Heights University Hospital

All Charges

Charge

Type

Setting

Price

ORGANIC ACID SINGLE QUANT

Facility

$116.54

Service Code	HCPCS 83921
Hospital Charge Code	38477138
Hospital Revenue Code	301
Min. Negotiated Rate	$17.48
Max. Negotiated Rate	$17.48
Rate for Payer: Qualcare PPO/HMO/WC	$17.48

ORGANIC ACID SINGLE QUANT

Facility

$116.54

Service Code	HCPCS 83921
Hospital Charge Code	38477138
Hospital Revenue Code	301
Min. Negotiated Rate	$10.61
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$68.72
Rate for Payer: Aetna Medicare Advantage	$21.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$77.71
Rate for Payer: Cigna Commercial	$21.21
Rate for Payer: Cigna Medicare Advantage	$10.61
Rate for Payer: Clover Medicare Advantage	$20.15
Rate for Payer: EmblemHealth Commercial	$63.63
Rate for Payer: Humana Medicare Advantage	$21.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.15
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.48
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$21.21
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$22.48
Rate for Payer: Wellcare Medicare Advantage	$21.21

ORGANIC ACIDS QUAL

Facility

$333.00

Service Code	HCPCS 83918
Hospital Charge Code	38472928
Hospital Revenue Code	301
Min. Negotiated Rate	$11.80
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$76.46
Rate for Payer: Aetna Medicare Advantage	$23.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$23.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.47
Rate for Payer: Cigna Commercial	$23.60
Rate for Payer: Cigna Medicare Advantage	$11.80
Rate for Payer: Clover Medicare Advantage	$22.42
Rate for Payer: EmblemHealth Commercial	$70.80
Rate for Payer: Humana Medicare Advantage	$24.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.29
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$49.95
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$23.60
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$25.02
Rate for Payer: Wellcare Medicare Advantage	$23.60

ORGANIC ACIDS QUAL

Facility

$333.00

Service Code	HCPCS 83918
Hospital Charge Code	38472928
Hospital Revenue Code	301
Min. Negotiated Rate	$49.95
Max. Negotiated Rate	$49.95
Rate for Payer: Qualcare PPO/HMO/WC	$49.95

ORGANIC ACIDS QUAL,EACH

Facility

$116.54

Service Code	HCPCS 83919
Hospital Charge Code	38477137
Hospital Revenue Code	301
Min. Negotiated Rate	$17.48
Max. Negotiated Rate	$17.48
Rate for Payer: Qualcare PPO/HMO/WC	$17.48

ORGANIC ACIDS QUAL,EACH

Facility

$116.54

Service Code	HCPCS 83919
Hospital Charge Code	38477137
Hospital Revenue Code	301
Min. Negotiated Rate	$8.22
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$53.30
Rate for Payer: Aetna Medicare Advantage	$16.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.27
Rate for Payer: Cigna Commercial	$16.45
Rate for Payer: Cigna Medicare Advantage	$8.22
Rate for Payer: Clover Medicare Advantage	$15.63
Rate for Payer: EmblemHealth Commercial	$49.35
Rate for Payer: Humana Medicare Advantage	$16.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.15
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.48
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.45
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$17.44
Rate for Payer: Wellcare Medicare Advantage	$16.45

ORGANIC ACID, URINE***

Facility

$260.00

Service Code	HCPCS 82486
Hospital Charge Code	3032513
Hospital Revenue Code	301
Min. Negotiated Rate	$33.80
Max. Negotiated Rate	$130.00
Rate for Payer: Aetna Commercial	$78.00
Rate for Payer: Aetna Medicare Advantage	$78.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.30
Rate for Payer: Cigna Commercial	$130.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.80
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$39.00
Rate for Payer: UnitedHealthcare Commercial	$114.00

ORGANIC ACID, URINE***

Facility

$260.00

Service Code	HCPCS 82486
Hospital Charge Code	3032513
Hospital Revenue Code	301
Min. Negotiated Rate	$39.00
Max. Negotiated Rate	$39.00
Rate for Payer: Qualcare PPO/HMO/WC	$39.00

ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY

Facility

$58,521.72

Service Code	MSDRG 884
Min. Negotiated Rate	$17,557.25
Max. Negotiated Rate	$58,521.72
Rate for Payer: Aetna Commercial	$54,251.90
Rate for Payer: Aetna Medicare Advantage	$17,557.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48,517.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48,517.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19,507.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48,517.92
Rate for Payer: Cigna Commercial	$34,625.14
Rate for Payer: Cigna Medicare Advantage	$19,507.24
Rate for Payer: Clover Medicare Advantage	$18,531.88
Rate for Payer: EmblemHealth Commercial	$58,521.72
Rate for Payer: Humana Medicare Advantage	$20,092.46
Rate for Payer: Oxford Commercial	$21,639.71
Rate for Payer: UnitedHealthcare Commercial	$24,563.08
Rate for Payer: UnitedHealthcare Medicare Advantage	$19,507.24
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$20,677.67
Rate for Payer: Wellcare Medicare Advantage	$19,507.24

ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES

Facility

$6,409.62

Service Code	APR-DRG 7571
Min. Negotiated Rate	$6,119.63
Max. Negotiated Rate	$6,409.62
Rate for Payer: Aetna Better Health Medicaid	$6,283.94
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,409.62
Rate for Payer: Wellpoint Medicaid Managed Care	$6,119.63

ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES

Facility

$13,557.90

Service Code	APR-DRG 7573
Min. Negotiated Rate	$9,073.40
Max. Negotiated Rate	$13,557.90
Rate for Payer: Aetna Better Health Medicaid	$13,292.06
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$13,557.90
Rate for Payer: Wellpoint Medicaid Managed Care	$9,073.40

ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES

Facility

$8,461.37

Service Code	APR-DRG 7572
Min. Negotiated Rate	$7,048.46
Max. Negotiated Rate	$8,461.37
Rate for Payer: Aetna Better Health Medicaid	$8,295.46
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,461.37
Rate for Payer: Wellpoint Medicaid Managed Care	$7,048.46

ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES

Facility

$27,004.86

Service Code	APR-DRG 7574
Min. Negotiated Rate	$19,216.65
Max. Negotiated Rate	$27,004.86
Rate for Payer: Aetna Better Health Medicaid	$26,475.35
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$27,004.86
Rate for Payer: Wellpoint Medicaid Managed Care	$19,216.65

ORGANIDIN/TAB

Facility

$3.00

Hospital Charge Code	60634232
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

ORGANIDIN/TAB

Facility

$3.00

Hospital Charge Code	60634232
Hospital Revenue Code	250
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$1.50
Rate for Payer: Aetna Commercial	$0.90
Rate for Payer: Aetna Medicare Advantage	$0.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.77
Rate for Payer: Cigna Commercial	$1.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.39
Rate for Payer: Oxford Commercial	$1.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.45
Rate for Payer: UnitedHealthcare Commercial	$1.50

ORGANISM IDENTIFICATION

Facility

$389.24

Service Code	HCPCS 87077
Hospital Charge Code	3030154
Hospital Revenue Code	309
Min. Negotiated Rate	$4.04
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$26.18
Rate for Payer: Aetna Medicare Advantage	$8.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.61
Rate for Payer: Cigna Commercial	$8.08
Rate for Payer: Cigna Medicare Advantage	$4.04
Rate for Payer: Clover Medicare Advantage	$7.68
Rate for Payer: EmblemHealth Commercial	$24.24
Rate for Payer: Humana Medicare Advantage	$8.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.60
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.39
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$8.08
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$8.56
Rate for Payer: Wellcare Medicare Advantage	$8.08

ORGANISM IDENTIFICATION

Facility

$389.24

Service Code	HCPCS 87077
Hospital Charge Code	3030154
Hospital Revenue Code	309
Min. Negotiated Rate	$58.39
Max. Negotiated Rate	$58.39
Rate for Payer: Qualcare PPO/HMO/WC	$58.39

Organism Identification, Yeast

Facility

$70.95

Service Code	HCPCS 87106
Hospital Charge Code	399888014
Hospital Revenue Code	309
Min. Negotiated Rate	$10.64
Max. Negotiated Rate	$10.64
Rate for Payer: Qualcare PPO/HMO/WC	$10.64

Organism Identification, Yeast

Facility

$70.95

Service Code	HCPCS 87106
Hospital Charge Code	399888014
Hospital Revenue Code	309
Min. Negotiated Rate	$5.16
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$33.44
Rate for Payer: Aetna Medicare Advantage	$10.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.81
Rate for Payer: Cigna Commercial	$10.32
Rate for Payer: Cigna Medicare Advantage	$5.16
Rate for Payer: Clover Medicare Advantage	$9.80
Rate for Payer: EmblemHealth Commercial	$30.96
Rate for Payer: Humana Medicare Advantage	$10.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.22
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.64
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$10.32
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$10.94
Rate for Payer: Wellcare Medicare Advantage	$10.32

ORGANISM SENSITIVITY

Facility

$390.00

Service Code	HCPCS 87186
Hospital Charge Code	3030153
Hospital Revenue Code	309
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

ORGANISM SENSITIVITY

Facility

$390.00

Service Code	HCPCS 87186
Hospital Charge Code	3030153
Hospital Revenue Code	309
Min. Negotiated Rate	$4.33
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$28.03
Rate for Payer: Aetna Medicare Advantage	$8.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8.65
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	$31.69
Rate for Payer: Cigna Commercial	$8.65
Rate for Payer: Cigna Medicare Advantage	$4.33
Rate for Payer: Clover Medicare Advantage	$8.22
Rate for Payer: EmblemHealth Commercial	$25.95
Rate for Payer: Humana Medicare Advantage	$8.91
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	$8.65
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$9.17
Rate for Payer: Wellcare Medicare Advantage	$8.65

ORGANIZER LAPAROSC HUNT INST**

Facility

$30.00

Hospital Charge Code	1605641
Hospital Revenue Code	272
Min. Negotiated Rate	$3.90
Max. Negotiated Rate	$15.00
Rate for Payer: Aetna Commercial	$9.00
Rate for Payer: Aetna Medicare Advantage	$9.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.65
Rate for Payer: Cigna Commercial	$15.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.90
Rate for Payer: Oxford Commercial	$15.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.50
Rate for Payer: UnitedHealthcare Commercial	$15.00

ORGANIZER LAPAROSC HUNT INST**

Facility

$30.00

Hospital Charge Code	1605641
Hospital Revenue Code	272
Min. Negotiated Rate	$4.50
Max. Negotiated Rate	$4.50
Rate for Payer: Qualcare PPO/HMO/WC	$4.50

ORINASE/500MG/TAB

Facility

$3.00

Hospital Charge Code	60633582
Hospital Revenue Code	250
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$1.50
Rate for Payer: Aetna Commercial	$0.90
Rate for Payer: Aetna Medicare Advantage	$0.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.77
Rate for Payer: Cigna Commercial	$1.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.39
Rate for Payer: Oxford Commercial	$1.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.45
Rate for Payer: UnitedHealthcare Commercial	$1.50

ORINASE/500MG/TAB

Facility

$3.00

Hospital Charge Code	60633582
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

Know your out-of-pocket cost for care.

All Charges