Heights University Hospital

All Charges

Charge

Type

Setting

Price

R HRT ART/GRFT ANGIO

Facility

$16,190.00

Service Code	HCPCS 93457
Hospital Charge Code	5100665
Hospital Revenue Code	481
Min. Negotiated Rate	$2,104.70
Max. Negotiated Rate	$8,580.00
Rate for Payer: Aetna Commercial	$4,857.00
Rate for Payer: Aetna Medicare Advantage	$4,857.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,128.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,128.45
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	$4,128.45
Rate for Payer: Cigna Commercial	$7,720.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,104.70
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,428.50
Rate for Payer: UnitedHealthcare Commercial	$8,580.00

R HRT ART/GRFT ANGIO

Facility

$16,190.00

Service Code	HCPCS 93457
Hospital Charge Code	74110066
Hospital Revenue Code	481
Min. Negotiated Rate	$2,104.70
Max. Negotiated Rate	$8,580.00
Rate for Payer: Aetna Commercial	$4,857.00
Rate for Payer: Aetna Medicare Advantage	$4,857.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,128.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,128.45
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	$4,128.45
Rate for Payer: Cigna Commercial	$7,720.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,104.70
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,428.50
Rate for Payer: UnitedHealthcare Commercial	$8,580.00

R HRT ART/GRFT ANGIO

Facility

$16,190.00

Service Code	HCPCS 93457
Hospital Charge Code	5100665
Hospital Revenue Code	481
Min. Negotiated Rate	$2,428.50
Max. Negotiated Rate	$2,428.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,428.50

R HRT ART/GRFT ANGIO

Facility

$16,190.00

Service Code	HCPCS 93457
Hospital Charge Code	74110066
Hospital Revenue Code	481
Min. Negotiated Rate	$2,428.50
Max. Negotiated Rate	$2,428.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,428.50

R HRT CATH CHD ABNL NT CNJ

Facility

$25,737.16

Service Code	HCPCS 93594
Hospital Charge Code	411093594
Hospital Revenue Code	481
Min. Negotiated Rate	$3,860.57
Max. Negotiated Rate	$3,860.57
Rate for Payer: Qualcare PPO/HMO/WC	$3,860.57

R HRT CATH CHD ABNL NT CNJ

Facility

$25,737.16

Service Code	HCPCS 93594
Hospital Charge Code	411093594
Hospital Revenue Code	481
Min. Negotiated Rate	$3,345.83
Max. Negotiated Rate	$8,580.00
Rate for Payer: Aetna Commercial	$7,721.15
Rate for Payer: Aetna Medicare Advantage	$7,721.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,562.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,562.98
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	$6,562.98
Rate for Payer: Cigna Commercial	$7,720.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,345.83
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,860.57
Rate for Payer: UnitedHealthcare Commercial	$8,580.00

R HRT CATH CHD NML NT CNJ

Facility

$25,737.16

Service Code	HCPCS 93593
Hospital Charge Code	411093593
Hospital Revenue Code	481
Min. Negotiated Rate	$3,345.83
Max. Negotiated Rate	$8,580.00
Rate for Payer: Aetna Commercial	$7,721.15
Rate for Payer: Aetna Medicare Advantage	$7,721.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,562.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,562.98
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	$6,562.98
Rate for Payer: Cigna Commercial	$7,720.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,345.83
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,860.57
Rate for Payer: UnitedHealthcare Commercial	$8,580.00

R HRT CATH CHD NML NT CNJ

Facility

$25,737.16

Service Code	HCPCS 93593
Hospital Charge Code	411093593
Hospital Revenue Code	481
Min. Negotiated Rate	$3,860.57
Max. Negotiated Rate	$3,860.57
Rate for Payer: Qualcare PPO/HMO/WC	$3,860.57

R HRT CORONARY ARTERY ANGIO

Facility

$16,190.00

Service Code	HCPCS 93456
Hospital Charge Code	74110065
Hospital Revenue Code	481
Min. Negotiated Rate	$2,428.50
Max. Negotiated Rate	$2,428.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,428.50

R HRT CORONARY ARTERY ANGIO

Facility

$16,190.00

Service Code	HCPCS 93456
Hospital Charge Code	5100664
Hospital Revenue Code	481
Min. Negotiated Rate	$2,104.70
Max. Negotiated Rate	$8,580.00
Rate for Payer: Aetna Commercial	$4,857.00
Rate for Payer: Aetna Medicare Advantage	$4,857.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,128.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,128.45
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	$4,128.45
Rate for Payer: Cigna Commercial	$7,720.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,104.70
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,428.50
Rate for Payer: UnitedHealthcare Commercial	$8,580.00

R HRT CORONARY ARTERY ANGIO

Facility

$16,190.00

Service Code	HCPCS 93456
Hospital Charge Code	5100664
Hospital Revenue Code	481
Min. Negotiated Rate	$2,428.50
Max. Negotiated Rate	$2,428.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,428.50

R HRT CORONARY ARTERY ANGIO

Facility

$16,190.00

Service Code	HCPCS 93456
Hospital Charge Code	74110065
Hospital Revenue Code	481
Min. Negotiated Rate	$2,104.70
Max. Negotiated Rate	$8,580.00
Rate for Payer: Aetna Commercial	$4,857.00
Rate for Payer: Aetna Medicare Advantage	$4,857.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,128.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,128.45
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	$4,128.45
Rate for Payer: Cigna Commercial	$7,720.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,104.70
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,428.50
Rate for Payer: UnitedHealthcare Commercial	$8,580.00

RHYTHM STRIPS EKG

Facility

$1.50

Hospital Charge Code	270658865
Hospital Revenue Code	270
Min. Negotiated Rate	$0.20
Max. Negotiated Rate	$0.75
Rate for Payer: Aetna Commercial	$0.45
Rate for Payer: Aetna Medicare Advantage	$0.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.38
Rate for Payer: Cigna Commercial	$0.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.20
Rate for Payer: Oxford Commercial	$0.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.23
Rate for Payer: UnitedHealthcare Commercial	$0.75

RHYTHM STRIPS EKG

Facility

$1.50

Hospital Charge Code	270658865
Hospital Revenue Code	270
Min. Negotiated Rate	$0.23
Max. Negotiated Rate	$0.23
Rate for Payer: Qualcare PPO/HMO/WC	$0.23

RIABNI 100MG/10ML VIAL

Facility

$5,763.07

Service Code	HCPCS Q5123
Hospital Charge Code	606390460
Hospital Revenue Code	636
Min. Negotiated Rate	$864.46
Max. Negotiated Rate	$1,394.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,394.66
Rate for Payer: Qualcare PPO/HMO/WC	$864.46

RIABNI 100MG/10ML VIAL

Facility

$5,763.07

Service Code	HCPCS Q5123
Hospital Charge Code	606390460
Hospital Revenue Code	636
Min. Negotiated Rate	$864.46
Max. Negotiated Rate	$1,728.92
Rate for Payer: Aetna Commercial	$1,728.92
Rate for Payer: Aetna Medicare Advantage	$1,728.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,469.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,469.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,469.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,394.66
Rate for Payer: Qualcare PPO/HMO/WC	$864.46

RIABNI 500MG/50ML VIAL

Facility

$28,815.36

Service Code	HCPCS Q5123
Hospital Charge Code	606390461
Hospital Revenue Code	636
Min. Negotiated Rate	$4,322.30
Max. Negotiated Rate	$6,973.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,973.32
Rate for Payer: Qualcare PPO/HMO/WC	$4,322.30

RIABNI 500MG/50ML VIAL

Facility

$28,815.36

Service Code	HCPCS Q5123
Hospital Charge Code	606390461
Hospital Revenue Code	636
Min. Negotiated Rate	$4,322.30
Max. Negotiated Rate	$8,644.61
Rate for Payer: Aetna Commercial	$8,644.61
Rate for Payer: Aetna Medicare Advantage	$8,644.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,347.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,347.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,347.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,973.32
Rate for Payer: Qualcare PPO/HMO/WC	$4,322.30

RI AB W/RFL TITER,WB

Facility

$390.00

Service Code	HCPCS 86255
Hospital Charge Code	39900368
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

RI AB W/RFL TITER,WB

Facility

$390.00

Service Code	HCPCS 86255
Hospital Charge Code	39900368
Hospital Revenue Code	302
Min. Negotiated Rate	$6.03
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$39.04
Rate for Payer: Aetna Medicare Advantage	$12.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.15
Rate for Payer: Cigna Commercial	$12.05
Rate for Payer: Cigna Medicare Advantage	$6.03
Rate for Payer: Clover Medicare Advantage	$11.45
Rate for Payer: EmblemHealth Commercial	$36.15
Rate for Payer: Humana Medicare Advantage	$12.41
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	$12.05
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12.77
Rate for Payer: Wellcare Medicare Advantage	$12.05

RI AUTOANTIBODY

Facility

$1,866.45

Service Code	HCPCS 84182
Hospital Charge Code	3009997
Hospital Revenue Code	301
Min. Negotiated Rate	$14.61
Max. Negotiated Rate	$279.97
Rate for Payer: Aetna Commercial	$94.64
Rate for Payer: Aetna Medicare Advantage	$29.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$29.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.03
Rate for Payer: Cigna Commercial	$29.21
Rate for Payer: Cigna Medicare Advantage	$14.61
Rate for Payer: Clover Medicare Advantage	$27.75
Rate for Payer: EmblemHealth Commercial	$87.63
Rate for Payer: Humana Medicare Advantage	$30.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.64
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$279.97
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$29.21
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$30.96
Rate for Payer: Wellcare Medicare Advantage	$29.21

RI AUTOANTIBODY

Facility

$1,866.45

Service Code	HCPCS 84182
Hospital Charge Code	3009997
Hospital Revenue Code	301
Min. Negotiated Rate	$279.97
Max. Negotiated Rate	$279.97
Rate for Payer: Qualcare PPO/HMO/WC	$279.97

RIBAVIRIN 200MG

Facility

$66.53

Service Code	NDC 68382026012
Hospital Charge Code	606390326
Hospital Revenue Code	250
Min. Negotiated Rate	$9.98
Max. Negotiated Rate	$9.98
Rate for Payer: Qualcare PPO/HMO/WC	$9.98

RIBAVIRIN 200MG

Facility

$66.53

Service Code	NDC 68382026012
Hospital Charge Code	606390326
Hospital Revenue Code	250
Min. Negotiated Rate	$8.65
Max. Negotiated Rate	$33.27
Rate for Payer: Aetna Commercial	$19.96
Rate for Payer: Aetna Medicare Advantage	$19.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.97
Rate for Payer: Cigna Commercial	$33.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.65
Rate for Payer: Oxford Commercial	$33.27
Rate for Payer: Qualcare PPO/HMO/WC	$9.98
Rate for Payer: UnitedHealthcare Commercial	$33.27

RIBAVIRIN 6GMS/100ML

Facility

$6,730.25

Hospital Charge Code	6004808
Hospital Revenue Code	250
Min. Negotiated Rate	$1,009.54
Max. Negotiated Rate	$1,009.54
Rate for Payer: Qualcare PPO/HMO/WC	$1,009.54

Know your out-of-pocket cost for care.

All Charges