Heights University Hospital

All Charges

Charge

Type

Setting

Price

ENDOVASC TEMPORY VESSEL OCCL

Facility

$61,620.70

Service Code	HCPCS 61623
Hospital Charge Code	411061623
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$27,491.26
Rate for Payer: Aetna Commercial	$18,486.21
Rate for Payer: Aetna Medicare Advantage	$18,486.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15,713.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15,713.28
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	$15,713.28
Rate for Payer: Cigna Commercial	$27,491.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,010.69
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$9,243.10
Rate for Payer: UnitedHealthcare Commercial	$10,997.00

ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES

Facility

$192,435.99

Service Code	MSDRG 213
Min. Negotiated Rate	$56,198.59
Max. Negotiated Rate	$192,435.99
Rate for Payer: Aetna Commercial	$192,435.99
Rate for Payer: Aetna Medicare Advantage	$62,277.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$59,156.41
Rate for Payer: Cigna Commercial	$122,818.19
Rate for Payer: Cigna Medicare Advantage	$59,156.41
Rate for Payer: Clover Medicare Advantage	$56,198.59
Rate for Payer: EmblemHealth Commercial	$177,469.23
Rate for Payer: Humana Medicare Advantage	$60,931.10
Rate for Payer: Oxford Commercial	$76,757.80
Rate for Payer: UnitedHealthcare Commercial	$87,127.24
Rate for Payer: UnitedHealthcare Medicare Advantage	$59,156.41
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$62,705.79
Rate for Payer: Wellcare Medicare Advantage	$59,156.41

ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC

Facility

$206,648.91

Service Code	MSDRG 266
Min. Negotiated Rate	$60,072.79
Max. Negotiated Rate	$206,648.91
Rate for Payer: Aetna Commercial	$206,648.91
Rate for Payer: Aetna Medicare Advantage	$66,876.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$172,293.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$172,293.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$63,234.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$172,293.75
Rate for Payer: Cigna Commercial	$131,889.30
Rate for Payer: Cigna Medicare Advantage	$63,234.52
Rate for Payer: Clover Medicare Advantage	$60,072.79
Rate for Payer: EmblemHealth Commercial	$189,703.56
Rate for Payer: Humana Medicare Advantage	$65,131.56
Rate for Payer: Oxford Commercial	$82,426.98
Rate for Payer: UnitedHealthcare Commercial	$93,562.28
Rate for Payer: UnitedHealthcare Medicare Advantage	$63,234.52
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$67,028.59
Rate for Payer: Wellcare Medicare Advantage	$63,234.52

ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC

Facility

$160,533.60

Service Code	MSDRG 267
Min. Negotiated Rate	$47,502.52
Max. Negotiated Rate	$160,533.60
Rate for Payer: Aetna Commercial	$160,533.60
Rate for Payer: Aetna Medicare Advantage	$51,952.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$134,526.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$134,526.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$50,002.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$134,526.96
Rate for Payer: Cigna Commercial	$102,457.18
Rate for Payer: Cigna Medicare Advantage	$50,002.65
Rate for Payer: Clover Medicare Advantage	$47,502.52
Rate for Payer: EmblemHealth Commercial	$150,007.95
Rate for Payer: Humana Medicare Advantage	$51,502.73
Rate for Payer: Oxford Commercial	$64,032.76
Rate for Payer: UnitedHealthcare Commercial	$72,683.13
Rate for Payer: UnitedHealthcare Medicare Advantage	$50,002.65
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$53,002.81
Rate for Payer: Wellcare Medicare Advantage	$50,002.65

ENDOVASCULAR REVASCULARIZATION

Facility

$68,574.00

Service Code	HCPCS 37298
Hospital Charge Code	404637298
Hospital Revenue Code	481
Min. Negotiated Rate	$4,350.00
Max. Negotiated Rate	$27,491.26
Rate for Payer: Aetna Commercial	$20,572.20
Rate for Payer: Aetna Medicare Advantage	$20,572.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17,486.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17,486.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17,486.37
Rate for Payer: Cigna Commercial	$27,491.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,914.62
Rate for Payer: Qualcare PPO/HMO/WC	$10,286.10

ENDOVASCULAR REVASCULARIZATION

Facility

$25,200.00

Service Code	HCPCS 37264
Hospital Charge Code	404637264
Hospital Revenue Code	481
Min. Negotiated Rate	$146.21
Max. Negotiated Rate	$7,560.00
Rate for Payer: Aetna Commercial	$7,560.00
Rate for Payer: Aetna Medicare Advantage	$7,560.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,426.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,426.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,426.00
Rate for Payer: Cigna Commercial	$146.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,276.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,780.00

ENDOVASCULAR REVASCULARIZATION

Facility

$68,574.00

Service Code	HCPCS 37298
Hospital Charge Code	404637298
Hospital Revenue Code	481
Min. Negotiated Rate	$10,286.10
Max. Negotiated Rate	$10,286.10
Rate for Payer: Qualcare PPO/HMO/WC	$10,286.10

ENDOVASCULAR REVASCULARIZATION

Facility

$25,200.00

Service Code	HCPCS 37264
Hospital Charge Code	404637264
Hospital Revenue Code	481
Min. Negotiated Rate	$3,780.00
Max. Negotiated Rate	$3,780.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,780.00

ENDO VASCULAR STAPLER 35MM

Facility

$501.00

Hospital Charge Code	270338711
Hospital Revenue Code	272
Min. Negotiated Rate	$75.15
Max. Negotiated Rate	$75.15
Rate for Payer: Qualcare PPO/HMO/WC	$75.15

ENDO VASCULAR STAPLER 35MM

Facility

$501.00

Hospital Charge Code	270338711
Hospital Revenue Code	272
Min. Negotiated Rate	$65.13
Max. Negotiated Rate	$250.50
Rate for Payer: Aetna Commercial	$150.30
Rate for Payer: Aetna Medicare Advantage	$150.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.75
Rate for Payer: Cigna Commercial	$250.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.13
Rate for Payer: Oxford Commercial	$250.50
Rate for Payer: Qualcare PPO/HMO/WC	$75.15
Rate for Payer: UnitedHealthcare Commercial	$250.50

ENDO VENIPUNCTURE

Facility

$26.25

Service Code	HCPCS 36415
Hospital Charge Code	2300902
Hospital Revenue Code	300
Min. Negotiated Rate	$3.41
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$30.26
Rate for Payer: Aetna Medicare Advantage	$9.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.22
Rate for Payer: Cigna Commercial	$9.34
Rate for Payer: Cigna Medicare Advantage	$4.67
Rate for Payer: Clover Medicare Advantage	$8.87
Rate for Payer: EmblemHealth Commercial	$28.02
Rate for Payer: Humana Medicare Advantage	$9.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.41
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.94
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.34
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$9.90
Rate for Payer: Wellcare Medicare Advantage	$9.34

ENDO VENIPUNCTURE

Facility

$26.25

Service Code	HCPCS 36415
Hospital Charge Code	2300902
Hospital Revenue Code	300
Min. Negotiated Rate	$3.94
Max. Negotiated Rate	$3.94
Rate for Payer: Qualcare PPO/HMO/WC	$3.94

ENDOVENOUS LASER 1ST VEIN

Facility

$17,623.95

Service Code	HCPCS 36478
Hospital Charge Code	421036478
Hospital Revenue Code	761
Min. Negotiated Rate	$1,295.92
Max. Negotiated Rate	$8,811.98
Rate for Payer: Aetna Commercial	$5,287.19
Rate for Payer: Aetna Medicare Advantage	$5,287.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,494.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,494.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,295.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,494.11
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,291.11
Rate for Payer: Oxford Commercial	$8,811.98
Rate for Payer: Qualcare PPO/HMO/WC	$2,643.59
Rate for Payer: UnitedHealthcare Commercial	$8,811.98

ENDOVENOUS LASER 1ST VEIN

Facility

$17,623.95

Service Code	HCPCS 36478
Hospital Charge Code	421036478
Hospital Revenue Code	761
Min. Negotiated Rate	$2,643.59
Max. Negotiated Rate	$2,643.59
Rate for Payer: Qualcare PPO/HMO/WC	$2,643.59

ENDOVENOUS LASER VEIN ADDON

Facility

$17,623.95

Service Code	HCPCS 36479
Hospital Charge Code	421036479
Hospital Revenue Code	761
Min. Negotiated Rate	$128.30
Max. Negotiated Rate	$8,811.98
Rate for Payer: Aetna Commercial	$5,287.19
Rate for Payer: Aetna Medicare Advantage	$5,287.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,494.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,494.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,494.11
Rate for Payer: Cigna Commercial	$128.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,291.11
Rate for Payer: Oxford Commercial	$8,811.98
Rate for Payer: Qualcare PPO/HMO/WC	$2,643.59
Rate for Payer: UnitedHealthcare Commercial	$8,811.98

ENDOVENOUS LASER VEIN ADDON

Facility

$17,623.95

Service Code	HCPCS 36479
Hospital Charge Code	421036479
Hospital Revenue Code	761
Min. Negotiated Rate	$2,643.59
Max. Negotiated Rate	$2,643.59
Rate for Payer: Qualcare PPO/HMO/WC	$2,643.59

ENDOVENOUS MCHNCHEM 1ST VEIN

Facility

$17,623.95

Service Code	HCPCS 36473
Hospital Charge Code	421036473
Hospital Revenue Code	761
Min. Negotiated Rate	$913.40
Max. Negotiated Rate	$8,811.98
Rate for Payer: Aetna Commercial	$5,287.19
Rate for Payer: Aetna Medicare Advantage	$5,287.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,494.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,494.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$913.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,494.11
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,291.11
Rate for Payer: Oxford Commercial	$8,811.98
Rate for Payer: Qualcare PPO/HMO/WC	$2,643.59
Rate for Payer: UnitedHealthcare Commercial	$8,811.98

ENDOVENOUS MCHNCHEM 1ST VEIN

Facility

$17,623.95

Service Code	HCPCS 36473
Hospital Charge Code	421036473
Hospital Revenue Code	761
Min. Negotiated Rate	$2,643.59
Max. Negotiated Rate	$2,643.59
Rate for Payer: Qualcare PPO/HMO/WC	$2,643.59

ENDOVENOUS MCHNCHEM ADD ON

Facility

$2,084.00

Service Code	HCPCS 36474
Hospital Charge Code	404636474
Hospital Revenue Code	361
Min. Negotiated Rate	$312.60
Max. Negotiated Rate	$312.60
Rate for Payer: Qualcare PPO/HMO/WC	$312.60

ENDOVENOUS MCHNCHEM ADD ON

Facility

$2,084.00

Service Code	HCPCS 36474
Hospital Charge Code	1600000805
Hospital Revenue Code	360
Min. Negotiated Rate	$312.60
Max. Negotiated Rate	$312.60
Rate for Payer: Qualcare PPO/HMO/WC	$312.60

ENDOVENOUS MCHNCHEM ADD ON

Facility

$2,084.00

Service Code	HCPCS 36474
Hospital Charge Code	404636474
Hospital Revenue Code	361
Min. Negotiated Rate	$83.96
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$625.20
Rate for Payer: Aetna Medicare Advantage	$625.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$531.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$531.42
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	$531.42
Rate for Payer: Cigna Commercial	$83.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$270.92
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$312.60
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

ENDOVENOUS MCHNCHEM ADD ON

Facility

$2,084.00

Service Code	HCPCS 36474
Hospital Charge Code	1600000805
Hospital Revenue Code	360
Min. Negotiated Rate	$83.96
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$625.20
Rate for Payer: Aetna Medicare Advantage	$625.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$531.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$531.42
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	$531.42
Rate for Payer: Cigna Commercial	$83.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$270.92
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$312.60
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

ENDOVENOUS MCHNCHEM ADD-ON

Facility

$17,623.95

Service Code	HCPCS 36474
Hospital Charge Code	421036474
Hospital Revenue Code	761
Min. Negotiated Rate	$2,643.59
Max. Negotiated Rate	$2,643.59
Rate for Payer: Qualcare PPO/HMO/WC	$2,643.59

ENDOVENOUS MCHNCHEM ADD-ON

Facility

$17,623.95

Service Code	HCPCS 36474
Hospital Charge Code	421036474
Hospital Revenue Code	761
Min. Negotiated Rate	$83.96
Max. Negotiated Rate	$8,811.98
Rate for Payer: Aetna Commercial	$5,287.19
Rate for Payer: Aetna Medicare Advantage	$5,287.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,494.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,494.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$167.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,494.11
Rate for Payer: Cigna Commercial	$83.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,291.11
Rate for Payer: Oxford Commercial	$8,811.98
Rate for Payer: Qualcare PPO/HMO/WC	$2,643.59
Rate for Payer: UnitedHealthcare Commercial	$8,811.98

ENDOVENOUS RF 1ST VEIN

Facility

$25,406.80

Service Code	HCPCS 36475
Hospital Charge Code	1600000571
Hospital Revenue Code	360
Min. Negotiated Rate	$3,811.02
Max. Negotiated Rate	$3,811.02
Rate for Payer: Qualcare PPO/HMO/WC	$3,811.02

Know your out-of-pocket cost for care.

All Charges