Heights University Hospital

All Charges

Charge

Type

Setting

Price

IR REPAIR TUNNELED CV CATH

Facility

$2,024.90

Service Code	HCPCS 36576
Hospital Charge Code	7411463
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	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$303.74
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

IR REPAIR TUNNELED CV CATH

Facility

$6,404.20

Service Code	HCPCS 36576
Hospital Charge Code	321036576
Hospital Revenue Code	361
Min. Negotiated Rate	$960.63
Max. Negotiated Rate	$960.63
Rate for Payer: Qualcare PPO/HMO/WC	$960.63

IR REPAIR TUNNELED CV CATH

Facility

$2,024.90

Service Code	HCPCS 36576
Hospital Charge Code	7411463
Hospital Revenue Code	361
Min. Negotiated Rate	$303.74
Max. Negotiated Rate	$303.74
Rate for Payer: Qualcare PPO/HMO/WC	$303.74

IR REPAIR TUNNELED CV CATH

Facility

$6,404.20

Service Code	HCPCS 36576
Hospital Charge Code	2011277
Hospital Revenue Code	361
Min. Negotiated Rate	$832.55
Max. Negotiated Rate	$3,748.67
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	$3,748.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$832.55
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$960.63
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

IR REPAIR TUNNELED CV CATH

Facility

$4,914.50

Service Code	HCPCS 36576
Hospital Charge Code	366836576
Hospital Revenue Code	361
Min. Negotiated Rate	$737.17
Max. Negotiated Rate	$737.17
Rate for Payer: Qualcare PPO/HMO/WC	$737.17

IR REPAIR TUNNELED CV CATH

Facility

$6,404.20

Service Code	HCPCS 36576
Hospital Charge Code	321036576
Hospital Revenue Code	361
Min. Negotiated Rate	$832.55
Max. Negotiated Rate	$3,748.67
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	$3,748.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$832.55
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$960.63
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

IR REPAIR TUNNELED CV CATH

Facility

$4,914.50

Service Code	HCPCS 36576
Hospital Charge Code	411036576
Hospital Revenue Code	361
Min. Negotiated Rate	$737.17
Max. Negotiated Rate	$737.17
Rate for Payer: Qualcare PPO/HMO/WC	$737.17

IR REPAIR TUNNELED CV CATH

Facility

$4,914.50

Service Code	HCPCS 36576
Hospital Charge Code	366836576
Hospital Revenue Code	361
Min. Negotiated Rate	$638.88
Max. Negotiated Rate	$3,748.67
Rate for Payer: Aetna Commercial	$1,474.35
Rate for Payer: Aetna Medicare Advantage	$1,474.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,253.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,253.20
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	$1,253.20
Rate for Payer: Cigna Commercial	$3,748.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$638.88
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$737.17
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

IR REP INFRARENAL AAA BIFURCAT

Facility

$10,452.70

Service Code	HCPCS 34804
Hospital Charge Code	7411395
Hospital Revenue Code	361
Min. Negotiated Rate	$1,358.85
Max. Negotiated Rate	$5,226.35
Rate for Payer: Aetna Commercial	$3,135.81
Rate for Payer: Aetna Medicare Advantage	$3,135.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,665.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,665.44
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	$2,665.44
Rate for Payer: Cigna Commercial	$5,226.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,358.85
Rate for Payer: Qualcare PPO/HMO/WC	$1,567.90

IR REP INFRARENAL AAA BIFURCAT

Facility

$10,952.70

Service Code	HCPCS 34804
Hospital Charge Code	5700205
Hospital Revenue Code	361
Min. Negotiated Rate	$1,423.85
Max. Negotiated Rate	$5,476.35
Rate for Payer: Aetna Commercial	$3,285.81
Rate for Payer: Aetna Medicare Advantage	$3,285.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,792.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,792.94
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	$2,792.94
Rate for Payer: Cigna Commercial	$5,476.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,423.85
Rate for Payer: Qualcare PPO/HMO/WC	$1,642.90

IR REP INFRARENAL AAA BIFURCAT

Facility

$10,452.70

Service Code	HCPCS 34804
Hospital Charge Code	7411395
Hospital Revenue Code	361
Min. Negotiated Rate	$1,567.90
Max. Negotiated Rate	$1,567.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,567.90

IR REP INFRARENAL AAA BIFURCAT

Facility

$10,952.70

Service Code	HCPCS 34804
Hospital Charge Code	5700205
Hospital Revenue Code	361
Min. Negotiated Rate	$1,642.90
Max. Negotiated Rate	$1,642.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,642.90

IR REPLACE PICC CATH

Facility

$4,914.50

Service Code	HCPCS 36584
Hospital Charge Code	366836584
Hospital Revenue Code	361
Min. Negotiated Rate	$737.17
Max. Negotiated Rate	$737.17
Rate for Payer: Qualcare PPO/HMO/WC	$737.17

IR REPLACE PICC CATH

Facility

$4,914.50

Service Code	HCPCS 36584
Hospital Charge Code	366836584
Hospital Revenue Code	361
Min. Negotiated Rate	$638.88
Max. Negotiated Rate	$3,748.67
Rate for Payer: Aetna Commercial	$1,474.35
Rate for Payer: Aetna Medicare Advantage	$1,474.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,253.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,253.20
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	$1,253.20
Rate for Payer: Cigna Commercial	$3,748.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$638.88
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$737.17
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

IR REPLACE PICC CATH

Facility

$6,404.20

Service Code	HCPCS 36584
Hospital Charge Code	2011284
Hospital Revenue Code	361
Min. Negotiated Rate	$832.55
Max. Negotiated Rate	$3,748.67
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	$3,748.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$832.55
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$960.63
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

IR REPLACE PICC CATH

Facility

$6,404.20

Service Code	HCPCS 36584
Hospital Charge Code	321036584
Hospital Revenue Code	361
Min. Negotiated Rate	$832.55
Max. Negotiated Rate	$3,748.67
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	$3,748.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$832.55
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$960.63
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

IR REPLACE PICC CATH

Facility

$6,404.20

Service Code	HCPCS 36584
Hospital Charge Code	2011284
Hospital Revenue Code	361
Min. Negotiated Rate	$960.63
Max. Negotiated Rate	$960.63
Rate for Payer: Qualcare PPO/HMO/WC	$960.63

IR REPLACE PICC CATH

Facility

$4,914.50

Service Code	HCPCS 36584
Hospital Charge Code	411036584
Hospital Revenue Code	361
Min. Negotiated Rate	$737.17
Max. Negotiated Rate	$737.17
Rate for Payer: Qualcare PPO/HMO/WC	$737.17

IR REPLACE PICC CATH

Facility

$2,024.90

Service Code	HCPCS 36584
Hospital Charge Code	7411469
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	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$303.74
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

IR REPLACE PICC CATH

Facility

$6,404.20

Service Code	HCPCS 36584
Hospital Charge Code	321036584
Hospital Revenue Code	361
Min. Negotiated Rate	$960.63
Max. Negotiated Rate	$960.63
Rate for Payer: Qualcare PPO/HMO/WC	$960.63

IR REPLACE PICC CATH

Facility

$2,024.90

Service Code	HCPCS 36584
Hospital Charge Code	7411469
Hospital Revenue Code	361
Min. Negotiated Rate	$303.74
Max. Negotiated Rate	$303.74
Rate for Payer: Qualcare PPO/HMO/WC	$303.74

IR REPLACE PICC CATH

Facility

$4,914.50

Service Code	HCPCS 36584
Hospital Charge Code	411036584
Hospital Revenue Code	361
Min. Negotiated Rate	$638.88
Max. Negotiated Rate	$3,748.67
Rate for Payer: Aetna Commercial	$1,474.35
Rate for Payer: Aetna Medicare Advantage	$1,474.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,253.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,253.20
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	$1,253.20
Rate for Payer: Cigna Commercial	$3,748.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$638.88
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$737.17
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

IR REPLACE PIC VAD CATH

Facility

$11,315.45

Service Code	HCPCS 3658559
Hospital Charge Code	2101163
Hospital Revenue Code	361
Min. Negotiated Rate	$1,697.32
Max. Negotiated Rate	$1,697.32
Rate for Payer: Qualcare PPO/HMO/WC	$1,697.32

IR REPLACE PIC VAD CATH

Facility

$11,315.45

Service Code	HCPCS 3658559
Hospital Charge Code	2101163
Hospital Revenue Code	361
Min. Negotiated Rate	$1,471.01
Max. Negotiated Rate	$5,657.73
Rate for Payer: Aetna Commercial	$3,394.64
Rate for Payer: Aetna Medicare Advantage	$3,394.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,885.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,885.44
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	$2,885.44
Rate for Payer: Cigna Commercial	$5,657.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,471.01
Rate for Payer: Qualcare PPO/HMO/WC	$1,697.32

IR-REPL EXT URET STENT-BI

Facility

$10,187.80

Service Code	HCPCS 5038750
Hospital Charge Code	321050387B
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

Know your out-of-pocket cost for care.

All Charges