. Negotiated Rate	$10.40
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$67.42
Rate for Payer: Aetna Medicare Advantage	$20.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$52.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.25
Rate for Payer: Cigna Commercial	$20.81
Rate for Payer: Cigna Medicare Advantage	$10.40
Rate for Payer: Clover Medicare Advantage	$19.77
Rate for Payer: EmblemHealth Commercial	$62.43
Rate for Payer: Humana Medicare Advantage	$21.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.24
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.89
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$20.81
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$22.06
Rate for Payer: Wellcare Medicare Advantage	$20.81

NUCLEAR MEDICINE TREATMENT

Facility

$6,315.40

Service Code	HCPCS 78452
Hospital Charge Code	36540017
Hospital Revenue Code	341
Min. Negotiated Rate	$314.16
Max. Negotiated Rate	$3,540.00
Rate for Payer: Aetna Commercial	$1,894.62
Rate for Payer: Aetna Medicare Advantage	$1,894.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,610.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,610.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$314.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,610.43
Rate for Payer: Cigna Commercial	$3,083.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$821.00
Rate for Payer: Oxford Commercial	$3,120.00
Rate for Payer: Qualcare PPO/HMO/WC	$947.31
Rate for Payer: UnitedHealthcare Commercial	$3,540.00

NUCLEAR MEDICINE TREATMENT

Facility

$6,315.40

Service Code	HCPCS 78452
Hospital Charge Code	36540017
Hospital Revenue Code	341
Min. Negotiated Rate	$947.31
Max. Negotiated Rate	$947.31
Rate for Payer: Qualcare PPO/HMO/WC	$947.31

NUCLEAR MOLECULAR DX ENZY DIG1

Facility

$44.00

Service Code	HCPCS 83892
Hospital Charge Code	38476241
Hospital Revenue Code	301
Min. Negotiated Rate	$6.60
Max. Negotiated Rate	$6.60
Rate for Payer: Qualcare PPO/HMO/WC	$6.60

NUCLEAR MOLECULAR DX ENZY DIG1

Facility

$44.00

Service Code	HCPCS 83892
Hospital Charge Code	38476241
Hospital Revenue Code	301
Min. Negotiated Rate	$5.72
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$13.20
Rate for Payer: Aetna Medicare Advantage	$13.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.22
Rate for Payer: Cigna Commercial	$22.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.72
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.60
Rate for Payer: UnitedHealthcare Commercial	$114.00

NUCLEAR MOLECULAR DX ENZY DIG2

Facility

$44.00

Service Code	HCPCS 83892
Hospital Charge Code	38476792
Hospital Revenue Code	301
Min. Negotiated Rate	$5.72
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$13.20
Rate for Payer: Aetna Medicare Advantage	$13.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.22
Rate for Payer: Cigna Commercial	$22.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.72
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.60
Rate for Payer: UnitedHealthcare Commercial	$114.00

NUCLEAR MOLECULAR DX ENZY DIG2

Facility

$44.00

Service Code	HCPCS 83892
Hospital Charge Code	38476792
Hospital Revenue Code	301
Min. Negotiated Rate	$6.60
Max. Negotiated Rate	$6.60
Rate for Payer: Qualcare PPO/HMO/WC	$6.60

NUCLEAR MOLECULAR DX ENZY DIG3

Facility

$44.00

Service Code	HCPCS 83892
Hospital Charge Code	38476793
Hospital Revenue Code	301
Min. Negotiated Rate	$6.60
Max. Negotiated Rate	$6.60
Rate for Payer: Qualcare PPO/HMO/WC	$6.60

NUCLEAR MOLECULAR DX ENZY DIG3

Facility

$44.00

Service Code	HCPCS 83892
Hospital Charge Code	38476793
Hospital Revenue Code	301
Min. Negotiated Rate	$5.72
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$13.20
Rate for Payer: Aetna Medicare Advantage	$13.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.22
Rate for Payer: Cigna Commercial	$22.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.72
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.60
Rate for Payer: UnitedHealthcare Commercial	$114.00

NUCLEAR MOLECULAR DX ENZY DIG4

Facility

$44.00

Service Code	HCPCS 83892
Hospital Charge Code	38476794
Hospital Revenue Code	301
Min. Negotiated Rate	$6.60
Max. Negotiated Rate	$6.60
Rate for Payer: Qualcare PPO/HMO/WC	$6.60

NUCLEAR MOLECULAR DX ENZY DIG4

Facility

$44.00

Service Code	HCPCS 83892
Hospital Charge Code	38476794
Hospital Revenue Code	301
Min. Negotiated Rate	$5.72
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$13.20
Rate for Payer: Aetna Medicare Advantage	$13.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.22
Rate for Payer: Cigna Commercial	$22.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.72
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.60
Rate for Payer: UnitedHealthcare Commercial	$114.00

NUCLEAR MOLECULAR DX SEPARATIO

Facility

$44.00

Service Code	HCPCS 83894
Hospital Charge Code	38476242
Hospital Revenue Code	301
Min. Negotiated Rate	$6.60
Max. Negotiated Rate	$6.60
Rate for Payer: Qualcare PPO/HMO/WC	$6.60

NUCLEAR MOLECULAR DX SEPARATIO

Facility

$44.00

Service Code	HCPCS 83894
Hospital Charge Code	38476242
Hospital Revenue Code	301
Min. Negotiated Rate	$5.72
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$13.20
Rate for Payer: Aetna Medicare Advantage	$13.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.22
Rate for Payer: Cigna Commercial	$22.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.72
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.60
Rate for Payer: UnitedHealthcare Commercial	$114.00

NUCLEAR MOLECUL DX PROBE W/AMP

Facility

$293.00

Service Code	HCPCS 83898
Hospital Charge Code	38476244
Hospital Revenue Code	301
Min. Negotiated Rate	$43.95
Max. Negotiated Rate	$43.95
Rate for Payer: Qualcare PPO/HMO/WC	$43.95

NUCLEAR MOLECUL DX PROBE W/AMP

Facility

$293.00

Service Code	HCPCS 83898
Hospital Charge Code	38476244
Hospital Revenue Code	301
Min. Negotiated Rate	$38.09
Max. Negotiated Rate	$146.50
Rate for Payer: Aetna Commercial	$87.90
Rate for Payer: Aetna Medicare Advantage	$87.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.72
Rate for Payer: Cigna Commercial	$146.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.09
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$43.95
Rate for Payer: UnitedHealthcare Commercial	$114.00

NUCLEAR TX INTRA-ARTERIAL

Facility

$1,398.15

Service Code	HCPCS 79445
Hospital Charge Code	321079445
Hospital Revenue Code	340
Min. Negotiated Rate	$181.76
Max. Negotiated Rate	$3,540.00
Rate for Payer: Aetna Commercial	$419.44
Rate for Payer: Aetna Medicare Advantage	$419.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$356.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$356.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$233.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$356.53
Rate for Payer: Cigna Commercial	$555.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.76
Rate for Payer: Oxford Commercial	$3,120.00
Rate for Payer: Qualcare PPO/HMO/WC	$209.72
Rate for Payer: UnitedHealthcare Commercial	$3,540.00

NUCLEAR TX INTRA-ARTERIAL

Facility

$1,398.15

Service Code	HCPCS 79445
Hospital Charge Code	4501005
Hospital Revenue Code	340
Min. Negotiated Rate	$209.72
Max. Negotiated Rate	$209.72
Rate for Payer: Qualcare PPO/HMO/WC	$209.72

NUCLEAR TX INTRA-ARTERIAL

Facility

$1,398.15

Service Code	HCPCS 79445
Hospital Charge Code	4501005
Hospital Revenue Code	340
Min. Negotiated Rate	$181.76
Max. Negotiated Rate	$3,540.00
Rate for Payer: Aetna Commercial	$419.44
Rate for Payer: Aetna Medicare Advantage	$419.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$356.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$356.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$233.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$356.53
Rate for Payer: Cigna Commercial	$555.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.76
Rate for Payer: Oxford Commercial	$3,120.00
Rate for Payer: Qualcare PPO/HMO/WC	$209.72
Rate for Payer: UnitedHealthcare Commercial	$3,540.00

NUCLEAR TX INTRA-ARTERIAL

Facility

$1,398.15

Service Code	HCPCS 79445
Hospital Charge Code	321079445
Hospital Revenue Code	340
Min. Negotiated Rate	$209.72
Max. Negotiated Rate	$209.72
Rate for Payer: Qualcare PPO/HMO/WC	$209.72

NUCLEIC ACID AMPLIFICATION,EA

Facility

$128.00

Hospital Charge Code	3004166E
Hospital Revenue Code	301
Min. Negotiated Rate	$16.64
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$38.40
Rate for Payer: Aetna Medicare Advantage	$38.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.64
Rate for Payer: Cigna Commercial	$64.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.64
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.20
Rate for Payer: UnitedHealthcare Commercial	$114.00

NUCLEIC ACID AMPLIFICATION,EA

Facility

$128.00

Hospital Charge Code	3004166E
Hospital Revenue Code	301
Min. Negotiated Rate	$19.20
Max. Negotiated Rate	$19.20
Rate for Payer: Qualcare PPO/HMO/WC	$19.20

NUCLEIC ACID MUTATION INTERP

Facility

$111.00

Hospital Charge Code	3004166F
Hospital Revenue Code	301
Min. Negotiated Rate	$14.43
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$33.30
Rate for Payer: Aetna Medicare Advantage	$33.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.30
Rate for Payer: Cigna Commercial	$55.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.43
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.65
Rate for Payer: UnitedHealthcare Commercial	$114.00

NUCLEIC ACID MUTATION INTERP

Facility

$111.00

Hospital Charge Code	3004166F
Hospital Revenue Code	301
Min. Negotiated Rate	$16.65
Max. Negotiated Rate	$16.65
Rate for Payer: Qualcare PPO/HMO/WC	$16.65

NUCLEIC ACID PROBE

Facility

$105.00

Hospital Charge Code	3009069C
Hospital Revenue Code	301
Min. Negotiated Rate	$15.75
Max. Negotiated Rate	$15.75
Rate for Payer: Qualcare PPO/HMO/WC	$15.75

Know your out-of-pocket cost for care.

All Charges