Heights University Hospital

All Charges

Charge

Type

Setting

Price

IR-REPLMT.COMPT.TUNNLED CVA-SV

Facility

$12,462.85

Service Code	HCPCS 36582
Hospital Charge Code	411036582
Hospital Revenue Code	361
Min. Negotiated Rate	$1,620.17
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Commercial	$3,738.86
Rate for Payer: Aetna Medicare Advantage	$3,738.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,178.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,178.03
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	$3,178.03
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,620.17
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,869.43
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

IR REP NTUND CV CATH W/O PORT

Facility

$6,404.20

Service Code	HCPCS 36580
Hospital Charge Code	2011093
Hospital Revenue Code	361
Min. Negotiated Rate	$960.63
Max. Negotiated Rate	$960.63
Rate for Payer: Qualcare PPO/HMO/WC	$960.63

IR REP NTUND CV CATH W/O PORT

Facility

$4,914.50

Service Code	HCPCS 36580
Hospital Charge Code	366836580
Hospital Revenue Code	361
Min. Negotiated Rate	$737.17
Max. Negotiated Rate	$737.17
Rate for Payer: Qualcare PPO/HMO/WC	$737.17

IR REP NTUND CV CATH W/O PORT

Facility

$6,404.20

Service Code	HCPCS 36580
Hospital Charge Code	321036580
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 REP NTUND CV CATH W/O PORT

Facility

$6,404.20

Service Code	HCPCS 36580
Hospital Charge Code	321036580
Hospital Revenue Code	361
Min. Negotiated Rate	$960.63
Max. Negotiated Rate	$960.63
Rate for Payer: Qualcare PPO/HMO/WC	$960.63

IR REP NTUND CV CATH W/O PORT

Facility

$4,914.50

Service Code	HCPCS 36580
Hospital Charge Code	411036580
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 NTUND CV CATH W/O PORT

Facility

$3,317.65

Service Code	HCPCS 36580
Hospital Charge Code	7411465
Hospital Revenue Code	361
Min. Negotiated Rate	$431.29
Max. Negotiated Rate	$3,748.67
Rate for Payer: Aetna Commercial	$995.29
Rate for Payer: Aetna Medicare Advantage	$995.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$846.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$846.00
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	$846.00
Rate for Payer: Cigna Commercial	$3,748.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$431.29
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$497.65
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

IR REP NTUND CV CATH W/O PORT

Facility

$3,317.65

Service Code	HCPCS 36580
Hospital Charge Code	7411465
Hospital Revenue Code	361
Min. Negotiated Rate	$497.65
Max. Negotiated Rate	$497.65
Rate for Payer: Qualcare PPO/HMO/WC	$497.65

IR REP NTUND CV CATH W/O PORT

Facility

$4,914.50

Service Code	HCPCS 36580
Hospital Charge Code	411036580
Hospital Revenue Code	361
Min. Negotiated Rate	$737.17
Max. Negotiated Rate	$737.17
Rate for Payer: Qualcare PPO/HMO/WC	$737.17

IR REP NTUND CV CATH W/O PORT

Facility

$6,404.20

Service Code	HCPCS 36580
Hospital Charge Code	2011093
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 REP NTUND CV CATH W/O PORT

Facility

$4,914.50

Service Code	HCPCS 36580
Hospital Charge Code	366836580
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 REPOS INTRAVASC VENA CAVA F

Facility

$12,618.93

Service Code	HCPCS 37192
Hospital Charge Code	7411498
Hospital Revenue Code	361
Min. Negotiated Rate	$1,640.46
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Commercial	$3,785.68
Rate for Payer: Aetna Medicare Advantage	$3,785.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,217.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,217.83
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	$3,217.83
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,640.46
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,892.84
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

IR REPOS INTRAVASC VENA CAVA F

Facility

$12,618.93

Service Code	HCPCS 37192
Hospital Charge Code	2680185
Hospital Revenue Code	361
Min. Negotiated Rate	$1,892.84
Max. Negotiated Rate	$1,892.84
Rate for Payer: Qualcare PPO/HMO/WC	$1,892.84

IR REPOS INTRAVASC VENA CAVA F

Facility

$12,618.93

Service Code	HCPCS 37192
Hospital Charge Code	7411498
Hospital Revenue Code	361
Min. Negotiated Rate	$1,892.84
Max. Negotiated Rate	$1,892.84
Rate for Payer: Qualcare PPO/HMO/WC	$1,892.84

IR REPOS INTRAVASC VENA CAVA F

Facility

$12,618.93

Service Code	HCPCS 37192
Hospital Charge Code	2680185
Hospital Revenue Code	361
Min. Negotiated Rate	$1,640.46
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Commercial	$3,785.68
Rate for Payer: Aetna Medicare Advantage	$3,785.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,217.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,217.83
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	$3,217.83
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,640.46
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,892.84
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

IR REPOSITION GASTROSTOMY TUBE

Facility

$3,929.65

Service Code	HCPCS 43761
Hospital Charge Code	2101178
Hospital Revenue Code	361
Min. Negotiated Rate	$589.45
Max. Negotiated Rate	$589.45
Rate for Payer: Qualcare PPO/HMO/WC	$589.45

IR REPOSITION GASTROSTOMY TUBE

Facility

$3,929.65

Service Code	HCPCS 43761
Hospital Charge Code	7411548
Hospital Revenue Code	361
Min. Negotiated Rate	$589.45
Max. Negotiated Rate	$589.45
Rate for Payer: Qualcare PPO/HMO/WC	$589.45

IR REPOSITION GASTROSTOMY TUBE

Facility

$3,929.65

Service Code	HCPCS 43761
Hospital Charge Code	2101178
Hospital Revenue Code	361
Min. Negotiated Rate	$510.85
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$1,178.89
Rate for Payer: Aetna Medicare Advantage	$1,178.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,002.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,002.06
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	$1,002.06
Rate for Payer: Cigna Commercial	$594.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$510.85
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$589.45
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

IR REPOSITION GASTROSTOMY TUBE

Facility

$3,929.65

Service Code	HCPCS 43761
Hospital Charge Code	7411548
Hospital Revenue Code	361
Min. Negotiated Rate	$510.85
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$1,178.89
Rate for Payer: Aetna Medicare Advantage	$1,178.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,002.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,002.06
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	$1,002.06
Rate for Payer: Cigna Commercial	$594.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$510.85
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$589.45
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

IR REP TUND CV CATH W/O PORT

Facility

$5,224.75

Service Code	HCPCS 36581
Hospital Charge Code	366836581
Hospital Revenue Code	361
Min. Negotiated Rate	$783.71
Max. Negotiated Rate	$783.71
Rate for Payer: Qualcare PPO/HMO/WC	$783.71

IR REP TUND CV CATH W/O PORT

Facility

$5,224.75

Service Code	HCPCS 36581
Hospital Charge Code	366836581
Hospital Revenue Code	361
Min. Negotiated Rate	$679.22
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Commercial	$1,567.42
Rate for Payer: Aetna Medicare Advantage	$1,567.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,332.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,332.31
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	$1,332.31
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$679.22
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$783.71
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

IR REP TUND CV CATH W/O PORT

Facility

$5,224.75

Service Code	HCPCS 36581
Hospital Charge Code	7411466
Hospital Revenue Code	361
Min. Negotiated Rate	$679.22
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Commercial	$1,567.42
Rate for Payer: Aetna Medicare Advantage	$1,567.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,332.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,332.31
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	$1,332.31
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$679.22
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$783.71
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

IR REP TUND CV CATH W/O PORT

Facility

$15,468.50

Service Code	HCPCS 36581
Hospital Charge Code	321036581
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Commercial	$4,640.55
Rate for Payer: Aetna Medicare Advantage	$4,640.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,944.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,944.47
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	$3,944.47
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,010.90
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,320.28
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

IR REP TUND CV CATH W/O PORT

Facility

$5,224.75

Service Code	HCPCS 36581
Hospital Charge Code	7411466
Hospital Revenue Code	361
Min. Negotiated Rate	$783.71
Max. Negotiated Rate	$783.71
Rate for Payer: Qualcare PPO/HMO/WC	$783.71

IR REP TUND CV CATH W/O PORT

Facility

$15,468.50

Service Code	HCPCS 36581
Hospital Charge Code	2011276
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Commercial	$4,640.55
Rate for Payer: Aetna Medicare Advantage	$4,640.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,944.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,944.47
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	$3,944.47
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,010.90
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,320.28
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

Know your out-of-pocket cost for care.

All Charges