Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATH KIT TRIPLE LUMEN 7FR

Facility

$235.15

Hospital Charge Code	270649052
Hospital Revenue Code	272
Min. Negotiated Rate	$35.27
Max. Negotiated Rate	$35.27
Rate for Payer: Qualcare PPO/HMO/WC	$35.27

CATH KIT TRIPLE LUMEN 7FR

Facility

$235.15

Hospital Charge Code	270649052
Hospital Revenue Code	272
Min. Negotiated Rate	$30.57
Max. Negotiated Rate	$117.58
Rate for Payer: Aetna Commercial	$70.55
Rate for Payer: Aetna Medicare Advantage	$70.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.96
Rate for Payer: Cigna Commercial	$117.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.57
Rate for Payer: Oxford Commercial	$117.58
Rate for Payer: Qualcare PPO/HMO/WC	$35.27
Rate for Payer: UnitedHealthcare Commercial	$117.58

CATH KIT TRIPLE LUMEN 7FRX8

Facility

$163.65

Service Code	HCPCS C1751
Hospital Charge Code	270649053
Hospital Revenue Code	272
Min. Negotiated Rate	$24.55
Max. Negotiated Rate	$24.55
Rate for Payer: Qualcare PPO/HMO/WC	$24.55

CATH KIT TRIPLE LUMEN 7FRX8

Facility

$163.65

Service Code	HCPCS C1751
Hospital Charge Code	270649053
Hospital Revenue Code	272
Min. Negotiated Rate	$21.27
Max. Negotiated Rate	$81.83
Rate for Payer: Aetna Commercial	$49.09
Rate for Payer: Aetna Medicare Advantage	$49.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.73
Rate for Payer: Cigna Commercial	$81.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.27
Rate for Payer: Oxford Commercial	$81.83
Rate for Payer: Qualcare PPO/HMO/WC	$24.55
Rate for Payer: UnitedHealthcare Commercial	$81.83

CATH KIT TROCAR 12F

Facility

$252.00

Hospital Charge Code	270300550
Hospital Revenue Code	272
Min. Negotiated Rate	$32.76
Max. Negotiated Rate	$126.00
Rate for Payer: Aetna Commercial	$75.60
Rate for Payer: Aetna Medicare Advantage	$75.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$64.26
Rate for Payer: Cigna Commercial	$126.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.76
Rate for Payer: Oxford Commercial	$126.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.80
Rate for Payer: UnitedHealthcare Commercial	$126.00

CATH KIT TROCAR 12F

Facility

$252.00

Hospital Charge Code	270300550
Hospital Revenue Code	272
Min. Negotiated Rate	$37.80
Max. Negotiated Rate	$37.80
Rate for Payer: Qualcare PPO/HMO/WC	$37.80

CATH KIT TROCAR 20F

Facility

$132.90

Hospital Charge Code	270300555
Hospital Revenue Code	272
Min. Negotiated Rate	$19.93
Max. Negotiated Rate	$19.93
Rate for Payer: Qualcare PPO/HMO/WC	$19.93

CATH KIT TROCAR 20F

Facility

$132.90

Hospital Charge Code	270300555
Hospital Revenue Code	272
Min. Negotiated Rate	$17.28
Max. Negotiated Rate	$66.45
Rate for Payer: Aetna Commercial	$39.87
Rate for Payer: Aetna Medicare Advantage	$39.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.89
Rate for Payer: Cigna Commercial	$66.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.28
Rate for Payer: Oxford Commercial	$66.45
Rate for Payer: Qualcare PPO/HMO/WC	$19.93
Rate for Payer: UnitedHealthcare Commercial	$66.45

CATH KIT TROCAR 28F

Facility

$132.90

Hospital Charge Code	270300565
Hospital Revenue Code	272
Min. Negotiated Rate	$19.93
Max. Negotiated Rate	$19.93
Rate for Payer: Qualcare PPO/HMO/WC	$19.93

CATH KIT TROCAR 28F

Facility

$132.90

Hospital Charge Code	270300565
Hospital Revenue Code	272
Min. Negotiated Rate	$17.28
Max. Negotiated Rate	$66.45
Rate for Payer: Aetna Commercial	$39.87
Rate for Payer: Aetna Medicare Advantage	$39.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.89
Rate for Payer: Cigna Commercial	$66.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.28
Rate for Payer: Oxford Commercial	$66.45
Rate for Payer: Qualcare PPO/HMO/WC	$19.93
Rate for Payer: UnitedHealthcare Commercial	$66.45

CATH LAB -- CPR

Facility

$1,120.00

Service Code	HCPCS 92950
Hospital Charge Code	366892950
Hospital Revenue Code	480
Min. Negotiated Rate	$168.00
Max. Negotiated Rate	$168.00
Rate for Payer: Qualcare PPO/HMO/WC	$168.00

CATH LAB -- CPR

Facility

$1,120.00

Service Code	HCPCS 92950
Hospital Charge Code	366892950
Hospital Revenue Code	480
Min. Negotiated Rate	$59.57
Max. Negotiated Rate	$1,793.00
Rate for Payer: Aetna Commercial	$336.00
Rate for Payer: Aetna Medicare Advantage	$336.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$285.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$285.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$59.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$285.60
Rate for Payer: Cigna Commercial	$514.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.60
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$168.00
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

CATH LAB -- CPR

Facility

$1,120.00

Service Code	HCPCS 92950
Hospital Charge Code	74110059
Hospital Revenue Code	480
Min. Negotiated Rate	$59.57
Max. Negotiated Rate	$1,793.00
Rate for Payer: Aetna Commercial	$336.00
Rate for Payer: Aetna Medicare Advantage	$336.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$285.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$285.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$59.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$285.60
Rate for Payer: Cigna Commercial	$514.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.60
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$168.00
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

CATH LAB -- CPR

Facility

$1,120.00

Service Code	HCPCS 92950
Hospital Charge Code	74110059
Hospital Revenue Code	480
Min. Negotiated Rate	$168.00
Max. Negotiated Rate	$168.00
Rate for Payer: Qualcare PPO/HMO/WC	$168.00

CATH LAB -- CPR

Facility

$6,070.00

Service Code	HCPCS 92950
Hospital Charge Code	5100632
Hospital Revenue Code	480
Min. Negotiated Rate	$910.50
Max. Negotiated Rate	$910.50
Rate for Payer: Qualcare PPO/HMO/WC	$910.50

CATH LAB -- CPR

Facility

$6,070.00

Service Code	HCPCS 92950
Hospital Charge Code	5100632
Hospital Revenue Code	480
Min. Negotiated Rate	$59.57
Max. Negotiated Rate	$1,821.00
Rate for Payer: Aetna Commercial	$1,821.00
Rate for Payer: Aetna Medicare Advantage	$1,821.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,547.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,547.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$59.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,547.85
Rate for Payer: Cigna Commercial	$514.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$789.10
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$910.50
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

CATH LAD 3.5 7FR 77806000

Facility

$277.70

Service Code	HCPCS C1887
Hospital Charge Code	270636383N
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 LAD 3.5 7FR 77806000

Facility

$240.00

Service Code	HCPCS C1887
Hospital Charge Code	270636383
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 LAD 3.5 7FR 77806000

Facility

$277.70

Service Code	HCPCS C1887
Hospital Charge Code	270636383N
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 LAD 3.5 7FR 77806000

Facility

$240.00

Service Code	HCPCS C1887
Hospital Charge Code	270636383
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 LAPROSCOPIC 18g 11

Facility

$145.00

Hospital Charge Code	270658591
Hospital Revenue Code	272
Min. Negotiated Rate	$18.85
Max. Negotiated Rate	$72.50
Rate for Payer: Aetna Commercial	$43.50
Rate for Payer: Aetna Medicare Advantage	$43.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.98
Rate for Payer: Cigna Commercial	$72.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.85
Rate for Payer: Oxford Commercial	$72.50
Rate for Payer: Qualcare PPO/HMO/WC	$21.75
Rate for Payer: UnitedHealthcare Commercial	$72.50

CATH LAPROSCOPIC 18g 11

Facility

$145.00

Hospital Charge Code	270658591
Hospital Revenue Code	272
Min. Negotiated Rate	$21.75
Max. Negotiated Rate	$21.75
Rate for Payer: Qualcare PPO/HMO/WC	$21.75

CATH LAPRSC CHOLNGRPY SET ****

Facility

$309.00

Hospital Charge Code	1604610
Hospital Revenue Code	272
Min. Negotiated Rate	$46.35
Max. Negotiated Rate	$46.35
Rate for Payer: Qualcare PPO/HMO/WC	$46.35

CATH LAPRSC CHOLNGRPY SET ****

Facility

$309.00

Hospital Charge Code	1604610
Hospital Revenue Code	272
Min. Negotiated Rate	$40.17
Max. Negotiated Rate	$154.50
Rate for Payer: Aetna Commercial	$92.70
Rate for Payer: Aetna Medicare Advantage	$92.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78.80
Rate for Payer: Cigna Commercial	$154.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.17
Rate for Payer: Oxford Commercial	$154.50
Rate for Payer: Qualcare PPO/HMO/WC	$46.35
Rate for Payer: UnitedHealthcare Commercial	$154.50

CATH LASER GUIDE 2.0x7FR TURBO

Facility

$12,500.00

Hospital Charge Code	270646807
Hospital Revenue Code	270
Min. Negotiated Rate	$1,625.00
Max. Negotiated Rate	$6,250.00
Rate for Payer: Aetna Commercial	$3,750.00
Rate for Payer: Aetna Medicare Advantage	$3,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,187.50
Rate for Payer: Cigna Commercial	$6,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,625.00
Rate for Payer: Oxford Commercial	$6,250.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,875.00
Rate for Payer: UnitedHealthcare Commercial	$6,250.00

Know your out-of-pocket cost for care.

All Charges