Heights University Hospital

All Charges

Charge

Type

Setting

Price

VEEG 2-12HRS UNMON

Facility

$1,481.95

Service Code	HCPCS 95711
Hospital Charge Code	403395711
Hospital Revenue Code	740
Min. Negotiated Rate	$222.29
Max. Negotiated Rate	$222.29
Rate for Payer: Qualcare PPO/HMO/WC	$222.29

VEGF ELISA

Facility

$390.00

Service Code	HCPCS 83520
Hospital Charge Code	3003100
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

VEGF ELISA

Facility

$390.00

Service Code	HCPCS 83520
Hospital Charge Code	3003100
Hospital Revenue Code	301
Min. Negotiated Rate	$8.63
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$55.95
Rate for Payer: Aetna Medicare Advantage	$17.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.28
Rate for Payer: Cigna Commercial	$17.27
Rate for Payer: Cigna Medicare Advantage	$8.63
Rate for Payer: Clover Medicare Advantage	$16.41
Rate for Payer: EmblemHealth Commercial	$51.81
Rate for Payer: Humana Medicare Advantage	$17.79
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	$17.27
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$18.31
Rate for Payer: Wellcare Medicare Advantage	$17.27

VEIN 77cm SAPHAN CRYOPRE 67404

Facility

$38,030.00

Hospital Charge Code	270642485
Hospital Revenue Code	278
Min. Negotiated Rate	$5,704.50
Max. Negotiated Rate	$19,015.00
Rate for Payer: Aetna Commercial	$11,409.00
Rate for Payer: Aetna Medicare Advantage	$11,409.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,697.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,697.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,606.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,697.65
Rate for Payer: Cigna Commercial	$19,015.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,203.26
Rate for Payer: Qualcare PPO/HMO/WC	$5,704.50

VEIN 77cm SAPHAN CRYOPRE 67404

Facility

$38,030.00

Hospital Charge Code	270642485
Hospital Revenue Code	278
Min. Negotiated Rate	$5,704.50
Max. Negotiated Rate	$9,203.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,606.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,203.26
Rate for Payer: Qualcare PPO/HMO/WC	$5,704.50

VEIN ACCESS CUTDOWN < 1 YR

Facility

$36.87

Service Code	HCPCS 36420
Hospital Charge Code	5100080
Hospital Revenue Code	361
Min. Negotiated Rate	$4.79
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$11.06
Rate for Payer: Aetna Medicare Advantage	$11.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.40
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	$9.40
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.79
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.53
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

VEIN ACCESS CUTDOWN < 1 YR

Facility

$36.87

Service Code	HCPCS 36420
Hospital Charge Code	5100080
Hospital Revenue Code	361
Min. Negotiated Rate	$5.53
Max. Negotiated Rate	$5.53
Rate for Payer: Qualcare PPO/HMO/WC	$5.53

VEIN ACCESS CUTDOWN > 1 YR

Facility

$36.87

Service Code	HCPCS 36425
Hospital Charge Code	5100087
Hospital Revenue Code	361
Min. Negotiated Rate	$5.53
Max. Negotiated Rate	$5.53
Rate for Payer: Qualcare PPO/HMO/WC	$5.53

VEIN ACCESS CUTDOWN > 1 YR

Facility

$36.87

Service Code	HCPCS 36425
Hospital Charge Code	5100087
Hospital Revenue Code	361
Min. Negotiated Rate	$4.79
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Better Health Medicaid	$193.50
Rate for Payer: Aetna Commercial	$11.06
Rate for Payer: Aetna Medicare Advantage	$11.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.40
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	$9.40
Rate for Payer: Cigna Commercial	$1,063.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.79
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.53
Rate for Payer: UnitedHealthcare Commercial	$1,686.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$197.37
Rate for Payer: Wellpoint Medicaid Managed Care	$193.50

VEIN CYTO

Facility

$37,000.00

Hospital Charge Code	270676622
Hospital Revenue Code	278
Min. Negotiated Rate	$5,550.00
Max. Negotiated Rate	$8,954.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,954.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,550.00

VEIN CYTO

Facility

$37,000.00

Hospital Charge Code	270676622
Hospital Revenue Code	278
Min. Negotiated Rate	$5,550.00
Max. Negotiated Rate	$18,500.00
Rate for Payer: Aetna Commercial	$11,100.00
Rate for Payer: Aetna Medicare Advantage	$11,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,435.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,435.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,435.00
Rate for Payer: Cigna Commercial	$18,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,954.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,550.00

VEIN IMPLANT

Facility

$36,750.00

Hospital Charge Code	270668663
Hospital Revenue Code	278
Min. Negotiated Rate	$5,512.50
Max. Negotiated Rate	$8,893.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,893.50
Rate for Payer: Qualcare PPO/HMO/WC	$5,512.50

VEIN IMPLANT

Facility

$36,750.00

Hospital Charge Code	270668663
Hospital Revenue Code	278
Min. Negotiated Rate	$5,512.50
Max. Negotiated Rate	$18,375.00
Rate for Payer: Aetna Commercial	$11,025.00
Rate for Payer: Aetna Medicare Advantage	$11,025.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,371.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,371.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,371.25
Rate for Payer: Cigna Commercial	$18,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,893.50
Rate for Payer: Qualcare PPO/HMO/WC	$5,512.50

VEIN LIGATION AND STRIPPING

Facility

$103,095.16

Service Code	MSDRG 263
Min. Negotiated Rate	$31,845.75
Max. Negotiated Rate	$103,095.16
Rate for Payer: Aetna Commercial	$103,095.16
Rate for Payer: Aetna Medicare Advantage	$33,364.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78,014.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78,014.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$33,521.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78,014.61
Rate for Payer: Cigna Commercial	$65,798.31
Rate for Payer: Cigna Medicare Advantage	$33,521.84
Rate for Payer: Clover Medicare Advantage	$31,845.75
Rate for Payer: EmblemHealth Commercial	$100,565.52
Rate for Payer: Humana Medicare Advantage	$34,527.50
Rate for Payer: Oxford Commercial	$41,122.03
Rate for Payer: UnitedHealthcare Commercial	$46,677.33
Rate for Payer: UnitedHealthcare Medicare Advantage	$33,521.84
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$35,533.15
Rate for Payer: Wellcare Medicare Advantage	$33,521.84

VEIN MINI-HARVEST M/L 178200

Facility

$765.65

Hospital Charge Code	270600139
Hospital Revenue Code	272
Min. Negotiated Rate	$99.53
Max. Negotiated Rate	$382.82
Rate for Payer: Aetna Commercial	$229.69
Rate for Payer: Aetna Medicare Advantage	$229.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$195.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$195.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$195.24
Rate for Payer: Cigna Commercial	$382.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.53
Rate for Payer: Oxford Commercial	$382.82
Rate for Payer: Qualcare PPO/HMO/WC	$114.85
Rate for Payer: UnitedHealthcare Commercial	$382.82

VEIN MINI-HARVEST M/L 178200

Facility

$765.65

Hospital Charge Code	270600139
Hospital Revenue Code	272
Min. Negotiated Rate	$114.85
Max. Negotiated Rate	$114.85
Rate for Payer: Qualcare PPO/HMO/WC	$114.85

VEIN SAPHENOUS

Facility

$39,750.00

Hospital Charge Code	270680373
Hospital Revenue Code	278
Min. Negotiated Rate	$5,962.50
Max. Negotiated Rate	$9,619.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,619.50
Rate for Payer: Qualcare PPO/HMO/WC	$5,962.50

VEIN SAPHENOUS

Facility

$39,750.00

Hospital Charge Code	270680373
Hospital Revenue Code	278
Min. Negotiated Rate	$5,962.50
Max. Negotiated Rate	$19,875.00
Rate for Payer: Aetna Commercial	$11,925.00
Rate for Payer: Aetna Medicare Advantage	$11,925.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,136.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,136.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,950.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10,136.25
Rate for Payer: Cigna Commercial	$19,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,619.50
Rate for Payer: Qualcare PPO/HMO/WC	$5,962.50

VEIN SAPHENOUS 5MM 46CM V01046

Facility

$15,292.00

Hospital Charge Code	270618638
Hospital Revenue Code	278
Min. Negotiated Rate	$2,293.80
Max. Negotiated Rate	$3,700.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,058.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,700.66
Rate for Payer: Qualcare PPO/HMO/WC	$2,293.80

VEIN SAPHENOUS 5MM 46CM V01046

Facility

$15,292.00

Hospital Charge Code	270618638
Hospital Revenue Code	278
Min. Negotiated Rate	$2,293.80
Max. Negotiated Rate	$7,646.00
Rate for Payer: Aetna Commercial	$4,587.60
Rate for Payer: Aetna Medicare Advantage	$4,587.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,899.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,899.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,058.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,899.46
Rate for Payer: Cigna Commercial	$7,646.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,700.66
Rate for Payer: Qualcare PPO/HMO/WC	$2,293.80

VEIN SAPHENOUS 5MM 47CM V01047

Facility

$15,292.00

Hospital Charge Code	270618639
Hospital Revenue Code	278
Min. Negotiated Rate	$2,293.80
Max. Negotiated Rate	$7,646.00
Rate for Payer: Aetna Commercial	$4,587.60
Rate for Payer: Aetna Medicare Advantage	$4,587.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,899.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,899.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,058.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,899.46
Rate for Payer: Cigna Commercial	$7,646.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,700.66
Rate for Payer: Qualcare PPO/HMO/WC	$2,293.80

VEIN SAPHENOUS 5MM 47CM V01047

Facility

$15,292.00

Hospital Charge Code	270618639
Hospital Revenue Code	278
Min. Negotiated Rate	$2,293.80
Max. Negotiated Rate	$3,700.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,058.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,700.66
Rate for Payer: Qualcare PPO/HMO/WC	$2,293.80

VEIN SAPHENOUS 67cm

Facility

$36,750.00

Hospital Charge Code	270675973
Hospital Revenue Code	278
Min. Negotiated Rate	$5,512.50
Max. Negotiated Rate	$8,893.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,893.50
Rate for Payer: Qualcare PPO/HMO/WC	$5,512.50

VEIN SAPHENOUS 67cm

Facility

$36,750.00

Hospital Charge Code	270675973
Hospital Revenue Code	278
Min. Negotiated Rate	$5,512.50
Max. Negotiated Rate	$18,375.00
Rate for Payer: Aetna Commercial	$11,025.00
Rate for Payer: Aetna Medicare Advantage	$11,025.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,371.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,371.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,371.25
Rate for Payer: Cigna Commercial	$18,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,893.50
Rate for Payer: Qualcare PPO/HMO/WC	$5,512.50

VEIN SAPHENOUS 71-80CM

Facility

$38,250.00

Service Code	HCPCS C1768
Hospital Charge Code	270676724
Hospital Revenue Code	278
Min. Negotiated Rate	$5,737.50
Max. Negotiated Rate	$9,256.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,256.50
Rate for Payer: Qualcare PPO/HMO/WC	$5,737.50

Know your out-of-pocket cost for care.

All Charges