Heights University Hospital

All Charges

Charge

Type

Setting

Price

IR INS TUND CV CATH W PORT>5

Facility

$15,468.50

Service Code	HCPCS 36561
Hospital Charge Code	2011293
Hospital Revenue Code	361
Min. Negotiated Rate	$2,320.28
Max. Negotiated Rate	$2,320.28
Rate for Payer: Qualcare PPO/HMO/WC	$2,320.28

IR INS TUND CV CATH W PORT>5

Facility

$8,696.85

Service Code	HCPCS 36561
Hospital Charge Code	7411453
Hospital Revenue Code	361
Min. Negotiated Rate	$1,130.59
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Commercial	$2,609.05
Rate for Payer: Aetna Medicare Advantage	$2,609.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,217.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,217.70
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	$2,217.70
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,130.59
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,304.53
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

IR INS TUND CV CATH W PORT>5

Facility

$15,468.50

Service Code	HCPCS 36561
Hospital Charge Code	321036561
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
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	$1,864.00
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	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,320.28
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

IR INS TUND CV CATH W PORT>5

Facility

$15,468.50

Service Code	HCPCS 36561
Hospital Charge Code	2011293
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
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	$1,864.00
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	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,320.28
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

IR INS TUND CV CATH W PORT>5

Facility

$8,696.85

Service Code	HCPCS 36561
Hospital Charge Code	7411453
Hospital Revenue Code	361
Min. Negotiated Rate	$1,304.53
Max. Negotiated Rate	$1,304.53
Rate for Payer: Qualcare PPO/HMO/WC	$1,304.53

IR-INS TUN PLEURL CATH-BI

Facility

$9,036.00

Service Code	HCPCS 3255050
Hospital Charge Code	7411782
Hospital Revenue Code	361
Min. Negotiated Rate	$1,174.68
Max. Negotiated Rate	$4,518.00
Rate for Payer: Aetna Commercial	$2,710.80
Rate for Payer: Aetna Medicare Advantage	$2,710.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,304.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,304.18
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	$2,304.18
Rate for Payer: Cigna Commercial	$4,518.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,174.68
Rate for Payer: Qualcare PPO/HMO/WC	$1,355.40

IR-INS TUN PLEURL CATH-BI

Facility

$9,036.00

Service Code	HCPCS 3255050
Hospital Charge Code	2690385
Hospital Revenue Code	361
Min. Negotiated Rate	$1,355.40
Max. Negotiated Rate	$1,355.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,355.40

IR-INS TUN PLEURL CATH-BI

Facility

$9,036.00

Service Code	HCPCS 3255050
Hospital Charge Code	7411782
Hospital Revenue Code	361
Min. Negotiated Rate	$1,355.40
Max. Negotiated Rate	$1,355.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,355.40

IR-INS TUN PLEURL CATH-BI

Facility

$9,036.00

Service Code	HCPCS 3255050
Hospital Charge Code	2690385
Hospital Revenue Code	361
Min. Negotiated Rate	$1,174.68
Max. Negotiated Rate	$4,518.00
Rate for Payer: Aetna Commercial	$2,710.80
Rate for Payer: Aetna Medicare Advantage	$2,710.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,304.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,304.18
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	$2,304.18
Rate for Payer: Cigna Commercial	$4,518.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,174.68
Rate for Payer: Qualcare PPO/HMO/WC	$1,355.40

IR-INS TUN PLEURL CATH-RT

Facility

$9,036.00

Service Code	HCPCS 32550RT
Hospital Charge Code	7411884
Hospital Revenue Code	361
Min. Negotiated Rate	$1,174.68
Max. Negotiated Rate	$4,518.00
Rate for Payer: Aetna Commercial	$2,710.80
Rate for Payer: Aetna Medicare Advantage	$2,710.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,304.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,304.18
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	$2,304.18
Rate for Payer: Cigna Commercial	$4,518.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,174.68
Rate for Payer: Qualcare PPO/HMO/WC	$1,355.40

IR-INS TUN PLEURL CATH-RT

Facility

$17,259.20

Service Code	HCPCS 32550RT
Hospital Charge Code	2691065
Hospital Revenue Code	361
Min. Negotiated Rate	$2,588.88
Max. Negotiated Rate	$2,588.88
Rate for Payer: Qualcare PPO/HMO/WC	$2,588.88

IR-INS TUN PLEURL CATH-RT

Facility

$17,259.20

Service Code	HCPCS 32550RT
Hospital Charge Code	321032550R
Hospital Revenue Code	361
Min. Negotiated Rate	$2,588.88
Max. Negotiated Rate	$2,588.88
Rate for Payer: Qualcare PPO/HMO/WC	$2,588.88

IR-INS TUN PLEURL CATH-RT

Facility

$17,259.20

Service Code	HCPCS 32550RT
Hospital Charge Code	321032550R
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$8,629.60
Rate for Payer: Aetna Commercial	$5,177.76
Rate for Payer: Aetna Medicare Advantage	$5,177.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,401.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,401.10
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	$4,401.10
Rate for Payer: Cigna Commercial	$8,629.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,243.70
Rate for Payer: Qualcare PPO/HMO/WC	$2,588.88

IR-INS TUN PLEURL CATH-RT

Facility

$9,036.00

Service Code	HCPCS 32550RT
Hospital Charge Code	7411884
Hospital Revenue Code	361
Min. Negotiated Rate	$1,355.40
Max. Negotiated Rate	$1,355.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,355.40

IR-INS TUN PLEURL CATH-RT

Facility

$17,259.20

Service Code	HCPCS 32550RT
Hospital Charge Code	2691065
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$8,629.60
Rate for Payer: Aetna Commercial	$5,177.76
Rate for Payer: Aetna Medicare Advantage	$5,177.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,401.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,401.10
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	$4,401.10
Rate for Payer: Cigna Commercial	$8,629.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,243.70
Rate for Payer: Qualcare PPO/HMO/WC	$2,588.88

IR-INTERSTIT PLACE NDL/CA

Facility

$10,856.00

Service Code	HCPCS 55875
Hospital Charge Code	7411635
Hospital Revenue Code	761
Min. Negotiated Rate	$1,628.40
Max. Negotiated Rate	$1,628.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,628.40

IR-INTERSTIT PLACE NDL/CA

Facility

$10,856.00

Service Code	HCPCS 55875
Hospital Charge Code	2690210
Hospital Revenue Code	761
Min. Negotiated Rate	$1,411.28
Max. Negotiated Rate	$12,768.54
Rate for Payer: Aetna Commercial	$3,256.80
Rate for Payer: Aetna Medicare Advantage	$3,256.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,768.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,768.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,768.28
Rate for Payer: Cigna Commercial	$12,768.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,411.28
Rate for Payer: Oxford Commercial	$5,428.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,628.40
Rate for Payer: UnitedHealthcare Commercial	$5,428.00

IR-INTERSTIT PLACE NDL/CA

Facility

$10,856.00

Service Code	HCPCS 55875
Hospital Charge Code	2690210
Hospital Revenue Code	761
Min. Negotiated Rate	$1,628.40
Max. Negotiated Rate	$1,628.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,628.40

IR-INTERSTIT PLACE NDL/CA

Facility

$10,856.00

Service Code	HCPCS 55875
Hospital Charge Code	7411635
Hospital Revenue Code	761
Min. Negotiated Rate	$1,411.28
Max. Negotiated Rate	$12,768.54
Rate for Payer: Aetna Commercial	$3,256.80
Rate for Payer: Aetna Medicare Advantage	$3,256.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,768.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,768.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,768.28
Rate for Payer: Cigna Commercial	$12,768.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,411.28
Rate for Payer: Oxford Commercial	$5,428.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,628.40
Rate for Payer: UnitedHealthcare Commercial	$5,428.00

IR-INTR0 GUIDE REN PEL-BI

Facility

$5,397.00

Service Code	HCPCS 5039550
Hospital Charge Code	7411824
Hospital Revenue Code	761
Min. Negotiated Rate	$701.61
Max. Negotiated Rate	$2,698.50
Rate for Payer: Aetna Commercial	$1,619.10
Rate for Payer: Aetna Medicare Advantage	$1,619.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,376.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,376.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,376.23
Rate for Payer: Cigna Commercial	$2,698.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$701.61
Rate for Payer: Oxford Commercial	$2,698.50
Rate for Payer: Qualcare PPO/HMO/WC	$809.55
Rate for Payer: UnitedHealthcare Commercial	$2,698.50

IR-INTR0 GUIDE REN PEL-BI

Facility

$5,397.00

Service Code	HCPCS 5039550
Hospital Charge Code	7411824
Hospital Revenue Code	761
Min. Negotiated Rate	$809.55
Max. Negotiated Rate	$809.55
Rate for Payer: Qualcare PPO/HMO/WC	$809.55

IR-INTR0 GUIDE REN PEL-BI

Facility

$5,397.00

Service Code	HCPCS 5039550
Hospital Charge Code	2690650
Hospital Revenue Code	761
Min. Negotiated Rate	$809.55
Max. Negotiated Rate	$809.55
Rate for Payer: Qualcare PPO/HMO/WC	$809.55

IR-INTR0 GUIDE REN PEL-BI

Facility

$5,397.00

Service Code	HCPCS 5039550
Hospital Charge Code	2690650
Hospital Revenue Code	761
Min. Negotiated Rate	$701.61
Max. Negotiated Rate	$2,698.50
Rate for Payer: Aetna Commercial	$1,619.10
Rate for Payer: Aetna Medicare Advantage	$1,619.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,376.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,376.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,376.23
Rate for Payer: Cigna Commercial	$2,698.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$701.61
Rate for Payer: Oxford Commercial	$2,698.50
Rate for Payer: Qualcare PPO/HMO/WC	$809.55
Rate for Payer: UnitedHealthcare Commercial	$2,698.50

IR INTRAVASCULAR US

Facility

$897.55

Hospital Charge Code	5700194
Hospital Revenue Code	323
Min. Negotiated Rate	$134.63
Max. Negotiated Rate	$134.63
Rate for Payer: Qualcare PPO/HMO/WC	$134.63

IR INTRAVASCULAR US

Facility

$897.55

Hospital Charge Code	5700194
Hospital Revenue Code	323
Min. Negotiated Rate	$116.68
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$269.26
Rate for Payer: Aetna Medicare Advantage	$269.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$228.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$228.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$228.88
Rate for Payer: Cigna Commercial	$448.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.68
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$134.63
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

Know your out-of-pocket cost for care.

All Charges