Heights University Hospital

All Charges

Charge

Type

Setting

Price

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	$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	411036590
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/PO/PUMP

Facility

$3,062.65

Service Code	HCPCS 36590
Hospital Charge Code	366836590
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 TUN PLEURL CATH-BI

Facility

$1,646.00

Service Code	HCPCS 3255150
Hospital Charge Code	2690390
Hospital Revenue Code	361
Min. Negotiated Rate	$213.98
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$493.80
Rate for Payer: Aetna Medicare Advantage	$493.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$419.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$419.73
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	$419.73
Rate for Payer: Cigna Commercial	$823.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.98
Rate for Payer: Qualcare PPO/HMO/WC	$246.90

IR-REM TUN PLEURL CATH-BI

Facility

$1,646.00

Service Code	HCPCS 3255150
Hospital Charge Code	2690390
Hospital Revenue Code	361
Min. Negotiated Rate	$246.90
Max. Negotiated Rate	$246.90
Rate for Payer: Qualcare PPO/HMO/WC	$246.90

IR-REM TUN PLEURL CATH-BI

Facility

$1,646.00

Service Code	HCPCS 3255150
Hospital Charge Code	7411783
Hospital Revenue Code	361
Min. Negotiated Rate	$213.98
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$493.80
Rate for Payer: Aetna Medicare Advantage	$493.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$419.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$419.73
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	$419.73
Rate for Payer: Cigna Commercial	$823.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.98
Rate for Payer: Qualcare PPO/HMO/WC	$246.90

IR-REM TUN PLEURL CATH-BI

Facility

$1,646.00

Service Code	HCPCS 3255150
Hospital Charge Code	7411783
Hospital Revenue Code	361
Min. Negotiated Rate	$246.90
Max. Negotiated Rate	$246.90
Rate for Payer: Qualcare PPO/HMO/WC	$246.90

IR-REM TUN PLEURL CATH-LT

Facility

$6,404.20

Service Code	HCPCS 32551LT
Hospital Charge Code	321032551L
Hospital Revenue Code	361
Min. Negotiated Rate	$832.55
Max. Negotiated Rate	$3,202.10
Rate for Payer: Aetna Commercial	$1,921.26
Rate for Payer: Aetna Medicare Advantage	$1,921.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,633.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,633.07
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	$1,633.07
Rate for Payer: Cigna Commercial	$3,202.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$832.55
Rate for Payer: Qualcare PPO/HMO/WC	$960.63

IR-REM TUN PLEURL CATH-LT

Facility

$6,404.20

Service Code	HCPCS 32551LT
Hospital Charge Code	321032551L
Hospital Revenue Code	361
Min. Negotiated Rate	$960.63
Max. Negotiated Rate	$960.63
Rate for Payer: Qualcare PPO/HMO/WC	$960.63

IR-REM TUN PLEURL CATH-LT

Facility

$6,404.20

Service Code	HCPCS 32551LT
Hospital Charge Code	2691070
Hospital Revenue Code	361
Min. Negotiated Rate	$832.55
Max. Negotiated Rate	$3,202.10
Rate for Payer: Aetna Commercial	$1,921.26
Rate for Payer: Aetna Medicare Advantage	$1,921.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,633.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,633.07
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	$1,633.07
Rate for Payer: Cigna Commercial	$3,202.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$832.55
Rate for Payer: Qualcare PPO/HMO/WC	$960.63

IR-REM TUN PLEURL CATH-LT

Facility

$1,646.00

Service Code	HCPCS 32551LT
Hospital Charge Code	7411885
Hospital Revenue Code	361
Min. Negotiated Rate	$213.98
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$493.80
Rate for Payer: Aetna Medicare Advantage	$493.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$419.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$419.73
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	$419.73
Rate for Payer: Cigna Commercial	$823.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.98
Rate for Payer: Qualcare PPO/HMO/WC	$246.90

IR-REM TUN PLEURL CATH-LT

Facility

$1,646.00

Service Code	HCPCS 32551LT
Hospital Charge Code	7411885
Hospital Revenue Code	361
Min. Negotiated Rate	$246.90
Max. Negotiated Rate	$246.90
Rate for Payer: Qualcare PPO/HMO/WC	$246.90

IR-REM TUN PLEURL CATH-LT

Facility

$6,404.20

Service Code	HCPCS 32551LT
Hospital Charge Code	2691070
Hospital Revenue Code	361
Min. Negotiated Rate	$960.63
Max. Negotiated Rate	$960.63
Rate for Payer: Qualcare PPO/HMO/WC	$960.63

IR-REM TUN PLEURL CATH-RT

Facility

$1,194.00

Service Code	HCPCS 32551RT
Hospital Charge Code	2691075
Hospital Revenue Code	361
Min. Negotiated Rate	$155.22
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$358.20
Rate for Payer: Aetna Medicare Advantage	$358.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$304.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$304.47
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	$304.47
Rate for Payer: Cigna Commercial	$597.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$155.22
Rate for Payer: Qualcare PPO/HMO/WC	$179.10

IR-REM TUN PLEURL CATH-RT

Facility

$1,194.00

Service Code	HCPCS 32551RT
Hospital Charge Code	7411886
Hospital Revenue Code	361
Min. Negotiated Rate	$179.10
Max. Negotiated Rate	$179.10
Rate for Payer: Qualcare PPO/HMO/WC	$179.10

IR-REM TUN PLEURL CATH-RT

Facility

$1,194.00

Service Code	HCPCS 32551RT
Hospital Charge Code	2691075
Hospital Revenue Code	361
Min. Negotiated Rate	$179.10
Max. Negotiated Rate	$179.10
Rate for Payer: Qualcare PPO/HMO/WC	$179.10

IR-REM TUN PLEURL CATH-RT

Facility

$1,194.00

Service Code	HCPCS 32551RT
Hospital Charge Code	7411886
Hospital Revenue Code	361
Min. Negotiated Rate	$155.22
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$358.20
Rate for Payer: Aetna Medicare Advantage	$358.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$304.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$304.47
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	$304.47
Rate for Payer: Cigna Commercial	$597.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$155.22
Rate for Payer: Qualcare PPO/HMO/WC	$179.10

IR REMV/NEPHROSTOMY TUBE FL G

Facility

$3,042.00

Service Code	HCPCS 50389
Hospital Charge Code	2680210
Hospital Revenue Code	361
Min. Negotiated Rate	$395.46
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$912.60
Rate for Payer: Aetna Medicare Advantage	$912.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$775.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$775.71
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	$775.71
Rate for Payer: Cigna Commercial	$1,660.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$395.46
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$456.30
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

IR REMV/NEPHROSTOMY TUBE FL G

Facility

$3,042.00

Service Code	HCPCS 50389
Hospital Charge Code	7411603
Hospital Revenue Code	361
Min. Negotiated Rate	$395.46
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$912.60
Rate for Payer: Aetna Medicare Advantage	$912.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$775.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$775.71
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	$775.71
Rate for Payer: Cigna Commercial	$1,660.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$395.46
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$456.30
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

IR REMV/NEPHROSTOMY TUBE FL G

Facility

$3,042.00

Service Code	HCPCS 50389
Hospital Charge Code	2680210
Hospital Revenue Code	361
Min. Negotiated Rate	$456.30
Max. Negotiated Rate	$456.30
Rate for Payer: Qualcare PPO/HMO/WC	$456.30

IR REMV/NEPHROSTOMY TUBE FL G

Facility

$3,042.00

Service Code	HCPCS 50389
Hospital Charge Code	7411603
Hospital Revenue Code	361
Min. Negotiated Rate	$456.30
Max. Negotiated Rate	$456.30
Rate for Payer: Qualcare PPO/HMO/WC	$456.30

IR-RENAL ABSCESS DRAIN-BI

Facility

$2,522.00

Service Code	HCPCS 5002150
Hospital Charge Code	2690600
Hospital Revenue Code	361
Min. Negotiated Rate	$378.30
Max. Negotiated Rate	$378.30
Rate for Payer: Qualcare PPO/HMO/WC	$378.30

IR-RENAL ABSCESS DRAIN-BI

Facility

$2,522.00

Service Code	HCPCS 5002150
Hospital Charge Code	2690600
Hospital Revenue Code	361
Min. Negotiated Rate	$327.86
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$756.60
Rate for Payer: Aetna Medicare Advantage	$756.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$643.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$643.11
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	$643.11
Rate for Payer: Cigna Commercial	$1,261.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$327.86
Rate for Payer: Qualcare PPO/HMO/WC	$378.30

IR-RENAL BIOPS,PERCT,TROCAR,ND

Facility

$7,071.40

Service Code	HCPCS 50200
Hospital Charge Code	7411602
Hospital Revenue Code	361
Min. Negotiated Rate	$919.28
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$2,121.42
Rate for Payer: Aetna Medicare Advantage	$2,121.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,803.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,803.21
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	$1,803.21
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$919.28
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,060.71
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

IR-RENAL BIOPS,PERCT,TROCAR,ND

Facility

$7,071.40

Service Code	HCPCS 50200
Hospital Charge Code	2680205
Hospital Revenue Code	361
Min. Negotiated Rate	$919.28
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$2,121.42
Rate for Payer: Aetna Medicare Advantage	$2,121.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,803.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,803.21
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	$1,803.21
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$919.28
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,060.71
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

Know your out-of-pocket cost for care.

All Charges