Heights University Hospital

All Charges

Charge

Type

Setting

Price

RW ACCUCHECK

Facility

$21.00

Service Code	HCPCS 82948
Hospital Charge Code	84206150
Hospital Revenue Code	301
Min. Negotiated Rate	$3.15
Max. Negotiated Rate	$3.15
Rate for Payer: Qualcare PPO/HMO/WC	$3.15

RW ACCUCHECK

Facility

$21.00

Service Code	HCPCS 82948
Hospital Charge Code	84206150
Hospital Revenue Code	301
Min. Negotiated Rate	$2.52
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.33
Rate for Payer: Aetna Medicare Advantage	$5.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.47
Rate for Payer: Cigna Commercial	$5.04
Rate for Payer: Cigna Medicare Advantage	$2.52
Rate for Payer: Clover Medicare Advantage	$4.79
Rate for Payer: EmblemHealth Commercial	$15.12
Rate for Payer: Humana Medicare Advantage	$5.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.73
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.15
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.04
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.34
Rate for Payer: Wellcare Medicare Advantage	$5.04

RW ACCUCHECK

Facility

$390.00

Service Code	HCPCS 82948
Hospital Charge Code	87502315
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

RW ACCUCHECK

Facility

$390.00

Service Code	HCPCS 82948
Hospital Charge Code	87502315
Hospital Revenue Code	301
Min. Negotiated Rate	$2.52
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.33
Rate for Payer: Aetna Medicare Advantage	$5.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.47
Rate for Payer: Cigna Commercial	$5.04
Rate for Payer: Cigna Medicare Advantage	$2.52
Rate for Payer: Clover Medicare Advantage	$4.79
Rate for Payer: EmblemHealth Commercial	$15.12
Rate for Payer: Humana Medicare Advantage	$5.19
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	$5.04
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.34
Rate for Payer: Wellcare Medicare Advantage	$5.04

RW ACTHIB VIAL

Facility

$61.00

Service Code	HCPCS 90648
Hospital Charge Code	84206360
Hospital Revenue Code	636
Min. Negotiated Rate	$9.15
Max. Negotiated Rate	$14.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.76
Rate for Payer: Qualcare PPO/HMO/WC	$9.15

RW ACTHIB VIAL

Facility

$61.00

Service Code	HCPCS 90648
Hospital Charge Code	84206360
Hospital Revenue Code	636
Min. Negotiated Rate	$9.15
Max. Negotiated Rate	$31.05
Rate for Payer: Aetna Commercial	$18.30
Rate for Payer: Aetna Medicare Advantage	$18.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.55
Rate for Payer: Cigna Commercial	$30.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.76
Rate for Payer: Qualcare PPO/HMO/WC	$9.15

RW ADACEL T DAP PFS

Facility

$2,913.40

Service Code	HCPCS 90715
Hospital Charge Code	84206200
Hospital Revenue Code	636
Min. Negotiated Rate	$437.01
Max. Negotiated Rate	$705.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$705.04
Rate for Payer: Qualcare PPO/HMO/WC	$437.01

RW ADACEL T DAP PFS

Facility

$2,913.40

Service Code	HCPCS 90715
Hospital Charge Code	84206200
Hospital Revenue Code	636
Min. Negotiated Rate	$39.48
Max. Negotiated Rate	$874.02
Rate for Payer: Aetna Commercial	$874.02
Rate for Payer: Aetna Medicare Advantage	$874.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$742.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$742.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$742.92
Rate for Payer: Cigna Commercial	$39.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$705.04
Rate for Payer: Qualcare PPO/HMO/WC	$437.01

RW ALBUTEROL INH. 0.83MG/ML SO

Facility

$19.00

Hospital Charge Code	83652629
Hospital Revenue Code	250
Min. Negotiated Rate	$2.47
Max. Negotiated Rate	$9.50
Rate for Payer: Aetna Commercial	$5.70
Rate for Payer: Aetna Medicare Advantage	$5.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.84
Rate for Payer: Cigna Commercial	$9.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.47
Rate for Payer: Oxford Commercial	$9.50
Rate for Payer: Qualcare PPO/HMO/WC	$2.85
Rate for Payer: UnitedHealthcare Commercial	$9.50

RW ALBUTEROL INH. 0.83MG/ML SO

Facility

$19.00

Hospital Charge Code	83652629
Hospital Revenue Code	250
Min. Negotiated Rate	$2.85
Max. Negotiated Rate	$2.85
Rate for Payer: Qualcare PPO/HMO/WC	$2.85

RW ANAL PAP SMEAR

Facility

$328.27

Service Code	HCPCS 88160
Hospital Charge Code	87592286
Hospital Revenue Code	319
Min. Negotiated Rate	$42.68
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$98.48
Rate for Payer: Aetna Medicare Advantage	$98.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.71
Rate for Payer: Cigna Commercial	$68.87
Rate for Payer: Cigna Medicare Advantage	$46.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.68
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$49.24
Rate for Payer: UnitedHealthcare Commercial	$114.00

RW ANAL PAP SMEAR

Facility

$390.00

Service Code	HCPCS 88160
Hospital Charge Code	87502296
Hospital Revenue Code	319
Min. Negotiated Rate	$46.43
Max. Negotiated Rate	$117.00
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	$68.87
Rate for Payer: Cigna Medicare Advantage	$46.43
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

RW ANAL PAP SMEAR

Facility

$390.00

Service Code	HCPCS 88160
Hospital Charge Code	87502296
Hospital Revenue Code	319
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

RW ANAL PAP SMEAR

Facility

$328.27

Service Code	HCPCS 88160
Hospital Charge Code	87592286
Hospital Revenue Code	319
Min. Negotiated Rate	$49.24
Max. Negotiated Rate	$49.24
Rate for Payer: Qualcare PPO/HMO/WC	$49.24

RW ANOSCOPY

Facility

$274.00

Service Code	HCPCS 46600
Hospital Charge Code	87502615
Hospital Revenue Code	361
Min. Negotiated Rate	$35.62
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$82.20
Rate for Payer: Aetna Medicare Advantage	$82.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$69.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$69.87
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	$69.87
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.62
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$41.10
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

RW ANOSCOPY

Facility

$274.00

Service Code	HCPCS 46600
Hospital Charge Code	87502615
Hospital Revenue Code	361
Min. Negotiated Rate	$41.10
Max. Negotiated Rate	$41.10
Rate for Payer: Qualcare PPO/HMO/WC	$41.10

RW APLISOL 5TU VIAL PPD

Facility

$4.00

Hospital Charge Code	87502310
Hospital Revenue Code	250
Min. Negotiated Rate	$0.52
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.20
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.52
Rate for Payer: Oxford Commercial	$2.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$2.00

RW APLISOL 5TU VIAL PPD

Facility

$4.00

Hospital Charge Code	87502310
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

RW ARTHROCENTESIS INTER/JOINT

Facility

$329.00

Service Code	HCPCS 20610
Hospital Charge Code	87502170
Hospital Revenue Code	761
Min. Negotiated Rate	$49.35
Max. Negotiated Rate	$49.35
Rate for Payer: Qualcare PPO/HMO/WC	$49.35

RW ARTHROCENTESIS INTER/JOINT

Facility

$329.00

Service Code	HCPCS 20610
Hospital Charge Code	87502170
Hospital Revenue Code	761
Min. Negotiated Rate	$42.77
Max. Negotiated Rate	$730.97
Rate for Payer: Aetna Commercial	$98.70
Rate for Payer: Aetna Medicare Advantage	$98.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.89
Rate for Payer: Cigna Commercial	$730.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.77
Rate for Payer: Oxford Commercial	$164.50
Rate for Payer: Qualcare PPO/HMO/WC	$49.35
Rate for Payer: UnitedHealthcare Commercial	$164.50

RW ARTHROCENTESIS MAJOR JOINT

Facility

$1,091.00

Service Code	HCPCS 20610
Hospital Charge Code	87502175
Hospital Revenue Code	761
Min. Negotiated Rate	$163.65
Max. Negotiated Rate	$163.65
Rate for Payer: Qualcare PPO/HMO/WC	$163.65

RW ARTHROCENTESIS MAJOR JOINT

Facility

$1,091.00

Service Code	HCPCS 20610
Hospital Charge Code	87502175
Hospital Revenue Code	761
Min. Negotiated Rate	$45.06
Max. Negotiated Rate	$730.97
Rate for Payer: Aetna Commercial	$327.30
Rate for Payer: Aetna Medicare Advantage	$327.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$278.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$278.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$278.20
Rate for Payer: Cigna Commercial	$730.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.83
Rate for Payer: Oxford Commercial	$545.50
Rate for Payer: Qualcare PPO/HMO/WC	$163.65
Rate for Payer: UnitedHealthcare Commercial	$545.50

RW ARTHROCENTESIS;SMALL JOINT

Facility

$301.00

Service Code	HCPCS 20600
Hospital Charge Code	84206080
Hospital Revenue Code	761
Min. Negotiated Rate	$34.58
Max. Negotiated Rate	$730.97
Rate for Payer: Qualcare PPO/HMO/WC	$45.15
Rate for Payer: Aetna Commercial	$90.30
Rate for Payer: Aetna Medicare Advantage	$90.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.75
Rate for Payer: Cigna Commercial	$730.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.13
Rate for Payer: Oxford Commercial	$150.50
Rate for Payer: UnitedHealthcare Commercial	$150.50

RW ARTHROCENTESIS;SMALL JOINT

Facility

$301.00

Service Code	HCPCS 20600
Hospital Charge Code	84206080
Hospital Revenue Code	761
Min. Negotiated Rate	$45.15
Max. Negotiated Rate	$45.15
Rate for Payer: Qualcare PPO/HMO/WC	$45.15

RW ARTHROCENTESIS SM JNT/BURSA

Facility

$301.00

Service Code	HCPCS 20600
Hospital Charge Code	87502165
Hospital Revenue Code	761
Min. Negotiated Rate	$34.58
Max. Negotiated Rate	$730.97
Rate for Payer: Aetna Commercial	$90.30
Rate for Payer: Aetna Medicare Advantage	$90.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.75
Rate for Payer: Cigna Commercial	$730.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.13
Rate for Payer: Oxford Commercial	$150.50
Rate for Payer: Qualcare PPO/HMO/WC	$45.15
Rate for Payer: UnitedHealthcare Commercial	$150.50

Know your out-of-pocket cost for care.

All Charges