Heights University Hospital

All Charges

Charge

Type

Setting

Price

ABACAVIR 300 MG TAB

Facility

$74.84

Service Code	NDC 49702022144
Hospital Charge Code	60629217
Hospital Revenue Code	250
Min. Negotiated Rate	$11.23
Max. Negotiated Rate	$11.23
Rate for Payer: Qualcare PPO/HMO/WC	$11.23

ABBOKINASE/250000U

Facility

$1,947.00

Hospital Charge Code	60632383
Hospital Revenue Code	250
Min. Negotiated Rate	$253.11
Max. Negotiated Rate	$973.50
Rate for Payer: Aetna Commercial	$584.10
Rate for Payer: Aetna Medicare Advantage	$584.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$496.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$496.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$496.49
Rate for Payer: Cigna Commercial	$973.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$253.11
Rate for Payer: Oxford Commercial	$973.50
Rate for Payer: Qualcare PPO/HMO/WC	$292.05
Rate for Payer: UnitedHealthcare Commercial	$973.50

ABBOKINASE/250000U

Facility

$1,947.00

Hospital Charge Code	60632383
Hospital Revenue Code	250
Min. Negotiated Rate	$292.05
Max. Negotiated Rate	$292.05
Rate for Payer: Qualcare PPO/HMO/WC	$292.05

AB CMV IGM

Facility

$390.00

Service Code	HCPCS 86645
Hospital Charge Code	401386645
Hospital Revenue Code	306
Min. Negotiated Rate	$8.43
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$54.59
Rate for Payer: Aetna Medicare Advantage	$16.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.85
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	$61.74
Rate for Payer: Cigna Commercial	$16.85
Rate for Payer: Cigna Medicare Advantage	$8.43
Rate for Payer: Clover Medicare Advantage	$16.01
Rate for Payer: EmblemHealth Commercial	$50.55
Rate for Payer: Humana Medicare Advantage	$17.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.85
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$17.86
Rate for Payer: Wellcare Medicare Advantage	$16.85

AB CMV IGM

Facility

$390.00

Service Code	HCPCS 86645
Hospital Charge Code	401386645
Hospital Revenue Code	306
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

ABD AORTOGRAM

Facility

$3,032.40

Service Code	HCPCS 76000
Hospital Charge Code	7411161
Hospital Revenue Code	320
Min. Negotiated Rate	$454.86
Max. Negotiated Rate	$454.86
Rate for Payer: Qualcare PPO/HMO/WC	$454.86

ABD AORTOGRAM

Facility

$3,032.40

Service Code	HCPCS 76000
Hospital Charge Code	7411161
Hospital Revenue Code	320
Min. Negotiated Rate	$92.56
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$909.72
Rate for Payer: Aetna Medicare Advantage	$909.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$773.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$773.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$92.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$773.26
Rate for Payer: Cigna Commercial	$568.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$394.21
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$454.86
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

ABDOMEN 2 VIEWS

Facility

$5,100.00

Service Code	HCPCS 74019
Hospital Charge Code	94061508
Hospital Revenue Code	320
Min. Negotiated Rate	$37.25
Max. Negotiated Rate	$1,530.00
Rate for Payer: Aetna Commercial	$1,530.00
Rate for Payer: Aetna Medicare Advantage	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$663.00
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

ABDOMEN 2 VIEWS

Facility

$5,100.00

Service Code	HCPCS 74019
Hospital Charge Code	2003070
Hospital Revenue Code	320
Min. Negotiated Rate	$37.25
Max. Negotiated Rate	$1,530.00
Rate for Payer: Aetna Commercial	$1,530.00
Rate for Payer: Aetna Medicare Advantage	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$663.00
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

ABDOMEN 2 VIEWS

Facility

$5,100.00

Service Code	HCPCS 74019
Hospital Charge Code	2003070
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

ABDOMEN 2 VIEWS

Facility

$5,100.00

Service Code	HCPCS 74019
Hospital Charge Code	94061508
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

ABDOMEN 3 OR > VIEWS

Facility

$5,100.00

Service Code	HCPCS 74021
Hospital Charge Code	94061509
Hospital Revenue Code	320
Min. Negotiated Rate	$43.59
Max. Negotiated Rate	$1,530.00
Rate for Payer: Aetna Commercial	$1,530.00
Rate for Payer: Aetna Medicare Advantage	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$43.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$663.00
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

ABDOMEN 3 OR > VIEWS

Facility

$5,100.00

Service Code	HCPCS 74021
Hospital Charge Code	2003071
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

ABDOMEN 3 OR > VIEWS

Facility

$5,100.00

Service Code	HCPCS 74021
Hospital Charge Code	2003071
Hospital Revenue Code	320
Min. Negotiated Rate	$43.59
Max. Negotiated Rate	$1,530.00
Rate for Payer: Aetna Commercial	$1,530.00
Rate for Payer: Aetna Medicare Advantage	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$43.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$663.00
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

ABDOMEN 3 OR > VIEWS

Facility

$5,100.00

Service Code	HCPCS 74021
Hospital Charge Code	94061509
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

ABDOMEN COMPLETE

Facility

$6,700.00

Service Code	HCPCS 76700
Hospital Charge Code	94061163
Hospital Revenue Code	402
Min. Negotiated Rate	$1,005.00
Max. Negotiated Rate	$1,005.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,005.00

ABDOMEN COMPLETE

Facility

$6,700.00

Service Code	HCPCS 76700
Hospital Charge Code	94061163
Hospital Revenue Code	402
Min. Negotiated Rate	$123.42
Max. Negotiated Rate	$2,010.00
Rate for Payer: Aetna Commercial	$2,010.00
Rate for Payer: Aetna Medicare Advantage	$2,010.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,708.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,708.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,708.50
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$871.00
Rate for Payer: Oxford Commercial	$1,746.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,005.00
Rate for Payer: UnitedHealthcare Commercial	$1,981.00

ABDOMEN - MULTIPLE VIEWS

Facility

$200.00

Service Code	HCPCS 74020
Hospital Charge Code	94061127
Hospital Revenue Code	320
Min. Negotiated Rate	$26.00
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Better Health Medicaid	$212.34
Rate for Payer: Aetna Commercial	$60.00
Rate for Payer: Aetna Medicare Advantage	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.00
Rate for Payer: Cigna Commercial	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.00
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00
Rate for Payer: UnitedHealthcare Commercial	$1,489.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$216.59

ABDOMEN - MULTIPLE VIEWS

Facility

$200.00

Service Code	HCPCS 74020
Hospital Charge Code	94061127
Hospital Revenue Code	320
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

ABDOMEN SINGLE VIEW

Facility

$5,100.00

Service Code	HCPCS 74018
Hospital Charge Code	94061125
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

ABDOMEN SINGLE VIEW

Facility

$5,100.00

Service Code	HCPCS 74018
Hospital Charge Code	94061125
Hospital Revenue Code	320
Min. Negotiated Rate	$30.52
Max. Negotiated Rate	$1,530.00
Rate for Payer: Aetna Commercial	$1,530.00
Rate for Payer: Aetna Medicare Advantage	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$207.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$663.00
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

ABDOMEN SURGERY PROCEDURE

Facility

$4,460.94

Service Code	HCPCS 49999
Hospital Charge Code	16000756
Hospital Revenue Code	360
Min. Negotiated Rate	$669.14
Max. Negotiated Rate	$669.14
Rate for Payer: Qualcare PPO/HMO/WC	$669.14

ABDOMEN SURGERY PROCEDURE

Facility

$859.60

Service Code	HCPCS 22999
Hospital Charge Code	16000500
Hospital Revenue Code	360
Min. Negotiated Rate	$128.94
Max. Negotiated Rate	$128.94
Rate for Payer: Qualcare PPO/HMO/WC	$128.94

ABDOMEN SURGERY PROCEDURE

Facility

$859.60

Service Code	HCPCS 22999
Hospital Charge Code	16000500
Hospital Revenue Code	360
Min. Negotiated Rate	$111.75
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$257.88
Rate for Payer: Aetna Medicare Advantage	$257.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$219.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$219.20
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	$219.20
Rate for Payer: Cigna Commercial	$587.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.75
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$128.94
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

ABDOMEN SURGERY PROCEDURE

Facility

$4,460.94

Service Code	HCPCS 49999
Hospital Charge Code	16000756
Hospital Revenue Code	360
Min. Negotiated Rate	$579.92
Max. Negotiated Rate	$3,687.00
Rate for Payer: Aetna Commercial	$1,338.28
Rate for Payer: Aetna Medicare Advantage	$1,338.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,137.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,137.54
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	$1,137.54
Rate for Payer: Cigna Commercial	$2,159.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$579.92
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$669.14
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

Know your out-of-pocket cost for care.

All Charges