Heights University Hospital

All Charges

Charge

Type

Setting

Price

PLACE CATH VERTEBRAL ART

Facility

$21,387.78

Service Code	HCPCS 36226
Hospital Charge Code	74110106
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 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

$25,628.45

Service Code	HCPCS 36226
Hospital Charge Code	5600226
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	411036226
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 VERTEBRAL ART

Facility

$21,387.78

Service Code	HCPCS 36226
Hospital Charge Code	5100813
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 VERTEBRAL ART

Facility

$21,387.78

Service Code	HCPCS 36226
Hospital Charge Code	411036226
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 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

PLACE CATH VERTEBRAL ART

Facility

$21,387.78

Service Code	HCPCS 36226
Hospital Charge Code	366836226
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 VERTEBRAL ART BI

Facility

$38,442.70

Service Code	HCPCS 36226
Hospital Charge Code	366836226B
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 VERTEBRAL ART BI

Facility

$38,442.70

Service Code	HCPCS 3622650
Hospital Charge Code	411036226B
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 VERTEBRAL ART BI

Facility

$38,442.70

Service Code	HCPCS 36226
Hospital Charge Code	366836226B
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$13,251.23
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	$13,251.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,997.55
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,766.40
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

PLACE CATH VERTEBRAL ART BI

Facility

$38,442.70

Service Code	HCPCS 3622650
Hospital Charge Code	411036226B
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 XTRNL CAROTID

Facility

$13,077.63

Service Code	HCPCS 36227
Hospital Charge Code	7411429
Hospital Revenue Code	361
Min. Negotiated Rate	$116.93
Max. Negotiated Rate	$3,923.29
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	$116.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,700.09
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,961.64
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

PLACE CATH XTRNL CAROTID

Facility

$13,077.63

Service Code	HCPCS 36227
Hospital Charge Code	5600227
Hospital Revenue Code	361
Min. Negotiated Rate	$116.93
Max. Negotiated Rate	$3,923.29
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	$116.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,700.09
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,961.64
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

PLACE CATH XTRNL CAROTID

Facility

$2,919.00

Service Code	HCPCS 36227
Hospital Charge Code	366836227
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 XTRNL CAROTID

Facility

$2,919.00

Service Code	HCPCS 36227
Hospital Charge Code	366836227
Hospital Revenue Code	361
Min. Negotiated Rate	$116.93
Max. Negotiated Rate	$1,864.00
Rate for Payer: Cigna Commercial	$116.93
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: 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 XTRNL CAROTID

Facility

$2,919.00

Service Code	HCPCS 36227
Hospital Charge Code	411036227
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 XTRNL CAROTID

Facility

$2,919.00

Service Code	HCPCS 36227
Hospital Charge Code	411036227
Hospital Revenue Code	361
Min. Negotiated Rate	$116.93
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	$116.93
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 XTRNL CAROTID

Facility

$13,077.63

Service Code	HCPCS 36227
Hospital Charge Code	7411429
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 XTRNL CAROTID

Facility

$13,077.63

Service Code	HCPCS 36227
Hospital Charge Code	5600227
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 XTRNL CAROTID BI

Facility

$2,919.00

Service Code	HCPCS 36227
Hospital Charge Code	366836227B
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 XTRNL CAROTID BI

Facility

$2,919.00

Service Code	HCPCS 3622750
Hospital Charge Code	411036227B
Hospital Revenue Code	361
Min. Negotiated Rate	$379.47
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	$1,459.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$379.47
Rate for Payer: Qualcare PPO/HMO/WC	$437.85

PLACE CATH XTRNL CAROTID BI

Facility

$2,919.00

Service Code	HCPCS 3622750
Hospital Charge Code	411036227B
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 XTRNL CAROTID BI

Facility

$2,919.00

Service Code	HCPCS 36227
Hospital Charge Code	366836227B
Hospital Revenue Code	361
Min. Negotiated Rate	$116.93
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	$116.93
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

Know your out-of-pocket cost for care.

All Charges