Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

CATHETER TREK CORONARY DILATAT

Facility

IP

$675.00

Service Code	HCPCS C1725
Hospital Charge Code	270645240S
Hospital Revenue Code	278
Min. Negotiated Rate	$101.25
Max. Negotiated Rate	$163.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$135.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$163.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$148.50
Rate for Payer: Qualcare PPO/HMO/WC	$101.25

CATHETER TREK CORONARY DILATAT

Facility

IP

$850.00

Hospital Charge Code	270CH0050
Hospital Revenue Code	272
Min. Negotiated Rate	$127.50
Max. Negotiated Rate	$127.50
Rate for Payer: Qualcare PPO/HMO/WC	$127.50

CATHETER TREK CORONARY DILATAT

Facility

OP

$850.00

Hospital Charge Code	270CH0050
Hospital Revenue Code	272
Min. Negotiated Rate	$20.48
Max. Negotiated Rate	$425.00
Rate for Payer: Aetna Commercial	$323.00
Rate for Payer: Aetna Medicare Advantage	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$216.75
Rate for Payer: Cigna Commercial	$425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$255.00
Rate for Payer: Oxford Commercial	$170.00
Rate for Payer: Qualcare PPO/HMO/WC	$127.50
Rate for Payer: UnitedHealthcare Commercial	$170.00
Rate for Payer: UnitedHealthcare Community & State	$20.48
Rate for Payer: Wellpoint Medicaid Managed Care	$22.52

CATHETER TREK CORONARY DILATAT

Facility

IP

$850.00

Hospital Charge Code	270CH0052
Hospital Revenue Code	272
Min. Negotiated Rate	$127.50
Max. Negotiated Rate	$127.50
Rate for Payer: Qualcare PPO/HMO/WC	$127.50

CATHETER TREK CORONARY DILATAT

Facility

IP

$850.00

Hospital Charge Code	270CH0053
Hospital Revenue Code	272
Min. Negotiated Rate	$127.50
Max. Negotiated Rate	$127.50
Rate for Payer: Qualcare PPO/HMO/WC	$127.50

CATHETER TREK CORONARY DILATAT

Facility

OP

$850.00

Hospital Charge Code	270CH0051
Hospital Revenue Code	272
Min. Negotiated Rate	$20.48
Max. Negotiated Rate	$425.00
Rate for Payer: Aetna Commercial	$323.00
Rate for Payer: Aetna Medicare Advantage	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$216.75
Rate for Payer: Cigna Commercial	$425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$255.00
Rate for Payer: Oxford Commercial	$170.00
Rate for Payer: Qualcare PPO/HMO/WC	$127.50
Rate for Payer: UnitedHealthcare Commercial	$170.00
Rate for Payer: UnitedHealthcare Community & State	$20.48
Rate for Payer: Wellpoint Medicaid Managed Care	$22.52

CATHETER TREK CORONARY DILATAT

Facility

OP

$850.00

Hospital Charge Code	270CH0052
Hospital Revenue Code	272
Min. Negotiated Rate	$20.48
Max. Negotiated Rate	$425.00
Rate for Payer: Aetna Commercial	$323.00
Rate for Payer: Aetna Medicare Advantage	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$216.75
Rate for Payer: Cigna Commercial	$425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$255.00
Rate for Payer: Oxford Commercial	$170.00
Rate for Payer: Qualcare PPO/HMO/WC	$127.50
Rate for Payer: UnitedHealthcare Commercial	$170.00
Rate for Payer: UnitedHealthcare Community & State	$20.48
Rate for Payer: Wellpoint Medicaid Managed Care	$22.52

CATHETER TRIPLE LUMEN 7FR 3L

Facility

IP

$440.00

Hospital Charge Code	270660301
Hospital Revenue Code	278
Min. Negotiated Rate	$66.00
Max. Negotiated Rate	$106.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$88.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$106.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$96.80
Rate for Payer: Qualcare PPO/HMO/WC	$66.00

CATHETER TRIPLE LUMEN 7FR 3L

Facility

OP

$440.00

Hospital Charge Code	270660301
Hospital Revenue Code	278
Min. Negotiated Rate	$10.60
Max. Negotiated Rate	$220.00
Rate for Payer: Aetna Commercial	$167.20
Rate for Payer: Aetna Medicare Advantage	$132.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$112.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$112.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$88.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$112.20
Rate for Payer: Cigna Commercial	$220.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$106.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$96.80
Rate for Payer: Qualcare PPO/HMO/WC	$66.00
Rate for Payer: UnitedHealthcare Community & State	$10.60
Rate for Payer: Wellpoint Medicaid Managed Care	$11.66

CATHETER TROCAR 16FR 10

Facility

OP

$74.50

Hospital Charge Code	270649812
Hospital Revenue Code	270
Min. Negotiated Rate	$1.80
Max. Negotiated Rate	$37.25
Rate for Payer: Aetna Commercial	$28.31
Rate for Payer: Aetna Medicare Advantage	$22.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.00
Rate for Payer: Cigna Commercial	$37.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.35
Rate for Payer: Oxford Commercial	$14.90
Rate for Payer: Qualcare PPO/HMO/WC	$11.18
Rate for Payer: UnitedHealthcare Commercial	$14.90
Rate for Payer: UnitedHealthcare Community & State	$1.80
Rate for Payer: Wellpoint Medicaid Managed Care	$1.97

CATHETER TROCAR 16FR 10

Facility

IP

$74.50

Hospital Charge Code	270649812
Hospital Revenue Code	270
Min. Negotiated Rate	$11.18
Max. Negotiated Rate	$11.18
Rate for Payer: Qualcare PPO/HMO/WC	$11.18

CATHETER TROCAR 28FR 561068

Facility

OP

$78.82

Hospital Charge Code	270635998
Hospital Revenue Code	272
Min. Negotiated Rate	$1.90
Max. Negotiated Rate	$39.41
Rate for Payer: Aetna Commercial	$29.95
Rate for Payer: Aetna Medicare Advantage	$23.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.10
Rate for Payer: Cigna Commercial	$39.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.65
Rate for Payer: Oxford Commercial	$15.76
Rate for Payer: Qualcare PPO/HMO/WC	$11.82
Rate for Payer: UnitedHealthcare Commercial	$15.76
Rate for Payer: UnitedHealthcare Community & State	$1.90
Rate for Payer: Wellpoint Medicaid Managed Care	$2.09

CATHETER TROCAR 28FR 561068

Facility

IP

$78.82

Hospital Charge Code	270635998
Hospital Revenue Code	272
Min. Negotiated Rate	$11.82
Max. Negotiated Rate	$11.82
Rate for Payer: Qualcare PPO/HMO/WC	$11.82

CATHETER TROCAR 32FR

Facility

OP

$50.84

Hospital Charge Code	270649364
Hospital Revenue Code	272
Min. Negotiated Rate	$1.23
Max. Negotiated Rate	$25.42
Rate for Payer: Aetna Commercial	$19.32
Rate for Payer: Aetna Medicare Advantage	$15.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.96
Rate for Payer: Cigna Commercial	$25.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.25
Rate for Payer: Oxford Commercial	$10.17
Rate for Payer: Qualcare PPO/HMO/WC	$7.63
Rate for Payer: UnitedHealthcare Commercial	$10.17
Rate for Payer: UnitedHealthcare Community & State	$1.23
Rate for Payer: Wellpoint Medicaid Managed Care	$1.35

CATHETER TROCAR 32FR

Facility

IP

$50.84

Hospital Charge Code	270649364
Hospital Revenue Code	272
Min. Negotiated Rate	$7.63
Max. Negotiated Rate	$7.63
Rate for Payer: Qualcare PPO/HMO/WC	$7.63

CATHETER TURBOHAWK THLSM

Facility

OP

$17,500.00

Service Code	HCPCS C1885
Hospital Charge Code	270660344
Hospital Revenue Code	278
Min. Negotiated Rate	$421.75
Max. Negotiated Rate	$8,750.00
Rate for Payer: Aetna Commercial	$6,650.00
Rate for Payer: Aetna Medicare Advantage	$5,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,462.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,462.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,462.50
Rate for Payer: Cigna Commercial	$8,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,235.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,850.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,625.00
Rate for Payer: UnitedHealthcare Community & State	$421.75
Rate for Payer: Wellpoint Medicaid Managed Care	$463.75

CATHETER TURBOHAWK THLSM

Facility

IP

$17,500.00

Service Code	HCPCS C1885
Hospital Charge Code	270660344
Hospital Revenue Code	278
Min. Negotiated Rate	$2,625.00
Max. Negotiated Rate	$4,235.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,235.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,850.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,625.00

CATHETER UNI FUSE 5F 15CM

Facility

OP

$1,250.00

Service Code	HCPCS C1757
Hospital Charge Code	270691929
Hospital Revenue Code	278
Min. Negotiated Rate	$30.12
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$475.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$275.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Community & State	$30.12
Rate for Payer: Wellpoint Medicaid Managed Care	$33.12

CATHETER UNI FUSE 5F 15CM

Facility

IP

$1,250.00

Service Code	HCPCS C1757
Hospital Charge Code	270691929
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$302.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$275.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

CATHETER UNIFUSE 5F 30X135CM

Facility

OP

$800.00

Service Code	HCPCS C1751
Hospital Charge Code	270694142S
Hospital Revenue Code	278
Min. Negotiated Rate	$19.28
Max. Negotiated Rate	$400.00
Rate for Payer: Aetna Commercial	$304.00
Rate for Payer: Aetna Medicare Advantage	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.00
Rate for Payer: Cigna Commercial	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$176.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00
Rate for Payer: UnitedHealthcare Community & State	$19.28
Rate for Payer: Wellpoint Medicaid Managed Care	$21.20

CATHETER UNIFUSE 5F 30X135CM

Facility

IP

$800.00

Service Code	HCPCS C1751
Hospital Charge Code	270694142S
Hospital Revenue Code	278
Min. Negotiated Rate	$120.00
Max. Negotiated Rate	$193.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$176.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00

CATHETER UNI-FUSE 5FX90X10CM

Facility

IP

$1,250.00

Service Code	HCPCS C1757
Hospital Charge Code	270691928S
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$302.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$275.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

CATHETER UNI-FUSE 5FX90X10CM

Facility

OP

$1,250.00

Service Code	HCPCS C1757
Hospital Charge Code	270691928S
Hospital Revenue Code	278
Min. Negotiated Rate	$30.12
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$475.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$275.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Community & State	$30.12
Rate for Payer: Wellpoint Medicaid Managed Care	$33.12

CATHETER URETERAL 5FR OLIVE TP

Facility

IP

$497.25

Service Code	HCPCS C1758
Hospital Charge Code	270660056
Hospital Revenue Code	278
Min. Negotiated Rate	$74.59
Max. Negotiated Rate	$120.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.33
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$109.39
Rate for Payer: Qualcare PPO/HMO/WC	$74.59

CATHETER URETERAL 5FR OLIVE TP

Facility

OP

$497.25

Service Code	HCPCS C1758
Hospital Charge Code	270660056
Hospital Revenue Code	278
Min. Negotiated Rate	$11.98
Max. Negotiated Rate	$248.62
Rate for Payer: Aetna Commercial	$188.96
Rate for Payer: Aetna Medicare Advantage	$149.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.80
Rate for Payer: Cigna Commercial	$248.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.33
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$109.39
Rate for Payer: Qualcare PPO/HMO/WC	$74.59
Rate for Payer: UnitedHealthcare Community & State	$11.98
Rate for Payer: Wellpoint Medicaid Managed Care	$13.18

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