Heights University Hospital

All Charges

Charge

Type

Setting

Price

PLACE CATH CAROTID ART

Facility

$21,387.78

Service Code	HCPCS 36224
Hospital Charge Code	5100811
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$13,251.23
Rate for Payer: Aetna Commercial	$6,416.33
Rate for Payer: Aetna Medicare Advantage	$6,416.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,453.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,453.88
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	$5,453.88
Rate for Payer: Cigna Commercial	$13,251.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,780.41
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,208.17
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

PLACE CATH CAROTID ART

Facility

$21,387.78

Service Code	HCPCS 36224
Hospital Charge Code	74110104
Hospital Revenue Code	361
Min. Negotiated Rate	$3,208.17
Max. Negotiated Rate	$3,208.17
Rate for Payer: Qualcare PPO/HMO/WC	$3,208.17

PLACE CATH CAROTID ART

Facility

$21,387.78

Service Code	HCPCS 36224
Hospital Charge Code	74110104
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$13,251.23
Rate for Payer: Aetna Commercial	$6,416.33
Rate for Payer: Aetna Medicare Advantage	$6,416.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,453.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,453.88
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	$5,453.88
Rate for Payer: Cigna Commercial	$13,251.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,780.41
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,208.17
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

PLACE CATH CAROTID ART BI

Facility

$38,442.70

Service Code	HCPCS 3622450
Hospital Charge Code	321036224B
Hospital Revenue Code	361
Min. Negotiated Rate	$5,766.40
Max. Negotiated Rate	$5,766.40
Rate for Payer: Qualcare PPO/HMO/WC	$5,766.40

PLACE CATH CAROTID ART BI

Facility

$38,442.70

Service Code	HCPCS 3622450
Hospital Charge Code	321036224B
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$19,221.35
Rate for Payer: Aetna Commercial	$11,532.81
Rate for Payer: Aetna Medicare Advantage	$11,532.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,802.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,802.89
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	$9,802.89
Rate for Payer: Cigna Commercial	$19,221.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,997.55
Rate for Payer: Qualcare PPO/HMO/WC	$5,766.40

PLACE CATH CAROTID ART BI

Facility

$38,442.70

Service Code	HCPCS 3622450
Hospital Charge Code	5600224
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$19,221.35
Rate for Payer: Aetna Commercial	$11,532.81
Rate for Payer: Aetna Medicare Advantage	$11,532.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,802.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,802.89
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	$9,802.89
Rate for Payer: Cigna Commercial	$19,221.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,997.55
Rate for Payer: Qualcare PPO/HMO/WC	$5,766.40

PLACE CATH CAROTID ART BI

Facility

$38,442.70

Service Code	HCPCS 3622450
Hospital Charge Code	5600224
Hospital Revenue Code	361
Min. Negotiated Rate	$5,766.40
Max. Negotiated Rate	$5,766.40
Rate for Payer: Qualcare PPO/HMO/WC	$5,766.40

PLACE CATH CAROTID/INOM ART

Facility

$13,077.63

Service Code	HCPCS 36222
Hospital Charge Code	411036222
Hospital Revenue Code	361
Min. Negotiated Rate	$1,700.09
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Commercial	$3,923.29
Rate for Payer: Aetna Medicare Advantage	$3,923.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,334.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,334.80
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	$3,334.80
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,700.09
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,961.64
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

PLACE CATH CAROTID/INOM ART

Facility

$25,628.45

Service Code	HCPCS 36223
Hospital Charge Code	321036223
Hospital Revenue Code	361
Min. Negotiated Rate	$3,844.27
Max. Negotiated Rate	$3,844.27
Rate for Payer: Qualcare PPO/HMO/WC	$3,844.27

PLACE CATH CAROTID/INOM ART

Facility

$13,077.63

Service Code	HCPCS 36223
Hospital Charge Code	5100810
Hospital Revenue Code	361
Min. Negotiated Rate	$1,961.64
Max. Negotiated Rate	$1,961.64
Rate for Payer: Qualcare PPO/HMO/WC	$1,961.64

PLACE CATH CAROTID/INOM ART

Facility

$13,077.63

Service Code	HCPCS 36222
Hospital Charge Code	5100809
Hospital Revenue Code	361
Min. Negotiated Rate	$1,700.09
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Commercial	$3,923.29
Rate for Payer: Aetna Medicare Advantage	$3,923.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,334.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,334.80
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	$3,334.80
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,700.09
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,961.64
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

PLACE CATH CAROTID/INOM ART

Facility

$13,077.63

Service Code	HCPCS 36222
Hospital Charge Code	74110102
Hospital Revenue Code	361
Min. Negotiated Rate	$1,961.64
Max. Negotiated Rate	$1,961.64
Rate for Payer: Qualcare PPO/HMO/WC	$1,961.64

PLACE CATH CAROTID/INOM ART

Facility

$15,468.50

Service Code	HCPCS 36222
Hospital Charge Code	5600222
Hospital Revenue Code	361
Min. Negotiated Rate	$2,320.28
Max. Negotiated Rate	$2,320.28
Rate for Payer: Qualcare PPO/HMO/WC	$2,320.28

PLACE CATH CAROTID/INOM ART

Facility

$13,077.63

Service Code	HCPCS 36222
Hospital Charge Code	366836222
Hospital Revenue Code	361
Min. Negotiated Rate	$1,961.64
Max. Negotiated Rate	$1,961.64
Rate for Payer: Qualcare PPO/HMO/WC	$1,961.64

PLACE CATH CAROTID/INOM ART

Facility

$13,077.63

Service Code	HCPCS 36222
Hospital Charge Code	411036222
Hospital Revenue Code	361
Min. Negotiated Rate	$1,961.64
Max. Negotiated Rate	$1,961.64
Rate for Payer: Qualcare PPO/HMO/WC	$1,961.64

PLACE CATH CAROTID/INOM ART

Facility

$13,077.63

Service Code	HCPCS 36223
Hospital Charge Code	411036223
Hospital Revenue Code	361
Min. Negotiated Rate	$1,961.64
Max. Negotiated Rate	$1,961.64
Rate for Payer: Qualcare PPO/HMO/WC	$1,961.64

PLACE CATH CAROTID/INOM ART

Facility

$13,077.63

Service Code	HCPCS 36223
Hospital Charge Code	74110103
Hospital Revenue Code	361
Min. Negotiated Rate	$1,700.09
Max. Negotiated Rate	$13,251.23
Rate for Payer: Aetna Commercial	$3,923.29
Rate for Payer: Aetna Medicare Advantage	$3,923.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,334.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,334.80
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	$3,334.80
Rate for Payer: Cigna Commercial	$13,251.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,700.09
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,961.64
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

PLACE CATH CAROTID/INOM ART

Facility

$15,468.50

Service Code	HCPCS 36222
Hospital Charge Code	5600222
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Commercial	$4,640.55
Rate for Payer: Aetna Medicare Advantage	$4,640.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,944.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,944.47
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	$3,944.47
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,010.90
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,320.28
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

PLACE CATH CAROTID/INOM ART

Facility

$15,468.50

Service Code	HCPCS 36222
Hospital Charge Code	321036222
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Commercial	$4,640.55
Rate for Payer: Aetna Medicare Advantage	$4,640.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,944.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,944.47
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	$3,944.47
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,010.90
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,320.28
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

PLACE CATH CAROTID/INOM ART

Facility

$13,077.63

Service Code	HCPCS 36222
Hospital Charge Code	74110102
Hospital Revenue Code	361
Min. Negotiated Rate	$1,700.09
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Commercial	$3,923.29
Rate for Payer: Aetna Medicare Advantage	$3,923.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,334.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,334.80
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	$3,334.80
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,700.09
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,961.64
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

PLACE CATH CAROTID/INOM ART

Facility

$13,077.63

Service Code	HCPCS 36223
Hospital Charge Code	5100810
Hospital Revenue Code	361
Min. Negotiated Rate	$1,700.09
Max. Negotiated Rate	$13,251.23
Rate for Payer: Aetna Commercial	$3,923.29
Rate for Payer: Aetna Medicare Advantage	$3,923.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,334.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,334.80
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	$3,334.80
Rate for Payer: Cigna Commercial	$13,251.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,700.09
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,961.64
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

PLACE CATH CAROTID/INOM ART

Facility

$13,077.63

Service Code	HCPCS 36222
Hospital Charge Code	366836222
Hospital Revenue Code	361
Min. Negotiated Rate	$1,700.09
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Commercial	$3,923.29
Rate for Payer: Aetna Medicare Advantage	$3,923.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,334.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,334.80
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	$3,334.80
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,700.09
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,961.64
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

PLACE CATH CAROTID/INOM ART

Facility

$13,077.63

Service Code	HCPCS 36222
Hospital Charge Code	5100809
Hospital Revenue Code	361
Min. Negotiated Rate	$1,961.64
Max. Negotiated Rate	$1,961.64
Rate for Payer: Qualcare PPO/HMO/WC	$1,961.64

PLACE CATH CAROTID/INOM ART

Facility

$25,628.45

Service Code	HCPCS 36223
Hospital Charge Code	5600223
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$13,251.23
Rate for Payer: Aetna Commercial	$7,688.53
Rate for Payer: Aetna Medicare Advantage	$7,688.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,535.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,535.25
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	$6,535.25
Rate for Payer: Cigna Commercial	$13,251.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,331.70
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,844.27
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

PLACE CATH CAROTID/INOM ART

Facility

$25,628.45

Service Code	HCPCS 36223
Hospital Charge Code	5600223
Hospital Revenue Code	361
Min. Negotiated Rate	$3,844.27
Max. Negotiated Rate	$3,844.27
Rate for Payer: Qualcare PPO/HMO/WC	$3,844.27

Know your out-of-pocket cost for care.

All Charges