Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

CATH BLN POWFLEX 9x4 4209040S

Facility

OP

$1,314.45

Hospital Charge Code	270630174
Hospital Revenue Code	278
Min. Negotiated Rate	$31.68
Max. Negotiated Rate	$657.23
Rate for Payer: Aetna Commercial	$499.49
Rate for Payer: Aetna Medicare Advantage	$394.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$335.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$335.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$262.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$335.18
Rate for Payer: Cigna Commercial	$657.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$318.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$289.18
Rate for Payer: Qualcare PPO/HMO/WC	$197.17
Rate for Payer: UnitedHealthcare Community & State	$31.68
Rate for Payer: Wellpoint Medicaid Managed Care	$34.83

CATH BLN SLM 6x4x135 4386040XP

Facility

IP

$1,884.85

Hospital Charge Code	270632652
Hospital Revenue Code	278
Min. Negotiated Rate	$282.73
Max. Negotiated Rate	$456.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$376.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$456.13
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$414.67
Rate for Payer: Qualcare PPO/HMO/WC	$282.73

CATH BLN SLM 6x4x135 4386040XP

Facility

OP

$1,325.00

Hospital Charge Code	270632653V
Hospital Revenue Code	278
Min. Negotiated Rate	$31.93
Max. Negotiated Rate	$662.50
Rate for Payer: Aetna Commercial	$503.50
Rate for Payer: Aetna Medicare Advantage	$397.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$337.88
Rate for Payer: Cigna Commercial	$662.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$291.50
Rate for Payer: Qualcare PPO/HMO/WC	$198.75
Rate for Payer: UnitedHealthcare Community & State	$31.93
Rate for Payer: Wellpoint Medicaid Managed Care	$35.11

CATH BLN SLM 6x4x135 4386040XP

Facility

IP

$1,325.00

Hospital Charge Code	270632653V
Hospital Revenue Code	278
Min. Negotiated Rate	$198.75
Max. Negotiated Rate	$320.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$291.50
Rate for Payer: Qualcare PPO/HMO/WC	$198.75

CATH BLN SLM 6x4x135 4386040XP

Facility

IP

$1,900.00

Hospital Charge Code	270632652V
Hospital Revenue Code	278
Min. Negotiated Rate	$285.00
Max. Negotiated Rate	$459.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$380.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$418.00
Rate for Payer: Qualcare PPO/HMO/WC	$285.00

CATH BLN SLM 6x4x135 4386040XP

Facility

OP

$1,884.85

Hospital Charge Code	270632652
Hospital Revenue Code	278
Min. Negotiated Rate	$45.42
Max. Negotiated Rate	$942.42
Rate for Payer: Aetna Commercial	$716.24
Rate for Payer: Aetna Medicare Advantage	$565.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$480.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$480.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$376.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$480.64
Rate for Payer: Cigna Commercial	$942.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$456.13
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$414.67
Rate for Payer: Qualcare PPO/HMO/WC	$282.73
Rate for Payer: UnitedHealthcare Community & State	$45.42
Rate for Payer: Wellpoint Medicaid Managed Care	$49.95

CATH BLN SLM 6x4x135 4386040XP

Facility

OP

$1,900.00

Hospital Charge Code	270632652V
Hospital Revenue Code	278
Min. Negotiated Rate	$45.79
Max. Negotiated Rate	$950.00
Rate for Payer: Aetna Commercial	$722.00
Rate for Payer: Aetna Medicare Advantage	$570.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$484.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$484.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$380.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$484.50
Rate for Payer: Cigna Commercial	$950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$418.00
Rate for Payer: Qualcare PPO/HMO/WC	$285.00
Rate for Payer: UnitedHealthcare Community & State	$45.79
Rate for Payer: Wellpoint Medicaid Managed Care	$50.35

CATH CANATA 2.5FR 135cm

Facility

OP

$1,700.00

Service Code	HCPCS C1887
Hospital Charge Code	270645715C
Hospital Revenue Code	278
Min. Negotiated Rate	$40.97
Max. Negotiated Rate	$850.00
Rate for Payer: Aetna Commercial	$646.00
Rate for Payer: Aetna Medicare Advantage	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$433.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$433.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$340.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$433.50
Rate for Payer: Cigna Commercial	$850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$411.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$374.00
Rate for Payer: Qualcare PPO/HMO/WC	$255.00
Rate for Payer: UnitedHealthcare Community & State	$40.97
Rate for Payer: Wellpoint Medicaid Managed Care	$45.05

CATH CANATA 2.5FR 135cm

Facility

IP

$1,700.00

Hospital Charge Code	270645715
Hospital Revenue Code	278
Min. Negotiated Rate	$255.00
Max. Negotiated Rate	$411.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$340.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$411.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$374.00
Rate for Payer: Qualcare PPO/HMO/WC	$255.00

CATH CANATA 2.5FR 135cm

Facility

IP

$1,700.00

Service Code	HCPCS C1887
Hospital Charge Code	270645715C
Hospital Revenue Code	278
Min. Negotiated Rate	$255.00
Max. Negotiated Rate	$411.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$340.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$411.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$374.00
Rate for Payer: Qualcare PPO/HMO/WC	$255.00

CATH CANATA 2.5FR 135cm

Facility

OP

$1,700.00

Hospital Charge Code	270645715
Hospital Revenue Code	278
Min. Negotiated Rate	$40.97
Max. Negotiated Rate	$850.00
Rate for Payer: Aetna Commercial	$646.00
Rate for Payer: Aetna Medicare Advantage	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$433.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$433.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$340.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$433.50
Rate for Payer: Cigna Commercial	$850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$411.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$374.00
Rate for Payer: Qualcare PPO/HMO/WC	$255.00
Rate for Payer: UnitedHealthcare Community & State	$40.97
Rate for Payer: Wellpoint Medicaid Managed Care	$45.05

CATH CANNONII 15FR50 CS15552SP

Facility

OP

$1,504.35

Service Code	HCPCS C1752
Hospital Charge Code	270632406
Hospital Revenue Code	278
Min. Negotiated Rate	$36.25
Max. Negotiated Rate	$752.17
Rate for Payer: Aetna Commercial	$571.65
Rate for Payer: Aetna Medicare Advantage	$451.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$383.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$383.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$383.61
Rate for Payer: Cigna Commercial	$752.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$364.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$330.96
Rate for Payer: Qualcare PPO/HMO/WC	$225.65
Rate for Payer: UnitedHealthcare Community & State	$36.25
Rate for Payer: Wellpoint Medicaid Managed Care	$39.87

CATH CANNONII 15FR50 CS15552SP

Facility

IP

$1,504.35

Service Code	HCPCS C1752
Hospital Charge Code	270632406
Hospital Revenue Code	278
Min. Negotiated Rate	$225.65
Max. Negotiated Rate	$364.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$364.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$330.96
Rate for Payer: Qualcare PPO/HMO/WC	$225.65

CATH CANNON II 15FR 55 CS15552

Facility

OP

$1,720.55

Hospital Charge Code	270632406V
Hospital Revenue Code	278
Min. Negotiated Rate	$41.47
Max. Negotiated Rate	$860.27
Rate for Payer: Aetna Commercial	$653.81
Rate for Payer: Aetna Medicare Advantage	$516.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$438.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$438.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$344.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$438.74
Rate for Payer: Cigna Commercial	$860.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$416.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$378.52
Rate for Payer: Qualcare PPO/HMO/WC	$258.08
Rate for Payer: UnitedHealthcare Community & State	$41.47
Rate for Payer: Wellpoint Medicaid Managed Care	$45.59

CATH CANNON II 15FR 55 CS15552

Facility

IP

$1,720.55

Hospital Charge Code	270632406V
Hospital Revenue Code	278
Min. Negotiated Rate	$258.08
Max. Negotiated Rate	$416.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$344.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$416.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$378.52
Rate for Payer: Qualcare PPO/HMO/WC	$258.08

CATH CANNON II 15x36 CS15362

Facility

OP

$1,935.55

Hospital Charge Code	270632405V
Hospital Revenue Code	278
Min. Negotiated Rate	$46.65
Max. Negotiated Rate	$967.77
Rate for Payer: Aetna Commercial	$735.51
Rate for Payer: Aetna Medicare Advantage	$580.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$493.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$493.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$387.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$493.57
Rate for Payer: Cigna Commercial	$967.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$468.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$425.82
Rate for Payer: Qualcare PPO/HMO/WC	$290.33
Rate for Payer: UnitedHealthcare Community & State	$46.65
Rate for Payer: Wellpoint Medicaid Managed Care	$51.29

CATH CANNON II 15x36 CS15362

Facility

IP

$1,935.55

Hospital Charge Code	270632405V
Hospital Revenue Code	278
Min. Negotiated Rate	$290.33
Max. Negotiated Rate	$468.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$387.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$468.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$425.82
Rate for Payer: Qualcare PPO/HMO/WC	$290.33

CATH CANNON II 15x36 CS15362

Facility

IP

$1,504.35

Service Code	HCPCS C1752
Hospital Charge Code	270632405
Hospital Revenue Code	278
Min. Negotiated Rate	$225.65
Max. Negotiated Rate	$364.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$364.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$330.96
Rate for Payer: Qualcare PPO/HMO/WC	$225.65

CATH CANNON II 15x36 CS15362

Facility

OP

$1,504.35

Service Code	HCPCS C1752
Hospital Charge Code	270632405
Hospital Revenue Code	278
Min. Negotiated Rate	$36.25
Max. Negotiated Rate	$752.17
Rate for Payer: Aetna Commercial	$571.65
Rate for Payer: Aetna Medicare Advantage	$451.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$383.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$383.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$383.61
Rate for Payer: Cigna Commercial	$752.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$364.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$330.96
Rate for Payer: Qualcare PPO/HMO/WC	$225.65
Rate for Payer: UnitedHealthcare Community & State	$36.25
Rate for Payer: Wellpoint Medicaid Managed Care	$39.87

CATH CANO II 15F 24 CS15242VSP

Facility

OP

$1,504.35

Service Code	HCPCS C1752
Hospital Charge Code	270640063
Hospital Revenue Code	278
Min. Negotiated Rate	$36.25
Max. Negotiated Rate	$752.17
Rate for Payer: Aetna Commercial	$571.65
Rate for Payer: Aetna Medicare Advantage	$451.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$383.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$383.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$383.61
Rate for Payer: Cigna Commercial	$752.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$364.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$330.96
Rate for Payer: Qualcare PPO/HMO/WC	$225.65
Rate for Payer: UnitedHealthcare Community & State	$36.25
Rate for Payer: Wellpoint Medicaid Managed Care	$39.87

CATH CANO II 15F 24 CS15242VSP

Facility

IP

$1,504.35

Service Code	HCPCS C1752
Hospital Charge Code	270640063
Hospital Revenue Code	278
Min. Negotiated Rate	$225.65
Max. Negotiated Rate	$364.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$364.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$330.96
Rate for Payer: Qualcare PPO/HMO/WC	$225.65

CATH CANON II 15FR 28c CS15282

Facility

IP

$1,504.35

Service Code	HCPCS C1750
Hospital Charge Code	270632034
Hospital Revenue Code	278
Min. Negotiated Rate	$225.65
Max. Negotiated Rate	$364.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$364.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$330.96
Rate for Payer: Qualcare PPO/HMO/WC	$225.65

CATH CANON II 15FR 28c CS15282

Facility

IP

$1,935.55

Hospital Charge Code	270632034V
Hospital Revenue Code	278
Min. Negotiated Rate	$290.33
Max. Negotiated Rate	$468.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$387.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$468.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$425.82
Rate for Payer: Qualcare PPO/HMO/WC	$290.33

CATH CANON II 15FR 28c CS15282

Facility

OP

$1,935.55

Hospital Charge Code	270632034V
Hospital Revenue Code	278
Min. Negotiated Rate	$46.65
Max. Negotiated Rate	$967.77
Rate for Payer: Aetna Commercial	$735.51
Rate for Payer: Aetna Medicare Advantage	$580.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$493.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$493.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$387.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$493.57
Rate for Payer: Cigna Commercial	$967.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$468.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$425.82
Rate for Payer: Qualcare PPO/HMO/WC	$290.33
Rate for Payer: UnitedHealthcare Community & State	$46.65
Rate for Payer: Wellpoint Medicaid Managed Care	$51.29

CATH CANON II 15FR 28c CS15282

Facility

OP

$1,504.35

Service Code	HCPCS C1750
Hospital Charge Code	270632034
Hospital Revenue Code	278
Min. Negotiated Rate	$36.25
Max. Negotiated Rate	$752.17
Rate for Payer: Aetna Commercial	$571.65
Rate for Payer: Aetna Medicare Advantage	$451.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$383.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$383.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$383.61
Rate for Payer: Cigna Commercial	$752.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$364.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$330.96
Rate for Payer: Qualcare PPO/HMO/WC	$225.65
Rate for Payer: UnitedHealthcare Community & State	$36.25
Rate for Payer: Wellpoint Medicaid Managed Care	$39.87

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