Heights University Hospital

All Charges

Charge

Type

Setting

Price

CANDIDA ALBICANS ANTIBODY

Facility

$156.85

Service Code	HCPCS 86628
Hospital Charge Code	3006558
Hospital Revenue Code	302
Min. Negotiated Rate	$6.00
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$38.91
Rate for Payer: Aetna Medicare Advantage	$12.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.00
Rate for Payer: Cigna Commercial	$12.01
Rate for Payer: Cigna Medicare Advantage	$6.00
Rate for Payer: Clover Medicare Advantage	$11.41
Rate for Payer: EmblemHealth Commercial	$36.03
Rate for Payer: Humana Medicare Advantage	$12.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.39
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$23.53
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.01
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12.73
Rate for Payer: Wellcare Medicare Advantage	$12.01

CANDIDA ALBICANS EXTRACT

Facility

$66.00

Hospital Charge Code	60634534
Hospital Revenue Code	250
Min. Negotiated Rate	$9.90
Max. Negotiated Rate	$9.90
Rate for Payer: Qualcare PPO/HMO/WC	$9.90

CANDIDA ALBICANS EXTRACT

Facility

$66.00

Hospital Charge Code	60634534
Hospital Revenue Code	250
Min. Negotiated Rate	$8.58
Max. Negotiated Rate	$33.00
Rate for Payer: Aetna Commercial	$19.80
Rate for Payer: Aetna Medicare Advantage	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.83
Rate for Payer: Cigna Commercial	$33.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.58
Rate for Payer: Oxford Commercial	$33.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.90
Rate for Payer: UnitedHealthcare Commercial	$33.00

CANDIDA ALBICANS SKIN TEST.1ML

Facility

$222.75

Hospital Charge Code	60628960
Hospital Revenue Code	250
Min. Negotiated Rate	$33.41
Max. Negotiated Rate	$33.41
Rate for Payer: Qualcare PPO/HMO/WC	$33.41

CANDIDA ALBICANS SKIN TEST.1ML

Facility

$222.75

Hospital Charge Code	60628960
Hospital Revenue Code	250
Min. Negotiated Rate	$28.96
Max. Negotiated Rate	$111.38
Rate for Payer: Aetna Commercial	$66.83
Rate for Payer: Aetna Medicare Advantage	$66.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.80
Rate for Payer: Cigna Commercial	$111.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.96
Rate for Payer: Oxford Commercial	$111.38
Rate for Payer: Qualcare PPO/HMO/WC	$33.41
Rate for Payer: UnitedHealthcare Commercial	$111.38

CANDIDA ANTIGEN: ST. MICHAELS

Facility

$156.85

Service Code	HCPCS 86628
Hospital Charge Code	3009263
Hospital Revenue Code	302
Min. Negotiated Rate	$6.00
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$38.91
Rate for Payer: Aetna Medicare Advantage	$12.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.00
Rate for Payer: Cigna Commercial	$12.01
Rate for Payer: Cigna Medicare Advantage	$6.00
Rate for Payer: Clover Medicare Advantage	$11.41
Rate for Payer: EmblemHealth Commercial	$36.03
Rate for Payer: Humana Medicare Advantage	$12.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.39
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$23.53
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.01
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12.73
Rate for Payer: Wellcare Medicare Advantage	$12.01

CANDIDA ANTIGEN: ST. MICHAELS

Facility

$156.85

Service Code	HCPCS 86628
Hospital Charge Code	3009263
Hospital Revenue Code	302
Min. Negotiated Rate	$23.53
Max. Negotiated Rate	$23.53
Rate for Payer: Qualcare PPO/HMO/WC	$23.53

CANE *******

Facility

$29.00

Hospital Charge Code	8001885
Hospital Revenue Code	279
Min. Negotiated Rate	$3.77
Max. Negotiated Rate	$14.50
Rate for Payer: Aetna Commercial	$8.70
Rate for Payer: Aetna Medicare Advantage	$8.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.39
Rate for Payer: Cigna Commercial	$14.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.77
Rate for Payer: Oxford Commercial	$14.50
Rate for Payer: Qualcare PPO/HMO/WC	$4.35
Rate for Payer: UnitedHealthcare Commercial	$14.50

CANE *******

Facility

$29.00

Hospital Charge Code	8001885
Hospital Revenue Code	279
Min. Negotiated Rate	$4.35
Max. Negotiated Rate	$4.35
Rate for Payer: Qualcare PPO/HMO/WC	$4.35

CANE-ADJUSTABLE ALUMINUM

Facility

$22.00

Hospital Charge Code	270653701
Hospital Revenue Code	272
Min. Negotiated Rate	$2.86
Max. Negotiated Rate	$11.00
Rate for Payer: Aetna Commercial	$6.60
Rate for Payer: Aetna Medicare Advantage	$6.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.61
Rate for Payer: Cigna Commercial	$11.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.86
Rate for Payer: Oxford Commercial	$11.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.30
Rate for Payer: UnitedHealthcare Commercial	$11.00

CANE-ADJUSTABLE ALUMINUM

Facility

$22.00

Hospital Charge Code	270653701
Hospital Revenue Code	272
Min. Negotiated Rate	$3.30
Max. Negotiated Rate	$3.30
Rate for Payer: Qualcare PPO/HMO/WC	$3.30

CANE BLOND REG

Facility

$20.42

Hospital Charge Code	270300465
Hospital Revenue Code	270
Min. Negotiated Rate	$3.06
Max. Negotiated Rate	$3.06
Rate for Payer: Qualcare PPO/HMO/WC	$3.06

CANE BLOND REG

Facility

$20.42

Hospital Charge Code	270300465
Hospital Revenue Code	270
Min. Negotiated Rate	$2.65
Max. Negotiated Rate	$10.21
Rate for Payer: Aetna Commercial	$6.13
Rate for Payer: Aetna Medicare Advantage	$6.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.21
Rate for Payer: Cigna Commercial	$10.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.65
Rate for Payer: Oxford Commercial	$10.21
Rate for Payer: Qualcare PPO/HMO/WC	$3.06
Rate for Payer: UnitedHealthcare Commercial	$10.21

CANE HARDWOOD NAT 1 DIA

Facility

$29.62

Hospital Charge Code	270651731
Hospital Revenue Code	270
Min. Negotiated Rate	$4.44
Max. Negotiated Rate	$4.44
Rate for Payer: Qualcare PPO/HMO/WC	$4.44

CANE HARDWOOD NAT 1 DIA

Facility

$29.62

Hospital Charge Code	270651731
Hospital Revenue Code	270
Min. Negotiated Rate	$3.85
Max. Negotiated Rate	$14.81
Rate for Payer: Aetna Commercial	$8.89
Rate for Payer: Aetna Medicare Advantage	$8.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.55
Rate for Payer: Cigna Commercial	$14.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.85
Rate for Payer: Oxford Commercial	$14.81
Rate for Payer: Qualcare PPO/HMO/WC	$4.44
Rate for Payer: UnitedHealthcare Commercial	$14.81

CANE WALNUT LG

Facility

$57.65

Hospital Charge Code	270300460
Hospital Revenue Code	270
Min. Negotiated Rate	$7.49
Max. Negotiated Rate	$28.82
Rate for Payer: Aetna Commercial	$17.30
Rate for Payer: Aetna Medicare Advantage	$17.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.70
Rate for Payer: Cigna Commercial	$28.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.49
Rate for Payer: Oxford Commercial	$28.82
Rate for Payer: Qualcare PPO/HMO/WC	$8.65
Rate for Payer: UnitedHealthcare Commercial	$28.82

CANE WALNUT LG

Facility

$57.65

Hospital Charge Code	270300460
Hospital Revenue Code	270
Min. Negotiated Rate	$8.65
Max. Negotiated Rate	$8.65
Rate for Payer: Qualcare PPO/HMO/WC	$8.65

CANISTER ENG PENUMBRA

Facility

$1,800.00

Hospital Charge Code	270685262S
Hospital Revenue Code	272
Min. Negotiated Rate	$270.00
Max. Negotiated Rate	$270.00
Rate for Payer: Qualcare PPO/HMO/WC	$270.00

CANISTER ENG PENUMBRA

Facility

$1,800.00

Hospital Charge Code	270685262S
Hospital Revenue Code	272
Min. Negotiated Rate	$234.00
Max. Negotiated Rate	$900.00
Rate for Payer: Aetna Commercial	$540.00
Rate for Payer: Aetna Medicare Advantage	$540.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$459.00
Rate for Payer: Cigna Commercial	$900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$234.00
Rate for Payer: Oxford Commercial	$900.00
Rate for Payer: Qualcare PPO/HMO/WC	$270.00
Rate for Payer: UnitedHealthcare Commercial	$900.00

CANISTER GUARDIAN 12 LITER

Facility

$89.35

Hospital Charge Code	270651667
Hospital Revenue Code	270
Min. Negotiated Rate	$13.40
Max. Negotiated Rate	$13.40
Rate for Payer: Qualcare PPO/HMO/WC	$13.40

CANISTER GUARDIAN 12 LITER

Facility

$89.35

Hospital Charge Code	270651667
Hospital Revenue Code	270
Min. Negotiated Rate	$11.62
Max. Negotiated Rate	$44.67
Rate for Payer: Aetna Commercial	$26.80
Rate for Payer: Aetna Medicare Advantage	$26.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.78
Rate for Payer: Cigna Commercial	$44.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.62
Rate for Payer: Oxford Commercial	$44.67
Rate for Payer: Qualcare PPO/HMO/WC	$13.40
Rate for Payer: UnitedHealthcare Commercial	$44.67

CANISTER INVIA 300ML FOR NPWT

Facility

$77.60

Hospital Charge Code	270687287
Hospital Revenue Code	270
Min. Negotiated Rate	$11.64
Max. Negotiated Rate	$11.64
Rate for Payer: Qualcare PPO/HMO/WC	$11.64

CANISTER INVIA 300ML FOR NPWT

Facility

$77.60

Hospital Charge Code	270687287
Hospital Revenue Code	270
Min. Negotiated Rate	$10.09
Max. Negotiated Rate	$38.80
Rate for Payer: Aetna Commercial	$23.28
Rate for Payer: Aetna Medicare Advantage	$23.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.79
Rate for Payer: Cigna Commercial	$38.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.09
Rate for Payer: Oxford Commercial	$38.80
Rate for Payer: Qualcare PPO/HMO/WC	$11.64
Rate for Payer: UnitedHealthcare Commercial	$38.80

CANISTER INVIA 800ML W SOLIDE

Facility

$111.55

Hospital Charge Code	270687288
Hospital Revenue Code	271
Min. Negotiated Rate	$16.73
Max. Negotiated Rate	$16.73
Rate for Payer: Qualcare PPO/HMO/WC	$16.73

CANISTER INVIA 800ML W SOLIDE

Facility

$111.55

Hospital Charge Code	270687288
Hospital Revenue Code	271
Min. Negotiated Rate	$14.50
Max. Negotiated Rate	$55.77
Rate for Payer: Aetna Commercial	$33.47
Rate for Payer: Aetna Medicare Advantage	$33.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.45
Rate for Payer: Cigna Commercial	$55.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.50
Rate for Payer: Oxford Commercial	$55.77
Rate for Payer: Qualcare PPO/HMO/WC	$16.73
Rate for Payer: UnitedHealthcare Commercial	$55.77

Know your out-of-pocket cost for care.

All Charges