Heights University Hospital

All Charges

Charge

Type

Setting

Price

PRQ D-E COR REVASC CHRO SING

Facility

$45,735.22

Service Code	HCPCS C9607
Hospital Charge Code	5100806
Hospital Revenue Code	480
Min. Negotiated Rate	$6,860.28
Max. Negotiated Rate	$6,860.28
Rate for Payer: Qualcare PPO/HMO/WC	$6,860.28

PRQ D-E COR REVASC CHRO SING

Facility

$45,735.22

Service Code	HCPCS C9607
Hospital Charge Code	5100806
Hospital Revenue Code	480
Min. Negotiated Rate	$1,580.00
Max. Negotiated Rate	$43,654.87
Rate for Payer: Aetna Commercial	$13,720.57
Rate for Payer: Aetna Medicare Advantage	$13,720.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11,662.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11,662.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11,662.48
Rate for Payer: Cigna Commercial	$43,654.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,945.58
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,860.28
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

PRQ D-E COR REVASC T CABG BR

Facility

$47,735.22

Service Code	HCPCS C9605
Hospital Charge Code	4110C9605
Hospital Revenue Code	480
Min. Negotiated Rate	$1,580.00
Max. Negotiated Rate	$23,867.61
Rate for Payer: Aetna Commercial	$14,320.57
Rate for Payer: Aetna Medicare Advantage	$14,320.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,172.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,172.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12,172.48
Rate for Payer: Cigna Commercial	$23,867.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,205.58
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,160.28
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

PRQ D-E COR REVASC T CABG BR

Facility

$45,735.22

Service Code	HCPCS C9605
Hospital Charge Code	5100804
Hospital Revenue Code	480
Min. Negotiated Rate	$6,860.28
Max. Negotiated Rate	$6,860.28
Rate for Payer: Qualcare PPO/HMO/WC	$6,860.28

PRQ D-E COR REVASC T CABG BR

Facility

$45,735.22

Hospital Charge Code	74110097
Hospital Revenue Code	480
Min. Negotiated Rate	$6,860.28
Max. Negotiated Rate	$6,860.28
Rate for Payer: Qualcare PPO/HMO/WC	$6,860.28

PRQ D-E COR REVASC T CABG BR

Facility

$47,735.22

Service Code	HCPCS C9605
Hospital Charge Code	4110C9605
Hospital Revenue Code	480
Min. Negotiated Rate	$7,160.28
Max. Negotiated Rate	$7,160.28
Rate for Payer: Qualcare PPO/HMO/WC	$7,160.28

PRQ D-E COR REVASC T CABG BR

Facility

$45,735.22

Service Code	HCPCS C9605
Hospital Charge Code	5100804
Hospital Revenue Code	480
Min. Negotiated Rate	$1,580.00
Max. Negotiated Rate	$22,867.61
Rate for Payer: Aetna Commercial	$13,720.57
Rate for Payer: Aetna Medicare Advantage	$13,720.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11,662.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11,662.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11,662.48
Rate for Payer: Cigna Commercial	$22,867.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,945.58
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,860.28
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

PRQ D-E COR REVASC T CABG BR

Facility

$45,735.22

Hospital Charge Code	74110097
Hospital Revenue Code	480
Min. Negotiated Rate	$1,580.00
Max. Negotiated Rate	$22,867.61
Rate for Payer: Aetna Commercial	$13,720.57
Rate for Payer: Aetna Medicare Advantage	$13,720.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11,662.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11,662.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11,662.48
Rate for Payer: Cigna Commercial	$22,867.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,945.58
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,860.28
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

PRQ D-E COR REVASC T CABG S

Facility

$45,735.22

Hospital Charge Code	74110096
Hospital Revenue Code	481
Min. Negotiated Rate	$4,350.00
Max. Negotiated Rate	$22,867.61
Rate for Payer: Aetna Commercial	$13,720.57
Rate for Payer: Aetna Medicare Advantage	$13,720.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11,662.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11,662.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11,662.48
Rate for Payer: Cigna Commercial	$22,867.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,945.58
Rate for Payer: Qualcare PPO/HMO/WC	$6,860.28

PRQ D-E COR REVASC T CABG S

Facility

$47,735.22

Service Code	HCPCS C9604
Hospital Charge Code	4110C9604
Hospital Revenue Code	480
Min. Negotiated Rate	$7,160.28
Max. Negotiated Rate	$7,160.28
Rate for Payer: Qualcare PPO/HMO/WC	$7,160.28

PRQ D-E COR REVASC T CABG S

Facility

$45,735.22

Hospital Charge Code	74110096
Hospital Revenue Code	481
Min. Negotiated Rate	$6,860.28
Max. Negotiated Rate	$6,860.28
Rate for Payer: Qualcare PPO/HMO/WC	$6,860.28

PRQ D-E COR REVASC T CABG S

Facility

$45,735.22

Service Code	HCPCS C9604
Hospital Charge Code	5100803
Hospital Revenue Code	480
Min. Negotiated Rate	$1,580.00
Max. Negotiated Rate	$27,491.26
Rate for Payer: Aetna Commercial	$13,720.57
Rate for Payer: Aetna Medicare Advantage	$13,720.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11,662.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11,662.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11,662.48
Rate for Payer: Cigna Commercial	$27,491.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,945.58
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,860.28
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

PRQ D-E COR REVASC T CABG S

Facility

$45,735.22

Service Code	HCPCS C9604
Hospital Charge Code	5100803
Hospital Revenue Code	480
Min. Negotiated Rate	$6,860.28
Max. Negotiated Rate	$6,860.28
Rate for Payer: Qualcare PPO/HMO/WC	$6,860.28

PRQ D-E COR REVASC T CABG S

Facility

$47,735.22

Service Code	HCPCS C9604
Hospital Charge Code	4110C9604
Hospital Revenue Code	480
Min. Negotiated Rate	$1,580.00
Max. Negotiated Rate	$27,491.26
Rate for Payer: Aetna Commercial	$14,320.57
Rate for Payer: Aetna Medicare Advantage	$14,320.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,172.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,172.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12,172.48
Rate for Payer: Cigna Commercial	$27,491.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,205.58
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,160.28
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

PRQ D-E COR REVASC W AMI S

Facility

$45,735.33

Hospital Charge Code	74110098
Hospital Revenue Code	480
Min. Negotiated Rate	$6,860.30
Max. Negotiated Rate	$6,860.30
Rate for Payer: Qualcare PPO/HMO/WC	$6,860.30

PRQ D-E COR REVASC W AMI S

Facility

$93,924.35

Service Code	HCPCS C9606
Hospital Charge Code	411039606
Hospital Revenue Code	361
Min. Negotiated Rate	$14,088.65
Max. Negotiated Rate	$14,088.65
Rate for Payer: Qualcare PPO/HMO/WC	$14,088.65

PRQ D-E COR REVASC W AMI S

Facility

$93,924.35

Service Code	HCPCS C9606
Hospital Charge Code	3668C9606
Hospital Revenue Code	361
Min. Negotiated Rate	$14,088.65
Max. Negotiated Rate	$14,088.65
Rate for Payer: Qualcare PPO/HMO/WC	$14,088.65

PRQ D-E COR REVASC W AMI S

Facility

$93,924.35

Service Code	HCPCS C9606
Hospital Charge Code	3668C9606
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$46,962.18
Rate for Payer: Aetna Commercial	$28,177.31
Rate for Payer: Aetna Medicare Advantage	$28,177.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23,950.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23,950.71
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	$23,950.71
Rate for Payer: Cigna Commercial	$46,962.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12,210.17
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$14,088.65
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

PRQ D-E COR REVASC W AMI S

Facility

$93,924.35

Service Code	HCPCS C9606
Hospital Charge Code	411039606
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$46,962.18
Rate for Payer: Aetna Commercial	$28,177.31
Rate for Payer: Aetna Medicare Advantage	$28,177.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23,950.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23,950.71
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	$23,950.71
Rate for Payer: Cigna Commercial	$46,962.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12,210.17
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$14,088.65
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

PRQ D-E COR REVASC W AMI S

Facility

$45,735.33

Hospital Charge Code	74110098
Hospital Revenue Code	480
Min. Negotiated Rate	$1,580.00
Max. Negotiated Rate	$22,867.67
Rate for Payer: Aetna Commercial	$13,720.60
Rate for Payer: Aetna Medicare Advantage	$13,720.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11,662.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11,662.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11,662.51
Rate for Payer: Cigna Commercial	$22,867.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,945.59
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,860.30
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

PRQ D-E COR REVASC W AMI S

Facility

$93,924.35

Service Code	HCPCS C9606
Hospital Charge Code	5100805
Hospital Revenue Code	480
Min. Negotiated Rate	$14,088.65
Max. Negotiated Rate	$14,088.65
Rate for Payer: Qualcare PPO/HMO/WC	$14,088.65

PRQ D-E COR REVASC W AMI S

Facility

$93,924.35

Service Code	HCPCS C9606
Hospital Charge Code	5100805
Hospital Revenue Code	480
Min. Negotiated Rate	$1,580.00
Max. Negotiated Rate	$46,962.18
Rate for Payer: Aetna Commercial	$28,177.31
Rate for Payer: Aetna Medicare Advantage	$28,177.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23,950.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23,950.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23,950.71
Rate for Payer: Cigna Commercial	$46,962.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12,210.17
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$14,088.65
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

PRQ D-E COR STENT ATHER BR

Facility

$45,735.22

Hospital Charge Code	74110095
Hospital Revenue Code	480
Min. Negotiated Rate	$1,580.00
Max. Negotiated Rate	$22,867.61
Rate for Payer: Aetna Commercial	$13,720.57
Rate for Payer: Aetna Medicare Advantage	$13,720.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11,662.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11,662.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11,662.48
Rate for Payer: Cigna Commercial	$22,867.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,945.58
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,860.28
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

PRQ D-E COR STENT ATHER BR

Facility

$45,735.22

Hospital Charge Code	74110095
Hospital Revenue Code	480
Min. Negotiated Rate	$6,860.28
Max. Negotiated Rate	$6,860.28
Rate for Payer: Qualcare PPO/HMO/WC	$6,860.28

PRQ D-E COR STENT ATHER BR

Facility

$45,735.22

Hospital Charge Code	5100802
Hospital Revenue Code	480
Min. Negotiated Rate	$6,860.28
Max. Negotiated Rate	$6,860.28
Rate for Payer: Qualcare PPO/HMO/WC	$6,860.28

Know your out-of-pocket cost for care.

All Charges