Heights University Hospital

All Charges

Charge

Type

Setting

Price

IR-REM/REPL URET STNT-RT

Facility

$10,187.80

Service Code	HCPCS 50382RT
Hospital Charge Code	2691555
Hospital Revenue Code	361
Min. Negotiated Rate	$1,528.17
Max. Negotiated Rate	$1,528.17
Rate for Payer: Qualcare PPO/HMO/WC	$1,528.17

IR-REM/REPL URET STNT-RT

Facility

$10,187.80

Service Code	HCPCS 50382RT
Hospital Charge Code	321050382R
Hospital Revenue Code	361
Min. Negotiated Rate	$1,324.41
Max. Negotiated Rate	$5,093.90
Rate for Payer: Aetna Commercial	$3,056.34
Rate for Payer: Aetna Medicare Advantage	$3,056.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,597.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,597.89
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	$2,597.89
Rate for Payer: Cigna Commercial	$5,093.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,324.41
Rate for Payer: Qualcare PPO/HMO/WC	$1,528.17

IR-REM/REPL URET STNT-RT

Facility

$10,187.80

Service Code	HCPCS 50382RT
Hospital Charge Code	2691555
Hospital Revenue Code	361
Min. Negotiated Rate	$1,324.41
Max. Negotiated Rate	$5,093.90
Rate for Payer: Aetna Commercial	$3,056.34
Rate for Payer: Aetna Medicare Advantage	$3,056.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,597.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,597.89
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	$2,597.89
Rate for Payer: Cigna Commercial	$5,093.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,324.41
Rate for Payer: Qualcare PPO/HMO/WC	$1,528.17

IR-REM/REPL URET STNT-RT

Facility

$7,568.00

Service Code	HCPCS 50382RT
Hospital Charge Code	7411959
Hospital Revenue Code	361
Min. Negotiated Rate	$983.84
Max. Negotiated Rate	$3,784.00
Rate for Payer: Aetna Commercial	$2,270.40
Rate for Payer: Aetna Medicare Advantage	$2,270.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,929.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,929.84
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	$1,929.84
Rate for Payer: Cigna Commercial	$3,784.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$983.84
Rate for Payer: Qualcare PPO/HMO/WC	$1,135.20

IR-REM/REPL URET STNT-RT

Facility

$10,187.80

Service Code	HCPCS 50382RT
Hospital Charge Code	321050382R
Hospital Revenue Code	361
Min. Negotiated Rate	$1,528.17
Max. Negotiated Rate	$1,528.17
Rate for Payer: Qualcare PPO/HMO/WC	$1,528.17

IR-REM/REPL URET STNT-RT

Facility

$10,187.80

Service Code	HCPCS 50382RT
Hospital Charge Code	411050382R
Hospital Revenue Code	361
Min. Negotiated Rate	$1,324.41
Max. Negotiated Rate	$5,093.90
Rate for Payer: Aetna Commercial	$3,056.34
Rate for Payer: Aetna Medicare Advantage	$3,056.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,597.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,597.89
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	$2,597.89
Rate for Payer: Cigna Commercial	$5,093.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,324.41
Rate for Payer: Qualcare PPO/HMO/WC	$1,528.17

IR-REM/REPL URET STNT-RT

Facility

$7,568.00

Service Code	HCPCS 50382RT
Hospital Charge Code	7411959
Hospital Revenue Code	361
Min. Negotiated Rate	$1,135.20
Max. Negotiated Rate	$1,135.20
Rate for Payer: Qualcare PPO/HMO/WC	$1,135.20

IR-REM/REPL URET STNT-RT

Facility

$10,187.80

Service Code	HCPCS 50382RT
Hospital Charge Code	411050382R
Hospital Revenue Code	361
Min. Negotiated Rate	$1,528.17
Max. Negotiated Rate	$1,528.17
Rate for Payer: Qualcare PPO/HMO/WC	$1,528.17

IR REM TUNN CV CATH W/O PO/PUM

Facility

$3,630.70

Service Code	HCPCS 36589
Hospital Charge Code	321036589
Hospital Revenue Code	361
Min. Negotiated Rate	$471.99
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$1,089.21
Rate for Payer: Aetna Medicare Advantage	$1,089.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$925.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$925.83
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	$925.83
Rate for Payer: Cigna Commercial	$1,493.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$471.99
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$544.61
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

IR REM TUNN CV CATH W/O PO/PUM

Facility

$3,062.65

Service Code	HCPCS 36589
Hospital Charge Code	366836589
Hospital Revenue Code	361
Min. Negotiated Rate	$459.40
Max. Negotiated Rate	$459.40
Rate for Payer: Qualcare PPO/HMO/WC	$459.40

IR REM TUNN CV CATH W/O PO/PUM

Facility

$3,630.70

Service Code	HCPCS 36589
Hospital Charge Code	321036589
Hospital Revenue Code	361
Min. Negotiated Rate	$544.61
Max. Negotiated Rate	$544.61
Rate for Payer: Qualcare PPO/HMO/WC	$544.61

IR REM TUNN CV CATH W/O PO/PUM

Facility

$3,630.70

Service Code	HCPCS 36589
Hospital Charge Code	2011279
Hospital Revenue Code	361
Min. Negotiated Rate	$471.99
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$1,089.21
Rate for Payer: Aetna Medicare Advantage	$1,089.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$925.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$925.83
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	$925.83
Rate for Payer: Cigna Commercial	$1,493.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$471.99
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$544.61
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

IR REM TUNN CV CATH W/O PO/PUM

Facility

$2,564.40

Service Code	HCPCS 36589
Hospital Charge Code	7411471
Hospital Revenue Code	361
Min. Negotiated Rate	$333.37
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$769.32
Rate for Payer: Aetna Medicare Advantage	$769.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$653.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$653.92
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	$653.92
Rate for Payer: Cigna Commercial	$1,493.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$333.37
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$384.66
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

IR REM TUNN CV CATH W/O PO/PUM

Facility

$3,630.70

Service Code	HCPCS 36589
Hospital Charge Code	2011279
Hospital Revenue Code	361
Min. Negotiated Rate	$544.61
Max. Negotiated Rate	$544.61
Rate for Payer: Qualcare PPO/HMO/WC	$544.61

IR REM TUNN CV CATH W/O PO/PUM

Facility

$3,062.65

Service Code	HCPCS 36589
Hospital Charge Code	366836589
Hospital Revenue Code	361
Min. Negotiated Rate	$398.14
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$918.79
Rate for Payer: Aetna Medicare Advantage	$918.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$780.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$780.98
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	$780.98
Rate for Payer: Cigna Commercial	$1,493.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$398.14
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$459.40
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

IR REM TUNN CV CATH W/O PO/PUM

Facility

$3,062.65

Service Code	HCPCS 36589
Hospital Charge Code	411036589
Hospital Revenue Code	361
Min. Negotiated Rate	$398.14
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$918.79
Rate for Payer: Aetna Medicare Advantage	$918.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$780.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$780.98
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	$780.98
Rate for Payer: Cigna Commercial	$1,493.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$398.14
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$459.40
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

IR REM TUNN CV CATH W/O PO/PUM

Facility

$3,062.65

Service Code	HCPCS 36589
Hospital Charge Code	411036589
Hospital Revenue Code	361
Min. Negotiated Rate	$459.40
Max. Negotiated Rate	$459.40
Rate for Payer: Qualcare PPO/HMO/WC	$459.40

IR REM TUNN CV CATH W/O PO/PUM

Facility

$2,564.40

Service Code	HCPCS 36589
Hospital Charge Code	7411471
Hospital Revenue Code	361
Min. Negotiated Rate	$384.66
Max. Negotiated Rate	$384.66
Rate for Payer: Qualcare PPO/HMO/WC	$384.66

IR REM TUNN CV CATH W/PO/PUMP

Facility

$3,630.70

Service Code	HCPCS 36590
Hospital Charge Code	321036590
Hospital Revenue Code	361
Min. Negotiated Rate	$471.99
Max. Negotiated Rate	$3,748.67
Rate for Payer: Aetna Commercial	$1,089.21
Rate for Payer: Aetna Medicare Advantage	$1,089.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$925.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$925.83
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	$925.83
Rate for Payer: Cigna Commercial	$3,748.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$471.99
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$544.61
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

IR REM TUNN CV CATH W/PO/PUMP

Facility

$3,062.65

Service Code	HCPCS 36590
Hospital Charge Code	366836590
Hospital Revenue Code	361
Min. Negotiated Rate	$398.14
Max. Negotiated Rate	$3,748.67
Rate for Payer: Aetna Commercial	$918.79
Rate for Payer: Aetna Medicare Advantage	$918.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$780.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$780.98
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	$780.98
Rate for Payer: Cigna Commercial	$3,748.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$398.14
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$459.40
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

IR REM TUNN CV CATH W/PO/PUMP

Facility

$2,024.90

Service Code	HCPCS 36590
Hospital Charge Code	7411472
Hospital Revenue Code	361
Min. Negotiated Rate	$303.74
Max. Negotiated Rate	$303.74
Rate for Payer: Qualcare PPO/HMO/WC	$303.74

IR REM TUNN CV CATH W/PO/PUMP

Facility

$3,630.70

Service Code	HCPCS 36590
Hospital Charge Code	2011278
Hospital Revenue Code	361
Min. Negotiated Rate	$544.61
Max. Negotiated Rate	$544.61
Rate for Payer: Qualcare PPO/HMO/WC	$544.61

IR REM TUNN CV CATH W/PO/PUMP

Facility

$2,024.90

Service Code	HCPCS 36590
Hospital Charge Code	7411472
Hospital Revenue Code	361
Min. Negotiated Rate	$263.24
Max. Negotiated Rate	$3,748.67
Rate for Payer: Aetna Commercial	$607.47
Rate for Payer: Aetna Medicare Advantage	$607.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$516.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$516.35
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	$516.35
Rate for Payer: Cigna Commercial	$3,748.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$263.24
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$303.74
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

IR REM TUNN CV CATH W/PO/PUMP

Facility

$3,630.70

Service Code	HCPCS 36590
Hospital Charge Code	321036590
Hospital Revenue Code	361
Min. Negotiated Rate	$544.61
Max. Negotiated Rate	$544.61
Rate for Payer: Qualcare PPO/HMO/WC	$544.61

IR REM TUNN CV CATH W/PO/PUMP

Facility

$3,062.65

Service Code	HCPCS 36590
Hospital Charge Code	411036590
Hospital Revenue Code	361
Min. Negotiated Rate	$398.14
Max. Negotiated Rate	$3,748.67
Rate for Payer: Aetna Commercial	$918.79
Rate for Payer: Aetna Medicare Advantage	$918.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$780.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$780.98
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	$780.98
Rate for Payer: Cigna Commercial	$3,748.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$398.14
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$459.40
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

Know your out-of-pocket cost for care.

All Charges