Heights University Hospital

All Charges

Charge

Type

Setting

Price

IR TUBETMORACOSTOMY

Facility

$2,422.65

Service Code	HCPCS 32551
Hospital Charge Code	2004891
Hospital Revenue Code	361
Min. Negotiated Rate	$314.94
Max. Negotiated Rate	$3,748.67
Rate for Payer: Aetna Better Health Medicaid	$2,426.75
Rate for Payer: Aetna Commercial	$726.79
Rate for Payer: Aetna Medicare Advantage	$726.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$617.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$617.78
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	$617.78
Rate for Payer: Cigna Commercial	$3,748.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$314.94
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$363.40
Rate for Payer: UnitedHealthcare Commercial	$2,575.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$2,475.28
Rate for Payer: Wellpoint Medicaid Managed Care	$2,426.75

IR TUBETMORACOSTOMY

Facility

$2,422.65

Service Code	HCPCS 32551
Hospital Charge Code	2004891
Hospital Revenue Code	361
Min. Negotiated Rate	$363.40
Max. Negotiated Rate	$363.40
Rate for Payer: Qualcare PPO/HMO/WC	$363.40

IR-TX COLLAPSED LUNG-LT

Facility

$838.00

Hospital Charge Code	2691050
Hospital Revenue Code	361
Min. Negotiated Rate	$125.70
Max. Negotiated Rate	$125.70
Rate for Payer: Qualcare PPO/HMO/WC	$125.70

IR-TX COLLAPSED LUNG-LT

Facility

$838.00

Hospital Charge Code	2691050
Hospital Revenue Code	361
Min. Negotiated Rate	$108.94
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$251.40
Rate for Payer: Aetna Medicare Advantage	$251.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$213.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$213.69
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	$213.69
Rate for Payer: Cigna Commercial	$419.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.94
Rate for Payer: Qualcare PPO/HMO/WC	$125.70

IR-TX COLLASPED LUNG-BI

Facility

$834.00

Hospital Charge Code	2690380
Hospital Revenue Code	361
Min. Negotiated Rate	$108.42
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$250.20
Rate for Payer: Aetna Medicare Advantage	$250.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$212.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$212.67
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	$212.67
Rate for Payer: Cigna Commercial	$417.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.42
Rate for Payer: Qualcare PPO/HMO/WC	$125.10

IR-TX COLLASPED LUNG-BI

Facility

$834.00

Hospital Charge Code	2690380
Hospital Revenue Code	361
Min. Negotiated Rate	$125.10
Max. Negotiated Rate	$125.10
Rate for Payer: Qualcare PPO/HMO/WC	$125.10

IR-TX COLLASPED LUNG-RT

Facility

$834.00

Hospital Charge Code	2691055
Hospital Revenue Code	361
Min. Negotiated Rate	$108.42
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$250.20
Rate for Payer: Aetna Medicare Advantage	$250.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$212.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$212.67
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	$212.67
Rate for Payer: Cigna Commercial	$417.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.42
Rate for Payer: Qualcare PPO/HMO/WC	$125.10

IR-TX COLLASPED LUNG-RT

Facility

$834.00

Hospital Charge Code	2691055
Hospital Revenue Code	361
Min. Negotiated Rate	$125.10
Max. Negotiated Rate	$125.10
Rate for Payer: Qualcare PPO/HMO/WC	$125.10

IR UNLISTED PROCEDURE - LIVER

Facility

$3,392.55

Service Code	HCPCS 47399
Hospital Charge Code	321047399
Hospital Revenue Code	361
Min. Negotiated Rate	$441.03
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$1,017.76
Rate for Payer: Aetna Medicare Advantage	$1,017.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$865.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$865.10
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	$865.10
Rate for Payer: Cigna Commercial	$1,686.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$441.03
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$508.88
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

IR UNLISTED PROCEDURE - LIVER

Facility

$2,392.95

Service Code	HCPCS 47399
Hospital Charge Code	7411556
Hospital Revenue Code	361
Min. Negotiated Rate	$311.08
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$717.88
Rate for Payer: Aetna Medicare Advantage	$717.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$610.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$610.20
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	$610.20
Rate for Payer: Cigna Commercial	$1,686.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$311.08
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$358.94
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

IR UNLISTED PROCEDURE - LIVER

Facility

$3,392.55

Service Code	HCPCS 47399
Hospital Charge Code	321047399
Hospital Revenue Code	361
Min. Negotiated Rate	$508.88
Max. Negotiated Rate	$508.88
Rate for Payer: Qualcare PPO/HMO/WC	$508.88

IR UNLISTED PROCEDURE - LIVER

Facility

$2,864.05

Service Code	HCPCS 47399
Hospital Charge Code	411047399
Hospital Revenue Code	361
Min. Negotiated Rate	$372.33
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$859.22
Rate for Payer: Aetna Medicare Advantage	$859.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$730.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$730.33
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	$730.33
Rate for Payer: Cigna Commercial	$1,686.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$372.33
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$429.61
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

IR UNLISTED PROCEDURE - LIVER

Facility

$3,392.55

Service Code	HCPCS 47399
Hospital Charge Code	5600188
Hospital Revenue Code	361
Min. Negotiated Rate	$441.03
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$1,017.76
Rate for Payer: Aetna Medicare Advantage	$1,017.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$865.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$865.10
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	$865.10
Rate for Payer: Cigna Commercial	$1,686.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$441.03
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$508.88
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

IR UNLISTED PROCEDURE - LIVER

Facility

$3,392.55

Service Code	HCPCS 47399
Hospital Charge Code	5600188
Hospital Revenue Code	361
Min. Negotiated Rate	$508.88
Max. Negotiated Rate	$508.88
Rate for Payer: Qualcare PPO/HMO/WC	$508.88

IR UNLISTED PROCEDURE - LIVER

Facility

$2,392.95

Service Code	HCPCS 47399
Hospital Charge Code	7411556
Hospital Revenue Code	361
Min. Negotiated Rate	$358.94
Max. Negotiated Rate	$358.94
Rate for Payer: Qualcare PPO/HMO/WC	$358.94

IR UNLISTED PROCEDURE - LIVER

Facility

$2,864.05

Service Code	HCPCS 47399
Hospital Charge Code	366847399
Hospital Revenue Code	361
Min. Negotiated Rate	$429.61
Max. Negotiated Rate	$429.61
Rate for Payer: Qualcare PPO/HMO/WC	$429.61

IR UNLISTED PROCEDURE - LIVER

Facility

$2,864.05

Service Code	HCPCS 47399
Hospital Charge Code	366847399
Hospital Revenue Code	361
Min. Negotiated Rate	$372.33
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$859.22
Rate for Payer: Aetna Medicare Advantage	$859.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$730.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$730.33
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	$730.33
Rate for Payer: Cigna Commercial	$1,686.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$372.33
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$429.61
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

IR UNLISTED PROCEDURE - LIVER

Facility

$2,864.05

Service Code	HCPCS 47399
Hospital Charge Code	411047399
Hospital Revenue Code	361
Min. Negotiated Rate	$429.61
Max. Negotiated Rate	$429.61
Rate for Payer: Qualcare PPO/HMO/WC	$429.61

IR UNLISTED VASCULAR PROCEDUR

Facility

$3,630.70

Service Code	HCPCS 37799
Hospital Charge Code	2600185
Hospital Revenue Code	361
Min. Negotiated Rate	$544.61
Max. Negotiated Rate	$544.61
Rate for Payer: Qualcare PPO/HMO/WC	$544.61

IR UNLISTED VASCULAR PROCEDUR

Facility

$3,630.70

Service Code	HCPCS 37799
Hospital Charge Code	321037799
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 UNLISTED VASCULAR PROCEDUR

Facility

$3,630.70

Service Code	HCPCS 37799
Hospital Charge Code	321037799
Hospital Revenue Code	361
Min. Negotiated Rate	$544.61
Max. Negotiated Rate	$544.61
Rate for Payer: Qualcare PPO/HMO/WC	$544.61

IR UNLISTED VASCULAR PROCEDUR

Facility

$258.70

Service Code	HCPCS 37799
Hospital Charge Code	7411541
Hospital Revenue Code	361
Min. Negotiated Rate	$38.80
Max. Negotiated Rate	$38.80
Rate for Payer: Qualcare PPO/HMO/WC	$38.80

IR UNLISTED VASCULAR PROCEDUR

Facility

$258.70

Service Code	HCPCS 37799
Hospital Charge Code	7411541
Hospital Revenue Code	361
Min. Negotiated Rate	$33.63
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$77.61
Rate for Payer: Aetna Medicare Advantage	$77.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.97
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	$65.97
Rate for Payer: Cigna Commercial	$1,493.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.63
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$38.80
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

IR UNLISTED VASCULAR PROCEDUR

Facility

$3,630.70

Service Code	HCPCS 37799
Hospital Charge Code	2600185
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 UNLISTE PROCEDURE URINARY

Facility

$461.14

Service Code	HCPCS 53899
Hospital Charge Code	7411632
Hospital Revenue Code	361
Min. Negotiated Rate	$69.17
Max. Negotiated Rate	$69.17
Rate for Payer: Qualcare PPO/HMO/WC	$69.17

Know your out-of-pocket cost for care.

All Charges