Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATH INLAY ML STENT URETERAL

Facility

$934.10

Hospital Charge Code	270650894
Hospital Revenue Code	278
Min. Negotiated Rate	$140.12
Max. Negotiated Rate	$467.05
Rate for Payer: Aetna Commercial	$280.23
Rate for Payer: Aetna Medicare Advantage	$280.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$238.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$238.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$186.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$238.20
Rate for Payer: Cigna Commercial	$467.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.05
Rate for Payer: Qualcare PPO/HMO/WC	$140.12

CATH INLAY ML STENT URETERAL

Facility

$934.10

Hospital Charge Code	270650894
Hospital Revenue Code	278
Min. Negotiated Rate	$140.12
Max. Negotiated Rate	$226.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$186.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.05
Rate for Payer: Qualcare PPO/HMO/WC	$140.12

CATH INTERMED SOFIA 5FX115CM

Facility

$8,500.00

Service Code	HCPCS C1887
Hospital Charge Code	270696908S
Hospital Revenue Code	278
Min. Negotiated Rate	$1,275.00
Max. Negotiated Rate	$2,057.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,057.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,275.00

CATH INTERMED SOFIA 5FX115CM

Facility

$8,500.00

Service Code	HCPCS C1887
Hospital Charge Code	270696908S
Hospital Revenue Code	278
Min. Negotiated Rate	$1,275.00
Max. Negotiated Rate	$4,250.00
Rate for Payer: Aetna Commercial	$2,550.00
Rate for Payer: Aetna Medicare Advantage	$2,550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,167.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,167.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,167.50
Rate for Payer: Cigna Commercial	$4,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,057.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,275.00

CATH INTRADISC 8PIN STD7210440

Facility

$8,975.00

Hospital Charge Code	270640996
Hospital Revenue Code	272
Min. Negotiated Rate	$1,346.25
Max. Negotiated Rate	$1,346.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,346.25

CATH INTRADISC 8PIN STD7210440

Facility

$8,975.00

Hospital Charge Code	270640996
Hospital Revenue Code	272
Min. Negotiated Rate	$1,166.75
Max. Negotiated Rate	$4,487.50
Rate for Payer: Aetna Commercial	$2,692.50
Rate for Payer: Aetna Medicare Advantage	$2,692.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,288.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,288.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,288.62
Rate for Payer: Cigna Commercial	$4,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,166.75
Rate for Payer: Oxford Commercial	$4,487.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,346.25
Rate for Payer: UnitedHealthcare Commercial	$4,487.50

CATH INTRASPINAL INDURA 8703W

Facility

$3,642.45

Hospital Charge Code	270606847
Hospital Revenue Code	272
Min. Negotiated Rate	$473.52
Max. Negotiated Rate	$1,821.22
Rate for Payer: Aetna Commercial	$1,092.73
Rate for Payer: Aetna Medicare Advantage	$1,092.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$928.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$928.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$928.82
Rate for Payer: Cigna Commercial	$1,821.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$473.52
Rate for Payer: Oxford Commercial	$1,821.22
Rate for Payer: Qualcare PPO/HMO/WC	$546.37
Rate for Payer: UnitedHealthcare Commercial	$1,821.22

CATH INTRASPINAL INDURA 8703W

Facility

$3,642.45

Hospital Charge Code	270606847
Hospital Revenue Code	272
Min. Negotiated Rate	$546.37
Max. Negotiated Rate	$546.37
Rate for Payer: Qualcare PPO/HMO/WC	$546.37

CATH INTRATHECAL ASCENDA BACLO

Facility

$5,500.00

Service Code	HCPCS C1755
Hospital Charge Code	270691698
Hospital Revenue Code	278
Min. Negotiated Rate	$825.00
Max. Negotiated Rate	$1,331.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,331.00
Rate for Payer: Qualcare PPO/HMO/WC	$825.00

CATH INTRATHECAL ASCENDA BACLO

Facility

$5,500.00

Service Code	HCPCS C1755
Hospital Charge Code	270691698
Hospital Revenue Code	278
Min. Negotiated Rate	$825.00
Max. Negotiated Rate	$2,750.00
Rate for Payer: Aetna Commercial	$1,650.00
Rate for Payer: Aetna Medicare Advantage	$1,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,402.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,402.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,402.50
Rate for Payer: Cigna Commercial	$2,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,331.00
Rate for Payer: Qualcare PPO/HMO/WC	$825.00

CATH INTRAVASC 20G 2.25IN

Facility

$240.00

Hospital Charge Code	270699383S
Hospital Revenue Code	272
Min. Negotiated Rate	$36.00
Max. Negotiated Rate	$36.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.00

CATH INTRAVASC 20G 2.25IN

Facility

$240.00

Hospital Charge Code	270699383S
Hospital Revenue Code	272
Min. Negotiated Rate	$31.20
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) PPO	$61.20
Rate for Payer: Cigna Commercial	$120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.20
Rate for Payer: Oxford Commercial	$120.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.00
Rate for Payer: UnitedHealthcare Commercial	$120.00

CATH INTROCAN 20G 1

Facility

$8.14

Hospital Charge Code	270647470
Hospital Revenue Code	270
Min. Negotiated Rate	$1.22
Max. Negotiated Rate	$1.22
Rate for Payer: Qualcare PPO/HMO/WC	$1.22

CATH INTROCAN 20G 1

Facility

$8.14

Hospital Charge Code	270647470
Hospital Revenue Code	270
Min. Negotiated Rate	$1.06
Max. Negotiated Rate	$4.07
Rate for Payer: Aetna Commercial	$2.44
Rate for Payer: Aetna Medicare Advantage	$2.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.08
Rate for Payer: Cigna Commercial	$4.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.06
Rate for Payer: Oxford Commercial	$4.07
Rate for Payer: Qualcare PPO/HMO/WC	$1.22
Rate for Payer: UnitedHealthcare Commercial	$4.07

CATH INTROCAN CANNULA 14G 2

Facility

$547.90

Hospital Charge Code	270647451
Hospital Revenue Code	270
Min. Negotiated Rate	$82.19
Max. Negotiated Rate	$82.19
Rate for Payer: Qualcare PPO/HMO/WC	$82.19

CATH INTROCAN CANNULA 14G 2

Facility

$547.90

Hospital Charge Code	270647451
Hospital Revenue Code	270
Min. Negotiated Rate	$71.23
Max. Negotiated Rate	$273.95
Rate for Payer: Aetna Commercial	$164.37
Rate for Payer: Aetna Medicare Advantage	$164.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$139.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$139.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$139.71
Rate for Payer: Cigna Commercial	$273.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.23
Rate for Payer: Oxford Commercial	$273.95
Rate for Payer: Qualcare PPO/HMO/WC	$82.19
Rate for Payer: UnitedHealthcare Commercial	$273.95

CATH IUP TRANSDUCER IUO-4000

Facility

$280.00

Hospital Charge Code	270600593
Hospital Revenue Code	272
Min. Negotiated Rate	$36.40
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) PPO	$71.40
Rate for Payer: Cigna Commercial	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.40
Rate for Payer: Oxford Commercial	$140.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.00
Rate for Payer: UnitedHealthcare Commercial	$140.00

CATH IUP TRANSDUCER IUO-4000

Facility

$280.00

Hospital Charge Code	270600593
Hospital Revenue Code	272
Min. Negotiated Rate	$42.00
Max. Negotiated Rate	$42.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.00

CATH IV 22G 1 INTROCAN

Facility

$8.14

Hospital Charge Code	270647469
Hospital Revenue Code	272
Min. Negotiated Rate	$1.06
Max. Negotiated Rate	$4.07
Rate for Payer: Aetna Commercial	$2.44
Rate for Payer: Aetna Medicare Advantage	$2.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.08
Rate for Payer: Cigna Commercial	$4.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.06
Rate for Payer: Oxford Commercial	$4.07
Rate for Payer: Qualcare PPO/HMO/WC	$1.22
Rate for Payer: UnitedHealthcare Commercial	$4.07

CATH IV 22G 1 INTROCAN

Facility

$8.14

Hospital Charge Code	270647469
Hospital Revenue Code	272
Min. Negotiated Rate	$1.22
Max. Negotiated Rate	$1.22
Rate for Payer: Qualcare PPO/HMO/WC	$1.22

CATH JET REPERFUSN KT PENUMBRA

Facility

$14,175.00

Service Code	HCPCS C1757
Hospital Charge Code	270685263
Hospital Revenue Code	278
Min. Negotiated Rate	$2,126.25
Max. Negotiated Rate	$7,087.50
Rate for Payer: Aetna Commercial	$4,252.50
Rate for Payer: Aetna Medicare Advantage	$4,252.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,614.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,614.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,835.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,614.62
Rate for Payer: Cigna Commercial	$7,087.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,430.35
Rate for Payer: Qualcare PPO/HMO/WC	$2,126.25

CATH JET REPERFUSN KT PENUMBRA

Facility

$14,175.00

Service Code	HCPCS C1757
Hospital Charge Code	270685263
Hospital Revenue Code	278
Min. Negotiated Rate	$2,126.25
Max. Negotiated Rate	$3,430.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,835.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,430.35
Rate for Payer: Qualcare PPO/HMO/WC	$2,126.25

CATH JETSTREAM XC 2.4/3.4MM

Facility

$16,125.00

Service Code	HCPCS C1724
Hospital Charge Code	270647519
Hospital Revenue Code	278
Min. Negotiated Rate	$2,418.75
Max. Negotiated Rate	$8,062.50
Rate for Payer: Aetna Commercial	$4,837.50
Rate for Payer: Aetna Medicare Advantage	$4,837.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,111.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,111.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,111.88
Rate for Payer: Cigna Commercial	$8,062.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,902.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,418.75

CATH JETSTREAM XC 2.4/3.4MM

Facility

$16,125.00

Service Code	HCPCS C1724
Hospital Charge Code	270647519
Hospital Revenue Code	278
Min. Negotiated Rate	$2,418.75
Max. Negotiated Rate	$3,902.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,902.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,418.75

CATH JL 3 5

Facility

$49.65

Hospital Charge Code	270614985
Hospital Revenue Code	272
Min. Negotiated Rate	$7.45
Max. Negotiated Rate	$7.45
Rate for Payer: Qualcare PPO/HMO/WC	$7.45

Know your out-of-pocket cost for care.

All Charges