Heights University Hospital

All Charges

Charge

Type

Setting

Price

BLOOD LEUKORED DEGLYCER WASHED

Facility

$1,487.00

Hospital Charge Code	38471211
Hospital Revenue Code	390
Min. Negotiated Rate	$223.05
Max. Negotiated Rate	$223.05
Rate for Payer: Qualcare PPO/HMO/WC	$223.05

BLOOD LEUKO REDUC IRRADIATED

Facility

$1,244.70

Hospital Charge Code	3101532
Hospital Revenue Code	390
Min. Negotiated Rate	$161.81
Max. Negotiated Rate	$756.00
Rate for Payer: Aetna Commercial	$373.41
Rate for Payer: Aetna Medicare Advantage	$373.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$317.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$317.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$317.40
Rate for Payer: Cigna Commercial	$622.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$161.81
Rate for Payer: Oxford Commercial	$666.00
Rate for Payer: Qualcare PPO/HMO/WC	$186.71
Rate for Payer: UnitedHealthcare Commercial	$756.00

BLOOD LEUKO REDUC IRRADIATED

Facility

$1,244.70

Hospital Charge Code	3101532
Hospital Revenue Code	390
Min. Negotiated Rate	$186.71
Max. Negotiated Rate	$186.71
Rate for Payer: Qualcare PPO/HMO/WC	$186.71

BLOODLINE PREPUMP COMB SET

Facility

$14.25

Hospital Charge Code	270642601
Hospital Revenue Code	270
Min. Negotiated Rate	$2.14
Max. Negotiated Rate	$2.14
Rate for Payer: Qualcare PPO/HMO/WC	$2.14

BLOODLINE PREPUMP COMB SET

Facility

$14.25

Hospital Charge Code	270642601
Hospital Revenue Code	270
Min. Negotiated Rate	$1.85
Max. Negotiated Rate	$7.12
Rate for Payer: Aetna Commercial	$4.28
Rate for Payer: Aetna Medicare Advantage	$4.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.63
Rate for Payer: Cigna Commercial	$7.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.85
Rate for Payer: Oxford Commercial	$7.12
Rate for Payer: Qualcare PPO/HMO/WC	$2.14
Rate for Payer: UnitedHealthcare Commercial	$7.12

BLOOD OCCULT QUAL FECES 1-3

Facility

$23.00

Service Code	HCPCS 82272
Hospital Charge Code	38477019
Hospital Revenue Code	301
Min. Negotiated Rate	$2.12
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$13.71
Rate for Payer: Aetna Medicare Advantage	$4.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.50
Rate for Payer: Cigna Commercial	$4.23
Rate for Payer: Cigna Medicare Advantage	$2.12
Rate for Payer: Clover Medicare Advantage	$4.02
Rate for Payer: EmblemHealth Commercial	$12.69
Rate for Payer: Humana Medicare Advantage	$4.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.99
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.45
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.23
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$4.48
Rate for Payer: Wellcare Medicare Advantage	$4.23

BLOOD OCCULT QUAL FECES 1-3

Facility

$23.00

Service Code	HCPCS 82272
Hospital Charge Code	38477019
Hospital Revenue Code	301
Min. Negotiated Rate	$3.45
Max. Negotiated Rate	$3.45
Rate for Payer: Qualcare PPO/HMO/WC	$3.45

BLOOD OCCULT QUAL OTHER

Facility

$23.00

Service Code	HCPCS 82271
Hospital Charge Code	38477018
Hospital Revenue Code	301
Min. Negotiated Rate	$3.45
Max. Negotiated Rate	$3.45
Rate for Payer: Qualcare PPO/HMO/WC	$3.45

BLOOD OCCULT QUAL OTHER

Facility

$23.00

Service Code	HCPCS 82271
Hospital Charge Code	38477018
Hospital Revenue Code	301
Min. Negotiated Rate	$2.66
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$17.24
Rate for Payer: Aetna Medicare Advantage	$5.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.49
Rate for Payer: Cigna Commercial	$5.32
Rate for Payer: Cigna Medicare Advantage	$2.66
Rate for Payer: Clover Medicare Advantage	$5.05
Rate for Payer: EmblemHealth Commercial	$15.96
Rate for Payer: Humana Medicare Advantage	$5.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.99
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.45
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.32
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.64
Rate for Payer: Wellcare Medicare Advantage	$5.32

BLOOD PROCESS STORAGE F PLASMA

Facility

$210.63

Service Code	HCPCS P9017BL
Hospital Charge Code	3109025
Hospital Revenue Code	390
Min. Negotiated Rate	$31.59
Max. Negotiated Rate	$31.59
Rate for Payer: Qualcare PPO/HMO/WC	$31.59

BLOOD PROCESS STORAGE F PLASMA

Facility

$210.63

Service Code	HCPCS P9017BL
Hospital Charge Code	3109025
Hospital Revenue Code	390
Min. Negotiated Rate	$27.38
Max. Negotiated Rate	$756.00
Rate for Payer: Aetna Commercial	$63.19
Rate for Payer: Aetna Medicare Advantage	$63.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.71
Rate for Payer: Cigna Commercial	$105.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.38
Rate for Payer: Oxford Commercial	$666.00
Rate for Payer: Qualcare PPO/HMO/WC	$31.59
Rate for Payer: UnitedHealthcare Commercial	$756.00

BLOOD PROCESS STORAGE PLATELET

Facility

$1,466.22

Service Code	HCPCS P9035BL
Hospital Charge Code	3109020
Hospital Revenue Code	390
Min. Negotiated Rate	$190.61
Max. Negotiated Rate	$756.00
Rate for Payer: Aetna Commercial	$439.87
Rate for Payer: Aetna Medicare Advantage	$439.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$373.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$373.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$373.89
Rate for Payer: Cigna Commercial	$733.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$190.61
Rate for Payer: Oxford Commercial	$666.00
Rate for Payer: Qualcare PPO/HMO/WC	$219.93
Rate for Payer: UnitedHealthcare Commercial	$756.00

BLOOD PROCESS STORAGE PLATELET

Facility

$1,466.22

Service Code	HCPCS P9035BL
Hospital Charge Code	3109020
Hospital Revenue Code	390
Min. Negotiated Rate	$219.93
Max. Negotiated Rate	$219.93
Rate for Payer: Qualcare PPO/HMO/WC	$219.93

BLOOD SERVICE

Facility

$2,390.00

Hospital Charge Code	270657286
Hospital Revenue Code	278
Min. Negotiated Rate	$358.50
Max. Negotiated Rate	$578.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$478.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$578.38
Rate for Payer: Qualcare PPO/HMO/WC	$358.50

BLOOD SERVICE

Facility

$2,390.00

Hospital Charge Code	270657286
Hospital Revenue Code	278
Min. Negotiated Rate	$358.50
Max. Negotiated Rate	$1,195.00
Rate for Payer: Aetna Commercial	$717.00
Rate for Payer: Aetna Medicare Advantage	$717.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$609.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$609.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$478.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$609.45
Rate for Payer: Cigna Commercial	$1,195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$578.38
Rate for Payer: Qualcare PPO/HMO/WC	$358.50

BLOOD, SPLIT UNIT

Facility

$213.95

Hospital Charge Code	3101500
Hospital Revenue Code	390
Min. Negotiated Rate	$32.09
Max. Negotiated Rate	$32.09
Rate for Payer: Qualcare PPO/HMO/WC	$32.09

BLOOD, SPLIT UNIT

Facility

$213.95

Hospital Charge Code	3101500
Hospital Revenue Code	390
Min. Negotiated Rate	$27.81
Max. Negotiated Rate	$756.00
Rate for Payer: Aetna Commercial	$64.19
Rate for Payer: Aetna Medicare Advantage	$64.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.56
Rate for Payer: Cigna Commercial	$106.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.81
Rate for Payer: Oxford Commercial	$666.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.09
Rate for Payer: UnitedHealthcare Commercial	$756.00

BLOOD TEST SOL - HIGH CONTROL

Facility

$7.70

Hospital Charge Code	60628516
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 TEST SOL - HIGH CONTROL

Facility

$7.70

Hospital Charge Code	60628516
Hospital Revenue Code	259
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$1.16
Rate for Payer: Qualcare PPO/HMO/WC	$1.16

BLOOD TEST SOL - LOW CONTROL

Facility

$7.70

Hospital Charge Code	60628517
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 TEST SOL - LOW CONTROL

Facility

$7.70

Hospital Charge Code	60628517
Hospital Revenue Code	259
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$1.16
Rate for Payer: Qualcare PPO/HMO/WC	$1.16

BLOOD TRANSFER SET FEMALE ADPT

Facility

$4.73

Hospital Charge Code	270650194
Hospital Revenue Code	270
Min. Negotiated Rate	$0.61
Max. Negotiated Rate	$2.37
Rate for Payer: Aetna Commercial	$1.42
Rate for Payer: Aetna Medicare Advantage	$1.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.21
Rate for Payer: Cigna Commercial	$2.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.61
Rate for Payer: Oxford Commercial	$2.37
Rate for Payer: Qualcare PPO/HMO/WC	$0.71
Rate for Payer: UnitedHealthcare Commercial	$2.37

BLOOD TRANSFER SET FEMALE ADPT

Facility

$4.73

Hospital Charge Code	270650194
Hospital Revenue Code	270
Min. Negotiated Rate	$0.71
Max. Negotiated Rate	$0.71
Rate for Payer: Qualcare PPO/HMO/WC	$0.71

BLOOD TRANSFUSION

Facility

$1,403.75

Service Code	HCPCS 36430
Hospital Charge Code	93500141
Hospital Revenue Code	391
Min. Negotiated Rate	$182.49
Max. Negotiated Rate	$1,050.61
Rate for Payer: Aetna Commercial	$421.12
Rate for Payer: Aetna Medicare Advantage	$421.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$357.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$357.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$357.96
Rate for Payer: Cigna Commercial	$1,050.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.49
Rate for Payer: Oxford Commercial	$666.00
Rate for Payer: Qualcare PPO/HMO/WC	$210.56
Rate for Payer: UnitedHealthcare Commercial	$756.00

BLOOD TRANSFUSION

Facility

$1,403.75

Service Code	HCPCS 36430
Hospital Charge Code	93500141
Hospital Revenue Code	391
Min. Negotiated Rate	$210.56
Max. Negotiated Rate	$210.56
Rate for Payer: Qualcare PPO/HMO/WC	$210.56

Know your out-of-pocket cost for care.

All Charges