Heights University Hospital

All Charges

Charge

Type

Setting

Price

ANGIOCATH INSYTE 16G 1.77 GRAY

Facility

$8.68

Hospital Charge Code	270641575
Hospital Revenue Code	272
Min. Negotiated Rate	$1.13
Max. Negotiated Rate	$4.34
Rate for Payer: Aetna Commercial	$2.60
Rate for Payer: Aetna Medicare Advantage	$2.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.21
Rate for Payer: Cigna Commercial	$4.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.13
Rate for Payer: Oxford Commercial	$4.34
Rate for Payer: Qualcare PPO/HMO/WC	$1.30
Rate for Payer: UnitedHealthcare Commercial	$4.34

ANGIOCATH INSYTE 16G 1.77 GRAY

Facility

$8.68

Hospital Charge Code	270641575
Hospital Revenue Code	272
Min. Negotiated Rate	$1.30
Max. Negotiated Rate	$1.30
Rate for Payer: Qualcare PPO/HMO/WC	$1.30

ANGIOCATH IV CATH 14G 2

Facility

$9.02

Hospital Charge Code	270649594
Hospital Revenue Code	272
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$1.35
Rate for Payer: Qualcare PPO/HMO/WC	$1.35

ANGIOCATH IV CATH 14G 2

Facility

$9.02

Hospital Charge Code	270649594
Hospital Revenue Code	272
Min. Negotiated Rate	$1.17
Max. Negotiated Rate	$4.51
Rate for Payer: Aetna Commercial	$2.71
Rate for Payer: Aetna Medicare Advantage	$2.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.30
Rate for Payer: Cigna Commercial	$4.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.17
Rate for Payer: Oxford Commercial	$4.51
Rate for Payer: Qualcare PPO/HMO/WC	$1.35
Rate for Payer: UnitedHealthcare Commercial	$4.51

ANGIOCATH IV CATH 16G 1-1/4

Facility

$8.97

Hospital Charge Code	270652604
Hospital Revenue Code	272
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$1.35
Rate for Payer: Qualcare PPO/HMO/WC	$1.35

ANGIOCATH IV CATH 16G 1-1/4

Facility

$8.97

Hospital Charge Code	270652604
Hospital Revenue Code	272
Min. Negotiated Rate	$1.17
Max. Negotiated Rate	$4.49
Rate for Payer: Aetna Commercial	$2.69
Rate for Payer: Aetna Medicare Advantage	$2.69
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	$4.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.17
Rate for Payer: Oxford Commercial	$4.49
Rate for Payer: Qualcare PPO/HMO/WC	$1.35
Rate for Payer: UnitedHealthcare Commercial	$4.49

ANGIOCATH IV CATH 18G 1-14

Facility

$16.87

Hospital Charge Code	270649595
Hospital Revenue Code	272
Min. Negotiated Rate	$2.19
Max. Negotiated Rate	$8.44
Rate for Payer: Aetna Commercial	$5.06
Rate for Payer: Aetna Medicare Advantage	$5.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.30
Rate for Payer: Cigna Commercial	$8.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.19
Rate for Payer: Oxford Commercial	$8.44
Rate for Payer: Qualcare PPO/HMO/WC	$2.53
Rate for Payer: UnitedHealthcare Commercial	$8.44

ANGIOCATH IV CATH 18G 1-14

Facility

$16.87

Hospital Charge Code	270649595
Hospital Revenue Code	272
Min. Negotiated Rate	$2.53
Max. Negotiated Rate	$2.53
Rate for Payer: Qualcare PPO/HMO/WC	$2.53

ANGIOCATH IV CATH 22G 1

Facility

$15.91

Hospital Charge Code	270649597
Hospital Revenue Code	272
Min. Negotiated Rate	$2.39
Max. Negotiated Rate	$2.39
Rate for Payer: Qualcare PPO/HMO/WC	$2.39

ANGIOCATH IV CATH 22G 1

Facility

$15.91

Hospital Charge Code	270649597
Hospital Revenue Code	272
Min. Negotiated Rate	$2.07
Max. Negotiated Rate	$7.96
Rate for Payer: Aetna Commercial	$4.77
Rate for Payer: Aetna Medicare Advantage	$4.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.06
Rate for Payer: Cigna Commercial	$7.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.07
Rate for Payer: Oxford Commercial	$7.96
Rate for Payer: Qualcare PPO/HMO/WC	$2.39
Rate for Payer: UnitedHealthcare Commercial	$7.96

ANGIOCATH IV CATH 24G 3/4

Facility

$16.87

Hospital Charge Code	270649598
Hospital Revenue Code	272
Min. Negotiated Rate	$2.53
Max. Negotiated Rate	$2.53
Rate for Payer: Qualcare PPO/HMO/WC	$2.53

ANGIOCATH IV CATH 24G 3/4

Facility

$16.87

Hospital Charge Code	270649598
Hospital Revenue Code	272
Min. Negotiated Rate	$2.19
Max. Negotiated Rate	$8.44
Rate for Payer: Aetna Commercial	$5.06
Rate for Payer: Aetna Medicare Advantage	$5.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.30
Rate for Payer: Cigna Commercial	$8.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.19
Rate for Payer: Oxford Commercial	$8.44
Rate for Payer: Qualcare PPO/HMO/WC	$2.53
Rate for Payer: UnitedHealthcare Commercial	$8.44

ANGIO EXT CAROTID BI S&I***

Facility

$1,934.00

Service Code	HCPCS 75662
Hospital Charge Code	5100342
Hospital Revenue Code	323
Min. Negotiated Rate	$251.42
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$580.20
Rate for Payer: Aetna Medicare Advantage	$580.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$493.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$493.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$493.17
Rate for Payer: Cigna Commercial	$967.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$251.42
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$290.10
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

ANGIO EXT CAROTID BI S&I***

Facility

$1,934.00

Service Code	HCPCS 75662
Hospital Charge Code	5100342
Hospital Revenue Code	323
Min. Negotiated Rate	$290.10
Max. Negotiated Rate	$290.10
Rate for Payer: Qualcare PPO/HMO/WC	$290.10

ANGIO EXT CAROTID UNI S&I

Facility

$1,453.45

Service Code	HCPCS 75660
Hospital Charge Code	5100341
Hospital Revenue Code	323
Min. Negotiated Rate	$218.02
Max. Negotiated Rate	$218.02
Rate for Payer: Qualcare PPO/HMO/WC	$218.02

ANGIO EXT CAROTID UNI S&I

Facility

$1,453.45

Service Code	HCPCS 75660
Hospital Charge Code	5100341
Hospital Revenue Code	323
Min. Negotiated Rate	$188.95
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$436.04
Rate for Payer: Aetna Medicare Advantage	$436.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$370.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$370.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$370.63
Rate for Payer: Cigna Commercial	$726.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$188.95
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$218.02
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

ANGIO EXTREM UNILATERAL S&I

Facility

$11,803.00

Service Code	HCPCS 75710
Hospital Charge Code	74110050
Hospital Revenue Code	323
Min. Negotiated Rate	$141.37
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Commercial	$3,540.90
Rate for Payer: Aetna Medicare Advantage	$3,540.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,009.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,009.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$141.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,009.76
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,534.39
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,770.45
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

ANGIO EXTREM UNILATERAL S&I

Facility

$21,359.77

Service Code	HCPCS 75710
Hospital Charge Code	5100440
Hospital Revenue Code	323
Min. Negotiated Rate	$3,203.97
Max. Negotiated Rate	$3,203.97
Rate for Payer: Qualcare PPO/HMO/WC	$3,203.97

ANGIO EXTREM UNILATERAL S&I

Facility

$11,803.00

Service Code	HCPCS 75710
Hospital Charge Code	2011602
Hospital Revenue Code	323
Min. Negotiated Rate	$1,770.45
Max. Negotiated Rate	$1,770.45
Rate for Payer: Qualcare PPO/HMO/WC	$1,770.45

ANGIO EXTREM UNILATERAL S&I

Facility

$11,803.00

Service Code	HCPCS 75710
Hospital Charge Code	2011602
Hospital Revenue Code	323
Min. Negotiated Rate	$141.37
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Commercial	$3,540.90
Rate for Payer: Aetna Medicare Advantage	$3,540.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,009.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,009.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$141.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,009.76
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,534.39
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,770.45
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

ANGIO EXTREM UNILATERAL S&I

Facility

$11,803.00

Service Code	HCPCS 75710
Hospital Charge Code	74110050
Hospital Revenue Code	323
Min. Negotiated Rate	$1,770.45
Max. Negotiated Rate	$1,770.45
Rate for Payer: Qualcare PPO/HMO/WC	$1,770.45

ANGIO EXTREM UNILATERAL S&I

Facility

$21,359.77

Service Code	HCPCS 75710
Hospital Charge Code	5100440
Hospital Revenue Code	323
Min. Negotiated Rate	$141.37
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Commercial	$6,407.93
Rate for Payer: Aetna Medicare Advantage	$6,407.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,446.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,446.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$141.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,446.74
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,776.77
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,203.97
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

ANGIOGRAM RENAL LEFT OR RIGHT

Facility

$13,436.40

Hospital Charge Code	5100435
Hospital Revenue Code	323
Min. Negotiated Rate	$1,311.00
Max. Negotiated Rate	$6,718.20
Rate for Payer: Aetna Commercial	$4,030.92
Rate for Payer: Aetna Medicare Advantage	$4,030.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,426.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,426.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,426.28
Rate for Payer: Cigna Commercial	$6,718.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,746.73
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,015.46
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

ANGIOGRAM RENAL LEFT OR RIGHT

Facility

$13,436.40

Hospital Charge Code	74110048
Hospital Revenue Code	323
Min. Negotiated Rate	$1,311.00
Max. Negotiated Rate	$6,718.20
Rate for Payer: Aetna Commercial	$4,030.92
Rate for Payer: Aetna Medicare Advantage	$4,030.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,426.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,426.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,426.28
Rate for Payer: Cigna Commercial	$6,718.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,746.73
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,015.46
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

ANGIOGRAM RENAL LEFT OR RIGHT

Facility

$13,436.40

Hospital Charge Code	5100435
Hospital Revenue Code	323
Min. Negotiated Rate	$2,015.46
Max. Negotiated Rate	$2,015.46
Rate for Payer: Qualcare PPO/HMO/WC	$2,015.46

Know your out-of-pocket cost for care.

All Charges