Heights University Hospital

All Charges

Charge

Type

Setting

Price

URIC ACID, PLEURAL FLUID

Facility

$63.25

Service Code	HCPCS 84560
Hospital Charge Code	3007931
Hospital Revenue Code	301
Min. Negotiated Rate	$2.54
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.46
Rate for Payer: Aetna Medicare Advantage	$5.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.61
Rate for Payer: Cigna Commercial	$5.08
Rate for Payer: Cigna Medicare Advantage	$2.54
Rate for Payer: Clover Medicare Advantage	$4.83
Rate for Payer: EmblemHealth Commercial	$15.24
Rate for Payer: Humana Medicare Advantage	$5.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.22
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.49
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.08
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.38
Rate for Payer: Wellcare Medicare Advantage	$5.08

URIC ACID, SERUM

Facility

$667.59

Service Code	HCPCS 84550
Hospital Charge Code	3002672
Hospital Revenue Code	301
Min. Negotiated Rate	$100.14
Max. Negotiated Rate	$100.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.14

URIC ACID, SERUM

Facility

$667.59

Service Code	HCPCS 84550
Hospital Charge Code	3002672
Hospital Revenue Code	301
Min. Negotiated Rate	$2.26
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$14.64
Rate for Payer: Aetna Medicare Advantage	$4.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.56
Rate for Payer: Cigna Commercial	$4.52
Rate for Payer: Cigna Medicare Advantage	$2.26
Rate for Payer: Clover Medicare Advantage	$4.29
Rate for Payer: EmblemHealth Commercial	$13.56
Rate for Payer: Humana Medicare Advantage	$4.66
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	$4.52
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$4.79
Rate for Payer: Wellcare Medicare Advantage	$4.52

URIC ACID,SERUM

Facility

$252.00

Service Code	HCPCS 84550
Hospital Charge Code	38472656
Hospital Revenue Code	301
Min. Negotiated Rate	$2.26
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$14.64
Rate for Payer: Aetna Medicare Advantage	$4.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.56
Rate for Payer: Cigna Commercial	$4.52
Rate for Payer: Cigna Medicare Advantage	$2.26
Rate for Payer: Clover Medicare Advantage	$4.29
Rate for Payer: EmblemHealth Commercial	$13.56
Rate for Payer: Humana Medicare Advantage	$4.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.76
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.80
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.52
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$4.79
Rate for Payer: Wellcare Medicare Advantage	$4.52

URIC ACID,SERUM

Facility

$252.00

Service Code	HCPCS 84550
Hospital Charge Code	38472656
Hospital Revenue Code	301
Min. Negotiated Rate	$37.80
Max. Negotiated Rate	$37.80
Rate for Payer: Qualcare PPO/HMO/WC	$37.80

URIC ACID SERUM PANEL***

Facility

$17.60

Service Code	HCPCS 84550
Hospital Charge Code	3002672P
Hospital Revenue Code	301
Min. Negotiated Rate	$2.64
Max. Negotiated Rate	$2.64
Rate for Payer: Qualcare PPO/HMO/WC	$2.64

URIC ACID SERUM PANEL***

Facility

$17.60

Service Code	HCPCS 84550
Hospital Charge Code	3002672P
Hospital Revenue Code	301
Min. Negotiated Rate	$2.26
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$14.64
Rate for Payer: Aetna Medicare Advantage	$4.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.56
Rate for Payer: Cigna Commercial	$4.52
Rate for Payer: Cigna Medicare Advantage	$2.26
Rate for Payer: Clover Medicare Advantage	$4.29
Rate for Payer: EmblemHealth Commercial	$13.56
Rate for Payer: Humana Medicare Advantage	$4.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.29
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$2.64
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.52
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$4.79
Rate for Payer: Wellcare Medicare Advantage	$4.52

URIC ACID, SYNOVIAL FLUID

Facility

$32.65

Service Code	HCPCS 84560
Hospital Charge Code	39900146
Hospital Revenue Code	301
Min. Negotiated Rate	$2.54
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.46
Rate for Payer: Aetna Medicare Advantage	$5.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.61
Rate for Payer: Cigna Commercial	$5.08
Rate for Payer: Cigna Medicare Advantage	$2.54
Rate for Payer: Clover Medicare Advantage	$4.83
Rate for Payer: EmblemHealth Commercial	$15.24
Rate for Payer: Humana Medicare Advantage	$5.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.24
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.90
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.08
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.38
Rate for Payer: Wellcare Medicare Advantage	$5.08

URIC ACID, SYNOVIAL FLUID

Facility

$32.65

Service Code	HCPCS 84560
Hospital Charge Code	39900146
Hospital Revenue Code	301
Min. Negotiated Rate	$4.90
Max. Negotiated Rate	$4.90
Rate for Payer: Qualcare PPO/HMO/WC	$4.90

URIC ACID, SYNOVIAL FLUID

Facility

$63.25

Service Code	HCPCS 84560
Hospital Charge Code	3009733
Hospital Revenue Code	301
Min. Negotiated Rate	$2.54
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.46
Rate for Payer: Aetna Medicare Advantage	$5.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.61
Rate for Payer: Cigna Commercial	$5.08
Rate for Payer: Cigna Medicare Advantage	$2.54
Rate for Payer: Clover Medicare Advantage	$4.83
Rate for Payer: EmblemHealth Commercial	$15.24
Rate for Payer: Humana Medicare Advantage	$5.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.22
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.49
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.08
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.38
Rate for Payer: Wellcare Medicare Advantage	$5.08

URIC ACID, SYNOVIAL FLUID

Facility

$63.25

Service Code	HCPCS 84560
Hospital Charge Code	3009733
Hospital Revenue Code	301
Min. Negotiated Rate	$9.49
Max. Negotiated Rate	$9.49
Rate for Payer: Qualcare PPO/HMO/WC	$9.49

URIC ACID,URINE

Facility

$227.00

Service Code	HCPCS 84560
Hospital Charge Code	38472659
Hospital Revenue Code	301
Min. Negotiated Rate	$2.54
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.46
Rate for Payer: Aetna Medicare Advantage	$5.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.61
Rate for Payer: Cigna Commercial	$5.08
Rate for Payer: Cigna Medicare Advantage	$2.54
Rate for Payer: Clover Medicare Advantage	$4.83
Rate for Payer: EmblemHealth Commercial	$15.24
Rate for Payer: Humana Medicare Advantage	$5.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.51
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$34.05
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.08
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.38
Rate for Payer: Wellcare Medicare Advantage	$5.08

URIC ACID,URINE

Facility

$227.00

Service Code	HCPCS 84560
Hospital Charge Code	38472659
Hospital Revenue Code	301
Min. Negotiated Rate	$34.05
Max. Negotiated Rate	$34.05
Rate for Payer: Qualcare PPO/HMO/WC	$34.05

URIC ACID, URINE, RANDOM

Facility

$63.25

Service Code	HCPCS 84560
Hospital Charge Code	3032109
Hospital Revenue Code	301
Min. Negotiated Rate	$9.49
Max. Negotiated Rate	$9.49
Rate for Payer: Qualcare PPO/HMO/WC	$9.49

URIC ACID, URINE, RANDOM

Facility

$63.25

Service Code	HCPCS 84560
Hospital Charge Code	3032109
Hospital Revenue Code	301
Min. Negotiated Rate	$2.54
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.46
Rate for Payer: Aetna Medicare Advantage	$5.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.61
Rate for Payer: Cigna Commercial	$5.08
Rate for Payer: Cigna Medicare Advantage	$2.54
Rate for Payer: Clover Medicare Advantage	$4.83
Rate for Payer: EmblemHealth Commercial	$15.24
Rate for Payer: Humana Medicare Advantage	$5.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.22
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.49
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.08
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.38
Rate for Payer: Wellcare Medicare Advantage	$5.08

URINAL

Facility

$4.85

Hospital Charge Code	270302505
Hospital Revenue Code	270
Min. Negotiated Rate	$0.63
Max. Negotiated Rate	$2.42
Rate for Payer: Aetna Commercial	$1.46
Rate for Payer: Aetna Medicare Advantage	$1.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.24
Rate for Payer: Cigna Commercial	$2.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.63
Rate for Payer: Oxford Commercial	$2.42
Rate for Payer: Qualcare PPO/HMO/WC	$0.73
Rate for Payer: UnitedHealthcare Commercial	$2.42

URINAL

Facility

$4.85

Hospital Charge Code	270302505
Hospital Revenue Code	270
Min. Negotiated Rate	$0.73
Max. Negotiated Rate	$0.73
Rate for Payer: Qualcare PPO/HMO/WC	$0.73

URINAL MALE W/COVER

Facility

$1.32

Hospital Charge Code	270649244
Hospital Revenue Code	270
Min. Negotiated Rate	$0.20
Max. Negotiated Rate	$0.20
Rate for Payer: Qualcare PPO/HMO/WC	$0.20

URINAL MALE W/COVER

Facility

$1.32

Hospital Charge Code	270649244
Hospital Revenue Code	270
Min. Negotiated Rate	$0.17
Max. Negotiated Rate	$0.66
Rate for Payer: Aetna Commercial	$0.40
Rate for Payer: Aetna Medicare Advantage	$0.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.34
Rate for Payer: Cigna Commercial	$0.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.17
Rate for Payer: Oxford Commercial	$0.66
Rate for Payer: Qualcare PPO/HMO/WC	$0.20
Rate for Payer: UnitedHealthcare Commercial	$0.66

URINALYSIS, AUTO WITH MICRO

Facility

$462.00

Service Code	HCPCS 81001
Hospital Charge Code	38477033
Hospital Revenue Code	307
Min. Negotiated Rate	$69.30
Max. Negotiated Rate	$69.30
Rate for Payer: Qualcare PPO/HMO/WC	$69.30

URINALYSIS, AUTO WITH MICRO

Facility

$462.00

Service Code	HCPCS 81001
Hospital Charge Code	38477033
Hospital Revenue Code	307
Min. Negotiated Rate	$1.58
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$10.27
Rate for Payer: Aetna Medicare Advantage	$3.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.61
Rate for Payer: Cigna Commercial	$3.17
Rate for Payer: Cigna Medicare Advantage	$1.58
Rate for Payer: Clover Medicare Advantage	$3.01
Rate for Payer: EmblemHealth Commercial	$9.51
Rate for Payer: Humana Medicare Advantage	$3.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.06
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$69.30
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$3.17
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$3.36
Rate for Payer: Wellcare Medicare Advantage	$3.17

URINALYSIS, AUTO W/O MICRO

Facility

$253.40

Service Code	HCPCS 81003
Hospital Charge Code	38477007
Hospital Revenue Code	307
Min. Negotiated Rate	$38.01
Max. Negotiated Rate	$38.01
Rate for Payer: Qualcare PPO/HMO/WC	$38.01

URINALYSIS, AUTO W/O MICRO

Facility

$253.40

Service Code	HCPCS 81003
Hospital Charge Code	38477007
Hospital Revenue Code	307
Min. Negotiated Rate	$1.12
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$7.29
Rate for Payer: Aetna Medicare Advantage	$2.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2.25
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	$8.24
Rate for Payer: Cigna Commercial	$2.25
Rate for Payer: Cigna Medicare Advantage	$1.12
Rate for Payer: Clover Medicare Advantage	$2.14
Rate for Payer: EmblemHealth Commercial	$6.75
Rate for Payer: Humana Medicare Advantage	$2.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.94
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$38.01
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$2.25
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$2.38
Rate for Payer: Wellcare Medicare Advantage	$2.25

URINALYSIS COMPLETE*****

Facility

$1.32

Service Code	HCPCS 81000
Hospital Charge Code	9600031
Hospital Revenue Code	309
Min. Negotiated Rate	$0.20
Max. Negotiated Rate	$0.20
Rate for Payer: Qualcare PPO/HMO/WC	$0.20

URINALYSIS COMPLETE*****

Facility

$1.32

Service Code	HCPCS 81000
Hospital Charge Code	9600031
Hospital Revenue Code	309
Min. Negotiated Rate	$0.17
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$13.02
Rate for Payer: Aetna Medicare Advantage	$4.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.73
Rate for Payer: Cigna Commercial	$4.02
Rate for Payer: Cigna Medicare Advantage	$2.01
Rate for Payer: Clover Medicare Advantage	$3.82
Rate for Payer: EmblemHealth Commercial	$12.06
Rate for Payer: Humana Medicare Advantage	$4.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.17
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.20
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.02
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$4.26
Rate for Payer: Wellcare Medicare Advantage	$4.02

Know your out-of-pocket cost for care.

All Charges