Heights University Hospital

All Charges

Charge

Type

Setting

Price

RESP LACTIC ACID

Facility

$113.65

Hospital Charge Code	9509005
Hospital Revenue Code	301
Min. Negotiated Rate	$17.05
Max. Negotiated Rate	$17.05
Rate for Payer: Qualcare PPO/HMO/WC	$17.05

RESP LACTIC ACID

Facility

$113.65

Hospital Charge Code	9509005
Hospital Revenue Code	301
Min. Negotiated Rate	$14.77
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$34.09
Rate for Payer: Aetna Medicare Advantage	$34.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.98
Rate for Payer: Cigna Commercial	$56.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.77
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.05
Rate for Payer: UnitedHealthcare Commercial	$114.00

RESP MAXIMUM BREATHING CAP-MVV

Facility

$6,100.00

Service Code	HCPCS 94200
Hospital Charge Code	9507015
Hospital Revenue Code	460
Min. Negotiated Rate	$915.00
Max. Negotiated Rate	$915.00
Rate for Payer: Qualcare PPO/HMO/WC	$915.00

RESP MAXIMUM BREATHING CAP-MVV

Facility

$6,100.00

Service Code	HCPCS 94200
Hospital Charge Code	9507015
Hospital Revenue Code	460
Min. Negotiated Rate	$73.60
Max. Negotiated Rate	$1,830.00
Rate for Payer: Aetna Commercial	$1,830.00
Rate for Payer: Aetna Medicare Advantage	$1,830.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,555.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,555.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$73.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,555.50
Rate for Payer: Cigna Commercial	$140.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$793.00
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$915.00
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

RESP MVV

Facility

$190.00

Service Code	HCPCS 94200
Hospital Charge Code	9509020
Hospital Revenue Code	460
Min. Negotiated Rate	$28.50
Max. Negotiated Rate	$28.50
Rate for Payer: Qualcare PPO/HMO/WC	$28.50

RESP MVV

Facility

$190.00

Service Code	HCPCS 94200
Hospital Charge Code	9509020
Hospital Revenue Code	460
Min. Negotiated Rate	$24.70
Max. Negotiated Rate	$1,793.00
Rate for Payer: Aetna Commercial	$57.00
Rate for Payer: Aetna Medicare Advantage	$57.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$73.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.45
Rate for Payer: Cigna Commercial	$140.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.70
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.50
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

RESP PATH PROF PCR (BIOFIRE)

Facility

$2,083.90

Service Code	HCPCS 0099U
Hospital Charge Code	4013099U
Hospital Revenue Code	306
Min. Negotiated Rate	$101.00
Max. Negotiated Rate	$1,041.95
Rate for Payer: Aetna Commercial	$625.17
Rate for Payer: Aetna Medicare Advantage	$625.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$531.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$531.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$531.39
Rate for Payer: Cigna Commercial	$1,041.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$270.91
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$312.58
Rate for Payer: UnitedHealthcare Commercial	$114.00

RESP PATH PROF PCR (BIOFIRE)

Facility

$2,083.90

Service Code	HCPCS 0099U
Hospital Charge Code	4013099U
Hospital Revenue Code	306
Min. Negotiated Rate	$312.58
Max. Negotiated Rate	$312.58
Rate for Payer: Qualcare PPO/HMO/WC	$312.58

RESP PLETHYSMOGRAPHY

Facility

$460.00

Service Code	HCPCS 94726
Hospital Charge Code	9507010
Hospital Revenue Code	460
Min. Negotiated Rate	$69.00
Max. Negotiated Rate	$69.00
Rate for Payer: Qualcare PPO/HMO/WC	$69.00

RESP PLETHYSMOGRAPHY

Facility

$460.00

Service Code	HCPCS 94726
Hospital Charge Code	9507010
Hospital Revenue Code	460
Min. Negotiated Rate	$35.87
Max. Negotiated Rate	$1,793.00
Rate for Payer: Aetna Commercial	$138.00
Rate for Payer: Aetna Medicare Advantage	$138.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$117.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$117.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$117.30
Rate for Payer: Cigna Commercial	$888.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.80
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$69.00
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

RESP POTASSIUM

Facility

$45.25

Hospital Charge Code	9509010
Hospital Revenue Code	301
Min. Negotiated Rate	$6.79
Max. Negotiated Rate	$6.79
Rate for Payer: Qualcare PPO/HMO/WC	$6.79

RESP POTASSIUM

Facility

$45.25

Hospital Charge Code	9509010
Hospital Revenue Code	301
Min. Negotiated Rate	$5.88
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$13.57
Rate for Payer: Aetna Medicare Advantage	$13.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.54
Rate for Payer: Cigna Commercial	$22.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.88
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.79
Rate for Payer: UnitedHealthcare Commercial	$114.00

RESP PULSE OX-CONTINOUS

Facility

$313.00

Service Code	HCPCS 9476159
Hospital Charge Code	9507020
Hospital Revenue Code	460
Min. Negotiated Rate	$46.95
Max. Negotiated Rate	$46.95
Rate for Payer: Qualcare PPO/HMO/WC	$46.95

RESP PULSE OX-CONTINOUS

Facility

$313.00

Service Code	HCPCS 9476159
Hospital Charge Code	9507020
Hospital Revenue Code	460
Min. Negotiated Rate	$40.69
Max. Negotiated Rate	$1,793.00
Rate for Payer: Aetna Commercial	$93.90
Rate for Payer: Aetna Medicare Advantage	$93.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$79.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$79.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$79.81
Rate for Payer: Cigna Commercial	$156.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.69
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$46.95
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

RESP RAW

Facility

$6,100.00

Service Code	HCPCS 94728
Hospital Charge Code	9509025
Hospital Revenue Code	460
Min. Negotiated Rate	$21.41
Max. Negotiated Rate	$1,830.00
Rate for Payer: Aetna Commercial	$1,830.00
Rate for Payer: Aetna Medicare Advantage	$1,830.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,555.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,555.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,555.50
Rate for Payer: Cigna Commercial	$306.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$793.00
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$915.00
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

RESP RAW

Facility

$6,100.00

Service Code	HCPCS 94728
Hospital Charge Code	9509025
Hospital Revenue Code	460
Min. Negotiated Rate	$915.00
Max. Negotiated Rate	$915.00
Rate for Payer: Qualcare PPO/HMO/WC	$915.00

RESP RT-ARTERIAL BLOOD GASES

Facility

$733.49

Service Code	HCPCS 82803
Hospital Charge Code	9508010
Hospital Revenue Code	300
Min. Negotiated Rate	$13.04
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$84.47
Rate for Payer: Aetna Medicare Advantage	$26.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$26.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.52
Rate for Payer: Cigna Commercial	$26.07
Rate for Payer: Cigna Medicare Advantage	$13.04
Rate for Payer: Clover Medicare Advantage	$24.77
Rate for Payer: EmblemHealth Commercial	$78.21
Rate for Payer: Humana Medicare Advantage	$26.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$95.35
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$110.02
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$26.07
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$27.63
Rate for Payer: Wellcare Medicare Advantage	$26.07

RESP RT-ARTERIAL BLOOD GASES

Facility

$733.49

Service Code	HCPCS 82803
Hospital Charge Code	9508010
Hospital Revenue Code	300
Min. Negotiated Rate	$110.02
Max. Negotiated Rate	$110.02
Rate for Payer: Qualcare PPO/HMO/WC	$110.02

RESP RT-CARBOXY HEMOGLOBIN

Facility

$390.00

Service Code	HCPCS 82375
Hospital Charge Code	9508005
Hospital Revenue Code	301
Min. Negotiated Rate	$6.16
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$39.92
Rate for Payer: Aetna Medicare Advantage	$12.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.14
Rate for Payer: Cigna Commercial	$12.32
Rate for Payer: Cigna Medicare Advantage	$6.16
Rate for Payer: Clover Medicare Advantage	$11.70
Rate for Payer: EmblemHealth Commercial	$36.96
Rate for Payer: Humana Medicare Advantage	$12.69
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	$12.32
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13.06
Rate for Payer: Wellcare Medicare Advantage	$12.32

RESP RT-CARBOXY HEMOGLOBIN

Facility

$390.00

Service Code	HCPCS 82375
Hospital Charge Code	9508005
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

RESP RT-NEBUPENT

Facility

$587.12

Service Code	HCPCS 94642
Hospital Charge Code	9507005
Hospital Revenue Code	410
Min. Negotiated Rate	$76.33
Max. Negotiated Rate	$1,004.00
Rate for Payer: Aetna Commercial	$176.14
Rate for Payer: Aetna Medicare Advantage	$176.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$149.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$149.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$149.72
Rate for Payer: Cigna Commercial	$521.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.33
Rate for Payer: Oxford Commercial	$885.00
Rate for Payer: Qualcare PPO/HMO/WC	$88.07
Rate for Payer: UnitedHealthcare Commercial	$1,004.00

RESP RT-NEBUPENT

Facility

$587.12

Service Code	HCPCS 94642
Hospital Charge Code	9507005
Hospital Revenue Code	410
Min. Negotiated Rate	$88.07
Max. Negotiated Rate	$88.07
Rate for Payer: Qualcare PPO/HMO/WC	$88.07

RESP SMOKING CESSATION GTR 10M

Facility

$138.00

Service Code	HCPCS 94770
Hospital Charge Code	9509030
Hospital Revenue Code	460
Min. Negotiated Rate	$20.70
Max. Negotiated Rate	$20.70
Rate for Payer: Qualcare PPO/HMO/WC	$20.70

RESP SMOKING CESSATION GTR 10M

Facility

$138.00

Service Code	HCPCS 94770
Hospital Charge Code	9509030
Hospital Revenue Code	460
Min. Negotiated Rate	$17.94
Max. Negotiated Rate	$1,793.00
Rate for Payer: Aetna Commercial	$41.40
Rate for Payer: Aetna Medicare Advantage	$41.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.19
Rate for Payer: Cigna Commercial	$69.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.94
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$20.70
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

RESP SODIUM

Facility

$47.25

Hospital Charge Code	9509015
Hospital Revenue Code	301
Min. Negotiated Rate	$6.14
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$14.18
Rate for Payer: Aetna Medicare Advantage	$14.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.05
Rate for Payer: Cigna Commercial	$23.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.14
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.09
Rate for Payer: UnitedHealthcare Commercial	$114.00

Know your out-of-pocket cost for care.

All Charges