Heights University Hospital

All Charges

Charge

Type

Setting

Price

XR INSERT PLEURAL CATH

Facility

$17,259.20

Service Code	HCPCS 32550
Hospital Charge Code	321032550
Hospital Revenue Code	361
Min. Negotiated Rate	$2,588.88
Max. Negotiated Rate	$2,588.88
Rate for Payer: Qualcare PPO/HMO/WC	$2,588.88

XR INSERT PLEURAL CATH

Facility

$13,564.25

Service Code	HCPCS 32550
Hospital Charge Code	7411378
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 PLEURAL CATH

Facility

$17,259.20

Service Code	HCPCS 32550
Hospital Charge Code	5600106
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

XR INSERT PLEURAL CATH

Facility

$17,259.20

Service Code	HCPCS 32550
Hospital Charge Code	5600106
Hospital Revenue Code	361
Min. Negotiated Rate	$2,588.88
Max. Negotiated Rate	$2,588.88
Rate for Payer: Qualcare PPO/HMO/WC	$2,588.88

XR INSERT TUN CATH 2 WITH PORT

Facility

$13,510.10

Service Code	HCPCS 36566
Hospital Charge Code	5600128
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 TUN CATH 2 WITH PORT

Facility

$13,510.10

Service Code	HCPCS 36566
Hospital Charge Code	5600128
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 INSERT TUN CATH 2 WITH PORT

Facility

$13,510.10

Service Code	HCPCS 36566
Hospital Charge Code	7411457
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 TUN CATH 2 WITH PORT

Facility

$13,510.10

Service Code	HCPCS 36566
Hospital Charge Code	7411457
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 INSERT TUN CV CATH W/O PORT

Facility

$17,869.95

Service Code	HCPCS 36565
Hospital Charge Code	5600127
Hospital Revenue Code	361
Min. Negotiated Rate	$2,680.49
Max. Negotiated Rate	$2,680.49
Rate for Payer: Qualcare PPO/HMO/WC	$2,680.49

XR INSERT TUN CV CATH W/O PORT

Facility

$17,869.95

Service Code	HCPCS 36565
Hospital Charge Code	5600127
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Commercial	$5,360.98
Rate for Payer: Aetna Medicare Advantage	$5,360.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,556.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,556.84
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	$4,556.84
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,323.09
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,680.49
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

XR INSERT TUN CV CATH W PORT

Facility

$13,510.10

Service Code	HCPCS 36563
Hospital Charge Code	7411455
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 TUN CV CATH W PORT

Facility

$13,510.10

Service Code	HCPCS 36563
Hospital Charge Code	5600126
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 TUN CV CATH W PORT

Facility

$13,510.10

Service Code	HCPCS 36563
Hospital Charge Code	7411455
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 INSERT TUN CV CATH W PORT

Facility

$13,510.10

Service Code	HCPCS 36563
Hospital Charge Code	5600126
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 INSERT URETERAL STENT

Facility

$1,962.45

Hospital Charge Code	2011135
Hospital Revenue Code	320
Min. Negotiated Rate	$294.37
Max. Negotiated Rate	$294.37
Rate for Payer: Qualcare PPO/HMO/WC	$294.37

XR INSERT URETERAL STENT

Facility

$1,962.45

Hospital Charge Code	2011135
Hospital Revenue Code	320
Min. Negotiated Rate	$255.12
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$588.74
Rate for Payer: Aetna Medicare Advantage	$588.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$500.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$500.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$500.42
Rate for Payer: Cigna Commercial	$981.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$255.12
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$294.37
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

XR INSRT ABDOM CATH FOR CHEMOT

Facility

$14,971.70

Service Code	HCPCS 49422
Hospital Charge Code	5600155
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Commercial	$4,491.51
Rate for Payer: Aetna Medicare Advantage	$4,491.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,817.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,817.78
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	$3,817.78
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,946.32
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,245.76
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

XR INSRT ABDOM CATH FOR CHEMOT

Facility

$14,971.70

Service Code	HCPCS 49422
Hospital Charge Code	5600155
Hospital Revenue Code	361
Min. Negotiated Rate	$2,245.76
Max. Negotiated Rate	$2,245.76
Rate for Payer: Qualcare PPO/HMO/WC	$2,245.76

XR INSTILL AIRWAY CONTRAST DYE

Facility

$2,480.00

Service Code	HCPCS 31656
Hospital Charge Code	2011235
Hospital Revenue Code	361
Min. Negotiated Rate	$322.40
Max. Negotiated Rate	$1,864.00
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) NJ Health	$1,864.00
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: Qualcare PPO/HMO/WC	$372.00

XR INSTILL AIRWAY CONTRAST DYE

Facility

$2,480.00

Service Code	HCPCS 31656
Hospital Charge Code	2011235
Hospital Revenue Code	361
Min. Negotiated Rate	$372.00
Max. Negotiated Rate	$372.00
Rate for Payer: Qualcare PPO/HMO/WC	$372.00

XR INTERNAL AUDITORY CANAL

Facility

$1,224.75

Service Code	HCPCS 70134
Hospital Charge Code	2001014
Hospital Revenue Code	320
Min. Negotiated Rate	$183.71
Max. Negotiated Rate	$183.71
Rate for Payer: Qualcare PPO/HMO/WC	$183.71

XR INTERNAL AUDITORY CANAL

Facility

$1,224.75

Service Code	HCPCS 70134
Hospital Charge Code	2001014
Hospital Revenue Code	320
Min. Negotiated Rate	$51.42
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$367.43
Rate for Payer: Aetna Medicare Advantage	$367.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$312.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$312.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$312.31
Rate for Payer: Cigna Commercial	$1,301.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.22
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$183.71
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

XR INTRAVENOUS PYELOGRAM

Facility

$5,100.00

Service Code	HCPCS 74400
Hospital Charge Code	2001501
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

XR INTRAVENOUS PYELOGRAM

Facility

$5,100.00

Service Code	HCPCS 74400
Hospital Charge Code	2001501
Hospital Revenue Code	320
Min. Negotiated Rate	$86.52
Max. Negotiated Rate	$1,530.00
Rate for Payer: Aetna Commercial	$1,530.00
Rate for Payer: Aetna Medicare Advantage	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$86.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$417.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$663.00
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

XR INTRNL AUDIO MEATI CMP BILA

Facility

$2,449.50

Service Code	HCPCS 7013450
Hospital Charge Code	2011349
Hospital Revenue Code	320
Min. Negotiated Rate	$367.43
Max. Negotiated Rate	$367.43
Rate for Payer: Qualcare PPO/HMO/WC	$367.43

Know your out-of-pocket cost for care.

All Charges