Heights University Hospital

All Charges

Charge

Type

Setting

Price

ARTERIAL DOPPLER UPP LOW LTD

Facility

$17,200.00

Service Code	HCPCS 93922
Hospital Charge Code	421593922
Hospital Revenue Code	921
Min. Negotiated Rate	$2,580.00
Max. Negotiated Rate	$2,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,580.00

ARTERIAL DOPPLER UPP LOW LTD

Facility

$17,200.00

Service Code	HCPCS 93922
Hospital Charge Code	421593922
Hospital Revenue Code	921
Min. Negotiated Rate	$253.00
Max. Negotiated Rate	$5,160.00
Rate for Payer: Aetna Commercial	$5,160.00
Rate for Payer: Aetna Medicare Advantage	$5,160.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,386.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,386.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$253.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,386.00
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,236.00
Rate for Payer: Oxford Commercial	$4,459.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,580.00
Rate for Payer: UnitedHealthcare Commercial	$5,061.00

ARTERIAL DUPLEX LOWER EXT LTD

Facility

$789.00

Service Code	HCPCS 93926
Hospital Charge Code	74115039
Hospital Revenue Code	920
Min. Negotiated Rate	$102.57
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$236.70
Rate for Payer: Aetna Medicare Advantage	$236.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$201.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$201.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$251.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$201.19
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.57
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$118.35
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

ARTERIAL DUPLEX LOWER EXT LTD

Facility

$789.00

Service Code	HCPCS 93926
Hospital Charge Code	74117039
Hospital Revenue Code	920
Min. Negotiated Rate	$118.35
Max. Negotiated Rate	$118.35
Rate for Payer: Qualcare PPO/HMO/WC	$118.35

ARTERIAL DUPLEX LOWER EXT LTD

Facility

$789.00

Service Code	HCPCS 93926
Hospital Charge Code	74116039
Hospital Revenue Code	920
Min. Negotiated Rate	$118.35
Max. Negotiated Rate	$118.35
Rate for Payer: Qualcare PPO/HMO/WC	$118.35

ARTERIAL DUPLEX LOWER EXT LTD

Facility

$5,100.00

Service Code	HCPCS 93926
Hospital Charge Code	2692140
Hospital Revenue Code	920
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

ARTERIAL DUPLEX LOWER EXT LTD

Facility

$789.00

Service Code	HCPCS 93926
Hospital Charge Code	74116039
Hospital Revenue Code	920
Min. Negotiated Rate	$102.57
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$236.70
Rate for Payer: Aetna Medicare Advantage	$236.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$201.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$201.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$251.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$201.19
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.57
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$118.35
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

ARTERIAL DUPLEX LOWER EXT LTD

Facility

$789.00

Service Code	HCPCS 93926
Hospital Charge Code	74115039
Hospital Revenue Code	920
Min. Negotiated Rate	$118.35
Max. Negotiated Rate	$118.35
Rate for Payer: Qualcare PPO/HMO/WC	$118.35

ARTERIAL DUPLEX LOWER EXT LTD

Facility

$1,079.25

Service Code	HCPCS 93926
Hospital Charge Code	94053240
Hospital Revenue Code	920
Min. Negotiated Rate	$161.89
Max. Negotiated Rate	$161.89
Rate for Payer: Qualcare PPO/HMO/WC	$161.89

ARTERIAL DUPLEX LOWER EXT LTD

Facility

$1,079.25

Service Code	HCPCS 93926
Hospital Charge Code	94053240
Hospital Revenue Code	920
Min. Negotiated Rate	$140.30
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$323.77
Rate for Payer: Aetna Medicare Advantage	$323.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$275.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$275.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$251.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$275.21
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$140.30
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$161.89
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

ARTERIAL DUPLEX LOWER EXT LTD

Facility

$789.00

Service Code	HCPCS 93926
Hospital Charge Code	74117039
Hospital Revenue Code	920
Min. Negotiated Rate	$102.57
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$236.70
Rate for Payer: Aetna Medicare Advantage	$236.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$201.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$201.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$251.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$201.19
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.57
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$118.35
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

ARTERIAL DUPLEX LOWER EXT LTD

Facility

$5,100.00

Service Code	HCPCS 93926
Hospital Charge Code	2692140
Hospital Revenue Code	920
Min. Negotiated Rate	$248.96
Max. Negotiated Rate	$1,530.00
Rate for Payer: Aetna Commercial	$1,530.00
Rate for Payer: Aetna Medicare Advantage	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$251.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$663.00
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

ARTERIAL DUPLEX SCAN

Facility

$5,100.00

Service Code	HCPCS 93925
Hospital Charge Code	421593925
Hospital Revenue Code	920
Min. Negotiated Rate	$412.85
Max. Negotiated Rate	$1,530.00
Rate for Payer: Aetna Commercial	$1,530.00
Rate for Payer: Aetna Medicare Advantage	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$412.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$568.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$663.00
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

ARTERIAL DUPLEX SCAN

Facility

$5,100.00

Service Code	HCPCS 93925
Hospital Charge Code	421593925
Hospital Revenue Code	920
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

ARTERIAL DUPLEX SCAN LE

Facility

$838.00

Service Code	HCPCS 93925
Hospital Charge Code	7411763
Hospital Revenue Code	920
Min. Negotiated Rate	$125.70
Max. Negotiated Rate	$125.70
Rate for Payer: Qualcare PPO/HMO/WC	$125.70

ARTERIAL DUPLEX SCAN LE

Facility

$5,100.00

Service Code	HCPCS 93925
Hospital Charge Code	74116036
Hospital Revenue Code	920
Min. Negotiated Rate	$412.85
Max. Negotiated Rate	$1,530.00
Rate for Payer: Aetna Commercial	$1,530.00
Rate for Payer: Aetna Medicare Advantage	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$412.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$568.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$663.00
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

ARTERIAL DUPLEX SCAN LE

Facility

$5,100.00

Service Code	HCPCS 93925
Hospital Charge Code	74117036
Hospital Revenue Code	920
Min. Negotiated Rate	$412.85
Max. Negotiated Rate	$1,530.00
Rate for Payer: Aetna Commercial	$1,530.00
Rate for Payer: Aetna Medicare Advantage	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$412.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$568.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$663.00
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

ARTERIAL DUPLEX SCAN LE

Facility

$838.00

Service Code	HCPCS 93925
Hospital Charge Code	2692045
Hospital Revenue Code	920
Min. Negotiated Rate	$125.70
Max. Negotiated Rate	$125.70
Rate for Payer: Qualcare PPO/HMO/WC	$125.70

ARTERIAL DUPLEX SCAN LE

Facility

$5,100.00

Service Code	HCPCS 93925
Hospital Charge Code	94053185
Hospital Revenue Code	920
Min. Negotiated Rate	$412.85
Max. Negotiated Rate	$1,530.00
Rate for Payer: Aetna Commercial	$1,530.00
Rate for Payer: Aetna Medicare Advantage	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$412.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$568.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$663.00
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

ARTERIAL DUPLEX SCAN LE

Facility

$5,100.00

Service Code	HCPCS 93925
Hospital Charge Code	74115036
Hospital Revenue Code	920
Min. Negotiated Rate	$412.85
Max. Negotiated Rate	$1,530.00
Rate for Payer: Aetna Commercial	$1,530.00
Rate for Payer: Aetna Medicare Advantage	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$412.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$568.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$663.00
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

ARTERIAL DUPLEX SCAN LE

Facility

$5,100.00

Service Code	HCPCS 93925
Hospital Charge Code	74117036
Hospital Revenue Code	920
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

ARTERIAL DUPLEX SCAN LE

Facility

$838.00

Service Code	HCPCS 93925
Hospital Charge Code	7411763
Hospital Revenue Code	920
Min. Negotiated Rate	$108.94
Max. Negotiated Rate	$1,489.00
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	$412.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$213.69
Rate for Payer: Cigna Commercial	$568.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.94
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$125.70
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

ARTERIAL DUPLEX SCAN LE

Facility

$838.00

Service Code	HCPCS 93925
Hospital Charge Code	2692045
Hospital Revenue Code	920
Min. Negotiated Rate	$108.94
Max. Negotiated Rate	$1,489.00
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	$412.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$213.69
Rate for Payer: Cigna Commercial	$568.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.94
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$125.70
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

ARTERIAL DUPLEX SCAN LE

Facility

$5,100.00

Service Code	HCPCS 93925
Hospital Charge Code	74116036
Hospital Revenue Code	920
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

ARTERIAL DUPLEX SCAN LE

Facility

$5,100.00

Service Code	HCPCS 93925
Hospital Charge Code	94053185
Hospital Revenue Code	920
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

Know your out-of-pocket cost for care.

All Charges