Heights University Hospital

All Charges

Charge

Type

Setting

Price

PRQ D-E COR STENT ATHER BR

Facility

$45,735.22

Hospital Charge Code	5100802
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 S

Facility

$45,735.22

Hospital Charge Code	74110094
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 STENT ATHER S

Facility

$45,735.22

Hospital Charge Code	5100801
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 S

Facility

$45,735.22

Hospital Charge Code	74110094
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 STENT ATHER S

Facility

$45,735.22

Hospital Charge Code	5100801
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 DRUG-EL COR STENT BRAN

Facility

$47,735.22

Service Code	HCPCS C9601
Hospital Charge Code	4110C9601
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 DRUG-EL COR STENT BRAN

Facility

$47,735.22

Service Code	HCPCS C9601
Hospital Charge Code	4110C9601
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 DRUG-EL COR STENT BRAN

Facility

$45,735.22

Service Code	HCPCS C9601
Hospital Charge Code	5100800
Hospital Revenue Code	481
Min. Negotiated Rate	$1,487.00
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: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,860.28
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

PRQ DRUG-EL COR STENT BRAN

Facility

$45,735.22

Service Code	HCPCS C9601
Hospital Charge Code	5100800
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 DRUG-EL COR STENT BRAN

Facility

$45,735.22

Hospital Charge Code	74110093
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 DRUG-EL COR STENT BRAN

Facility

$45,735.22

Hospital Charge Code	74110093
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 DRUG-EL COR STENT SING

Facility

$45,735.22

Hospital Charge Code	74110092
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 DRUG-EL COR STENT SING

Facility

$45,735.22

Service Code	HCPCS C9600
Hospital Charge Code	5100799
Hospital Revenue Code	481
Min. Negotiated Rate	$4,350.00
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) 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	$27,491.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,945.58
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,860.28
Rate for Payer: UnitedHealthcare Commercial	$10,997.00

PRQ DRUG-EL COR STENT SING

Facility

$45,735.22

Hospital Charge Code	74110092
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 DRUG-EL COR STENT SING

Facility

$45,735.22

Service Code	HCPCS C9600
Hospital Charge Code	5100799
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 REVASC BYP GRAFT 1 VSL

Facility

$35,998.44

Service Code	HCPCS 92937
Hospital Charge Code	74110087
Hospital Revenue Code	481
Min. Negotiated Rate	$5,399.77
Max. Negotiated Rate	$5,399.77
Rate for Payer: Qualcare PPO/HMO/WC	$5,399.77

PRQ REVASC BYP GRAFT 1 VSL

Facility

$35,998.44

Service Code	HCPCS 92937
Hospital Charge Code	74110087
Hospital Revenue Code	481
Min. Negotiated Rate	$4,350.00
Max. Negotiated Rate	$27,491.26
Rate for Payer: Aetna Commercial	$10,799.53
Rate for Payer: Aetna Medicare Advantage	$10,799.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,179.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,179.60
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	$9,179.60
Rate for Payer: Cigna Commercial	$27,491.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,679.80
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,399.77
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

PRQ REVASC BYP GRAFT 1 VSL

Facility

$35,998.44

Service Code	HCPCS 92937
Hospital Charge Code	5100794
Hospital Revenue Code	481
Min. Negotiated Rate	$4,350.00
Max. Negotiated Rate	$27,491.26
Rate for Payer: Aetna Commercial	$10,799.53
Rate for Payer: Aetna Medicare Advantage	$10,799.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,179.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,179.60
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	$9,179.60
Rate for Payer: Cigna Commercial	$27,491.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,679.80
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,399.77
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

PRQ REVASC BYP GRAFT 1 VSL

Facility

$35,998.44

Service Code	HCPCS 92937
Hospital Charge Code	5100794
Hospital Revenue Code	481
Min. Negotiated Rate	$5,399.77
Max. Negotiated Rate	$5,399.77
Rate for Payer: Qualcare PPO/HMO/WC	$5,399.77

PRQ REVASC BYP GRAFT ADDL

Facility

$92,938.00

Service Code	HCPCS 92938
Hospital Charge Code	5100795
Hospital Revenue Code	481
Min. Negotiated Rate	$13,940.70
Max. Negotiated Rate	$13,940.70
Rate for Payer: Qualcare PPO/HMO/WC	$13,940.70

PRQ REVASC BYP GRAFT ADDL

Facility

$35,998.44

Service Code	HCPCS 92938
Hospital Charge Code	74110088
Hospital Revenue Code	481
Min. Negotiated Rate	$5,399.77
Max. Negotiated Rate	$5,399.77
Rate for Payer: Qualcare PPO/HMO/WC	$5,399.77

PRQ REVASC BYP GRAFT ADDL

Facility

$92,938.00

Service Code	HCPCS 92938
Hospital Charge Code	5100795
Hospital Revenue Code	481
Min. Negotiated Rate	$4,350.00
Max. Negotiated Rate	$46,469.00
Rate for Payer: Aetna Commercial	$27,881.40
Rate for Payer: Aetna Medicare Advantage	$27,881.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23,699.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23,699.19
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	$23,699.19
Rate for Payer: Cigna Commercial	$46,469.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12,081.94
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$13,940.70
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

PRQ REVASC BYP GRAFT ADDL

Facility

$35,998.44

Service Code	HCPCS 92938
Hospital Charge Code	74110088
Hospital Revenue Code	481
Min. Negotiated Rate	$4,350.00
Max. Negotiated Rate	$17,999.22
Rate for Payer: Aetna Commercial	$10,799.53
Rate for Payer: Aetna Medicare Advantage	$10,799.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,179.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,179.60
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	$9,179.60
Rate for Payer: Cigna Commercial	$17,999.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,679.80
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,399.77
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

PRQ SKL FXTN CRPL/MTCL FX THMB

Facility

$23,899.60

Service Code	HCPCS 26650
Hospital Charge Code	16000557
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,791.93
Rate for Payer: Aetna Commercial	$7,169.88
Rate for Payer: Aetna Medicare Advantage	$7,169.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,094.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,094.40
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	$6,094.40
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,106.95
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,584.94
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

PRQ SKL FXTN CRPL/MTCL FX THMB

Facility

$23,899.60

Service Code	HCPCS 26650
Hospital Charge Code	16000557
Hospital Revenue Code	360
Min. Negotiated Rate	$3,584.94
Max. Negotiated Rate	$3,584.94
Rate for Payer: Qualcare PPO/HMO/WC	$3,584.94

Know your out-of-pocket cost for care.

All Charges