Heights University Hospital

All Charges

Charge

Type

Setting

Price

PERC FNA PLEURA-RT

Facility

$2,403.20

Service Code	HCPCS 10022RT
Hospital Charge Code	2250447
Hospital Revenue Code	361
Min. Negotiated Rate	$312.42
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$720.96
Rate for Payer: Aetna Medicare Advantage	$720.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$612.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$612.82
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	$612.82
Rate for Payer: Cigna Commercial	$1,201.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$312.42
Rate for Payer: Qualcare PPO/HMO/WC	$360.48

PERC FNA PLEURA-RT

Facility

$2,403.20

Service Code	HCPCS 10022RT
Hospital Charge Code	2250447
Hospital Revenue Code	361
Min. Negotiated Rate	$360.48
Max. Negotiated Rate	$360.48
Rate for Payer: Qualcare PPO/HMO/WC	$360.48

PERC FNA PLEURA-RT

Facility

$2,403.20

Service Code	HCPCS 10022RT
Hospital Charge Code	7412052
Hospital Revenue Code	361
Min. Negotiated Rate	$360.48
Max. Negotiated Rate	$360.48
Rate for Payer: Qualcare PPO/HMO/WC	$360.48

PERC IMPL NS ELCTRD ARY,EPIDRL

Facility

$54,950.80

Service Code	HCPCS 63650
Hospital Charge Code	160000193
Hospital Revenue Code	360
Min. Negotiated Rate	$8,242.62
Max. Negotiated Rate	$8,242.62
Rate for Payer: Qualcare PPO/HMO/WC	$8,242.62

PERC IMPL NS ELCTRD ARY,EPIDRL

Facility

$54,950.80

Service Code	HCPCS 63650
Hospital Charge Code	160000193
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$16,485.24
Rate for Payer: Aetna Commercial	$16,485.24
Rate for Payer: Aetna Medicare Advantage	$16,485.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,012.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,012.45
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	$14,012.45
Rate for Payer: Cigna Commercial	$15,176.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,143.60
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,242.62
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

PERC INC ADDUCTOR/HAMSTRING T

Facility

$12,831.20

Service Code	HCPCS 27306
Hospital Charge Code	16000877
Hospital Revenue Code	360
Min. Negotiated Rate	$1,668.06
Max. Negotiated Rate	$7,791.93
Rate for Payer: Aetna Commercial	$3,849.36
Rate for Payer: Aetna Medicare Advantage	$3,849.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,271.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,271.96
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	$3,271.96
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,668.06
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,924.68
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

PERC INC ADDUCTOR/HAMSTRING T

Facility

$12,831.20

Service Code	HCPCS 27306
Hospital Charge Code	16000877
Hospital Revenue Code	360
Min. Negotiated Rate	$1,924.68
Max. Negotiated Rate	$1,924.68
Rate for Payer: Qualcare PPO/HMO/WC	$1,924.68

PERC INC HIP ADDUCTOR

Facility

$6,353.84

Service Code	HCPCS 27000
Hospital Charge Code	1600000333
Hospital Revenue Code	360
Min. Negotiated Rate	$953.08
Max. Negotiated Rate	$953.08
Rate for Payer: Qualcare PPO/HMO/WC	$953.08

PERC INC HIP ADDUCTOR

Facility

$6,353.84

Service Code	HCPCS 27000
Hospital Charge Code	1600000333
Hospital Revenue Code	360
Min. Negotiated Rate	$826.00
Max. Negotiated Rate	$5,529.00
Rate for Payer: Aetna Commercial	$1,906.15
Rate for Payer: Aetna Medicare Advantage	$1,906.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,620.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,620.23
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	$1,620.23
Rate for Payer: Cigna Commercial	$3,829.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$826.00
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$953.08
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

PERC INJ RENAL CYST-BI

Facility

$7,064.85

Service Code	HCPCS 5039050
Hospital Charge Code	2101196
Hospital Revenue Code	361
Min. Negotiated Rate	$1,059.73
Max. Negotiated Rate	$1,059.73
Rate for Payer: Qualcare PPO/HMO/WC	$1,059.73

PERC INJ RENAL CYST-BI

Facility

$7,064.85

Service Code	HCPCS 5039050
Hospital Charge Code	2101196
Hospital Revenue Code	361
Min. Negotiated Rate	$918.43
Max. Negotiated Rate	$3,532.43
Rate for Payer: Aetna Commercial	$2,119.45
Rate for Payer: Aetna Medicare Advantage	$2,119.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,801.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,801.54
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	$1,801.54
Rate for Payer: Cigna Commercial	$3,532.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$918.43
Rate for Payer: Qualcare PPO/HMO/WC	$1,059.73

PERC INJ RENAL CYST-LT

Facility

$4,709.90

Service Code	HCPCS 50390LT
Hospital Charge Code	2101198
Hospital Revenue Code	361
Min. Negotiated Rate	$706.49
Max. Negotiated Rate	$706.49
Rate for Payer: Qualcare PPO/HMO/WC	$706.49

PERC INJ RENAL CYST-LT

Facility

$4,709.90

Service Code	HCPCS 50390LT
Hospital Charge Code	2101198
Hospital Revenue Code	361
Min. Negotiated Rate	$612.29
Max. Negotiated Rate	$2,354.95
Rate for Payer: Aetna Commercial	$1,412.97
Rate for Payer: Aetna Medicare Advantage	$1,412.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,201.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,201.02
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	$1,201.02
Rate for Payer: Cigna Commercial	$2,354.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$612.29
Rate for Payer: Qualcare PPO/HMO/WC	$706.49

PERC INSERT IABP

Facility

$4,727.00

Service Code	HCPCS 33967
Hospital Charge Code	366833967
Hospital Revenue Code	361
Min. Negotiated Rate	$709.05
Max. Negotiated Rate	$709.05
Rate for Payer: Qualcare PPO/HMO/WC	$709.05

PERC INSERT IABP

Facility

$4,727.00

Service Code	HCPCS 33967
Hospital Charge Code	7411037
Hospital Revenue Code	361
Min. Negotiated Rate	$242.11
Max. Negotiated Rate	$13,243.00
Rate for Payer: Aetna Commercial	$1,418.10
Rate for Payer: Aetna Medicare Advantage	$1,418.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,205.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,205.38
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	$1,205.38
Rate for Payer: Cigna Commercial	$242.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$614.51
Rate for Payer: Oxford Commercial	$11,667.00
Rate for Payer: Qualcare PPO/HMO/WC	$709.05
Rate for Payer: UnitedHealthcare Commercial	$13,243.00

PERC INSERT IABP

Facility

$4,727.00

Service Code	HCPCS 33967
Hospital Charge Code	366833967
Hospital Revenue Code	361
Min. Negotiated Rate	$242.11
Max. Negotiated Rate	$13,243.00
Rate for Payer: Aetna Commercial	$1,418.10
Rate for Payer: Aetna Medicare Advantage	$1,418.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,205.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,205.38
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	$1,205.38
Rate for Payer: Cigna Commercial	$242.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$614.51
Rate for Payer: Oxford Commercial	$11,667.00
Rate for Payer: Qualcare PPO/HMO/WC	$709.05
Rate for Payer: UnitedHealthcare Commercial	$13,243.00

PERC INSERT IABP

Facility

$4,727.00

Service Code	HCPCS 33967
Hospital Charge Code	7411037
Hospital Revenue Code	361
Min. Negotiated Rate	$709.05
Max. Negotiated Rate	$709.05
Rate for Payer: Qualcare PPO/HMO/WC	$709.05

PERC INSERTION KIT FOR 2.9 PUS

Facility

$1,100.00

Hospital Charge Code	270672023
Hospital Revenue Code	272
Min. Negotiated Rate	$143.00
Max. Negotiated Rate	$550.00
Rate for Payer: Aetna Commercial	$330.00
Rate for Payer: Aetna Medicare Advantage	$330.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$280.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$280.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$280.50
Rate for Payer: Cigna Commercial	$550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.00
Rate for Payer: Oxford Commercial	$550.00
Rate for Payer: Qualcare PPO/HMO/WC	$165.00
Rate for Payer: UnitedHealthcare Commercial	$550.00

PERC INSERTION KIT FOR 2.9 PUS

Facility

$1,100.00

Hospital Charge Code	270672023
Hospital Revenue Code	272
Min. Negotiated Rate	$165.00
Max. Negotiated Rate	$165.00
Rate for Payer: Qualcare PPO/HMO/WC	$165.00

PERCLOSE DEVICE 6FR.

Facility

$1,295.00

Hospital Charge Code	270651808
Hospital Revenue Code	278
Min. Negotiated Rate	$194.25
Max. Negotiated Rate	$647.50
Rate for Payer: Aetna Commercial	$388.50
Rate for Payer: Aetna Medicare Advantage	$388.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$330.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$330.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$259.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$330.23
Rate for Payer: Cigna Commercial	$647.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$313.39
Rate for Payer: Qualcare PPO/HMO/WC	$194.25

PERCLOSE DEVICE 6FR.

Facility

$1,295.00

Hospital Charge Code	270651808
Hospital Revenue Code	278
Min. Negotiated Rate	$194.25
Max. Negotiated Rate	$313.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$259.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$313.39
Rate for Payer: Qualcare PPO/HMO/WC	$194.25

PERCLOSE DEVICE 6FR.

Facility

$1,295.00

Hospital Charge Code	2706000682
Hospital Revenue Code	272
Min. Negotiated Rate	$168.35
Max. Negotiated Rate	$647.50
Rate for Payer: Aetna Commercial	$388.50
Rate for Payer: Aetna Medicare Advantage	$388.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$330.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$330.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$330.23
Rate for Payer: Cigna Commercial	$647.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$168.35
Rate for Payer: Oxford Commercial	$647.50
Rate for Payer: Qualcare PPO/HMO/WC	$194.25
Rate for Payer: UnitedHealthcare Commercial	$647.50

PERCLOSE DEVICE 6FR.

Facility

$1,295.00

Hospital Charge Code	2706000682
Hospital Revenue Code	272
Min. Negotiated Rate	$194.25
Max. Negotiated Rate	$194.25
Rate for Payer: Qualcare PPO/HMO/WC	$194.25

PERCLOSE PROG CLOS SYS 1267303

Facility

$1,175.00

Hospital Charge Code	270637327
Hospital Revenue Code	272
Min. Negotiated Rate	$176.25
Max. Negotiated Rate	$176.25
Rate for Payer: Qualcare PPO/HMO/WC	$176.25

PERCLOSE PROG CLOS SYS 1267303

Facility

$1,175.00

Hospital Charge Code	270637327
Hospital Revenue Code	272
Min. Negotiated Rate	$152.75
Max. Negotiated Rate	$587.50
Rate for Payer: Aetna Commercial	$352.50
Rate for Payer: Aetna Medicare Advantage	$352.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$299.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$299.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$299.62
Rate for Payer: Cigna Commercial	$587.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$152.75
Rate for Payer: Oxford Commercial	$587.50
Rate for Payer: Qualcare PPO/HMO/WC	$176.25
Rate for Payer: UnitedHealthcare Commercial	$587.50

Know your out-of-pocket cost for care.

All Charges