Heights University Hospital

All Charges

Charge

Type

Setting

Price

PLACE CATHETER IN VEIN

Facility

$242.00

Service Code	HCPCS 36011
Hospital Charge Code	366836011
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

$2,919.00

Service Code	HCPCS 36012
Hospital Charge Code	366836012
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

$2,919.00

Service Code	HCPCS 36012
Hospital Charge Code	411036012
Hospital Revenue Code	361
Min. Negotiated Rate	$165.24
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$875.70
Rate for Payer: Aetna Medicare Advantage	$875.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$744.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$744.35
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	$744.35
Rate for Payer: Cigna Commercial	$165.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$379.47
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$437.85
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

PLACE CATHETER IN VEIN

Facility

$242.00

Service Code	HCPCS 36011
Hospital Charge Code	366836011
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

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 CATH INIT 2ND ORDER THOR

Facility

$331.55

Service Code	HCPCS 36216
Hospital Charge Code	5100380
Hospital Revenue Code	761
Min. Negotiated Rate	$43.10
Max. Negotiated Rate	$262.33
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) PPO	$84.55
Rate for Payer: Cigna Commercial	$262.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.10
Rate for Payer: Oxford Commercial	$165.78
Rate for Payer: Qualcare PPO/HMO/WC	$49.73
Rate for Payer: UnitedHealthcare Commercial	$165.78

PLACE CATH INIT 2ND ORDER THOR

Facility

$331.55

Service Code	HCPCS 36216
Hospital Charge Code	5100380
Hospital Revenue Code	761
Min. Negotiated Rate	$49.73
Max. Negotiated Rate	$49.73
Rate for Payer: Qualcare PPO/HMO/WC	$49.73

PLACE CATH INTRACRANIAL ART

Facility

$2,919.00

Service Code	HCPCS 36228
Hospital Charge Code	366836228
Hospital Revenue Code	361
Min. Negotiated Rate	$242.95
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$875.70
Rate for Payer: Aetna Medicare Advantage	$875.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$744.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$744.35
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	$744.35
Rate for Payer: Cigna Commercial	$242.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$379.47
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$437.85
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

PLACE CATH INTRACRANIAL ART

Facility

$2,919.00

Service Code	HCPCS 36228
Hospital Charge Code	366836228
Hospital Revenue Code	361
Min. Negotiated Rate	$437.85
Max. Negotiated Rate	$437.85
Rate for Payer: Qualcare PPO/HMO/WC	$437.85

PLACE CATH INTRACRANIAL ART

Facility

$2,919.00

Service Code	HCPCS 36228
Hospital Charge Code	411036228
Hospital Revenue Code	361
Min. Negotiated Rate	$242.95
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$875.70
Rate for Payer: Aetna Medicare Advantage	$875.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$744.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$744.35
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	$744.35
Rate for Payer: Cigna Commercial	$242.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$379.47
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$437.85
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

PLACE CATH INTRACRANIAL ART

Facility

$2,919.00

Service Code	HCPCS 36228
Hospital Charge Code	411036228
Hospital Revenue Code	361
Min. Negotiated Rate	$437.85
Max. Negotiated Rate	$437.85
Rate for Payer: Qualcare PPO/HMO/WC	$437.85

PLACE CATH IN VEIN BILATRL

Facility

$5,837.20

Service Code	HCPCS 3601250
Hospital Charge Code	2709017
Hospital Revenue Code	361
Min. Negotiated Rate	$758.84
Max. Negotiated Rate	$2,918.60
Rate for Payer: Aetna Commercial	$1,751.16
Rate for Payer: Aetna Medicare Advantage	$1,751.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,488.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,488.49
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	$1,488.49
Rate for Payer: Cigna Commercial	$2,918.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$758.84
Rate for Payer: Qualcare PPO/HMO/WC	$875.58

PLACE CATH IN VEIN BILATRL

Facility

$5,837.20

Service Code	HCPCS 3601250
Hospital Charge Code	2709017
Hospital Revenue Code	361
Min. Negotiated Rate	$875.58
Max. Negotiated Rate	$875.58
Rate for Payer: Qualcare PPO/HMO/WC	$875.58

PLACE CATH IN VEIN BILATRL

Facility

$5,837.20

Service Code	HCPCS 3601250
Hospital Charge Code	27009017
Hospital Revenue Code	361
Min. Negotiated Rate	$758.84
Max. Negotiated Rate	$2,918.60
Rate for Payer: Aetna Commercial	$1,751.16
Rate for Payer: Aetna Medicare Advantage	$1,751.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,488.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,488.49
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	$1,488.49
Rate for Payer: Cigna Commercial	$2,918.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$758.84
Rate for Payer: Qualcare PPO/HMO/WC	$875.58

PLACE CATH IN VEIN BILATRL

Facility

$5,837.20

Service Code	HCPCS 3601250
Hospital Charge Code	7412047
Hospital Revenue Code	361
Min. Negotiated Rate	$758.84
Max. Negotiated Rate	$2,918.60
Rate for Payer: Aetna Commercial	$1,751.16
Rate for Payer: Aetna Medicare Advantage	$1,751.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,488.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,488.49
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	$1,488.49
Rate for Payer: Cigna Commercial	$2,918.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$758.84
Rate for Payer: Qualcare PPO/HMO/WC	$875.58

PLACE CATH IN VEIN BILATRL

Facility

$5,837.20

Service Code	HCPCS 3601250
Hospital Charge Code	7412047
Hospital Revenue Code	361
Min. Negotiated Rate	$875.58
Max. Negotiated Rate	$875.58
Rate for Payer: Qualcare PPO/HMO/WC	$875.58

PLACE CATH IN VEIN BILATRL

Facility

$5,837.20

Service Code	HCPCS 3601250
Hospital Charge Code	27009017
Hospital Revenue Code	361
Min. Negotiated Rate	$875.58
Max. Negotiated Rate	$875.58
Rate for Payer: Qualcare PPO/HMO/WC	$875.58

PLACE CATH SUBCLAVIAN ART

Facility

$13,077.63

Service Code	HCPCS 36225
Hospital Charge Code	5100812
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 SUBCLAVIAN ART

Facility

$13,077.63

Service Code	HCPCS 36225
Hospital Charge Code	366836225
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 SUBCLAVIAN ART

Facility

$13,077.63

Service Code	HCPCS 36225
Hospital Charge Code	366836225
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 SUBCLAVIAN ART

Facility

$13,077.63

Service Code	HCPCS 36225
Hospital Charge Code	5100812
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 SUBCLAVIAN ART

Facility

$13,077.63

Service Code	HCPCS 36225
Hospital Charge Code	411036225
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 SUBCLAVIAN ART

Facility

$13,077.63

Service Code	HCPCS 36225
Hospital Charge Code	74110105
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 SUBCLAVIAN ART

Facility

$13,077.63

Service Code	HCPCS 36225
Hospital Charge Code	411036225
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 SUBCLAVIAN ART

Facility

$13,077.63

Service Code	HCPCS 36225
Hospital Charge Code	74110105
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

Know your out-of-pocket cost for care.

All Charges