Heights University Hospital

All Charges

Charge

Type

Setting

Price

BRUCELLA IGG IGM

Facility

$71.25

Service Code	HCPCS 86622
Hospital Charge Code	3006546
Hospital Revenue Code	302
Min. Negotiated Rate	$4.46
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$28.93
Rate for Payer: Aetna Medicare Advantage	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.72
Rate for Payer: Cigna Commercial	$8.93
Rate for Payer: Cigna Medicare Advantage	$4.46
Rate for Payer: Clover Medicare Advantage	$8.48
Rate for Payer: EmblemHealth Commercial	$26.79
Rate for Payer: Humana Medicare Advantage	$9.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.26
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.69
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$8.93
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$9.47
Rate for Payer: Wellcare Medicare Advantage	$8.93

BRUCELLA SCREEN VAR BONE MARRW

Facility

$51.74

Service Code	HCPCS 87081
Hospital Charge Code	4013870812
Hospital Revenue Code	309
Min. Negotiated Rate	$3.31
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$21.48
Rate for Payer: Aetna Medicare Advantage	$6.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.29
Rate for Payer: Cigna Commercial	$6.63
Rate for Payer: Cigna Medicare Advantage	$3.31
Rate for Payer: Clover Medicare Advantage	$6.30
Rate for Payer: EmblemHealth Commercial	$19.89
Rate for Payer: Humana Medicare Advantage	$6.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.73
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.76
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.63
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$7.03
Rate for Payer: Wellcare Medicare Advantage	$6.63

BRUCELLA SCREEN VAR BONE MARRW

Facility

$51.74

Service Code	HCPCS 87081
Hospital Charge Code	4013870812
Hospital Revenue Code	309
Min. Negotiated Rate	$7.76
Max. Negotiated Rate	$7.76
Rate for Payer: Qualcare PPO/HMO/WC	$7.76

BRUSH BD PEG CLEANING 000396

Facility

$53.25

Hospital Charge Code	270614872
Hospital Revenue Code	272
Min. Negotiated Rate	$6.92
Max. Negotiated Rate	$26.62
Rate for Payer: Aetna Commercial	$15.97
Rate for Payer: Aetna Medicare Advantage	$15.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.58
Rate for Payer: Cigna Commercial	$26.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.92
Rate for Payer: Oxford Commercial	$26.62
Rate for Payer: Qualcare PPO/HMO/WC	$7.99
Rate for Payer: UnitedHealthcare Commercial	$26.62

BRUSH BD PEG CLEANING 000396

Facility

$53.25

Hospital Charge Code	270614872
Hospital Revenue Code	272
Min. Negotiated Rate	$7.99
Max. Negotiated Rate	$7.99
Rate for Payer: Qualcare PPO/HMO/WC	$7.99

BRUSH BETADINE SCRUB *******

Facility

$9.00

Hospital Charge Code	8002586
Hospital Revenue Code	279
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$1.35
Rate for Payer: Qualcare PPO/HMO/WC	$1.35

BRUSH BETADINE SCRUB *******

Facility

$9.00

Hospital Charge Code	8002586
Hospital Revenue Code	279
Min. Negotiated Rate	$1.17
Max. Negotiated Rate	$4.50
Rate for Payer: Aetna Commercial	$2.70
Rate for Payer: Aetna Medicare Advantage	$2.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.29
Rate for Payer: Cigna Commercial	$4.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.17
Rate for Payer: Oxford Commercial	$4.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.35
Rate for Payer: UnitedHealthcare Commercial	$4.50

BRUSH BIPOLAR 18G W/CORD ALCON

Facility

$1,415.25

Hospital Charge Code	270600231
Hospital Revenue Code	272
Min. Negotiated Rate	$212.29
Max. Negotiated Rate	$212.29
Rate for Payer: Qualcare PPO/HMO/WC	$212.29

BRUSH BIPOLAR 18G W/CORD ALCON

Facility

$1,415.25

Hospital Charge Code	270600231
Hospital Revenue Code	272
Min. Negotiated Rate	$183.98
Max. Negotiated Rate	$707.62
Rate for Payer: Aetna Commercial	$424.57
Rate for Payer: Aetna Medicare Advantage	$424.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$360.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$360.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$360.89
Rate for Payer: Cigna Commercial	$707.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$183.98
Rate for Payer: Oxford Commercial	$707.62
Rate for Payer: Qualcare PPO/HMO/WC	$212.29
Rate for Payer: UnitedHealthcare Commercial	$707.62

BRUSH BLD CYTOLOGY ENDO 60318

Facility

$80.04

Hospital Charge Code	270600926
Hospital Revenue Code	270
Min. Negotiated Rate	$10.41
Max. Negotiated Rate	$40.02
Rate for Payer: Aetna Commercial	$24.01
Rate for Payer: Aetna Medicare Advantage	$24.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.41
Rate for Payer: Cigna Commercial	$40.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.41
Rate for Payer: Oxford Commercial	$40.02
Rate for Payer: Qualcare PPO/HMO/WC	$12.01
Rate for Payer: UnitedHealthcare Commercial	$40.02

BRUSH BLD CYTOLOGY ENDO 60318

Facility

$80.04

Hospital Charge Code	270600926
Hospital Revenue Code	270
Min. Negotiated Rate	$12.01
Max. Negotiated Rate	$12.01
Rate for Payer: Qualcare PPO/HMO/WC	$12.01

BRUSH CHANELL CLEAN 6MM

Facility

$253.50

Hospital Charge Code	270658241
Hospital Revenue Code	270
Min. Negotiated Rate	$38.02
Max. Negotiated Rate	$38.02
Rate for Payer: Qualcare PPO/HMO/WC	$38.02

BRUSH CHANELL CLEAN 6MM

Facility

$253.50

Hospital Charge Code	270658241
Hospital Revenue Code	270
Min. Negotiated Rate	$32.95
Max. Negotiated Rate	$126.75
Rate for Payer: Aetna Commercial	$76.05
Rate for Payer: Aetna Medicare Advantage	$76.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$64.64
Rate for Payer: Cigna Commercial	$126.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.95
Rate for Payer: Oxford Commercial	$126.75
Rate for Payer: Qualcare PPO/HMO/WC	$38.02
Rate for Payer: UnitedHealthcare Commercial	$126.75

BRUSH CLEANING

Facility

$66.65

Hospital Charge Code	270676723
Hospital Revenue Code	272
Min. Negotiated Rate	$8.66
Max. Negotiated Rate	$33.33
Rate for Payer: Aetna Commercial	$20.00
Rate for Payer: Aetna Medicare Advantage	$20.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.00
Rate for Payer: Cigna Commercial	$33.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.66
Rate for Payer: Oxford Commercial	$33.33
Rate for Payer: Qualcare PPO/HMO/WC	$10.00
Rate for Payer: UnitedHealthcare Commercial	$33.33

BRUSH CLEANING

Facility

$66.65

Hospital Charge Code	270676723
Hospital Revenue Code	272
Min. Negotiated Rate	$10.00
Max. Negotiated Rate	$10.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.00

BRUSH COMBO CATH CYTOLOGY

Facility

$875.00

Hospital Charge Code	270654331
Hospital Revenue Code	272
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$131.25
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

BRUSH COMBO CATH CYTOLOGY

Facility

$875.00

Hospital Charge Code	270654331
Hospital Revenue Code	272
Min. Negotiated Rate	$113.75
Max. Negotiated Rate	$437.50
Rate for Payer: Aetna Commercial	$262.50
Rate for Payer: Aetna Medicare Advantage	$262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.12
Rate for Payer: Cigna Commercial	$437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.75
Rate for Payer: Oxford Commercial	$437.50
Rate for Payer: Qualcare PPO/HMO/WC	$131.25
Rate for Payer: UnitedHealthcare Commercial	$437.50

BRUSH CYTOLOGY *****

Facility

$60.00

Hospital Charge Code	2300689
Hospital Revenue Code	279
Min. Negotiated Rate	$9.00
Max. Negotiated Rate	$9.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00

BRUSH CYTOLOGY *****

Facility

$60.00

Hospital Charge Code	2300689
Hospital Revenue Code	279
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$30.00
Rate for Payer: Aetna Commercial	$18.00
Rate for Payer: Aetna Medicare Advantage	$18.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.30
Rate for Payer: Cigna Commercial	$30.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.80
Rate for Payer: Oxford Commercial	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00
Rate for Payer: UnitedHealthcare Commercial	$30.00

BRUSH CYTOLOGY BR 220CM 1604

Facility

$156.85

Hospital Charge Code	270606081
Hospital Revenue Code	272
Min. Negotiated Rate	$23.53
Max. Negotiated Rate	$23.53
Rate for Payer: Qualcare PPO/HMO/WC	$23.53

BRUSH CYTOLOGY BR 220CM 1604

Facility

$156.85

Hospital Charge Code	270606081
Hospital Revenue Code	272
Min. Negotiated Rate	$20.39
Max. Negotiated Rate	$78.42
Rate for Payer: Aetna Commercial	$47.05
Rate for Payer: Aetna Medicare Advantage	$47.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.00
Rate for Payer: Cigna Commercial	$78.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.39
Rate for Payer: Oxford Commercial	$78.42
Rate for Payer: Qualcare PPO/HMO/WC	$23.53
Rate for Payer: UnitedHealthcare Commercial	$78.42

BRUSH CYTOLOGY DISP OLYMPUS***

Facility

$40.00

Hospital Charge Code	1601087
Hospital Revenue Code	272
Min. Negotiated Rate	$6.00
Max. Negotiated Rate	$6.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.00

BRUSH CYTOLOGY DISP OLYMPUS***

Facility

$40.00

Hospital Charge Code	1601087
Hospital Revenue Code	272
Min. Negotiated Rate	$5.20
Max. Negotiated Rate	$20.00
Rate for Payer: Aetna Commercial	$12.00
Rate for Payer: Aetna Medicare Advantage	$12.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.20
Rate for Payer: Cigna Commercial	$20.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.20
Rate for Payer: Oxford Commercial	$20.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.00
Rate for Payer: UnitedHealthcare Commercial	$20.00

BRUSH CYTOLOGY RX WIRE GUID

Facility

$525.00

Hospital Charge Code	270628065
Hospital Revenue Code	272
Min. Negotiated Rate	$78.75
Max. Negotiated Rate	$78.75
Rate for Payer: Qualcare PPO/HMO/WC	$78.75

BRUSH CYTOLOGY RX WIRE GUID

Facility

$525.00

Hospital Charge Code	270628065
Hospital Revenue Code	272
Min. Negotiated Rate	$68.25
Max. Negotiated Rate	$262.50
Rate for Payer: Aetna Commercial	$157.50
Rate for Payer: Aetna Medicare Advantage	$157.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.88
Rate for Payer: Cigna Commercial	$262.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$68.25
Rate for Payer: Oxford Commercial	$262.50
Rate for Payer: Qualcare PPO/HMO/WC	$78.75
Rate for Payer: UnitedHealthcare Commercial	$262.50

Know your out-of-pocket cost for care.

All Charges