Heights University Hospital

All Charges

Charge

Type

Setting

Price

QNS HPV HIGH RISK

Facility

$241.20

Service Code	HCPCS 87624
Hospital Charge Code	39900304
Hospital Revenue Code	306
Min. Negotiated Rate	$36.18
Max. Negotiated Rate	$36.18
Rate for Payer: Qualcare PPO/HMO/WC	$36.18

QNS HPV HIGH RISK

Facility

$241.20

Service Code	HCPCS 87624
Hospital Charge Code	39900304
Hospital Revenue Code	306
Min. Negotiated Rate	$17.55
Max. Negotiated Rate	$128.57
Rate for Payer: Aetna Commercial	$113.69
Rate for Payer: Aetna Medicare Advantage	$35.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$128.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$128.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$35.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$128.57
Rate for Payer: Cigna Commercial	$35.09
Rate for Payer: Cigna Medicare Advantage	$17.55
Rate for Payer: Clover Medicare Advantage	$33.34
Rate for Payer: EmblemHealth Commercial	$105.27
Rate for Payer: Humana Medicare Advantage	$36.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.36
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.18
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$35.09
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$37.20
Rate for Payer: Wellcare Medicare Advantage	$35.09

Q-RSV ASSAY W/OPTICAL OBSERVAT

Facility

$120.03

Service Code	HCPCS 87807
Hospital Charge Code	401387807
Hospital Revenue Code	306
Min. Negotiated Rate	$18.00
Max. Negotiated Rate	$18.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.00

Q-RSV ASSAY W/OPTICAL OBSERVAT

Facility

$120.03

Service Code	HCPCS 87807
Hospital Charge Code	401387807
Hospital Revenue Code	306
Min. Negotiated Rate	$6.55
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$42.44
Rate for Payer: Aetna Medicare Advantage	$13.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.00
Rate for Payer: Cigna Commercial	$13.10
Rate for Payer: Cigna Medicare Advantage	$6.55
Rate for Payer: Clover Medicare Advantage	$12.45
Rate for Payer: EmblemHealth Commercial	$39.30
Rate for Payer: Humana Medicare Advantage	$13.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.60
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.00
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.10
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13.89
Rate for Payer: Wellcare Medicare Advantage	$13.10

QT INFLIXIMAB W RFX AB/INFLIX

Facility

$1,222.50

Service Code	HCPCS 80299
Hospital Charge Code	3038549
Hospital Revenue Code	301
Min. Negotiated Rate	$183.38
Max. Negotiated Rate	$183.38
Rate for Payer: Qualcare PPO/HMO/WC	$183.38

QT INFLIXIMAB W RFX AB/INFLIX

Facility

$1,222.50

Service Code	HCPCS 80299
Hospital Charge Code	3038549
Hospital Revenue Code	301
Min. Negotiated Rate	$9.32
Max. Negotiated Rate	$183.38
Rate for Payer: Aetna Commercial	$60.39
Rate for Payer: Aetna Medicare Advantage	$18.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.30
Rate for Payer: Cigna Commercial	$18.64
Rate for Payer: Cigna Medicare Advantage	$9.32
Rate for Payer: Clover Medicare Advantage	$17.71
Rate for Payer: EmblemHealth Commercial	$55.92
Rate for Payer: Humana Medicare Advantage	$19.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$158.93
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$183.38
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.64
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19.76
Rate for Payer: Wellcare Medicare Advantage	$18.64

QUACEPSPLASTY

Facility

$44,916.00

Service Code	HCPCS 27430
Hospital Charge Code	16000886
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$17,279.91
Rate for Payer: Aetna Commercial	$13,474.80
Rate for Payer: Aetna Medicare Advantage	$13,474.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11,453.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11,453.58
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	$11,453.58
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,839.08
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,737.40
Rate for Payer: UnitedHealthcare Commercial	$8,580.00

QUACEPSPLASTY

Facility

$44,916.00

Service Code	HCPCS 27430
Hospital Charge Code	16000886
Hospital Revenue Code	360
Min. Negotiated Rate	$6,737.40
Max. Negotiated Rate	$6,737.40
Rate for Payer: Qualcare PPO/HMO/WC	$6,737.40

QUADLINK IMPLANT 11MM

Facility

$10,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270695228
Hospital Revenue Code	278
Min. Negotiated Rate	$1,631.25
Max. Negotiated Rate	$5,437.50
Rate for Payer: Aetna Commercial	$3,262.50
Rate for Payer: Aetna Medicare Advantage	$3,262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,773.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,773.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,773.12
Rate for Payer: Cigna Commercial	$5,437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,631.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,631.25

QUADLINK IMPLANT 11MM

Facility

$10,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270695228
Hospital Revenue Code	278
Min. Negotiated Rate	$1,631.25
Max. Negotiated Rate	$2,631.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,631.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,631.25

QUADLINK IMPLANT 8MM

Facility

$10,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270695230
Hospital Revenue Code	278
Min. Negotiated Rate	$1,631.25
Max. Negotiated Rate	$5,437.50
Rate for Payer: Aetna Commercial	$3,262.50
Rate for Payer: Aetna Medicare Advantage	$3,262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,773.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,773.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,773.12
Rate for Payer: Cigna Commercial	$5,437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,631.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,631.25

QUADLINK IMPLANT 8MM

Facility

$10,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270695230
Hospital Revenue Code	278
Min. Negotiated Rate	$1,631.25
Max. Negotiated Rate	$2,631.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,631.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,631.25

QUADLINK IMPLANT SYSTEM 9MM

Facility

$10,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270696481
Hospital Revenue Code	278
Min. Negotiated Rate	$1,631.25
Max. Negotiated Rate	$2,631.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,631.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,631.25

QUADLINK IMPLANT SYSTEM 9MM

Facility

$10,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270696481
Hospital Revenue Code	278
Min. Negotiated Rate	$1,631.25
Max. Negotiated Rate	$5,437.50
Rate for Payer: Aetna Commercial	$3,262.50
Rate for Payer: Aetna Medicare Advantage	$3,262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,773.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,773.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,773.12
Rate for Payer: Cigna Commercial	$5,437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,631.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,631.25

QUADLINK IMPL SYS ALL INSIDE W

Facility

$14,275.00

Service Code	HCPCS C1713
Hospital Charge Code	270704140
Hospital Revenue Code	278
Min. Negotiated Rate	$2,141.25
Max. Negotiated Rate	$7,137.50
Rate for Payer: Aetna Commercial	$4,282.50
Rate for Payer: Aetna Medicare Advantage	$4,282.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,640.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,640.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,855.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,640.12
Rate for Payer: Cigna Commercial	$7,137.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,454.55
Rate for Payer: Qualcare PPO/HMO/WC	$2,141.25

QUADLINK IMPL SYS ALL INSIDE W

Facility

$14,275.00

Service Code	HCPCS C1713
Hospital Charge Code	270704140
Hospital Revenue Code	278
Min. Negotiated Rate	$2,141.25
Max. Negotiated Rate	$3,454.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,855.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,454.55
Rate for Payer: Qualcare PPO/HMO/WC	$2,141.25

QUADLINK KIT 10MM

Facility

$10,875.00

Service Code	HCPCS L8699
Hospital Charge Code	270696143
Hospital Revenue Code	278
Min. Negotiated Rate	$1,631.25
Max. Negotiated Rate	$5,437.50
Rate for Payer: Aetna Commercial	$3,262.50
Rate for Payer: Aetna Medicare Advantage	$3,262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,773.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,773.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,773.12
Rate for Payer: Cigna Commercial	$5,437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,631.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,631.25

QUADLINK KIT 10MM

Facility

$10,875.00

Service Code	HCPCS L8699
Hospital Charge Code	270696143
Hospital Revenue Code	278
Min. Negotiated Rate	$1,631.25
Max. Negotiated Rate	$2,631.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,631.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,631.25

QUAD SCREEN I

Facility

$390.00

Service Code	HCPCS 82105
Hospital Charge Code	39990125A
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

QUAD SCREEN I

Facility

$390.00

Service Code	HCPCS 82105
Hospital Charge Code	39990125A
Hospital Revenue Code	301
Min. Negotiated Rate	$8.38
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$54.33
Rate for Payer: Aetna Medicare Advantage	$16.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.45
Rate for Payer: Cigna Commercial	$16.77
Rate for Payer: Cigna Medicare Advantage	$8.38
Rate for Payer: Clover Medicare Advantage	$15.93
Rate for Payer: EmblemHealth Commercial	$50.31
Rate for Payer: Humana Medicare Advantage	$17.27
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	$16.77
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$17.78
Rate for Payer: Wellcare Medicare Advantage	$16.77

QUAD SCREEN II

Facility

$390.00

Service Code	HCPCS 82677
Hospital Charge Code	39990125B
Hospital Revenue Code	301
Min. Negotiated Rate	$12.09
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$78.34
Rate for Payer: Aetna Medicare Advantage	$24.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$24.18
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	$88.60
Rate for Payer: Cigna Commercial	$24.18
Rate for Payer: Cigna Medicare Advantage	$12.09
Rate for Payer: Clover Medicare Advantage	$22.97
Rate for Payer: EmblemHealth Commercial	$72.54
Rate for Payer: Humana Medicare Advantage	$24.91
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	$24.18
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$25.63
Rate for Payer: Wellcare Medicare Advantage	$24.18

QUAD SCREEN II

Facility

$390.00

Service Code	HCPCS 82677
Hospital Charge Code	39990125B
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

QUAD SCREEN III

Facility

$390.00

Service Code	HCPCS 84702
Hospital Charge Code	39990125C
Hospital Revenue Code	301
Min. Negotiated Rate	$7.53
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$48.76
Rate for Payer: Aetna Medicare Advantage	$15.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55.14
Rate for Payer: Cigna Commercial	$15.05
Rate for Payer: Cigna Medicare Advantage	$7.53
Rate for Payer: Clover Medicare Advantage	$14.30
Rate for Payer: EmblemHealth Commercial	$45.15
Rate for Payer: Humana Medicare Advantage	$15.50
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	$15.05
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15.95
Rate for Payer: Wellcare Medicare Advantage	$15.05

QUAD SCREEN III

Facility

$390.00

Service Code	HCPCS 84702
Hospital Charge Code	39990125C
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

QUAD SCREEN IV

Facility

$390.00

Service Code	HCPCS 86336
Hospital Charge Code	39990125D
Hospital Revenue Code	302
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