Heights University Hospital

All Charges

Charge

Type

Setting

Price

TRANS BAL ANGIOPLAS PERC ARTER

Facility

$22,087.30

Service Code	HCPCS 35475
Hospital Charge Code	5600045
Hospital Revenue Code	361
Min. Negotiated Rate	$3,313.09
Max. Negotiated Rate	$3,313.09
Rate for Payer: Qualcare PPO/HMO/WC	$3,313.09

TRANSCATH CLOSURE OF ASD

Facility

$21,146.91

Service Code	HCPCS 93580
Hospital Charge Code	69008135
Hospital Revenue Code	481
Min. Negotiated Rate	$2,749.10
Max. Negotiated Rate	$43,654.87
Rate for Payer: Aetna Commercial	$6,344.07
Rate for Payer: Aetna Medicare Advantage	$6,344.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,392.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,392.46
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	$5,392.46
Rate for Payer: Cigna Commercial	$43,654.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,749.10
Rate for Payer: Oxford Commercial	$10,092.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,172.04
Rate for Payer: UnitedHealthcare Commercial	$11,456.00

TRANSCATH CLOSURE OF ASD

Facility

$21,146.91

Service Code	HCPCS 93580
Hospital Charge Code	69008135
Hospital Revenue Code	481
Min. Negotiated Rate	$3,172.04
Max. Negotiated Rate	$3,172.04
Rate for Payer: Qualcare PPO/HMO/WC	$3,172.04

TRANSCATH OCCLUSION CNS

Facility

$61,616.39

Service Code	HCPCS 61624
Hospital Charge Code	366861624
Hospital Revenue Code	361
Min. Negotiated Rate	$9,242.46
Max. Negotiated Rate	$9,242.46
Rate for Payer: Qualcare PPO/HMO/WC	$9,242.46

TRANSCATH OCCLUSION CNS

Facility

$61,616.39

Service Code	HCPCS 61624
Hospital Charge Code	411061624
Hospital Revenue Code	361
Min. Negotiated Rate	$9,242.46
Max. Negotiated Rate	$9,242.46
Rate for Payer: Qualcare PPO/HMO/WC	$9,242.46

TRANSCATH OCCLUSION CNS

Facility

$61,616.39

Service Code	HCPCS 61624
Hospital Charge Code	366861624
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$43,654.87
Rate for Payer: Aetna Commercial	$18,484.92
Rate for Payer: Aetna Medicare Advantage	$18,484.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15,712.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15,712.18
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	$15,712.18
Rate for Payer: Cigna Commercial	$43,654.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,010.13
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$9,242.46
Rate for Payer: UnitedHealthcare Commercial	$10,997.00

TRANSCATH OCCLUSION CNS

Facility

$61,616.39

Service Code	HCPCS 61624
Hospital Charge Code	411061624
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$43,654.87
Rate for Payer: Aetna Commercial	$18,484.92
Rate for Payer: Aetna Medicare Advantage	$18,484.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15,712.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15,712.18
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	$15,712.18
Rate for Payer: Cigna Commercial	$43,654.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,010.13
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$9,242.46
Rate for Payer: UnitedHealthcare Commercial	$10,997.00

TRANSCATH OCCLUSION NON-CNS

Facility

$61,616.39

Service Code	HCPCS 61626
Hospital Charge Code	366861626
Hospital Revenue Code	361
Min. Negotiated Rate	$9,242.46
Max. Negotiated Rate	$9,242.46
Rate for Payer: Qualcare PPO/HMO/WC	$9,242.46

TRANSCATH OCCLUSION NON-CNS

Facility

$61,616.39

Service Code	HCPCS 61626
Hospital Charge Code	366861626
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$27,491.26
Rate for Payer: Aetna Commercial	$18,484.92
Rate for Payer: Aetna Medicare Advantage	$18,484.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15,712.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15,712.18
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	$15,712.18
Rate for Payer: Cigna Commercial	$27,491.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,010.13
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$9,242.46
Rate for Payer: UnitedHealthcare Commercial	$10,997.00

TRANSCATH OCCLUSION NON-CNS

Facility

$61,616.39

Service Code	HCPCS 61626
Hospital Charge Code	411061626
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$27,491.26
Rate for Payer: Aetna Commercial	$18,484.92
Rate for Payer: Aetna Medicare Advantage	$18,484.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15,712.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15,712.18
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	$15,712.18
Rate for Payer: Cigna Commercial	$27,491.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,010.13
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$9,242.46
Rate for Payer: UnitedHealthcare Commercial	$10,997.00

TRANSCATH OCCLUSION NON-CNS

Facility

$61,616.39

Service Code	HCPCS 61626
Hospital Charge Code	411061626
Hospital Revenue Code	361
Min. Negotiated Rate	$9,242.46
Max. Negotiated Rate	$9,242.46
Rate for Payer: Qualcare PPO/HMO/WC	$9,242.46

TRANSCATH OCCULSION

Facility

$26,293.00

Hospital Charge Code	7411131
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

TRANSCATH OCCULSION

Facility

$26,293.00

Hospital Charge Code	7411131
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

TRANSCATH STENT CCA W/EPS

Facility

$25,076.30

Service Code	HCPCS 37215
Hospital Charge Code	366837215
Hospital Revenue Code	361
Min. Negotiated Rate	$3,761.45
Max. Negotiated Rate	$3,761.45
Rate for Payer: Qualcare PPO/HMO/WC	$3,761.45

TRANSCATH STENT CCA W/EPS

Facility

$25,076.30

Service Code	HCPCS 37215
Hospital Charge Code	366837215
Hospital Revenue Code	361
Min. Negotiated Rate	$961.50
Max. Negotiated Rate	$7,522.89
Rate for Payer: Aetna Commercial	$7,522.89
Rate for Payer: Aetna Medicare Advantage	$7,522.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,394.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,394.46
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	$6,394.46
Rate for Payer: Cigna Commercial	$961.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,259.92
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,761.45
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

TRANSCATH THERAPY

Facility

$4,582.00

Service Code	HCPCS 37201
Hospital Charge Code	7411129
Hospital Revenue Code	361
Min. Negotiated Rate	$687.30
Max. Negotiated Rate	$687.30
Rate for Payer: Qualcare PPO/HMO/WC	$687.30

TRANSCATH THERAPY

Facility

$4,582.00

Hospital Charge Code	5790110
Hospital Revenue Code	450
Min. Negotiated Rate	$687.30
Max. Negotiated Rate	$687.30
Rate for Payer: Qualcare PPO/HMO/WC	$687.30

TRANSCATH THERAPY

Facility

$4,582.00

Service Code	HCPCS 37201
Hospital Charge Code	7411129
Hospital Revenue Code	361
Min. Negotiated Rate	$595.66
Max. Negotiated Rate	$2,291.00
Rate for Payer: Aetna Commercial	$1,374.60
Rate for Payer: Aetna Medicare Advantage	$1,374.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,168.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,168.41
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	$1,168.41
Rate for Payer: Cigna Commercial	$2,291.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$595.66
Rate for Payer: Qualcare PPO/HMO/WC	$687.30

TRANSCATH THERAPY

Facility

$4,582.00

Hospital Charge Code	5790110
Hospital Revenue Code	450
Min. Negotiated Rate	$595.66
Max. Negotiated Rate	$2,291.00
Rate for Payer: Aetna Commercial	$1,374.60
Rate for Payer: Aetna Medicare Advantage	$1,374.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,168.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,168.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,168.41
Rate for Payer: Cigna Commercial	$2,291.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$595.66
Rate for Payer: Qualcare PPO/HMO/WC	$687.30

TRANSCATH THERAPY INFUSION***

Facility

$1,713.00

Service Code	HCPCS 75896
Hospital Charge Code	5100552
Hospital Revenue Code	320
Min. Negotiated Rate	$222.69
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$513.90
Rate for Payer: Aetna Medicare Advantage	$513.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$436.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$436.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$436.81
Rate for Payer: Cigna Commercial	$856.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$222.69
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$256.95
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

TRANSCATH THERAPY INFUSION***

Facility

$1,713.00

Service Code	HCPCS 75896
Hospital Charge Code	5100552
Hospital Revenue Code	320
Min. Negotiated Rate	$256.95
Max. Negotiated Rate	$256.95
Rate for Payer: Qualcare PPO/HMO/WC	$256.95

TRANSCAT PLACE PRPH STENT OPEN

Facility

$41,896.20

Hospital Charge Code	5100337
Hospital Revenue Code	361
Min. Negotiated Rate	$6,284.43
Max. Negotiated Rate	$6,284.43
Rate for Payer: Qualcare PPO/HMO/WC	$6,284.43

TRANSCAT PLACE PRPH STENT OPEN

Facility

$41,896.20

Hospital Charge Code	74110041
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$20,948.10
Rate for Payer: Aetna Commercial	$12,568.86
Rate for Payer: Aetna Medicare Advantage	$12,568.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,683.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,683.53
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	$10,683.53
Rate for Payer: Cigna Commercial	$20,948.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,446.51
Rate for Payer: Qualcare PPO/HMO/WC	$6,284.43

TRANSCAT PLACE PRPH STENT OPEN

Facility

$41,896.20

Hospital Charge Code	5100337
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$20,948.10
Rate for Payer: Aetna Commercial	$12,568.86
Rate for Payer: Aetna Medicare Advantage	$12,568.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,683.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,683.53
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	$10,683.53
Rate for Payer: Cigna Commercial	$20,948.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,446.51
Rate for Payer: Qualcare PPO/HMO/WC	$6,284.43

TRANSCAT PLACE PRPH STENT OPEN

Facility

$41,896.20

Hospital Charge Code	74110041
Hospital Revenue Code	361
Min. Negotiated Rate	$6,284.43
Max. Negotiated Rate	$6,284.43
Rate for Payer: Qualcare PPO/HMO/WC	$6,284.43

Know your out-of-pocket cost for care.

All Charges