Heights University Hospital

All Charges

Charge

Type

Setting

Price

PERICARDIOCENTESIS SUBSEQUENT

Facility

$3,036.85

Service Code	HCPCS 33011
Hospital Charge Code	74110026
Hospital Revenue Code	361
Min. Negotiated Rate	$394.79
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$911.05
Rate for Payer: Aetna Medicare Advantage	$911.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$774.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$774.40
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	$774.40
Rate for Payer: Cigna Commercial	$1,518.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$394.79
Rate for Payer: Qualcare PPO/HMO/WC	$455.53

PERICARDIOCENTESIS SUBSEQUENT

Facility

$3,036.85

Service Code	HCPCS 33011
Hospital Charge Code	5100226
Hospital Revenue Code	361
Min. Negotiated Rate	$394.79
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$911.05
Rate for Payer: Aetna Medicare Advantage	$911.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$774.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$774.40
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	$774.40
Rate for Payer: Cigna Commercial	$1,518.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$394.79
Rate for Payer: Qualcare PPO/HMO/WC	$455.53

PERICARDIOCENTESIS SUBSEQUENT

Facility

$3,036.85

Service Code	HCPCS 33011
Hospital Charge Code	74110026
Hospital Revenue Code	361
Min. Negotiated Rate	$455.53
Max. Negotiated Rate	$455.53
Rate for Payer: Qualcare PPO/HMO/WC	$455.53

PERICARDIOCENTESIS SUBSEQUENT

Facility

$3,036.85

Service Code	HCPCS 33011
Hospital Charge Code	5100226
Hospital Revenue Code	361
Min. Negotiated Rate	$455.53
Max. Negotiated Rate	$455.53
Rate for Payer: Qualcare PPO/HMO/WC	$455.53

PERICARDIOCENTESIS W IMAGING

Facility

$9,550.68

Service Code	HCPCS 33016
Hospital Charge Code	404133016
Hospital Revenue Code	361
Min. Negotiated Rate	$1,241.59
Max. Negotiated Rate	$3,748.67
Rate for Payer: Aetna Commercial	$2,865.20
Rate for Payer: Aetna Medicare Advantage	$2,865.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,435.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,435.42
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	$2,435.42
Rate for Payer: Cigna Commercial	$3,748.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,241.59
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,432.60
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

PERICARDIOCENTESIS W IMAGING

Facility

$9,550.68

Service Code	HCPCS 33016
Hospital Charge Code	404133016
Hospital Revenue Code	361
Min. Negotiated Rate	$1,432.60
Max. Negotiated Rate	$1,432.60
Rate for Payer: Qualcare PPO/HMO/WC	$1,432.60

PERICARDIOCENTESIS W IMAGING

Facility

$9,550.68

Service Code	HCPCS 33016
Hospital Charge Code	404633016
Hospital Revenue Code	361
Min. Negotiated Rate	$1,241.59
Max. Negotiated Rate	$3,748.67
Rate for Payer: Aetna Commercial	$2,865.20
Rate for Payer: Aetna Medicare Advantage	$2,865.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,435.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,435.42
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	$2,435.42
Rate for Payer: Cigna Commercial	$3,748.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,241.59
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,432.60
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

PERICARDIOCENTESIS W IMAGING

Facility

$9,550.68

Service Code	HCPCS 33016
Hospital Charge Code	411033016
Hospital Revenue Code	361
Min. Negotiated Rate	$1,432.60
Max. Negotiated Rate	$1,432.60
Rate for Payer: Qualcare PPO/HMO/WC	$1,432.60

PERICARDIOCENTESIS W IMAGING

Facility

$9,550.68

Service Code	HCPCS 33016
Hospital Charge Code	321033016
Hospital Revenue Code	361
Min. Negotiated Rate	$1,432.60
Max. Negotiated Rate	$1,432.60
Rate for Payer: Qualcare PPO/HMO/WC	$1,432.60

PERICARDIOCENTESIS W IMAGING

Facility

$9,550.68

Service Code	HCPCS 33016
Hospital Charge Code	411033016
Hospital Revenue Code	361
Min. Negotiated Rate	$1,241.59
Max. Negotiated Rate	$3,748.67
Rate for Payer: Aetna Commercial	$2,865.20
Rate for Payer: Aetna Medicare Advantage	$2,865.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,435.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,435.42
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	$2,435.42
Rate for Payer: Cigna Commercial	$3,748.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,241.59
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,432.60
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

PERICARDIOCENTESIS W IMAGING

Facility

$9,550.68

Service Code	HCPCS 33016
Hospital Charge Code	321033016
Hospital Revenue Code	361
Min. Negotiated Rate	$1,241.59
Max. Negotiated Rate	$3,748.67
Rate for Payer: Aetna Commercial	$2,865.20
Rate for Payer: Aetna Medicare Advantage	$2,865.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,435.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,435.42
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	$2,435.42
Rate for Payer: Cigna Commercial	$3,748.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,241.59
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,432.60
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

PERICARDIOCENTESIS W IMAGING

Facility

$9,550.68

Service Code	HCPCS 33016
Hospital Charge Code	323033016
Hospital Revenue Code	450
Min. Negotiated Rate	$151.32
Max. Negotiated Rate	$3,748.67
Rate for Payer: Aetna Commercial	$2,865.20
Rate for Payer: Aetna Medicare Advantage	$2,865.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,435.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,435.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$151.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,435.42
Rate for Payer: Cigna Commercial	$3,748.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,241.59
Rate for Payer: Qualcare PPO/HMO/WC	$1,432.60

PERICARDIOCENTESIS W IMAGING

Facility

$9,550.68

Service Code	HCPCS 33016
Hospital Charge Code	323033016
Hospital Revenue Code	450
Min. Negotiated Rate	$1,432.60
Max. Negotiated Rate	$1,432.60
Rate for Payer: Qualcare PPO/HMO/WC	$1,432.60

PERICARDIOCENTESIS W IMAGING

Facility

$9,550.68

Service Code	HCPCS 33016
Hospital Charge Code	404633016
Hospital Revenue Code	361
Min. Negotiated Rate	$1,432.60
Max. Negotiated Rate	$1,432.60
Rate for Payer: Qualcare PPO/HMO/WC	$1,432.60

PERICARDIOCENT KIT W PIGTAIL

Facility

$836.66

Service Code	HCPCS C1729
Hospital Charge Code	270645514
Hospital Revenue Code	278
Min. Negotiated Rate	$125.50
Max. Negotiated Rate	$418.33
Rate for Payer: Aetna Commercial	$251.00
Rate for Payer: Aetna Medicare Advantage	$251.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$213.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$213.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$167.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$213.35
Rate for Payer: Cigna Commercial	$418.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$202.47
Rate for Payer: Qualcare PPO/HMO/WC	$125.50

PERICARDIOCENT KIT W PIGTAIL

Facility

$836.66

Service Code	HCPCS C1729
Hospital Charge Code	270645514
Hospital Revenue Code	278
Min. Negotiated Rate	$125.50
Max. Negotiated Rate	$202.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$167.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$202.47
Rate for Payer: Qualcare PPO/HMO/WC	$125.50

PERICARDIOTOMY REMOVAL OF CLOT

Facility

$17,367.60

Service Code	HCPCS 33020
Hospital Charge Code	1600000783
Hospital Revenue Code	360
Min. Negotiated Rate	$2,605.14
Max. Negotiated Rate	$2,605.14
Rate for Payer: Qualcare PPO/HMO/WC	$2,605.14

PERICARDIOTOMY REMOVAL OF CLOT

Facility

$17,367.60

Service Code	HCPCS 33020
Hospital Charge Code	1600000783
Hospital Revenue Code	360
Min. Negotiated Rate	$853.28
Max. Negotiated Rate	$6,873.00
Rate for Payer: Aetna Commercial	$5,210.28
Rate for Payer: Aetna Medicare Advantage	$5,210.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,428.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,428.74
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	$4,428.74
Rate for Payer: Cigna Commercial	$853.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,257.79
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,605.14
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

PERI CARE

Facility

$65.65

Hospital Charge Code	8001216
Hospital Revenue Code	279
Min. Negotiated Rate	$8.53
Max. Negotiated Rate	$32.83
Rate for Payer: Aetna Commercial	$19.70
Rate for Payer: Aetna Medicare Advantage	$19.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.74
Rate for Payer: Cigna Commercial	$32.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.53
Rate for Payer: Oxford Commercial	$32.83
Rate for Payer: Qualcare PPO/HMO/WC	$9.85
Rate for Payer: UnitedHealthcare Commercial	$32.83

PERI CARE

Facility

$65.65

Hospital Charge Code	8001216
Hospital Revenue Code	279
Min. Negotiated Rate	$9.85
Max. Negotiated Rate	$9.85
Rate for Payer: Qualcare PPO/HMO/WC	$9.85

PERI CERCLAGE

Facility

$1,907.00

Service Code	HCPCS 57700
Hospital Charge Code	74308025
Hospital Revenue Code	361
Min. Negotiated Rate	$247.91
Max. Negotiated Rate	$9,062.33
Rate for Payer: Aetna Better Health Medicaid	$8,884.64
Rate for Payer: Aetna Commercial	$572.10
Rate for Payer: Aetna Medicare Advantage	$572.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$486.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$486.29
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	$486.29
Rate for Payer: Cigna Commercial	$7,708.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.91
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$286.05
Rate for Payer: UnitedHealthcare Commercial	$5,529.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,062.33
Rate for Payer: Wellpoint Medicaid Managed Care	$8,884.64

PERI CERCLAGE

Facility

$1,907.00

Service Code	HCPCS 57700
Hospital Charge Code	74308025
Hospital Revenue Code	361
Min. Negotiated Rate	$286.05
Max. Negotiated Rate	$286.05
Rate for Payer: Qualcare PPO/HMO/WC	$286.05

PERI CERCLAGE OF CERVIX

Facility

$4,961.00

Service Code	HCPCS 59320
Hospital Charge Code	74308060
Hospital Revenue Code	721
Min. Negotiated Rate	$744.15
Max. Negotiated Rate	$744.15
Rate for Payer: Qualcare PPO/HMO/WC	$744.15

PERI CERCLAGE OF CERVIX

Facility

$4,961.00

Service Code	HCPCS 59320
Hospital Charge Code	74308060
Hospital Revenue Code	721
Min. Negotiated Rate	$97.75
Max. Negotiated Rate	$7,708.87
Rate for Payer: Aetna Commercial	$1,488.30
Rate for Payer: Aetna Medicare Advantage	$1,488.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,265.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,265.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$97.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,265.06
Rate for Payer: Cigna Commercial	$7,708.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$644.93
Rate for Payer: Oxford Commercial	$2,624.00
Rate for Payer: Qualcare PPO/HMO/WC	$744.15
Rate for Payer: UnitedHealthcare Commercial	$2,979.00

PERI COLOR FLOW MAPPING

Facility

$800.00

Service Code	HCPCS 93325
Hospital Charge Code	74308215
Hospital Revenue Code	483
Min. Negotiated Rate	$120.00
Max. Negotiated Rate	$120.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00

Know your out-of-pocket cost for care.

All Charges