Heights University Hospital

All Charges

Charge

Type

Setting

Price

Remv&repl cvd gen mult lead

Facility

$148,575.45

Service Code	HCPCS 33264
Hospital Charge Code	5100830
Hospital Revenue Code	480
Min. Negotiated Rate	$250.80
Max. Negotiated Rate	$74,749.27
Rate for Payer: Qualcare PPO/HMO/WC	$22,286.32
Rate for Payer: Aetna Commercial	$44,572.64
Rate for Payer: Aetna Medicare Advantage	$44,572.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37,886.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37,886.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37,886.74
Rate for Payer: Cigna Commercial	$74,749.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19,314.81
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

Remv&repl cvd gen mult lead

Facility

$148,575.45

Service Code	HCPCS 33264
Hospital Charge Code	5100830
Hospital Revenue Code	480
Min. Negotiated Rate	$22,286.32
Max. Negotiated Rate	$22,286.32
Rate for Payer: Qualcare PPO/HMO/WC	$22,286.32

Remv&repl cvd gen sing lead

Facility

$148,575.45

Service Code	HCPCS 33262
Hospital Charge Code	5100828
Hospital Revenue Code	480
Min. Negotiated Rate	$22,286.32
Max. Negotiated Rate	$22,286.32
Rate for Payer: Qualcare PPO/HMO/WC	$22,286.32

Remv&repl cvd gen sing lead

Facility

$148,575.45

Service Code	HCPCS 33263
Hospital Charge Code	5100829
Hospital Revenue Code	480
Min. Negotiated Rate	$22,286.32
Max. Negotiated Rate	$22,286.32
Rate for Payer: Qualcare PPO/HMO/WC	$22,286.32

Remv&repl cvd gen sing lead

Facility

$148,575.45

Service Code	HCPCS 33262
Hospital Charge Code	5100828
Hospital Revenue Code	480
Min. Negotiated Rate	$180.66
Max. Negotiated Rate	$52,970.73
Rate for Payer: Aetna Better Health Medicaid	$11,861.87
Rate for Payer: Aetna Commercial	$44,572.64
Rate for Payer: Aetna Medicare Advantage	$44,572.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37,886.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37,886.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$180.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37,886.74
Rate for Payer: Cigna Commercial	$52,970.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19,314.81
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$22,286.32
Rate for Payer: UnitedHealthcare Commercial	$1,793.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,099.11

Remv&repl cvd gen sing lead

Facility

$148,575.45

Service Code	HCPCS 33263
Hospital Charge Code	5100829
Hospital Revenue Code	480
Min. Negotiated Rate	$241.74
Max. Negotiated Rate	$52,970.73
Rate for Payer: Aetna Commercial	$44,572.64
Rate for Payer: Aetna Medicare Advantage	$44,572.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37,886.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37,886.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$241.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37,886.74
Rate for Payer: Cigna Commercial	$52,970.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19,314.81
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$22,286.32
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

REMV/REPL PENIS CONTAIN PROS

Facility

$94,818.40

Service Code	HCPCS 54416
Hospital Charge Code	1600000483
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$49,357.08
Rate for Payer: Aetna Commercial	$28,445.52
Rate for Payer: Aetna Medicare Advantage	$28,445.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24,178.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24,178.69
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	$24,178.69
Rate for Payer: Cigna Commercial	$49,357.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12,326.39
Rate for Payer: Oxford Commercial	$10,092.00
Rate for Payer: Qualcare PPO/HMO/WC	$14,222.76
Rate for Payer: UnitedHealthcare Commercial	$11,456.00

REMV/REPL PENIS CONTAIN PROS

Facility

$94,818.40

Service Code	HCPCS 54416
Hospital Charge Code	1600000483
Hospital Revenue Code	360
Min. Negotiated Rate	$14,222.76
Max. Negotiated Rate	$14,222.76
Rate for Payer: Qualcare PPO/HMO/WC	$14,222.76

RENACIDIN POWDER

Facility

$167.00

Hospital Charge Code	60634491
Hospital Revenue Code	250
Min. Negotiated Rate	$21.71
Max. Negotiated Rate	$83.50
Rate for Payer: Aetna Commercial	$50.10
Rate for Payer: Aetna Medicare Advantage	$50.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.59
Rate for Payer: Cigna Commercial	$83.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.71
Rate for Payer: Oxford Commercial	$83.50
Rate for Payer: Qualcare PPO/HMO/WC	$25.05
Rate for Payer: UnitedHealthcare Commercial	$83.50

RENACIDIN POWDER

Facility

$167.00

Hospital Charge Code	60634491
Hospital Revenue Code	250
Min. Negotiated Rate	$25.05
Max. Negotiated Rate	$25.05
Rate for Payer: Qualcare PPO/HMO/WC	$25.05

RENACIDIN SOLN/500ML

Facility

$132.00

Hospital Charge Code	60634499
Hospital Revenue Code	250
Min. Negotiated Rate	$17.16
Max. Negotiated Rate	$66.00
Rate for Payer: Aetna Commercial	$39.60
Rate for Payer: Aetna Medicare Advantage	$39.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.66
Rate for Payer: Cigna Commercial	$66.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.16
Rate for Payer: Oxford Commercial	$66.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.80
Rate for Payer: UnitedHealthcare Commercial	$66.00

RENACIDIN SOLN/500ML

Facility

$132.00

Hospital Charge Code	60634499
Hospital Revenue Code	250
Min. Negotiated Rate	$19.80
Max. Negotiated Rate	$19.80
Rate for Payer: Qualcare PPO/HMO/WC	$19.80

RENAGEL 403MG CAP

Facility

$3.00

Hospital Charge Code	60635293
Hospital Revenue Code	250
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$1.50
Rate for Payer: Aetna Commercial	$0.90
Rate for Payer: Aetna Medicare Advantage	$0.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.77
Rate for Payer: Cigna Commercial	$1.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.39
Rate for Payer: Oxford Commercial	$1.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.45
Rate for Payer: UnitedHealthcare Commercial	$1.50

RENAGEL 403MG CAP

Facility

$3.00

Hospital Charge Code	60635293
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

RENAGEL 800 MG TAB

Facility

$42.68

Service Code	NDC 58468002101
Hospital Charge Code	60630232
Hospital Revenue Code	250
Min. Negotiated Rate	$5.55
Max. Negotiated Rate	$21.34
Rate for Payer: Aetna Commercial	$12.80
Rate for Payer: Aetna Medicare Advantage	$12.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.88
Rate for Payer: Cigna Commercial	$21.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.55
Rate for Payer: Oxford Commercial	$21.34
Rate for Payer: Qualcare PPO/HMO/WC	$6.40
Rate for Payer: UnitedHealthcare Commercial	$21.34

RENAGEL 800 MG TAB

Facility

$42.68

Service Code	NDC 58468002101
Hospital Charge Code	60630232
Hospital Revenue Code	250
Min. Negotiated Rate	$6.40
Max. Negotiated Rate	$6.40
Rate for Payer: Qualcare PPO/HMO/WC	$6.40

RENAGEL 800MG TAB

Facility

$3.00

Hospital Charge Code	60635376
Hospital Revenue Code	250
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$1.50
Rate for Payer: Aetna Commercial	$0.90
Rate for Payer: Aetna Medicare Advantage	$0.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.77
Rate for Payer: Cigna Commercial	$1.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.39
Rate for Payer: Oxford Commercial	$1.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.45
Rate for Payer: UnitedHealthcare Commercial	$1.50

RENAGEL 800MG TAB

Facility

$3.00

Hospital Charge Code	60635376
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

RENAL ANGIO-BIL

Facility

$5,072.00

Service Code	HCPCS 36252
Hospital Charge Code	7411121
Hospital Revenue Code	361
Min. Negotiated Rate	$659.36
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Better Health Medicaid	$7,075.29
Rate for Payer: Aetna Commercial	$1,521.60
Rate for Payer: Aetna Medicare Advantage	$1,521.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,293.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,293.36
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	$1,293.36
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$659.36
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$760.80
Rate for Payer: UnitedHealthcare Commercial	$6,873.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,216.80
Rate for Payer: Wellpoint Medicaid Managed Care	$7,075.29

RENAL ANGIO-BIL

Facility

$5,072.00

Service Code	HCPCS 36252
Hospital Charge Code	7411121
Hospital Revenue Code	361
Min. Negotiated Rate	$760.80
Max. Negotiated Rate	$760.80
Rate for Payer: Qualcare PPO/HMO/WC	$760.80

RENAL ANGIO-LT

Facility

$5,072.00

Service Code	HCPCS 36251
Hospital Charge Code	7411117
Hospital Revenue Code	361
Min. Negotiated Rate	$659.36
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Better Health Medicaid	$7,075.29
Rate for Payer: Aetna Commercial	$1,521.60
Rate for Payer: Aetna Medicare Advantage	$1,521.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,293.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,293.36
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	$1,293.36
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$659.36
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$760.80
Rate for Payer: UnitedHealthcare Commercial	$6,873.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,216.80
Rate for Payer: Wellpoint Medicaid Managed Care	$7,075.29

RENAL ANGIO-LT

Facility

$5,072.00

Service Code	HCPCS 36251
Hospital Charge Code	7411117
Hospital Revenue Code	361
Min. Negotiated Rate	$760.80
Max. Negotiated Rate	$760.80
Rate for Payer: Qualcare PPO/HMO/WC	$760.80

RENAL ANGIO-RT

Facility

$5,072.00

Service Code	HCPCS 36251
Hospital Charge Code	7411119
Hospital Revenue Code	361
Min. Negotiated Rate	$760.80
Max. Negotiated Rate	$760.80
Rate for Payer: Qualcare PPO/HMO/WC	$760.80

RENAL ANGIO-RT

Facility

$5,072.00

Service Code	HCPCS 36251
Hospital Charge Code	7411119
Hospital Revenue Code	361
Min. Negotiated Rate	$659.36
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Better Health Medicaid	$7,075.29
Rate for Payer: Aetna Commercial	$1,521.60
Rate for Payer: Aetna Medicare Advantage	$1,521.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,293.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,293.36
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	$1,293.36
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$659.36
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$760.80
Rate for Payer: UnitedHealthcare Commercial	$6,873.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,216.80
Rate for Payer: Wellpoint Medicaid Managed Care	$7,075.29

RENAL ANGIO-W/AORTA-LT

Facility

$15,468.50

Service Code	HCPCS 36251LT
Hospital Charge Code	2691280
Hospital Revenue Code	361
Min. Negotiated Rate	$2,320.28
Max. Negotiated Rate	$2,320.28
Rate for Payer: Qualcare PPO/HMO/WC	$2,320.28

Know your out-of-pocket cost for care.

All Charges