Heights University Hospital

All Charges

Charge

Type

Setting

Price

REVSC EVASC TPVT ST CPLX 1stLT

Facility

$108,892.35

Service Code	HCPCS 37286
Hospital Charge Code	404637286
Hospital Revenue Code	481
Min. Negotiated Rate	$4,350.00
Max. Negotiated Rate	$43,654.87
Rate for Payer: Aetna Commercial	$32,667.71
Rate for Payer: Aetna Medicare Advantage	$32,667.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27,767.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27,767.55
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	$27,767.55
Rate for Payer: Cigna Commercial	$43,654.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14,156.01
Rate for Payer: Qualcare PPO/HMO/WC	$16,333.85

REVSC EVSC FPVT ANGIO CPLX 1

Facility

$25,423.30

Service Code	HCPCS 37265
Hospital Charge Code	403437265
Hospital Revenue Code	481
Min. Negotiated Rate	$3,813.49
Max. Negotiated Rate	$3,813.49
Rate for Payer: Qualcare PPO/HMO/WC	$3,813.49

REVSC EVSC FPVT ANGIO CPLX 1

Facility

$25,423.30

Service Code	HCPCS 37265
Hospital Charge Code	403437265
Hospital Revenue Code	481
Min. Negotiated Rate	$3,305.03
Max. Negotiated Rate	$13,553.85
Rate for Payer: Aetna Commercial	$7,626.99
Rate for Payer: Aetna Medicare Advantage	$7,626.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,482.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,482.94
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	$6,482.94
Rate for Payer: Cigna Commercial	$13,553.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,305.03
Rate for Payer: Qualcare PPO/HMO/WC	$3,813.49

REVSC EVSC FPVT ANGIO CPLX 1

Facility

$25,423.30

Service Code	HCPCS 37265
Hospital Charge Code	404637265
Hospital Revenue Code	481
Min. Negotiated Rate	$3,813.49
Max. Negotiated Rate	$3,813.49
Rate for Payer: Qualcare PPO/HMO/WC	$3,813.49

REVSC EVSC FPVT ANGIO CPLX 1

Facility

$25,423.30

Service Code	HCPCS 37265
Hospital Charge Code	404637265
Hospital Revenue Code	481
Min. Negotiated Rate	$3,305.03
Max. Negotiated Rate	$13,553.85
Rate for Payer: Aetna Commercial	$7,626.99
Rate for Payer: Aetna Medicare Advantage	$7,626.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,482.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,482.94
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	$6,482.94
Rate for Payer: Cigna Commercial	$13,553.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,305.03
Rate for Payer: Qualcare PPO/HMO/WC	$3,813.49

REVSC EVSC FPVT ARTRC

Facility

$13,476.50

Service Code	HCPCS 37272
Hospital Charge Code	404637272
Hospital Revenue Code	481
Min. Negotiated Rate	$2,021.47
Max. Negotiated Rate	$2,021.47
Rate for Payer: Qualcare PPO/HMO/WC	$2,021.47

REVSC EVSC FPVT ARTRC

Facility

$13,476.50

Service Code	HCPCS 37272
Hospital Charge Code	404637272
Hospital Revenue Code	481
Min. Negotiated Rate	$194.69
Max. Negotiated Rate	$4,350.00
Rate for Payer: Aetna Commercial	$4,042.95
Rate for Payer: Aetna Medicare Advantage	$4,042.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,436.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,436.51
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	$3,436.51
Rate for Payer: Cigna Commercial	$194.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,751.94
Rate for Payer: Qualcare PPO/HMO/WC	$2,021.47

REVSC EVSC FPVT ATHRC SF 1ST

Facility

$52,548.60

Service Code	HCPCS 37271
Hospital Charge Code	403437271
Hospital Revenue Code	481
Min. Negotiated Rate	$4,350.00
Max. Negotiated Rate	$43,654.87
Rate for Payer: Aetna Commercial	$15,764.58
Rate for Payer: Aetna Medicare Advantage	$15,764.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,399.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,399.89
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	$13,399.89
Rate for Payer: Cigna Commercial	$43,654.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,831.32
Rate for Payer: Qualcare PPO/HMO/WC	$7,882.29

REVSC EVSC FPVT ATHRC SF 1ST

Facility

$52,548.60

Service Code	HCPCS 37271
Hospital Charge Code	404637271
Hospital Revenue Code	481
Min. Negotiated Rate	$7,882.29
Max. Negotiated Rate	$7,882.29
Rate for Payer: Qualcare PPO/HMO/WC	$7,882.29

REVSC EVSC FPVT ATHRC SF 1ST

Facility

$52,548.60

Service Code	HCPCS 37271
Hospital Charge Code	404637271
Hospital Revenue Code	481
Min. Negotiated Rate	$4,350.00
Max. Negotiated Rate	$43,654.87
Rate for Payer: Aetna Commercial	$15,764.58
Rate for Payer: Aetna Medicare Advantage	$15,764.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,399.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,399.89
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	$13,399.89
Rate for Payer: Cigna Commercial	$43,654.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,831.32
Rate for Payer: Qualcare PPO/HMO/WC	$7,882.29

REVSC EVSC FPVT ATHRC SF 1ST

Facility

$52,548.60

Service Code	HCPCS 37271
Hospital Charge Code	403437271
Hospital Revenue Code	481
Min. Negotiated Rate	$7,882.29
Max. Negotiated Rate	$7,882.29
Rate for Payer: Qualcare PPO/HMO/WC	$7,882.29

REVSC EVSC FPVT STENTSF 1ST LT

Facility

$52,548.60

Service Code	HCPCS 37267
Hospital Charge Code	4046372671
Hospital Revenue Code	481
Min. Negotiated Rate	$7,882.29
Max. Negotiated Rate	$7,882.29
Rate for Payer: Qualcare PPO/HMO/WC	$7,882.29

REVSC EVSC FPVT STENTSF 1ST LT

Facility

$52,548.60

Service Code	HCPCS 37267
Hospital Charge Code	4046372671
Hospital Revenue Code	481
Min. Negotiated Rate	$4,350.00
Max. Negotiated Rate	$27,491.26
Rate for Payer: Aetna Commercial	$15,764.58
Rate for Payer: Aetna Medicare Advantage	$15,764.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,399.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,399.89
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	$13,399.89
Rate for Payer: Cigna Commercial	$27,491.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,831.32
Rate for Payer: Qualcare PPO/HMO/WC	$7,882.29

REVSC EVSC FPVT STENTSF 1ST RT

Facility

$52,548.60

Service Code	HCPCS 37267
Hospital Charge Code	404637267
Hospital Revenue Code	481
Min. Negotiated Rate	$4,350.00
Max. Negotiated Rate	$27,491.26
Rate for Payer: Aetna Commercial	$15,764.58
Rate for Payer: Aetna Medicare Advantage	$15,764.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,399.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,399.89
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	$13,399.89
Rate for Payer: Cigna Commercial	$27,491.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,831.32
Rate for Payer: Qualcare PPO/HMO/WC	$7,882.29

REVSC EVSC FPVT STENTSF 1ST RT

Facility

$52,548.60

Service Code	HCPCS 37267
Hospital Charge Code	404637267
Hospital Revenue Code	481
Min. Negotiated Rate	$7,882.29
Max. Negotiated Rate	$7,882.29
Rate for Payer: Qualcare PPO/HMO/WC	$7,882.29

REVSC EVSC IVT ANGIO CPLX EA

Facility

$24,441.40

Service Code	HCPCS 37257
Hospital Charge Code	404637257
Hospital Revenue Code	481
Min. Negotiated Rate	$3,666.21
Max. Negotiated Rate	$3,666.21
Rate for Payer: Qualcare PPO/HMO/WC	$3,666.21

REVSC EVSC IVT ANGIO CPLX EA

Facility

$24,441.40

Service Code	HCPCS 37257
Hospital Charge Code	403437257
Hospital Revenue Code	481
Min. Negotiated Rate	$188.76
Max. Negotiated Rate	$7,332.42
Rate for Payer: Aetna Commercial	$7,332.42
Rate for Payer: Aetna Medicare Advantage	$7,332.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,232.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,232.56
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	$6,232.56
Rate for Payer: Cigna Commercial	$188.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,177.38
Rate for Payer: Qualcare PPO/HMO/WC	$3,666.21

REVSC EVSC IVT ANGIO CPLX EA

Facility

$24,441.40

Service Code	HCPCS 37257
Hospital Charge Code	404637257
Hospital Revenue Code	481
Min. Negotiated Rate	$188.76
Max. Negotiated Rate	$7,332.42
Rate for Payer: Aetna Commercial	$7,332.42
Rate for Payer: Aetna Medicare Advantage	$7,332.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,232.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,232.56
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	$6,232.56
Rate for Payer: Cigna Commercial	$188.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,177.38
Rate for Payer: Qualcare PPO/HMO/WC	$3,666.21

REVSC EVSC IVT ANGIO CPLX EA

Facility

$24,441.40

Service Code	HCPCS 37257
Hospital Charge Code	403437257
Hospital Revenue Code	481
Min. Negotiated Rate	$3,666.21
Max. Negotiated Rate	$3,666.21
Rate for Payer: Qualcare PPO/HMO/WC	$3,666.21

REVSC EVSC TPVT ANGIO SF 1ST

Facility

$52,548.60

Service Code	HCPCS 37280
Hospital Charge Code	403437280
Hospital Revenue Code	481
Min. Negotiated Rate	$7,882.29
Max. Negotiated Rate	$7,882.29
Rate for Payer: Qualcare PPO/HMO/WC	$7,882.29

REVSC EVSC TPVT ANGIO SF 1ST

Facility

$52,548.60

Service Code	HCPCS 37280
Hospital Charge Code	404637280
Hospital Revenue Code	481
Min. Negotiated Rate	$7,882.29
Max. Negotiated Rate	$7,882.29
Rate for Payer: Qualcare PPO/HMO/WC	$7,882.29

REVSC EVSC TPVT ANGIO SF 1ST

Facility

$80,096.45

Service Code	HCPCS 37277
Hospital Charge Code	403437277
Hospital Revenue Code	481
Min. Negotiated Rate	$12,014.47
Max. Negotiated Rate	$12,014.47
Rate for Payer: Qualcare PPO/HMO/WC	$12,014.47

REVSC EVSC TPVT ANGIO SF 1ST

Facility

$52,548.60

Service Code	HCPCS 37280
Hospital Charge Code	403437280
Hospital Revenue Code	481
Min. Negotiated Rate	$4,350.00
Max. Negotiated Rate	$27,491.26
Rate for Payer: Aetna Commercial	$15,764.58
Rate for Payer: Aetna Medicare Advantage	$15,764.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,399.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,399.89
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	$13,399.89
Rate for Payer: Cigna Commercial	$27,491.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,831.32
Rate for Payer: Qualcare PPO/HMO/WC	$7,882.29

REVSC EVSC TPVT ANGIO SF 1ST

Facility

$80,096.45

Service Code	HCPCS 37277
Hospital Charge Code	404637277
Hospital Revenue Code	481
Min. Negotiated Rate	$12,014.47
Max. Negotiated Rate	$12,014.47
Rate for Payer: Qualcare PPO/HMO/WC	$12,014.47

REVSC EVSC TPVT ANGIO SF 1ST

Facility

$80,096.45

Service Code	HCPCS 37277
Hospital Charge Code	404637277
Hospital Revenue Code	481
Min. Negotiated Rate	$4,350.00
Max. Negotiated Rate	$43,654.87
Rate for Payer: Aetna Commercial	$24,028.94
Rate for Payer: Aetna Medicare Advantage	$24,028.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20,424.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20,424.59
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	$20,424.59
Rate for Payer: Cigna Commercial	$43,654.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10,412.54
Rate for Payer: Qualcare PPO/HMO/WC	$12,014.47

Know your out-of-pocket cost for care.

All Charges