Heights University Hospital

All Charges

Charge

Type

Setting

Price

INSERTION CHEST TUBE PNEUMOTHO

Facility

$2,289.68

Service Code	HCPCS 32422
Hospital Charge Code	5780175
Hospital Revenue Code	450
Min. Negotiated Rate	$343.45
Max. Negotiated Rate	$343.45
Rate for Payer: Qualcare PPO/HMO/WC	$343.45

INSERTION CHEST TUBE PNEUMOTHO

Facility

$2,289.68

Service Code	HCPCS 32422
Hospital Charge Code	5780175
Hospital Revenue Code	450
Min. Negotiated Rate	$297.66
Max. Negotiated Rate	$1,144.84
Rate for Payer: Aetna Commercial	$686.90
Rate for Payer: Aetna Medicare Advantage	$686.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$583.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$583.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$583.87
Rate for Payer: Cigna Commercial	$1,144.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$297.66
Rate for Payer: Qualcare PPO/HMO/WC	$343.45

Insertion Guide

Facility

$6,852.35

Hospital Charge Code	270681577
Hospital Revenue Code	272
Min. Negotiated Rate	$1,027.85
Max. Negotiated Rate	$1,027.85
Rate for Payer: Qualcare PPO/HMO/WC	$1,027.85

Insertion Guide

Facility

$6,852.35

Hospital Charge Code	270681577
Hospital Revenue Code	272
Min. Negotiated Rate	$890.81
Max. Negotiated Rate	$3,426.18
Rate for Payer: Aetna Commercial	$2,055.70
Rate for Payer: Aetna Medicare Advantage	$2,055.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,747.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,747.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,747.35
Rate for Payer: Cigna Commercial	$3,426.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$890.81
Rate for Payer: Oxford Commercial	$3,426.18
Rate for Payer: Qualcare PPO/HMO/WC	$1,027.85
Rate for Payer: UnitedHealthcare Commercial	$3,426.18

INSERTION INT EXT BILIARY DRG

Facility

$331.55

Service Code	HCPCS 47511
Hospital Charge Code	5100503
Hospital Revenue Code	361
Min. Negotiated Rate	$43.10
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$99.47
Rate for Payer: Aetna Medicare Advantage	$99.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.55
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	$84.55
Rate for Payer: Cigna Commercial	$165.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.10
Rate for Payer: Qualcare PPO/HMO/WC	$49.73

INSERTION INT EXT BILIARY DRG

Facility

$331.55

Service Code	HCPCS 47511
Hospital Charge Code	5100503
Hospital Revenue Code	361
Min. Negotiated Rate	$49.73
Max. Negotiated Rate	$49.73
Rate for Payer: Qualcare PPO/HMO/WC	$49.73

INSERTION INTRA AORTIC BALLOON

Facility

$22,823.38

Service Code	HCPCS 33967
Hospital Charge Code	83120001
Hospital Revenue Code	361
Min. Negotiated Rate	$3,423.51
Max. Negotiated Rate	$3,423.51
Rate for Payer: Qualcare PPO/HMO/WC	$3,423.51

INSERTION INTRA AORTIC BALLOON

Facility

$22,823.38

Service Code	HCPCS 33967
Hospital Charge Code	83120001
Hospital Revenue Code	361
Min. Negotiated Rate	$242.11
Max. Negotiated Rate	$13,243.00
Rate for Payer: Aetna Commercial	$6,847.01
Rate for Payer: Aetna Medicare Advantage	$6,847.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,819.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,819.96
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	$5,819.96
Rate for Payer: Cigna Commercial	$242.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,967.04
Rate for Payer: Oxford Commercial	$11,667.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,423.51
Rate for Payer: UnitedHealthcare Commercial	$13,243.00

INSERTION OF CATHETER VEIN

Facility

$907.20

Service Code	HCPCS 36500
Hospital Charge Code	366836500
Hospital Revenue Code	361
Min. Negotiated Rate	$117.94
Max. Negotiated Rate	$1,864.00
Rate for Payer: Qualcare PPO/HMO/WC	$136.08
Rate for Payer: Aetna Commercial	$272.16
Rate for Payer: Aetna Medicare Advantage	$272.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$231.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$231.34
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	$231.34
Rate for Payer: Cigna Commercial	$172.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.94
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

INSERTION OF CATHETER VEIN

Facility

$907.20

Service Code	HCPCS 36500
Hospital Charge Code	366836500
Hospital Revenue Code	361
Min. Negotiated Rate	$136.08
Max. Negotiated Rate	$136.08
Rate for Payer: Qualcare PPO/HMO/WC	$136.08

INSERTION OF CATHETER VEIN

Facility

$907.20

Service Code	HCPCS 36500
Hospital Charge Code	411036500
Hospital Revenue Code	361
Min. Negotiated Rate	$117.94
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$272.16
Rate for Payer: Aetna Medicare Advantage	$272.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$231.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$231.34
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	$231.34
Rate for Payer: Cigna Commercial	$172.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.94
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$136.08
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

INSERTION OF CATHETER VEIN

Facility

$907.20

Service Code	HCPCS 36500
Hospital Charge Code	411036500
Hospital Revenue Code	361
Min. Negotiated Rate	$136.08
Max. Negotiated Rate	$136.08
Rate for Payer: Qualcare PPO/HMO/WC	$136.08

INSERTION OF CERVICAL DILATOR

Facility

$1,124.96

Service Code	HCPCS 59200
Hospital Charge Code	73190141
Hospital Revenue Code	720
Min. Negotiated Rate	$48.01
Max. Negotiated Rate	$2,979.00
Rate for Payer: Aetna Commercial	$337.49
Rate for Payer: Aetna Medicare Advantage	$337.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.86
Rate for Payer: Cigna Commercial	$725.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.24
Rate for Payer: Oxford Commercial	$2,624.00
Rate for Payer: Qualcare PPO/HMO/WC	$168.74
Rate for Payer: UnitedHealthcare Commercial	$2,979.00

INSERTION OF CERVICAL DILATOR

Facility

$1,124.96

Service Code	HCPCS 59200
Hospital Charge Code	73190141
Hospital Revenue Code	720
Min. Negotiated Rate	$168.74
Max. Negotiated Rate	$168.74
Rate for Payer: Qualcare PPO/HMO/WC	$168.74

INSERTION OF CHEST TUBE

Facility

$11,525.10

Service Code	HCPCS 32551
Hospital Charge Code	1600000369
Hospital Revenue Code	360
Min. Negotiated Rate	$1,728.77
Max. Negotiated Rate	$1,728.77
Rate for Payer: Qualcare PPO/HMO/WC	$1,728.77

INSERTION OF CHEST TUBE

Facility

$11,525.10

Service Code	HCPCS 32551
Hospital Charge Code	1600000369
Hospital Revenue Code	360
Min. Negotiated Rate	$1,498.26
Max. Negotiated Rate	$3,748.67
Rate for Payer: Aetna Better Health Medicaid	$2,426.75
Rate for Payer: Aetna Commercial	$3,457.53
Rate for Payer: Aetna Medicare Advantage	$3,457.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,938.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,938.90
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	$2,938.90
Rate for Payer: Cigna Commercial	$3,748.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,498.26
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,728.77
Rate for Payer: UnitedHealthcare Commercial	$2,575.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$2,475.28
Rate for Payer: Wellpoint Medicaid Managed Care	$2,426.75

INSERTION PICC LINE

Facility

$4,284.00

Service Code	HCPCS 36489
Hospital Charge Code	5100531
Hospital Revenue Code	361
Min. Negotiated Rate	$642.60
Max. Negotiated Rate	$642.60
Rate for Payer: Qualcare PPO/HMO/WC	$642.60

INSERTION PICC LINE

Facility

$4,284.00

Service Code	HCPCS 36489
Hospital Charge Code	5100531
Hospital Revenue Code	361
Min. Negotiated Rate	$556.92
Max. Negotiated Rate	$2,142.00
Rate for Payer: Aetna Commercial	$1,285.20
Rate for Payer: Aetna Medicare Advantage	$1,285.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,092.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,092.42
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	$1,092.42
Rate for Payer: Cigna Commercial	$2,142.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$556.92
Rate for Payer: Qualcare PPO/HMO/WC	$642.60

INSERTION PICC LINE S&I

Facility

$852.00

Service Code	HCPCS 77002
Hospital Charge Code	5100530
Hospital Revenue Code	320
Min. Negotiated Rate	$127.80
Max. Negotiated Rate	$127.80
Rate for Payer: Qualcare PPO/HMO/WC	$127.80

INSERTION PICC LINE S&I

Facility

$852.00

Service Code	HCPCS 77002
Hospital Charge Code	5100530
Hospital Revenue Code	320
Min. Negotiated Rate	$53.56
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$255.60
Rate for Payer: Aetna Medicare Advantage	$255.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$217.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$217.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$53.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$217.26
Rate for Payer: Cigna Commercial	$138.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.76
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$127.80
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

INSERTION REVEAL LINQ RECORDER

Facility

$13,388.13

Service Code	HCPCS 33282
Hospital Charge Code	5100535
Hospital Revenue Code	361
Min. Negotiated Rate	$2,008.22
Max. Negotiated Rate	$2,008.22
Rate for Payer: Qualcare PPO/HMO/WC	$2,008.22

INSERTION REVEAL LINQ RECORDER

Facility

$13,388.13

Service Code	HCPCS 33282
Hospital Charge Code	5100535
Hospital Revenue Code	361
Min. Negotiated Rate	$1,740.46
Max. Negotiated Rate	$6,694.06
Rate for Payer: Aetna Commercial	$4,016.44
Rate for Payer: Aetna Medicare Advantage	$4,016.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,413.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,413.97
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	$3,413.97
Rate for Payer: Cigna Commercial	$6,694.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,740.46
Rate for Payer: Qualcare PPO/HMO/WC	$2,008.22

INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES

Facility

$40,252.35

Service Code	APR-DRG 1763
Min. Negotiated Rate	$28,564.95
Max. Negotiated Rate	$40,252.35
Rate for Payer: Aetna Better Health Medicaid	$39,463.09
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$40,252.35
Rate for Payer: Wellpoint Medicaid Managed Care	$28,564.95

INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES

Facility

$67,521.24

Service Code	APR-DRG 1764
Min. Negotiated Rate	$45,357.38
Max. Negotiated Rate	$67,521.24
Rate for Payer: Aetna Better Health Medicaid	$66,197.29
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$67,521.24
Rate for Payer: Wellpoint Medicaid Managed Care	$45,357.38

INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES

Facility

$22,633.01

Service Code	APR-DRG 1761
Min. Negotiated Rate	$14,338.07
Max. Negotiated Rate	$22,633.01
Rate for Payer: Aetna Better Health Medicaid	$22,189.23
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$22,633.01
Rate for Payer: Wellpoint Medicaid Managed Care	$14,338.07

Know your out-of-pocket cost for care.

All Charges