Heights University Hospital

All Charges

Charge

Type

Setting

Price

IR-PLACE BRSTCLIP PRCT-LT

Facility

$471.00

Hospital Charge Code	2690910
Hospital Revenue Code	361
Min. Negotiated Rate	$70.65
Max. Negotiated Rate	$70.65
Rate for Payer: Qualcare PPO/HMO/WC	$70.65

IR-PLACE BRSTCLIP PRCT-LT

Facility

$471.00

Hospital Charge Code	2690910
Hospital Revenue Code	361
Min. Negotiated Rate	$61.23
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$141.30
Rate for Payer: Aetna Medicare Advantage	$141.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$120.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$120.11
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	$120.11
Rate for Payer: Cigna Commercial	$235.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.23
Rate for Payer: Qualcare PPO/HMO/WC	$70.65

IR-PLACE BRSTCLIP PRCT-RT

Facility

$471.00

Hospital Charge Code	2690915
Hospital Revenue Code	361
Min. Negotiated Rate	$70.65
Max. Negotiated Rate	$70.65
Rate for Payer: Qualcare PPO/HMO/WC	$70.65

IR-PLACE BRSTCLIP PRCT-RT

Facility

$471.00

Hospital Charge Code	2690915
Hospital Revenue Code	361
Min. Negotiated Rate	$61.23
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$141.30
Rate for Payer: Aetna Medicare Advantage	$141.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$120.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$120.11
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	$120.11
Rate for Payer: Cigna Commercial	$235.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.23
Rate for Payer: Qualcare PPO/HMO/WC	$70.65

IR PLACE CATH IN VEIN BILATERL

Facility

$2,918.60

Service Code	HCPCS 3601250
Hospital Charge Code	2600142
Hospital Revenue Code	361
Min. Negotiated Rate	$379.42
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$875.58
Rate for Payer: Aetna Medicare Advantage	$875.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$744.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$744.24
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	$744.24
Rate for Payer: Cigna Commercial	$1,459.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$379.42
Rate for Payer: Qualcare PPO/HMO/WC	$437.79

IR PLACE CATH IN VEIN BILATERL

Facility

$2,918.60

Service Code	HCPCS 3601250
Hospital Charge Code	2600142
Hospital Revenue Code	361
Min. Negotiated Rate	$437.79
Max. Negotiated Rate	$437.79
Rate for Payer: Qualcare PPO/HMO/WC	$437.79

IR PLACE CATH IN VEIN BILATRL

Facility

$5,837.20

Service Code	HCPCS 3601250
Hospital Charge Code	2004950
Hospital Revenue Code	361
Min. Negotiated Rate	$875.58
Max. Negotiated Rate	$875.58
Rate for Payer: Qualcare PPO/HMO/WC	$875.58

IR PLACE CATH IN VEIN BILATRL

Facility

$5,837.20

Service Code	HCPCS 3601250
Hospital Charge Code	7411791
Hospital Revenue Code	361
Min. Negotiated Rate	$875.58
Max. Negotiated Rate	$875.58
Rate for Payer: Qualcare PPO/HMO/WC	$875.58

IR PLACE CATH IN VEIN BILATRL

Facility

$5,837.20

Service Code	HCPCS 3601250
Hospital Charge Code	7411791
Hospital Revenue Code	361
Min. Negotiated Rate	$758.84
Max. Negotiated Rate	$2,918.60
Rate for Payer: Aetna Commercial	$1,751.16
Rate for Payer: Aetna Medicare Advantage	$1,751.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,488.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,488.49
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	$1,488.49
Rate for Payer: Cigna Commercial	$2,918.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$758.84
Rate for Payer: Qualcare PPO/HMO/WC	$875.58

IR PLACE CATH IN VEIN BILATRL

Facility

$5,837.20

Service Code	HCPCS 3601250
Hospital Charge Code	2004950
Hospital Revenue Code	361
Min. Negotiated Rate	$758.84
Max. Negotiated Rate	$2,918.60
Rate for Payer: Aetna Commercial	$1,751.16
Rate for Payer: Aetna Medicare Advantage	$1,751.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,488.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,488.49
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	$1,488.49
Rate for Payer: Cigna Commercial	$2,918.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$758.84
Rate for Payer: Qualcare PPO/HMO/WC	$875.58

IR PLACE CATH IN VEIN LEFT

Facility

$2,918.60

Service Code	HCPCS 36012LT
Hospital Charge Code	7411899
Hospital Revenue Code	361
Min. Negotiated Rate	$437.79
Max. Negotiated Rate	$437.79
Rate for Payer: Qualcare PPO/HMO/WC	$437.79

IR PLACE CATH IN VEIN LEFT

Facility

$2,919.00

Service Code	HCPCS 36012LT
Hospital Charge Code	321036012L
Hospital Revenue Code	361
Min. Negotiated Rate	$379.47
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$875.70
Rate for Payer: Aetna Medicare Advantage	$875.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$744.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$744.35
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	$744.35
Rate for Payer: Cigna Commercial	$1,459.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$379.47
Rate for Payer: Qualcare PPO/HMO/WC	$437.85

IR PLACE CATH IN VEIN LEFT

Facility

$2,918.60

Service Code	HCPCS 36012LT
Hospital Charge Code	7411899
Hospital Revenue Code	361
Min. Negotiated Rate	$379.42
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$875.58
Rate for Payer: Aetna Medicare Advantage	$875.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$744.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$744.24
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	$744.24
Rate for Payer: Cigna Commercial	$1,459.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$379.42
Rate for Payer: Qualcare PPO/HMO/WC	$437.79

IR PLACE CATH IN VEIN LEFT

Facility

$2,919.00

Service Code	HCPCS 36012LT
Hospital Charge Code	321036012L
Hospital Revenue Code	361
Min. Negotiated Rate	$437.85
Max. Negotiated Rate	$437.85
Rate for Payer: Qualcare PPO/HMO/WC	$437.85

IR PLACE CATH IN VEIN LEFT

Facility

$2,919.00

Service Code	HCPCS 36012LT
Hospital Charge Code	2600143
Hospital Revenue Code	361
Min. Negotiated Rate	$437.85
Max. Negotiated Rate	$437.85
Rate for Payer: Qualcare PPO/HMO/WC	$437.85

IR PLACE CATH IN VEIN LEFT

Facility

$2,919.00

Service Code	HCPCS 36012LT
Hospital Charge Code	2600143
Hospital Revenue Code	361
Min. Negotiated Rate	$379.47
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$875.70
Rate for Payer: Aetna Medicare Advantage	$875.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$744.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$744.35
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	$744.35
Rate for Payer: Cigna Commercial	$1,459.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$379.47
Rate for Payer: Qualcare PPO/HMO/WC	$437.85

IR PLACE CATH IN VEIN RIGHT

Facility

$2,918.60

Service Code	HCPCS 36012RT
Hospital Charge Code	7411900
Hospital Revenue Code	361
Min. Negotiated Rate	$379.42
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$875.58
Rate for Payer: Aetna Medicare Advantage	$875.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$744.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$744.24
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	$744.24
Rate for Payer: Cigna Commercial	$1,459.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$379.42
Rate for Payer: Qualcare PPO/HMO/WC	$437.79

IR PLACE CATH IN VEIN RIGHT

Facility

$2,919.00

Service Code	HCPCS 36012RT
Hospital Charge Code	321036012R
Hospital Revenue Code	361
Min. Negotiated Rate	$437.85
Max. Negotiated Rate	$437.85
Rate for Payer: Qualcare PPO/HMO/WC	$437.85

IR PLACE CATH IN VEIN RIGHT

Facility

$2,919.00

Service Code	HCPCS 36012RT
Hospital Charge Code	321036012R
Hospital Revenue Code	361
Min. Negotiated Rate	$379.47
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$875.70
Rate for Payer: Aetna Medicare Advantage	$875.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$744.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$744.35
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	$744.35
Rate for Payer: Cigna Commercial	$1,459.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$379.47
Rate for Payer: Qualcare PPO/HMO/WC	$437.85

IR PLACE CATH IN VEIN RIGHT

Facility

$2,918.60

Service Code	HCPCS 36012RT
Hospital Charge Code	7411900
Hospital Revenue Code	361
Min. Negotiated Rate	$437.79
Max. Negotiated Rate	$437.79
Rate for Payer: Qualcare PPO/HMO/WC	$437.79

IR PLACE CATH IN VEIN RIGHT

Facility

$2,919.00

Service Code	HCPCS 36012RT
Hospital Charge Code	2600144
Hospital Revenue Code	361
Min. Negotiated Rate	$379.47
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$875.70
Rate for Payer: Aetna Medicare Advantage	$875.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$744.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$744.35
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	$744.35
Rate for Payer: Cigna Commercial	$1,459.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$379.47
Rate for Payer: Qualcare PPO/HMO/WC	$437.85

IR PLACE CATH IN VEIN RIGHT

Facility

$2,919.00

Service Code	HCPCS 36012RT
Hospital Charge Code	2600144
Hospital Revenue Code	361
Min. Negotiated Rate	$437.85
Max. Negotiated Rate	$437.85
Rate for Payer: Qualcare PPO/HMO/WC	$437.85

IR-PLACE CATH PULM ART-BI

Facility

$230.00

Service Code	HCPCS 3601450
Hospital Charge Code	7411792
Hospital Revenue Code	361
Min. Negotiated Rate	$29.90
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$69.00
Rate for Payer: Aetna Medicare Advantage	$69.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.65
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	$58.65
Rate for Payer: Cigna Commercial	$115.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.90
Rate for Payer: Qualcare PPO/HMO/WC	$34.50

IR-PLACE CATH PULM ART-BI

Facility

$230.00

Service Code	HCPCS 3601450
Hospital Charge Code	2690435
Hospital Revenue Code	361
Min. Negotiated Rate	$34.50
Max. Negotiated Rate	$34.50
Rate for Payer: Qualcare PPO/HMO/WC	$34.50

IR-PLACE CATH PULM ART-BI

Facility

$230.00

Service Code	HCPCS 3601450
Hospital Charge Code	7411792
Hospital Revenue Code	361
Min. Negotiated Rate	$34.50
Max. Negotiated Rate	$34.50
Rate for Payer: Qualcare PPO/HMO/WC	$34.50

Know your out-of-pocket cost for care.

All Charges