Heights University Hospital

All Charges

Charge

Type

Setting

Price

QUAD SCREEN IV

Facility

$390.00

Service Code	HCPCS 86336
Hospital Charge Code	39990125D
Hospital Revenue Code	302
Min. Negotiated Rate	$7.79
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$50.51
Rate for Payer: Aetna Medicare Advantage	$15.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.12
Rate for Payer: Cigna Commercial	$15.59
Rate for Payer: Cigna Medicare Advantage	$7.79
Rate for Payer: Clover Medicare Advantage	$14.81
Rate for Payer: EmblemHealth Commercial	$46.77
Rate for Payer: Humana Medicare Advantage	$16.06
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	$15.59
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$16.53
Rate for Payer: Wellcare Medicare Advantage	$15.59

QUALITATIVE MULTIALLERGEN SCRN

Facility

$315.00

Service Code	HCPCS 86005
Hospital Charge Code	3031400A
Hospital Revenue Code	305
Min. Negotiated Rate	$3.07
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$25.82
Rate for Payer: Aetna Medicare Advantage	$7.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.20
Rate for Payer: Cigna Commercial	$7.97
Rate for Payer: Cigna Medicare Advantage	$3.98
Rate for Payer: Clover Medicare Advantage	$7.57
Rate for Payer: EmblemHealth Commercial	$23.91
Rate for Payer: Humana Medicare Advantage	$8.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.95
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$47.25
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$7.97
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$8.45
Rate for Payer: Wellcare Medicare Advantage	$7.97

QUALITATIVE MULTIALLERGEN SCRN

Facility

$315.00

Service Code	HCPCS 86005
Hospital Charge Code	3031400A
Hospital Revenue Code	305
Min. Negotiated Rate	$47.25
Max. Negotiated Rate	$47.25
Rate for Payer: Qualcare PPO/HMO/WC	$47.25

QUANT DIF PULM PERF & VENT

Facility

$1,899.00

Service Code	HCPCS 78598
Hospital Charge Code	4508025
Hospital Revenue Code	341
Min. Negotiated Rate	$246.87
Max. Negotiated Rate	$3,540.00
Rate for Payer: Aetna Commercial	$569.70
Rate for Payer: Aetna Medicare Advantage	$569.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$484.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$484.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$252.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$484.25
Rate for Payer: Cigna Commercial	$1,293.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$246.87
Rate for Payer: Oxford Commercial	$3,120.00
Rate for Payer: Qualcare PPO/HMO/WC	$284.85
Rate for Payer: UnitedHealthcare Commercial	$3,540.00

QUANT DIF PULM PERF & VENT

Facility

$1,899.00

Service Code	HCPCS 78598
Hospital Charge Code	4508025
Hospital Revenue Code	341
Min. Negotiated Rate	$284.85
Max. Negotiated Rate	$284.85
Rate for Payer: Qualcare PPO/HMO/WC	$284.85

QUANTIFERON TB GOLD

Facility

$438.95

Service Code	HCPCS 86480
Hospital Charge Code	3037020
Hospital Revenue Code	302
Min. Negotiated Rate	$30.99
Max. Negotiated Rate	$227.09
Rate for Payer: Aetna Commercial	$200.82
Rate for Payer: Aetna Medicare Advantage	$61.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$227.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$227.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$61.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$227.09
Rate for Payer: Cigna Commercial	$61.98
Rate for Payer: Cigna Medicare Advantage	$30.99
Rate for Payer: Clover Medicare Advantage	$58.88
Rate for Payer: EmblemHealth Commercial	$185.94
Rate for Payer: Humana Medicare Advantage	$63.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.06
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$65.84
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$61.98
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$65.70
Rate for Payer: Wellcare Medicare Advantage	$61.98

QUANTIFERON TB GOLD

Facility

$438.95

Service Code	HCPCS 86480
Hospital Charge Code	3037020
Hospital Revenue Code	302
Min. Negotiated Rate	$65.84
Max. Negotiated Rate	$65.84
Rate for Payer: Qualcare PPO/HMO/WC	$65.84

QUANTIFERON-TB GOLD

Facility

$426.00

Service Code	HCPCS 86480
Hospital Charge Code	39900223
Hospital Revenue Code	302
Min. Negotiated Rate	$63.90
Max. Negotiated Rate	$63.90
Rate for Payer: Qualcare PPO/HMO/WC	$63.90

QUANTIFERON-TB GOLD

Facility

$426.00

Service Code	HCPCS 86480
Hospital Charge Code	39900223
Hospital Revenue Code	302
Min. Negotiated Rate	$30.99
Max. Negotiated Rate	$227.09
Rate for Payer: Aetna Commercial	$200.82
Rate for Payer: Aetna Medicare Advantage	$61.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$227.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$227.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$61.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$227.09
Rate for Payer: Cigna Commercial	$61.98
Rate for Payer: Cigna Medicare Advantage	$30.99
Rate for Payer: Clover Medicare Advantage	$58.88
Rate for Payer: EmblemHealth Commercial	$185.94
Rate for Payer: Humana Medicare Advantage	$63.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.38
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$63.90
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$61.98
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$65.70
Rate for Payer: Wellcare Medicare Advantage	$61.98

QUANTIFERON-TB GOLD PLUS

Facility

$426.00

Service Code	HCPCS 86480
Hospital Charge Code	401186480
Hospital Revenue Code	306
Min. Negotiated Rate	$30.99
Max. Negotiated Rate	$227.09
Rate for Payer: Aetna Commercial	$200.82
Rate for Payer: Aetna Medicare Advantage	$61.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$227.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$227.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$61.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$227.09
Rate for Payer: Cigna Commercial	$61.98
Rate for Payer: Cigna Medicare Advantage	$30.99
Rate for Payer: Clover Medicare Advantage	$58.88
Rate for Payer: EmblemHealth Commercial	$185.94
Rate for Payer: Humana Medicare Advantage	$63.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.38
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$63.90
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$61.98
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$65.70
Rate for Payer: Wellcare Medicare Advantage	$61.98

QUANTIFERON-TB GOLD PLUS

Facility

$426.00

Service Code	HCPCS 86480
Hospital Charge Code	401186480
Hospital Revenue Code	306
Min. Negotiated Rate	$63.90
Max. Negotiated Rate	$63.90
Rate for Payer: Qualcare PPO/HMO/WC	$63.90

QUANTIFICATION EA ORGANISM

Facility

$394.00

Service Code	HCPCS 87799
Hospital Charge Code	38478100
Hospital Revenue Code	306
Min. Negotiated Rate	$21.42
Max. Negotiated Rate	$156.97
Rate for Payer: Aetna Commercial	$138.80
Rate for Payer: Aetna Medicare Advantage	$42.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$156.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$156.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$42.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$156.97
Rate for Payer: Cigna Commercial	$42.84
Rate for Payer: Cigna Medicare Advantage	$21.42
Rate for Payer: Clover Medicare Advantage	$40.70
Rate for Payer: EmblemHealth Commercial	$128.52
Rate for Payer: Humana Medicare Advantage	$44.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.22
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$59.10
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$42.84
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$45.41
Rate for Payer: Wellcare Medicare Advantage	$42.84

QUANTIFICATION EA ORGANISM

Facility

$394.00

Service Code	HCPCS 87799
Hospital Charge Code	38478100
Hospital Revenue Code	306
Min. Negotiated Rate	$59.10
Max. Negotiated Rate	$59.10
Rate for Payer: Qualcare PPO/HMO/WC	$59.10

QUANTITATIVE HPLC

Facility

$528.00

Service Code	HCPCS 82542
Hospital Charge Code	3035159B
Hospital Revenue Code	301
Min. Negotiated Rate	$12.04
Max. Negotiated Rate	$114.00
Rate for Payer: Qualcare PPO/HMO/WC	$79.20
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: Aetna Commercial	$78.05
Rate for Payer: Aetna Medicare Advantage	$24.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$24.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.27
Rate for Payer: Cigna Commercial	$24.09
Rate for Payer: Cigna Medicare Advantage	$12.04
Rate for Payer: Clover Medicare Advantage	$22.89
Rate for Payer: EmblemHealth Commercial	$72.27
Rate for Payer: Humana Medicare Advantage	$24.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$68.64
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$24.09
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$25.54
Rate for Payer: Wellcare Medicare Advantage	$24.09

QUANTITATIVE HPLC

Facility

$528.00

Service Code	HCPCS 82542
Hospital Charge Code	3035159A
Hospital Revenue Code	301
Min. Negotiated Rate	$12.04
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$78.05
Rate for Payer: Aetna Medicare Advantage	$24.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$24.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.27
Rate for Payer: Cigna Commercial	$24.09
Rate for Payer: Cigna Medicare Advantage	$12.04
Rate for Payer: Clover Medicare Advantage	$22.89
Rate for Payer: EmblemHealth Commercial	$72.27
Rate for Payer: Humana Medicare Advantage	$24.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$68.64
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$79.20
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$24.09
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$25.54
Rate for Payer: Wellcare Medicare Advantage	$24.09

QUANTITATIVE HPLC

Facility

$528.00

Service Code	HCPCS 82542
Hospital Charge Code	3035159B
Hospital Revenue Code	301
Min. Negotiated Rate	$79.20
Max. Negotiated Rate	$79.20
Rate for Payer: Qualcare PPO/HMO/WC	$79.20

QUANTITATIVE HPLC

Facility

$528.00

Service Code	HCPCS 82542
Hospital Charge Code	3035159A
Hospital Revenue Code	301
Min. Negotiated Rate	$79.20
Max. Negotiated Rate	$79.20
Rate for Payer: Qualcare PPO/HMO/WC	$79.20

QUANT LIPOPROOTEINS BY ULTRA

Facility

$175.79

Service Code	HCPCS 83701
Hospital Charge Code	38474063
Hospital Revenue Code	301
Min. Negotiated Rate	$16.93
Max. Negotiated Rate	$124.06
Rate for Payer: Aetna Commercial	$109.71
Rate for Payer: Aetna Medicare Advantage	$33.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$33.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.06
Rate for Payer: Cigna Commercial	$33.86
Rate for Payer: Cigna Medicare Advantage	$16.93
Rate for Payer: Clover Medicare Advantage	$32.17
Rate for Payer: EmblemHealth Commercial	$101.58
Rate for Payer: Humana Medicare Advantage	$34.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.85
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$26.37
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$33.86
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$35.89
Rate for Payer: Wellcare Medicare Advantage	$33.86

QUANT LIPOPROOTEINS BY ULTRA

Facility

$175.79

Service Code	HCPCS 83701
Hospital Charge Code	38474063
Hospital Revenue Code	301
Min. Negotiated Rate	$26.37
Max. Negotiated Rate	$26.37
Rate for Payer: Qualcare PPO/HMO/WC	$26.37

QUARRTO LINK ANCHOR 4.5MM SP

Facility

$2,275.00

Service Code	HCPCS C1713
Hospital Charge Code	270683673
Hospital Revenue Code	278
Min. Negotiated Rate	$341.25
Max. Negotiated Rate	$1,137.50
Rate for Payer: Aetna Commercial	$682.50
Rate for Payer: Aetna Medicare Advantage	$682.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$580.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$580.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$455.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$580.12
Rate for Payer: Cigna Commercial	$1,137.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$550.55
Rate for Payer: Qualcare PPO/HMO/WC	$341.25

QUARRTO LINK ANCHOR 4.5MM SP

Facility

$2,275.00

Service Code	HCPCS C1713
Hospital Charge Code	270683673
Hospital Revenue Code	278
Min. Negotiated Rate	$341.25
Max. Negotiated Rate	$550.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$455.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$550.55
Rate for Payer: Qualcare PPO/HMO/WC	$341.25

QUATTRO SPIKE MEDIUM 6143.2517

Facility

$7,425.00

Service Code	HCPCS C1889
Hospital Charge Code	270696763
Hospital Revenue Code	278
Min. Negotiated Rate	$1,113.75
Max. Negotiated Rate	$1,796.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,485.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,796.85
Rate for Payer: Qualcare PPO/HMO/WC	$1,113.75

QUATTRO SPIKE MEDIUM 6143.2517

Facility

$7,425.00

Service Code	HCPCS C1889
Hospital Charge Code	270696763
Hospital Revenue Code	278
Min. Negotiated Rate	$1,113.75
Max. Negotiated Rate	$3,712.50
Rate for Payer: Aetna Commercial	$2,227.50
Rate for Payer: Aetna Medicare Advantage	$2,227.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,893.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,893.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,485.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,893.38
Rate for Payer: Cigna Commercial	$3,712.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,796.85
Rate for Payer: Qualcare PPO/HMO/WC	$1,113.75

QUATTRO SPIKE SHORT

Facility

$7,425.00

Service Code	HCPCS C1889
Hospital Charge Code	270697446
Hospital Revenue Code	278
Min. Negotiated Rate	$1,113.75
Max. Negotiated Rate	$1,796.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,485.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,796.85
Rate for Payer: Qualcare PPO/HMO/WC	$1,113.75

QUATTRO SPIKE SHORT

Facility

$7,425.00

Service Code	HCPCS C1889
Hospital Charge Code	270697446
Hospital Revenue Code	278
Min. Negotiated Rate	$1,113.75
Max. Negotiated Rate	$3,712.50
Rate for Payer: Aetna Commercial	$2,227.50
Rate for Payer: Aetna Medicare Advantage	$2,227.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,893.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,893.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,485.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,893.38
Rate for Payer: Cigna Commercial	$3,712.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,796.85
Rate for Payer: Qualcare PPO/HMO/WC	$1,113.75

Know your out-of-pocket cost for care.

All Charges