Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATH HICKM DUAL 13.5 60069-2

Facility

$2,119.25

Hospital Charge Code	270602964
Hospital Revenue Code	272
Min. Negotiated Rate	$317.89
Max. Negotiated Rate	$317.89
Rate for Payer: Qualcare PPO/HMO/WC	$317.89

CATH HICKM DUAL VTCF 60066-2

Facility

$2,016.00

Hospital Charge Code	270601090
Hospital Revenue Code	278
Min. Negotiated Rate	$302.40
Max. Negotiated Rate	$1,008.00
Rate for Payer: Aetna Commercial	$604.80
Rate for Payer: Aetna Medicare Advantage	$604.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$514.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$514.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$403.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$514.08
Rate for Payer: Cigna Commercial	$1,008.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$487.87
Rate for Payer: Qualcare PPO/HMO/WC	$302.40

CATH HICKM DUAL VTCF 60066-2

Facility

$2,016.00

Hospital Charge Code	270601090
Hospital Revenue Code	278
Min. Negotiated Rate	$302.40
Max. Negotiated Rate	$487.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$403.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$487.87
Rate for Payer: Qualcare PPO/HMO/WC	$302.40

CATH HICKM DUAL VTCF 60662-2

Facility

$2,026.45

Hospital Charge Code	270601091
Hospital Revenue Code	278
Min. Negotiated Rate	$303.97
Max. Negotiated Rate	$490.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$405.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$490.40
Rate for Payer: Qualcare PPO/HMO/WC	$303.97

CATH HICKM DUAL VTCF 60662-2

Facility

$2,026.45

Hospital Charge Code	270601091
Hospital Revenue Code	278
Min. Negotiated Rate	$303.97
Max. Negotiated Rate	$1,013.23
Rate for Payer: Aetna Commercial	$607.93
Rate for Payer: Aetna Medicare Advantage	$607.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$516.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$516.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$405.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$516.74
Rate for Payer: Cigna Commercial	$1,013.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$490.40
Rate for Payer: Qualcare PPO/HMO/WC	$303.97

CATH HICKM MRI 1.6MM 602640

Facility

$3,604.85

Hospital Charge Code	270601093
Hospital Revenue Code	278
Min. Negotiated Rate	$540.73
Max. Negotiated Rate	$1,802.42
Rate for Payer: Aetna Commercial	$1,081.45
Rate for Payer: Aetna Medicare Advantage	$1,081.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$919.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$919.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$720.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$919.24
Rate for Payer: Cigna Commercial	$1,802.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$872.37
Rate for Payer: Qualcare PPO/HMO/WC	$540.73

CATH HICKM MRI 1.6MM 602640

Facility

$3,604.85

Hospital Charge Code	270601093
Hospital Revenue Code	278
Min. Negotiated Rate	$540.73
Max. Negotiated Rate	$872.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$720.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$872.37
Rate for Payer: Qualcare PPO/HMO/WC	$540.73

CATH HICKM PERIT 14.3 60300

Facility

$955.00

Service Code	HCPCS C1788
Hospital Charge Code	270605601
Hospital Revenue Code	278
Min. Negotiated Rate	$143.25
Max. Negotiated Rate	$477.50
Rate for Payer: Aetna Commercial	$286.50
Rate for Payer: Aetna Medicare Advantage	$286.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$243.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$243.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$191.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$243.53
Rate for Payer: Cigna Commercial	$477.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$231.11
Rate for Payer: Qualcare PPO/HMO/WC	$143.25

CATH HICKM PERIT 14.3 60300

Facility

$955.00

Service Code	HCPCS C1788
Hospital Charge Code	270605601
Hospital Revenue Code	278
Min. Negotiated Rate	$143.25
Max. Negotiated Rate	$231.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$191.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$231.11
Rate for Payer: Qualcare PPO/HMO/WC	$143.25

CATH HICKM SINGL *******

Facility

$1,959.00

Hospital Charge Code	1604287
Hospital Revenue Code	264
Min. Negotiated Rate	$293.85
Max. Negotiated Rate	$293.85
Rate for Payer: Qualcare PPO/HMO/WC	$293.85

CATH HICKM SINGL *******

Facility

$1,959.00

Hospital Charge Code	1604287
Hospital Revenue Code	264
Min. Negotiated Rate	$254.67
Max. Negotiated Rate	$979.50
Rate for Payer: Aetna Commercial	$587.70
Rate for Payer: Aetna Medicare Advantage	$587.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$499.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$499.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$499.55
Rate for Payer: Cigna Commercial	$979.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$254.67
Rate for Payer: Oxford Commercial	$979.50
Rate for Payer: Qualcare PPO/HMO/WC	$293.85
Rate for Payer: UnitedHealthcare Commercial	$979.50

CATH HICKM SINGL MRI 10F 60266

Facility

$3,221.65

Hospital Charge Code	270604622
Hospital Revenue Code	278
Min. Negotiated Rate	$483.25
Max. Negotiated Rate	$779.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$644.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$779.64
Rate for Payer: Qualcare PPO/HMO/WC	$483.25

CATH HICKM SINGL MRI 10F 60266

Facility

$3,221.65

Hospital Charge Code	270604622
Hospital Revenue Code	278
Min. Negotiated Rate	$483.25
Max. Negotiated Rate	$1,610.83
Rate for Payer: Aetna Commercial	$966.50
Rate for Payer: Aetna Medicare Advantage	$966.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$821.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$821.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$644.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$821.52
Rate for Payer: Cigna Commercial	$1,610.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$779.64
Rate for Payer: Qualcare PPO/HMO/WC	$483.25

CATH HICKM VEN MRI PORT 60261

Facility

$2,936.85

Hospital Charge Code	270606032
Hospital Revenue Code	278
Min. Negotiated Rate	$440.53
Max. Negotiated Rate	$1,468.42
Rate for Payer: Aetna Commercial	$881.05
Rate for Payer: Aetna Medicare Advantage	$881.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$748.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$748.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$587.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$748.90
Rate for Payer: Cigna Commercial	$1,468.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$710.72
Rate for Payer: Qualcare PPO/HMO/WC	$440.53

CATH HICKM VEN MRI PORT 60261

Facility

$2,936.85

Hospital Charge Code	270606032
Hospital Revenue Code	278
Min. Negotiated Rate	$440.53
Max. Negotiated Rate	$710.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$587.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$710.72
Rate for Payer: Qualcare PPO/HMO/WC	$440.53

CATH HN5

Facility

$200.85

Hospital Charge Code	270677005
Hospital Revenue Code	272
Min. Negotiated Rate	$30.13
Max. Negotiated Rate	$30.13
Rate for Payer: Qualcare PPO/HMO/WC	$30.13

CATH HN5

Facility

$200.85

Hospital Charge Code	270677005
Hospital Revenue Code	272
Min. Negotiated Rate	$26.11
Max. Negotiated Rate	$100.42
Rate for Payer: Aetna Commercial	$60.26
Rate for Payer: Aetna Medicare Advantage	$60.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.22
Rate for Payer: Cigna Commercial	$100.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.11
Rate for Payer: Oxford Commercial	$100.42
Rate for Payer: Qualcare PPO/HMO/WC	$30.13
Rate for Payer: UnitedHealthcare Commercial	$100.42

CATH HNBR5.0-35-65-P-NS-VANSC

Facility

$106.70

Hospital Charge Code	2706366175
Hospital Revenue Code	278
Min. Negotiated Rate	$16.00
Max. Negotiated Rate	$53.35
Rate for Payer: Aetna Commercial	$32.01
Rate for Payer: Aetna Medicare Advantage	$32.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.21
Rate for Payer: Cigna Commercial	$53.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.82
Rate for Payer: Qualcare PPO/HMO/WC	$16.00

CATH HNBR5.0-35-65-P-NS-VANSC

Facility

$106.70

Hospital Charge Code	2706366175
Hospital Revenue Code	278
Min. Negotiated Rate	$16.00
Max. Negotiated Rate	$25.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.82
Rate for Payer: Qualcare PPO/HMO/WC	$16.00

CATH HOCKEY STICK 6FR 55CM

Facility

$245.00

Hospital Charge Code	270645474C
Hospital Revenue Code	278
Min. Negotiated Rate	$36.75
Max. Negotiated Rate	$59.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.29
Rate for Payer: Qualcare PPO/HMO/WC	$36.75

CATH HOCKEY STICK 6FR 55CM

Facility

$245.00

Hospital Charge Code	270645474C
Hospital Revenue Code	278
Min. Negotiated Rate	$36.75
Max. Negotiated Rate	$122.50
Rate for Payer: Aetna Commercial	$73.50
Rate for Payer: Aetna Medicare Advantage	$73.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.48
Rate for Payer: Cigna Commercial	$122.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.29
Rate for Payer: Qualcare PPO/HMO/WC	$36.75

CATH HOCKEY STICK 7FR 55CM

Facility

$245.00

Hospital Charge Code	270645475C
Hospital Revenue Code	278
Min. Negotiated Rate	$36.75
Max. Negotiated Rate	$122.50
Rate for Payer: Aetna Commercial	$73.50
Rate for Payer: Aetna Medicare Advantage	$73.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.48
Rate for Payer: Cigna Commercial	$122.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.29
Rate for Payer: Qualcare PPO/HMO/WC	$36.75

CATH HOCKEY STICK 7FR 55CM

Facility

$245.00

Hospital Charge Code	270645475C
Hospital Revenue Code	278
Min. Negotiated Rate	$36.75
Max. Negotiated Rate	$59.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.29
Rate for Payer: Qualcare PPO/HMO/WC	$36.75

CATH HOLLISTER EXTERNAL *****

Facility

$9.00

Hospital Charge Code	8002628
Hospital Revenue Code	279
Min. Negotiated Rate	$1.17
Max. Negotiated Rate	$4.50
Rate for Payer: Aetna Commercial	$2.70
Rate for Payer: Aetna Medicare Advantage	$2.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.29
Rate for Payer: Cigna Commercial	$4.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.17
Rate for Payer: Oxford Commercial	$4.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.35
Rate for Payer: UnitedHealthcare Commercial	$4.50

CATH HOLLISTER EXTERNAL *****

Facility

$9.00

Hospital Charge Code	8002628
Hospital Revenue Code	279
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$1.35
Rate for Payer: Qualcare PPO/HMO/WC	$1.35

Know your out-of-pocket cost for care.

All Charges