Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATH IABP 0.34CC

Facility

$3,246.45

Hospital Charge Code	270600703
Hospital Revenue Code	272
Min. Negotiated Rate	$486.97
Max. Negotiated Rate	$486.97
Rate for Payer: Qualcare PPO/HMO/WC	$486.97

CATH IABP 0.40CC

Facility

$3,246.45

Hospital Charge Code	270600702
Hospital Revenue Code	272
Min. Negotiated Rate	$422.04
Max. Negotiated Rate	$1,623.22
Rate for Payer: Aetna Commercial	$973.93
Rate for Payer: Aetna Medicare Advantage	$973.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$827.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$827.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$827.84
Rate for Payer: Cigna Commercial	$1,623.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$422.04
Rate for Payer: Oxford Commercial	$1,623.22
Rate for Payer: Qualcare PPO/HMO/WC	$486.97
Rate for Payer: UnitedHealthcare Commercial	$1,623.22

CATH IABP 0.40CC

Facility

$3,246.45

Hospital Charge Code	270600702
Hospital Revenue Code	272
Min. Negotiated Rate	$486.97
Max. Negotiated Rate	$486.97
Rate for Payer: Qualcare PPO/HMO/WC	$486.97

CATH ILIAC UDT 7-4 75cm

Facility

$1,011.90

Hospital Charge Code	270623523
Hospital Revenue Code	272
Min. Negotiated Rate	$131.55
Max. Negotiated Rate	$505.95
Rate for Payer: Aetna Commercial	$303.57
Rate for Payer: Aetna Medicare Advantage	$303.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$258.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$258.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$258.03
Rate for Payer: Cigna Commercial	$505.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.55
Rate for Payer: Oxford Commercial	$505.95
Rate for Payer: Qualcare PPO/HMO/WC	$151.78
Rate for Payer: UnitedHealthcare Commercial	$505.95

CATH ILIAC UDT 7-4 75cm

Facility

$1,011.90

Hospital Charge Code	270623523
Hospital Revenue Code	272
Min. Negotiated Rate	$151.78
Max. Negotiated Rate	$151.78
Rate for Payer: Qualcare PPO/HMO/WC	$151.78

CATH IM 6FR 670-190-00

Facility

$240.00

Service Code	HCPCS C1887
Hospital Charge Code	270636314
Hospital Revenue Code	278
Min. Negotiated Rate	$36.00
Max. Negotiated Rate	$120.00
Rate for Payer: Aetna Commercial	$72.00
Rate for Payer: Aetna Medicare Advantage	$72.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.20
Rate for Payer: Cigna Commercial	$120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.08
Rate for Payer: Qualcare PPO/HMO/WC	$36.00

CATH IM 6FR 670-190-00

Facility

$240.00

Service Code	HCPCS C1887
Hospital Charge Code	270636314
Hospital Revenue Code	278
Min. Negotiated Rate	$36.00
Max. Negotiated Rate	$58.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.08
Rate for Payer: Qualcare PPO/HMO/WC	$36.00

CATH IM 6FR 670-190-00

Facility

$277.00

Service Code	HCPCS C1887
Hospital Charge Code	270636314N
Hospital Revenue Code	278
Min. Negotiated Rate	$41.55
Max. Negotiated Rate	$67.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.03
Rate for Payer: Qualcare PPO/HMO/WC	$41.55

CATH IM 6FR 670-190-00

Facility

$277.00

Service Code	HCPCS C1887
Hospital Charge Code	270636314N
Hospital Revenue Code	278
Min. Negotiated Rate	$41.55
Max. Negotiated Rate	$138.50
Rate for Payer: Aetna Commercial	$83.10
Rate for Payer: Aetna Medicare Advantage	$83.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.64
Rate for Payer: Cigna Commercial	$138.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.03
Rate for Payer: Qualcare PPO/HMO/WC	$41.55

CATH IM 7FR 778-190-00

Facility

$277.70

Hospital Charge Code	270636371
Hospital Revenue Code	278
Min. Negotiated Rate	$41.66
Max. Negotiated Rate	$138.85
Rate for Payer: Aetna Commercial	$83.31
Rate for Payer: Aetna Medicare Advantage	$83.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.81
Rate for Payer: Cigna Commercial	$138.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.20
Rate for Payer: Qualcare PPO/HMO/WC	$41.66

CATH IM 7FR 778-190-00

Facility

$277.70

Hospital Charge Code	270636371
Hospital Revenue Code	278
Min. Negotiated Rate	$41.66
Max. Negotiated Rate	$67.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.20
Rate for Payer: Qualcare PPO/HMO/WC	$41.66

CATH IMAG2/5FR BERN40CM 0.35

Facility

$54.74

Hospital Charge Code	2709000333
Hospital Revenue Code	272
Min. Negotiated Rate	$7.12
Max. Negotiated Rate	$27.37
Rate for Payer: Aetna Commercial	$16.42
Rate for Payer: Aetna Medicare Advantage	$16.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.96
Rate for Payer: Cigna Commercial	$27.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.12
Rate for Payer: Oxford Commercial	$27.37
Rate for Payer: Qualcare PPO/HMO/WC	$8.21
Rate for Payer: UnitedHealthcare Commercial	$27.37

CATH IMAG2/5FR BERN40CM 0.35

Facility

$54.74

Hospital Charge Code	2709000333
Hospital Revenue Code	272
Min. Negotiated Rate	$8.21
Max. Negotiated Rate	$8.21
Rate for Payer: Qualcare PPO/HMO/WC	$8.21

CATH IMAGER II 4FR 100cm .035

Facility

$27.91

Hospital Charge Code	270640686
Hospital Revenue Code	272
Min. Negotiated Rate	$3.63
Max. Negotiated Rate	$13.96
Rate for Payer: Aetna Commercial	$8.37
Rate for Payer: Aetna Medicare Advantage	$8.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.12
Rate for Payer: Cigna Commercial	$13.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.63
Rate for Payer: Oxford Commercial	$13.96
Rate for Payer: Qualcare PPO/HMO/WC	$4.19
Rate for Payer: UnitedHealthcare Commercial	$13.96

CATH IMAGER II 4FR 100cm .035

Facility

$89.00

Hospital Charge Code	270640686C
Hospital Revenue Code	272
Min. Negotiated Rate	$13.35
Max. Negotiated Rate	$13.35
Rate for Payer: Qualcare PPO/HMO/WC	$13.35

CATH IMAGER II 4FR 100cm .035

Facility

$27.91

Hospital Charge Code	270640686
Hospital Revenue Code	272
Min. Negotiated Rate	$4.19
Max. Negotiated Rate	$4.19
Rate for Payer: Qualcare PPO/HMO/WC	$4.19

CATH IMAGER II 4FR 100cm .035

Facility

$89.00

Hospital Charge Code	270640686C
Hospital Revenue Code	272
Min. Negotiated Rate	$11.57
Max. Negotiated Rate	$44.50
Rate for Payer: Aetna Commercial	$26.70
Rate for Payer: Aetna Medicare Advantage	$26.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.70
Rate for Payer: Cigna Commercial	$44.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.57
Rate for Payer: Oxford Commercial	$44.50
Rate for Payer: Qualcare PPO/HMO/WC	$13.35
Rate for Payer: UnitedHealthcare Commercial	$44.50

CATH IMAGER II 5FR 100cm .038

Facility

$279.10

Hospital Charge Code	270632046
Hospital Revenue Code	272
Min. Negotiated Rate	$41.87
Max. Negotiated Rate	$41.87
Rate for Payer: Qualcare PPO/HMO/WC	$41.87

CATH IMAGER II 5FR 100cm .038

Facility

$400.00

Hospital Charge Code	270630466
Hospital Revenue Code	272
Min. Negotiated Rate	$60.00
Max. Negotiated Rate	$60.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.00

CATH IMAGER II 5FR 100cm .038

Facility

$279.10

Hospital Charge Code	270632046
Hospital Revenue Code	272
Min. Negotiated Rate	$36.28
Max. Negotiated Rate	$139.55
Rate for Payer: Aetna Commercial	$83.73
Rate for Payer: Aetna Medicare Advantage	$83.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71.17
Rate for Payer: Cigna Commercial	$139.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.28
Rate for Payer: Oxford Commercial	$139.55
Rate for Payer: Qualcare PPO/HMO/WC	$41.87
Rate for Payer: UnitedHealthcare Commercial	$139.55

CATH IMAGER II 5FR 100cm .038

Facility

$400.00

Hospital Charge Code	270630466
Hospital Revenue Code	272
Min. Negotiated Rate	$52.00
Max. Negotiated Rate	$200.00
Rate for Payer: Aetna Commercial	$120.00
Rate for Payer: Aetna Medicare Advantage	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$102.00
Rate for Payer: Cigna Commercial	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.00
Rate for Payer: Oxford Commercial	$200.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.00
Rate for Payer: UnitedHealthcare Commercial	$200.00

CATH IMAGER II 5FR 40CM .035

Facility

$27.91

Hospital Charge Code	270651296N
Hospital Revenue Code	272
Min. Negotiated Rate	$4.19
Max. Negotiated Rate	$4.19
Rate for Payer: Qualcare PPO/HMO/WC	$4.19

CATH IMAGER II 5FR 40CM .035

Facility

$53.65

Hospital Charge Code	270651296S
Hospital Revenue Code	272
Min. Negotiated Rate	$6.97
Max. Negotiated Rate	$26.82
Rate for Payer: Aetna Commercial	$16.09
Rate for Payer: Aetna Medicare Advantage	$16.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.68
Rate for Payer: Cigna Commercial	$26.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.97
Rate for Payer: Oxford Commercial	$26.82
Rate for Payer: Qualcare PPO/HMO/WC	$8.05
Rate for Payer: UnitedHealthcare Commercial	$26.82

CATH IMAGER II 5FR 40CM .035

Facility

$27.91

Hospital Charge Code	270651296N
Hospital Revenue Code	272
Min. Negotiated Rate	$3.63
Max. Negotiated Rate	$13.96
Rate for Payer: Aetna Commercial	$8.37
Rate for Payer: Aetna Medicare Advantage	$8.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.12
Rate for Payer: Cigna Commercial	$13.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.63
Rate for Payer: Oxford Commercial	$13.96
Rate for Payer: Qualcare PPO/HMO/WC	$4.19
Rate for Payer: UnitedHealthcare Commercial	$13.96

CATH IMAGER II 5FR 40CM .035

Facility

$53.65

Hospital Charge Code	270651296S
Hospital Revenue Code	272
Min. Negotiated Rate	$8.05
Max. Negotiated Rate	$8.05
Rate for Payer: Qualcare PPO/HMO/WC	$8.05

Know your out-of-pocket cost for care.

All Charges