Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATH JR 3.5SH 6FR 778-081-00

Facility

$277.70

Hospital Charge Code	270636355
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 JR 4.0 7FR 77808200

Facility

$240.00

Service Code	HCPCS C1887
Hospital Charge Code	270636356
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 JR 4.0 7FR 77808200

Facility

$240.00

Service Code	HCPCS C1887
Hospital Charge Code	270636356
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 JR4 5FR 100cm

Facility

$44.50

Service Code	HCPCS C1887
Hospital Charge Code	270644602C
Hospital Revenue Code	278
Min. Negotiated Rate	$6.67
Max. Negotiated Rate	$22.25
Rate for Payer: Aetna Commercial	$13.35
Rate for Payer: Aetna Medicare Advantage	$13.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.35
Rate for Payer: Cigna Commercial	$22.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.77
Rate for Payer: Qualcare PPO/HMO/WC	$6.67

CATH JR4 5FR 100cm

Facility

$44.50

Service Code	HCPCS C1887
Hospital Charge Code	270644602C
Hospital Revenue Code	278
Min. Negotiated Rate	$6.67
Max. Negotiated Rate	$10.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.77
Rate for Payer: Qualcare PPO/HMO/WC	$6.67

CATH JR 4.5 SH 7FR 77809200

Facility

$277.70

Hospital Charge Code	270636358
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 JR 4.5 SH 7FR 77809200

Facility

$277.70

Hospital Charge Code	270636358
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 JR 5.0 6FR 6708400

Facility

$277.70

Hospital Charge Code	270636301
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 JR 5.0 6FR 6708400

Facility

$277.70

Hospital Charge Code	270636301
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 JR 5.0 7FR 77808400

Facility

$277.70

Hospital Charge Code	270636359
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 JR 5.0 7FR 77808400

Facility

$277.70

Hospital Charge Code	270636359
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 JUDKINS 6FR 4.0 100CM

Facility

$98.75

Hospital Charge Code	270648005C
Hospital Revenue Code	272
Min. Negotiated Rate	$14.81
Max. Negotiated Rate	$14.81
Rate for Payer: Qualcare PPO/HMO/WC	$14.81

CATH JUDKINS 6FR 4.0 100CM

Facility

$98.75

Hospital Charge Code	270648005C
Hospital Revenue Code	272
Min. Negotiated Rate	$12.84
Max. Negotiated Rate	$49.38
Rate for Payer: Aetna Commercial	$29.62
Rate for Payer: Aetna Medicare Advantage	$29.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.18
Rate for Payer: Cigna Commercial	$49.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.84
Rate for Payer: Oxford Commercial	$49.38
Rate for Payer: Qualcare PPO/HMO/WC	$14.81
Rate for Payer: UnitedHealthcare Commercial	$49.38

CATH JUDKINS 6FR JR 4.0 100cm

Facility

$37.90

Service Code	HCPCS C1887
Hospital Charge Code	270648005S
Hospital Revenue Code	278
Min. Negotiated Rate	$5.68
Max. Negotiated Rate	$18.95
Rate for Payer: Aetna Commercial	$11.37
Rate for Payer: Aetna Medicare Advantage	$11.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.66
Rate for Payer: Cigna Commercial	$18.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.17
Rate for Payer: Qualcare PPO/HMO/WC	$5.68

CATH JUDKINS 6FR JR 4.0 100cm

Facility

$37.90

Service Code	HCPCS C1887
Hospital Charge Code	270648005N
Hospital Revenue Code	278
Min. Negotiated Rate	$5.68
Max. Negotiated Rate	$9.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.17
Rate for Payer: Qualcare PPO/HMO/WC	$5.68

CATH JUDKINS 6FR JR 4.0 100cm

Facility

$470.50

Service Code	HCPCS C1887
Hospital Charge Code	270648005
Hospital Revenue Code	279
Min. Negotiated Rate	$70.58
Max. Negotiated Rate	$70.58
Rate for Payer: Qualcare PPO/HMO/WC	$70.58

CATH JUDKINS 6FR JR 4.0 100cm

Facility

$470.50

Service Code	HCPCS C1887
Hospital Charge Code	270648005
Hospital Revenue Code	279
Min. Negotiated Rate	$61.16
Max. Negotiated Rate	$235.25
Rate for Payer: Aetna Commercial	$141.15
Rate for Payer: Aetna Medicare Advantage	$141.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.98
Rate for Payer: Cigna Commercial	$235.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.16
Rate for Payer: Oxford Commercial	$235.25
Rate for Payer: Qualcare PPO/HMO/WC	$70.58
Rate for Payer: UnitedHealthcare Commercial	$235.25

CATH JUDKINS 6FR JR 4.0 100cm

Facility

$37.90

Service Code	HCPCS C1887
Hospital Charge Code	270648005N
Hospital Revenue Code	278
Min. Negotiated Rate	$5.68
Max. Negotiated Rate	$18.95
Rate for Payer: Aetna Commercial	$11.37
Rate for Payer: Aetna Medicare Advantage	$11.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.66
Rate for Payer: Cigna Commercial	$18.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.17
Rate for Payer: Qualcare PPO/HMO/WC	$5.68

CATH JUDKINS 6FR JR 4.0 100cm

Facility

$37.90

Service Code	HCPCS C1887
Hospital Charge Code	270648005S
Hospital Revenue Code	278
Min. Negotiated Rate	$5.68
Max. Negotiated Rate	$9.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.17
Rate for Payer: Qualcare PPO/HMO/WC	$5.68

CATH KIT COMMON DUCT EXPLOR

Facility

$4,350.00

Hospital Charge Code	270630273
Hospital Revenue Code	272
Min. Negotiated Rate	$565.50
Max. Negotiated Rate	$2,175.00
Rate for Payer: Aetna Commercial	$1,305.00
Rate for Payer: Aetna Medicare Advantage	$1,305.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,109.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,109.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,109.25
Rate for Payer: Cigna Commercial	$2,175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$565.50
Rate for Payer: Oxford Commercial	$2,175.00
Rate for Payer: Qualcare PPO/HMO/WC	$652.50
Rate for Payer: UnitedHealthcare Commercial	$2,175.00

CATH KIT COMMON DUCT EXPLOR

Facility

$4,350.00

Hospital Charge Code	270630273
Hospital Revenue Code	272
Min. Negotiated Rate	$652.50
Max. Negotiated Rate	$652.50
Rate for Payer: Qualcare PPO/HMO/WC	$652.50

CATH KIT MULTI LUMEN MAX 7FR

Facility

$609.24

Service Code	HCPCS C1751
Hospital Charge Code	270665276S
Hospital Revenue Code	278
Min. Negotiated Rate	$91.39
Max. Negotiated Rate	$304.62
Rate for Payer: Aetna Commercial	$182.77
Rate for Payer: Aetna Medicare Advantage	$182.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$155.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$155.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$121.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$155.36
Rate for Payer: Cigna Commercial	$304.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.44
Rate for Payer: Qualcare PPO/HMO/WC	$91.39

CATH KIT MULTI LUMEN MAX 7FR

Facility

$609.24

Service Code	HCPCS C1751
Hospital Charge Code	270665276S
Hospital Revenue Code	278
Min. Negotiated Rate	$91.39
Max. Negotiated Rate	$147.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$121.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.44
Rate for Payer: Qualcare PPO/HMO/WC	$91.39

CATH KIT NOZ-STOP

Facility

$420.00

Hospital Charge Code	270600030
Hospital Revenue Code	272
Min. Negotiated Rate	$63.00
Max. Negotiated Rate	$63.00
Rate for Payer: Qualcare PPO/HMO/WC	$63.00

CATH KIT NOZ-STOP

Facility

$420.00

Hospital Charge Code	270600030
Hospital Revenue Code	272
Min. Negotiated Rate	$54.60
Max. Negotiated Rate	$210.00
Rate for Payer: Aetna Commercial	$126.00
Rate for Payer: Aetna Medicare Advantage	$126.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.10
Rate for Payer: Cigna Commercial	$210.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.60
Rate for Payer: Oxford Commercial	$210.00
Rate for Payer: Qualcare PPO/HMO/WC	$63.00
Rate for Payer: UnitedHealthcare Commercial	$210.00

Know your out-of-pocket cost for care.

All Charges