Heights University Hospital

All Charges

Charge

Type

Setting

Price

VEIN X-RAY TRUNK

Facility

$13,436.40

Service Code	HCPCS 75825
Hospital Charge Code	366875825
Hospital Revenue Code	320
Min. Negotiated Rate	$2,015.46
Max. Negotiated Rate	$2,015.46
Rate for Payer: Qualcare PPO/HMO/WC	$2,015.46

VEIN X-RAY TRUNK

Facility

$13,436.40

Service Code	HCPCS 75825
Hospital Charge Code	411075825
Hospital Revenue Code	320
Min. Negotiated Rate	$2,015.46
Max. Negotiated Rate	$2,015.46
Rate for Payer: Qualcare PPO/HMO/WC	$2,015.46

VEIN X-RAY TRUNK

Facility

$13,436.40

Service Code	HCPCS 75825
Hospital Charge Code	366875825
Hospital Revenue Code	320
Min. Negotiated Rate	$219.91
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Commercial	$4,030.92
Rate for Payer: Aetna Medicare Advantage	$4,030.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,426.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,426.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$219.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,426.28
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,746.73
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,015.46
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

VEIN X-RAY TRUNK

Facility

$13,436.40

Service Code	HCPCS 75825
Hospital Charge Code	411075825
Hospital Revenue Code	320
Min. Negotiated Rate	$219.91
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Commercial	$4,030.92
Rate for Payer: Aetna Medicare Advantage	$4,030.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,426.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,426.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$219.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,426.28
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,746.73
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,015.46
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

VELOCITY BIOPSY VALVE

Facility

$40.00

Hospital Charge Code	270657908
Hospital Revenue Code	270
Min. Negotiated Rate	$5.20
Max. Negotiated Rate	$20.00
Rate for Payer: Aetna Commercial	$12.00
Rate for Payer: Aetna Medicare Advantage	$12.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.20
Rate for Payer: Cigna Commercial	$20.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.20
Rate for Payer: Oxford Commercial	$20.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.00
Rate for Payer: UnitedHealthcare Commercial	$20.00

VELOCITY BIOPSY VALVE

Facility

$40.00

Hospital Charge Code	270657908
Hospital Revenue Code	270
Min. Negotiated Rate	$6.00
Max. Negotiated Rate	$6.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.00

Velocity Catheter

Facility

$5,285.00

Hospital Charge Code	270682974S
Hospital Revenue Code	272
Min. Negotiated Rate	$687.05
Max. Negotiated Rate	$2,642.50
Rate for Payer: Aetna Commercial	$1,585.50
Rate for Payer: Aetna Medicare Advantage	$1,585.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,347.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,347.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,347.67
Rate for Payer: Cigna Commercial	$2,642.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$687.05
Rate for Payer: Oxford Commercial	$2,642.50
Rate for Payer: Qualcare PPO/HMO/WC	$792.75
Rate for Payer: UnitedHealthcare Commercial	$2,642.50

Velocity Catheter

Facility

$5,285.00

Hospital Charge Code	270682974S
Hospital Revenue Code	272
Min. Negotiated Rate	$792.75
Max. Negotiated Rate	$792.75
Rate for Payer: Qualcare PPO/HMO/WC	$792.75

VELOCITY CATHETER

Facility

$5,285.00

Hospital Charge Code	270682974N
Hospital Revenue Code	272
Min. Negotiated Rate	$792.75
Max. Negotiated Rate	$792.75
Rate for Payer: Qualcare PPO/HMO/WC	$792.75

VELOCITY CATHETER

Facility

$5,285.00

Hospital Charge Code	270682974N
Hospital Revenue Code	272
Min. Negotiated Rate	$687.05
Max. Negotiated Rate	$2,642.50
Rate for Payer: Aetna Commercial	$1,585.50
Rate for Payer: Aetna Medicare Advantage	$1,585.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,347.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,347.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,347.67
Rate for Payer: Cigna Commercial	$2,642.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$687.05
Rate for Payer: Oxford Commercial	$2,642.50
Rate for Payer: Qualcare PPO/HMO/WC	$792.75
Rate for Payer: UnitedHealthcare Commercial	$2,642.50

VELOCITY IRRIGATION PUMP

Facility

$300.00

Hospital Charge Code	270658142
Hospital Revenue Code	270
Min. Negotiated Rate	$39.00
Max. Negotiated Rate	$150.00
Rate for Payer: Aetna Commercial	$90.00
Rate for Payer: Aetna Medicare Advantage	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.00
Rate for Payer: Oxford Commercial	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00
Rate for Payer: UnitedHealthcare Commercial	$150.00

VELOCITY IRRIGATION PUMP

Facility

$300.00

Hospital Charge Code	270658142
Hospital Revenue Code	270
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$45.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

VELOSORB 2-0 UNDYED 36 GS-21

Facility

$23.05

Hospital Charge Code	270657579
Hospital Revenue Code	270
Min. Negotiated Rate	$3.00
Max. Negotiated Rate	$11.53
Rate for Payer: Aetna Commercial	$6.92
Rate for Payer: Aetna Medicare Advantage	$6.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.88
Rate for Payer: Cigna Commercial	$11.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.00
Rate for Payer: Oxford Commercial	$11.53
Rate for Payer: Qualcare PPO/HMO/WC	$3.46
Rate for Payer: UnitedHealthcare Commercial	$11.53

VELOSORB 2-0 UNDYED 36 GS-21

Facility

$23.05

Hospital Charge Code	270657579
Hospital Revenue Code	270
Min. Negotiated Rate	$3.46
Max. Negotiated Rate	$3.46
Rate for Payer: Qualcare PPO/HMO/WC	$3.46

VENA CAVA FILTER

Facility

$21.40

Service Code	HCPCS C1880
Hospital Charge Code	4800890
Hospital Revenue Code	278
Min. Negotiated Rate	$3.21
Max. Negotiated Rate	$5.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.18
Rate for Payer: Qualcare PPO/HMO/WC	$3.21

VENA CAVA FILTER

Facility

$21.40

Service Code	HCPCS C1880
Hospital Charge Code	4800890
Hospital Revenue Code	278
Min. Negotiated Rate	$3.21
Max. Negotiated Rate	$10.70
Rate for Payer: Aetna Commercial	$6.42
Rate for Payer: Aetna Medicare Advantage	$6.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.46
Rate for Payer: Cigna Commercial	$10.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.18
Rate for Payer: Qualcare PPO/HMO/WC	$3.21

VENIP CUTDOWN 1 YR OR OLDER

Facility

$111.83

Service Code	HCPCS 36425
Hospital Charge Code	5770025
Hospital Revenue Code	450
Min. Negotiated Rate	$16.77
Max. Negotiated Rate	$16.77
Rate for Payer: Qualcare PPO/HMO/WC	$16.77

VENIP CUTDOWN 1 YR OR OLDER

Facility

$111.83

Service Code	HCPCS 36425
Hospital Charge Code	5770025
Hospital Revenue Code	450
Min. Negotiated Rate	$14.54
Max. Negotiated Rate	$1,063.82
Rate for Payer: Aetna Better Health Medicaid	$193.50
Rate for Payer: Aetna Commercial	$33.55
Rate for Payer: Aetna Medicare Advantage	$33.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.52
Rate for Payer: Cigna Commercial	$1,063.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.54
Rate for Payer: Qualcare PPO/HMO/WC	$16.77
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$197.37

VENIPUNC NEO/PEDS/NURSERYI&2

Facility

$97.00

Service Code	HCPCS 36416
Hospital Charge Code	83033010
Hospital Revenue Code	300
Min. Negotiated Rate	$14.55
Max. Negotiated Rate	$14.55
Rate for Payer: Qualcare PPO/HMO/WC	$14.55

VENIPUNC NEO/PEDS/NURSERYI&2

Facility

$97.00

Service Code	HCPCS 36416
Hospital Charge Code	83033010
Hospital Revenue Code	300
Min. Negotiated Rate	$3.37
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$29.10
Rate for Payer: Aetna Medicare Advantage	$29.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.73
Rate for Payer: Cigna Commercial	$48.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.61
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$14.55
Rate for Payer: UnitedHealthcare Commercial	$114.00

VENIPUNCTURE

Facility

$135.80

Service Code	HCPCS 36415
Hospital Charge Code	87502770
Hospital Revenue Code	300
Min. Negotiated Rate	$3.70
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	$17.65
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$20.37
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

VENIPUNCTURE

Facility

$135.80

Service Code	HCPCS 36415
Hospital Charge Code	83653001
Hospital Revenue Code	300
Min. Negotiated Rate	$3.70
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	$17.65
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$20.37
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

VENIPUNCTURE

Facility

$15.00

Service Code	HCPCS 36415
Hospital Charge Code	93500139
Hospital Revenue Code	300
Min. Negotiated Rate	$2.25
Max. Negotiated Rate	$2.25
Rate for Payer: Qualcare PPO/HMO/WC	$2.25

VENIPUNCTURE

Facility

$646.22

Service Code	HCPCS 36415
Hospital Charge Code	3008604
Hospital Revenue Code	300
Min. Negotiated Rate	$96.93
Max. Negotiated Rate	$96.93
Rate for Payer: Qualcare PPO/HMO/WC	$96.93

VENIPUNCTURE

Facility

$646.22

Service Code	HCPCS 36415
Hospital Charge Code	3008604
Hospital Revenue Code	300
Min. Negotiated Rate	$3.70
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	$84.01
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$96.93
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