Heights University Hospital

All Charges

Charge

Type

Setting

Price

PLACE CATH CAROTID/INOM ART

Facility

$13,077.63

Service Code	HCPCS 36223
Hospital Charge Code	74110103
Hospital Revenue Code	361
Min. Negotiated Rate	$1,961.64
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

$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	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	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	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 BI

Facility

$38,442.70

Service Code	HCPCS 3622350
Hospital Charge Code	411036223B
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/INOM ART BI

Facility

$38,442.70

Service Code	HCPCS 3622350
Hospital Charge Code	411036223B
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 COMM ILI,CONTRLATRL

Facility

$331.55

Service Code	HCPCS 36245
Hospital Charge Code	5100555
Hospital Revenue Code	361
Min. Negotiated Rate	$43.10
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$99.47
Rate for Payer: Aetna Medicare Advantage	$99.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.55
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	$84.55
Rate for Payer: Cigna Commercial	$222.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.10
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$49.73
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

PLACE CATH COMM ILI,CONTRLATRL

Facility

$331.55

Service Code	HCPCS 36245
Hospital Charge Code	5100555
Hospital Revenue Code	361
Min. Negotiated Rate	$49.73
Max. Negotiated Rate	$49.73
Rate for Payer: Qualcare PPO/HMO/WC	$49.73

PLACE CATHETER IN ARTERY

Facility

$403.00

Service Code	HCPCS 36216
Hospital Charge Code	3668362162
Hospital Revenue Code	361
Min. Negotiated Rate	$60.45
Max. Negotiated Rate	$60.45
Rate for Payer: Qualcare PPO/HMO/WC	$60.45

PLACE CATHETER IN ARTERY

Facility

$403.00

Service Code	HCPCS 36216
Hospital Charge Code	366836216
Hospital Revenue Code	361
Min. Negotiated Rate	$60.45
Max. Negotiated Rate	$60.45
Rate for Payer: Qualcare PPO/HMO/WC	$60.45

PLACE CATHETER IN ARTERY

Facility

$486.00

Service Code	HCPCS 36218
Hospital Charge Code	366836218
Hospital Revenue Code	361
Min. Negotiated Rate	$50.04
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$145.80
Rate for Payer: Aetna Medicare Advantage	$145.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$123.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$123.93
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	$123.93
Rate for Payer: Cigna Commercial	$50.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.18
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$72.90
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

PLACE CATHETER IN ARTERY

Facility

$359.00

Service Code	HCPCS 36215
Hospital Charge Code	366836215
Hospital Revenue Code	361
Min. Negotiated Rate	$46.67
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$107.70
Rate for Payer: Aetna Medicare Advantage	$107.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.55
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	$91.55
Rate for Payer: Cigna Commercial	$203.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.67
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$53.85
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

PLACE CATHETER IN ARTERY

Facility

$486.00

Service Code	HCPCS 36217
Hospital Charge Code	411036217
Hospital Revenue Code	361
Min. Negotiated Rate	$63.18
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$145.80
Rate for Payer: Aetna Medicare Advantage	$145.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$123.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$123.93
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	$123.93
Rate for Payer: Cigna Commercial	$325.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.18
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$72.90
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

PLACE CATHETER IN ARTERY

Facility

$486.00

Service Code	HCPCS 36217
Hospital Charge Code	366836217
Hospital Revenue Code	361
Min. Negotiated Rate	$63.18
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$145.80
Rate for Payer: Aetna Medicare Advantage	$145.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$123.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$123.93
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	$123.93
Rate for Payer: Cigna Commercial	$325.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.18
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$72.90
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

PLACE CATHETER IN ARTERY

Facility

$403.00

Service Code	HCPCS 36216
Hospital Charge Code	3668362162
Hospital Revenue Code	361
Min. Negotiated Rate	$52.39
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$120.90
Rate for Payer: Aetna Medicare Advantage	$120.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$102.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$102.77
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	$102.77
Rate for Payer: Cigna Commercial	$262.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.39
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.45
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

PLACE CATHETER IN ARTERY

Facility

$486.00

Service Code	HCPCS 36218
Hospital Charge Code	366836218
Hospital Revenue Code	361
Min. Negotiated Rate	$72.90
Max. Negotiated Rate	$72.90
Rate for Payer: Qualcare PPO/HMO/WC	$72.90

PLACE CATHETER IN ARTERY

Facility

$486.00

Service Code	HCPCS 36217
Hospital Charge Code	411036217
Hospital Revenue Code	361
Min. Negotiated Rate	$72.90
Max. Negotiated Rate	$72.90
Rate for Payer: Qualcare PPO/HMO/WC	$72.90

PLACE CATHETER IN ARTERY

Facility

$359.00

Service Code	HCPCS 36215
Hospital Charge Code	366836215
Hospital Revenue Code	361
Min. Negotiated Rate	$53.85
Max. Negotiated Rate	$53.85
Rate for Payer: Qualcare PPO/HMO/WC	$53.85

PLACE CATHETER IN ARTERY

Facility

$486.00

Service Code	HCPCS 36217
Hospital Charge Code	366836217
Hospital Revenue Code	361
Min. Negotiated Rate	$72.90
Max. Negotiated Rate	$72.90
Rate for Payer: Qualcare PPO/HMO/WC	$72.90

PLACE CATHETER IN ARTERY

Facility

$403.00

Service Code	HCPCS 36216
Hospital Charge Code	366836216
Hospital Revenue Code	361
Min. Negotiated Rate	$52.39
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$120.90
Rate for Payer: Aetna Medicare Advantage	$120.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$102.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$102.77
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	$102.77
Rate for Payer: Cigna Commercial	$262.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.39
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.45
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

PLACE CATHETER IN VEIN

Facility

$2,919.00

Service Code	HCPCS 36012
Hospital Charge Code	411036012
Hospital Revenue Code	361
Min. Negotiated Rate	$437.85
Max. Negotiated Rate	$437.85
Rate for Payer: Qualcare PPO/HMO/WC	$437.85

PLACE CATHETER IN VEIN

Facility

$242.00

Service Code	HCPCS 36011
Hospital Charge Code	411036011
Hospital Revenue Code	361
Min. Negotiated Rate	$36.30
Max. Negotiated Rate	$36.30
Rate for Payer: Qualcare PPO/HMO/WC	$36.30

PLACE CATHETER IN VEIN

Facility

$242.00

Service Code	HCPCS 36011
Hospital Charge Code	411036011
Hospital Revenue Code	361
Min. Negotiated Rate	$31.46
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$72.60
Rate for Payer: Aetna Medicare Advantage	$72.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.71
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	$61.71
Rate for Payer: Cigna Commercial	$146.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.46
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.30
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

Know your out-of-pocket cost for care.

All Charges