Heights University Hospital

All Charges

Charge

Type

Setting

Price

IR DIR-ARTERGRM CAROTID,EXT,UN

Facility

$20,648.21

Service Code	HCPCS 75660
Hospital Charge Code	2680320
Hospital Revenue Code	323
Min. Negotiated Rate	$1,311.00
Max. Negotiated Rate	$10,324.10
Rate for Payer: Aetna Commercial	$6,194.46
Rate for Payer: Aetna Medicare Advantage	$6,194.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,265.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,265.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,265.29
Rate for Payer: Cigna Commercial	$10,324.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,684.27
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,097.23
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

IR DIR-ARTERGRM CAROTID,EXT,UN

Facility

$20,648.21

Service Code	HCPCS 75660
Hospital Charge Code	2680320
Hospital Revenue Code	323
Min. Negotiated Rate	$3,097.23
Max. Negotiated Rate	$3,097.23
Rate for Payer: Qualcare PPO/HMO/WC	$3,097.23

IR DIR-ARTERIGRAM VERT CERV UN

Facility

$12,400.74

Service Code	HCPCS 75685
Hospital Charge Code	2670070
Hospital Revenue Code	323
Min. Negotiated Rate	$1,860.11
Max. Negotiated Rate	$1,860.11
Rate for Payer: Qualcare PPO/HMO/WC	$1,860.11

IR DIR-ARTERIGRAM VERT CERV UN

Facility

$12,400.74

Service Code	HCPCS 75685
Hospital Charge Code	2670070
Hospital Revenue Code	323
Min. Negotiated Rate	$1,311.00
Max. Negotiated Rate	$6,200.37
Rate for Payer: Aetna Commercial	$3,720.22
Rate for Payer: Aetna Medicare Advantage	$3,720.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,162.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,162.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,162.19
Rate for Payer: Cigna Commercial	$6,200.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,612.10
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,860.11
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

IR DIR-ARTGRM CAROT CEREB-BILA

Facility

$20,648.21

Service Code	HCPCS 75671
Hospital Charge Code	2670080
Hospital Revenue Code	323
Min. Negotiated Rate	$3,097.23
Max. Negotiated Rate	$3,097.23
Rate for Payer: Qualcare PPO/HMO/WC	$3,097.23

IR DIR-ARTGRM CAROT CEREB-BILA

Facility

$20,648.21

Service Code	HCPCS 75671
Hospital Charge Code	2670080
Hospital Revenue Code	323
Min. Negotiated Rate	$1,311.00
Max. Negotiated Rate	$10,324.10
Rate for Payer: Aetna Commercial	$6,194.46
Rate for Payer: Aetna Medicare Advantage	$6,194.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,265.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,265.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,265.29
Rate for Payer: Cigna Commercial	$10,324.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,684.27
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,097.23
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

IR DIR-ARTGRM CAROT CERV BILAT

Facility

$12,400.74

Service Code	HCPCS 75680
Hospital Charge Code	2670075
Hospital Revenue Code	323
Min. Negotiated Rate	$1,860.11
Max. Negotiated Rate	$1,860.11
Rate for Payer: Qualcare PPO/HMO/WC	$1,860.11

IR DIR-ARTGRM CAROT CERV BILAT

Facility

$12,400.74

Service Code	HCPCS 75680
Hospital Charge Code	2670075
Hospital Revenue Code	323
Min. Negotiated Rate	$1,311.00
Max. Negotiated Rate	$6,200.37
Rate for Payer: Aetna Commercial	$3,720.22
Rate for Payer: Aetna Medicare Advantage	$3,720.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,162.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,162.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,162.19
Rate for Payer: Cigna Commercial	$6,200.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,612.10
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,860.11
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

IR DIR-ARTGRM CERV-CERE ARCH

Facility

$20,648.21

Service Code	HCPCS 75650
Hospital Charge Code	2670090
Hospital Revenue Code	323
Min. Negotiated Rate	$3,097.23
Max. Negotiated Rate	$3,097.23
Rate for Payer: Qualcare PPO/HMO/WC	$3,097.23

IR DIR-ARTGRM CERV-CERE ARCH

Facility

$20,648.21

Service Code	HCPCS 75650
Hospital Charge Code	2670090
Hospital Revenue Code	323
Min. Negotiated Rate	$1,311.00
Max. Negotiated Rate	$10,324.10
Rate for Payer: Aetna Commercial	$6,194.46
Rate for Payer: Aetna Medicare Advantage	$6,194.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,265.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,265.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,265.29
Rate for Payer: Cigna Commercial	$10,324.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,684.27
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,097.23
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

IR DIR-ARTRGRM CAROT EXTERN-BI

Facility

$20,648.21

Service Code	HCPCS 75662
Hospital Charge Code	2670085
Hospital Revenue Code	323
Min. Negotiated Rate	$3,097.23
Max. Negotiated Rate	$3,097.23
Rate for Payer: Qualcare PPO/HMO/WC	$3,097.23

IR DIR-ARTRGRM CAROT EXTERN-BI

Facility

$20,648.21

Service Code	HCPCS 75662
Hospital Charge Code	2670085
Hospital Revenue Code	323
Min. Negotiated Rate	$1,311.00
Max. Negotiated Rate	$10,324.10
Rate for Payer: Aetna Commercial	$6,194.46
Rate for Payer: Aetna Medicare Advantage	$6,194.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,265.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,265.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,265.29
Rate for Payer: Cigna Commercial	$10,324.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,684.27
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,097.23
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

IR DIR FLOUR GUIDANCE,SPINE/IN

Facility

$5,100.00

Service Code	HCPCS 77003
Hospital Charge Code	366877003
Hospital Revenue Code	320
Min. Negotiated Rate	$37.81
Max. Negotiated Rate	$1,530.00
Rate for Payer: Aetna Commercial	$1,530.00
Rate for Payer: Aetna Medicare Advantage	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$119.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$663.00
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

IR DIR FLOUR GUIDANCE,SPINE/IN

Facility

$5,100.00

Service Code	HCPCS 77003
Hospital Charge Code	321077003
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

IR DIR FLOUR GUIDANCE,SPINE/IN

Facility

$5,100.00

Service Code	HCPCS 77003
Hospital Charge Code	411077003
Hospital Revenue Code	320
Min. Negotiated Rate	$37.81
Max. Negotiated Rate	$1,530.00
Rate for Payer: Aetna Commercial	$1,530.00
Rate for Payer: Aetna Medicare Advantage	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$119.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$663.00
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

IR DIR FLOUR GUIDANCE,SPINE/IN

Facility

$5,100.00

Service Code	HCPCS 77003
Hospital Charge Code	321077003
Hospital Revenue Code	320
Min. Negotiated Rate	$37.81
Max. Negotiated Rate	$1,530.00
Rate for Payer: Aetna Commercial	$1,530.00
Rate for Payer: Aetna Medicare Advantage	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$119.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$663.00
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

IR DIR FLOUR GUIDANCE,SPINE/IN

Facility

$1,508.00

Service Code	HCPCS 77003
Hospital Charge Code	7411756
Hospital Revenue Code	320
Min. Negotiated Rate	$226.20
Max. Negotiated Rate	$226.20
Rate for Payer: Qualcare PPO/HMO/WC	$226.20

IR DIR FLOUR GUIDANCE,SPINE/IN

Facility

$1,508.00

Service Code	HCPCS 77003
Hospital Charge Code	7411756
Hospital Revenue Code	320
Min. Negotiated Rate	$37.81
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$452.40
Rate for Payer: Aetna Medicare Advantage	$452.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$384.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$384.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$384.54
Rate for Payer: Cigna Commercial	$119.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.04
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$226.20
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

IR DIR FLOUR GUIDANCE,SPINE/IN

Facility

$5,100.00

Service Code	HCPCS 77003
Hospital Charge Code	2670015
Hospital Revenue Code	320
Min. Negotiated Rate	$37.81
Max. Negotiated Rate	$1,530.00
Rate for Payer: Aetna Commercial	$1,530.00
Rate for Payer: Aetna Medicare Advantage	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$119.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$663.00
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

IR DIR FLOUR GUIDANCE,SPINE/IN

Facility

$5,100.00

Service Code	HCPCS 77003
Hospital Charge Code	2670015
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

IR DIR FLOUR GUIDANCE,SPINE/IN

Facility

$5,100.00

Service Code	HCPCS 77003
Hospital Charge Code	411077003
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

IR DIR FLOUR GUIDANCE,SPINE/IN

Facility

$5,100.00

Service Code	HCPCS 77003
Hospital Charge Code	366877003
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

IR DIR-PERC TRANSCATH RETRVL F

Facility

$2,238.00

Service Code	HCPCS 75961
Hospital Charge Code	2670065
Hospital Revenue Code	320
Min. Negotiated Rate	$290.94
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$671.40
Rate for Payer: Aetna Medicare Advantage	$671.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$570.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$570.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$570.69
Rate for Payer: Cigna Commercial	$1,119.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.94
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$335.70
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

IR DIR-PERC TRANSCATH RETRVL F

Facility

$2,238.00

Service Code	HCPCS 75961
Hospital Charge Code	2670065
Hospital Revenue Code	320
Min. Negotiated Rate	$335.70
Max. Negotiated Rate	$335.70
Rate for Payer: Qualcare PPO/HMO/WC	$335.70

IR DIR-US GUIDNC NDLE PLACEMEN

Facility

$6,700.00

Service Code	HCPCS 76942
Hospital Charge Code	321076942
Hospital Revenue Code	402
Min. Negotiated Rate	$69.19
Max. Negotiated Rate	$2,010.00
Rate for Payer: Aetna Commercial	$2,010.00
Rate for Payer: Aetna Medicare Advantage	$2,010.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,708.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,708.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,708.50
Rate for Payer: Cigna Commercial	$72.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$871.00
Rate for Payer: Oxford Commercial	$1,746.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,005.00
Rate for Payer: UnitedHealthcare Commercial	$1,981.00

Know your out-of-pocket cost for care.

All Charges