Heights University Hospital

All Charges

Charge

Type

Setting

Price

IR-TRANS BALN ANG PCUT-LT

Facility

$11,225.00

Service Code	HCPCS 35476LT
Hospital Charge Code	2691125
Hospital Revenue Code	761
Min. Negotiated Rate	$1,683.75
Max. Negotiated Rate	$1,683.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,683.75

IR-TRANS BALN ANG PCUT-RT

Facility

$11,225.00

Service Code	HCPCS 35476RT
Hospital Charge Code	2691130
Hospital Revenue Code	361
Min. Negotiated Rate	$1,459.25
Max. Negotiated Rate	$5,612.50
Rate for Payer: Aetna Commercial	$3,367.50
Rate for Payer: Aetna Medicare Advantage	$3,367.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,862.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,862.38
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	$2,862.38
Rate for Payer: Cigna Commercial	$5,612.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,459.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,683.75

IR-TRANS BALN ANG PCUT-RT

Facility

$11,225.00

Service Code	HCPCS 35476RT
Hospital Charge Code	7411892
Hospital Revenue Code	761
Min. Negotiated Rate	$1,459.25
Max. Negotiated Rate	$5,612.50
Rate for Payer: Aetna Commercial	$3,367.50
Rate for Payer: Aetna Medicare Advantage	$3,367.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,862.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,862.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,862.38
Rate for Payer: Cigna Commercial	$5,612.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,459.25
Rate for Payer: Oxford Commercial	$5,612.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,683.75
Rate for Payer: UnitedHealthcare Commercial	$5,612.50

IR-TRANS BALN ANG PCUT-RT

Facility

$11,225.00

Service Code	HCPCS 35476RT
Hospital Charge Code	7411892
Hospital Revenue Code	761
Min. Negotiated Rate	$1,683.75
Max. Negotiated Rate	$1,683.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,683.75

IR-TRANS BALN ANG PCUT-RT

Facility

$11,225.00

Service Code	HCPCS 35476RT
Hospital Charge Code	2691130
Hospital Revenue Code	361
Min. Negotiated Rate	$1,683.75
Max. Negotiated Rate	$1,683.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,683.75

IR-TRANSCA OCC NON CNS-BI

Facility

$8,231.00

Service Code	HCPCS 6162650
Hospital Charge Code	7411834
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-TRANSCA OCC NON CNS-BI

Facility

$8,231.00

Service Code	HCPCS 6162650
Hospital Charge Code	2690705
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-TRANSCA OCC NON CNS-BI

Facility

$8,231.00

Service Code	HCPCS 6162650
Hospital Charge Code	2690705
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-TRANSCA OCC NON CNS-BI

Facility

$8,231.00

Service Code	HCPCS 6162650
Hospital Charge Code	7411834
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-TRANSCA OCC NON CNS-LT

Facility

$8,231.00

Service Code	HCPCS 61626LT
Hospital Charge Code	2691750
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-TRANSCA OCC NON CNS-LT

Facility

$8,231.00

Service Code	HCPCS 61626LT
Hospital Charge Code	7411990
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-TRANSCA OCC NON CNS-LT

Facility

$8,231.00

Service Code	HCPCS 61626LT
Hospital Charge Code	7411990
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-TRANSCA OCC NON CNS-LT

Facility

$8,231.00

Service Code	HCPCS 61626LT
Hospital Charge Code	2691750
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-TRANSCA OCC NON CNS-RT

Facility

$8,231.00

Service Code	HCPCS 61626RT
Hospital Charge Code	2691755
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-TRANSCA OCC NON CNS-RT

Facility

$8,231.00

Service Code	HCPCS 61626RT
Hospital Charge Code	7411991
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-TRANSCA OCC NON CNS-RT

Facility

$8,231.00

Service Code	HCPCS 61626RT
Hospital Charge Code	2691755
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-TRANSCA OCC NON CNS-RT

Facility

$8,231.00

Service Code	HCPCS 61626RT
Hospital Charge Code	7411991
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 TRANSCATHETER BIOPSY

Facility

$13,510.10

Service Code	HCPCS 37200
Hospital Charge Code	7411501
Hospital Revenue Code	361
Min. Negotiated Rate	$1,756.31
Max. Negotiated Rate	$13,251.23
Rate for Payer: Aetna Commercial	$4,053.03
Rate for Payer: Aetna Medicare Advantage	$4,053.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,445.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,445.08
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	$3,445.08
Rate for Payer: Cigna Commercial	$13,251.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,756.31
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,026.52
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

IR TRANSCATHETER BIOPSY

Facility

$13,510.10

Service Code	HCPCS 37200
Hospital Charge Code	7411501
Hospital Revenue Code	361
Min. Negotiated Rate	$2,026.52
Max. Negotiated Rate	$2,026.52
Rate for Payer: Qualcare PPO/HMO/WC	$2,026.52

IR TRANSCATHETER BIOPSY

Facility

$13,510.10

Service Code	HCPCS 37200
Hospital Charge Code	2600148
Hospital Revenue Code	361
Min. Negotiated Rate	$1,756.31
Max. Negotiated Rate	$13,251.23
Rate for Payer: Aetna Commercial	$4,053.03
Rate for Payer: Aetna Medicare Advantage	$4,053.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,445.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,445.08
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	$3,445.08
Rate for Payer: Cigna Commercial	$13,251.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,756.31
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,026.52
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

IR TRANSCATHETER BIOPSY

Facility

$13,510.10

Service Code	HCPCS 37200
Hospital Charge Code	2600148
Hospital Revenue Code	361
Min. Negotiated Rate	$2,026.52
Max. Negotiated Rate	$2,026.52
Rate for Payer: Qualcare PPO/HMO/WC	$2,026.52

IR TRANSCATHETER OCCLUSION

Facility

$40,990.35

Hospital Charge Code	2101170
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$20,495.17
Rate for Payer: Aetna Commercial	$12,297.10
Rate for Payer: Aetna Medicare Advantage	$12,297.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,452.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,452.54
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	$10,452.54
Rate for Payer: Cigna Commercial	$20,495.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,328.75
Rate for Payer: Qualcare PPO/HMO/WC	$6,148.55

IR TRANSCATHETER OCCLUSION

Facility

$40,990.35

Hospital Charge Code	2101170
Hospital Revenue Code	361
Min. Negotiated Rate	$6,148.55
Max. Negotiated Rate	$6,148.55
Rate for Payer: Qualcare PPO/HMO/WC	$6,148.55

IR TRANSCATH OCCLUS OR EMOBIL

Facility

$65,162.14

Hospital Charge Code	2011163
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$32,581.07
Rate for Payer: Aetna Commercial	$19,548.64
Rate for Payer: Aetna Medicare Advantage	$19,548.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16,616.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16,616.35
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	$16,616.35
Rate for Payer: Cigna Commercial	$32,581.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,471.08
Rate for Payer: Qualcare PPO/HMO/WC	$9,774.32

IR TRANSCATH OCCLUS OR EMOBIL

Facility

$65,162.14

Hospital Charge Code	2011163
Hospital Revenue Code	361
Min. Negotiated Rate	$9,774.32
Max. Negotiated Rate	$9,774.32
Rate for Payer: Qualcare PPO/HMO/WC	$9,774.32

Know your out-of-pocket cost for care.

All Charges