Heights University Hospital

All Charges

Charge

Type

Setting

Price

BCR/ABL COMP

Facility

$111.00

Hospital Charge Code	3000365KL
Hospital Revenue Code	301
Min. Negotiated Rate	$16.65
Max. Negotiated Rate	$16.65
Rate for Payer: Qualcare PPO/HMO/WC	$16.65

BCR/ABL COMP

Facility

$48.70

Hospital Charge Code	3000365H
Hospital Revenue Code	301
Min. Negotiated Rate	$7.30
Max. Negotiated Rate	$7.30
Rate for Payer: Qualcare PPO/HMO/WC	$7.30

BCR/ABL COMP

Facility

$105.00

Hospital Charge Code	3000365K
Hospital Revenue Code	301
Min. Negotiated Rate	$13.65
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$31.50
Rate for Payer: Aetna Medicare Advantage	$31.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.77
Rate for Payer: Cigna Commercial	$52.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.65
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.75
Rate for Payer: UnitedHealthcare Commercial	$114.00

BCR/ABL COMP

Facility

$105.00

Hospital Charge Code	3000365K
Hospital Revenue Code	301
Min. Negotiated Rate	$15.75
Max. Negotiated Rate	$15.75
Rate for Payer: Qualcare PPO/HMO/WC	$15.75

BCR/ABL COMP

Facility

$48.70

Hospital Charge Code	3000365D
Hospital Revenue Code	301
Min. Negotiated Rate	$6.33
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$14.61
Rate for Payer: Aetna Medicare Advantage	$14.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.42
Rate for Payer: Cigna Commercial	$24.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.33
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.30
Rate for Payer: UnitedHealthcare Commercial	$114.00

BCR/ABL COMP

Facility

$105.00

Hospital Charge Code	3000365J
Hospital Revenue Code	301
Min. Negotiated Rate	$15.75
Max. Negotiated Rate	$15.75
Rate for Payer: Qualcare PPO/HMO/WC	$15.75

BCR/ABL COMP

Facility

$48.70

Hospital Charge Code	3000365D
Hospital Revenue Code	301
Min. Negotiated Rate	$7.30
Max. Negotiated Rate	$7.30
Rate for Payer: Qualcare PPO/HMO/WC	$7.30

BCR/ABL COMP

Facility

$121.00

Hospital Charge Code	3000365E
Hospital Revenue Code	301
Min. Negotiated Rate	$15.73
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$36.30
Rate for Payer: Aetna Medicare Advantage	$36.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.86
Rate for Payer: Cigna Commercial	$60.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.73
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.15
Rate for Payer: UnitedHealthcare Commercial	$114.00

BCR/ABL COMP

Facility

$48.70

Hospital Charge Code	3000365G
Hospital Revenue Code	301
Min. Negotiated Rate	$7.30
Max. Negotiated Rate	$7.30
Rate for Payer: Qualcare PPO/HMO/WC	$7.30

BCR/ABL COMP

Facility

$48.70

Service Code	HCPCS 81207
Hospital Charge Code	3000365B
Hospital Revenue Code	310
Min. Negotiated Rate	$7.30
Max. Negotiated Rate	$7.30
Rate for Payer: Qualcare PPO/HMO/WC	$7.30

BCR/ABL COMP

Facility

$121.00

Hospital Charge Code	3000365F
Hospital Revenue Code	301
Min. Negotiated Rate	$15.73
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$36.30
Rate for Payer: Aetna Medicare Advantage	$36.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.86
Rate for Payer: Cigna Commercial	$60.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.73
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.15
Rate for Payer: UnitedHealthcare Commercial	$114.00

BCR/ABL COMP

Facility

$121.00

Hospital Charge Code	3000365E
Hospital Revenue Code	301
Min. Negotiated Rate	$18.15
Max. Negotiated Rate	$18.15
Rate for Payer: Qualcare PPO/HMO/WC	$18.15

BCR/ABL COMP

Facility

$105.00

Hospital Charge Code	3000365J
Hospital Revenue Code	301
Min. Negotiated Rate	$13.65
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$31.50
Rate for Payer: Aetna Medicare Advantage	$31.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.77
Rate for Payer: Cigna Commercial	$52.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.65
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.75
Rate for Payer: UnitedHealthcare Commercial	$114.00

BCR/ABL COMP

Facility

$111.00

Service Code	HCPCS 81206
Hospital Charge Code	3000365A
Hospital Revenue Code	310
Min. Negotiated Rate	$16.65
Max. Negotiated Rate	$16.65
Rate for Payer: Qualcare PPO/HMO/WC	$16.65

BCR/ABL COMP

Facility

$105.00

Hospital Charge Code	3000365I
Hospital Revenue Code	301
Min. Negotiated Rate	$13.65
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$31.50
Rate for Payer: Aetna Medicare Advantage	$31.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.77
Rate for Payer: Cigna Commercial	$52.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.65
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.75
Rate for Payer: UnitedHealthcare Commercial	$114.00

BCR/ABL COMP

Facility

$48.70

Hospital Charge Code	3000365C
Hospital Revenue Code	301
Min. Negotiated Rate	$7.30
Max. Negotiated Rate	$7.30
Rate for Payer: Qualcare PPO/HMO/WC	$7.30

BCR/ABL COMP

Facility

$111.00

Service Code	HCPCS 81206
Hospital Charge Code	3000365A
Hospital Revenue Code	310
Min. Negotiated Rate	$14.43
Max. Negotiated Rate	$600.75
Rate for Payer: Aetna Commercial	$531.23
Rate for Payer: Aetna Medicare Advantage	$163.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$600.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$600.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$163.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$600.75
Rate for Payer: Cigna Commercial	$163.96
Rate for Payer: Cigna Medicare Advantage	$81.98
Rate for Payer: Clover Medicare Advantage	$155.76
Rate for Payer: EmblemHealth Commercial	$491.88
Rate for Payer: Humana Medicare Advantage	$168.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.43
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.65
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$163.96
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$173.80
Rate for Payer: Wellcare Medicare Advantage	$163.96

BCR/ABL COMP

Facility

$48.70

Hospital Charge Code	3000365C
Hospital Revenue Code	301
Min. Negotiated Rate	$6.33
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$14.61
Rate for Payer: Aetna Medicare Advantage	$14.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.42
Rate for Payer: Cigna Commercial	$24.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.33
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.30
Rate for Payer: UnitedHealthcare Commercial	$114.00

BCR/ABL COMP

Facility

$48.70

Hospital Charge Code	3000365G
Hospital Revenue Code	301
Min. Negotiated Rate	$6.33
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$14.61
Rate for Payer: Aetna Medicare Advantage	$14.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.42
Rate for Payer: Cigna Commercial	$24.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.33
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.30
Rate for Payer: UnitedHealthcare Commercial	$114.00

BCR/ABL COMP

Facility

$48.70

Service Code	HCPCS 81207
Hospital Charge Code	3000365B
Hospital Revenue Code	310
Min. Negotiated Rate	$6.33
Max. Negotiated Rate	$530.69
Rate for Payer: Aetna Commercial	$469.28
Rate for Payer: Aetna Medicare Advantage	$144.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$530.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$530.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$144.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$530.69
Rate for Payer: Cigna Commercial	$144.84
Rate for Payer: Cigna Medicare Advantage	$72.42
Rate for Payer: Clover Medicare Advantage	$137.60
Rate for Payer: EmblemHealth Commercial	$434.52
Rate for Payer: Humana Medicare Advantage	$149.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.33
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.30
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$144.84
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$153.53
Rate for Payer: Wellcare Medicare Advantage	$144.84

BCR/ABL COMP

Facility

$48.70

Hospital Charge Code	3000365H
Hospital Revenue Code	301
Min. Negotiated Rate	$6.33
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$14.61
Rate for Payer: Aetna Medicare Advantage	$14.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.42
Rate for Payer: Cigna Commercial	$24.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.33
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.30
Rate for Payer: UnitedHealthcare Commercial	$114.00

BCR/ABL COMP

Facility

$105.00

Hospital Charge Code	3000365I
Hospital Revenue Code	301
Min. Negotiated Rate	$15.75
Max. Negotiated Rate	$15.75
Rate for Payer: Qualcare PPO/HMO/WC	$15.75

BCR/ABL COMP

Facility

$111.00

Hospital Charge Code	3000365KL
Hospital Revenue Code	301
Min. Negotiated Rate	$14.43
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$33.30
Rate for Payer: Aetna Medicare Advantage	$33.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.30
Rate for Payer: Cigna Commercial	$55.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.43
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.65
Rate for Payer: UnitedHealthcare Commercial	$114.00

BCR/ABL COMP

Facility

$121.00

Hospital Charge Code	3000365F
Hospital Revenue Code	301
Min. Negotiated Rate	$18.15
Max. Negotiated Rate	$18.15
Rate for Payer: Qualcare PPO/HMO/WC	$18.15

BCR/ABL GENE QN, PCR W/RFLX

Facility

$535.15

Hospital Charge Code	3000365
Hospital Revenue Code	301
Min. Negotiated Rate	$80.27
Max. Negotiated Rate	$80.27
Rate for Payer: Qualcare PPO/HMO/WC	$80.27

Know your out-of-pocket cost for care.

All Charges