Heights University Hospital

All Charges

Charge

Type

Setting

Price

NUCLEIC ACID PROBE, EACH

Facility

$5.50

Service Code	HCPCS 83896
Hospital Charge Code	3035166AR
Hospital Revenue Code	301
Min. Negotiated Rate	$0.72
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$1.65
Rate for Payer: Aetna Medicare Advantage	$1.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.40
Rate for Payer: Cigna Commercial	$2.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.72
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.83
Rate for Payer: UnitedHealthcare Commercial	$114.00

NUCLEIC ACID TRANSFER

Facility

$29.65

Hospital Charge Code	3009069D
Hospital Revenue Code	301
Min. Negotiated Rate	$3.85
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$8.89
Rate for Payer: Aetna Medicare Advantage	$8.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.56
Rate for Payer: Cigna Commercial	$14.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.85
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.45
Rate for Payer: UnitedHealthcare Commercial	$114.00

NUCLEIC ACID TRANSFER

Facility

$29.65

Hospital Charge Code	3009069D
Hospital Revenue Code	301
Min. Negotiated Rate	$4.45
Max. Negotiated Rate	$4.45
Rate for Payer: Qualcare PPO/HMO/WC	$4.45

NUCLEIC MUTATION SCANNING,EACH

Facility

$128.00

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

NUCLEIC MUTATION SCANNING,EACH

Facility

$128.00

Hospital Charge Code	3004166G
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

NUCLEID ACID PROBE EA

Facility

$28.00

Service Code	HCPCS 83896
Hospital Charge Code	38479452
Hospital Revenue Code	301
Min. Negotiated Rate	$3.64
Max. Negotiated Rate	$114.00
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	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.20
Rate for Payer: UnitedHealthcare Commercial	$114.00

NUCLEID ACID PROBE EA

Facility

$28.00

Service Code	HCPCS 83896
Hospital Charge Code	38479452
Hospital Revenue Code	301
Min. Negotiated Rate	$4.20
Max. Negotiated Rate	$4.20
Rate for Payer: Qualcare PPO/HMO/WC	$4.20

NUCOFED/480ML

Facility

$181.00

Hospital Charge Code	60633561
Hospital Revenue Code	250
Min. Negotiated Rate	$23.53
Max. Negotiated Rate	$90.50
Rate for Payer: Aetna Commercial	$54.30
Rate for Payer: Aetna Medicare Advantage	$54.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.16
Rate for Payer: Cigna Commercial	$90.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.53
Rate for Payer: Oxford Commercial	$90.50
Rate for Payer: Qualcare PPO/HMO/WC	$27.15
Rate for Payer: UnitedHealthcare Commercial	$90.50

NUCOFED/480ML

Facility

$181.00

Hospital Charge Code	60633561
Hospital Revenue Code	250
Min. Negotiated Rate	$27.15
Max. Negotiated Rate	$27.15
Rate for Payer: Qualcare PPO/HMO/WC	$27.15

NUMBER KEYED IN ERROR

Facility

$55,281.25

Service Code	HCPCS C1776
Hospital Charge Code	270690473
Hospital Revenue Code	278
Min. Negotiated Rate	$8,292.19
Max. Negotiated Rate	$13,378.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11,056.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13,378.06
Rate for Payer: Qualcare PPO/HMO/WC	$8,292.19

NUMBER KEYED IN ERROR

Facility

$55,281.25

Service Code	HCPCS C1776
Hospital Charge Code	270690473
Hospital Revenue Code	278
Min. Negotiated Rate	$8,292.19
Max. Negotiated Rate	$27,640.62
Rate for Payer: Aetna Commercial	$16,584.38
Rate for Payer: Aetna Medicare Advantage	$16,584.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,096.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,096.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11,056.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14,096.72
Rate for Payer: Cigna Commercial	$27,640.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13,378.06
Rate for Payer: Qualcare PPO/HMO/WC	$8,292.19

NUR CIRCUMCISION BY CLAMP

Facility

$10,847.54

Service Code	HCPCS 54150
Hospital Charge Code	93082065
Hospital Revenue Code	361
Min. Negotiated Rate	$1,627.13
Max. Negotiated Rate	$1,627.13
Rate for Payer: Qualcare PPO/HMO/WC	$1,627.13

NUR CIRCUMCISION BY CLAMP

Facility

$10,847.54

Service Code	HCPCS 54150
Hospital Charge Code	73092010
Hospital Revenue Code	361
Min. Negotiated Rate	$1,627.13
Max. Negotiated Rate	$1,627.13
Rate for Payer: Qualcare PPO/HMO/WC	$1,627.13

NUR CIRCUMCISION BY CLAMP

Facility

$10,847.54

Service Code	HCPCS 54150
Hospital Charge Code	73092010
Hospital Revenue Code	361
Min. Negotiated Rate	$1,410.18
Max. Negotiated Rate	$5,529.00
Rate for Payer: Aetna Commercial	$3,254.26
Rate for Payer: Aetna Medicare Advantage	$3,254.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,766.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,766.12
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	$2,766.12
Rate for Payer: Cigna Commercial	$4,978.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,410.18
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,627.13
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

NUR CIRCUMCISION BY CLAMP

Facility

$10,847.54

Service Code	HCPCS 54150
Hospital Charge Code	93082065
Hospital Revenue Code	361
Min. Negotiated Rate	$1,410.18
Max. Negotiated Rate	$5,529.00
Rate for Payer: Aetna Commercial	$3,254.26
Rate for Payer: Aetna Medicare Advantage	$3,254.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,766.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,766.12
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	$2,766.12
Rate for Payer: Cigna Commercial	$4,978.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,410.18
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,627.13
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

NUR CIRCUMCISION BY SLIT

Facility

$1,727.00

Service Code	HCPCS 54160
Hospital Charge Code	93082070
Hospital Revenue Code	361
Min. Negotiated Rate	$224.51
Max. Negotiated Rate	$5,529.00
Rate for Payer: Aetna Commercial	$518.10
Rate for Payer: Aetna Medicare Advantage	$518.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$440.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$440.38
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	$440.38
Rate for Payer: Cigna Commercial	$1,660.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$224.51
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$259.05
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

NUR CIRCUMCISION BY SLIT

Facility

$1,727.00

Service Code	HCPCS 54160
Hospital Charge Code	73092015
Hospital Revenue Code	723
Min. Negotiated Rate	$259.05
Max. Negotiated Rate	$259.05
Rate for Payer: Qualcare PPO/HMO/WC	$259.05

NUR CIRCUMCISION BY SLIT

Facility

$1,727.00

Service Code	HCPCS 54160
Hospital Charge Code	73092015
Hospital Revenue Code	723
Min. Negotiated Rate	$80.50
Max. Negotiated Rate	$1,660.53
Rate for Payer: Aetna Commercial	$518.10
Rate for Payer: Aetna Medicare Advantage	$518.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$440.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$440.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$80.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$440.38
Rate for Payer: Cigna Commercial	$1,660.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$224.51
Rate for Payer: Oxford Commercial	$863.50
Rate for Payer: Qualcare PPO/HMO/WC	$259.05
Rate for Payer: UnitedHealthcare Commercial	$863.50

NUR CIRCUMCISION BY SLIT

Facility

$1,727.00

Service Code	HCPCS 54160
Hospital Charge Code	93082070
Hospital Revenue Code	361
Min. Negotiated Rate	$259.05
Max. Negotiated Rate	$259.05
Rate for Payer: Qualcare PPO/HMO/WC	$259.05

NUR GALACTOSEMIA SCREEN

Facility

$51.00

Service Code	HCPCS 82776
Hospital Charge Code	73092025
Hospital Revenue Code	301
Min. Negotiated Rate	$7.65
Max. Negotiated Rate	$7.65
Rate for Payer: Qualcare PPO/HMO/WC	$7.65

NUR GALACTOSEMIA SCREEN

Facility

$51.00

Service Code	HCPCS 82776
Hospital Charge Code	93082080
Hospital Revenue Code	301
Min. Negotiated Rate	$7.65
Max. Negotiated Rate	$7.65
Rate for Payer: Qualcare PPO/HMO/WC	$7.65

NUR GALACTOSEMIA SCREEN

Facility

$51.00

Service Code	HCPCS 82776
Hospital Charge Code	93082080
Hospital Revenue Code	301
Min. Negotiated Rate	$5.87
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$38.04
Rate for Payer: Aetna Medicare Advantage	$11.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.02
Rate for Payer: Cigna Commercial	$11.74
Rate for Payer: Cigna Medicare Advantage	$5.87
Rate for Payer: Clover Medicare Advantage	$11.15
Rate for Payer: EmblemHealth Commercial	$35.22
Rate for Payer: Humana Medicare Advantage	$12.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.63
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.65
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.74
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12.44
Rate for Payer: Wellcare Medicare Advantage	$11.74

NUR GALACTOSEMIA SCREEN

Facility

$51.00

Service Code	HCPCS 82776
Hospital Charge Code	73092025
Hospital Revenue Code	301
Min. Negotiated Rate	$5.87
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$38.04
Rate for Payer: Aetna Medicare Advantage	$11.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.02
Rate for Payer: Cigna Commercial	$11.74
Rate for Payer: Cigna Medicare Advantage	$5.87
Rate for Payer: Clover Medicare Advantage	$11.15
Rate for Payer: EmblemHealth Commercial	$35.22
Rate for Payer: Humana Medicare Advantage	$12.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.63
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.65
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.74
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12.44
Rate for Payer: Wellcare Medicare Advantage	$11.74

NUR HEMOGLOBIN SCREEN

Facility

$390.00

Service Code	HCPCS 85660
Hospital Charge Code	73092045
Hospital Revenue Code	305
Min. Negotiated Rate	$2.75
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$17.85
Rate for Payer: Aetna Medicare Advantage	$5.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.51
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	$20.19
Rate for Payer: Cigna Commercial	$5.51
Rate for Payer: Cigna Medicare Advantage	$2.75
Rate for Payer: Clover Medicare Advantage	$5.23
Rate for Payer: EmblemHealth Commercial	$16.53
Rate for Payer: Humana Medicare Advantage	$5.68
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	$5.51
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.84
Rate for Payer: Wellcare Medicare Advantage	$5.51

NUR HEMOGLOBIN SCREEN

Facility

$390.00

Service Code	HCPCS 85660
Hospital Charge Code	73092045
Hospital Revenue Code	305
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

Know your out-of-pocket cost for care.

All Charges