Heights University Hospital

All Charges

Charge

Type

Setting

Price

RAST TEST

Facility

$52.00

Service Code	HCPCS 86003
Hospital Charge Code	3006871
Hospital Revenue Code	305
Min. Negotiated Rate	$2.61
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.91
Rate for Payer: Aetna Medicare Advantage	$5.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.22
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	$19.13
Rate for Payer: Cigna Commercial	$5.22
Rate for Payer: Cigna Medicare Advantage	$2.61
Rate for Payer: Clover Medicare Advantage	$4.96
Rate for Payer: EmblemHealth Commercial	$15.66
Rate for Payer: Humana Medicare Advantage	$5.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.76
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.80
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.22
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.53
Rate for Payer: Wellcare Medicare Advantage	$5.22

RATIONAL LIVING GROUP PSYCHOTR

Facility

$800.80

Service Code	HCPCS 90853
Hospital Charge Code	83246305
Hospital Revenue Code	915
Min. Negotiated Rate	$27.48
Max. Negotiated Rate	$241.93
Rate for Payer: Aetna Commercial	$240.24
Rate for Payer: Aetna Medicare Advantage	$240.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.20
Rate for Payer: Cigna Commercial	$241.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$104.10
Rate for Payer: Qualcare PPO/HMO/WC	$120.12
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$27.48

RATIONAL LIVING GROUP PSYCHOTR

Facility

$800.80

Service Code	HCPCS 90853
Hospital Charge Code	83246305
Hospital Revenue Code	915
Min. Negotiated Rate	$120.12
Max. Negotiated Rate	$120.12
Rate for Payer: Qualcare PPO/HMO/WC	$120.12

RA TRACER ID OF SENTINL NODE

Facility

$1,397.76

Service Code	HCPCS 38792
Hospital Charge Code	16000959
Hospital Revenue Code	360
Min. Negotiated Rate	$209.66
Max. Negotiated Rate	$209.66
Rate for Payer: Qualcare PPO/HMO/WC	$209.66

RA TRACER ID OF SENTINL NODE

Facility

$1,397.76

Service Code	HCPCS 38792
Hospital Charge Code	16000959
Hospital Revenue Code	360
Min. Negotiated Rate	$181.71
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$419.33
Rate for Payer: Aetna Medicare Advantage	$419.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$356.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$356.43
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	$356.43
Rate for Payer: Cigna Commercial	$952.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.71
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$209.66
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

RAW

Facility

$336.00

Hospital Charge Code	95090375
Hospital Revenue Code	460
Min. Negotiated Rate	$43.68
Max. Negotiated Rate	$1,793.00
Rate for Payer: Aetna Commercial	$100.80
Rate for Payer: Aetna Medicare Advantage	$100.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$85.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$85.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$85.68
Rate for Payer: Cigna Commercial	$168.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.68
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$50.40
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

RAW

Facility

$336.00

Hospital Charge Code	95090375
Hospital Revenue Code	460
Min. Negotiated Rate	$50.40
Max. Negotiated Rate	$50.40
Rate for Payer: Qualcare PPO/HMO/WC	$50.40

R & B 4NORTH-SEMI PRIVATE

Facility

$18,000.00

Hospital Charge Code	100811
Hospital Revenue Code	121
Min. Negotiated Rate	$2,086.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,086.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

R&B 5P MED/SURG-SEMI PRIVATE

Facility

$18,000.00

Hospital Charge Code	100812
Hospital Revenue Code	121
Min. Negotiated Rate	$2,086.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,086.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

R&B 6SO-SELFCARE (MED/SURG)

Facility

$18,000.00

Hospital Charge Code	100809
Hospital Revenue Code	167
Min. Negotiated Rate	$2,700.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

RBC

Facility

$4.24

Service Code	HCPCS 85045
Hospital Charge Code	8200339RS
Hospital Revenue Code	301
Min. Negotiated Rate	$0.64
Max. Negotiated Rate	$0.64
Rate for Payer: Qualcare PPO/HMO/WC	$0.64

RBC

Facility

$4.24

Service Code	HCPCS 85045
Hospital Charge Code	8200339RS
Hospital Revenue Code	301
Min. Negotiated Rate	$0.55
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$12.93
Rate for Payer: Aetna Medicare Advantage	$3.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.62
Rate for Payer: Cigna Commercial	$3.99
Rate for Payer: Cigna Medicare Advantage	$2.00
Rate for Payer: Clover Medicare Advantage	$3.79
Rate for Payer: EmblemHealth Commercial	$11.97
Rate for Payer: Humana Medicare Advantage	$4.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.55
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.64
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$3.99
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$4.23
Rate for Payer: Wellcare Medicare Advantage	$3.99

RBC ABSORPTION EACH

Facility

$149.00

Service Code	HCPCS 86978
Hospital Charge Code	38471150
Hospital Revenue Code	302
Min. Negotiated Rate	$19.37
Max. Negotiated Rate	$140.48
Rate for Payer: Aetna Commercial	$44.70
Rate for Payer: Aetna Medicare Advantage	$44.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.99
Rate for Payer: Cigna Commercial	$140.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.37
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.35
Rate for Payer: UnitedHealthcare Commercial	$114.00

RBC ABSORPTION EACH

Facility

$149.00

Service Code	HCPCS 86978
Hospital Charge Code	38471150
Hospital Revenue Code	302
Min. Negotiated Rate	$22.35
Max. Negotiated Rate	$22.35
Rate for Payer: Qualcare PPO/HMO/WC	$22.35

RBC BUFFY COAT REMOVED, 1 UNIT

Facility

$1,180.73

Hospital Charge Code	38471040
Hospital Revenue Code	390
Min. Negotiated Rate	$177.11
Max. Negotiated Rate	$177.11
Rate for Payer: Qualcare PPO/HMO/WC	$177.11

RBC BUFFY COAT REMOVED, 1 UNIT

Facility

$1,180.73

Hospital Charge Code	38471040
Hospital Revenue Code	390
Min. Negotiated Rate	$153.49
Max. Negotiated Rate	$756.00
Rate for Payer: Aetna Commercial	$354.22
Rate for Payer: Aetna Medicare Advantage	$354.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$301.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$301.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$301.09
Rate for Payer: Cigna Commercial	$590.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$153.49
Rate for Payer: Oxford Commercial	$666.00
Rate for Payer: Qualcare PPO/HMO/WC	$177.11
Rate for Payer: UnitedHealthcare Commercial	$756.00

RBC COUNT

Facility

$142.00

Service Code	HCPCS 85041
Hospital Charge Code	38473013
Hospital Revenue Code	301
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$21.30
Rate for Payer: Qualcare PPO/HMO/WC	$21.30

RBC COUNT

Facility

$142.00

Service Code	HCPCS 85041
Hospital Charge Code	38473013
Hospital Revenue Code	301
Min. Negotiated Rate	$1.51
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$9.78
Rate for Payer: Aetna Medicare Advantage	$3.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.07
Rate for Payer: Cigna Commercial	$3.02
Rate for Payer: Cigna Medicare Advantage	$1.51
Rate for Payer: Clover Medicare Advantage	$2.87
Rate for Payer: EmblemHealth Commercial	$9.06
Rate for Payer: Humana Medicare Advantage	$3.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.46
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.30
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$3.02
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$3.20
Rate for Payer: Wellcare Medicare Advantage	$3.02

RBC DEGLYCEROLIZED

Facility

$2,959.25

Service Code	HCPCS P9039
Hospital Charge Code	3101517
Hospital Revenue Code	390
Min. Negotiated Rate	$384.70
Max. Negotiated Rate	$887.77
Rate for Payer: Aetna Commercial	$887.77
Rate for Payer: Aetna Medicare Advantage	$887.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$754.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$754.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$754.61
Rate for Payer: Cigna Commercial	$729.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$384.70
Rate for Payer: Oxford Commercial	$666.00
Rate for Payer: Qualcare PPO/HMO/WC	$443.89
Rate for Payer: UnitedHealthcare Commercial	$756.00

RBC DEGLYCEROLIZED

Facility

$2,959.25

Service Code	HCPCS P9039
Hospital Charge Code	3101517
Hospital Revenue Code	390
Min. Negotiated Rate	$443.89
Max. Negotiated Rate	$443.89
Rate for Payer: Qualcare PPO/HMO/WC	$443.89

RBC FRAGILITY INCUBATED

Facility

$390.00

Service Code	HCPCS 85557
Hospital Charge Code	3035139
Hospital Revenue Code	305
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

RBC FRAGILITY INCUBATED

Facility

$91.15

Hospital Charge Code	39708009
Hospital Revenue Code	305
Min. Negotiated Rate	$11.85
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$27.34
Rate for Payer: Aetna Medicare Advantage	$27.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.24
Rate for Payer: Cigna Commercial	$45.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.85
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.67
Rate for Payer: UnitedHealthcare Commercial	$114.00

RBC FRAGILITY INCUBATED

Facility

$390.00

Service Code	HCPCS 85557
Hospital Charge Code	3035139
Hospital Revenue Code	305
Min. Negotiated Rate	$6.68
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$43.29
Rate for Payer: Aetna Medicare Advantage	$13.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.95
Rate for Payer: Cigna Commercial	$13.36
Rate for Payer: Cigna Medicare Advantage	$6.68
Rate for Payer: Clover Medicare Advantage	$12.69
Rate for Payer: EmblemHealth Commercial	$40.08
Rate for Payer: Humana Medicare Advantage	$13.76
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	$13.36
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14.16
Rate for Payer: Wellcare Medicare Advantage	$13.36

RBC FRAGILITY INCUBATED

Facility

$91.15

Hospital Charge Code	39708009
Hospital Revenue Code	305
Min. Negotiated Rate	$13.67
Max. Negotiated Rate	$13.67
Rate for Payer: Qualcare PPO/HMO/WC	$13.67

RBC FRAGILITY-INCUBATED

Facility

$91.85

Service Code	HCPCS 85557
Hospital Charge Code	39900177
Hospital Revenue Code	305
Min. Negotiated Rate	$13.78
Max. Negotiated Rate	$13.78
Rate for Payer: Qualcare PPO/HMO/WC	$13.78

Know your out-of-pocket cost for care.

All Charges