Heights University Hospital

All Charges

Charge

Type

Setting

Price

PLMT NEPHROSTOMY CATH

Facility

$11,298.15

Service Code	HCPCS 50432
Hospital Charge Code	7411608
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

$10,187.80

Service Code	HCPCS 50432
Hospital Charge Code	2600224
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 BIL

Facility

$11,298.15

Service Code	HCPCS 5043250
Hospital Charge Code	2011572
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 BIL

Facility

$11,298.15

Service Code	HCPCS 5043250
Hospital Charge Code	2250440
Hospital Revenue Code	361
Min. Negotiated Rate	$1,468.76
Max. Negotiated Rate	$5,649.07
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	$5,649.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,468.76
Rate for Payer: Qualcare PPO/HMO/WC	$1,694.72

PLMT NEPHROSTOMY CATH BIL

Facility

$11,298.15

Service Code	HCPCS 5043250
Hospital Charge Code	2250440
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 BIL

Facility

$11,298.15

Service Code	HCPCS 5043250
Hospital Charge Code	2011572
Hospital Revenue Code	361
Min. Negotiated Rate	$1,468.76
Max. Negotiated Rate	$5,649.07
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	$5,649.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,468.76
Rate for Payer: Qualcare PPO/HMO/WC	$1,694.72

PLMT NEPHROSTOMY CATH LT

Facility

$8,875.68

Service Code	HCPCS 50432LT
Hospital Charge Code	2011587
Hospital Revenue Code	361
Min. Negotiated Rate	$1,331.35
Max. Negotiated Rate	$1,331.35
Rate for Payer: Qualcare PPO/HMO/WC	$1,331.35

PLMT NEPHROSTOMY CATH LT

Facility

$8,875.68

Service Code	HCPCS 50432LT
Hospital Charge Code	2011587
Hospital Revenue Code	361
Min. Negotiated Rate	$1,153.84
Max. Negotiated Rate	$4,437.84
Rate for Payer: Aetna Commercial	$2,662.70
Rate for Payer: Aetna Medicare Advantage	$2,662.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,263.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,263.30
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	$2,263.30
Rate for Payer: Cigna Commercial	$4,437.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,153.84
Rate for Payer: Qualcare PPO/HMO/WC	$1,331.35

PLMT NEPHROSTOMY CATH RT

Facility

$8,875.68

Service Code	HCPCS 50432RT
Hospital Charge Code	2011580
Hospital Revenue Code	361
Min. Negotiated Rate	$1,153.84
Max. Negotiated Rate	$4,437.84
Rate for Payer: Aetna Commercial	$2,662.70
Rate for Payer: Aetna Medicare Advantage	$2,662.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,263.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,263.30
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	$2,263.30
Rate for Payer: Cigna Commercial	$4,437.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,153.84
Rate for Payer: Qualcare PPO/HMO/WC	$1,331.35

PLMT NEPHROSTOMY CATH RT

Facility

$8,875.68

Service Code	HCPCS 50432RT
Hospital Charge Code	7412038
Hospital Revenue Code	361
Min. Negotiated Rate	$1,331.35
Max. Negotiated Rate	$1,331.35
Rate for Payer: Qualcare PPO/HMO/WC	$1,331.35

PLMT NEPHROSTOMY CATH RT

Facility

$8,875.68

Service Code	HCPCS 50432RT
Hospital Charge Code	7412038
Hospital Revenue Code	361
Min. Negotiated Rate	$1,153.84
Max. Negotiated Rate	$4,437.84
Rate for Payer: Aetna Commercial	$2,662.70
Rate for Payer: Aetna Medicare Advantage	$2,662.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,263.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,263.30
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	$2,263.30
Rate for Payer: Cigna Commercial	$4,437.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,153.84
Rate for Payer: Qualcare PPO/HMO/WC	$1,331.35

PLMT NEPHROSTOMY CATH RT

Facility

$8,875.68

Service Code	HCPCS 50432RT
Hospital Charge Code	2011580
Hospital Revenue Code	361
Min. Negotiated Rate	$1,331.35
Max. Negotiated Rate	$1,331.35
Rate for Payer: Qualcare PPO/HMO/WC	$1,331.35

PLMT NEPHROURETERAL CATH

Facility

$8,875.68

Service Code	HCPCS 50433
Hospital Charge Code	2011581
Hospital Revenue Code	361
Min. Negotiated Rate	$1,153.84
Max. Negotiated Rate	$8,394.37
Rate for Payer: Aetna Commercial	$2,662.70
Rate for Payer: Aetna Medicare Advantage	$2,662.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,263.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,263.30
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	$2,263.30
Rate for Payer: Cigna Commercial	$8,394.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,153.84
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,331.35
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

PLMT NEPHROURETERAL CATH

Facility

$10,187.80

Service Code	HCPCS 50433
Hospital Charge Code	2600225
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 NEPHROURETERAL CATH

Facility

$8,875.68

Service Code	HCPCS 50433
Hospital Charge Code	2250437
Hospital Revenue Code	361
Min. Negotiated Rate	$1,153.84
Max. Negotiated Rate	$8,394.37
Rate for Payer: Aetna Commercial	$2,662.70
Rate for Payer: Aetna Medicare Advantage	$2,662.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,263.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,263.30
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	$2,263.30
Rate for Payer: Cigna Commercial	$8,394.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,153.84
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,331.35
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

PLMT NEPHROURETERAL CATH

Facility

$8,875.68

Service Code	HCPCS 50433
Hospital Charge Code	2250436
Hospital Revenue Code	361
Min. Negotiated Rate	$1,331.35
Max. Negotiated Rate	$1,331.35
Rate for Payer: Qualcare PPO/HMO/WC	$1,331.35

PLMT NEPHROURETERAL CATH

Facility

$8,875.68

Service Code	HCPCS 50433
Hospital Charge Code	366850433
Hospital Revenue Code	361
Min. Negotiated Rate	$1,153.84
Max. Negotiated Rate	$8,394.37
Rate for Payer: Aetna Commercial	$2,662.70
Rate for Payer: Aetna Medicare Advantage	$2,662.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,263.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,263.30
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	$2,263.30
Rate for Payer: Cigna Commercial	$8,394.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,153.84
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,331.35
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

PLMT NEPHROURETERAL CATH

Facility

$8,875.68

Service Code	HCPCS 50433
Hospital Charge Code	2011581
Hospital Revenue Code	361
Min. Negotiated Rate	$1,331.35
Max. Negotiated Rate	$1,331.35
Rate for Payer: Qualcare PPO/HMO/WC	$1,331.35

PLMT NEPHROURETERAL CATH

Facility

$8,875.68

Service Code	HCPCS 50433
Hospital Charge Code	411050433
Hospital Revenue Code	361
Min. Negotiated Rate	$1,331.35
Max. Negotiated Rate	$1,331.35
Rate for Payer: Qualcare PPO/HMO/WC	$1,331.35

PLMT NEPHROURETERAL CATH

Facility

$10,187.80

Service Code	HCPCS 50433
Hospital Charge Code	321050433
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 NEPHROURETERAL CATH

Facility

$8,875.68

Service Code	HCPCS 50433
Hospital Charge Code	7411609
Hospital Revenue Code	361
Min. Negotiated Rate	$1,153.84
Max. Negotiated Rate	$8,394.37
Rate for Payer: Aetna Commercial	$2,662.70
Rate for Payer: Aetna Medicare Advantage	$2,662.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,263.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,263.30
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	$2,263.30
Rate for Payer: Cigna Commercial	$8,394.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,153.84
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,331.35
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

PLMT NEPHROURETERAL CATH

Facility

$8,875.68

Service Code	HCPCS 50433
Hospital Charge Code	366850433
Hospital Revenue Code	361
Min. Negotiated Rate	$1,331.35
Max. Negotiated Rate	$1,331.35
Rate for Payer: Qualcare PPO/HMO/WC	$1,331.35

PLMT NEPHROURETERAL CATH

Facility

$10,187.80

Service Code	HCPCS 50433
Hospital Charge Code	321050433
Hospital Revenue Code	361
Min. Negotiated Rate	$1,324.41
Max. Negotiated Rate	$8,394.37
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	$8,394.37
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 NEPHROURETERAL CATH

Facility

$8,875.68

Service Code	HCPCS 50433
Hospital Charge Code	2250436
Hospital Revenue Code	361
Min. Negotiated Rate	$1,153.84
Max. Negotiated Rate	$8,394.37
Rate for Payer: Aetna Commercial	$2,662.70
Rate for Payer: Aetna Medicare Advantage	$2,662.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,263.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,263.30
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	$2,263.30
Rate for Payer: Cigna Commercial	$8,394.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,153.84
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,331.35
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

PLMT NEPHROURETERAL CATH

Facility

$8,875.68

Service Code	HCPCS 50433
Hospital Charge Code	7411609
Hospital Revenue Code	361
Min. Negotiated Rate	$1,331.35
Max. Negotiated Rate	$1,331.35
Rate for Payer: Qualcare PPO/HMO/WC	$1,331.35

Know your out-of-pocket cost for care.

All Charges