Heights University Hospital

All Charges

Charge

Type

Setting

Price

BLOOD COUNT,MANUAL CELL CT

Facility

$49.00

Service Code	HCPCS 85032
Hospital Charge Code	38474121
Hospital Revenue Code	301
Min. Negotiated Rate	$2.15
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$13.96
Rate for Payer: Aetna Medicare Advantage	$4.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.31
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	$15.79
Rate for Payer: Cigna Commercial	$4.31
Rate for Payer: Cigna Medicare Advantage	$2.15
Rate for Payer: Clover Medicare Advantage	$4.09
Rate for Payer: EmblemHealth Commercial	$12.93
Rate for Payer: Humana Medicare Advantage	$4.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.37
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.35
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.31
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$4.57
Rate for Payer: Wellcare Medicare Advantage	$4.31

BLOOD COUNT,MANUAL CELL CT

Facility

$49.00

Service Code	HCPCS 85032
Hospital Charge Code	38474121
Hospital Revenue Code	301
Min. Negotiated Rate	$7.35
Max. Negotiated Rate	$7.35
Rate for Payer: Qualcare PPO/HMO/WC	$7.35

BLOOD COUNT,RETC,AUTO

Facility

$29.00

Service Code	HCPCS 85045
Hospital Charge Code	38474122
Hospital Revenue Code	301
Min. Negotiated Rate	$4.35
Max. Negotiated Rate	$4.35
Rate for Payer: Qualcare PPO/HMO/WC	$4.35

BLOOD COUNT,RETC,AUTO

Facility

$29.00

Service Code	HCPCS 85045
Hospital Charge Code	38474122
Hospital Revenue Code	301
Min. Negotiated Rate	$2.00
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$12.93
Rate for Payer: Aetna Medicare Advantage	$3.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.62
Rate for Payer: Cigna Commercial	$3.99
Rate for Payer: Cigna Medicare Advantage	$2.00
Rate for Payer: Clover Medicare Advantage	$3.79
Rate for Payer: EmblemHealth Commercial	$11.97
Rate for Payer: Humana Medicare Advantage	$4.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.77
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.35
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$3.99
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$4.23
Rate for Payer: Wellcare Medicare Advantage	$3.99

BLOOD CREDIT BLD BNK BLD CRED

Facility

$412.85

Hospital Charge Code	3300019
Hospital Revenue Code	381
Min. Negotiated Rate	$61.93
Max. Negotiated Rate	$61.93
Rate for Payer: Qualcare PPO/HMO/WC	$61.93

BLOOD CREDIT BLD BNK BLD CRED

Facility

$412.85

Hospital Charge Code	3300019
Hospital Revenue Code	381
Min. Negotiated Rate	$53.67
Max. Negotiated Rate	$756.00
Rate for Payer: Aetna Commercial	$123.86
Rate for Payer: Aetna Medicare Advantage	$123.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$105.28
Rate for Payer: Cigna Commercial	$206.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.67
Rate for Payer: Oxford Commercial	$666.00
Rate for Payer: Qualcare PPO/HMO/WC	$61.93
Rate for Payer: UnitedHealthcare Commercial	$756.00

BLOOD CREDITED, BLOOD BANK

Facility

$50.45

Hospital Charge Code	3100591
Hospital Revenue Code	381
Min. Negotiated Rate	$6.56
Max. Negotiated Rate	$756.00
Rate for Payer: Aetna Commercial	$15.13
Rate for Payer: Aetna Medicare Advantage	$15.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.86
Rate for Payer: Cigna Commercial	$25.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.56
Rate for Payer: Oxford Commercial	$666.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.57
Rate for Payer: UnitedHealthcare Commercial	$756.00

BLOOD CREDITED, BLOOD BANK

Facility

$50.45

Hospital Charge Code	3100591
Hospital Revenue Code	381
Min. Negotiated Rate	$7.57
Max. Negotiated Rate	$7.57
Rate for Payer: Qualcare PPO/HMO/WC	$7.57

BLOOD CULTURE

Facility

$389.20

Service Code	HCPCS 87040
Hospital Charge Code	38475017
Hospital Revenue Code	306
Min. Negotiated Rate	$58.38
Max. Negotiated Rate	$58.38
Rate for Payer: Qualcare PPO/HMO/WC	$58.38

BLOOD CULTURE

Facility

$389.20

Service Code	HCPCS 87040
Hospital Charge Code	38475017
Hospital Revenue Code	306
Min. Negotiated Rate	$5.16
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$33.44
Rate for Payer: Aetna Medicare Advantage	$10.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.81
Rate for Payer: Cigna Commercial	$10.32
Rate for Payer: Cigna Medicare Advantage	$5.16
Rate for Payer: Clover Medicare Advantage	$9.80
Rate for Payer: EmblemHealth Commercial	$30.96
Rate for Payer: Humana Medicare Advantage	$10.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.60
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.38
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$10.32
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$10.94
Rate for Payer: Wellcare Medicare Advantage	$10.32

BLOOD CULTURE-QUEST

Facility

$67.34

Service Code	HCPCS 87040
Hospital Charge Code	401387040
Hospital Revenue Code	306
Min. Negotiated Rate	$10.10
Max. Negotiated Rate	$10.10
Rate for Payer: Qualcare PPO/HMO/WC	$10.10

BLOOD CULTURE-QUEST

Facility

$67.34

Service Code	HCPCS 87040
Hospital Charge Code	401387040
Hospital Revenue Code	306
Min. Negotiated Rate	$5.16
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$33.44
Rate for Payer: Aetna Medicare Advantage	$10.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.81
Rate for Payer: Cigna Commercial	$10.32
Rate for Payer: Cigna Medicare Advantage	$5.16
Rate for Payer: Clover Medicare Advantage	$9.80
Rate for Payer: EmblemHealth Commercial	$30.96
Rate for Payer: Humana Medicare Advantage	$10.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.75
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.10
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$10.32
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$10.94
Rate for Payer: Wellcare Medicare Advantage	$10.32

BLOOD DRAW < 3 YRS FEM/JEGULAR

Facility

$46.15

Service Code	HCPCS 36400
Hospital Charge Code	5100090
Hospital Revenue Code	361
Min. Negotiated Rate	$6.00
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$13.85
Rate for Payer: Aetna Medicare Advantage	$13.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.77
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	$11.77
Rate for Payer: Cigna Commercial	$16.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.92

BLOOD DRAW < 3 YRS FEM/JEGULAR

Facility

$46.15

Service Code	HCPCS 36400
Hospital Charge Code	5100090
Hospital Revenue Code	361
Min. Negotiated Rate	$6.92
Max. Negotiated Rate	$6.92
Rate for Payer: Qualcare PPO/HMO/WC	$6.92

BLOOD DRAW < 3 YRS SCALP VEIN

Facility

$46.15

Service Code	HCPCS 36405
Hospital Charge Code	5100084
Hospital Revenue Code	361
Min. Negotiated Rate	$6.00
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$13.85
Rate for Payer: Aetna Medicare Advantage	$13.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.77
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	$11.77
Rate for Payer: Cigna Commercial	$13.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.92

BLOOD DRAW < 3 YRS SCALP VEIN

Facility

$46.15

Service Code	HCPCS 36405
Hospital Charge Code	5100084
Hospital Revenue Code	361
Min. Negotiated Rate	$6.92
Max. Negotiated Rate	$6.92
Rate for Payer: Qualcare PPO/HMO/WC	$6.92

BLOOD GAS

Facility

$1,278.39

Service Code	HCPCS 82803
Hospital Charge Code	9500596
Hospital Revenue Code	300
Min. Negotiated Rate	$13.04
Max. Negotiated Rate	$191.76
Rate for Payer: Aetna Commercial	$84.47
Rate for Payer: Aetna Medicare Advantage	$26.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$26.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.52
Rate for Payer: Cigna Commercial	$26.07
Rate for Payer: Cigna Medicare Advantage	$13.04
Rate for Payer: Clover Medicare Advantage	$24.77
Rate for Payer: EmblemHealth Commercial	$78.21
Rate for Payer: Humana Medicare Advantage	$26.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$166.19
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$191.76
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$26.07
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$27.63
Rate for Payer: Wellcare Medicare Advantage	$26.07

BLOOD GAS

Facility

$1,278.39

Service Code	HCPCS 82803
Hospital Charge Code	9500596
Hospital Revenue Code	300
Min. Negotiated Rate	$191.76
Max. Negotiated Rate	$191.76
Rate for Payer: Qualcare PPO/HMO/WC	$191.76

BLOOD GASES-CORD BLOOD

Facility

$733.49

Service Code	HCPCS 82803
Hospital Charge Code	95090380
Hospital Revenue Code	301
Min. Negotiated Rate	$13.04
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$84.47
Rate for Payer: Aetna Medicare Advantage	$26.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$26.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.52
Rate for Payer: Cigna Commercial	$26.07
Rate for Payer: Cigna Medicare Advantage	$13.04
Rate for Payer: Clover Medicare Advantage	$24.77
Rate for Payer: EmblemHealth Commercial	$78.21
Rate for Payer: Humana Medicare Advantage	$26.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$95.35
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$110.02
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$26.07
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$27.63
Rate for Payer: Wellcare Medicare Advantage	$26.07

BLOOD GASES-CORD BLOOD

Facility

$733.49

Service Code	HCPCS 82803
Hospital Charge Code	95090380
Hospital Revenue Code	301
Min. Negotiated Rate	$110.02
Max. Negotiated Rate	$110.02
Rate for Payer: Qualcare PPO/HMO/WC	$110.02

BLOOD GLUCOSE TEST STRIP

Facility

$7.70

Hospital Charge Code	60628515
Hospital Revenue Code	259
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$1.16
Rate for Payer: Qualcare PPO/HMO/WC	$1.16

BLOOD GLUCOSE TEST STRIP

Facility

$7.70

Hospital Charge Code	60628515
Hospital Revenue Code	259
Min. Negotiated Rate	$1.00
Max. Negotiated Rate	$3.85
Rate for Payer: Aetna Commercial	$2.31
Rate for Payer: Aetna Medicare Advantage	$2.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.96
Rate for Payer: Cigna Commercial	$3.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.00
Rate for Payer: Oxford Commercial	$3.85
Rate for Payer: Qualcare PPO/HMO/WC	$1.16
Rate for Payer: UnitedHealthcare Commercial	$3.85

BLOOD HLA 58:01 TYPING

Facility

$495.00

Service Code	HCPCS 93932
Hospital Charge Code	399900535
Hospital Revenue Code	302
Min. Negotiated Rate	$64.35
Max. Negotiated Rate	$247.50
Rate for Payer: Aetna Commercial	$148.50
Rate for Payer: Aetna Medicare Advantage	$148.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.22
Rate for Payer: Cigna Commercial	$247.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.35
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$74.25
Rate for Payer: UnitedHealthcare Commercial	$114.00

BLOOD HLA 58:01 TYPING

Facility

$495.00

Service Code	HCPCS 93932
Hospital Charge Code	399900535
Hospital Revenue Code	302
Min. Negotiated Rate	$74.25
Max. Negotiated Rate	$74.25
Rate for Payer: Qualcare PPO/HMO/WC	$74.25

BLOOD LEUKORED DEGLYCER WASHED

Facility

$1,487.00

Hospital Charge Code	38471211
Hospital Revenue Code	390
Min. Negotiated Rate	$193.31
Max. Negotiated Rate	$756.00
Rate for Payer: Aetna Commercial	$446.10
Rate for Payer: Aetna Medicare Advantage	$446.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$379.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$379.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$379.19
Rate for Payer: Cigna Commercial	$743.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.31
Rate for Payer: Oxford Commercial	$666.00
Rate for Payer: Qualcare PPO/HMO/WC	$223.05
Rate for Payer: UnitedHealthcare Commercial	$756.00

Know your out-of-pocket cost for care.

All Charges