Heights University Hospital

All Charges

Charge

Type

Setting

Price

CAMERA SOAKER CAP 1488/1288

Facility

$240.55

Hospital Charge Code	270688264
Hospital Revenue Code	272
Min. Negotiated Rate	$36.08
Max. Negotiated Rate	$36.08
Rate for Payer: Qualcare PPO/HMO/WC	$36.08

CAMPTOSAR 20MG/ML

Facility

$2,528.00

Hospital Charge Code	60635128
Hospital Revenue Code	636
Min. Negotiated Rate	$379.20
Max. Negotiated Rate	$611.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$611.78
Rate for Payer: Qualcare PPO/HMO/WC	$379.20

CAMPTOSAR 20MG/ML

Facility

$2,528.00

Hospital Charge Code	60635128
Hospital Revenue Code	636
Min. Negotiated Rate	$379.20
Max. Negotiated Rate	$1,264.00
Rate for Payer: Aetna Commercial	$758.40
Rate for Payer: Aetna Medicare Advantage	$758.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$644.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$644.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$644.64
Rate for Payer: Cigna Commercial	$1,264.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$611.78
Rate for Payer: Qualcare PPO/HMO/WC	$379.20

CAMPTOSAR INJ

Facility

$2,153.00

Hospital Charge Code	60635125
Hospital Revenue Code	636
Min. Negotiated Rate	$322.95
Max. Negotiated Rate	$1,076.50
Rate for Payer: Aetna Commercial	$645.90
Rate for Payer: Aetna Medicare Advantage	$645.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$549.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$549.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$549.01
Rate for Payer: Cigna Commercial	$1,076.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$521.03
Rate for Payer: Qualcare PPO/HMO/WC	$322.95

CAMPTOSAR INJ

Facility

$2,153.00

Hospital Charge Code	60635125
Hospital Revenue Code	636
Min. Negotiated Rate	$322.95
Max. Negotiated Rate	$521.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$521.03
Rate for Payer: Qualcare PPO/HMO/WC	$322.95

CAMPYLOBACT JEJUN AB ELISA SER

Facility

$209.23

Service Code	HCPCS 86625
Hospital Charge Code	401386625
Hospital Revenue Code	302
Min. Negotiated Rate	$6.56
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$42.51
Rate for Payer: Aetna Medicare Advantage	$13.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.07
Rate for Payer: Cigna Commercial	$13.12
Rate for Payer: Cigna Medicare Advantage	$6.56
Rate for Payer: Clover Medicare Advantage	$12.46
Rate for Payer: EmblemHealth Commercial	$39.36
Rate for Payer: Humana Medicare Advantage	$13.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.20
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$31.38
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.12
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13.91
Rate for Payer: Wellcare Medicare Advantage	$13.12

CAMPYLOBACT JEJUN AB ELISA SER

Facility

$209.23

Service Code	HCPCS 86625
Hospital Charge Code	401386625
Hospital Revenue Code	302
Min. Negotiated Rate	$31.38
Max. Negotiated Rate	$31.38
Rate for Payer: Qualcare PPO/HMO/WC	$31.38

CAM WALKER II LARGE SIZE 10.5

Facility

$807.75

Service Code	HCPCS L4386
Hospital Charge Code	270662590
Hospital Revenue Code	271
Min. Negotiated Rate	$121.16
Max. Negotiated Rate	$121.16
Rate for Payer: Qualcare PPO/HMO/WC	$121.16

CAM WALKER II LARGE SIZE 10.5

Facility

$807.75

Service Code	HCPCS L4386
Hospital Charge Code	270662590
Hospital Revenue Code	271
Min. Negotiated Rate	$105.01
Max. Negotiated Rate	$403.88
Rate for Payer: Aetna Commercial	$242.32
Rate for Payer: Aetna Medicare Advantage	$242.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$205.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$205.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$205.98
Rate for Payer: Cigna Commercial	$190.16
Rate for Payer: Cigna Medicare Advantage	$114.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.01
Rate for Payer: Oxford Commercial	$403.88
Rate for Payer: Qualcare PPO/HMO/WC	$121.16
Rate for Payer: UnitedHealthcare Commercial	$403.88

CAN 10CM RF 22GA CURV 72200032

Facility

$1,750.00

Hospital Charge Code	270639694
Hospital Revenue Code	272
Min. Negotiated Rate	$227.50
Max. Negotiated Rate	$875.00
Rate for Payer: Aetna Commercial	$525.00
Rate for Payer: Aetna Medicare Advantage	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.25
Rate for Payer: Cigna Commercial	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$227.50
Rate for Payer: Oxford Commercial	$875.00
Rate for Payer: Qualcare PPO/HMO/WC	$262.50
Rate for Payer: UnitedHealthcare Commercial	$875.00

CAN 10CM RF 22GA CURV 72200032

Facility

$1,750.00

Hospital Charge Code	270639694
Hospital Revenue Code	272
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$262.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

CANAKINUMAB 150MG/ML

Facility

$3,830.00

Service Code	HCPCS J0638
Hospital Charge Code	6064943018
Hospital Revenue Code	636
Min. Negotiated Rate	$574.50
Max. Negotiated Rate	$926.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$926.86
Rate for Payer: Qualcare PPO/HMO/WC	$574.50

CANAKINUMAB 150MG/ML

Facility

$3,830.00

Service Code	HCPCS J0638
Hospital Charge Code	6064943018
Hospital Revenue Code	636
Min. Negotiated Rate	$574.50
Max. Negotiated Rate	$1,149.00
Rate for Payer: Aetna Commercial	$1,149.00
Rate for Payer: Aetna Medicare Advantage	$1,149.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$976.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$976.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$976.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$926.86
Rate for Payer: Qualcare PPO/HMO/WC	$574.50

CANASA 1000MG SUPP

Facility

$46.00

Hospital Charge Code	60635537
Hospital Revenue Code	250
Min. Negotiated Rate	$6.90
Max. Negotiated Rate	$6.90
Rate for Payer: Qualcare PPO/HMO/WC	$6.90

CANASA 1000MG SUPP

Facility

$46.00

Hospital Charge Code	60635537
Hospital Revenue Code	250
Min. Negotiated Rate	$5.98
Max. Negotiated Rate	$23.00
Rate for Payer: Aetna Commercial	$13.80
Rate for Payer: Aetna Medicare Advantage	$13.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.73
Rate for Payer: Cigna Commercial	$23.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.98
Rate for Payer: Oxford Commercial	$23.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.90
Rate for Payer: UnitedHealthcare Commercial	$23.00

can be used

Facility

$46.00

Service Code	HCPCS 82570
Hospital Charge Code	3009085
Hospital Revenue Code	301
Min. Negotiated Rate	$2.59
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.78
Rate for Payer: Aetna Medicare Advantage	$5.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.18
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	$18.98
Rate for Payer: Cigna Commercial	$5.18
Rate for Payer: Cigna Medicare Advantage	$2.59
Rate for Payer: Clover Medicare Advantage	$4.92
Rate for Payer: EmblemHealth Commercial	$15.54
Rate for Payer: Humana Medicare Advantage	$5.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.98
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.90
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.18
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.49
Rate for Payer: Wellcare Medicare Advantage	$5.18

can be used

Facility

$46.00

Service Code	HCPCS 82570
Hospital Charge Code	3009085
Hospital Revenue Code	301
Min. Negotiated Rate	$6.90
Max. Negotiated Rate	$6.90
Rate for Payer: Qualcare PPO/HMO/WC	$6.90

CANC BON CHP 4 030400300

Facility

$2,175.00

Hospital Charge Code	270639514
Hospital Revenue Code	272
Min. Negotiated Rate	$326.25
Max. Negotiated Rate	$326.25
Rate for Payer: Qualcare PPO/HMO/WC	$326.25

CANC BON CHP 4 030400300

Facility

$2,175.00

Hospital Charge Code	270639514
Hospital Revenue Code	272
Min. Negotiated Rate	$282.75
Max. Negotiated Rate	$1,087.50
Rate for Payer: Aetna Commercial	$652.50
Rate for Payer: Aetna Medicare Advantage	$652.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$554.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$554.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$554.62
Rate for Payer: Cigna Commercial	$1,087.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$282.75
Rate for Payer: Oxford Commercial	$1,087.50
Rate for Payer: Qualcare PPO/HMO/WC	$326.25
Rate for Payer: UnitedHealthcare Commercial	$1,087.50

CANCELLOUS 4.0MM X 16MM

Facility

$330.00

Hospital Charge Code	270657763
Hospital Revenue Code	278
Min. Negotiated Rate	$49.50
Max. Negotiated Rate	$79.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$66.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.86
Rate for Payer: Qualcare PPO/HMO/WC	$49.50

CANCELLOUS 4.0MM X 16MM

Facility

$330.00

Hospital Charge Code	270657763
Hospital Revenue Code	278
Min. Negotiated Rate	$49.50
Max. Negotiated Rate	$165.00
Rate for Payer: Aetna Commercial	$99.00
Rate for Payer: Aetna Medicare Advantage	$99.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$66.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.15
Rate for Payer: Cigna Commercial	$165.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.86
Rate for Payer: Qualcare PPO/HMO/WC	$49.50

CANCELLOUS CHIPS CRUSHED 15 CC

Facility

$2,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270700443
Hospital Revenue Code	278
Min. Negotiated Rate	$326.25
Max. Negotiated Rate	$1,087.50
Rate for Payer: Aetna Commercial	$652.50
Rate for Payer: Aetna Medicare Advantage	$652.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$554.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$554.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$435.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$554.62
Rate for Payer: Cigna Commercial	$1,087.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$526.35
Rate for Payer: Qualcare PPO/HMO/WC	$326.25

CANCELLOUS CHIPS CRUSHED 15 CC

Facility

$2,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270700443
Hospital Revenue Code	278
Min. Negotiated Rate	$326.25
Max. Negotiated Rate	$526.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$435.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$526.35
Rate for Payer: Qualcare PPO/HMO/WC	$326.25

CANCELLOUS MORSELIZED 5CC

Facility

$975.00

Service Code	HCPCS C1713
Hospital Charge Code	270684819
Hospital Revenue Code	278
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$487.50
Rate for Payer: Aetna Commercial	$292.50
Rate for Payer: Aetna Medicare Advantage	$292.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.62
Rate for Payer: Cigna Commercial	$487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.95
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

CANCELLOUS MORSELIZED 5CC

Facility

$975.00

Service Code	HCPCS C1713
Hospital Charge Code	270684819
Hospital Revenue Code	278
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$235.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.95
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

Know your out-of-pocket cost for care.

All Charges