Heights University Hospital

All Charges

Charge

Type

Setting

Price

PROGRESSIVE RT CORONARY 6F

Facility

$40.00

Hospital Charge Code	2709000323
Hospital Revenue Code	272
Min. Negotiated Rate	$6.00
Max. Negotiated Rate	$6.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.00

PRO-INSULIN

Facility

$376.00

Service Code	HCPCS 84206
Hospital Charge Code	38476777
Hospital Revenue Code	301
Min. Negotiated Rate	$56.40
Max. Negotiated Rate	$56.40
Rate for Payer: Qualcare PPO/HMO/WC	$56.40

PRO-INSULIN

Facility

$376.00

Service Code	HCPCS 84206
Hospital Charge Code	38476777
Hospital Revenue Code	301
Min. Negotiated Rate	$13.35
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Medicare Advantage	$26.69
Rate for Payer: Aetna Commercial	$86.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$26.69
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	$97.79
Rate for Payer: Cigna Commercial	$26.69
Rate for Payer: Cigna Medicare Advantage	$13.35
Rate for Payer: Clover Medicare Advantage	$25.36
Rate for Payer: EmblemHealth Commercial	$80.07
Rate for Payer: Humana Medicare Advantage	$27.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.88
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$56.40
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$26.69
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$28.29
Rate for Payer: Wellcare Medicare Advantage	$26.69

PROINSULIN

Facility

$256.00

Service Code	HCPCS 84206
Hospital Charge Code	3032141
Hospital Revenue Code	301
Min. Negotiated Rate	$38.40
Max. Negotiated Rate	$38.40
Rate for Payer: Qualcare PPO/HMO/WC	$38.40

PROINSULIN

Facility

$256.00

Service Code	HCPCS 84206
Hospital Charge Code	3032141
Hospital Revenue Code	301
Min. Negotiated Rate	$13.35
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$86.48
Rate for Payer: Aetna Medicare Advantage	$26.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$26.69
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	$97.79
Rate for Payer: Cigna Commercial	$26.69
Rate for Payer: Cigna Medicare Advantage	$13.35
Rate for Payer: Clover Medicare Advantage	$25.36
Rate for Payer: EmblemHealth Commercial	$80.07
Rate for Payer: Humana Medicare Advantage	$27.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.28
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$38.40
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$26.69
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$28.29
Rate for Payer: Wellcare Medicare Advantage	$26.69

PROINSULIN

Facility

$122.45

Service Code	HCPCS 84206
Hospital Charge Code	39900125
Hospital Revenue Code	301
Min. Negotiated Rate	$18.37
Max. Negotiated Rate	$18.37
Rate for Payer: Qualcare PPO/HMO/WC	$18.37

PROINSULIN

Facility

$122.45

Service Code	HCPCS 84206
Hospital Charge Code	39900125
Hospital Revenue Code	301
Min. Negotiated Rate	$13.35
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$86.48
Rate for Payer: Aetna Medicare Advantage	$26.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$26.69
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	$97.79
Rate for Payer: Cigna Commercial	$26.69
Rate for Payer: Cigna Medicare Advantage	$13.35
Rate for Payer: Clover Medicare Advantage	$25.36
Rate for Payer: EmblemHealth Commercial	$80.07
Rate for Payer: Humana Medicare Advantage	$27.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.92
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.37
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$26.69
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$28.29
Rate for Payer: Wellcare Medicare Advantage	$26.69

PROJ SAFE IND MSW 45-50 MIN

Facility

$1,423.80

Service Code	HCPCS 90806
Hospital Charge Code	84310025
Hospital Revenue Code	914
Min. Negotiated Rate	$185.09
Max. Negotiated Rate	$711.90
Rate for Payer: Aetna Commercial	$427.14
Rate for Payer: Aetna Medicare Advantage	$427.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$363.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$363.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$363.07
Rate for Payer: Cigna Commercial	$711.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$185.09
Rate for Payer: Qualcare PPO/HMO/WC	$213.57

PROJ SAFE IND MSW 45-50 MIN

Facility

$1,423.80

Service Code	HCPCS 90806
Hospital Charge Code	84310025
Hospital Revenue Code	914
Min. Negotiated Rate	$213.57
Max. Negotiated Rate	$213.57
Rate for Payer: Qualcare PPO/HMO/WC	$213.57

PROJ SAFE INDV MSW 20-30 MIN

Facility

$1,296.00

Service Code	HCPCS 90804
Hospital Charge Code	84310015
Hospital Revenue Code	914
Min. Negotiated Rate	$168.48
Max. Negotiated Rate	$648.00
Rate for Payer: Aetna Commercial	$388.80
Rate for Payer: Aetna Medicare Advantage	$388.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$330.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$330.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$330.48
Rate for Payer: Cigna Commercial	$648.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$168.48
Rate for Payer: Qualcare PPO/HMO/WC	$194.40

PROJ SAFE INDV MSW 20-30 MIN

Facility

$1,296.00

Service Code	HCPCS 90804
Hospital Charge Code	84310015
Hospital Revenue Code	914
Min. Negotiated Rate	$194.40
Max. Negotiated Rate	$194.40
Rate for Payer: Qualcare PPO/HMO/WC	$194.40

PROKNOT

Facility

$2,585.00

Hospital Charge Code	270670480
Hospital Revenue Code	272
Min. Negotiated Rate	$336.05
Max. Negotiated Rate	$1,292.50
Rate for Payer: Aetna Commercial	$775.50
Rate for Payer: Aetna Medicare Advantage	$775.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$659.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$659.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$659.17
Rate for Payer: Cigna Commercial	$1,292.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$336.05
Rate for Payer: Oxford Commercial	$1,292.50
Rate for Payer: Qualcare PPO/HMO/WC	$387.75
Rate for Payer: UnitedHealthcare Commercial	$1,292.50

PROKNOT

Facility

$2,585.00

Hospital Charge Code	270670480
Hospital Revenue Code	272
Min. Negotiated Rate	$387.75
Max. Negotiated Rate	$387.75
Rate for Payer: Qualcare PPO/HMO/WC	$387.75

Prolactin

Facility

$667.59

Service Code	HCPCS 84146
Hospital Charge Code	39888020
Hospital Revenue Code	301
Min. Negotiated Rate	$100.14
Max. Negotiated Rate	$100.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.14

Prolactin

Facility

$667.59

Service Code	HCPCS 84146
Hospital Charge Code	39888020
Hospital Revenue Code	301
Min. Negotiated Rate	$9.69
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$62.79
Rate for Payer: Aetna Medicare Advantage	$19.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19.38
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	$71.01
Rate for Payer: Cigna Commercial	$19.38
Rate for Payer: Cigna Medicare Advantage	$9.69
Rate for Payer: Clover Medicare Advantage	$18.41
Rate for Payer: EmblemHealth Commercial	$58.14
Rate for Payer: Humana Medicare Advantage	$19.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.79
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$100.14
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$19.38
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$20.54
Rate for Payer: Wellcare Medicare Advantage	$19.38

PROLACTIN

Facility

$1,212.40

Service Code	HCPCS 84146
Hospital Charge Code	38472566
Hospital Revenue Code	301
Min. Negotiated Rate	$9.69
Max. Negotiated Rate	$181.86
Rate for Payer: Aetna Commercial	$62.79
Rate for Payer: Aetna Medicare Advantage	$19.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19.38
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	$71.01
Rate for Payer: Cigna Commercial	$19.38
Rate for Payer: Cigna Medicare Advantage	$9.69
Rate for Payer: Clover Medicare Advantage	$18.41
Rate for Payer: EmblemHealth Commercial	$58.14
Rate for Payer: Humana Medicare Advantage	$19.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.61
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$181.86
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$19.38
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$20.54
Rate for Payer: Wellcare Medicare Advantage	$19.38

PROLACTIN

Facility

$1,212.40

Service Code	HCPCS 84146
Hospital Charge Code	38472566
Hospital Revenue Code	301
Min. Negotiated Rate	$181.86
Max. Negotiated Rate	$181.86
Rate for Payer: Qualcare PPO/HMO/WC	$181.86

PROLACTIN

Facility

$179.25

Service Code	HCPCS 84146
Hospital Charge Code	39900417
Hospital Revenue Code	301
Min. Negotiated Rate	$26.89
Max. Negotiated Rate	$26.89
Rate for Payer: Qualcare PPO/HMO/WC	$26.89

PROLACTIN

Facility

$179.25

Service Code	HCPCS 84146
Hospital Charge Code	3006327
Hospital Revenue Code	301
Min. Negotiated Rate	$9.69
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$62.79
Rate for Payer: Aetna Medicare Advantage	$19.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19.38
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	$71.01
Rate for Payer: Cigna Commercial	$19.38
Rate for Payer: Cigna Medicare Advantage	$9.69
Rate for Payer: Clover Medicare Advantage	$18.41
Rate for Payer: EmblemHealth Commercial	$58.14
Rate for Payer: Humana Medicare Advantage	$19.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.30
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$26.89
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$19.38
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$20.54
Rate for Payer: Wellcare Medicare Advantage	$19.38

PROLACTIN

Facility

$179.25

Service Code	HCPCS 84146
Hospital Charge Code	3006327
Hospital Revenue Code	301
Min. Negotiated Rate	$26.89
Max. Negotiated Rate	$26.89
Rate for Payer: Qualcare PPO/HMO/WC	$26.89

PROLACTIN

Facility

$179.25

Service Code	HCPCS 84146
Hospital Charge Code	39900417
Hospital Revenue Code	301
Min. Negotiated Rate	$9.69
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$62.79
Rate for Payer: Aetna Medicare Advantage	$19.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19.38
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	$71.01
Rate for Payer: Cigna Commercial	$19.38
Rate for Payer: Cigna Medicare Advantage	$9.69
Rate for Payer: Clover Medicare Advantage	$18.41
Rate for Payer: EmblemHealth Commercial	$58.14
Rate for Payer: Humana Medicare Advantage	$19.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.30
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$26.89
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$19.38
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$20.54
Rate for Payer: Wellcare Medicare Advantage	$19.38

PROLACTIN DILUTION STUDY

Facility

$335.21

Service Code	HCPCS 84146
Hospital Charge Code	401184146B
Hospital Revenue Code	301
Min. Negotiated Rate	$50.28
Max. Negotiated Rate	$50.28
Rate for Payer: Qualcare PPO/HMO/WC	$50.28

PROLACTIN DILUTION STUDY

Facility

$335.21

Service Code	HCPCS 84146
Hospital Charge Code	401184146B
Hospital Revenue Code	301
Min. Negotiated Rate	$9.69
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$62.79
Rate for Payer: Aetna Medicare Advantage	$19.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19.38
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	$71.01
Rate for Payer: Cigna Commercial	$19.38
Rate for Payer: Cigna Medicare Advantage	$9.69
Rate for Payer: Clover Medicare Advantage	$18.41
Rate for Payer: EmblemHealth Commercial	$58.14
Rate for Payer: Humana Medicare Advantage	$19.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.58
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$50.28
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$19.38
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$20.54
Rate for Payer: Wellcare Medicare Advantage	$19.38

PROLACTIN&MONOMERIC I

Facility

$390.00

Service Code	HCPCS 84146
Hospital Charge Code	39990156A
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

PROLACTIN&MONOMERIC I

Facility

$390.00

Service Code	HCPCS 84146
Hospital Charge Code	39990156A
Hospital Revenue Code	301
Min. Negotiated Rate	$9.69
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$62.79
Rate for Payer: Aetna Medicare Advantage	$19.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19.38
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	$71.01
Rate for Payer: Cigna Commercial	$19.38
Rate for Payer: Cigna Medicare Advantage	$9.69
Rate for Payer: Clover Medicare Advantage	$18.41
Rate for Payer: EmblemHealth Commercial	$58.14
Rate for Payer: Humana Medicare Advantage	$19.96
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	$19.38
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$20.54
Rate for Payer: Wellcare Medicare Advantage	$19.38

Know your out-of-pocket cost for care.

All Charges