Heights University Hospital

All Charges

Charge

Type

Setting

Price

RHC/LHC/LV CORONARY ANGIO

Facility

$12,026.00

Service Code	HCPCS 93461
Hospital Charge Code	7411245
Hospital Revenue Code	481
Min. Negotiated Rate	$1,803.90
Max. Negotiated Rate	$1,803.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,803.90

RHC/LHC/LV CORONARY ANGIO

Facility

$12,026.00

Service Code	HCPCS 93461
Hospital Charge Code	7411245
Hospital Revenue Code	481
Min. Negotiated Rate	$1,563.38
Max. Negotiated Rate	$8,580.00
Rate for Payer: Aetna Commercial	$3,607.80
Rate for Payer: Aetna Medicare Advantage	$3,607.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,066.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,066.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,066.63
Rate for Payer: Cigna Commercial	$7,720.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,563.38
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,803.90
Rate for Payer: UnitedHealthcare Commercial	$8,580.00

RHCW/CORONARY SVG & IMA

Facility

$12,026.00

Service Code	HCPCS 93457
Hospital Charge Code	7411233
Hospital Revenue Code	481
Min. Negotiated Rate	$1,563.38
Max. Negotiated Rate	$8,580.00
Rate for Payer: Aetna Commercial	$3,607.80
Rate for Payer: Aetna Medicare Advantage	$3,607.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,066.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,066.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,066.63
Rate for Payer: Cigna Commercial	$7,720.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,563.38
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,803.90
Rate for Payer: UnitedHealthcare Commercial	$8,580.00

RHCW/CORONARY SVG & IMA

Facility

$12,026.00

Service Code	HCPCS 93457
Hospital Charge Code	7411233
Hospital Revenue Code	481
Min. Negotiated Rate	$1,803.90
Max. Negotiated Rate	$1,803.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,803.90

RHC WITH CORONARY ANGIO

Facility

$12,026.00

Service Code	HCPCS 93456
Hospital Charge Code	7411229
Hospital Revenue Code	481
Min. Negotiated Rate	$1,563.38
Max. Negotiated Rate	$8,580.00
Rate for Payer: Cigna Commercial	$7,720.31
Rate for Payer: Aetna Commercial	$3,607.80
Rate for Payer: Aetna Medicare Advantage	$3,607.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,066.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,066.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,066.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,563.38
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,803.90
Rate for Payer: UnitedHealthcare Commercial	$8,580.00

RHC WITH CORONARY ANGIO

Facility

$12,026.00

Service Code	HCPCS 93456
Hospital Charge Code	7411229
Hospital Revenue Code	481
Min. Negotiated Rate	$1,803.90
Max. Negotiated Rate	$1,803.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,803.90

Rheumatoid Arthritis Factor

Facility

$108.00

Service Code	HCPCS 86431
Hospital Charge Code	39888010
Hospital Revenue Code	302
Min. Negotiated Rate	$2.83
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$18.37
Rate for Payer: Aetna Medicare Advantage	$5.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.77
Rate for Payer: Cigna Commercial	$5.67
Rate for Payer: Cigna Medicare Advantage	$2.83
Rate for Payer: Clover Medicare Advantage	$5.39
Rate for Payer: EmblemHealth Commercial	$17.01
Rate for Payer: Humana Medicare Advantage	$5.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.04
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.20
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.67
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.01
Rate for Payer: Wellcare Medicare Advantage	$5.67

Rheumatoid Arthritis Factor

Facility

$108.00

Service Code	HCPCS 86431
Hospital Charge Code	39888010
Hospital Revenue Code	302
Min. Negotiated Rate	$16.20
Max. Negotiated Rate	$16.20
Rate for Payer: Qualcare PPO/HMO/WC	$16.20

RHEUMATOID FACTOR

Facility

$108.00

Service Code	HCPCS 86431
Hospital Charge Code	3002318
Hospital Revenue Code	302
Min. Negotiated Rate	$16.20
Max. Negotiated Rate	$16.20
Rate for Payer: Qualcare PPO/HMO/WC	$16.20

RHEUMATOID FACTOR

Facility

$390.00

Service Code	HCPCS 86431
Hospital Charge Code	39900413
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

RHEUMATOID FACTOR

Facility

$108.00

Service Code	HCPCS 86431
Hospital Charge Code	3002318
Hospital Revenue Code	302
Min. Negotiated Rate	$2.83
Max. Negotiated Rate	$114.00
Rate for Payer: Humana Medicare Advantage	$5.84
Rate for Payer: Aetna Commercial	$18.37
Rate for Payer: Aetna Medicare Advantage	$5.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.77
Rate for Payer: Cigna Commercial	$5.67
Rate for Payer: Cigna Medicare Advantage	$2.83
Rate for Payer: Clover Medicare Advantage	$5.39
Rate for Payer: EmblemHealth Commercial	$17.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.04
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.20
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.67
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.01
Rate for Payer: Wellcare Medicare Advantage	$5.67

RHEUMATOID FACTOR

Facility

$390.00

Service Code	HCPCS 86431
Hospital Charge Code	39900413
Hospital Revenue Code	302
Min. Negotiated Rate	$2.83
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$18.37
Rate for Payer: Aetna Medicare Advantage	$5.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.77
Rate for Payer: Cigna Commercial	$5.67
Rate for Payer: Cigna Medicare Advantage	$2.83
Rate for Payer: Clover Medicare Advantage	$5.39
Rate for Payer: EmblemHealth Commercial	$17.01
Rate for Payer: Humana Medicare Advantage	$5.84
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	$5.67
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.01
Rate for Payer: Wellcare Medicare Advantage	$5.67

RHEUMATOID FACTOR

Facility

$282.00

Service Code	HCPCS 86430
Hospital Charge Code	38476021
Hospital Revenue Code	302
Min. Negotiated Rate	$3.07
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$19.89
Rate for Payer: Aetna Medicare Advantage	$6.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.50
Rate for Payer: Cigna Commercial	$6.14
Rate for Payer: Cigna Medicare Advantage	$3.07
Rate for Payer: Clover Medicare Advantage	$5.83
Rate for Payer: EmblemHealth Commercial	$18.42
Rate for Payer: Humana Medicare Advantage	$6.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.66
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.30
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.14
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.51
Rate for Payer: Wellcare Medicare Advantage	$6.14

RHEUMATOID FACTOR

Facility

$282.00

Service Code	HCPCS 86430
Hospital Charge Code	38476021
Hospital Revenue Code	302
Min. Negotiated Rate	$42.30
Max. Negotiated Rate	$42.30
Rate for Payer: Qualcare PPO/HMO/WC	$42.30

RHEUMATOID FACTOR IgA

Facility

$390.00

Service Code	HCPCS 83520
Hospital Charge Code	38479750A
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

RHEUMATOID FACTOR IgA

Facility

$390.00

Service Code	HCPCS 83520
Hospital Charge Code	38479750A
Hospital Revenue Code	301
Min. Negotiated Rate	$8.63
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$55.95
Rate for Payer: Aetna Medicare Advantage	$17.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.28
Rate for Payer: Cigna Commercial	$17.27
Rate for Payer: Cigna Medicare Advantage	$8.63
Rate for Payer: Clover Medicare Advantage	$16.41
Rate for Payer: EmblemHealth Commercial	$51.81
Rate for Payer: Humana Medicare Advantage	$17.79
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	$17.27
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$18.31
Rate for Payer: Wellcare Medicare Advantage	$17.27

RHEUMATOID FACTOR IgG

Facility

$390.00

Service Code	HCPCS 8352091
Hospital Charge Code	38479750B
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

RHEUMATOID FACTOR IgG

Facility

$390.00

Service Code	HCPCS 8352091
Hospital Charge Code	38479750B
Hospital Revenue Code	301
Min. Negotiated Rate	$50.70
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$117.00
Rate for Payer: Aetna Medicare Advantage	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.45
Rate for Payer: Cigna Commercial	$195.00
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

RHEUMATOID FACTOR IgM

Facility

$390.00

Service Code	HCPCS 8352091
Hospital Charge Code	38479750C
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

RHEUMATOID FACTOR IgM

Facility

$390.00

Service Code	HCPCS 8352091
Hospital Charge Code	38479750C
Hospital Revenue Code	301
Min. Negotiated Rate	$50.70
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$117.00
Rate for Payer: Aetna Medicare Advantage	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.45
Rate for Payer: Cigna Commercial	$195.00
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

RHEUMATOID FACTOR QUANT

Facility

$667.59

Service Code	HCPCS 86431
Hospital Charge Code	39708042F
Hospital Revenue Code	306
Min. Negotiated Rate	$2.83
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$18.37
Rate for Payer: Aetna Medicare Advantage	$5.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.77
Rate for Payer: Cigna Commercial	$5.67
Rate for Payer: Cigna Medicare Advantage	$2.83
Rate for Payer: Clover Medicare Advantage	$5.39
Rate for Payer: EmblemHealth Commercial	$17.01
Rate for Payer: Humana Medicare Advantage	$5.84
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	$5.67
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.01
Rate for Payer: Wellcare Medicare Advantage	$5.67

RHEUMATOID FACTOR QUANT

Facility

$28.35

Service Code	HCPCS 86431
Hospital Charge Code	401386431C
Hospital Revenue Code	302
Min. Negotiated Rate	$4.25
Max. Negotiated Rate	$4.25
Rate for Payer: Qualcare PPO/HMO/WC	$4.25

RHEUMATOID FACTOR QUANT

Facility

$28.35

Service Code	HCPCS 86431
Hospital Charge Code	401386431C
Hospital Revenue Code	302
Min. Negotiated Rate	$2.83
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$18.37
Rate for Payer: Aetna Medicare Advantage	$5.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.77
Rate for Payer: Cigna Commercial	$5.67
Rate for Payer: Cigna Medicare Advantage	$2.83
Rate for Payer: Clover Medicare Advantage	$5.39
Rate for Payer: EmblemHealth Commercial	$17.01
Rate for Payer: Humana Medicare Advantage	$5.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.69
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.25
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.67
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.01
Rate for Payer: Wellcare Medicare Advantage	$5.67

RHEUMATOID FACTOR QUANT

Facility

$667.59

Service Code	HCPCS 86431
Hospital Charge Code	39708042F
Hospital Revenue Code	306
Min. Negotiated Rate	$100.14
Max. Negotiated Rate	$100.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.14

RHINO ROCKET - MEDIUM****

Facility

$5.00

Hospital Charge Code	8003238
Hospital Revenue Code	279
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

Know your out-of-pocket cost for care.

All Charges