Heights University Hospital

All Charges

Charge

Type

Setting

Price

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 LOWER EXT

Facility

$838.00

Service Code	HCPCS 93925
Hospital Charge Code	74117037
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 LOWER EXT

Facility

$5,100.00

Service Code	HCPCS 93925
Hospital Charge Code	94053225
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 LOWER EXT

Facility

$838.00

Service Code	HCPCS 93925
Hospital Charge Code	74116037
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 LOWER EXT

Facility

$838.00

Service Code	HCPCS 93925
Hospital Charge Code	74116037
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 LOWER EXT

Facility

$5,100.00

Service Code	HCPCS 93925
Hospital Charge Code	2692125
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 LOWER EXT

Facility

$5,100.00

Service Code	HCPCS 93925
Hospital Charge Code	2692125
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 LOWER EXT

Facility

$838.00

Service Code	HCPCS 93925
Hospital Charge Code	74117037
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 LOWER EXT

Facility

$838.00

Service Code	HCPCS 93925
Hospital Charge Code	74115037
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 LOWER EXT

Facility

$838.00

Service Code	HCPCS 93925
Hospital Charge Code	74115037
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 LOWER EXT

Facility

$5,100.00

Service Code	HCPCS 93925
Hospital Charge Code	94053225
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 UE

Facility

$843.00

Service Code	HCPCS 93930
Hospital Charge Code	2692055
Hospital Revenue Code	920
Min. Negotiated Rate	$126.45
Max. Negotiated Rate	$126.45
Rate for Payer: Qualcare PPO/HMO/WC	$126.45

ARTERIAL DUPLEX SCAN UE

Facility

$843.00

Service Code	HCPCS 93930
Hospital Charge Code	7411765
Hospital Revenue Code	920
Min. Negotiated Rate	$126.45
Max. Negotiated Rate	$126.45
Rate for Payer: Qualcare PPO/HMO/WC	$126.45

ARTERIAL DUPLEX SCAN UE

Facility

$843.00

Service Code	HCPCS 93930
Hospital Charge Code	74115040
Hospital Revenue Code	920
Min. Negotiated Rate	$109.59
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$252.90
Rate for Payer: Aetna Medicare Advantage	$252.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$214.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$214.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,189.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$214.97
Rate for Payer: Cigna Commercial	$568.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$109.59
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$126.45
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

ARTERIAL DUPLEX SCAN UE

Facility

$843.00

Service Code	HCPCS 93930
Hospital Charge Code	74115040
Hospital Revenue Code	920
Min. Negotiated Rate	$126.45
Max. Negotiated Rate	$126.45
Rate for Payer: Qualcare PPO/HMO/WC	$126.45

ARTERIAL DUPLEX SCAN UE

Facility

$1,079.25

Service Code	HCPCS 93930
Hospital Charge Code	94053195
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	$1,189.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$275.21
Rate for Payer: Cigna Commercial	$568.20
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 SCAN UE

Facility

$1,079.25

Service Code	HCPCS 93930
Hospital Charge Code	94053195
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 SCAN UE

Facility

$843.00

Service Code	HCPCS 93930
Hospital Charge Code	2692055
Hospital Revenue Code	920
Min. Negotiated Rate	$109.59
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$252.90
Rate for Payer: Aetna Medicare Advantage	$252.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$214.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$214.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,189.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$214.97
Rate for Payer: Cigna Commercial	$568.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$109.59
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$126.45
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

ARTERIAL DUPLEX SCAN UE

Facility

$843.00

Service Code	HCPCS 93930
Hospital Charge Code	74116040
Hospital Revenue Code	920
Min. Negotiated Rate	$126.45
Max. Negotiated Rate	$126.45
Rate for Payer: Qualcare PPO/HMO/WC	$126.45

ARTERIAL DUPLEX SCAN UE

Facility

$843.00

Service Code	HCPCS 93930
Hospital Charge Code	74116040
Hospital Revenue Code	920
Min. Negotiated Rate	$109.59
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$252.90
Rate for Payer: Aetna Medicare Advantage	$252.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$214.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$214.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,189.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$214.97
Rate for Payer: Cigna Commercial	$568.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$109.59
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$126.45
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

ARTERIAL DUPLEX SCAN UE

Facility

$843.00

Service Code	HCPCS 93930
Hospital Charge Code	74117040
Hospital Revenue Code	920
Min. Negotiated Rate	$109.59
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$252.90
Rate for Payer: Aetna Medicare Advantage	$252.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$214.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$214.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,189.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$214.97
Rate for Payer: Cigna Commercial	$568.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$109.59
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$126.45
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

ARTERIAL DUPLEX SCAN UE

Facility

$843.00

Service Code	HCPCS 93930
Hospital Charge Code	7411765
Hospital Revenue Code	920
Min. Negotiated Rate	$109.59
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$252.90
Rate for Payer: Aetna Medicare Advantage	$252.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$214.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$214.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,189.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$214.97
Rate for Payer: Cigna Commercial	$568.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$109.59
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$126.45
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

ARTERIAL DUPLEX SCAN UE

Facility

$843.00

Service Code	HCPCS 93930
Hospital Charge Code	74117040
Hospital Revenue Code	920
Min. Negotiated Rate	$126.45
Max. Negotiated Rate	$126.45
Rate for Payer: Qualcare PPO/HMO/WC	$126.45

ARTERIAL DUPLEX SCAN UPPER EXT

Facility

$5,100.00

Service Code	HCPCS 93930
Hospital Charge Code	74115041
Hospital Revenue Code	920
Min. Negotiated Rate	$568.20
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	$1,189.10
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 UPPER EXT

Facility

$5,100.00

Service Code	HCPCS 93930
Hospital Charge Code	74117041
Hospital Revenue Code	920
Min. Negotiated Rate	$568.20
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	$1,189.10
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

Know your out-of-pocket cost for care.

All Charges