Heights University Hospital

All Charges

Charge

Type

Setting

Price

IR XPOSE FOR ENDOPROSTH ILIAC

Facility

$21,560.00

Service Code	HCPCS 34820
Hospital Charge Code	7411399
Hospital Revenue Code	361
Min. Negotiated Rate	$325.49
Max. Negotiated Rate	$6,873.00
Rate for Payer: Aetna Commercial	$6,468.00
Rate for Payer: Aetna Medicare Advantage	$6,468.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,497.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,497.80
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	$5,497.80
Rate for Payer: Cigna Commercial	$325.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,802.80
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,234.00
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

IR XPOSE FOR ENDOPROSTH ILIAC

Facility

$21,560.00

Service Code	HCPCS 34820
Hospital Charge Code	7411399
Hospital Revenue Code	361
Min. Negotiated Rate	$3,234.00
Max. Negotiated Rate	$3,234.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,234.00

ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC

Facility

$62,826.24

Service Code	MSDRG 062
Min. Negotiated Rate	$19,175.59
Max. Negotiated Rate	$62,826.24
Rate for Payer: Aetna Commercial	$59,252.57
Rate for Payer: Aetna Medicare Advantage	$19,175.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51,550.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51,550.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20,942.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51,550.29
Rate for Payer: Cigna Medicare Advantage	$20,942.08
Rate for Payer: Clover Medicare Advantage	$19,894.98
Rate for Payer: EmblemHealth Commercial	$62,826.24
Rate for Payer: Humana Medicare Advantage	$21,570.34
Rate for Payer: UnitedHealthcare Medicare Advantage	$20,942.08
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$22,198.60
Rate for Payer: Wellcare Medicare Advantage	$20,942.08

ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC

Facility

$92,969.08

Service Code	MSDRG 061
Min. Negotiated Rate	$29,085.54
Max. Negotiated Rate	$92,969.08
Rate for Payer: Aetna Commercial	$92,969.08
Rate for Payer: Aetna Medicare Advantage	$30,087.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77,187.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77,187.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$30,616.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$77,187.60
Rate for Payer: Cigna Medicare Advantage	$30,616.36
Rate for Payer: Clover Medicare Advantage	$29,085.54
Rate for Payer: EmblemHealth Commercial	$91,849.08
Rate for Payer: Humana Medicare Advantage	$31,534.85
Rate for Payer: UnitedHealthcare Medicare Advantage	$30,616.36
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$32,453.34
Rate for Payer: Wellcare Medicare Advantage	$30,616.36

ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC

Facility

$52,568.55

Service Code	MSDRG 063
Min. Negotiated Rate	$15,319.08
Max. Negotiated Rate	$52,568.55
Rate for Payer: Aetna Commercial	$47,335.96
Rate for Payer: Aetna Medicare Advantage	$15,319.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41,074.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41,074.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17,522.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41,074.83
Rate for Payer: Cigna Medicare Advantage	$17,522.85
Rate for Payer: Clover Medicare Advantage	$16,646.71
Rate for Payer: EmblemHealth Commercial	$52,568.55
Rate for Payer: Humana Medicare Advantage	$18,048.54
Rate for Payer: UnitedHealthcare Medicare Advantage	$17,522.85
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$18,574.22
Rate for Payer: Wellcare Medicare Advantage	$17,522.85

IS CROSSMATCH

Facility

$652.55

Service Code	HCPCS 86920
Hospital Charge Code	3100625
Hospital Revenue Code	300
Min. Negotiated Rate	$97.88
Max. Negotiated Rate	$97.88
Rate for Payer: Qualcare PPO/HMO/WC	$97.88

IS CROSSMATCH

Facility

$652.55

Service Code	HCPCS 86920
Hospital Charge Code	3100625
Hospital Revenue Code	300
Min. Negotiated Rate	$24.74
Max. Negotiated Rate	$405.73
Rate for Payer: Aetna Commercial	$195.76
Rate for Payer: Aetna Medicare Advantage	$195.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$166.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$166.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$166.40
Rate for Payer: Cigna Commercial	$405.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.83
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$97.88
Rate for Payer: UnitedHealthcare Commercial	$114.00

ISLET CELL AB SCRN W/REFL

Facility

$390.00

Service Code	HCPCS 86341
Hospital Charge Code	39900369
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

ISLET CELL AB SCRN W/REFL

Facility

$390.00

Service Code	HCPCS 86341
Hospital Charge Code	39900369
Hospital Revenue Code	302
Min. Negotiated Rate	$11.79
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$76.37
Rate for Payer: Aetna Medicare Advantage	$23.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$23.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.36
Rate for Payer: Cigna Commercial	$23.57
Rate for Payer: Cigna Medicare Advantage	$11.79
Rate for Payer: Clover Medicare Advantage	$22.39
Rate for Payer: EmblemHealth Commercial	$70.71
Rate for Payer: Humana Medicare Advantage	$24.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$23.57
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$24.98
Rate for Payer: Wellcare Medicare Advantage	$23.57

ISLET CELL ANTIBODY

Facility

$224.00

Service Code	HCPCS 86341
Hospital Charge Code	38476220
Hospital Revenue Code	302
Min. Negotiated Rate	$11.79
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$76.37
Rate for Payer: Aetna Medicare Advantage	$23.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$23.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.36
Rate for Payer: Cigna Commercial	$23.57
Rate for Payer: Cigna Medicare Advantage	$11.79
Rate for Payer: Clover Medicare Advantage	$22.39
Rate for Payer: EmblemHealth Commercial	$70.71
Rate for Payer: Humana Medicare Advantage	$24.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.12
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.60
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$23.57
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$24.98
Rate for Payer: Wellcare Medicare Advantage	$23.57

ISLET CELL ANTIBODY

Facility

$224.00

Service Code	HCPCS 86341
Hospital Charge Code	38476220
Hospital Revenue Code	302
Min. Negotiated Rate	$33.60
Max. Negotiated Rate	$33.60
Rate for Payer: Qualcare PPO/HMO/WC	$33.60

ISLET CELL ANTIBODY***

Facility

$138.00

Hospital Charge Code	3010568
Hospital Revenue Code	301
Min. Negotiated Rate	$17.94
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$41.40
Rate for Payer: Aetna Medicare Advantage	$41.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.19
Rate for Payer: Cigna Commercial	$69.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.94
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$20.70
Rate for Payer: UnitedHealthcare Commercial	$114.00

ISLET CELL ANTIBODY***

Facility

$138.00

Hospital Charge Code	3010568
Hospital Revenue Code	301
Min. Negotiated Rate	$20.70
Max. Negotiated Rate	$20.70
Rate for Payer: Qualcare PPO/HMO/WC	$20.70

ISMOTIC

Facility

$114.00

Hospital Charge Code	60635138
Hospital Revenue Code	250
Min. Negotiated Rate	$17.10
Max. Negotiated Rate	$17.10
Rate for Payer: Qualcare PPO/HMO/WC	$17.10

ISMOTIC

Facility

$114.00

Hospital Charge Code	60635138
Hospital Revenue Code	250
Min. Negotiated Rate	$14.82
Max. Negotiated Rate	$57.00
Rate for Payer: Aetna Commercial	$34.20
Rate for Payer: Aetna Medicare Advantage	$34.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.07
Rate for Payer: Cigna Commercial	$57.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.82
Rate for Payer: Oxford Commercial	$57.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.10
Rate for Payer: UnitedHealthcare Commercial	$57.00

I SNARE SYSTEM 25G 5MM

Facility

$425.00

Hospital Charge Code	270680913
Hospital Revenue Code	272
Min. Negotiated Rate	$55.25
Max. Negotiated Rate	$212.50
Rate for Payer: Aetna Commercial	$127.50
Rate for Payer: Aetna Medicare Advantage	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$108.38
Rate for Payer: Cigna Commercial	$212.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.25
Rate for Payer: Oxford Commercial	$212.50
Rate for Payer: Qualcare PPO/HMO/WC	$63.75
Rate for Payer: UnitedHealthcare Commercial	$212.50

I SNARE SYSTEM 25G 5MM

Facility

$425.00

Hospital Charge Code	270680913
Hospital Revenue Code	272
Min. Negotiated Rate	$63.75
Max. Negotiated Rate	$63.75
Rate for Payer: Qualcare PPO/HMO/WC	$63.75

ISOCET/TAB

Facility

$3.00

Hospital Charge Code	60633193
Hospital Revenue Code	250
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$1.50
Rate for Payer: Aetna Commercial	$0.90
Rate for Payer: Aetna Medicare Advantage	$0.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.77
Rate for Payer: Cigna Commercial	$1.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.39
Rate for Payer: Oxford Commercial	$1.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.45
Rate for Payer: UnitedHealthcare Commercial	$1.50

ISOCET/TAB

Facility

$3.00

Hospital Charge Code	60633193
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

ISOETHARINE 0.61% AEROSOL

Facility

$294.40

Hospital Charge Code	60627453
Hospital Revenue Code	250
Min. Negotiated Rate	$38.27
Max. Negotiated Rate	$147.20
Rate for Payer: Aetna Commercial	$88.32
Rate for Payer: Aetna Medicare Advantage	$88.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$75.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$75.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$75.07
Rate for Payer: Cigna Commercial	$147.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.27
Rate for Payer: Oxford Commercial	$147.20
Rate for Payer: Qualcare PPO/HMO/WC	$44.16
Rate for Payer: UnitedHealthcare Commercial	$147.20

ISOETHARINE 0.61% AEROSOL

Facility

$294.40

Hospital Charge Code	60627453
Hospital Revenue Code	250
Min. Negotiated Rate	$44.16
Max. Negotiated Rate	$44.16
Rate for Payer: Qualcare PPO/HMO/WC	$44.16

ISOETHARINE INH 10ML

Facility

$136.35

Hospital Charge Code	6003180
Hospital Revenue Code	250
Min. Negotiated Rate	$20.45
Max. Negotiated Rate	$20.45
Rate for Payer: Qualcare PPO/HMO/WC	$20.45

ISOETHARINE INH 10ML

Facility

$136.35

Hospital Charge Code	6003180
Hospital Revenue Code	250
Min. Negotiated Rate	$17.73
Max. Negotiated Rate	$68.17
Rate for Payer: Aetna Commercial	$40.91
Rate for Payer: Aetna Medicare Advantage	$40.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.77
Rate for Payer: Cigna Commercial	$68.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.73
Rate for Payer: Oxford Commercial	$68.17
Rate for Payer: Qualcare PPO/HMO/WC	$20.45
Rate for Payer: UnitedHealthcare Commercial	$68.17

ISOETHARINE SOL 0.1%

Facility

$8.35

Hospital Charge Code	60627452
Hospital Revenue Code	259
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$1.25
Rate for Payer: Qualcare PPO/HMO/WC	$1.25

ISOETHARINE SOL 0.1%

Facility

$8.35

Hospital Charge Code	60627452
Hospital Revenue Code	259
Min. Negotiated Rate	$1.09
Max. Negotiated Rate	$4.17
Rate for Payer: Aetna Commercial	$2.50
Rate for Payer: Aetna Medicare Advantage	$2.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.13
Rate for Payer: Cigna Commercial	$4.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.09
Rate for Payer: Oxford Commercial	$4.17
Rate for Payer: Qualcare PPO/HMO/WC	$1.25
Rate for Payer: UnitedHealthcare Commercial	$4.17

Know your out-of-pocket cost for care.

All Charges