Heights University Hospital

All Charges

Charge

Type

Setting

Price

XR REPLACE G-J TUBE

Facility

$2,087.20

Service Code	HCPCS 49452
Hospital Charge Code	5600165
Hospital Revenue Code	361
Min. Negotiated Rate	$271.34
Max. Negotiated Rate	$3,687.00
Rate for Payer: Aetna Commercial	$626.16
Rate for Payer: Aetna Medicare Advantage	$626.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$532.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$532.24
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	$532.24
Rate for Payer: Cigna Commercial	$2,159.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$271.34
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$313.08
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

XR REPLACE PICVAD CATH

Facility

$11,315.45

Service Code	HCPCS 36585
Hospital Charge Code	7411470
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 REPLACE PICVAD CATH

Facility

$11,315.45

Service Code	HCPCS 36585
Hospital Charge Code	7411470
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 REPLACE PICVAD CATH

Facility

$11,315.45

Service Code	HCPCS 36585
Hospital Charge Code	5600134
Hospital Revenue Code	361
Min. Negotiated Rate	$1,471.01
Max. Negotiated Rate	$7,519.21
Rate for Payer: Qualcare PPO/HMO/WC	$1,697.32
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: UnitedHealthcare Commercial	$6,873.00

XR REPLACE PICVAD CATH

Facility

$11,315.45

Service Code	HCPCS 36585
Hospital Charge Code	5600134
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 REPLACE TUN CV CATH SAME AC

Facility

$13,510.10

Service Code	HCPCS 36583
Hospital Charge Code	5600133
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 REPLACE TUN CV CATH SAME AC

Facility

$13,510.10

Service Code	HCPCS 36583
Hospital Charge Code	5600133
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 REPLACE TUN CV CATH SAME AC

Facility

$13,510.10

Service Code	HCPCS 36583
Hospital Charge Code	7411468
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 REPLACE TUN CV CATH SAME AC

Facility

$13,510.10

Service Code	HCPCS 36583
Hospital Charge Code	7411468
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 REP OF PREV CATH UN FLUORO

Facility

$6,404.20

Service Code	HCPCS 36597
Hospital Charge Code	321036597
Hospital Revenue Code	361
Min. Negotiated Rate	$960.63
Max. Negotiated Rate	$960.63
Rate for Payer: Qualcare PPO/HMO/WC	$960.63

XR REP OF PREV CATH UN FLUORO

Facility

$2,024.90

Service Code	HCPCS 36597
Hospital Charge Code	7411477
Hospital Revenue Code	361
Min. Negotiated Rate	$263.24
Max. Negotiated Rate	$3,748.67
Rate for Payer: Aetna Commercial	$607.47
Rate for Payer: Aetna Medicare Advantage	$607.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$516.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$516.35
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	$516.35
Rate for Payer: Cigna Commercial	$3,748.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$263.24
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$303.74
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

XR REP OF PREV CATH UN FLUORO

Facility

$6,404.20

Service Code	HCPCS 36597
Hospital Charge Code	5100580
Hospital Revenue Code	361
Min. Negotiated Rate	$960.63
Max. Negotiated Rate	$960.63
Rate for Payer: Qualcare PPO/HMO/WC	$960.63

XR REP OF PREV CATH UN FLUORO

Facility

$6,404.20

Service Code	HCPCS 36597
Hospital Charge Code	5100580
Hospital Revenue Code	361
Min. Negotiated Rate	$832.55
Max. Negotiated Rate	$3,748.67
Rate for Payer: Aetna Commercial	$1,921.26
Rate for Payer: Aetna Medicare Advantage	$1,921.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,633.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,633.07
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	$1,633.07
Rate for Payer: Cigna Commercial	$3,748.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$832.55
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$960.63
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

XR REP OF PREV CATH UN FLUORO

Facility

$6,404.20

Service Code	HCPCS 36597
Hospital Charge Code	321036597
Hospital Revenue Code	361
Min. Negotiated Rate	$832.55
Max. Negotiated Rate	$3,748.67
Rate for Payer: Aetna Commercial	$1,921.26
Rate for Payer: Aetna Medicare Advantage	$1,921.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,633.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,633.07
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	$1,633.07
Rate for Payer: Cigna Commercial	$3,748.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$832.55
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$960.63
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

XR REP OF PREV CATH UN FLUORO

Facility

$4,914.50

Service Code	HCPCS 36597
Hospital Charge Code	366836597
Hospital Revenue Code	361
Min. Negotiated Rate	$737.17
Max. Negotiated Rate	$737.17
Rate for Payer: Qualcare PPO/HMO/WC	$737.17

XR REP OF PREV CATH UN FLUORO

Facility

$4,914.50

Service Code	HCPCS 36597
Hospital Charge Code	411036597
Hospital Revenue Code	361
Min. Negotiated Rate	$737.17
Max. Negotiated Rate	$737.17
Rate for Payer: Qualcare PPO/HMO/WC	$737.17

XR REP OF PREV CATH UN FLUORO

Facility

$4,914.50

Service Code	HCPCS 36597
Hospital Charge Code	411036597
Hospital Revenue Code	361
Min. Negotiated Rate	$638.88
Max. Negotiated Rate	$3,748.67
Rate for Payer: Aetna Commercial	$1,474.35
Rate for Payer: Aetna Medicare Advantage	$1,474.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,253.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,253.20
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	$1,253.20
Rate for Payer: Cigna Commercial	$3,748.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$638.88
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$737.17
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

XR REP OF PREV CATH UN FLUORO

Facility

$2,024.90

Service Code	HCPCS 36597
Hospital Charge Code	7411477
Hospital Revenue Code	361
Min. Negotiated Rate	$303.74
Max. Negotiated Rate	$303.74
Rate for Payer: Qualcare PPO/HMO/WC	$303.74

XR REP OF PREV CATH UN FLUORO

Facility

$4,914.50

Service Code	HCPCS 36597
Hospital Charge Code	366836597
Hospital Revenue Code	361
Min. Negotiated Rate	$638.88
Max. Negotiated Rate	$3,748.67
Rate for Payer: Aetna Commercial	$1,474.35
Rate for Payer: Aetna Medicare Advantage	$1,474.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,253.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,253.20
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	$1,253.20
Rate for Payer: Cigna Commercial	$3,748.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$638.88
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$737.17
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

XR REPOS GI FEED TUBE DUODENUM

Facility

$3,929.65

Service Code	HCPCS 43761
Hospital Charge Code	2004893
Hospital Revenue Code	361
Min. Negotiated Rate	$510.85
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$1,178.89
Rate for Payer: Aetna Medicare Advantage	$1,178.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,002.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,002.06
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	$1,002.06
Rate for Payer: Cigna Commercial	$594.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$510.85
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$589.45
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

XR REPOS GI FEED TUBE DUODENUM

Facility

$3,929.65

Service Code	HCPCS 43761
Hospital Charge Code	2004893
Hospital Revenue Code	361
Min. Negotiated Rate	$589.45
Max. Negotiated Rate	$589.45
Rate for Payer: Qualcare PPO/HMO/WC	$589.45

XR REPOSITION VENOUS CATHETER

Facility

$6,000.00

Service Code	HCPCS 36597
Hospital Charge Code	2011255
Hospital Revenue Code	361
Min. Negotiated Rate	$780.00
Max. Negotiated Rate	$3,748.67
Rate for Payer: Aetna Commercial	$1,800.00
Rate for Payer: Aetna Medicare Advantage	$1,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,530.00
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	$1,530.00
Rate for Payer: Cigna Commercial	$3,748.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$780.00
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

XR REPOSITION VENOUS CATHETER

Facility

$6,000.00

Service Code	HCPCS 36597
Hospital Charge Code	2011255
Hospital Revenue Code	361
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$900.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

XR REP VENOUS BLOCK OPEN VENUS

Facility

$7,917.57

Service Code	HCPCS 35460
Hospital Charge Code	5100607
Hospital Revenue Code	361
Min. Negotiated Rate	$1,029.28
Max. Negotiated Rate	$3,958.78
Rate for Payer: Aetna Commercial	$2,375.27
Rate for Payer: Aetna Medicare Advantage	$2,375.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,018.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,018.98
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	$2,018.98
Rate for Payer: Cigna Commercial	$3,958.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,029.28
Rate for Payer: Qualcare PPO/HMO/WC	$1,187.64

XR REP VENOUS BLOCK OPEN VENUS

Facility

$7,917.57

Service Code	HCPCS 35460
Hospital Charge Code	5100607
Hospital Revenue Code	361
Min. Negotiated Rate	$1,187.64
Max. Negotiated Rate	$1,187.64
Rate for Payer: Qualcare PPO/HMO/WC	$1,187.64

Know your out-of-pocket cost for care.

All Charges