Heights University Hospital

All Charges

Charge

Type

Setting

Price

IR VASC SEL CATH 1ST A/P/LE

Facility

$364.00

Service Code	HCPCS 36245
Hospital Charge Code	321036245
Hospital Revenue Code	361
Min. Negotiated Rate	$54.60
Max. Negotiated Rate	$54.60
Rate for Payer: Qualcare PPO/HMO/WC	$54.60

IR VASC SEL CATH 1ST A/P/LE

Facility

$364.00

Service Code	HCPCS 36245
Hospital Charge Code	321036245
Hospital Revenue Code	361
Min. Negotiated Rate	$47.32
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$109.20
Rate for Payer: Aetna Medicare Advantage	$109.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.82
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	$92.82
Rate for Payer: Cigna Commercial	$222.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.32
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$54.60
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

IR VASC SEL CATH 1ST A/P/LE

Facility

$364.00

Service Code	HCPCS 36245
Hospital Charge Code	2004273
Hospital Revenue Code	361
Min. Negotiated Rate	$47.32
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$109.20
Rate for Payer: Aetna Medicare Advantage	$109.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.82
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	$92.82
Rate for Payer: Cigna Commercial	$222.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.32
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$54.60
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

IR VASC SEL CATH 1ST A/P/LE

Facility

$364.00

Service Code	HCPCS 36245
Hospital Charge Code	2004273
Hospital Revenue Code	361
Min. Negotiated Rate	$54.60
Max. Negotiated Rate	$54.60
Rate for Payer: Qualcare PPO/HMO/WC	$54.60

IR VASC SEL CATH 2ND A/P/LE

Facility

$8,697.00

Service Code	HCPCS 36246
Hospital Charge Code	7411431
Hospital Revenue Code	361
Min. Negotiated Rate	$1,304.55
Max. Negotiated Rate	$1,304.55
Rate for Payer: Qualcare PPO/HMO/WC	$1,304.55

IR VASC SEL CATH 2ND A/P/LE

Facility

$8,697.00

Service Code	HCPCS 36246
Hospital Charge Code	321036246
Hospital Revenue Code	361
Min. Negotiated Rate	$237.81
Max. Negotiated Rate	$2,609.10
Rate for Payer: Aetna Commercial	$2,609.10
Rate for Payer: Aetna Medicare Advantage	$2,609.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,217.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,217.74
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	$2,217.74
Rate for Payer: Cigna Commercial	$237.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,130.61
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,304.55
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

IR VASC SEL CATH 2ND A/P/LE

Facility

$8,697.00

Service Code	HCPCS 36246
Hospital Charge Code	2004265
Hospital Revenue Code	361
Min. Negotiated Rate	$237.81
Max. Negotiated Rate	$2,609.10
Rate for Payer: Aetna Commercial	$2,609.10
Rate for Payer: Aetna Medicare Advantage	$2,609.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,217.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,217.74
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	$2,217.74
Rate for Payer: Cigna Commercial	$237.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,130.61
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,304.55
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

IR VASC SEL CATH 2ND A/P/LE

Facility

$8,697.00

Service Code	HCPCS 36246
Hospital Charge Code	366836246
Hospital Revenue Code	361
Min. Negotiated Rate	$1,304.55
Max. Negotiated Rate	$1,304.55
Rate for Payer: Qualcare PPO/HMO/WC	$1,304.55

IR VASC SEL CATH 2ND A/P/LE

Facility

$8,697.00

Service Code	HCPCS 36246
Hospital Charge Code	411036246
Hospital Revenue Code	361
Min. Negotiated Rate	$237.81
Max. Negotiated Rate	$2,609.10
Rate for Payer: Aetna Commercial	$2,609.10
Rate for Payer: Aetna Medicare Advantage	$2,609.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,217.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,217.74
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	$2,217.74
Rate for Payer: Cigna Commercial	$237.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,130.61
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,304.55
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

IR VASC SEL CATH 2ND A/P/LE

Facility

$8,697.00

Service Code	HCPCS 36246
Hospital Charge Code	411036246
Hospital Revenue Code	361
Min. Negotiated Rate	$1,304.55
Max. Negotiated Rate	$1,304.55
Rate for Payer: Qualcare PPO/HMO/WC	$1,304.55

IR VASC SEL CATH 2ND A/P/LE

Facility

$8,697.00

Service Code	HCPCS 36246
Hospital Charge Code	366836246
Hospital Revenue Code	361
Min. Negotiated Rate	$237.81
Max. Negotiated Rate	$2,609.10
Rate for Payer: Aetna Commercial	$2,609.10
Rate for Payer: Aetna Medicare Advantage	$2,609.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,217.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,217.74
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	$2,217.74
Rate for Payer: Cigna Commercial	$237.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,130.61
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,304.55
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

IR VASC SEL CATH 2ND A/P/LE

Facility

$8,697.00

Service Code	HCPCS 36246
Hospital Charge Code	321036246
Hospital Revenue Code	361
Min. Negotiated Rate	$1,304.55
Max. Negotiated Rate	$1,304.55
Rate for Payer: Qualcare PPO/HMO/WC	$1,304.55

IR VASC SEL CATH 2ND A/P/LE

Facility

$8,697.00

Service Code	HCPCS 36246
Hospital Charge Code	2004265
Hospital Revenue Code	361
Min. Negotiated Rate	$1,304.55
Max. Negotiated Rate	$1,304.55
Rate for Payer: Qualcare PPO/HMO/WC	$1,304.55

IR VASC SEL CATH 2ND A/P/LE

Facility

$8,697.00

Service Code	HCPCS 36246
Hospital Charge Code	7411431
Hospital Revenue Code	361
Min. Negotiated Rate	$237.81
Max. Negotiated Rate	$2,609.10
Rate for Payer: Aetna Commercial	$2,609.10
Rate for Payer: Aetna Medicare Advantage	$2,609.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,217.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,217.74
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	$2,217.74
Rate for Payer: Cigna Commercial	$237.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,130.61
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,304.55
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

IR VASC SEL CATH 3RD A/P/LE

Facility

$8,697.00

Service Code	HCPCS 36247
Hospital Charge Code	2004257
Hospital Revenue Code	361
Min. Negotiated Rate	$278.15
Max. Negotiated Rate	$2,609.10
Rate for Payer: Aetna Commercial	$2,609.10
Rate for Payer: Aetna Medicare Advantage	$2,609.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,217.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,217.74
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	$2,217.74
Rate for Payer: Cigna Commercial	$278.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,130.61
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,304.55
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

IR VASC SEL CATH 3RD A/P/LE

Facility

$8,697.00

Service Code	HCPCS 36247
Hospital Charge Code	7411432
Hospital Revenue Code	361
Min. Negotiated Rate	$278.15
Max. Negotiated Rate	$2,609.10
Rate for Payer: Aetna Commercial	$2,609.10
Rate for Payer: Aetna Medicare Advantage	$2,609.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,217.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,217.74
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	$2,217.74
Rate for Payer: Cigna Commercial	$278.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,130.61
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,304.55
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

IR VASC SEL CATH 3RD A/P/LE

Facility

$8,697.00

Service Code	HCPCS 36247
Hospital Charge Code	2004257
Hospital Revenue Code	361
Min. Negotiated Rate	$1,304.55
Max. Negotiated Rate	$1,304.55
Rate for Payer: Qualcare PPO/HMO/WC	$1,304.55

IR VASC SEL CATH 3RD A/P/LE

Facility

$8,697.00

Service Code	HCPCS 36247
Hospital Charge Code	7411432
Hospital Revenue Code	361
Min. Negotiated Rate	$1,304.55
Max. Negotiated Rate	$1,304.55
Rate for Payer: Qualcare PPO/HMO/WC	$1,304.55

IR VASC SEL CATH 3RD A/P/LE

Facility

$8,697.00

Service Code	HCPCS 36247
Hospital Charge Code	321036247
Hospital Revenue Code	361
Min. Negotiated Rate	$1,304.55
Max. Negotiated Rate	$1,304.55
Rate for Payer: Qualcare PPO/HMO/WC	$1,304.55

IR VASC SEL CATH 3RD A/P/LE

Facility

$8,697.00

Service Code	HCPCS 36247
Hospital Charge Code	366836247
Hospital Revenue Code	361
Min. Negotiated Rate	$278.15
Max. Negotiated Rate	$2,609.10
Rate for Payer: Aetna Commercial	$2,609.10
Rate for Payer: Aetna Medicare Advantage	$2,609.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,217.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,217.74
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	$2,217.74
Rate for Payer: Cigna Commercial	$278.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,130.61
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,304.55
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

IR VASC SEL CATH 3RD A/P/LE

Facility

$8,697.00

Service Code	HCPCS 36247
Hospital Charge Code	411036247
Hospital Revenue Code	361
Min. Negotiated Rate	$278.15
Max. Negotiated Rate	$2,609.10
Rate for Payer: Aetna Commercial	$2,609.10
Rate for Payer: Aetna Medicare Advantage	$2,609.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,217.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,217.74
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	$2,217.74
Rate for Payer: Cigna Commercial	$278.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,130.61
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,304.55
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

IR VASC SEL CATH 3RD A/P/LE

Facility

$8,697.00

Service Code	HCPCS 36247
Hospital Charge Code	411036247
Hospital Revenue Code	361
Min. Negotiated Rate	$1,304.55
Max. Negotiated Rate	$1,304.55
Rate for Payer: Qualcare PPO/HMO/WC	$1,304.55

IR VASC SEL CATH 3RD A/P/LE

Facility

$8,697.00

Service Code	HCPCS 36247
Hospital Charge Code	366836247
Hospital Revenue Code	361
Min. Negotiated Rate	$1,304.55
Max. Negotiated Rate	$1,304.55
Rate for Payer: Qualcare PPO/HMO/WC	$1,304.55

IR VASC SEL CATH 3RD A/P/LE

Facility

$8,697.00

Service Code	HCPCS 36247
Hospital Charge Code	321036247
Hospital Revenue Code	361
Min. Negotiated Rate	$278.15
Max. Negotiated Rate	$2,609.10
Rate for Payer: Aetna Commercial	$2,609.10
Rate for Payer: Aetna Medicare Advantage	$2,609.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,217.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,217.74
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	$2,217.74
Rate for Payer: Cigna Commercial	$278.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,130.61
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,304.55
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

IR VASC SEL CATH INTR 1ST T/B

Facility

$1,517.65

Service Code	HCPCS 36215
Hospital Charge Code	7411426
Hospital Revenue Code	361
Min. Negotiated Rate	$227.65
Max. Negotiated Rate	$227.65
Rate for Payer: Qualcare PPO/HMO/WC	$227.65

Know your out-of-pocket cost for care.

All Charges