Heights University Hospital

All Charges

Charge

Type

Setting

Price

TRAN OR AVULSE OTH SPINAL NRV

Facility

$16,437.00

Service Code	HCPCS 64772
Hospital Charge Code	16000656
Hospital Revenue Code	360
Min. Negotiated Rate	$2,465.55
Max. Negotiated Rate	$2,465.55
Rate for Payer: Qualcare PPO/HMO/WC	$2,465.55

TRAN OR AVULSE OTH SPINAL NRV

Facility

$16,437.00

Service Code	HCPCS 64772
Hospital Charge Code	16000656
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$5,529.00
Rate for Payer: Aetna Commercial	$4,931.10
Rate for Payer: Aetna Medicare Advantage	$4,931.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,191.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,191.44
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	$4,191.44
Rate for Payer: Cigna Commercial	$4,650.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,136.81
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,465.55
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

TRANS ARTHER BRACHI-BI

Facility

$26,293.00

Service Code	HCPCS 0237T50
Hospital Charge Code	7411257
Hospital Revenue Code	361
Min. Negotiated Rate	$3,943.95
Max. Negotiated Rate	$3,943.95
Rate for Payer: Qualcare PPO/HMO/WC	$3,943.95

TRANS ARTHER BRACHI-BI

Facility

$26,293.00

Service Code	HCPCS 0237T50
Hospital Charge Code	7411257
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$13,146.50
Rate for Payer: Aetna Commercial	$7,887.90
Rate for Payer: Aetna Medicare Advantage	$7,887.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,704.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,704.72
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	$6,704.72
Rate for Payer: Cigna Commercial	$13,146.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,418.09
Rate for Payer: Qualcare PPO/HMO/WC	$3,943.95

TRANS ARTHER BRACHI-LT

Facility

$26,293.00

Service Code	HCPCS 0237TLT
Hospital Charge Code	7411259
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$13,146.50
Rate for Payer: Aetna Commercial	$7,887.90
Rate for Payer: Aetna Medicare Advantage	$7,887.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,704.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,704.72
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	$6,704.72
Rate for Payer: Cigna Commercial	$13,146.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,418.09
Rate for Payer: Qualcare PPO/HMO/WC	$3,943.95

TRANS ARTHER BRACHI-LT

Facility

$26,293.00

Service Code	HCPCS 0237TLT
Hospital Charge Code	7411259
Hospital Revenue Code	361
Min. Negotiated Rate	$3,943.95
Max. Negotiated Rate	$3,943.95
Rate for Payer: Qualcare PPO/HMO/WC	$3,943.95

TRANS ARTHER BRACHI-RT

Facility

$26,293.00

Service Code	HCPCS 0237TRT
Hospital Charge Code	7411261
Hospital Revenue Code	361
Min. Negotiated Rate	$3,943.95
Max. Negotiated Rate	$3,943.95
Rate for Payer: Qualcare PPO/HMO/WC	$3,943.95

TRANS ARTHER BRACHI-RT

Facility

$26,293.00

Service Code	HCPCS 0237TRT
Hospital Charge Code	7411261
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$13,146.50
Rate for Payer: Aetna Commercial	$7,887.90
Rate for Payer: Aetna Medicare Advantage	$7,887.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,704.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,704.72
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	$6,704.72
Rate for Payer: Cigna Commercial	$13,146.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,418.09
Rate for Payer: Qualcare PPO/HMO/WC	$3,943.95

TRANS ARTHERECT AORTIC

Facility

$26,293.00

Service Code	HCPCS 0236T
Hospital Charge Code	7411255
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$27,491.26
Rate for Payer: Aetna Commercial	$7,887.90
Rate for Payer: Aetna Medicare Advantage	$7,887.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,704.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,704.72
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	$6,704.72
Rate for Payer: Cigna Commercial	$27,491.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,418.09
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,943.95
Rate for Payer: UnitedHealthcare Commercial	$10,997.00

TRANS ARTHERECT AORTIC

Facility

$26,293.00

Service Code	HCPCS 0236T
Hospital Charge Code	7411255
Hospital Revenue Code	361
Min. Negotiated Rate	$3,943.95
Max. Negotiated Rate	$3,943.95
Rate for Payer: Qualcare PPO/HMO/WC	$3,943.95

TRANS ARTHERE ILIAC-BI

Facility

$26,293.00

Service Code	HCPCS 0238T50
Hospital Charge Code	7411263
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$13,146.50
Rate for Payer: Aetna Commercial	$7,887.90
Rate for Payer: Aetna Medicare Advantage	$7,887.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,704.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,704.72
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	$6,704.72
Rate for Payer: Cigna Commercial	$13,146.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,418.09
Rate for Payer: Qualcare PPO/HMO/WC	$3,943.95

TRANS ARTHERE ILIAC-BI

Facility

$26,293.00

Service Code	HCPCS 0238T50
Hospital Charge Code	7411263
Hospital Revenue Code	361
Min. Negotiated Rate	$3,943.95
Max. Negotiated Rate	$3,943.95
Rate for Payer: Qualcare PPO/HMO/WC	$3,943.95

TRANS ARTHERE ILIAC-LT

Facility

$26,293.00

Service Code	HCPCS 0238TLT
Hospital Charge Code	7411265
Hospital Revenue Code	361
Min. Negotiated Rate	$3,943.95
Max. Negotiated Rate	$3,943.95
Rate for Payer: Qualcare PPO/HMO/WC	$3,943.95

TRANS ARTHERE ILIAC-LT

Facility

$26,293.00

Service Code	HCPCS 0238TLT
Hospital Charge Code	7411265
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$13,146.50
Rate for Payer: Aetna Commercial	$7,887.90
Rate for Payer: Aetna Medicare Advantage	$7,887.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,704.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,704.72
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	$6,704.72
Rate for Payer: Cigna Commercial	$13,146.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,418.09
Rate for Payer: Qualcare PPO/HMO/WC	$3,943.95

TRANS ARTHERE ILIAC-RT

Facility

$26,293.00

Service Code	HCPCS 0238TRT
Hospital Charge Code	7411267
Hospital Revenue Code	361
Min. Negotiated Rate	$3,943.95
Max. Negotiated Rate	$3,943.95
Rate for Payer: Qualcare PPO/HMO/WC	$3,943.95

TRANS ARTHERE ILIAC-RT

Facility

$26,293.00

Service Code	HCPCS 0238TRT
Hospital Charge Code	7411267
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$13,146.50
Rate for Payer: Aetna Commercial	$7,887.90
Rate for Payer: Aetna Medicare Advantage	$7,887.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,704.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,704.72
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	$6,704.72
Rate for Payer: Cigna Commercial	$13,146.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,418.09
Rate for Payer: Qualcare PPO/HMO/WC	$3,943.95

TRANS ARTHERE RENAL-BI

Facility

$75,737.34

Service Code	HCPCS 3722550
Hospital Charge Code	2709011
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$37,868.67
Rate for Payer: Aetna Commercial	$22,721.20
Rate for Payer: Aetna Medicare Advantage	$22,721.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19,313.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19,313.02
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	$19,313.02
Rate for Payer: Cigna Commercial	$37,868.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,845.85
Rate for Payer: Qualcare PPO/HMO/WC	$11,360.60

TRANS ARTHERE RENAL-BI

Facility

$75,737.34

Service Code	HCPCS 3722550
Hospital Charge Code	2709011
Hospital Revenue Code	361
Min. Negotiated Rate	$11,360.60
Max. Negotiated Rate	$11,360.60
Rate for Payer: Qualcare PPO/HMO/WC	$11,360.60

TRANS ARTHERE RENAL-LT

Facility

$47,711.75

Service Code	HCPCS 37225LT
Hospital Charge Code	2709013
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$23,855.88
Rate for Payer: Aetna Commercial	$14,313.52
Rate for Payer: Aetna Medicare Advantage	$14,313.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,166.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,166.50
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	$12,166.50
Rate for Payer: Cigna Commercial	$23,855.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,202.53
Rate for Payer: Qualcare PPO/HMO/WC	$7,156.76

TRANS ARTHERE RENAL-LT

Facility

$47,711.75

Service Code	HCPCS 37225LT
Hospital Charge Code	2709013
Hospital Revenue Code	361
Min. Negotiated Rate	$7,156.76
Max. Negotiated Rate	$7,156.76
Rate for Payer: Qualcare PPO/HMO/WC	$7,156.76

TRANS ARTHERE RENAL-RT

Facility

$47,711.75

Service Code	HCPCS 37225RT
Hospital Charge Code	2709015
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$23,855.88
Rate for Payer: Aetna Commercial	$14,313.52
Rate for Payer: Aetna Medicare Advantage	$14,313.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,166.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,166.50
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	$12,166.50
Rate for Payer: Cigna Commercial	$23,855.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,202.53
Rate for Payer: Qualcare PPO/HMO/WC	$7,156.76

TRANS ARTHERE RENAL-RT

Facility

$47,711.75

Service Code	HCPCS 37225RT
Hospital Charge Code	2709015
Hospital Revenue Code	361
Min. Negotiated Rate	$7,156.76
Max. Negotiated Rate	$7,156.76
Rate for Payer: Qualcare PPO/HMO/WC	$7,156.76

TRANS BAL ANGIOPLA PERC VENOUS

Facility

$21,962.30

Service Code	HCPCS 35476
Hospital Charge Code	5600050
Hospital Revenue Code	361
Min. Negotiated Rate	$3,294.34
Max. Negotiated Rate	$3,294.34
Rate for Payer: Qualcare PPO/HMO/WC	$3,294.34

TRANS BAL ANGIOPLA PERC VENOUS

Facility

$21,962.30

Service Code	HCPCS 35476
Hospital Charge Code	5600050
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$10,981.15
Rate for Payer: Aetna Commercial	$6,588.69
Rate for Payer: Aetna Medicare Advantage	$6,588.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,600.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,600.39
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	$5,600.39
Rate for Payer: Cigna Commercial	$10,981.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,855.10
Rate for Payer: Qualcare PPO/HMO/WC	$3,294.34

TRANS BAL ANGIOPLAS PERC ARTER

Facility

$22,087.30

Service Code	HCPCS 35475
Hospital Charge Code	5600045
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$11,043.65
Rate for Payer: Aetna Commercial	$6,626.19
Rate for Payer: Aetna Medicare Advantage	$6,626.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,632.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,632.26
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	$5,632.26
Rate for Payer: Cigna Commercial	$11,043.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,871.35
Rate for Payer: Qualcare PPO/HMO/WC	$3,313.09

Know your out-of-pocket cost for care.

All Charges