Heights University Hospital

All Charges

Charge

Type

Setting

Price

IR ANGIOGRAM CERVICAL

Facility

$7,240.05

Hospital Charge Code	2600023
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 CERVICAL

Facility

$7,240.05

Hospital Charge Code	2600023
Hospital Revenue Code	323
Min. Negotiated Rate	$941.21
Max. Negotiated Rate	$3,620.03
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) PPO	$1,846.21
Rate for Payer: Cigna Commercial	$3,620.03
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 CERVICOCEREBRAL

Facility

$20,317.50

Service Code	HCPCS 75650
Hospital Charge Code	2600024
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

IR ANGIOGRAM CERVICOCEREBRAL

Facility

$20,317.50

Service Code	HCPCS 75650
Hospital Charge Code	2600024
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

IR ANGIOGRAM EXTREMITY LEFT

Facility

$21,359.77

Service Code	HCPCS 75710
Hospital Charge Code	2600026
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 ANGIOGRAM EXTREMITY LEFT

Facility

$21,359.77

Service Code	HCPCS 75710
Hospital Charge Code	2600026
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

IR ANGIOGRAM EXTREMITY RIGHT

Facility

$21,359.77

Service Code	HCPCS 75710
Hospital Charge Code	2600027
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 ANGIOGRAM EXTREMITY RIGHT

Facility

$21,359.77

Service Code	HCPCS 75710
Hospital Charge Code	2600027
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

IR ANGIOGRAM EXTRMTY BILATERAL

Facility

$15,468.50

Service Code	HCPCS 75716
Hospital Charge Code	2600025
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 ANGIOGRAM EXTRMTY BILATERAL

Facility

$15,468.50

Service Code	HCPCS 75716
Hospital Charge Code	321075716
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 ANGIOGRAM EXTRMTY BILATERAL

Facility

$15,468.50

Service Code	HCPCS 75716
Hospital Charge Code	2600025
Hospital Revenue Code	323
Min. Negotiated Rate	$235.62
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	$235.62
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 EXTRMTY BILATERAL

Facility

$15,468.50

Service Code	HCPCS 75716
Hospital Charge Code	321075716
Hospital Revenue Code	323
Min. Negotiated Rate	$235.62
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	$235.62
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 INTERNAL MAMMARY

Facility

$3,084.40

Service Code	HCPCS 75756
Hospital Charge Code	2600028
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 INTERNAL MAMMARY

Facility

$13,882.20

Service Code	HCPCS 75756
Hospital Charge Code	7411701
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

IR ANGIOGRAM INTERNAL MAMMARY

Facility

$3,084.40

Service Code	HCPCS 75756
Hospital Charge Code	2600028
Hospital Revenue Code	323
Min. Negotiated Rate	$130.06
Max. Negotiated Rate	$7,519.21
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) NJ Health	$130.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$786.52
Rate for Payer: Cigna Commercial	$7,519.21
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 INTERNAL MAMMARY

Facility

$13,882.20

Service Code	HCPCS 75756
Hospital Charge Code	7411701
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 ANGIOGRAM INTRACRANIAL

Facility

$7,240.05

Hospital Charge Code	2600029
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 INTRACRANIAL

Facility

$7,240.05

Hospital Charge Code	2600029
Hospital Revenue Code	323
Min. Negotiated Rate	$941.21
Max. Negotiated Rate	$3,620.03
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) PPO	$1,846.21
Rate for Payer: Cigna Commercial	$3,620.03
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 PELVIS

Facility

$25,004.60

Service Code	HCPCS 75736
Hospital Charge Code	2600030
Hospital Revenue Code	323
Min. Negotiated Rate	$282.74
Max. Negotiated Rate	$13,251.23
Rate for Payer: Aetna Commercial	$7,501.38
Rate for Payer: Aetna Medicare Advantage	$7,501.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,376.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,376.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$282.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,376.17
Rate for Payer: Cigna Commercial	$13,251.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,250.60
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,750.69
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

IR ANGIOGRAM PELVIS

Facility

$25,004.60

Service Code	HCPCS 75736
Hospital Charge Code	2600030
Hospital Revenue Code	323
Min. Negotiated Rate	$3,750.69
Max. Negotiated Rate	$3,750.69
Rate for Payer: Qualcare PPO/HMO/WC	$3,750.69

IR ANGIOGRAM PELVIS

Facility

$7,240.05

Service Code	HCPCS 75736
Hospital Charge Code	7411697
Hospital Revenue Code	323
Min. Negotiated Rate	$282.74
Max. Negotiated Rate	$13,251.23
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	$282.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,846.21
Rate for Payer: Cigna Commercial	$13,251.23
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 PELVIS

Facility

$25,004.60

Service Code	HCPCS 75736
Hospital Charge Code	366875736
Hospital Revenue Code	323
Min. Negotiated Rate	$3,750.69
Max. Negotiated Rate	$3,750.69
Rate for Payer: Qualcare PPO/HMO/WC	$3,750.69

IR ANGIOGRAM PELVIS

Facility

$25,004.60

Service Code	HCPCS 75736
Hospital Charge Code	366875736
Hospital Revenue Code	323
Min. Negotiated Rate	$282.74
Max. Negotiated Rate	$13,251.23
Rate for Payer: Aetna Commercial	$7,501.38
Rate for Payer: Aetna Medicare Advantage	$7,501.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,376.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,376.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$282.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,376.17
Rate for Payer: Cigna Commercial	$13,251.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,250.60
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,750.69
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

IR ANGIOGRAM PELVIS

Facility

$7,240.05

Service Code	HCPCS 75736
Hospital Charge Code	7411697
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 PULMNRY NONSLCTVE

Facility

$4,747.25

Service Code	HCPCS 75746
Hospital Charge Code	2600033
Hospital Revenue Code	323
Min. Negotiated Rate	$100.98
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Commercial	$1,424.17
Rate for Payer: Aetna Medicare Advantage	$1,424.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,210.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,210.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,210.55
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$617.14
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$712.09
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

Know your out-of-pocket cost for care.

All Charges