Heights University Hospital

All Charges

Charge

Type

Setting

Price

XR INSERT ABDOM DRAIN PERM

Facility

$13,564.25

Service Code	HCPCS 49421
Hospital Charge Code	5600157
Hospital Revenue Code	361
Min. Negotiated Rate	$1,763.35
Max. Negotiated Rate	$8,526.35
Rate for Payer: Aetna Commercial	$4,069.28
Rate for Payer: Aetna Medicare Advantage	$4,069.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,458.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,458.88
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	$3,458.88
Rate for Payer: Cigna Commercial	$8,526.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,763.35
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,034.64
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

XR INSERT ABDOM DRAIN TEMP

Facility

$13,564.25

Hospital Charge Code	5600156
Hospital Revenue Code	361
Min. Negotiated Rate	$2,034.64
Max. Negotiated Rate	$2,034.64
Rate for Payer: Qualcare PPO/HMO/WC	$2,034.64

XR INSERT ABDOM DRAIN TEMP

Facility

$13,564.25

Hospital Charge Code	5600156
Hospital Revenue Code	361
Min. Negotiated Rate	$1,763.35
Max. Negotiated Rate	$6,782.12
Rate for Payer: Aetna Commercial	$4,069.28
Rate for Payer: Aetna Medicare Advantage	$4,069.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,458.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,458.88
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	$3,458.88
Rate for Payer: Cigna Commercial	$6,782.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,763.35
Rate for Payer: Qualcare PPO/HMO/WC	$2,034.64

XR INSERTION OF AIRWAY CATH

Facility

$2,480.00

Hospital Charge Code	2011225
Hospital Revenue Code	320
Min. Negotiated Rate	$322.40
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$744.00
Rate for Payer: Aetna Medicare Advantage	$744.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$632.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$632.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$632.40
Rate for Payer: Cigna Commercial	$1,240.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$322.40
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$372.00
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

XR INSERTION OF AIRWAY CATH

Facility

$2,480.00

Hospital Charge Code	2011225
Hospital Revenue Code	320
Min. Negotiated Rate	$372.00
Max. Negotiated Rate	$372.00
Rate for Payer: Qualcare PPO/HMO/WC	$372.00

XR INSERTION OF CATHETER, VEIN

Facility

$3,709.52

Service Code	HCPCS 36488
Hospital Charge Code	2011245
Hospital Revenue Code	320
Min. Negotiated Rate	$482.24
Max. Negotiated Rate	$1,854.76
Rate for Payer: Aetna Commercial	$1,112.86
Rate for Payer: Aetna Medicare Advantage	$1,112.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$945.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$945.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$945.93
Rate for Payer: Cigna Commercial	$1,854.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$482.24
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$556.43
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

XR INSERTION OF CATHETER, VEIN

Facility

$3,709.52

Service Code	HCPCS 36488
Hospital Charge Code	2011245
Hospital Revenue Code	320
Min. Negotiated Rate	$556.43
Max. Negotiated Rate	$556.43
Rate for Payer: Qualcare PPO/HMO/WC	$556.43

XR INSERTION OF INFUSION PUMP

Facility

$13,510.10

Service Code	HCPCS 36563
Hospital Charge Code	2011250
Hospital Revenue Code	361
Min. Negotiated Rate	$2,026.52
Max. Negotiated Rate	$2,026.52
Rate for Payer: Qualcare PPO/HMO/WC	$2,026.52

XR INSERTION OF INFUSION PUMP

Facility

$13,510.10

Service Code	HCPCS 36563
Hospital Charge Code	2011250
Hospital Revenue Code	361
Min. Negotiated Rate	$1,756.31
Max. Negotiated Rate	$13,251.23
Rate for Payer: Aetna Commercial	$4,053.03
Rate for Payer: Aetna Medicare Advantage	$4,053.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,445.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,445.08
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	$3,445.08
Rate for Payer: Cigna Commercial	$13,251.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,756.31
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,026.52
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

XR INSERT NONTUNNEL CV CATH

Facility

$6,107.50

Service Code	HCPCS 36555
Hospital Charge Code	5600124
Hospital Revenue Code	361
Min. Negotiated Rate	$793.98
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Commercial	$1,832.25
Rate for Payer: Aetna Medicare Advantage	$1,832.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,557.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,557.41
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	$1,557.41
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$793.98
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$916.12
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

XR INSERT NONTUNNEL CV CATH

Facility

$6,107.50

Service Code	HCPCS 36555
Hospital Charge Code	5600124
Hospital Revenue Code	361
Min. Negotiated Rate	$916.12
Max. Negotiated Rate	$916.12
Rate for Payer: Qualcare PPO/HMO/WC	$916.12

XR INSERT NONTUNNEL CV CATH

Facility

$6,107.50

Service Code	HCPCS 36555
Hospital Charge Code	7411447
Hospital Revenue Code	361
Min. Negotiated Rate	$793.98
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Commercial	$1,832.25
Rate for Payer: Aetna Medicare Advantage	$1,832.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,557.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,557.41
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	$1,557.41
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$793.98
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$916.12
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

XR INSERT NONTUNNEL CV CATH

Facility

$6,107.50

Service Code	HCPCS 36555
Hospital Charge Code	7411447
Hospital Revenue Code	361
Min. Negotiated Rate	$916.12
Max. Negotiated Rate	$916.12
Rate for Payer: Qualcare PPO/HMO/WC	$916.12

XR INSERT PACEMAKER W/ FLUORO

Facility

$817.65

Hospital Charge Code	2011090
Hospital Revenue Code	320
Min. Negotiated Rate	$122.65
Max. Negotiated Rate	$122.65
Rate for Payer: Qualcare PPO/HMO/WC	$122.65

XR INSERT PACEMAKER W/ FLUORO

Facility

$817.65

Hospital Charge Code	2011090
Hospital Revenue Code	320
Min. Negotiated Rate	$106.29
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$245.29
Rate for Payer: Aetna Medicare Advantage	$245.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$208.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$208.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$208.50
Rate for Payer: Cigna Commercial	$408.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$106.29
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$122.65
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

XR INSERT PICC CATH < 5 YEARS

Facility

$5,025.35

Service Code	HCPCS 36568
Hospital Charge Code	5600129
Hospital Revenue Code	361
Min. Negotiated Rate	$653.30
Max. Negotiated Rate	$3,748.67
Rate for Payer: Aetna Commercial	$1,507.61
Rate for Payer: Aetna Medicare Advantage	$1,507.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,281.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,281.46
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	$1,281.46
Rate for Payer: Cigna Commercial	$3,748.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$653.30
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$753.80
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

XR INSERT PICC CATH < 5 YEARS

Facility

$5,025.35

Service Code	HCPCS 36568
Hospital Charge Code	7411458
Hospital Revenue Code	361
Min. Negotiated Rate	$753.80
Max. Negotiated Rate	$753.80
Rate for Payer: Qualcare PPO/HMO/WC	$753.80

XR INSERT PICC CATH < 5 YEARS

Facility

$5,025.35

Service Code	HCPCS 36568
Hospital Charge Code	7411458
Hospital Revenue Code	361
Min. Negotiated Rate	$653.30
Max. Negotiated Rate	$3,748.67
Rate for Payer: Aetna Commercial	$1,507.61
Rate for Payer: Aetna Medicare Advantage	$1,507.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,281.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,281.46
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	$1,281.46
Rate for Payer: Cigna Commercial	$3,748.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$653.30
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$753.80
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

XR INSERT PICC CATH < 5 YEARS

Facility

$5,025.35

Service Code	HCPCS 36568
Hospital Charge Code	5600129
Hospital Revenue Code	361
Min. Negotiated Rate	$753.80
Max. Negotiated Rate	$753.80
Rate for Payer: Qualcare PPO/HMO/WC	$753.80

XR INSERT PICVAD CATH < 5 YR

Facility

$11,315.45

Service Code	HCPCS 36570
Hospital Charge Code	7411460
Hospital Revenue Code	361
Min. Negotiated Rate	$1,697.32
Max. Negotiated Rate	$1,697.32
Rate for Payer: Qualcare PPO/HMO/WC	$1,697.32

XR INSERT PICVAD CATH < 5 YR

Facility

$11,315.45

Service Code	HCPCS 36570
Hospital Charge Code	5600130
Hospital Revenue Code	361
Min. Negotiated Rate	$1,471.01
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Commercial	$3,394.64
Rate for Payer: Aetna Medicare Advantage	$3,394.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,885.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,885.44
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	$2,885.44
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,471.01
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,697.32
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

XR INSERT PICVAD CATH < 5 YR

Facility

$11,315.45

Service Code	HCPCS 36570
Hospital Charge Code	5600130
Hospital Revenue Code	361
Min. Negotiated Rate	$1,697.32
Max. Negotiated Rate	$1,697.32
Rate for Payer: Qualcare PPO/HMO/WC	$1,697.32

XR INSERT PICVAD CATH < 5 YR

Facility

$11,315.45

Service Code	HCPCS 36570
Hospital Charge Code	7411460
Hospital Revenue Code	361
Min. Negotiated Rate	$1,471.01
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Commercial	$3,394.64
Rate for Payer: Aetna Medicare Advantage	$3,394.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,885.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,885.44
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	$2,885.44
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,471.01
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,697.32
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

XR INSERT PLEURAL CATH

Facility

$13,564.25

Service Code	HCPCS 32550
Hospital Charge Code	7411378
Hospital Revenue Code	361
Min. Negotiated Rate	$2,034.64
Max. Negotiated Rate	$2,034.64
Rate for Payer: Qualcare PPO/HMO/WC	$2,034.64

XR INSERT PLEURAL CATH

Facility

$17,259.20

Service Code	HCPCS 32550
Hospital Charge Code	321032550
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$8,526.35
Rate for Payer: Aetna Commercial	$5,177.76
Rate for Payer: Aetna Medicare Advantage	$5,177.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,401.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,401.10
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	$4,401.10
Rate for Payer: Cigna Commercial	$8,526.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,243.70
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,588.88
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

Know your out-of-pocket cost for care.

All Charges