Heights University Hospital

All Charges

Charge

Type

Setting

Price

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

ANGIOGRAPHY AORTA ARCH S&I

Facility

$20,317.50

Hospital Charge Code	5100420
Hospital Revenue Code	323
Min. Negotiated Rate	$1,311.00
Max. Negotiated Rate	$10,158.75
Rate for Payer: Aetna Commercial	$6,095.25
Rate for Payer: Aetna Medicare Advantage	$6,095.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,180.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,180.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,180.96
Rate for Payer: Cigna Commercial	$10,158.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,641.28
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,047.62
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

ANGIOGRAPHY AORTA ARCH S&I

Facility

$20,317.50

Hospital Charge Code	74110046
Hospital Revenue Code	323
Min. Negotiated Rate	$3,047.62
Max. Negotiated Rate	$3,047.62
Rate for Payer: Qualcare PPO/HMO/WC	$3,047.62

ANGIOGRAPHY AORTA ARCH S&I

Facility

$20,317.50

Hospital Charge Code	5100420
Hospital Revenue Code	323
Min. Negotiated Rate	$3,047.62
Max. Negotiated Rate	$3,047.62
Rate for Payer: Qualcare PPO/HMO/WC	$3,047.62

ANGIOGRAPHY AORTA ARCH S&I

Facility

$20,317.50

Hospital Charge Code	74110046
Hospital Revenue Code	323
Min. Negotiated Rate	$1,311.00
Max. Negotiated Rate	$10,158.75
Rate for Payer: Aetna Commercial	$6,095.25
Rate for Payer: Aetna Medicare Advantage	$6,095.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,180.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,180.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,180.96
Rate for Payer: Cigna Commercial	$10,158.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,641.28
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,047.62
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

ANGIOGRAPHY BI CARTD/CERBL S&I

Facility

$20,317.50

Hospital Charge Code	5100390
Hospital Revenue Code	323
Min. Negotiated Rate	$1,311.00
Max. Negotiated Rate	$10,158.75
Rate for Payer: Aetna Commercial	$6,095.25
Rate for Payer: Aetna Medicare Advantage	$6,095.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,180.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,180.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,180.96
Rate for Payer: Cigna Commercial	$10,158.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,641.28
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,047.62
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

ANGIOGRAPHY BI CARTD/CERBL S&I

Facility

$20,317.50

Hospital Charge Code	74110045
Hospital Revenue Code	323
Min. Negotiated Rate	$3,047.62
Max. Negotiated Rate	$3,047.62
Rate for Payer: Qualcare PPO/HMO/WC	$3,047.62

ANGIOGRAPHY BI CARTD/CERBL S&I

Facility

$20,317.50

Hospital Charge Code	5100390
Hospital Revenue Code	323
Min. Negotiated Rate	$3,047.62
Max. Negotiated Rate	$3,047.62
Rate for Payer: Qualcare PPO/HMO/WC	$3,047.62

ANGIOGRAPHY BI CARTD/CERBL S&I

Facility

$20,317.50

Hospital Charge Code	74110045
Hospital Revenue Code	323
Min. Negotiated Rate	$1,311.00
Max. Negotiated Rate	$10,158.75
Rate for Payer: Aetna Commercial	$6,095.25
Rate for Payer: Aetna Medicare Advantage	$6,095.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,180.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,180.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,180.96
Rate for Payer: Cigna Commercial	$10,158.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,641.28
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,047.62
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

ANGIOGRAPHY BI CARTD/CERVC S&I

Facility

$1,453.45

Service Code	HCPCS 75680
Hospital Charge Code	5100410
Hospital Revenue Code	323
Min. Negotiated Rate	$218.02
Max. Negotiated Rate	$218.02
Rate for Payer: Qualcare PPO/HMO/WC	$218.02

ANGIOGRAPHY BI CARTD/CERVC S&I

Facility

$1,453.45

Service Code	HCPCS 75680
Hospital Charge Code	5100410
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

ANGIOGRAPHY EXTREM BI S&I

Facility

$21,359.77

Service Code	HCPCS 75716
Hospital Charge Code	366875716
Hospital Revenue Code	323
Min. Negotiated Rate	$235.62
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	$235.62
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

ANGIOGRAPHY EXTREM BI S&I

Facility

$21,359.77

Service Code	HCPCS 75716
Hospital Charge Code	5100470
Hospital Revenue Code	323
Min. Negotiated Rate	$235.62
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	$235.62
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

ANGIOGRAPHY EXTREM BI S&I

Facility

$21,359.77

Service Code	HCPCS 75716
Hospital Charge Code	366875716
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

ANGIOGRAPHY EXTREM BI S&I

Facility

$21,359.77

Service Code	HCPCS 75716
Hospital Charge Code	74110051
Hospital Revenue Code	323
Min. Negotiated Rate	$235.62
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	$235.62
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

ANGIOGRAPHY EXTREM BI S&I

Facility

$21,359.77

Service Code	HCPCS 75716
Hospital Charge Code	74110051
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

ANGIOGRAPHY EXTREM BI S&I

Facility

$21,359.77

Service Code	HCPCS 75716
Hospital Charge Code	5100470
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

ANGIOGRAPHY VERTBRL/CERVCL S&I

Facility

$3,856.65

Service Code	HCPCS 75685
Hospital Charge Code	5100430
Hospital Revenue Code	323
Min. Negotiated Rate	$501.36
Max. Negotiated Rate	$1,928.33
Rate for Payer: Aetna Commercial	$1,156.99
Rate for Payer: Aetna Medicare Advantage	$1,156.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$983.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$983.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$983.45
Rate for Payer: Cigna Commercial	$1,928.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$501.36
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$578.50
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

ANGIOGRAPHY VERTBRL/CERVCL S&I

Facility

$3,856.65

Service Code	HCPCS 75685
Hospital Charge Code	5100430
Hospital Revenue Code	323
Min. Negotiated Rate	$578.50
Max. Negotiated Rate	$578.50
Rate for Payer: Qualcare PPO/HMO/WC	$578.50

ANGIO INTERNAL MAMMARY

Facility

$13,882.20

Service Code	HCPCS 75756
Hospital Charge Code	2011601
Hospital Revenue Code	323
Min. Negotiated Rate	$130.06
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Commercial	$4,164.66
Rate for Payer: Aetna Medicare Advantage	$4,164.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,539.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,539.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,539.96
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,804.69
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,082.33
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

ANGIO INTERNAL MAMMARY

Facility

$13,882.20

Service Code	HCPCS 75756
Hospital Charge Code	2011601
Hospital Revenue Code	323
Min. Negotiated Rate	$2,082.33
Max. Negotiated Rate	$2,082.33
Rate for Payer: Qualcare PPO/HMO/WC	$2,082.33

ANGIO JET SOLENT 4FR/145CM

Facility

$11,200.00

Hospital Charge Code	2709007586
Hospital Revenue Code	272
Min. Negotiated Rate	$1,680.00
Max. Negotiated Rate	$1,680.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,680.00

ANGIO JET SOLENT 4FR/145CM

Facility

$11,200.00

Hospital Charge Code	2709007586
Hospital Revenue Code	272
Min. Negotiated Rate	$1,456.00
Max. Negotiated Rate	$5,600.00
Rate for Payer: Aetna Commercial	$3,360.00
Rate for Payer: Aetna Medicare Advantage	$3,360.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,856.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,856.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,856.00
Rate for Payer: Cigna Commercial	$5,600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,456.00
Rate for Payer: Oxford Commercial	$5,600.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,680.00
Rate for Payer: UnitedHealthcare Commercial	$5,600.00

ANGIOMAT ILLUMENA CONTRAST SYR

Facility

$32.29

Hospital Charge Code	270667071
Hospital Revenue Code	270
Min. Negotiated Rate	$4.84
Max. Negotiated Rate	$4.84
Rate for Payer: Qualcare PPO/HMO/WC	$4.84

ANGIOMAT ILLUMENA CONTRAST SYR

Facility

$25.00

Hospital Charge Code	270667071N
Hospital Revenue Code	270
Min. Negotiated Rate	$3.25
Max. Negotiated Rate	$12.50
Rate for Payer: Aetna Commercial	$7.50
Rate for Payer: Aetna Medicare Advantage	$7.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.38
Rate for Payer: Cigna Commercial	$12.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.25
Rate for Payer: Oxford Commercial	$12.50
Rate for Payer: Qualcare PPO/HMO/WC	$3.75
Rate for Payer: UnitedHealthcare Commercial	$12.50

Know your out-of-pocket cost for care.

All Charges