Heights University Hospital

All Charges

Charge

Type

Setting

Price

RENAL ARTERY DUPLEX SCAN LTD

Facility

$789.00

Service Code	HCPCS 93976
Hospital Charge Code	74116051
Hospital Revenue Code	921
Min. Negotiated Rate	$102.57
Max. Negotiated Rate	$5,061.00
Rate for Payer: Aetna Commercial	$236.70
Rate for Payer: Aetna Medicare Advantage	$236.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$201.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$201.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$327.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$201.19
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.57
Rate for Payer: Oxford Commercial	$4,459.00
Rate for Payer: Qualcare PPO/HMO/WC	$118.35
Rate for Payer: UnitedHealthcare Commercial	$5,061.00

RENAL ARTERY DUPLEX SCAN LTD

Facility

$1,555.25

Service Code	HCPCS 93976
Hospital Charge Code	94053265
Hospital Revenue Code	921
Min. Negotiated Rate	$233.29
Max. Negotiated Rate	$233.29
Rate for Payer: Qualcare PPO/HMO/WC	$233.29

RENAL ARTERY DUPLEX SCAN LTD

Facility

$17,200.00

Service Code	HCPCS 93976
Hospital Charge Code	74115051
Hospital Revenue Code	921
Min. Negotiated Rate	$248.96
Max. Negotiated Rate	$5,160.00
Rate for Payer: Aetna Commercial	$5,160.00
Rate for Payer: Aetna Medicare Advantage	$5,160.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,386.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,386.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$327.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,386.00
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,236.00
Rate for Payer: Oxford Commercial	$4,459.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,580.00
Rate for Payer: UnitedHealthcare Commercial	$5,061.00

RENAL BIOPSY PERQ

Facility

$8,404.60

Service Code	HCPCS 50200
Hospital Charge Code	1600000506
Hospital Revenue Code	360
Min. Negotiated Rate	$1,092.60
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$2,521.38
Rate for Payer: Aetna Medicare Advantage	$2,521.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,143.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,143.17
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	$2,143.17
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,092.60
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,260.69
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

RENAL BIOPSY PERQ

Facility

$8,404.60

Service Code	HCPCS 50200
Hospital Charge Code	1600000506
Hospital Revenue Code	360
Min. Negotiated Rate	$1,260.69
Max. Negotiated Rate	$1,260.69
Rate for Payer: Qualcare PPO/HMO/WC	$1,260.69

RENAL BLOOD ADMIN/TRANSFUSION

Facility

$1,403.75

Service Code	HCPCS 36430
Hospital Charge Code	8200151
Hospital Revenue Code	391
Min. Negotiated Rate	$210.56
Max. Negotiated Rate	$210.56
Rate for Payer: Qualcare PPO/HMO/WC	$210.56

RENAL BLOOD ADMIN/TRANSFUSION

Facility

$1,403.75

Service Code	HCPCS 36430
Hospital Charge Code	8200151
Hospital Revenue Code	391
Min. Negotiated Rate	$182.49
Max. Negotiated Rate	$1,050.61
Rate for Payer: Aetna Commercial	$421.12
Rate for Payer: Aetna Medicare Advantage	$421.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$357.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$357.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$357.96
Rate for Payer: Cigna Commercial	$1,050.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.49
Rate for Payer: Oxford Commercial	$666.00
Rate for Payer: Qualcare PPO/HMO/WC	$210.56
Rate for Payer: UnitedHealthcare Commercial	$756.00

RENAL CAL

Facility

$21.00

Hospital Charge Code	60635160
Hospital Revenue Code	250
Min. Negotiated Rate	$2.73
Max. Negotiated Rate	$10.50
Rate for Payer: Aetna Commercial	$6.30
Rate for Payer: Aetna Medicare Advantage	$6.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.36
Rate for Payer: Cigna Commercial	$10.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.73
Rate for Payer: Oxford Commercial	$10.50
Rate for Payer: Qualcare PPO/HMO/WC	$3.15
Rate for Payer: UnitedHealthcare Commercial	$10.50

RENAL CAL

Facility

$21.00

Hospital Charge Code	60635160
Hospital Revenue Code	250
Min. Negotiated Rate	$3.15
Max. Negotiated Rate	$3.15
Rate for Payer: Qualcare PPO/HMO/WC	$3.15

RENALCAL FLAVOR PKT

Facility

$5.00

Hospital Charge Code	60635268
Hospital Revenue Code	250
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$2.50
Rate for Payer: Aetna Commercial	$1.50
Rate for Payer: Aetna Medicare Advantage	$1.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.27
Rate for Payer: Cigna Commercial	$2.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.65
Rate for Payer: Oxford Commercial	$2.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.75
Rate for Payer: UnitedHealthcare Commercial	$2.50

RENALCAL FLAVOR PKT

Facility

$5.00

Hospital Charge Code	60635268
Hospital Revenue Code	250
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

RENAL DIALYSIS ACCESS DEVICE PROCEDURES

Facility

$46,624.05

Service Code	APR-DRG 4444
Min. Negotiated Rate	$41,884.05
Max. Negotiated Rate	$46,624.05
Rate for Payer: Aetna Better Health Medicaid	$45,709.85
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$46,624.05
Rate for Payer: Wellpoint Medicaid Managed Care	$41,884.05

RENAL DIALYSIS ACCESS DEVICE PROCEDURES

Facility

$27,316.64

Service Code	APR-DRG 4443
Min. Negotiated Rate	$22,141.86
Max. Negotiated Rate	$27,316.64
Rate for Payer: Aetna Better Health Medicaid	$26,781.02
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$27,316.64
Rate for Payer: Wellpoint Medicaid Managed Care	$22,141.86

RENAL DIALYSIS ACCESS DEVICE PROCEDURES

Facility

$18,373.50

Service Code	APR-DRG 4442
Min. Negotiated Rate	$13,776.23
Max. Negotiated Rate	$18,373.50
Rate for Payer: Aetna Better Health Medicaid	$18,013.24
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$18,373.50
Rate for Payer: Wellpoint Medicaid Managed Care	$13,776.23

RENAL DIALYSIS ACCESS DEVICE PROCEDURES

Facility

$12,323.43

Service Code	APR-DRG 4441
Min. Negotiated Rate	$10,209.74
Max. Negotiated Rate	$12,323.43
Rate for Payer: Aetna Better Health Medicaid	$12,081.79
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,323.43
Rate for Payer: Wellpoint Medicaid Managed Care	$10,209.74

RENAL FAILURE WITH CC

Facility

$37,242.96

Service Code	MSDRG 683
Min. Negotiated Rate	$9,557.24
Max. Negotiated Rate	$37,242.96
Rate for Payer: Aetna Commercial	$29,531.87
Rate for Payer: Aetna Medicare Advantage	$9,557.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24,810.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24,810.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12,414.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24,810.30
Rate for Payer: Cigna Commercial	$18,848.09
Rate for Payer: Cigna Medicare Advantage	$12,414.32
Rate for Payer: Clover Medicare Advantage	$11,793.60
Rate for Payer: EmblemHealth Commercial	$37,242.96
Rate for Payer: Humana Medicare Advantage	$12,786.75
Rate for Payer: Oxford Commercial	$11,779.51
Rate for Payer: UnitedHealthcare Commercial	$13,370.84
Rate for Payer: UnitedHealthcare Medicare Advantage	$12,414.32
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13,159.18
Rate for Payer: Wellcare Medicare Advantage	$12,414.32

RENAL FAILURE WITH MCC

Facility

$54,809.34

Service Code	MSDRG 682
Min. Negotiated Rate	$16,161.54
Max. Negotiated Rate	$54,809.34
Rate for Payer: Aetna Commercial	$49,939.16
Rate for Payer: Aetna Medicare Advantage	$16,161.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41,350.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41,350.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18,269.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41,350.50
Rate for Payer: Cigna Commercial	$31,872.60
Rate for Payer: Cigna Medicare Advantage	$18,269.78
Rate for Payer: Clover Medicare Advantage	$17,356.29
Rate for Payer: EmblemHealth Commercial	$54,809.34
Rate for Payer: Humana Medicare Advantage	$18,817.87
Rate for Payer: Oxford Commercial	$19,919.45
Rate for Payer: UnitedHealthcare Commercial	$22,610.43
Rate for Payer: UnitedHealthcare Medicare Advantage	$18,269.78
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19,365.97
Rate for Payer: Wellcare Medicare Advantage	$18,269.78

RENAL FAILURE WITHOUT CC/MCC

Facility

$29,246.37

Service Code	MSDRG 684
Min. Negotiated Rate	$6,550.82
Max. Negotiated Rate	$29,246.37
Rate for Payer: Aetna Commercial	$20,242.03
Rate for Payer: Aetna Medicare Advantage	$6,550.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16,815.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16,815.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9,748.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16,815.87
Rate for Payer: Cigna Commercial	$12,919.06
Rate for Payer: Cigna Medicare Advantage	$9,748.79
Rate for Payer: Clover Medicare Advantage	$9,261.35
Rate for Payer: EmblemHealth Commercial	$29,246.37
Rate for Payer: Humana Medicare Advantage	$10,041.25
Rate for Payer: Oxford Commercial	$8,074.03
Rate for Payer: UnitedHealthcare Commercial	$9,164.78
Rate for Payer: UnitedHealthcare Medicare Advantage	$9,748.79
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$10,333.72
Rate for Payer: Wellcare Medicare Advantage	$9,748.79

RENAL FUNCTION PANEL

Facility

$61.50

Service Code	HCPCS 80069
Hospital Charge Code	38476798
Hospital Revenue Code	301
Min. Negotiated Rate	$9.22
Max. Negotiated Rate	$9.22
Rate for Payer: Qualcare PPO/HMO/WC	$9.22

RENAL FUNCTION PANEL

Facility

$61.50

Service Code	HCPCS 80069
Hospital Charge Code	38476798
Hospital Revenue Code	301
Min. Negotiated Rate	$4.34
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$28.12
Rate for Payer: Aetna Medicare Advantage	$8.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.80
Rate for Payer: Cigna Commercial	$8.68
Rate for Payer: Cigna Medicare Advantage	$4.34
Rate for Payer: Clover Medicare Advantage	$8.25
Rate for Payer: EmblemHealth Commercial	$26.04
Rate for Payer: Humana Medicare Advantage	$8.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.22
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$8.68
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$9.20
Rate for Payer: Wellcare Medicare Advantage	$8.68

RENAL FUNCTION PROFILE

Facility

$390.00

Service Code	HCPCS 80069
Hospital Charge Code	3002343
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

RENAL FUNCTION PROFILE

Facility

$390.00

Service Code	HCPCS 80069
Hospital Charge Code	3002343
Hospital Revenue Code	301
Min. Negotiated Rate	$4.34
Max. Negotiated Rate	$114.00
Rate for Payer: Cigna Commercial	$8.68
Rate for Payer: Aetna Commercial	$28.12
Rate for Payer: Aetna Medicare Advantage	$8.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.80
Rate for Payer: Cigna Medicare Advantage	$4.34
Rate for Payer: Clover Medicare Advantage	$8.25
Rate for Payer: EmblemHealth Commercial	$26.04
Rate for Payer: Humana Medicare Advantage	$8.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$8.68
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$9.20
Rate for Payer: Wellcare Medicare Advantage	$8.68

RENAL UNIL ARTERI0

Facility

$6,122.00

Hospital Charge Code	2009005
Hospital Revenue Code	323
Min. Negotiated Rate	$918.30
Max. Negotiated Rate	$918.30
Rate for Payer: Qualcare PPO/HMO/WC	$918.30

RENAL UNIL ARTERI0

Facility

$6,122.00

Hospital Charge Code	2009005
Hospital Revenue Code	323
Min. Negotiated Rate	$795.86
Max. Negotiated Rate	$3,061.00
Rate for Payer: Aetna Commercial	$1,836.60
Rate for Payer: Aetna Medicare Advantage	$1,836.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,561.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,561.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,561.11
Rate for Payer: Cigna Commercial	$3,061.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$795.86
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$918.30
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

RENAL VENIPUNCTURE

Facility

$26.25

Service Code	HCPCS 36415
Hospital Charge Code	8200502
Hospital Revenue Code	300
Min. Negotiated Rate	$3.41
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$30.26
Rate for Payer: Aetna Medicare Advantage	$9.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.22
Rate for Payer: Cigna Commercial	$9.34
Rate for Payer: Cigna Medicare Advantage	$4.67
Rate for Payer: Clover Medicare Advantage	$8.87
Rate for Payer: EmblemHealth Commercial	$28.02
Rate for Payer: Humana Medicare Advantage	$9.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.41
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.94
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.34
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$9.90
Rate for Payer: Wellcare Medicare Advantage	$9.34

Know your out-of-pocket cost for care.

All Charges