Heights University Hospital

All Charges

Charge

Type

Setting

Price

IR IV US FIRST VESSEL ADD ON

Facility

$1,517.60

Hospital Charge Code	5700192
Hospital Revenue Code	361
Min. Negotiated Rate	$197.29
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$455.28
Rate for Payer: Aetna Medicare Advantage	$455.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$386.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$386.99
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	$386.99
Rate for Payer: Cigna Commercial	$758.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$197.29
Rate for Payer: Qualcare PPO/HMO/WC	$227.64

IR IV US FIRST VESSEL ADD ON

Facility

$1,517.60

Hospital Charge Code	5700192
Hospital Revenue Code	361
Min. Negotiated Rate	$227.64
Max. Negotiated Rate	$227.64
Rate for Payer: Qualcare PPO/HMO/WC	$227.64

IR-KIDNEY XRAY INJ-BI

Facility

$185.00

Hospital Charge Code	2690645
Hospital Revenue Code	361
Min. Negotiated Rate	$24.05
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$55.50
Rate for Payer: Aetna Medicare Advantage	$55.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.17
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	$47.17
Rate for Payer: Cigna Commercial	$92.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.05
Rate for Payer: Qualcare PPO/HMO/WC	$27.75

IR-KIDNEY XRAY INJ-BI

Facility

$185.00

Hospital Charge Code	2690645
Hospital Revenue Code	361
Min. Negotiated Rate	$27.75
Max. Negotiated Rate	$27.75
Rate for Payer: Qualcare PPO/HMO/WC	$27.75

IR-KIDNEY XRAY INJ-LT

Facility

$185.00

Hospital Charge Code	2691620
Hospital Revenue Code	361
Min. Negotiated Rate	$24.05
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$55.50
Rate for Payer: Aetna Medicare Advantage	$55.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.17
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	$47.17
Rate for Payer: Cigna Commercial	$92.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.05
Rate for Payer: Qualcare PPO/HMO/WC	$27.75

IR-KIDNEY XRAY INJ-LT

Facility

$185.00

Hospital Charge Code	2691620
Hospital Revenue Code	361
Min. Negotiated Rate	$27.75
Max. Negotiated Rate	$27.75
Rate for Payer: Qualcare PPO/HMO/WC	$27.75

IR-KIDNEY XRAY INJ-RT

Facility

$185.00

Hospital Charge Code	2691625
Hospital Revenue Code	361
Min. Negotiated Rate	$24.05
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$55.50
Rate for Payer: Aetna Medicare Advantage	$55.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.17
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	$47.17
Rate for Payer: Cigna Commercial	$92.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.05
Rate for Payer: Qualcare PPO/HMO/WC	$27.75

IR-KIDNEY XRAY INJ-RT

Facility

$185.00

Hospital Charge Code	2691625
Hospital Revenue Code	361
Min. Negotiated Rate	$27.75
Max. Negotiated Rate	$27.75
Rate for Payer: Qualcare PPO/HMO/WC	$27.75

IR KNEE,ARTHROGRAPHY,RADIOL

Facility

$1,667.37

Service Code	HCPCS 73580
Hospital Charge Code	2680290
Hospital Revenue Code	322
Min. Negotiated Rate	$39.27
Max. Negotiated Rate	$1,627.00
Rate for Payer: Aetna Better Health Medicaid	$1,595.10
Rate for Payer: Aetna Commercial	$500.21
Rate for Payer: Aetna Medicare Advantage	$500.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$425.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$425.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$425.18
Rate for Payer: Cigna Commercial	$830.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$216.76
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$250.11
Rate for Payer: UnitedHealthcare Commercial	$1,489.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$1,627.00

IR KNEE,ARTHROGRAPHY,RADIOL

Facility

$1,667.37

Service Code	HCPCS 73580
Hospital Charge Code	2680290
Hospital Revenue Code	322
Min. Negotiated Rate	$250.11
Max. Negotiated Rate	$250.11
Rate for Payer: Qualcare PPO/HMO/WC	$250.11

IR KNEE,ARTHROGRAPHY,RADIOL

Facility

$1,667.37

Service Code	HCPCS 73580
Hospital Charge Code	7411669
Hospital Revenue Code	322
Min. Negotiated Rate	$39.27
Max. Negotiated Rate	$1,627.00
Rate for Payer: Aetna Better Health Medicaid	$1,595.10
Rate for Payer: Aetna Commercial	$500.21
Rate for Payer: Aetna Medicare Advantage	$500.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$425.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$425.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$425.18
Rate for Payer: Cigna Commercial	$830.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$216.76
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$250.11
Rate for Payer: UnitedHealthcare Commercial	$1,489.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$1,627.00

IR KNEE,ARTHROGRAPHY,RADIOL

Facility

$1,667.37

Service Code	HCPCS 73580
Hospital Charge Code	7411669
Hospital Revenue Code	322
Min. Negotiated Rate	$250.11
Max. Negotiated Rate	$250.11
Rate for Payer: Qualcare PPO/HMO/WC	$250.11

IR LIGATION OF COMMON ILIAC VE

Facility

$30,356.90

Service Code	HCPCS 37660
Hospital Charge Code	2680190
Hospital Revenue Code	361
Min. Negotiated Rate	$4,553.53
Max. Negotiated Rate	$4,553.53
Rate for Payer: Qualcare PPO/HMO/WC	$4,553.53

IR LIGATION OF COMMON ILIAC VE

Facility

$30,356.90

Service Code	HCPCS 37660
Hospital Charge Code	2680190
Hospital Revenue Code	361
Min. Negotiated Rate	$1,327.55
Max. Negotiated Rate	$9,107.07
Rate for Payer: Aetna Commercial	$9,107.07
Rate for Payer: Aetna Medicare Advantage	$9,107.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,741.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,741.01
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	$7,741.01
Rate for Payer: Cigna Commercial	$1,327.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,946.40
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,553.53
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

IR LIGATION OF COMMON ILIAC VE

Facility

$30,356.90

Service Code	HCPCS 37660
Hospital Charge Code	7411538
Hospital Revenue Code	361
Min. Negotiated Rate	$4,553.53
Max. Negotiated Rate	$4,553.53
Rate for Payer: Qualcare PPO/HMO/WC	$4,553.53

IR LIGATION OF COMMON ILIAC VE

Facility

$30,356.90

Service Code	HCPCS 37660
Hospital Charge Code	7411538
Hospital Revenue Code	361
Min. Negotiated Rate	$1,327.55
Max. Negotiated Rate	$9,107.07
Rate for Payer: Aetna Commercial	$9,107.07
Rate for Payer: Aetna Medicare Advantage	$9,107.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,741.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,741.01
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	$7,741.01
Rate for Payer: Cigna Commercial	$1,327.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,946.40
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,553.53
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

IR LOOPOGRAM

Facility

$906.25

Service Code	HCPCS 74425
Hospital Charge Code	7411677
Hospital Revenue Code	320
Min. Negotiated Rate	$135.94
Max. Negotiated Rate	$135.94
Rate for Payer: Qualcare PPO/HMO/WC	$135.94

IR LOOPOGRAM

Facility

$906.25

Service Code	HCPCS 74425
Hospital Charge Code	2600091
Hospital Revenue Code	320
Min. Negotiated Rate	$135.94
Max. Negotiated Rate	$135.94
Rate for Payer: Qualcare PPO/HMO/WC	$135.94

IR LOOPOGRAM

Facility

$906.25

Service Code	HCPCS 74425
Hospital Charge Code	2600091
Hospital Revenue Code	320
Min. Negotiated Rate	$52.36
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$271.88
Rate for Payer: Aetna Medicare Advantage	$271.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$231.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$231.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$52.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$231.09
Rate for Payer: Cigna Commercial	$830.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.81
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$135.94
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

IR LOOPOGRAM

Facility

$906.25

Service Code	HCPCS 74425
Hospital Charge Code	7411677
Hospital Revenue Code	320
Min. Negotiated Rate	$52.36
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$271.88
Rate for Payer: Aetna Medicare Advantage	$271.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$231.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$231.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$52.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$231.09
Rate for Payer: Cigna Commercial	$830.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.81
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$135.94
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

IR-LUMBAR PUNC FOR DX

Facility

$3,506.55

Service Code	HCPCS 62270
Hospital Charge Code	321062270
Hospital Revenue Code	361
Min. Negotiated Rate	$525.98
Max. Negotiated Rate	$525.98
Rate for Payer: Qualcare PPO/HMO/WC	$525.98

IR-LUMBAR PUNC FOR DX

Facility

$3,506.55

Service Code	HCPCS 62270
Hospital Charge Code	2670210
Hospital Revenue Code	361
Min. Negotiated Rate	$455.85
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$1,051.96
Rate for Payer: Aetna Medicare Advantage	$1,051.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$894.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$894.17
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	$894.17
Rate for Payer: Cigna Commercial	$1,680.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$455.85
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$525.98
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

IR-LUMBAR PUNC FOR DX

Facility

$3,506.55

Service Code	HCPCS 62270
Hospital Charge Code	2670210
Hospital Revenue Code	361
Min. Negotiated Rate	$525.98
Max. Negotiated Rate	$525.98
Rate for Payer: Qualcare PPO/HMO/WC	$525.98

IR-LUMBAR PUNC FOR DX

Facility

$3,506.55

Service Code	HCPCS 62270
Hospital Charge Code	321062270
Hospital Revenue Code	361
Min. Negotiated Rate	$455.85
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$1,051.96
Rate for Payer: Aetna Medicare Advantage	$1,051.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$894.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$894.17
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	$894.17
Rate for Payer: Cigna Commercial	$1,680.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$455.85
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$525.98
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

IR-LUMBAR PUNC FOR DX

Facility

$1,620.78

Service Code	HCPCS 62270
Hospital Charge Code	7411650
Hospital Revenue Code	361
Min. Negotiated Rate	$210.70
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$486.23
Rate for Payer: Aetna Medicare Advantage	$486.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$413.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$413.30
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	$413.30
Rate for Payer: Cigna Commercial	$1,680.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$210.70
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$243.12
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

Know your out-of-pocket cost for care.

All Charges