Heights University Hospital

All Charges

Charge

Type

Setting

Price

THYROID PEROXIDASE AB

Facility

$667.59

Service Code	HCPCS 86376
Hospital Charge Code	39900221
Hospital Revenue Code	302
Min. Negotiated Rate	$7.28
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$47.14
Rate for Payer: Aetna Medicare Advantage	$14.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.31
Rate for Payer: Cigna Commercial	$14.55
Rate for Payer: Cigna Medicare Advantage	$7.28
Rate for Payer: Clover Medicare Advantage	$13.82
Rate for Payer: EmblemHealth Commercial	$43.65
Rate for Payer: Humana Medicare Advantage	$14.99
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	$14.55
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15.42
Rate for Payer: Wellcare Medicare Advantage	$14.55

THYROID PEROXIDASE TPO AB

Facility

$160.85

Service Code	HCPCS 86376
Hospital Charge Code	3001053
Hospital Revenue Code	302
Min. Negotiated Rate	$7.28
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$47.14
Rate for Payer: Aetna Medicare Advantage	$14.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.31
Rate for Payer: Cigna Commercial	$14.55
Rate for Payer: Cigna Medicare Advantage	$7.28
Rate for Payer: Clover Medicare Advantage	$13.82
Rate for Payer: EmblemHealth Commercial	$43.65
Rate for Payer: Humana Medicare Advantage	$14.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.91
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.13
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.55
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15.42
Rate for Payer: Wellcare Medicare Advantage	$14.55

THYROID PEROXIDASE TPO AB

Facility

$160.85

Service Code	HCPCS 86376
Hospital Charge Code	3001053
Hospital Revenue Code	302
Min. Negotiated Rate	$24.13
Max. Negotiated Rate	$24.13
Rate for Payer: Qualcare PPO/HMO/WC	$24.13

THYROID STIM HORMONE, NEONATAL

Facility

$244.26

Service Code	HCPCS 84443
Hospital Charge Code	3002580
Hospital Revenue Code	301
Min. Negotiated Rate	$8.40
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$54.43
Rate for Payer: Aetna Medicare Advantage	$16.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.56
Rate for Payer: Cigna Commercial	$16.80
Rate for Payer: Cigna Medicare Advantage	$8.40
Rate for Payer: Clover Medicare Advantage	$15.96
Rate for Payer: EmblemHealth Commercial	$50.40
Rate for Payer: Humana Medicare Advantage	$17.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.75
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.64
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.80
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$17.81
Rate for Payer: Wellcare Medicare Advantage	$16.80

THYROID STIM HORMONE, NEONATAL

Facility

$244.26

Service Code	HCPCS 84443
Hospital Charge Code	3002580
Hospital Revenue Code	301
Min. Negotiated Rate	$36.64
Max. Negotiated Rate	$36.64
Rate for Payer: Qualcare PPO/HMO/WC	$36.64

THYROID STIMU IMMUNOGLOBIN

Facility

$1,454.45

Service Code	HCPCS 84445
Hospital Charge Code	3000528
Hospital Revenue Code	301
Min. Negotiated Rate	$218.17
Max. Negotiated Rate	$218.17
Rate for Payer: Qualcare PPO/HMO/WC	$218.17

THYROID STIMU IMMUNOGLOBIN

Facility

$1,454.45

Service Code	HCPCS 84445
Hospital Charge Code	3000528
Hospital Revenue Code	301
Min. Negotiated Rate	$25.43
Max. Negotiated Rate	$218.17
Rate for Payer: Aetna Commercial	$164.79
Rate for Payer: Aetna Medicare Advantage	$50.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$186.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$186.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$50.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$186.35
Rate for Payer: Cigna Commercial	$50.86
Rate for Payer: Cigna Medicare Advantage	$25.43
Rate for Payer: Clover Medicare Advantage	$48.32
Rate for Payer: EmblemHealth Commercial	$152.58
Rate for Payer: Humana Medicare Advantage	$52.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$189.08
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$218.17
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$50.86
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$53.91
Rate for Payer: Wellcare Medicare Advantage	$50.86

THYROID STIMULATING HORMONE

Facility

$880.60

Service Code	HCPCS 84443
Hospital Charge Code	38472644
Hospital Revenue Code	301
Min. Negotiated Rate	$8.40
Max. Negotiated Rate	$132.09
Rate for Payer: Aetna Commercial	$54.43
Rate for Payer: Aetna Medicare Advantage	$16.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.56
Rate for Payer: Cigna Commercial	$16.80
Rate for Payer: Cigna Medicare Advantage	$8.40
Rate for Payer: Clover Medicare Advantage	$15.96
Rate for Payer: EmblemHealth Commercial	$50.40
Rate for Payer: Humana Medicare Advantage	$17.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.48
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$132.09
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.80
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$17.81
Rate for Payer: Wellcare Medicare Advantage	$16.80

THYROID STIMULATING HORMONE

Facility

$880.60

Service Code	HCPCS 84443
Hospital Charge Code	38472644
Hospital Revenue Code	301
Min. Negotiated Rate	$132.09
Max. Negotiated Rate	$132.09
Rate for Payer: Qualcare PPO/HMO/WC	$132.09

THYROID STIMULATING HORMONE

Facility

$1,507.69

Service Code	HCPCS 84443
Hospital Charge Code	3002581
Hospital Revenue Code	301
Min. Negotiated Rate	$226.15
Max. Negotiated Rate	$226.15
Rate for Payer: Qualcare PPO/HMO/WC	$226.15

THYROID STIMULATING HORMONE

Facility

$1,507.69

Service Code	HCPCS 84443
Hospital Charge Code	3002581
Hospital Revenue Code	301
Min. Negotiated Rate	$8.40
Max. Negotiated Rate	$226.15
Rate for Payer: Aetna Commercial	$54.43
Rate for Payer: Aetna Medicare Advantage	$16.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.56
Rate for Payer: Cigna Commercial	$16.80
Rate for Payer: Cigna Medicare Advantage	$8.40
Rate for Payer: Clover Medicare Advantage	$15.96
Rate for Payer: EmblemHealth Commercial	$50.40
Rate for Payer: Humana Medicare Advantage	$17.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$226.15
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.80
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$17.81
Rate for Payer: Wellcare Medicare Advantage	$16.80

THYROID STIMULATING IMMUNOGLOB

Facility

$1,428.00

Service Code	HCPCS 84445
Hospital Charge Code	38473120
Hospital Revenue Code	301
Min. Negotiated Rate	$25.43
Max. Negotiated Rate	$214.20
Rate for Payer: Aetna Commercial	$164.79
Rate for Payer: Aetna Medicare Advantage	$50.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$186.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$186.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$50.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$186.35
Rate for Payer: Cigna Commercial	$50.86
Rate for Payer: Cigna Medicare Advantage	$25.43
Rate for Payer: Clover Medicare Advantage	$48.32
Rate for Payer: EmblemHealth Commercial	$152.58
Rate for Payer: Humana Medicare Advantage	$52.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$185.64
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$214.20
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$50.86
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$53.91
Rate for Payer: Wellcare Medicare Advantage	$50.86

THYROID STIMULATING IMMUNOGLOB

Facility

$1,428.00

Service Code	HCPCS 84445
Hospital Charge Code	38473120
Hospital Revenue Code	301
Min. Negotiated Rate	$214.20
Max. Negotiated Rate	$214.20
Rate for Payer: Qualcare PPO/HMO/WC	$214.20

THYROID TAB 60MG

Facility

$3.20

Hospital Charge Code	60628262
Hospital Revenue Code	250
Min. Negotiated Rate	$0.48
Max. Negotiated Rate	$0.48
Rate for Payer: Qualcare PPO/HMO/WC	$0.48

THYROID TAB 60MG

Facility

$3.20

Hospital Charge Code	60628262
Hospital Revenue Code	250
Min. Negotiated Rate	$0.42
Max. Negotiated Rate	$1.60
Rate for Payer: Aetna Commercial	$0.96
Rate for Payer: Aetna Medicare Advantage	$0.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.82
Rate for Payer: Cigna Commercial	$1.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.42
Rate for Payer: Oxford Commercial	$1.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.48
Rate for Payer: UnitedHealthcare Commercial	$1.60

THYROID UPTAKE MULT DETERMINE

Facility

$475.25

Hospital Charge Code	4500040
Hospital Revenue Code	341
Min. Negotiated Rate	$71.29
Max. Negotiated Rate	$71.29
Rate for Payer: Qualcare PPO/HMO/WC	$71.29

THYROID UPTAKE MULT DETERMINE

Facility

$475.25

Hospital Charge Code	4500040
Hospital Revenue Code	341
Min. Negotiated Rate	$61.78
Max. Negotiated Rate	$3,540.00
Rate for Payer: Aetna Commercial	$142.57
Rate for Payer: Aetna Medicare Advantage	$142.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$121.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$121.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$121.19
Rate for Payer: Cigna Commercial	$237.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.78
Rate for Payer: Oxford Commercial	$3,120.00
Rate for Payer: Qualcare PPO/HMO/WC	$71.29
Rate for Payer: UnitedHealthcare Commercial	$3,540.00

THYROPAR INJ/10IU/VIAL

Facility

$946.00

Hospital Charge Code	60634267
Hospital Revenue Code	636
Min. Negotiated Rate	$141.90
Max. Negotiated Rate	$228.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$228.93
Rate for Payer: Qualcare PPO/HMO/WC	$141.90

THYROPAR INJ/10IU/VIAL

Facility

$946.00

Hospital Charge Code	60634267
Hospital Revenue Code	636
Min. Negotiated Rate	$141.90
Max. Negotiated Rate	$473.00
Rate for Payer: Aetna Commercial	$283.80
Rate for Payer: Aetna Medicare Advantage	$283.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$241.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$241.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$241.23
Rate for Payer: Cigna Commercial	$473.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$228.93
Rate for Payer: Qualcare PPO/HMO/WC	$141.90

THYROXINE BINDING GLOBULIN

Facility

$153.65

Service Code	HCPCS 84442
Hospital Charge Code	3007705
Hospital Revenue Code	301
Min. Negotiated Rate	$23.05
Max. Negotiated Rate	$23.05
Rate for Payer: Qualcare PPO/HMO/WC	$23.05

THYROXINE BINDING GLOBULIN

Facility

$180.00

Service Code	HCPCS 84442
Hospital Charge Code	3002524B
Hospital Revenue Code	301
Min. Negotiated Rate	$7.39
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$47.89
Rate for Payer: Aetna Medicare Advantage	$14.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.15
Rate for Payer: Cigna Commercial	$14.78
Rate for Payer: Cigna Medicare Advantage	$7.39
Rate for Payer: Clover Medicare Advantage	$14.04
Rate for Payer: EmblemHealth Commercial	$44.34
Rate for Payer: Humana Medicare Advantage	$15.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.40
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.78
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15.67
Rate for Payer: Wellcare Medicare Advantage	$14.78

THYROXINE BINDING GLOBULIN

Facility

$180.00

Service Code	HCPCS 84442
Hospital Charge Code	3002524B
Hospital Revenue Code	301
Min. Negotiated Rate	$27.00
Max. Negotiated Rate	$27.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00

THYROXINE BINDING GLOBULIN

Facility

$153.65

Service Code	HCPCS 84442
Hospital Charge Code	3007705
Hospital Revenue Code	301
Min. Negotiated Rate	$7.39
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$47.89
Rate for Payer: Aetna Medicare Advantage	$14.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.15
Rate for Payer: Cigna Commercial	$14.78
Rate for Payer: Cigna Medicare Advantage	$7.39
Rate for Payer: Clover Medicare Advantage	$14.04
Rate for Payer: EmblemHealth Commercial	$44.34
Rate for Payer: Humana Medicare Advantage	$15.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.97
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$23.05
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.78
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15.67
Rate for Payer: Wellcare Medicare Advantage	$14.78

THYROXINE BINDING GLOBULIN (TB

Facility

$214.00

Service Code	HCPCS 84442
Hospital Charge Code	38472647
Hospital Revenue Code	301
Min. Negotiated Rate	$32.10
Max. Negotiated Rate	$32.10
Rate for Payer: Qualcare PPO/HMO/WC	$32.10

THYROXINE BINDING GLOBULIN (TB

Facility

$214.00

Service Code	HCPCS 84442
Hospital Charge Code	38472647
Hospital Revenue Code	301
Min. Negotiated Rate	$7.39
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$47.89
Rate for Payer: Aetna Medicare Advantage	$14.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.15
Rate for Payer: Cigna Commercial	$14.78
Rate for Payer: Cigna Medicare Advantage	$7.39
Rate for Payer: Clover Medicare Advantage	$14.04
Rate for Payer: EmblemHealth Commercial	$44.34
Rate for Payer: Humana Medicare Advantage	$15.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.82
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.10
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.78
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15.67
Rate for Payer: Wellcare Medicare Advantage	$14.78

Know your out-of-pocket cost for care.

All Charges