Heights University Hospital

All Charges

Charge

Type

Setting

Price

PLMT BILIARY DRAINAGE CATH

Facility

$17,259.20

Service Code	HCPCS 47534
Hospital Charge Code	321047534
Hospital Revenue Code	361
Min. Negotiated Rate	$2,588.88
Max. Negotiated Rate	$2,588.88
Rate for Payer: Qualcare PPO/HMO/WC	$2,588.88

PLMT BILIARY DRAINAGE CATH

Facility

$17,259.20

Service Code	HCPCS 47533
Hospital Charge Code	321047533
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$8,526.35
Rate for Payer: Aetna Commercial	$5,177.76
Rate for Payer: Aetna Medicare Advantage	$5,177.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,401.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,401.10
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	$4,401.10
Rate for Payer: Cigna Commercial	$8,526.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,243.70
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,588.88
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

PLMT BILIARY DRAINAGE CATH

Facility

$12,827.31

Service Code	HCPCS 47533
Hospital Charge Code	7411562
Hospital Revenue Code	361
Min. Negotiated Rate	$1,667.55
Max. Negotiated Rate	$8,526.35
Rate for Payer: Aetna Commercial	$3,848.19
Rate for Payer: Aetna Medicare Advantage	$3,848.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,270.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,270.96
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	$3,270.96
Rate for Payer: Cigna Commercial	$8,526.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,667.55
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,924.10
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

PLMT BILIARY DRAINAGE CATH

Facility

$12,827.31

Service Code	HCPCS 47534
Hospital Charge Code	2011565
Hospital Revenue Code	361
Min. Negotiated Rate	$1,667.55
Max. Negotiated Rate	$8,526.35
Rate for Payer: Aetna Commercial	$3,848.19
Rate for Payer: Aetna Medicare Advantage	$3,848.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,270.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,270.96
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	$3,270.96
Rate for Payer: Cigna Commercial	$8,526.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,667.55
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,924.10
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

PLMT BILIARY DRAINAGE CATH

Facility

$14,554.80

Service Code	HCPCS 47534
Hospital Charge Code	411047534
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$8,526.35
Rate for Payer: Aetna Commercial	$4,366.44
Rate for Payer: Aetna Medicare Advantage	$4,366.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,711.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,711.47
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	$3,711.47
Rate for Payer: Cigna Commercial	$8,526.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,892.12
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,183.22
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

PLMT BILIARY DRAINAGE CATH

Facility

$17,259.20

Service Code	HCPCS 47533
Hospital Charge Code	2600220
Hospital Revenue Code	361
Min. Negotiated Rate	$2,588.88
Max. Negotiated Rate	$2,588.88
Rate for Payer: Qualcare PPO/HMO/WC	$2,588.88

PLMT BILIARY DRAINAGE CATH

Facility

$17,259.20

Service Code	HCPCS 47534
Hospital Charge Code	2600221
Hospital Revenue Code	361
Min. Negotiated Rate	$2,588.88
Max. Negotiated Rate	$2,588.88
Rate for Payer: Qualcare PPO/HMO/WC	$2,588.88

PLMT BILIARY DRAINAGE CATH

Facility

$12,827.31

Service Code	HCPCS 47533
Hospital Charge Code	7411562
Hospital Revenue Code	361
Min. Negotiated Rate	$1,924.10
Max. Negotiated Rate	$1,924.10
Rate for Payer: Qualcare PPO/HMO/WC	$1,924.10

PLMT BILIARY DRAINAGE CATH

Facility

$14,554.80

Service Code	HCPCS 47534
Hospital Charge Code	366847534
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$8,526.35
Rate for Payer: Aetna Commercial	$4,366.44
Rate for Payer: Aetna Medicare Advantage	$4,366.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,711.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,711.47
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	$3,711.47
Rate for Payer: Cigna Commercial	$8,526.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,892.12
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,183.22
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

PLMT BILIARY DRAINAGE CATH

Facility

$12,827.31

Service Code	HCPCS 47534
Hospital Charge Code	2250438
Hospital Revenue Code	361
Min. Negotiated Rate	$1,667.55
Max. Negotiated Rate	$8,526.35
Rate for Payer: Cigna Commercial	$8,526.35
Rate for Payer: Aetna Commercial	$3,848.19
Rate for Payer: Aetna Medicare Advantage	$3,848.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,270.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,270.96
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	$3,270.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,667.55
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,924.10
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

PLMT BILIARY DRAINAGE CATH

Facility

$17,259.20

Service Code	HCPCS 47533
Hospital Charge Code	2600220
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$8,526.35
Rate for Payer: Aetna Commercial	$5,177.76
Rate for Payer: Aetna Medicare Advantage	$5,177.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,401.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,401.10
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	$4,401.10
Rate for Payer: Cigna Commercial	$8,526.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,243.70
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,588.88
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

PLMT BILIARY DRAINAGE CATH

Facility

$12,827.31

Service Code	HCPCS 47534
Hospital Charge Code	2011565
Hospital Revenue Code	361
Min. Negotiated Rate	$1,924.10
Max. Negotiated Rate	$1,924.10
Rate for Payer: Qualcare PPO/HMO/WC	$1,924.10

PLMT BILIARY DRAINAGE CATH

Facility

$14,554.80

Service Code	HCPCS 47534
Hospital Charge Code	411047534
Hospital Revenue Code	361
Min. Negotiated Rate	$2,183.22
Max. Negotiated Rate	$2,183.22
Rate for Payer: Qualcare PPO/HMO/WC	$2,183.22

PLMT BILIARY DRAINAGE CATH

Facility

$17,259.20

Service Code	HCPCS 47533
Hospital Charge Code	321047533
Hospital Revenue Code	361
Min. Negotiated Rate	$2,588.88
Max. Negotiated Rate	$2,588.88
Rate for Payer: Qualcare PPO/HMO/WC	$2,588.88

PLMT BILIARY DRAINAGE CATH

Facility

$14,554.80

Service Code	HCPCS 47534
Hospital Charge Code	366847534
Hospital Revenue Code	361
Min. Negotiated Rate	$2,183.22
Max. Negotiated Rate	$2,183.22
Rate for Payer: Qualcare PPO/HMO/WC	$2,183.22

PLMT BILIARY DRAINAGE CATH

Facility

$12,827.31

Service Code	HCPCS 47533
Hospital Charge Code	2011564
Hospital Revenue Code	361
Min. Negotiated Rate	$1,924.10
Max. Negotiated Rate	$1,924.10
Rate for Payer: Qualcare PPO/HMO/WC	$1,924.10

PLMT BILIARY DRAINAGE CATH

Facility

$12,827.31

Service Code	HCPCS 47534
Hospital Charge Code	7411563
Hospital Revenue Code	361
Min. Negotiated Rate	$1,667.55
Max. Negotiated Rate	$8,526.35
Rate for Payer: Aetna Commercial	$3,848.19
Rate for Payer: Aetna Medicare Advantage	$3,848.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,270.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,270.96
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	$3,270.96
Rate for Payer: Cigna Commercial	$8,526.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,667.55
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,924.10
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

PLMT NEPHROSTOMY CATH

Facility

$11,298.15

Service Code	HCPCS 50432
Hospital Charge Code	366850432
Hospital Revenue Code	361
Min. Negotiated Rate	$1,468.76
Max. Negotiated Rate	$5,529.00
Rate for Payer: Aetna Commercial	$3,389.45
Rate for Payer: Aetna Medicare Advantage	$3,389.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,881.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,881.03
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	$2,881.03
Rate for Payer: Cigna Commercial	$4,978.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,468.76
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,694.72
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

PLMT NEPHROSTOMY CATH

Facility

$11,298.15

Service Code	HCPCS 50432
Hospital Charge Code	366850432
Hospital Revenue Code	361
Min. Negotiated Rate	$1,694.72
Max. Negotiated Rate	$1,694.72
Rate for Payer: Qualcare PPO/HMO/WC	$1,694.72

PLMT NEPHROSTOMY CATH

Facility

$9,500.00

Service Code	HCPCS 50432
Hospital Charge Code	2209086
Hospital Revenue Code	361
Min. Negotiated Rate	$1,425.00
Max. Negotiated Rate	$1,425.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00

PLMT NEPHROSTOMY CATH

Facility

$10,187.80

Service Code	HCPCS 50432
Hospital Charge Code	321050432
Hospital Revenue Code	361
Min. Negotiated Rate	$1,528.17
Max. Negotiated Rate	$1,528.17
Rate for Payer: Qualcare PPO/HMO/WC	$1,528.17

PLMT NEPHROSTOMY CATH

Facility

$11,298.15

Service Code	HCPCS 50432
Hospital Charge Code	7411608
Hospital Revenue Code	361
Min. Negotiated Rate	$1,694.72
Max. Negotiated Rate	$1,694.72
Rate for Payer: Qualcare PPO/HMO/WC	$1,694.72

PLMT NEPHROSTOMY CATH

Facility

$9,500.00

Service Code	HCPCS 50432
Hospital Charge Code	2209086
Hospital Revenue Code	361
Min. Negotiated Rate	$1,235.00
Max. Negotiated Rate	$5,529.00
Rate for Payer: Aetna Commercial	$2,850.00
Rate for Payer: Aetna Medicare Advantage	$2,850.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,422.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,422.50
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	$2,422.50
Rate for Payer: Cigna Commercial	$4,978.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,235.00
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

PLMT NEPHROSTOMY CATH

Facility

$10,187.80

Service Code	HCPCS 50432
Hospital Charge Code	321050432
Hospital Revenue Code	361
Min. Negotiated Rate	$1,324.41
Max. Negotiated Rate	$5,529.00
Rate for Payer: Aetna Commercial	$3,056.34
Rate for Payer: Aetna Medicare Advantage	$3,056.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,597.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,597.89
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	$2,597.89
Rate for Payer: Cigna Commercial	$4,978.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,324.41
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,528.17
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

PLMT NEPHROSTOMY CATH

Facility

$10,187.80

Service Code	HCPCS 50432
Hospital Charge Code	2600224
Hospital Revenue Code	361
Min. Negotiated Rate	$1,324.41
Max. Negotiated Rate	$5,529.00
Rate for Payer: Aetna Commercial	$3,056.34
Rate for Payer: Aetna Medicare Advantage	$3,056.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,597.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,597.89
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	$2,597.89
Rate for Payer: Cigna Commercial	$4,978.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,324.41
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,528.17
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

Know your out-of-pocket cost for care.

All Charges