Heights University Hospital

All Charges

Charge

Type

Setting

Price

IR-EXT VENOGRAPHY INJ-RT

Facility

$523.00

Service Code	HCPCS 36005RT
Hospital Charge Code	2691150
Hospital Revenue Code	361
Min. Negotiated Rate	$67.99
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$156.90
Rate for Payer: Aetna Medicare Advantage	$156.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.37
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	$133.37
Rate for Payer: Cigna Commercial	$261.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.99
Rate for Payer: Qualcare PPO/HMO/WC	$78.45

IR-EXT VENOGRAPHY INJ-RT

Facility

$523.00

Service Code	HCPCS 36500RT
Hospital Charge Code	411036005R
Hospital Revenue Code	361
Min. Negotiated Rate	$78.45
Max. Negotiated Rate	$78.45
Rate for Payer: Qualcare PPO/HMO/WC	$78.45

IR FEM/POPL REVASC STNT & ATHE

Facility

$80,096.45

Service Code	HCPCS 37275
Hospital Charge Code	411037227
Hospital Revenue Code	361
Min. Negotiated Rate	$12,014.47
Max. Negotiated Rate	$12,014.47
Rate for Payer: Qualcare PPO/HMO/WC	$12,014.47

IR FEM/POPL REVASC STNT & ATHE

Facility

$89,914.40

Service Code	HCPCS 37227
Hospital Charge Code	5600208
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$44,957.20
Rate for Payer: Aetna Commercial	$26,974.32
Rate for Payer: Aetna Medicare Advantage	$26,974.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22,928.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22,928.17
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	$22,928.17
Rate for Payer: Cigna Commercial	$44,957.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11,688.87
Rate for Payer: Oxford Commercial	$11,667.00
Rate for Payer: Qualcare PPO/HMO/WC	$13,487.16
Rate for Payer: UnitedHealthcare Commercial	$13,243.00

IR FEM/POPL REVASC STNT & ATHE

Facility

$89,914.40

Service Code	HCPCS 37227
Hospital Charge Code	321037227
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$44,957.20
Rate for Payer: Aetna Commercial	$26,974.32
Rate for Payer: Aetna Medicare Advantage	$26,974.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22,928.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22,928.17
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	$22,928.17
Rate for Payer: Cigna Commercial	$44,957.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11,688.87
Rate for Payer: Oxford Commercial	$11,667.00
Rate for Payer: Qualcare PPO/HMO/WC	$13,487.16
Rate for Payer: UnitedHealthcare Commercial	$13,243.00

IR FEM/POPL REVASC STNT & ATHE

Facility

$89,914.40

Service Code	HCPCS 37227
Hospital Charge Code	5600208
Hospital Revenue Code	361
Min. Negotiated Rate	$13,487.16
Max. Negotiated Rate	$13,487.16
Rate for Payer: Qualcare PPO/HMO/WC	$13,487.16

IR FEM/POPL REVASC STNT & ATHE

Facility

$80,096.45

Service Code	HCPCS 37275
Hospital Charge Code	411037227
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$43,654.87
Rate for Payer: Aetna Commercial	$24,028.94
Rate for Payer: Aetna Medicare Advantage	$24,028.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20,424.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20,424.59
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	$20,424.59
Rate for Payer: Cigna Commercial	$43,654.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10,412.54
Rate for Payer: Qualcare PPO/HMO/WC	$12,014.47

IR FEM/POPL REVASC STNT & ATHE

Facility

$131,167.45

Service Code	HCPCS 37227
Hospital Charge Code	7411517
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$65,583.73
Rate for Payer: Aetna Commercial	$39,350.24
Rate for Payer: Aetna Medicare Advantage	$39,350.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33,447.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33,447.70
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	$33,447.70
Rate for Payer: Cigna Commercial	$65,583.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17,051.77
Rate for Payer: Oxford Commercial	$11,667.00
Rate for Payer: Qualcare PPO/HMO/WC	$19,675.12
Rate for Payer: UnitedHealthcare Commercial	$13,243.00

IR FEM/POPL REVASC STNT & ATHE

Facility

$131,167.45

Service Code	HCPCS 37227
Hospital Charge Code	7411517
Hospital Revenue Code	361
Min. Negotiated Rate	$19,675.12
Max. Negotiated Rate	$19,675.12
Rate for Payer: Qualcare PPO/HMO/WC	$19,675.12

IR FEM/POPL REVASC STNT & ATHE

Facility

$80,096.45

Service Code	HCPCS 37227
Hospital Charge Code	366837227
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$40,048.22
Rate for Payer: Aetna Commercial	$24,028.94
Rate for Payer: Aetna Medicare Advantage	$24,028.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20,424.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20,424.59
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	$20,424.59
Rate for Payer: Cigna Commercial	$40,048.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10,412.54
Rate for Payer: Oxford Commercial	$11,667.00
Rate for Payer: Qualcare PPO/HMO/WC	$12,014.47
Rate for Payer: UnitedHealthcare Commercial	$13,243.00

IR FEM/POPL REVASC STNT & ATHE

Facility

$89,914.40

Service Code	HCPCS 37227
Hospital Charge Code	321037227
Hospital Revenue Code	361
Min. Negotiated Rate	$13,487.16
Max. Negotiated Rate	$13,487.16
Rate for Payer: Qualcare PPO/HMO/WC	$13,487.16

IR FEM/POPL REVASC STNT & ATHE

Facility

$80,096.45

Service Code	HCPCS 37227
Hospital Charge Code	366837227
Hospital Revenue Code	361
Min. Negotiated Rate	$12,014.47
Max. Negotiated Rate	$12,014.47
Rate for Payer: Qualcare PPO/HMO/WC	$12,014.47

IR FEM/POPL REVASC W/STENT

Facility

$52,548.60

Service Code	HCPCS 37226
Hospital Charge Code	366837226
Hospital Revenue Code	361
Min. Negotiated Rate	$7,882.29
Max. Negotiated Rate	$7,882.29
Rate for Payer: Qualcare PPO/HMO/WC	$7,882.29

IR FEM/POPL REVASC W/STENT

Facility

$52,548.60

Service Code	HCPCS 37267
Hospital Charge Code	411037226
Hospital Revenue Code	361
Min. Negotiated Rate	$7,882.29
Max. Negotiated Rate	$7,882.29
Rate for Payer: Qualcare PPO/HMO/WC	$7,882.29

IR FEM/POPL REVASC W/STENT

Facility

$75,737.34

Service Code	HCPCS 37226
Hospital Charge Code	321037226
Hospital Revenue Code	361
Min. Negotiated Rate	$11,360.60
Max. Negotiated Rate	$11,360.60
Rate for Payer: Qualcare PPO/HMO/WC	$11,360.60

IR FEM/POPL REVASC W/STENT

Facility

$75,737.34

Service Code	HCPCS 37226
Hospital Charge Code	5600207
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$37,868.67
Rate for Payer: Aetna Commercial	$22,721.20
Rate for Payer: Aetna Medicare Advantage	$22,721.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19,313.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19,313.02
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	$19,313.02
Rate for Payer: Cigna Commercial	$37,868.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,845.85
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$11,360.60
Rate for Payer: UnitedHealthcare Commercial	$10,997.00

IR FEM/POPL REVASC W/STENT

Facility

$75,737.34

Service Code	HCPCS 37226
Hospital Charge Code	7411516
Hospital Revenue Code	361
Min. Negotiated Rate	$11,360.60
Max. Negotiated Rate	$11,360.60
Rate for Payer: Qualcare PPO/HMO/WC	$11,360.60

IR FEM/POPL REVASC W/STENT

Facility

$75,737.34

Service Code	HCPCS 37226
Hospital Charge Code	7411516
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$37,868.67
Rate for Payer: Aetna Commercial	$22,721.20
Rate for Payer: Aetna Medicare Advantage	$22,721.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19,313.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19,313.02
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	$19,313.02
Rate for Payer: Cigna Commercial	$37,868.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,845.85
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$11,360.60
Rate for Payer: UnitedHealthcare Commercial	$10,997.00

IR FEM/POPL REVASC W/STENT

Facility

$75,737.34

Service Code	HCPCS 37226
Hospital Charge Code	321037226
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$37,868.67
Rate for Payer: Aetna Commercial	$22,721.20
Rate for Payer: Aetna Medicare Advantage	$22,721.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19,313.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19,313.02
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	$19,313.02
Rate for Payer: Cigna Commercial	$37,868.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,845.85
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$11,360.60
Rate for Payer: UnitedHealthcare Commercial	$10,997.00

IR FEM/POPL REVASC W/STENT

Facility

$52,548.60

Service Code	HCPCS 37267
Hospital Charge Code	411037226
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$27,491.26
Rate for Payer: Aetna Commercial	$15,764.58
Rate for Payer: Aetna Medicare Advantage	$15,764.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,399.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,399.89
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	$13,399.89
Rate for Payer: Cigna Commercial	$27,491.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,831.32
Rate for Payer: Qualcare PPO/HMO/WC	$7,882.29

IR FEM/POPL REVASC W/STENT

Facility

$52,548.60

Service Code	HCPCS 37226
Hospital Charge Code	366837226
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$26,274.30
Rate for Payer: Aetna Commercial	$15,764.58
Rate for Payer: Aetna Medicare Advantage	$15,764.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,399.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,399.89
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	$13,399.89
Rate for Payer: Cigna Commercial	$26,274.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,831.32
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,882.29
Rate for Payer: UnitedHealthcare Commercial	$10,997.00

IR FEM/POPL REVASC W/STENT

Facility

$75,737.34

Service Code	HCPCS 37226
Hospital Charge Code	5600207
Hospital Revenue Code	361
Min. Negotiated Rate	$11,360.60
Max. Negotiated Rate	$11,360.60
Rate for Payer: Qualcare PPO/HMO/WC	$11,360.60

IR FEM/POPL REVAS W/ATHER

Facility

$56,620.95

Service Code	HCPCS 37225
Hospital Charge Code	5600206
Hospital Revenue Code	361
Min. Negotiated Rate	$8,493.14
Max. Negotiated Rate	$8,493.14
Rate for Payer: Qualcare PPO/HMO/WC	$8,493.14

IR FEM/POPL REVAS W/ATHER

Facility

$56,620.95

Service Code	HCPCS 37225
Hospital Charge Code	321037225
Hospital Revenue Code	361
Min. Negotiated Rate	$8,493.14
Max. Negotiated Rate	$8,493.14
Rate for Payer: Qualcare PPO/HMO/WC	$8,493.14

IR FEM/POPL REVAS W/ATHER

Facility

$52,548.60

Service Code	HCPCS 37225
Hospital Charge Code	366837225
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$26,274.30
Rate for Payer: Aetna Commercial	$15,764.58
Rate for Payer: Aetna Medicare Advantage	$15,764.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,399.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,399.89
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	$13,399.89
Rate for Payer: Cigna Commercial	$26,274.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,831.32
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,882.29
Rate for Payer: UnitedHealthcare Commercial	$10,997.00

Know your out-of-pocket cost for care.

All Charges