Heights University Hospital

All Charges

Charge

Type

Setting

Price

IR ANGIO FEMORAL BILAT

Facility

$21,359.77

Service Code	HCPCS 75716
Hospital Charge Code	2001139
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

IR ANGIO FEMORAL UNI

Facility

$13,882.22

Service Code	HCPCS 75710
Hospital Charge Code	366875710
Hospital Revenue Code	323
Min. Negotiated Rate	$141.37
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Commercial	$4,164.67
Rate for Payer: Aetna Medicare Advantage	$4,164.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,539.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,539.97
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	$3,539.97
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

IR ANGIO FEMORAL UNI

Facility

$15,468.50

Service Code	HCPCS 75710
Hospital Charge Code	2001121
Hospital Revenue Code	323
Min. Negotiated Rate	$141.37
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Commercial	$4,640.55
Rate for Payer: Aetna Medicare Advantage	$4,640.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,944.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,944.47
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	$3,944.47
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,010.90
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,320.28
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

IR ANGIO FEMORAL UNI

Facility

$15,468.50

Service Code	HCPCS 75710
Hospital Charge Code	321075710
Hospital Revenue Code	323
Min. Negotiated Rate	$2,320.28
Max. Negotiated Rate	$2,320.28
Rate for Payer: Qualcare PPO/HMO/WC	$2,320.28

IR ANGIO FEMORAL UNI

Facility

$13,882.22

Service Code	HCPCS 75710
Hospital Charge Code	741100110
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

IR ANGIO FEMORAL UNI

Facility

$15,468.50

Service Code	HCPCS 75710
Hospital Charge Code	2001121
Hospital Revenue Code	323
Min. Negotiated Rate	$2,320.28
Max. Negotiated Rate	$2,320.28
Rate for Payer: Qualcare PPO/HMO/WC	$2,320.28

IR ANGIO FEMORAL UNI

Facility

$13,882.22

Service Code	HCPCS 75710
Hospital Charge Code	366875710
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

IR ANGIO FEMORAL UNI

Facility

$13,882.22

Service Code	HCPCS 75710
Hospital Charge Code	741100110
Hospital Revenue Code	323
Min. Negotiated Rate	$141.37
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Commercial	$4,164.67
Rate for Payer: Aetna Medicare Advantage	$4,164.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,539.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,539.97
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	$3,539.97
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

IR ANGIO FEMORAL UNI

Facility

$15,468.50

Service Code	HCPCS 75710
Hospital Charge Code	321075710
Hospital Revenue Code	323
Min. Negotiated Rate	$141.37
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Commercial	$4,640.55
Rate for Payer: Aetna Medicare Advantage	$4,640.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,944.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,944.47
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	$3,944.47
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,010.90
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,320.28
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

IR ANGIOGRAM ADRENAL BILATERAL

Facility

$13,436.40

Service Code	HCPCS 75733
Hospital Charge Code	7411696
Hospital Revenue Code	323
Min. Negotiated Rate	$329.91
Max. Negotiated Rate	$7,519.21
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) NJ Health	$329.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,426.28
Rate for Payer: Cigna Commercial	$7,519.21
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

IR ANGIOGRAM ADRENAL BILATERAL

Facility

$13,436.40

Service Code	HCPCS 75733
Hospital Charge Code	2600009
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

IR ANGIOGRAM ADRENAL BILATERAL

Facility

$13,436.40

Service Code	HCPCS 75733
Hospital Charge Code	2600009
Hospital Revenue Code	323
Min. Negotiated Rate	$329.91
Max. Negotiated Rate	$7,519.21
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) NJ Health	$329.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,426.28
Rate for Payer: Cigna Commercial	$7,519.21
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

IR ANGIOGRAM ADRENAL BILATERAL

Facility

$13,436.40

Service Code	HCPCS 75733
Hospital Charge Code	7411696
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

IR ANGIOGRAM ADRENAL LEFT

Facility

$7,240.05

Service Code	HCPCS 75731
Hospital Charge Code	7411694
Hospital Revenue Code	323
Min. Negotiated Rate	$244.37
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Commercial	$2,172.01
Rate for Payer: Aetna Medicare Advantage	$2,172.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,846.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,846.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,846.21
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$941.21
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,086.01
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

IR ANGIOGRAM ADRENAL LEFT

Facility

$7,240.05

Service Code	HCPCS 75731
Hospital Charge Code	2600010
Hospital Revenue Code	323
Min. Negotiated Rate	$244.37
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Commercial	$2,172.01
Rate for Payer: Aetna Medicare Advantage	$2,172.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,846.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,846.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,846.21
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$941.21
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,086.01
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

IR ANGIOGRAM ADRENAL LEFT

Facility

$7,240.05

Service Code	HCPCS 75731
Hospital Charge Code	2600010
Hospital Revenue Code	323
Min. Negotiated Rate	$1,086.01
Max. Negotiated Rate	$1,086.01
Rate for Payer: Qualcare PPO/HMO/WC	$1,086.01

IR ANGIOGRAM ADRENAL LEFT

Facility

$7,240.05

Service Code	HCPCS 75731
Hospital Charge Code	7411694
Hospital Revenue Code	323
Min. Negotiated Rate	$1,086.01
Max. Negotiated Rate	$1,086.01
Rate for Payer: Qualcare PPO/HMO/WC	$1,086.01

IR ANGIOGRAM ADRENAL RIGHT

Facility

$7,240.05

Service Code	HCPCS 75731
Hospital Charge Code	2600011
Hospital Revenue Code	323
Min. Negotiated Rate	$244.37
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Commercial	$2,172.01
Rate for Payer: Aetna Medicare Advantage	$2,172.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,846.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,846.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,846.21
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$941.21
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,086.01
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

IR ANGIOGRAM ADRENAL RIGHT

Facility

$7,240.05

Service Code	HCPCS 75731
Hospital Charge Code	2600011
Hospital Revenue Code	323
Min. Negotiated Rate	$1,086.01
Max. Negotiated Rate	$1,086.01
Rate for Payer: Qualcare PPO/HMO/WC	$1,086.01

IR ANGIOGRAM ADRENAL RIGHT

Facility

$7,240.05

Service Code	HCPCS 75731
Hospital Charge Code	7411695
Hospital Revenue Code	323
Min. Negotiated Rate	$244.37
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Commercial	$2,172.01
Rate for Payer: Aetna Medicare Advantage	$2,172.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,846.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,846.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,846.21
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$941.21
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,086.01
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

IR ANGIOGRAM ADRENAL RIGHT

Facility

$7,240.05

Service Code	HCPCS 75731
Hospital Charge Code	7411695
Hospital Revenue Code	323
Min. Negotiated Rate	$1,086.01
Max. Negotiated Rate	$1,086.01
Rate for Payer: Qualcare PPO/HMO/WC	$1,086.01

IR ANGIOGRAM ARTEROVENUS SHUNT

Facility

$3,084.40

Hospital Charge Code	2600012
Hospital Revenue Code	323
Min. Negotiated Rate	$400.97
Max. Negotiated Rate	$1,542.20
Rate for Payer: Aetna Commercial	$925.32
Rate for Payer: Aetna Medicare Advantage	$925.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$786.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$786.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$786.52
Rate for Payer: Cigna Commercial	$1,542.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$400.97
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$462.66
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

IR ANGIOGRAM ARTEROVENUS SHUNT

Facility

$3,084.40

Hospital Charge Code	2600012
Hospital Revenue Code	323
Min. Negotiated Rate	$462.66
Max. Negotiated Rate	$462.66
Rate for Payer: Qualcare PPO/HMO/WC	$462.66

IR ANGIOGRAM BRACHIAL RETROGRD

Facility

$4,605.65

Service Code	HCPCS 75658
Hospital Charge Code	2600013
Hospital Revenue Code	323
Min. Negotiated Rate	$598.73
Max. Negotiated Rate	$2,302.82
Rate for Payer: Aetna Commercial	$1,381.69
Rate for Payer: Aetna Medicare Advantage	$1,381.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,174.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,174.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,174.44
Rate for Payer: Cigna Commercial	$2,302.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$598.73
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$690.85
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

IR ANGIOGRAM BRACHIAL RETROGRD

Facility

$4,605.65

Service Code	HCPCS 75658
Hospital Charge Code	2600013
Hospital Revenue Code	323
Min. Negotiated Rate	$690.85
Max. Negotiated Rate	$690.85
Rate for Payer: Qualcare PPO/HMO/WC	$690.85

Know your out-of-pocket cost for care.

All Charges