Heights University Hospital

All Charges

Charge

Type

Setting

Price

PLACE CATH SUBCLAVIAN ART BI

Facility

$23,202.72

Service Code	HCPCS 3622550
Hospital Charge Code	411036225B
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$11,601.36
Rate for Payer: Aetna Medicare Advantage	$6,960.82
Rate for Payer: Aetna Commercial	$6,960.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,916.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,916.69
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	$5,916.69
Rate for Payer: Cigna Commercial	$11,601.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,016.35
Rate for Payer: Qualcare PPO/HMO/WC	$3,480.41

PLACE CATH SUBCLAVIAN ART BI

Facility

$23,202.72

Service Code	HCPCS 36225
Hospital Charge Code	366836225B
Hospital Revenue Code	361
Min. Negotiated Rate	$3,480.41
Max. Negotiated Rate	$3,480.41
Rate for Payer: Qualcare PPO/HMO/WC	$3,480.41

PLACE CATH SUBCLAVIAN ART BI

Facility

$23,202.72

Service Code	HCPCS 3622550
Hospital Charge Code	321036225B
Hospital Revenue Code	361
Min. Negotiated Rate	$3,480.41
Max. Negotiated Rate	$3,480.41
Rate for Payer: Qualcare PPO/HMO/WC	$3,480.41

PLACE CATH SUBCLAVIAN ART BI

Facility

$23,202.72

Service Code	HCPCS 3622550
Hospital Charge Code	411036225B
Hospital Revenue Code	361
Min. Negotiated Rate	$3,480.41
Max. Negotiated Rate	$3,480.41
Rate for Payer: Qualcare PPO/HMO/WC	$3,480.41

PLACE CATH SUBCLAVIAN ART BI

Facility

$23,202.72

Service Code	HCPCS 3622550
Hospital Charge Code	321036225B
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$11,601.36
Rate for Payer: Aetna Commercial	$6,960.82
Rate for Payer: Aetna Medicare Advantage	$6,960.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,916.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,916.69
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	$5,916.69
Rate for Payer: Cigna Commercial	$11,601.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,016.35
Rate for Payer: Qualcare PPO/HMO/WC	$3,480.41

PLACE CATH SUBCLAVIAN ART BI

Facility

$23,202.72

Service Code	HCPCS 3622550
Hospital Charge Code	5600225
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$11,601.36
Rate for Payer: Aetna Commercial	$6,960.82
Rate for Payer: Aetna Medicare Advantage	$6,960.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,916.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,916.69
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	$5,916.69
Rate for Payer: Cigna Commercial	$11,601.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,016.35
Rate for Payer: Qualcare PPO/HMO/WC	$3,480.41

PLACE CATH SUBCLAVIAN ART BI

Facility

$23,202.72

Service Code	HCPCS 3622550
Hospital Charge Code	5600225
Hospital Revenue Code	361
Min. Negotiated Rate	$3,480.41
Max. Negotiated Rate	$3,480.41
Rate for Payer: Qualcare PPO/HMO/WC	$3,480.41

PLACE CATH SUBCLAVIAN ART BI

Facility

$23,202.72

Service Code	HCPCS 36225
Hospital Charge Code	366836225B
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Commercial	$6,960.82
Rate for Payer: Aetna Medicare Advantage	$6,960.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,916.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,916.69
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	$5,916.69
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,016.35
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,480.41
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

PLACE CATH THORACIC AORTA

Facility

$15,468.50

Service Code	HCPCS 36221
Hospital Charge Code	5600221
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 THORACIC AORTA

Facility

$15,468.50

Service Code	HCPCS 36221
Hospital Charge Code	321036221
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 THORACIC AORTA

Facility

$13,077.63

Service Code	HCPCS 36221
Hospital Charge Code	411036221
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 THORACIC AORTA

Facility

$15,468.50

Service Code	HCPCS 36221
Hospital Charge Code	321036221
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 THORACIC AORTA

Facility

$15,468.50

Service Code	HCPCS 36221
Hospital Charge Code	5600221
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 THORACIC AORTA

Facility

$13,077.63

Service Code	HCPCS 36221
Hospital Charge Code	366836221
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 THORACIC AORTA

Facility

$13,077.63

Service Code	HCPCS 36221
Hospital Charge Code	74110101
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 THORACIC AORTA

Facility

$13,077.63

Service Code	HCPCS 36221
Hospital Charge Code	411036221
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 THORACIC AORTA

Facility

$13,077.63

Service Code	HCPCS 36221
Hospital Charge Code	5100808
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 THORACIC AORTA

Facility

$13,077.63

Service Code	HCPCS 36221
Hospital Charge Code	5100808
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 THORACIC AORTA

Facility

$13,077.63

Service Code	HCPCS 36221
Hospital Charge Code	74110101
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 THORACIC AORTA

Facility

$11,691.56

Service Code	HCPCS 36221
Hospital Charge Code	1600000736
Hospital Revenue Code	360
Min. Negotiated Rate	$1,753.73
Max. Negotiated Rate	$1,753.73
Rate for Payer: Qualcare PPO/HMO/WC	$1,753.73

PLACE CATH THORACIC AORTA

Facility

$11,691.56

Service Code	HCPCS 36221
Hospital Charge Code	1600000736
Hospital Revenue Code	360
Min. Negotiated Rate	$1,519.90
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Commercial	$3,507.47
Rate for Payer: Aetna Medicare Advantage	$3,507.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,981.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,981.35
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	$2,981.35
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,519.90
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,753.73
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

PLACE CATH THORACIC AORTA

Facility

$13,077.63

Service Code	HCPCS 36221
Hospital Charge Code	366836221
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 VERTEBRAL ART

Facility

$25,628.45

Service Code	HCPCS 36226
Hospital Charge Code	321036226
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 VERTEBRAL ART

Facility

$25,628.45

Service Code	HCPCS 36226
Hospital Charge Code	321036226
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 VERTEBRAL ART

Facility

$21,387.78

Service Code	HCPCS 36226
Hospital Charge Code	74110106
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

Know your out-of-pocket cost for care.

All Charges