Heights University Hospital

All Charges

Charge

Type

Setting

Price

IR EXCH ABSC/CYST DRAING CATH

Facility

$8,686.35

Service Code	HCPCS 49423
Hospital Charge Code	321049423
Hospital Revenue Code	361
Min. Negotiated Rate	$1,302.95
Max. Negotiated Rate	$1,302.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,302.95

IR EXCH ABSC/CYST DRAING CATH

Facility

$8,686.35

Service Code	HCPCS 49423
Hospital Charge Code	321049423
Hospital Revenue Code	361
Min. Negotiated Rate	$1,129.23
Max. Negotiated Rate	$4,569.67
Rate for Payer: Aetna Commercial	$2,605.91
Rate for Payer: Aetna Medicare Advantage	$2,605.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,215.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,215.02
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	$2,215.02
Rate for Payer: Cigna Commercial	$4,569.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,129.23
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,302.95
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

IR EXCH ABSC/CYST DRAING CATH

Facility

$6,757.27

Service Code	HCPCS 49423
Hospital Charge Code	7411590
Hospital Revenue Code	361
Min. Negotiated Rate	$1,013.59
Max. Negotiated Rate	$1,013.59
Rate for Payer: Qualcare PPO/HMO/WC	$1,013.59

IR EXCH ABSC/CYST DRAING CATH

Facility

$6,757.27

Service Code	HCPCS 49423
Hospital Charge Code	7411590
Hospital Revenue Code	361
Min. Negotiated Rate	$878.45
Max. Negotiated Rate	$4,569.67
Rate for Payer: Aetna Commercial	$2,027.18
Rate for Payer: Aetna Medicare Advantage	$2,027.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,723.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,723.10
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	$1,723.10
Rate for Payer: Cigna Commercial	$4,569.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$878.45
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,013.59
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

IR EXCH ABSC/CYST DRAING CATH

Facility

$8,686.35

Service Code	HCPCS 49423
Hospital Charge Code	2670045
Hospital Revenue Code	361
Min. Negotiated Rate	$1,302.95
Max. Negotiated Rate	$1,302.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,302.95

IR EXCH ABSC/CYST DRAING CATH

Facility

$8,686.35

Service Code	HCPCS 49423
Hospital Charge Code	2670045
Hospital Revenue Code	361
Min. Negotiated Rate	$1,129.23
Max. Negotiated Rate	$4,569.67
Rate for Payer: Aetna Commercial	$2,605.91
Rate for Payer: Aetna Medicare Advantage	$2,605.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,215.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,215.02
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	$2,215.02
Rate for Payer: Cigna Commercial	$4,569.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,129.23
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,302.95
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

IR-EXCHANGE ARTERIAL CATH

Facility

$3,724.00

Hospital Charge Code	2690110
Hospital Revenue Code	361
Min. Negotiated Rate	$558.60
Max. Negotiated Rate	$558.60
Rate for Payer: Qualcare PPO/HMO/WC	$558.60

IR-EXCHANGE ARTERIAL CATH

Facility

$3,724.00

Hospital Charge Code	2690110
Hospital Revenue Code	361
Min. Negotiated Rate	$484.12
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$1,117.20
Rate for Payer: Aetna Medicare Advantage	$1,117.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$949.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$949.62
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	$949.62
Rate for Payer: Cigna Commercial	$1,862.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$484.12
Rate for Payer: Qualcare PPO/HMO/WC	$558.60

IR EXCHANGE DRAINAGE CATH

Facility

$4,222.25

Service Code	HCPCS 49423
Hospital Charge Code	2101165
Hospital Revenue Code	361
Min. Negotiated Rate	$548.89
Max. Negotiated Rate	$4,569.67
Rate for Payer: Aetna Commercial	$1,266.67
Rate for Payer: Aetna Medicare Advantage	$1,266.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,076.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,076.67
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	$1,076.67
Rate for Payer: Cigna Commercial	$4,569.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$548.89
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$633.34
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

IR EXCHANGE DRAINAGE CATH

Facility

$4,222.25

Service Code	HCPCS 49423
Hospital Charge Code	2101165
Hospital Revenue Code	361
Min. Negotiated Rate	$633.34
Max. Negotiated Rate	$633.34
Rate for Payer: Qualcare PPO/HMO/WC	$633.34

IR EXCH PREV ART CATH THROMB

Facility

$4,328.00

Service Code	HCPCS 37213
Hospital Charge Code	366837213
Hospital Revenue Code	361
Min. Negotiated Rate	$562.64
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Commercial	$1,298.40
Rate for Payer: Aetna Medicare Advantage	$1,298.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,103.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,103.64
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	$1,103.64
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$562.64
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$649.20
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

IR EXCH PREV ART CATH THROMB

Facility

$4,328.00

Service Code	HCPCS 37213
Hospital Charge Code	411037213
Hospital Revenue Code	361
Min. Negotiated Rate	$649.20
Max. Negotiated Rate	$649.20
Rate for Payer: Qualcare PPO/HMO/WC	$649.20

IR EXCH PREV ART CATH THROMB

Facility

$4,328.00

Service Code	HCPCS 37213
Hospital Charge Code	366837213
Hospital Revenue Code	361
Min. Negotiated Rate	$649.20
Max. Negotiated Rate	$649.20
Rate for Payer: Qualcare PPO/HMO/WC	$649.20

IR EXCH PREV ART CATH THROMB

Facility

$4,328.00

Service Code	HCPCS 37213
Hospital Charge Code	411037213
Hospital Revenue Code	361
Min. Negotiated Rate	$562.64
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Commercial	$1,298.40
Rate for Payer: Aetna Medicare Advantage	$1,298.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,103.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,103.64
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	$1,103.64
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$562.64
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$649.20
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

IR EXCH PREV ART CATH THROMB

Facility

$4,328.00

Service Code	HCPCS 37213
Hospital Charge Code	2011167
Hospital Revenue Code	361
Min. Negotiated Rate	$649.20
Max. Negotiated Rate	$649.20
Rate for Payer: Qualcare PPO/HMO/WC	$649.20

IR EXCH PREV ART CATH THROMB

Facility

$4,328.00

Service Code	HCPCS 37213
Hospital Charge Code	2011167
Hospital Revenue Code	361
Min. Negotiated Rate	$562.64
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Commercial	$1,298.40
Rate for Payer: Aetna Medicare Advantage	$1,298.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,103.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,103.64
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	$1,103.64
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$562.64
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$649.20
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

IR EXCH PREV ART CATH THROMB

Facility

$4,328.00

Service Code	HCPCS 37213
Hospital Charge Code	7411505
Hospital Revenue Code	361
Min. Negotiated Rate	$562.64
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Commercial	$1,298.40
Rate for Payer: Aetna Medicare Advantage	$1,298.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,103.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,103.64
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	$1,103.64
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$562.64
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$649.20
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

IR EXCH PREV ART CATH THROMB

Facility

$4,328.00

Service Code	HCPCS 37213
Hospital Charge Code	7411505
Hospital Revenue Code	361
Min. Negotiated Rate	$649.20
Max. Negotiated Rate	$649.20
Rate for Payer: Qualcare PPO/HMO/WC	$649.20

IR EXCH PREV ART CATH W/ CONT

Facility

$3,360.00

Hospital Charge Code	2001255
Hospital Revenue Code	320
Min. Negotiated Rate	$504.00
Max. Negotiated Rate	$504.00
Rate for Payer: Qualcare PPO/HMO/WC	$504.00

IR EXCH PREV ART CATH W/ CONT

Facility

$3,360.00

Hospital Charge Code	2001255
Hospital Revenue Code	320
Min. Negotiated Rate	$436.80
Max. Negotiated Rate	$1,680.00
Rate for Payer: Aetna Commercial	$1,008.00
Rate for Payer: Aetna Medicare Advantage	$1,008.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$856.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$856.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$856.80
Rate for Payer: Cigna Commercial	$1,680.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$436.80
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$504.00
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

IR EXOPHAGEAL DILATION

Facility

$2,033.75

Service Code	HCPCS 74360
Hospital Charge Code	2600084
Hospital Revenue Code	320
Min. Negotiated Rate	$305.06
Max. Negotiated Rate	$305.06
Rate for Payer: Qualcare PPO/HMO/WC	$305.06

IR EXOPHAGEAL DILATION

Facility

$2,033.75

Service Code	HCPCS 74360
Hospital Charge Code	2600084
Hospital Revenue Code	320
Min. Negotiated Rate	$130.90
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$610.12
Rate for Payer: Aetna Medicare Advantage	$610.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$518.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$518.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$518.61
Rate for Payer: Cigna Commercial	$1,016.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$264.39
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$305.06
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

IR-EXT CANN DECLOTING/W @ CATH

Facility

$15,530.27

Service Code	HCPCS 36861
Hospital Charge Code	2670180
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$13,251.23
Rate for Payer: Aetna Commercial	$4,659.08
Rate for Payer: Aetna Medicare Advantage	$4,659.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,960.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,960.22
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	$3,960.22
Rate for Payer: Cigna Commercial	$13,251.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,018.94
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,329.54
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

IR-EXT CANN DECLOTING/W @ CATH

Facility

$15,530.27

Service Code	HCPCS 36861
Hospital Charge Code	7411489
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$13,251.23
Rate for Payer: Aetna Commercial	$4,659.08
Rate for Payer: Aetna Medicare Advantage	$4,659.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,960.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,960.22
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	$3,960.22
Rate for Payer: Cigna Commercial	$13,251.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,018.94
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,329.54
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

IR-EXT CANN DECLOTING/W @ CATH

Facility

$15,530.27

Service Code	HCPCS 36861
Hospital Charge Code	2670180
Hospital Revenue Code	361
Min. Negotiated Rate	$2,329.54
Max. Negotiated Rate	$2,329.54
Rate for Payer: Qualcare PPO/HMO/WC	$2,329.54

Know your out-of-pocket cost for care.

All Charges