Heights University Hospital

All Charges

Charge

Type

Setting

Price

IR-THORACENTESIS-RT

Facility

$605.45

Service Code	HCPCS 32555
Hospital Charge Code	7411384
Hospital Revenue Code	361
Min. Negotiated Rate	$78.71
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$181.63
Rate for Payer: Aetna Medicare Advantage	$181.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$154.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$154.39
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	$154.39
Rate for Payer: Cigna Commercial	$1,493.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.71
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.82
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

IR-THORACENTESIS-RT

Facility

$3,630.70

Service Code	HCPCS 32555
Hospital Charge Code	2691045
Hospital Revenue Code	361
Min. Negotiated Rate	$544.61
Max. Negotiated Rate	$544.61
Rate for Payer: Qualcare PPO/HMO/WC	$544.61

IR-THORACENTESIS-RT

Facility

$605.45

Service Code	HCPCS 32555
Hospital Charge Code	7411384
Hospital Revenue Code	361
Min. Negotiated Rate	$90.82
Max. Negotiated Rate	$90.82
Rate for Payer: Qualcare PPO/HMO/WC	$90.82

IR-THORACENTESIS-RT

Facility

$3,630.70

Service Code	HCPCS 32555
Hospital Charge Code	321032555R
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-THORACENTESIS-RT

Facility

$3,630.70

Service Code	HCPCS 32555
Hospital Charge Code	321032555R
Hospital Revenue Code	361
Min. Negotiated Rate	$544.61
Max. Negotiated Rate	$544.61
Rate for Payer: Qualcare PPO/HMO/WC	$544.61

IR-THORACENTESIS-RT

Facility

$3,630.70

Service Code	HCPCS 32555
Hospital Charge Code	2691045
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 THORACENTESIS W INSERT OF T

Facility

$2,289.68

Service Code	HCPCS 32422
Hospital Charge Code	2670060
Hospital Revenue Code	361
Min. Negotiated Rate	$343.45
Max. Negotiated Rate	$343.45
Rate for Payer: Qualcare PPO/HMO/WC	$343.45

IR THORACENTESIS W INSERT OF T

Facility

$2,289.68

Service Code	HCPCS 32422
Hospital Charge Code	2670060
Hospital Revenue Code	361
Min. Negotiated Rate	$297.66
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$686.90
Rate for Payer: Aetna Medicare Advantage	$686.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$583.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$583.87
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	$583.87
Rate for Payer: Cigna Commercial	$1,144.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$297.66
Rate for Payer: Qualcare PPO/HMO/WC	$343.45

IR THORACIC VASC SEL CATH ADDL

Facility

$414.45

Service Code	HCPCS 36218
Hospital Charge Code	5100360
Hospital Revenue Code	361
Min. Negotiated Rate	$62.17
Max. Negotiated Rate	$62.17
Rate for Payer: Qualcare PPO/HMO/WC	$62.17

IR THORACIC VASC SEL CATH ADDL

Facility

$414.45

Service Code	HCPCS 36218
Hospital Charge Code	2004240
Hospital Revenue Code	361
Min. Negotiated Rate	$50.04
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$124.33
Rate for Payer: Aetna Medicare Advantage	$124.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.68
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	$105.68
Rate for Payer: Cigna Commercial	$50.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.88
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$62.17
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

IR THORACIC VASC SEL CATH ADDL

Facility

$414.45

Service Code	HCPCS 36218
Hospital Charge Code	74110044
Hospital Revenue Code	361
Min. Negotiated Rate	$62.17
Max. Negotiated Rate	$62.17
Rate for Payer: Qualcare PPO/HMO/WC	$62.17

IR THORACIC VASC SEL CATH ADDL

Facility

$414.45

Service Code	HCPCS 36218
Hospital Charge Code	5100360
Hospital Revenue Code	361
Min. Negotiated Rate	$50.04
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$124.33
Rate for Payer: Aetna Medicare Advantage	$124.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.68
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	$105.68
Rate for Payer: Cigna Commercial	$50.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.88
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$62.17
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

IR THORACIC VASC SEL CATH ADDL

Facility

$414.45

Service Code	HCPCS 36218
Hospital Charge Code	74110044
Hospital Revenue Code	361
Min. Negotiated Rate	$50.04
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$124.33
Rate for Payer: Aetna Medicare Advantage	$124.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.68
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	$105.68
Rate for Payer: Cigna Commercial	$50.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.88
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$62.17
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

IR THORACIC VASC SEL CATH ADDL

Facility

$414.45

Service Code	HCPCS 36218
Hospital Charge Code	2004240
Hospital Revenue Code	361
Min. Negotiated Rate	$62.17
Max. Negotiated Rate	$62.17
Rate for Payer: Qualcare PPO/HMO/WC	$62.17

IR-THORACOST(ABCE,HTX)-BI

Facility

$1,650.00

Service Code	HCPCS 3255150
Hospital Charge Code	2690395
Hospital Revenue Code	361
Min. Negotiated Rate	$247.50
Max. Negotiated Rate	$247.50
Rate for Payer: Qualcare PPO/HMO/WC	$247.50

IR-THORACOST(ABCE,HTX)-BI

Facility

$1,650.00

Service Code	HCPCS 3255150
Hospital Charge Code	2690395
Hospital Revenue Code	361
Min. Negotiated Rate	$214.50
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$495.00
Rate for Payer: Aetna Medicare Advantage	$495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$420.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$420.75
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	$420.75
Rate for Payer: Cigna Commercial	$825.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.50
Rate for Payer: Qualcare PPO/HMO/WC	$247.50

IR-THORACOST(ABCE,HTX)-BI

Facility

$1,650.00

Service Code	HCPCS 3255150
Hospital Charge Code	7411784
Hospital Revenue Code	361
Min. Negotiated Rate	$247.50
Max. Negotiated Rate	$247.50
Rate for Payer: Qualcare PPO/HMO/WC	$247.50

IR-THORACOST(ABCE,HTX)-BI

Facility

$1,650.00

Service Code	HCPCS 3255150
Hospital Charge Code	7411784
Hospital Revenue Code	361
Min. Negotiated Rate	$214.50
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$495.00
Rate for Payer: Aetna Medicare Advantage	$495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$420.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$420.75
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	$420.75
Rate for Payer: Cigna Commercial	$825.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.50
Rate for Payer: Qualcare PPO/HMO/WC	$247.50

IR-THORACOST(ABCE,HTX)-LT

Facility

$1,650.00

Hospital Charge Code	2009195
Hospital Revenue Code	361
Min. Negotiated Rate	$247.50
Max. Negotiated Rate	$247.50
Rate for Payer: Qualcare PPO/HMO/WC	$247.50

IR-THORACOST(ABCE,HTX)-LT

Facility

$1,650.00

Hospital Charge Code	2009195
Hospital Revenue Code	361
Min. Negotiated Rate	$214.50
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$495.00
Rate for Payer: Aetna Medicare Advantage	$495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$420.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$420.75
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	$420.75
Rate for Payer: Cigna Commercial	$825.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.50
Rate for Payer: Qualcare PPO/HMO/WC	$247.50

IR-THORACOST(ABCE,HTX)-RT

Facility

$789.00

Service Code	HCPCS 32551RT
Hospital Charge Code	2691080
Hospital Revenue Code	361
Min. Negotiated Rate	$118.35
Max. Negotiated Rate	$118.35
Rate for Payer: Qualcare PPO/HMO/WC	$118.35

IR-THORACOST(ABCE,HTX)-RT

Facility

$789.00

Service Code	HCPCS 32551RT
Hospital Charge Code	7411887
Hospital Revenue Code	361
Min. Negotiated Rate	$118.35
Max. Negotiated Rate	$118.35
Rate for Payer: Qualcare PPO/HMO/WC	$118.35

IR-THORACOST(ABCE,HTX)-RT

Facility

$789.00

Service Code	HCPCS 32551RT
Hospital Charge Code	7411887
Hospital Revenue Code	361
Min. Negotiated Rate	$102.57
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$236.70
Rate for Payer: Aetna Medicare Advantage	$236.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$201.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$201.19
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	$201.19
Rate for Payer: Cigna Commercial	$394.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.57
Rate for Payer: Qualcare PPO/HMO/WC	$118.35

IR-THORACOST(ABCE,HTX)-RT

Facility

$789.00

Service Code	HCPCS 32551RT
Hospital Charge Code	2691080
Hospital Revenue Code	361
Min. Negotiated Rate	$102.57
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$236.70
Rate for Payer: Aetna Medicare Advantage	$236.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$201.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$201.19
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	$201.19
Rate for Payer: Cigna Commercial	$394.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.57
Rate for Payer: Qualcare PPO/HMO/WC	$118.35

IR THROMBO DECLOT VASC ACCESS

Facility

$8,322.45

Service Code	HCPCS 36870
Hospital Charge Code	7411490
Hospital Revenue Code	361
Min. Negotiated Rate	$1,081.92
Max. Negotiated Rate	$4,161.23
Rate for Payer: Aetna Commercial	$2,496.74
Rate for Payer: Aetna Medicare Advantage	$2,496.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,122.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,122.22
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	$2,122.22
Rate for Payer: Cigna Commercial	$4,161.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,081.92
Rate for Payer: Qualcare PPO/HMO/WC	$1,248.37

Know your out-of-pocket cost for care.

All Charges