Heights University Hospital

All Charges

Charge

Type

Setting

Price

CAROTENE

Facility

$390.00

Service Code	HCPCS 82380
Hospital Charge Code	38472170
Hospital Revenue Code	301
Min. Negotiated Rate	$4.61
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$29.87
Rate for Payer: Aetna Medicare Advantage	$9.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.78
Rate for Payer: Cigna Commercial	$9.22
Rate for Payer: Cigna Medicare Advantage	$4.61
Rate for Payer: Clover Medicare Advantage	$8.76
Rate for Payer: EmblemHealth Commercial	$27.66
Rate for Payer: Humana Medicare Advantage	$9.50
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	$9.22
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$9.77
Rate for Payer: Wellcare Medicare Advantage	$9.22

CAROTENE***

Facility

$29.00

Hospital Charge Code	3010642
Hospital Revenue Code	309
Min. Negotiated Rate	$4.35
Max. Negotiated Rate	$4.35
Rate for Payer: Qualcare PPO/HMO/WC	$4.35

CAROTENE***

Facility

$29.00

Hospital Charge Code	3010642
Hospital Revenue Code	309
Min. Negotiated Rate	$3.77
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$8.70
Rate for Payer: Aetna Medicare Advantage	$8.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.39
Rate for Payer: Cigna Commercial	$14.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.77
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.35
Rate for Payer: UnitedHealthcare Commercial	$114.00

CAROTENE, BETA SERUM

Facility

$91.25

Service Code	HCPCS 82380
Hospital Charge Code	3000643
Hospital Revenue Code	301
Min. Negotiated Rate	$4.61
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$29.87
Rate for Payer: Aetna Medicare Advantage	$9.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.78
Rate for Payer: Cigna Commercial	$9.22
Rate for Payer: Cigna Medicare Advantage	$4.61
Rate for Payer: Clover Medicare Advantage	$8.76
Rate for Payer: EmblemHealth Commercial	$27.66
Rate for Payer: Humana Medicare Advantage	$9.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.86
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.69
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.22
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$9.77
Rate for Payer: Wellcare Medicare Advantage	$9.22

CAROTENE, BETA SERUM

Facility

$91.25

Service Code	HCPCS 82380
Hospital Charge Code	3000643
Hospital Revenue Code	301
Min. Negotiated Rate	$13.69
Max. Negotiated Rate	$13.69
Rate for Payer: Qualcare PPO/HMO/WC	$13.69

CAROTID ARTERY STENT PROCEDURES WITH CC

Facility

$81,208.26

Service Code	MSDRG 035
Min. Negotiated Rate	$25,715.95
Max. Negotiated Rate	$81,208.26
Rate for Payer: Aetna Commercial	$80,607.38
Rate for Payer: Aetna Medicare Advantage	$26,086.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63,404.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63,404.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$27,069.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63,404.10
Rate for Payer: Cigna Medicare Advantage	$27,069.42
Rate for Payer: Clover Medicare Advantage	$25,715.95
Rate for Payer: EmblemHealth Commercial	$81,208.26
Rate for Payer: Humana Medicare Advantage	$27,881.50
Rate for Payer: UnitedHealthcare Medicare Advantage	$27,069.42
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$28,693.59
Rate for Payer: Wellcare Medicare Advantage	$27,069.42

CAROTID ARTERY STENT PROCEDURES WITH MCC

Facility

$130,519.53

Service Code	MSDRG 034
Min. Negotiated Rate	$39,321.18
Max. Negotiated Rate	$130,519.53
Rate for Payer: Aetna Commercial	$130,519.53
Rate for Payer: Aetna Medicare Advantage	$42,239.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107,511.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107,511.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$41,390.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107,511.30
Rate for Payer: Cigna Medicare Advantage	$41,390.72
Rate for Payer: Clover Medicare Advantage	$39,321.18
Rate for Payer: EmblemHealth Commercial	$124,172.16
Rate for Payer: Humana Medicare Advantage	$42,632.44
Rate for Payer: UnitedHealthcare Medicare Advantage	$41,390.72
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$43,874.16
Rate for Payer: Wellcare Medicare Advantage	$41,390.72

CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC

Facility

$68,213.43

Service Code	MSDRG 036
Min. Negotiated Rate	$21,200.97
Max. Negotiated Rate	$68,213.43
Rate for Payer: Aetna Commercial	$65,511.00
Rate for Payer: Aetna Medicare Advantage	$21,200.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49,896.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49,896.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$22,737.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49,896.27
Rate for Payer: Cigna Medicare Advantage	$22,737.81
Rate for Payer: Clover Medicare Advantage	$21,600.92
Rate for Payer: EmblemHealth Commercial	$68,213.43
Rate for Payer: Humana Medicare Advantage	$23,419.94
Rate for Payer: UnitedHealthcare Medicare Advantage	$22,737.81
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$24,102.08
Rate for Payer: Wellcare Medicare Advantage	$22,737.81

CAROTID CEREBRAL-LT

Facility

$6,122.00

Hospital Charge Code	2691830
Hospital Revenue Code	323
Min. Negotiated Rate	$918.30
Max. Negotiated Rate	$918.30
Rate for Payer: Qualcare PPO/HMO/WC	$918.30

CAROTID CEREBRAL-LT

Facility

$6,122.00

Hospital Charge Code	2691830
Hospital Revenue Code	323
Min. Negotiated Rate	$795.86
Max. Negotiated Rate	$3,061.00
Rate for Payer: Aetna Commercial	$1,836.60
Rate for Payer: Aetna Medicare Advantage	$1,836.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,561.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,561.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,561.11
Rate for Payer: Cigna Commercial	$3,061.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$795.86
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$918.30
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

CAROTID CEREBRAL-RT

Facility

$6,122.00

Hospital Charge Code	2691835
Hospital Revenue Code	323
Min. Negotiated Rate	$795.86
Max. Negotiated Rate	$3,061.00
Rate for Payer: Aetna Commercial	$1,836.60
Rate for Payer: Aetna Medicare Advantage	$1,836.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,561.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,561.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,561.11
Rate for Payer: Cigna Commercial	$3,061.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$795.86
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$918.30
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

CAROTID CEREBRAL-RT

Facility

$6,122.00

Hospital Charge Code	2691835
Hospital Revenue Code	323
Min. Negotiated Rate	$918.30
Max. Negotiated Rate	$918.30
Rate for Payer: Qualcare PPO/HMO/WC	$918.30

CAROTID CERVICAL-LT

Facility

$6,122.00

Hospital Charge Code	2691840
Hospital Revenue Code	323
Min. Negotiated Rate	$795.86
Max. Negotiated Rate	$3,061.00
Rate for Payer: Aetna Commercial	$1,836.60
Rate for Payer: Aetna Medicare Advantage	$1,836.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,561.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,561.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,561.11
Rate for Payer: Cigna Commercial	$3,061.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$795.86
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$918.30
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

CAROTID CERVICAL-LT

Facility

$6,122.00

Hospital Charge Code	2691840
Hospital Revenue Code	323
Min. Negotiated Rate	$918.30
Max. Negotiated Rate	$918.30
Rate for Payer: Qualcare PPO/HMO/WC	$918.30

CAROTID CERVICAL-RT

Facility

$6,122.00

Hospital Charge Code	2691845
Hospital Revenue Code	323
Min. Negotiated Rate	$918.30
Max. Negotiated Rate	$918.30
Rate for Payer: Qualcare PPO/HMO/WC	$918.30

CAROTID CERVICAL-RT

Facility

$6,122.00

Hospital Charge Code	2691845
Hospital Revenue Code	323
Min. Negotiated Rate	$795.86
Max. Negotiated Rate	$3,061.00
Rate for Payer: Aetna Commercial	$1,836.60
Rate for Payer: Aetna Medicare Advantage	$1,836.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,561.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,561.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,561.11
Rate for Payer: Cigna Commercial	$3,061.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$795.86
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$918.30
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

CAROTID DUPLEX SCAN

Facility

$17,200.00

Service Code	HCPCS 93880
Hospital Charge Code	74115027
Hospital Revenue Code	921
Min. Negotiated Rate	$2,580.00
Max. Negotiated Rate	$2,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,580.00

CAROTID DUPLEX SCAN

Facility

$17,200.00

Service Code	HCPCS 93880
Hospital Charge Code	74115027
Hospital Revenue Code	921
Min. Negotiated Rate	$428.95
Max. Negotiated Rate	$5,160.00
Rate for Payer: Aetna Commercial	$5,160.00
Rate for Payer: Aetna Medicare Advantage	$5,160.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,386.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,386.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$428.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,386.00
Rate for Payer: Cigna Commercial	$568.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,236.00
Rate for Payer: Oxford Commercial	$4,459.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,580.00
Rate for Payer: UnitedHealthcare Commercial	$5,061.00

CAROTID DUPLEX SCAN

Facility

$17,200.00

Service Code	HCPCS 93880
Hospital Charge Code	2692015
Hospital Revenue Code	921
Min. Negotiated Rate	$2,580.00
Max. Negotiated Rate	$2,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,580.00

CAROTID DUPLEX SCAN

Facility

$17,200.00

Service Code	HCPCS 93880
Hospital Charge Code	74117027
Hospital Revenue Code	921
Min. Negotiated Rate	$428.95
Max. Negotiated Rate	$5,160.00
Rate for Payer: Aetna Commercial	$5,160.00
Rate for Payer: Aetna Medicare Advantage	$5,160.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,386.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,386.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$428.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,386.00
Rate for Payer: Cigna Commercial	$568.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,236.00
Rate for Payer: Oxford Commercial	$4,459.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,580.00
Rate for Payer: UnitedHealthcare Commercial	$5,061.00

CAROTID DUPLEX SCAN

Facility

$17,200.00

Service Code	HCPCS 93880
Hospital Charge Code	94053165
Hospital Revenue Code	921
Min. Negotiated Rate	$428.95
Max. Negotiated Rate	$5,160.00
Rate for Payer: Aetna Commercial	$5,160.00
Rate for Payer: Aetna Medicare Advantage	$5,160.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,386.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,386.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$428.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,386.00
Rate for Payer: Cigna Commercial	$568.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,236.00
Rate for Payer: Oxford Commercial	$4,459.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,580.00
Rate for Payer: UnitedHealthcare Commercial	$5,061.00

CAROTID DUPLEX SCAN

Facility

$17,200.00

Service Code	HCPCS 93880
Hospital Charge Code	74116027
Hospital Revenue Code	921
Min. Negotiated Rate	$2,580.00
Max. Negotiated Rate	$2,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,580.00

CAROTID DUPLEX SCAN

Facility

$17,200.00

Service Code	HCPCS 93880
Hospital Charge Code	94053165
Hospital Revenue Code	921
Min. Negotiated Rate	$2,580.00
Max. Negotiated Rate	$2,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,580.00

CAROTID DUPLEX SCAN

Facility

$17,200.00

Service Code	HCPCS 93880
Hospital Charge Code	421593880
Hospital Revenue Code	921
Min. Negotiated Rate	$428.95
Max. Negotiated Rate	$5,160.00
Rate for Payer: Aetna Commercial	$5,160.00
Rate for Payer: Aetna Medicare Advantage	$5,160.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,386.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,386.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$428.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,386.00
Rate for Payer: Cigna Commercial	$568.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,236.00
Rate for Payer: Oxford Commercial	$4,459.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,580.00
Rate for Payer: UnitedHealthcare Commercial	$5,061.00

CAROTID DUPLEX SCAN

Facility

$17,200.00

Service Code	HCPCS 93880
Hospital Charge Code	421593880
Hospital Revenue Code	921
Min. Negotiated Rate	$2,580.00
Max. Negotiated Rate	$2,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,580.00

Know your out-of-pocket cost for care.

All Charges