Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATH GUIDE NEURON BERN 6F125CM

Facility

$625.00

Service Code	HCPCS C1887
Hospital Charge Code	270685233S
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$151.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

CATH GUIDE VENTR LPV NL8504210

Facility

$3,028.00

Hospital Charge Code	270600406
Hospital Revenue Code	278
Min. Negotiated Rate	$454.20
Max. Negotiated Rate	$732.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$605.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$732.78
Rate for Payer: Qualcare PPO/HMO/WC	$454.20

CATH GUIDE VENTR LPV NL8504210

Facility

$3,028.00

Hospital Charge Code	270600406
Hospital Revenue Code	278
Min. Negotiated Rate	$454.20
Max. Negotiated Rate	$1,514.00
Rate for Payer: Aetna Commercial	$908.40
Rate for Payer: Aetna Medicare Advantage	$908.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$772.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$772.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$605.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$772.14
Rate for Payer: Cigna Commercial	$1,514.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$732.78
Rate for Payer: Qualcare PPO/HMO/WC	$454.20

CATH GUIDE VENTR LPV NL8504220

Facility

$2,908.00

Hospital Charge Code	270600407
Hospital Revenue Code	278
Min. Negotiated Rate	$436.20
Max. Negotiated Rate	$1,454.00
Rate for Payer: Aetna Commercial	$872.40
Rate for Payer: Aetna Medicare Advantage	$872.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$741.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$741.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$581.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$741.54
Rate for Payer: Cigna Commercial	$1,454.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$703.74
Rate for Payer: Qualcare PPO/HMO/WC	$436.20

CATH GUIDE VENTR LPV NL8504220

Facility

$2,908.00

Hospital Charge Code	270600407
Hospital Revenue Code	278
Min. Negotiated Rate	$436.20
Max. Negotiated Rate	$703.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$581.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$703.74
Rate for Payer: Qualcare PPO/HMO/WC	$436.20

CATH GUIDE W/SH LAUN 6F JR 4.0

Facility

$225.00

Service Code	HCPCS C1887
Hospital Charge Code	270651107
Hospital Revenue Code	278
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$54.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

CATH GUIDE W/SH LAUN 6F JR 4.0

Facility

$225.00

Service Code	HCPCS C1887
Hospital Charge Code	270651107
Hospital Revenue Code	278
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$112.50
Rate for Payer: Aetna Commercial	$67.50
Rate for Payer: Aetna Medicare Advantage	$67.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.38
Rate for Payer: Cigna Commercial	$112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

CATH GUIDE W/SH LAUN LA6JR35SH

Facility

$225.00

Hospital Charge Code	270651105C
Hospital Revenue Code	278
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$112.50
Rate for Payer: Aetna Commercial	$67.50
Rate for Payer: Aetna Medicare Advantage	$67.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.38
Rate for Payer: Cigna Commercial	$112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

CATH GUIDE W/SH LAUN LA6JR35SH

Facility

$225.00

Hospital Charge Code	270651105C
Hospital Revenue Code	278
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$54.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

CATH GUIDE W/SH LAUN LA6JR40SH

Facility

$225.00

Service Code	HCPCS C1887
Hospital Charge Code	270651107C
Hospital Revenue Code	278
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$54.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

CATH GUIDE W/SH LAUN LA6JR40SH

Facility

$225.00

Service Code	HCPCS C1887
Hospital Charge Code	270651107C
Hospital Revenue Code	278
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$112.50
Rate for Payer: Aetna Commercial	$67.50
Rate for Payer: Aetna Medicare Advantage	$67.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.38
Rate for Payer: Cigna Commercial	$112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

CATH GUIDE W/SH LAUN LA6SCR35S

Facility

$225.00

Hospital Charge Code	270651111C
Hospital Revenue Code	278
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$54.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

CATH GUIDE W/SH LAUN LA6SCR35S

Facility

$225.00

Hospital Charge Code	270651111C
Hospital Revenue Code	278
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$112.50
Rate for Payer: Aetna Commercial	$67.50
Rate for Payer: Aetna Medicare Advantage	$67.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.38
Rate for Payer: Cigna Commercial	$112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

CATH GUIDING 6FR 3.0 LA6JR30

Facility

$215.00

Service Code	HCPCS C1887
Hospital Charge Code	270638298
Hospital Revenue Code	278
Min. Negotiated Rate	$32.25
Max. Negotiated Rate	$52.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$43.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.03
Rate for Payer: Qualcare PPO/HMO/WC	$32.25

CATH GUIDING 6FR 3.0 LA6JR30

Facility

$215.00

Service Code	HCPCS C1887
Hospital Charge Code	270638298
Hospital Revenue Code	278
Min. Negotiated Rate	$32.25
Max. Negotiated Rate	$107.50
Rate for Payer: Aetna Commercial	$64.50
Rate for Payer: Aetna Medicare Advantage	$64.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$43.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.83
Rate for Payer: Cigna Commercial	$107.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.03
Rate for Payer: Qualcare PPO/HMO/WC	$32.25

CATH GUIDING 6FR MACH I VL 5.0

Facility

$255.00

Hospital Charge Code	270641798
Hospital Revenue Code	278
Min. Negotiated Rate	$38.25
Max. Negotiated Rate	$61.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.71
Rate for Payer: Qualcare PPO/HMO/WC	$38.25

CATH GUIDING 6FR MACH I VL 5.0

Facility

$255.00

Hospital Charge Code	270641798
Hospital Revenue Code	278
Min. Negotiated Rate	$38.25
Max. Negotiated Rate	$127.50
Rate for Payer: Aetna Commercial	$76.50
Rate for Payer: Aetna Medicare Advantage	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.03
Rate for Payer: Cigna Commercial	$127.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.71
Rate for Payer: Qualcare PPO/HMO/WC	$38.25

CATH GUIDING 8F JR 3 5 588855

Facility

$280.00

Hospital Charge Code	270637737
Hospital Revenue Code	278
Min. Negotiated Rate	$42.00
Max. Negotiated Rate	$67.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$56.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.76
Rate for Payer: Qualcare PPO/HMO/WC	$42.00

CATH GUIDING 8F JR 3 5 588855

Facility

$280.00

Hospital Charge Code	270637737
Hospital Revenue Code	278
Min. Negotiated Rate	$42.00
Max. Negotiated Rate	$140.00
Rate for Payer: Aetna Commercial	$84.00
Rate for Payer: Aetna Medicare Advantage	$84.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$56.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71.40
Rate for Payer: Cigna Commercial	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.76
Rate for Payer: Qualcare PPO/HMO/WC	$42.00

CATH GUIDING 8 XB 3 5 588882

Facility

$279.85

Hospital Charge Code	270637963
Hospital Revenue Code	278
Min. Negotiated Rate	$41.98
Max. Negotiated Rate	$139.93
Rate for Payer: Aetna Commercial	$83.95
Rate for Payer: Aetna Medicare Advantage	$83.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71.36
Rate for Payer: Cigna Commercial	$139.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.72
Rate for Payer: Qualcare PPO/HMO/WC	$41.98

CATH GUIDING 8 XB 3 5 588882

Facility

$279.85

Hospital Charge Code	270637963
Hospital Revenue Code	278
Min. Negotiated Rate	$41.98
Max. Negotiated Rate	$67.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.72
Rate for Payer: Qualcare PPO/HMO/WC	$41.98

CATH HAWKONE ATHERECTOMY EXT

Facility

$16,750.00

Hospital Charge Code	270277280
Hospital Revenue Code	278
Min. Negotiated Rate	$2,512.50
Max. Negotiated Rate	$4,053.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,053.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,512.50

CATH HAWKONE ATHERECTOMY EXT

Facility

$16,750.00

Hospital Charge Code	270277280
Hospital Revenue Code	278
Min. Negotiated Rate	$2,512.50
Max. Negotiated Rate	$8,375.00
Rate for Payer: Aetna Commercial	$5,025.00
Rate for Payer: Aetna Medicare Advantage	$5,025.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,271.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,271.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,271.25
Rate for Payer: Cigna Commercial	$8,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,053.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,512.50

CATH HEMOD DURAFLOW 15.5F 24CM

Facility

$850.00

Service Code	HCPCS C1750
Hospital Charge Code	270698674
Hospital Revenue Code	278
Min. Negotiated Rate	$127.50
Max. Negotiated Rate	$425.00
Rate for Payer: Aetna Commercial	$255.00
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) NJ Health	$170.00
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	$205.70
Rate for Payer: Qualcare PPO/HMO/WC	$127.50

CATH HEMOD DURAFLOW 15.5F 24CM

Facility

$850.00

Service Code	HCPCS C1750
Hospital Charge Code	270698674
Hospital Revenue Code	278
Min. Negotiated Rate	$127.50
Max. Negotiated Rate	$205.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$205.70
Rate for Payer: Qualcare PPO/HMO/WC	$127.50

Know your out-of-pocket cost for care.

All Charges