Heights University Hospital

All Charges

Charge

Type

Setting

Price

STRATUM INSTR KIT 1ST MPJ

Facility

$2,480.00

Service Code	HCPCS C1713
Hospital Charge Code	270694755
Hospital Revenue Code	278
Min. Negotiated Rate	$372.00
Max. Negotiated Rate	$600.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$496.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$600.16
Rate for Payer: Qualcare PPO/HMO/WC	$372.00

STRATUM INSTR KIT 1ST MPJ

Facility

$2,480.00

Service Code	HCPCS C1713
Hospital Charge Code	270694755
Hospital Revenue Code	278
Min. Negotiated Rate	$372.00
Max. Negotiated Rate	$1,240.00
Rate for Payer: Aetna Commercial	$744.00
Rate for Payer: Aetna Medicare Advantage	$744.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$632.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$632.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$496.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$632.40
Rate for Payer: Cigna Commercial	$1,240.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$600.16
Rate for Payer: Qualcare PPO/HMO/WC	$372.00

STRATUM STAND INST KIT RS

Facility

$2,180.00

Service Code	HCPCS C1713
Hospital Charge Code	270692247
Hospital Revenue Code	278
Min. Negotiated Rate	$327.00
Max. Negotiated Rate	$1,090.00
Rate for Payer: Aetna Commercial	$654.00
Rate for Payer: Aetna Medicare Advantage	$654.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$555.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$555.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$436.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$555.90
Rate for Payer: Cigna Commercial	$1,090.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$527.56
Rate for Payer: Qualcare PPO/HMO/WC	$327.00

STRATUM STAND INST KIT RS

Facility

$2,180.00

Service Code	HCPCS C1713
Hospital Charge Code	270692247
Hospital Revenue Code	278
Min. Negotiated Rate	$327.00
Max. Negotiated Rate	$527.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$436.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$527.56
Rate for Payer: Qualcare PPO/HMO/WC	$327.00

STR DIG NRV HND/FT,EA ADDTL NR

Facility

$34,014.10

Service Code	HCPCS 64832
Hospital Charge Code	16000657
Hospital Revenue Code	360
Min. Negotiated Rate	$305.48
Max. Negotiated Rate	$10,204.23
Rate for Payer: Aetna Commercial	$10,204.23
Rate for Payer: Aetna Medicare Advantage	$10,204.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,673.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,673.60
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	$8,673.60
Rate for Payer: Cigna Commercial	$305.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,421.83
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,102.11
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

STR DIG NRV HND/FT,EA ADDTL NR

Facility

$34,014.10

Service Code	HCPCS 64832
Hospital Charge Code	16000657
Hospital Revenue Code	360
Min. Negotiated Rate	$5,102.11
Max. Negotiated Rate	$5,102.11
Rate for Payer: Qualcare PPO/HMO/WC	$5,102.11

STRECH 8MMX70CM

Facility

$4,130.00

Hospital Charge Code	270658077
Hospital Revenue Code	278
Min. Negotiated Rate	$619.50
Max. Negotiated Rate	$2,065.00
Rate for Payer: Aetna Commercial	$1,239.00
Rate for Payer: Aetna Medicare Advantage	$1,239.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,053.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,053.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$826.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,053.15
Rate for Payer: Cigna Commercial	$2,065.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$999.46
Rate for Payer: Qualcare PPO/HMO/WC	$619.50

STRECH 8MMX70CM

Facility

$4,130.00

Hospital Charge Code	270658077
Hospital Revenue Code	278
Min. Negotiated Rate	$619.50
Max. Negotiated Rate	$999.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$826.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$999.46
Rate for Payer: Qualcare PPO/HMO/WC	$619.50

STREP GP B CULT/DNA PROBE I

Facility

$137.85

Service Code	HCPCS 87149
Hospital Charge Code	3038514A
Hospital Revenue Code	300
Min. Negotiated Rate	$20.68
Max. Negotiated Rate	$20.68
Rate for Payer: Qualcare PPO/HMO/WC	$20.68

STREP GP B CULT/DNA PROBE I

Facility

$137.85

Service Code	HCPCS 87149
Hospital Charge Code	3038514A
Hospital Revenue Code	300
Min. Negotiated Rate	$10.03
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$64.96
Rate for Payer: Aetna Medicare Advantage	$20.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$73.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$73.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$41.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$73.46
Rate for Payer: Cigna Commercial	$20.05
Rate for Payer: Cigna Medicare Advantage	$10.03
Rate for Payer: Clover Medicare Advantage	$19.05
Rate for Payer: EmblemHealth Commercial	$60.15
Rate for Payer: Humana Medicare Advantage	$20.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.92
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$20.68
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$20.05
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$21.25
Rate for Payer: Wellcare Medicare Advantage	$20.05

STREP GP B CULT/DNA PROBE II

Facility

$358.65

Service Code	HCPCS 87081
Hospital Charge Code	3038514B
Hospital Revenue Code	300
Min. Negotiated Rate	$53.80
Max. Negotiated Rate	$53.80
Rate for Payer: Qualcare PPO/HMO/WC	$53.80

STREP GP B CULT/DNA PROBE II

Facility

$358.65

Service Code	HCPCS 87081
Hospital Charge Code	3038514B
Hospital Revenue Code	300
Min. Negotiated Rate	$3.31
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$21.48
Rate for Payer: Aetna Medicare Advantage	$6.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.29
Rate for Payer: Cigna Commercial	$6.63
Rate for Payer: Cigna Medicare Advantage	$3.31
Rate for Payer: Clover Medicare Advantage	$6.30
Rate for Payer: EmblemHealth Commercial	$19.89
Rate for Payer: Humana Medicare Advantage	$6.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.62
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$53.80
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.63
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$7.03
Rate for Payer: Wellcare Medicare Advantage	$6.63

STREP GROUP A, DNA PROBE

Facility

$180.85

Service Code	HCPCS 87650
Hospital Charge Code	3100675
Hospital Revenue Code	300
Min. Negotiated Rate	$10.03
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$64.96
Rate for Payer: Aetna Medicare Advantage	$20.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$73.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$73.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$73.46
Rate for Payer: Cigna Commercial	$20.05
Rate for Payer: Cigna Medicare Advantage	$10.03
Rate for Payer: Clover Medicare Advantage	$19.05
Rate for Payer: EmblemHealth Commercial	$60.15
Rate for Payer: Humana Medicare Advantage	$20.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.51
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.13
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$20.05
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$21.25
Rate for Payer: Wellcare Medicare Advantage	$20.05

STREP GROUP A, DNA PROBE

Facility

$180.85

Service Code	HCPCS 87650
Hospital Charge Code	3100675
Hospital Revenue Code	300
Min. Negotiated Rate	$27.13
Max. Negotiated Rate	$27.13
Rate for Payer: Qualcare PPO/HMO/WC	$27.13

STREP PNEUMO ANTIBODY I

Facility

$390.00

Service Code	HCPCS 86317
Hospital Charge Code	39990145A
Hospital Revenue Code	302
Min. Negotiated Rate	$7.50
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$48.57
Rate for Payer: Aetna Medicare Advantage	$14.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.92
Rate for Payer: Cigna Commercial	$14.99
Rate for Payer: Cigna Medicare Advantage	$7.50
Rate for Payer: Clover Medicare Advantage	$14.24
Rate for Payer: EmblemHealth Commercial	$44.97
Rate for Payer: Humana Medicare Advantage	$15.44
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	$14.99
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15.89
Rate for Payer: Wellcare Medicare Advantage	$14.99

STREP PNEUMO ANTIBODY I

Facility

$390.00

Service Code	HCPCS 86317
Hospital Charge Code	39990145A
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

STREP PNEUMO ANTIBODY II

Facility

$390.00

Service Code	HCPCS 86317
Hospital Charge Code	39990145B
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

STREP PNEUMO ANTIBODY II

Facility

$390.00

Service Code	HCPCS 86317
Hospital Charge Code	39990145B
Hospital Revenue Code	302
Min. Negotiated Rate	$7.50
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$48.57
Rate for Payer: Aetna Medicare Advantage	$14.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.92
Rate for Payer: Cigna Commercial	$14.99
Rate for Payer: Cigna Medicare Advantage	$7.50
Rate for Payer: Clover Medicare Advantage	$14.24
Rate for Payer: EmblemHealth Commercial	$44.97
Rate for Payer: Humana Medicare Advantage	$15.44
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	$14.99
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15.89
Rate for Payer: Wellcare Medicare Advantage	$14.99

STREP PNEUMO ANTIBODY III

Facility

$390.00

Service Code	HCPCS 86317
Hospital Charge Code	39990145C
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

STREP PNEUMO ANTIBODY III

Facility

$390.00

Service Code	HCPCS 86317
Hospital Charge Code	39990145C
Hospital Revenue Code	302
Min. Negotiated Rate	$7.50
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$48.57
Rate for Payer: Aetna Medicare Advantage	$14.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.92
Rate for Payer: Cigna Commercial	$14.99
Rate for Payer: Cigna Medicare Advantage	$7.50
Rate for Payer: Clover Medicare Advantage	$14.24
Rate for Payer: EmblemHealth Commercial	$44.97
Rate for Payer: Humana Medicare Advantage	$15.44
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	$14.99
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15.89
Rate for Payer: Wellcare Medicare Advantage	$14.99

STREP PNEUMO ANTIBODY IV

Facility

$390.00

Service Code	HCPCS 86317
Hospital Charge Code	39990145D
Hospital Revenue Code	302
Min. Negotiated Rate	$7.50
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$48.57
Rate for Payer: Aetna Medicare Advantage	$14.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.92
Rate for Payer: Cigna Commercial	$14.99
Rate for Payer: Cigna Medicare Advantage	$7.50
Rate for Payer: Clover Medicare Advantage	$14.24
Rate for Payer: EmblemHealth Commercial	$44.97
Rate for Payer: Humana Medicare Advantage	$15.44
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	$14.99
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15.89
Rate for Payer: Wellcare Medicare Advantage	$14.99

STREP PNEUMO ANTIBODY IV

Facility

$390.00

Service Code	HCPCS 86317
Hospital Charge Code	39990145D
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

STREP PNEUMO ANTIBODY V

Facility

$390.00

Service Code	HCPCS 86317
Hospital Charge Code	39990145E
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

STREP PNEUMO ANTIBODY V

Facility

$390.00

Service Code	HCPCS 86317
Hospital Charge Code	39990145E
Hospital Revenue Code	302
Min. Negotiated Rate	$7.50
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$48.57
Rate for Payer: Aetna Medicare Advantage	$14.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.92
Rate for Payer: Cigna Commercial	$14.99
Rate for Payer: Cigna Medicare Advantage	$7.50
Rate for Payer: Clover Medicare Advantage	$14.24
Rate for Payer: EmblemHealth Commercial	$44.97
Rate for Payer: Humana Medicare Advantage	$15.44
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	$14.99
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15.89
Rate for Payer: Wellcare Medicare Advantage	$14.99

STREP PNEUMO ANTIBODY VI

Facility

$390.00

Service Code	HCPCS 86317
Hospital Charge Code	39990145F
Hospital Revenue Code	302
Min. Negotiated Rate	$7.50
Max. Negotiated Rate	$114.00
Rate for Payer: Cigna Commercial	$14.99
Rate for Payer: Aetna Commercial	$48.57
Rate for Payer: Aetna Medicare Advantage	$14.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.92
Rate for Payer: Cigna Medicare Advantage	$7.50
Rate for Payer: Clover Medicare Advantage	$14.24
Rate for Payer: EmblemHealth Commercial	$44.97
Rate for Payer: Humana Medicare Advantage	$15.44
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	$14.99
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15.89
Rate for Payer: Wellcare Medicare Advantage	$14.99

Know your out-of-pocket cost for care.

All Charges