Heights University Hospital

All Charges

Charge

Type

Setting

Price

IR ARTHRO SHOULDER

Facility

$1,667.37

Service Code	HCPCS 73040
Hospital Charge Code	7411664
Hospital Revenue Code	322
Min. Negotiated Rate	$250.11
Max. Negotiated Rate	$250.11
Rate for Payer: Qualcare PPO/HMO/WC	$250.11

IR ARTRIAL LINE INSERT PERCU

Facility

$959.80

Service Code	HCPCS 36620
Hospital Charge Code	366836620
Hospital Revenue Code	361
Min. Negotiated Rate	$43.85
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$287.94
Rate for Payer: Aetna Medicare Advantage	$287.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$244.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$244.75
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	$244.75
Rate for Payer: Cigna Commercial	$43.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$124.77
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$143.97
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

IR ARTRIAL LINE INSERT PERCU

Facility

$959.80

Service Code	HCPCS 36620
Hospital Charge Code	7411480
Hospital Revenue Code	361
Min. Negotiated Rate	$143.97
Max. Negotiated Rate	$143.97
Rate for Payer: Qualcare PPO/HMO/WC	$143.97

IR ARTRIAL LINE INSERT PERCU

Facility

$959.80

Service Code	HCPCS 36620
Hospital Charge Code	5600151
Hospital Revenue Code	361
Min. Negotiated Rate	$43.85
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$287.94
Rate for Payer: Aetna Medicare Advantage	$287.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$244.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$244.75
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	$244.75
Rate for Payer: Cigna Commercial	$43.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$124.77
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$143.97
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

IR ARTRIAL LINE INSERT PERCU

Facility

$959.80

Service Code	HCPCS 36620
Hospital Charge Code	321036620
Hospital Revenue Code	361
Min. Negotiated Rate	$143.97
Max. Negotiated Rate	$143.97
Rate for Payer: Qualcare PPO/HMO/WC	$143.97

IR ARTRIAL LINE INSERT PERCU

Facility

$959.80

Service Code	HCPCS 36620
Hospital Charge Code	366836620
Hospital Revenue Code	361
Min. Negotiated Rate	$143.97
Max. Negotiated Rate	$143.97
Rate for Payer: Qualcare PPO/HMO/WC	$143.97

IR ARTRIAL LINE INSERT PERCU

Facility

$959.80

Service Code	HCPCS 36620
Hospital Charge Code	321036620
Hospital Revenue Code	361
Min. Negotiated Rate	$43.85
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$287.94
Rate for Payer: Aetna Medicare Advantage	$287.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$244.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$244.75
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	$244.75
Rate for Payer: Cigna Commercial	$43.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$124.77
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$143.97
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

IR ARTRIAL LINE INSERT PERCU

Facility

$959.80

Service Code	HCPCS 36620
Hospital Charge Code	411036620
Hospital Revenue Code	361
Min. Negotiated Rate	$43.85
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$287.94
Rate for Payer: Aetna Medicare Advantage	$287.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$244.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$244.75
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	$244.75
Rate for Payer: Cigna Commercial	$43.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$124.77
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$143.97
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

IR ARTRIAL LINE INSERT PERCU

Facility

$959.80

Service Code	HCPCS 36620
Hospital Charge Code	7411480
Hospital Revenue Code	361
Min. Negotiated Rate	$43.85
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$287.94
Rate for Payer: Aetna Medicare Advantage	$287.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$244.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$244.75
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	$244.75
Rate for Payer: Cigna Commercial	$43.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$124.77
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$143.97
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

IR ARTRIAL LINE INSERT PERCU

Facility

$959.80

Service Code	HCPCS 36620
Hospital Charge Code	5600151
Hospital Revenue Code	361
Min. Negotiated Rate	$143.97
Max. Negotiated Rate	$143.97
Rate for Payer: Qualcare PPO/HMO/WC	$143.97

IR ARTRIAL LINE INSERT PERCU

Facility

$959.80

Service Code	HCPCS 36620
Hospital Charge Code	411036620
Hospital Revenue Code	361
Min. Negotiated Rate	$143.97
Max. Negotiated Rate	$143.97
Rate for Payer: Qualcare PPO/HMO/WC	$143.97

IR ASPAND/OR INJ THYROID CYST

Facility

$3,392.55

Service Code	HCPCS 60300
Hospital Charge Code	2670030
Hospital Revenue Code	361
Min. Negotiated Rate	$441.03
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$1,017.76
Rate for Payer: Aetna Medicare Advantage	$1,017.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$865.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$865.10
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	$865.10
Rate for Payer: Cigna Commercial	$1,686.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$441.03
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$508.88
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

IR ASPAND/OR INJ THYROID CYST

Facility

$1,901.69

Service Code	HCPCS 60300
Hospital Charge Code	7411639
Hospital Revenue Code	361
Min. Negotiated Rate	$247.22
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$570.51
Rate for Payer: Aetna Medicare Advantage	$570.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$484.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$484.93
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	$484.93
Rate for Payer: Cigna Commercial	$1,686.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.22
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$285.25
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

IR ASPAND/OR INJ THYROID CYST

Facility

$3,392.55

Service Code	HCPCS 60300
Hospital Charge Code	2670030
Hospital Revenue Code	361
Min. Negotiated Rate	$508.88
Max. Negotiated Rate	$508.88
Rate for Payer: Qualcare PPO/HMO/WC	$508.88

IR ASPAND/OR INJ THYROID CYST

Facility

$1,901.69

Service Code	HCPCS 60300
Hospital Charge Code	7411639
Hospital Revenue Code	361
Min. Negotiated Rate	$285.25
Max. Negotiated Rate	$285.25
Rate for Payer: Qualcare PPO/HMO/WC	$285.25

IR ASPAND/OR INJ THYROID CYST

Facility

$3,392.55

Service Code	HCPCS 60300
Hospital Charge Code	321060300
Hospital Revenue Code	361
Min. Negotiated Rate	$508.88
Max. Negotiated Rate	$508.88
Rate for Payer: Qualcare PPO/HMO/WC	$508.88

IR ASPAND/OR INJ THYROID CYST

Facility

$3,392.55

Service Code	HCPCS 60300
Hospital Charge Code	321060300
Hospital Revenue Code	361
Min. Negotiated Rate	$441.03
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$1,017.76
Rate for Payer: Aetna Medicare Advantage	$1,017.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$865.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$865.10
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	$865.10
Rate for Payer: Cigna Commercial	$1,686.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$441.03
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$508.88
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

IR ASP BLADDER W INS SUPRAPUB

Facility

$8,477.85

Service Code	HCPCS 51102
Hospital Charge Code	411051102
Hospital Revenue Code	361
Min. Negotiated Rate	$1,271.68
Max. Negotiated Rate	$1,271.68
Rate for Payer: Qualcare PPO/HMO/WC	$1,271.68

IR ASP BLADDER W INS SUPRAPUB

Facility

$10,187.80

Service Code	HCPCS 51102
Hospital Charge Code	321051102
Hospital Revenue Code	361
Min. Negotiated Rate	$1,528.17
Max. Negotiated Rate	$1,528.17
Rate for Payer: Qualcare PPO/HMO/WC	$1,528.17

IR ASP BLADDER W INS SUPRAPUB

Facility

$10,187.80

Service Code	HCPCS 51102
Hospital Charge Code	2670001
Hospital Revenue Code	361
Min. Negotiated Rate	$1,324.41
Max. Negotiated Rate	$5,529.00
Rate for Payer: Aetna Commercial	$3,056.34
Rate for Payer: Aetna Medicare Advantage	$3,056.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,597.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,597.89
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	$2,597.89
Rate for Payer: Cigna Commercial	$4,978.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,324.41
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,528.17
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

IR ASP BLADDER W INS SUPRAPUB

Facility

$8,477.85

Service Code	HCPCS 51102
Hospital Charge Code	366851102
Hospital Revenue Code	361
Min. Negotiated Rate	$1,271.68
Max. Negotiated Rate	$1,271.68
Rate for Payer: Qualcare PPO/HMO/WC	$1,271.68

IR ASP BLADDER W INS SUPRAPUB

Facility

$8,477.85

Service Code	HCPCS 51102
Hospital Charge Code	366851102
Hospital Revenue Code	361
Min. Negotiated Rate	$1,102.12
Max. Negotiated Rate	$5,529.00
Rate for Payer: Aetna Commercial	$2,543.36
Rate for Payer: Aetna Medicare Advantage	$2,543.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,161.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,161.85
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	$2,161.85
Rate for Payer: Cigna Commercial	$4,978.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,102.12
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,271.68
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

IR ASP BLADDER W INS SUPRAPUB

Facility

$8,499.52

Service Code	HCPCS 51102
Hospital Charge Code	7411622
Hospital Revenue Code	361
Min. Negotiated Rate	$1,104.94
Max. Negotiated Rate	$5,529.00
Rate for Payer: Aetna Commercial	$2,549.86
Rate for Payer: Aetna Medicare Advantage	$2,549.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,167.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,167.38
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	$2,167.38
Rate for Payer: Cigna Commercial	$4,978.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,104.94
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,274.93
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

IR ASP BLADDER W INS SUPRAPUB

Facility

$10,187.80

Service Code	HCPCS 51102
Hospital Charge Code	2670001
Hospital Revenue Code	361
Min. Negotiated Rate	$1,528.17
Max. Negotiated Rate	$1,528.17
Rate for Payer: Qualcare PPO/HMO/WC	$1,528.17

IR ASP BLADDER W INS SUPRAPUB

Facility

$10,187.80

Service Code	HCPCS 51102
Hospital Charge Code	321051102
Hospital Revenue Code	361
Min. Negotiated Rate	$1,324.41
Max. Negotiated Rate	$5,529.00
Rate for Payer: Aetna Commercial	$3,056.34
Rate for Payer: Aetna Medicare Advantage	$3,056.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,597.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,597.89
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	$2,597.89
Rate for Payer: Cigna Commercial	$4,978.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,324.41
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,528.17
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

Know your out-of-pocket cost for care.

All Charges