Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATH IMPRESS MOD HOOK 052 1.32

Facility

$57.50

Hospital Charge Code	270658006S
Hospital Revenue Code	272
Min. Negotiated Rate	$7.47
Max. Negotiated Rate	$28.75
Rate for Payer: Aetna Commercial	$17.25
Rate for Payer: Aetna Medicare Advantage	$17.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.66
Rate for Payer: Cigna Commercial	$28.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.47
Rate for Payer: Oxford Commercial	$28.75
Rate for Payer: Qualcare PPO/HMO/WC	$8.62
Rate for Payer: UnitedHealthcare Commercial	$28.75

CATH IMPRESS MOD HOOK 052 1.32

Facility

$67.50

Hospital Charge Code	270658006N
Hospital Revenue Code	272
Min. Negotiated Rate	$10.12
Max. Negotiated Rate	$10.12
Rate for Payer: Qualcare PPO/HMO/WC	$10.12

CATH IMPRESS MOD HOOK 052 1.32

Facility

$57.50

Hospital Charge Code	270658006
Hospital Revenue Code	272
Min. Negotiated Rate	$7.47
Max. Negotiated Rate	$28.75
Rate for Payer: Aetna Commercial	$17.25
Rate for Payer: Aetna Medicare Advantage	$17.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.66
Rate for Payer: Cigna Commercial	$28.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.47
Rate for Payer: Oxford Commercial	$28.75
Rate for Payer: Qualcare PPO/HMO/WC	$8.62
Rate for Payer: UnitedHealthcare Commercial	$28.75

CATH IMPRESS MOD HOOK 052 1.32

Facility

$67.50

Hospital Charge Code	270658006N
Hospital Revenue Code	272
Min. Negotiated Rate	$8.78
Max. Negotiated Rate	$33.75
Rate for Payer: Aetna Commercial	$20.25
Rate for Payer: Aetna Medicare Advantage	$20.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.21
Rate for Payer: Cigna Commercial	$33.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.78
Rate for Payer: Oxford Commercial	$33.75
Rate for Payer: Qualcare PPO/HMO/WC	$10.12
Rate for Payer: UnitedHealthcare Commercial	$33.75

CATH IMPRESS MOD HOOK 052 1.32

Facility

$57.50

Hospital Charge Code	270658006
Hospital Revenue Code	272
Min. Negotiated Rate	$8.62
Max. Negotiated Rate	$8.62
Rate for Payer: Qualcare PPO/HMO/WC	$8.62

CATH IMPSS MOD HOOK 040/1.02MM

Facility

$27.00

Hospital Charge Code	270657618
Hospital Revenue Code	272
Min. Negotiated Rate	$3.51
Max. Negotiated Rate	$13.50
Rate for Payer: Aetna Commercial	$8.10
Rate for Payer: Aetna Medicare Advantage	$8.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.88
Rate for Payer: Cigna Commercial	$13.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.51
Rate for Payer: Oxford Commercial	$13.50
Rate for Payer: Qualcare PPO/HMO/WC	$4.05
Rate for Payer: UnitedHealthcare Commercial	$13.50

CATH IMPSS MOD HOOK 040/1.02MM

Facility

$27.00

Hospital Charge Code	270657618
Hospital Revenue Code	272
Min. Negotiated Rate	$4.05
Max. Negotiated Rate	$4.05
Rate for Payer: Qualcare PPO/HMO/WC	$4.05

CATH IM SH 6FR 670-191-00

Facility

$277.70

Service Code	HCPCS C1887
Hospital Charge Code	270636315N
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 SH 6FR 670-191-00

Facility

$240.00

Service Code	HCPCS C1887
Hospital Charge Code	270636315
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 SH 6FR 670-191-00

Facility

$240.00

Service Code	HCPCS C1887
Hospital Charge Code	270636315
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 SH 6FR 670-191-00

Facility

$277.70

Service Code	HCPCS C1887
Hospital Charge Code	270636315N
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 IM SH 7FR 670-0020-00

Facility

$277.70

Hospital Charge Code	270636372
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 SH 7FR 670-0020-00

Facility

$277.70

Hospital Charge Code	270636372
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 IN ART INIT 3RD LEFT

Facility

$484.00

Service Code	HCPCS 36247
Hospital Charge Code	1600000865
Hospital Revenue Code	360
Min. Negotiated Rate	$72.60
Max. Negotiated Rate	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$72.60

CATH IN ART INIT 3RD LEFT

Facility

$484.00

Service Code	HCPCS 36247
Hospital Charge Code	1600000865
Hospital Revenue Code	360
Min. Negotiated Rate	$62.92
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$145.20
Rate for Payer: Aetna Medicare Advantage	$145.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$123.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$123.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$123.42
Rate for Payer: Cigna Commercial	$278.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.92
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$72.60
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

CATH INFINITI 6FR IM 100CM

Facility

$55.63

Hospital Charge Code	270689908
Hospital Revenue Code	272
Min. Negotiated Rate	$7.23
Max. Negotiated Rate	$27.82
Rate for Payer: Aetna Commercial	$16.69
Rate for Payer: Aetna Medicare Advantage	$16.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.19
Rate for Payer: Cigna Commercial	$27.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.23
Rate for Payer: Oxford Commercial	$27.82
Rate for Payer: Qualcare PPO/HMO/WC	$8.34
Rate for Payer: UnitedHealthcare Commercial	$27.82

CATH INFINITI 6FR IM 100CM

Facility

$55.63

Hospital Charge Code	270689908
Hospital Revenue Code	272
Min. Negotiated Rate	$8.34
Max. Negotiated Rate	$8.34
Rate for Payer: Qualcare PPO/HMO/WC	$8.34

CATH INFITY 6F JL3.0 MODC16576

Facility

$144.20

Hospital Charge Code	270627798
Hospital Revenue Code	272
Min. Negotiated Rate	$18.75
Max. Negotiated Rate	$72.10
Rate for Payer: Aetna Commercial	$43.26
Rate for Payer: Aetna Medicare Advantage	$43.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.77
Rate for Payer: Cigna Commercial	$72.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.75
Rate for Payer: Oxford Commercial	$72.10
Rate for Payer: Qualcare PPO/HMO/WC	$21.63
Rate for Payer: UnitedHealthcare Commercial	$72.10

CATH INFITY 6F JL3.0 MODC16576

Facility

$144.20

Hospital Charge Code	270627798
Hospital Revenue Code	272
Min. Negotiated Rate	$21.63
Max. Negotiated Rate	$21.63
Rate for Payer: Qualcare PPO/HMO/WC	$21.63

CATH INFITY 6F JR 3.0 MODC1657

Facility

$134.95

Hospital Charge Code	270627796
Hospital Revenue Code	272
Min. Negotiated Rate	$17.54
Max. Negotiated Rate	$67.47
Rate for Payer: Aetna Commercial	$40.48
Rate for Payer: Aetna Medicare Advantage	$40.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.41
Rate for Payer: Cigna Commercial	$67.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.54
Rate for Payer: Oxford Commercial	$67.47
Rate for Payer: Qualcare PPO/HMO/WC	$20.24
Rate for Payer: UnitedHealthcare Commercial	$67.47

CATH INFITY 6F JR 3.0 MODC1657

Facility

$134.95

Hospital Charge Code	270627796
Hospital Revenue Code	272
Min. Negotiated Rate	$20.24
Max. Negotiated Rate	$20.24
Rate for Payer: Qualcare PPO/HMO/WC	$20.24

CATH INF MEW 65 46189

Facility

$394.95

Hospital Charge Code	270628045
Hospital Revenue Code	272
Min. Negotiated Rate	$59.24
Max. Negotiated Rate	$59.24
Rate for Payer: Qualcare PPO/HMO/WC	$59.24

CATH INF MEW 65 46189

Facility

$394.95

Hospital Charge Code	270628045
Hospital Revenue Code	272
Min. Negotiated Rate	$51.34
Max. Negotiated Rate	$197.47
Rate for Payer: Aetna Commercial	$118.48
Rate for Payer: Aetna Medicare Advantage	$118.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.71
Rate for Payer: Cigna Commercial	$197.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.34
Rate for Payer: Oxford Commercial	$197.47
Rate for Payer: Qualcare PPO/HMO/WC	$59.24
Rate for Payer: UnitedHealthcare Commercial	$197.47

CATH INFUS MAGIC MP 1.5FR165CM

Facility

$6,475.00

Service Code	HCPCS C1887
Hospital Charge Code	270697736S
Hospital Revenue Code	278
Min. Negotiated Rate	$971.25
Max. Negotiated Rate	$3,237.50
Rate for Payer: Aetna Commercial	$1,942.50
Rate for Payer: Aetna Medicare Advantage	$1,942.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,651.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,651.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,295.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,651.12
Rate for Payer: Cigna Commercial	$3,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,566.95
Rate for Payer: Qualcare PPO/HMO/WC	$971.25

CATH INFUS MAGIC MP 1.5FR165CM

Facility

$6,475.00

Service Code	HCPCS C1887
Hospital Charge Code	270697736S
Hospital Revenue Code	278
Min. Negotiated Rate	$971.25
Max. Negotiated Rate	$1,566.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,295.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,566.95
Rate for Payer: Qualcare PPO/HMO/WC	$971.25

Know your out-of-pocket cost for care.

All Charges