Heights University Hospital

All Charges

Charge

Type

Setting

Price

IR-TRANS ARTHERE RENAL-LT

Facility

$8,231.00

Service Code	HCPCS 37225LT
Hospital Charge Code	7411927
Hospital Revenue Code	361
Min. Negotiated Rate	$1,234.65
Max. Negotiated Rate	$1,234.65
Rate for Payer: Qualcare PPO/HMO/WC	$1,234.65

IR-TRANS ARTHERE RENAL-LT

Facility

$47,711.75

Service Code	HCPCS 37225LT
Hospital Charge Code	2691375
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$23,855.88
Rate for Payer: Aetna Commercial	$14,313.52
Rate for Payer: Aetna Medicare Advantage	$14,313.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,166.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,166.50
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	$12,166.50
Rate for Payer: Cigna Commercial	$23,855.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,202.53
Rate for Payer: Qualcare PPO/HMO/WC	$7,156.76

IR-TRANS ARTHERE RENAL-LT

Facility

$47,711.75

Service Code	HCPCS 37225LT
Hospital Charge Code	7412043
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$23,855.88
Rate for Payer: Aetna Commercial	$14,313.52
Rate for Payer: Aetna Medicare Advantage	$14,313.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,166.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,166.50
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	$12,166.50
Rate for Payer: Cigna Commercial	$23,855.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,202.53
Rate for Payer: Qualcare PPO/HMO/WC	$7,156.76

IR-TRANS ARTHERE RENAL-RT

Facility

$8,231.00

Service Code	HCPCS 37225RT
Hospital Charge Code	7411929
Hospital Revenue Code	361
Min. Negotiated Rate	$1,234.65
Max. Negotiated Rate	$1,234.65
Rate for Payer: Qualcare PPO/HMO/WC	$1,234.65

IR-TRANS ARTHERE RENAL-RT

Facility

$47,711.75

Service Code	HCPCS 37225RT
Hospital Charge Code	7412045
Hospital Revenue Code	361
Min. Negotiated Rate	$7,156.76
Max. Negotiated Rate	$7,156.76
Rate for Payer: Qualcare PPO/HMO/WC	$7,156.76

IR-TRANS ARTHERE RENAL-RT

Facility

$47,711.75

Service Code	HCPCS 37225RT
Hospital Charge Code	2691385
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$23,855.88
Rate for Payer: Aetna Commercial	$14,313.52
Rate for Payer: Aetna Medicare Advantage	$14,313.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,166.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,166.50
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	$12,166.50
Rate for Payer: Cigna Commercial	$23,855.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,202.53
Rate for Payer: Qualcare PPO/HMO/WC	$7,156.76

IR-TRANS ARTHERE RENAL-RT

Facility

$47,711.75

Service Code	HCPCS 37225RT
Hospital Charge Code	7412045
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$23,855.88
Rate for Payer: Aetna Commercial	$14,313.52
Rate for Payer: Aetna Medicare Advantage	$14,313.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,166.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,166.50
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	$12,166.50
Rate for Payer: Cigna Commercial	$23,855.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,202.53
Rate for Payer: Qualcare PPO/HMO/WC	$7,156.76

IR-TRANS ARTHERE RENAL-RT

Facility

$8,231.00

Service Code	HCPCS 37225RT
Hospital Charge Code	7411929
Hospital Revenue Code	361
Min. Negotiated Rate	$1,070.03
Max. Negotiated Rate	$4,115.50
Rate for Payer: Aetna Commercial	$2,469.30
Rate for Payer: Aetna Medicare Advantage	$2,469.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,098.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,098.91
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	$2,098.91
Rate for Payer: Cigna Commercial	$4,115.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,070.03
Rate for Payer: Qualcare PPO/HMO/WC	$1,234.65

IR-TRANS ARTHERE RENAL-RT

Facility

$47,711.75

Service Code	HCPCS 37225RT
Hospital Charge Code	2691385
Hospital Revenue Code	361
Min. Negotiated Rate	$7,156.76
Max. Negotiated Rate	$7,156.76
Rate for Payer: Qualcare PPO/HMO/WC	$7,156.76

IR-TRANS BALLN ANG BRA-BI

Facility

$8,231.00

Service Code	HCPCS 3547550
Hospital Charge Code	2690410
Hospital Revenue Code	361
Min. Negotiated Rate	$1,070.03
Max. Negotiated Rate	$4,115.50
Rate for Payer: Aetna Commercial	$2,469.30
Rate for Payer: Aetna Medicare Advantage	$2,469.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,098.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,098.91
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	$2,098.91
Rate for Payer: Cigna Commercial	$4,115.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,070.03
Rate for Payer: Qualcare PPO/HMO/WC	$1,234.65

IR-TRANS BALLN ANG BRA-BI

Facility

$8,231.00

Service Code	HCPCS 3547550
Hospital Charge Code	2690410
Hospital Revenue Code	361
Min. Negotiated Rate	$1,234.65
Max. Negotiated Rate	$1,234.65
Rate for Payer: Qualcare PPO/HMO/WC	$1,234.65

IR-TRANS BALLN ANG BRA-LT

Facility

$8,231.00

Service Code	HCPCS 35475LT
Hospital Charge Code	2691115
Hospital Revenue Code	361
Min. Negotiated Rate	$1,070.03
Max. Negotiated Rate	$4,115.50
Rate for Payer: Aetna Commercial	$2,469.30
Rate for Payer: Aetna Medicare Advantage	$2,469.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,098.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,098.91
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	$2,098.91
Rate for Payer: Cigna Commercial	$4,115.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,070.03
Rate for Payer: Qualcare PPO/HMO/WC	$1,234.65

IR-TRANS BALLN ANG BRA-LT

Facility

$8,231.00

Service Code	HCPCS 35475LT
Hospital Charge Code	2691115
Hospital Revenue Code	361
Min. Negotiated Rate	$1,234.65
Max. Negotiated Rate	$1,234.65
Rate for Payer: Qualcare PPO/HMO/WC	$1,234.65

IR-TRANS BALLN ANG BRA-RT

Facility

$8,231.00

Service Code	HCPCS 35475RT
Hospital Charge Code	2691120
Hospital Revenue Code	361
Min. Negotiated Rate	$1,234.65
Max. Negotiated Rate	$1,234.65
Rate for Payer: Qualcare PPO/HMO/WC	$1,234.65

IR-TRANS BALLN ANG BRA-RT

Facility

$8,231.00

Service Code	HCPCS 35475RT
Hospital Charge Code	2691120
Hospital Revenue Code	361
Min. Negotiated Rate	$1,070.03
Max. Negotiated Rate	$4,115.50
Rate for Payer: Aetna Commercial	$2,469.30
Rate for Payer: Aetna Medicare Advantage	$2,469.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,098.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,098.91
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	$2,098.91
Rate for Payer: Cigna Commercial	$4,115.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,070.03
Rate for Payer: Qualcare PPO/HMO/WC	$1,234.65

IR-TRANS BALLN ANG F/P-BI

Facility

$8,231.00

Service Code	HCPCS 3722450
Hospital Charge Code	2690515
Hospital Revenue Code	361
Min. Negotiated Rate	$1,070.03
Max. Negotiated Rate	$4,115.50
Rate for Payer: Aetna Commercial	$2,469.30
Rate for Payer: Aetna Medicare Advantage	$2,469.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,098.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,098.91
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	$2,098.91
Rate for Payer: Cigna Commercial	$4,115.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,070.03
Rate for Payer: Qualcare PPO/HMO/WC	$1,234.65

IR-TRANS BALLN ANG F/P-BI

Facility

$44,000.00

Service Code	HCPCS 3722450
Hospital Charge Code	7411802
Hospital Revenue Code	361
Min. Negotiated Rate	$6,600.00
Max. Negotiated Rate	$6,600.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,600.00

IR-TRANS BALLN ANG F/P-BI

Facility

$8,231.00

Service Code	HCPCS 3722450
Hospital Charge Code	2690515
Hospital Revenue Code	361
Min. Negotiated Rate	$1,234.65
Max. Negotiated Rate	$1,234.65
Rate for Payer: Qualcare PPO/HMO/WC	$1,234.65

IR-TRANS BALLN ANG F/P-BI

Facility

$44,000.00

Service Code	HCPCS 3722450
Hospital Charge Code	7411802
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$22,000.00
Rate for Payer: Aetna Commercial	$13,200.00
Rate for Payer: Aetna Medicare Advantage	$13,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11,220.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11,220.00
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	$11,220.00
Rate for Payer: Cigna Commercial	$22,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,720.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,600.00

IR-TRANS BALLN ANG F/P-LT

Facility

$27,397.00

Service Code	HCPCS 37224LT
Hospital Charge Code	366837224L
Hospital Revenue Code	361
Min. Negotiated Rate	$4,109.55
Max. Negotiated Rate	$4,109.55
Rate for Payer: Qualcare PPO/HMO/WC	$4,109.55

IR-TRANS BALLN ANG F/P-LT

Facility

$27,397.00

Service Code	HCPCS 37224LT
Hospital Charge Code	7411924
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$13,698.50
Rate for Payer: Aetna Commercial	$8,219.10
Rate for Payer: Aetna Medicare Advantage	$8,219.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,986.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,986.23
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	$6,986.23
Rate for Payer: Cigna Commercial	$13,698.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,561.61
Rate for Payer: Qualcare PPO/HMO/WC	$4,109.55

IR-TRANS BALLN ANG F/P-LT

Facility

$27,397.00

Service Code	HCPCS 37224LT
Hospital Charge Code	2691360
Hospital Revenue Code	361
Min. Negotiated Rate	$4,109.55
Max. Negotiated Rate	$4,109.55
Rate for Payer: Qualcare PPO/HMO/WC	$4,109.55

IR-TRANS BALLN ANG F/P-LT

Facility

$27,397.00

Service Code	HCPCS 37224LT
Hospital Charge Code	2691360
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$13,698.50
Rate for Payer: Aetna Commercial	$8,219.10
Rate for Payer: Aetna Medicare Advantage	$8,219.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,986.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,986.23
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	$6,986.23
Rate for Payer: Cigna Commercial	$13,698.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,561.61
Rate for Payer: Qualcare PPO/HMO/WC	$4,109.55

IR-TRANS BALLN ANG F/P-LT

Facility

$27,397.00

Service Code	HCPCS 37224LT
Hospital Charge Code	321037224L
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$13,698.50
Rate for Payer: Aetna Commercial	$8,219.10
Rate for Payer: Aetna Medicare Advantage	$8,219.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,986.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,986.23
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	$6,986.23
Rate for Payer: Cigna Commercial	$13,698.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,561.61
Rate for Payer: Qualcare PPO/HMO/WC	$4,109.55

IR-TRANS BALLN ANG F/P-LT

Facility

$27,397.00

Service Code	HCPCS 37224LT
Hospital Charge Code	366837224L
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$13,698.50
Rate for Payer: Aetna Commercial	$8,219.10
Rate for Payer: Aetna Medicare Advantage	$8,219.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,986.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,986.23
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	$6,986.23
Rate for Payer: Cigna Commercial	$13,698.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,561.61
Rate for Payer: Qualcare PPO/HMO/WC	$4,109.55

Know your out-of-pocket cost for care.

All Charges