Heights University Hospital

All Charges

Charge

Type

Setting

Price

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-LT

Facility

$230.00

Service Code	HCPCS 36014LT
Hospital Charge Code	2691170
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-LT

Facility

$230.00

Service Code	HCPCS 36014LT
Hospital Charge Code	321036014L
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-LT

Facility

$230.00

Service Code	HCPCS 36014LT
Hospital Charge Code	7411902
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-LT

Facility

$230.00

Service Code	HCPCS 36014LT
Hospital Charge Code	321036014L
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-LT

Facility

$230.00

Service Code	HCPCS 36014LT
Hospital Charge Code	7411902
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-LT

Facility

$230.00

Service Code	HCPCS 36014LT
Hospital Charge Code	2691170
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-RT

Facility

$230.00

Service Code	HCPCS 36014RT
Hospital Charge Code	2691175
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-RT

Facility

$230.00

Service Code	HCPCS 36014RT
Hospital Charge Code	7411903
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-RT

Facility

$230.00

Service Code	HCPCS 36014RT
Hospital Charge Code	7411903
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-RT

Facility

$230.00

Service Code	HCPCS 36014RT
Hospital Charge Code	321036014R
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-RT

Facility

$230.00

Service Code	HCPCS 36014RT
Hospital Charge Code	2691175
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-RT

Facility

$230.00

Service Code	HCPCS 36014RT
Hospital Charge Code	321036014R
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 SEGM ART-BI

Facility

$268.00

Service Code	HCPCS 3601550
Hospital Charge Code	2690440
Hospital Revenue Code	361
Min. Negotiated Rate	$40.20
Max. Negotiated Rate	$40.20
Rate for Payer: Qualcare PPO/HMO/WC	$40.20

IR-PLACE CATH SEGM ART-BI

Facility

$268.00

Service Code	HCPCS 3601550
Hospital Charge Code	2690440
Hospital Revenue Code	361
Min. Negotiated Rate	$34.84
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$80.40
Rate for Payer: Aetna Medicare Advantage	$80.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.34
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	$68.34
Rate for Payer: Cigna Commercial	$134.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.84
Rate for Payer: Qualcare PPO/HMO/WC	$40.20

IR-PLACE CATH SEGM ART-BI

Facility

$268.00

Service Code	HCPCS 3601550
Hospital Charge Code	7411793
Hospital Revenue Code	361
Min. Negotiated Rate	$40.20
Max. Negotiated Rate	$40.20
Rate for Payer: Qualcare PPO/HMO/WC	$40.20

IR-PLACE CATH SEGM ART-BI

Facility

$268.00

Service Code	HCPCS 3601550
Hospital Charge Code	7411793
Hospital Revenue Code	361
Min. Negotiated Rate	$34.84
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$80.40
Rate for Payer: Aetna Medicare Advantage	$80.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.34
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	$68.34
Rate for Payer: Cigna Commercial	$134.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.84
Rate for Payer: Qualcare PPO/HMO/WC	$40.20

IR-PLACE CATH SEGM ART-LT

Facility

$268.00

Service Code	HCPCS 36015LT
Hospital Charge Code	2691180
Hospital Revenue Code	761
Min. Negotiated Rate	$40.20
Max. Negotiated Rate	$40.20
Rate for Payer: Qualcare PPO/HMO/WC	$40.20

IR-PLACE CATH SEGM ART-LT

Facility

$268.00

Service Code	HCPCS 36015LT
Hospital Charge Code	2691180
Hospital Revenue Code	761
Min. Negotiated Rate	$34.84
Max. Negotiated Rate	$134.00
Rate for Payer: Aetna Commercial	$80.40
Rate for Payer: Aetna Medicare Advantage	$80.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.34
Rate for Payer: Cigna Commercial	$134.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.84
Rate for Payer: Oxford Commercial	$134.00
Rate for Payer: Qualcare PPO/HMO/WC	$40.20
Rate for Payer: UnitedHealthcare Commercial	$134.00

IR-PLACE CATH SEGM ART-LT

Facility

$268.00

Service Code	HCPCS 36015LT
Hospital Charge Code	7411904
Hospital Revenue Code	761
Min. Negotiated Rate	$34.84
Max. Negotiated Rate	$134.00
Rate for Payer: Aetna Commercial	$80.40
Rate for Payer: Aetna Medicare Advantage	$80.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.34
Rate for Payer: Cigna Commercial	$134.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.84
Rate for Payer: Oxford Commercial	$134.00
Rate for Payer: Qualcare PPO/HMO/WC	$40.20
Rate for Payer: UnitedHealthcare Commercial	$134.00

IR-PLACE CATH SEGM ART-LT

Facility

$268.00

Service Code	HCPCS 36015LT
Hospital Charge Code	7411904
Hospital Revenue Code	761
Min. Negotiated Rate	$40.20
Max. Negotiated Rate	$40.20
Rate for Payer: Qualcare PPO/HMO/WC	$40.20

IR-PLACE CATH SEGM ART-RT

Facility

$268.00

Service Code	HCPCS 36015RT
Hospital Charge Code	7411905
Hospital Revenue Code	761
Min. Negotiated Rate	$40.20
Max. Negotiated Rate	$40.20
Rate for Payer: Qualcare PPO/HMO/WC	$40.20

IR-PLACE CATH SEGM ART-RT

Facility

$268.00

Service Code	HCPCS 36015RT
Hospital Charge Code	7411905
Hospital Revenue Code	761
Min. Negotiated Rate	$34.84
Max. Negotiated Rate	$134.00
Rate for Payer: Aetna Commercial	$80.40
Rate for Payer: Aetna Medicare Advantage	$80.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.34
Rate for Payer: Cigna Commercial	$134.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.84
Rate for Payer: Oxford Commercial	$134.00
Rate for Payer: Qualcare PPO/HMO/WC	$40.20
Rate for Payer: UnitedHealthcare Commercial	$134.00

IR-PLACE CATH SEGM ART-RT

Facility

$268.00

Service Code	HCPCS 36015RT
Hospital Charge Code	2691185
Hospital Revenue Code	361
Min. Negotiated Rate	$40.20
Max. Negotiated Rate	$40.20
Rate for Payer: Qualcare PPO/HMO/WC	$40.20

IR-PLACE CATH SEGM ART-RT

Facility

$268.00

Service Code	HCPCS 36015RT
Hospital Charge Code	2691185
Hospital Revenue Code	361
Min. Negotiated Rate	$34.84
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$80.40
Rate for Payer: Aetna Medicare Advantage	$80.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.34
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	$68.34
Rate for Payer: Cigna Commercial	$134.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.84
Rate for Payer: Qualcare PPO/HMO/WC	$40.20

Know your out-of-pocket cost for care.

All Charges