Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

CATH LNCHR7FR RBU3.5 LA7RBU350

Facility

IP

$245.00

Hospital Charge Code	270645945C
Hospital Revenue Code	278
Min. Negotiated Rate	$36.75
Max. Negotiated Rate	$59.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.29
Rate for Payer: Qualcare PPO/HMO/WC	$36.75

CATH LNCHR7FR RBU3.5 LA7RBU350

Facility

OP

$245.00

Hospital Charge Code	270645945C
Hospital Revenue Code	278
Min. Negotiated Rate	$36.75
Max. Negotiated Rate	$122.50
Rate for Payer: Aetna Commercial	$73.50
Rate for Payer: Aetna Medicare Advantage	$73.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.48
Rate for Payer: Cigna Commercial	$122.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.29
Rate for Payer: Qualcare PPO/HMO/WC	$36.75

CATH LNCHR 7FR RBU 4 LA7RBU40

Facility

OP

$245.00

Hospital Charge Code	270645944C
Hospital Revenue Code	278
Min. Negotiated Rate	$36.75
Max. Negotiated Rate	$122.50
Rate for Payer: Aetna Commercial	$73.50
Rate for Payer: Aetna Medicare Advantage	$73.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.48
Rate for Payer: Cigna Commercial	$122.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.29
Rate for Payer: Qualcare PPO/HMO/WC	$36.75

CATH LNCHR 7FR RBU 4 LA7RBU40

Facility

IP

$245.00

Hospital Charge Code	270645944C
Hospital Revenue Code	278
Min. Negotiated Rate	$36.75
Max. Negotiated Rate	$59.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.29
Rate for Payer: Qualcare PPO/HMO/WC	$36.75

CATH LOCKING DRAIN 14F PIGTAIL

Facility

IP

$346.75

Service Code	HCPCS C1729
Hospital Charge Code	270673897
Hospital Revenue Code	278
Min. Negotiated Rate	$52.01
Max. Negotiated Rate	$83.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.91
Rate for Payer: Qualcare PPO/HMO/WC	$52.01

CATH LOCKING DRAIN 14F PIGTAIL

Facility

IP

$346.75

Service Code	HCPCS C1729
Hospital Charge Code	270673897N
Hospital Revenue Code	278
Min. Negotiated Rate	$52.01
Max. Negotiated Rate	$83.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.91
Rate for Payer: Qualcare PPO/HMO/WC	$52.01

CATH LOCKING DRAIN 14F PIGTAIL

Facility

OP

$346.75

Service Code	HCPCS C1729
Hospital Charge Code	270673897N
Hospital Revenue Code	278
Min. Negotiated Rate	$52.01
Max. Negotiated Rate	$173.38
Rate for Payer: Aetna Commercial	$104.03
Rate for Payer: Aetna Medicare Advantage	$104.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.42
Rate for Payer: Cigna Commercial	$173.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.91
Rate for Payer: Qualcare PPO/HMO/WC	$52.01

CATH LOCKING DRAIN 14F PIGTAIL

Facility

OP

$346.75

Service Code	HCPCS C1729
Hospital Charge Code	270673897
Hospital Revenue Code	278
Min. Negotiated Rate	$52.01
Max. Negotiated Rate	$173.38
Rate for Payer: Aetna Commercial	$104.03
Rate for Payer: Aetna Medicare Advantage	$104.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.42
Rate for Payer: Cigna Commercial	$173.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.91
Rate for Payer: Qualcare PPO/HMO/WC	$52.01

CATH LOCKING DRAIN 14F PIGTAIL

Facility

IP

$346.75

Hospital Charge Code	270673897R
Hospital Revenue Code	272
Min. Negotiated Rate	$52.01
Max. Negotiated Rate	$52.01
Rate for Payer: Qualcare PPO/HMO/WC	$52.01

CATH LOCKING DRAIN 14F PIGTAIL

Facility

OP

$346.75

Hospital Charge Code	270673897R
Hospital Revenue Code	272
Min. Negotiated Rate	$45.08
Max. Negotiated Rate	$173.38
Rate for Payer: Aetna Commercial	$104.03
Rate for Payer: Aetna Medicare Advantage	$104.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.42
Rate for Payer: Cigna Commercial	$173.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.08
Rate for Payer: Oxford Commercial	$173.38
Rate for Payer: Qualcare PPO/HMO/WC	$52.01
Rate for Payer: UnitedHealthcare Commercial	$173.38

CATH MACH1 6FR 55cm 19604

Facility

OP

$601.45

Hospital Charge Code	270635041
Hospital Revenue Code	278
Min. Negotiated Rate	$90.22
Max. Negotiated Rate	$300.73
Rate for Payer: Aetna Commercial	$180.44
Rate for Payer: Aetna Medicare Advantage	$180.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.37
Rate for Payer: Cigna Commercial	$300.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.55
Rate for Payer: Qualcare PPO/HMO/WC	$90.22

CATH MACH1 6FR 55cm 19604

Facility

IP

$601.45

Hospital Charge Code	270635041
Hospital Revenue Code	278
Min. Negotiated Rate	$90.22
Max. Negotiated Rate	$145.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.55
Rate for Payer: Qualcare PPO/HMO/WC	$90.22

CATH MAHURKA DUAL LUMEN *****

Facility

OP

$169.00

Hospital Charge Code	8002941
Hospital Revenue Code	279
Min. Negotiated Rate	$21.97
Max. Negotiated Rate	$84.50
Rate for Payer: Aetna Commercial	$50.70
Rate for Payer: Aetna Medicare Advantage	$50.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.09
Rate for Payer: Cigna Commercial	$84.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.97
Rate for Payer: Oxford Commercial	$84.50
Rate for Payer: Qualcare PPO/HMO/WC	$25.35
Rate for Payer: UnitedHealthcare Commercial	$84.50

CATH MAHURKA DUAL LUMEN *****

Facility

IP

$169.00

Hospital Charge Code	8002941
Hospital Revenue Code	279
Min. Negotiated Rate	$25.35
Max. Negotiated Rate	$25.35
Rate for Payer: Qualcare PPO/HMO/WC	$25.35

CATH MALECOT NEPHROSTOMY 16FR

Facility

IP

$596.50

Hospital Charge Code	270653637
Hospital Revenue Code	278
Min. Negotiated Rate	$89.47
Max. Negotiated Rate	$144.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.35
Rate for Payer: Qualcare PPO/HMO/WC	$89.47

CATH MALECOT NEPHROSTOMY 16FR

Facility

OP

$385.00

Hospital Charge Code	270655437
Hospital Revenue Code	272
Min. Negotiated Rate	$50.05
Max. Negotiated Rate	$192.50
Rate for Payer: Aetna Commercial	$115.50
Rate for Payer: Aetna Medicare Advantage	$115.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$98.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$98.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$98.17
Rate for Payer: Cigna Commercial	$192.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.05
Rate for Payer: Oxford Commercial	$192.50
Rate for Payer: Qualcare PPO/HMO/WC	$57.75
Rate for Payer: UnitedHealthcare Commercial	$192.50

CATH MALECOT NEPHROSTOMY 16FR

Facility

IP

$385.00

Hospital Charge Code	270655437
Hospital Revenue Code	272
Min. Negotiated Rate	$57.75
Max. Negotiated Rate	$57.75
Rate for Payer: Qualcare PPO/HMO/WC	$57.75

CATH MALECOT NEPHROSTOMY 16FR

Facility

OP

$596.50

Hospital Charge Code	270653637
Hospital Revenue Code	278
Min. Negotiated Rate	$89.47
Max. Negotiated Rate	$298.25
Rate for Payer: Aetna Commercial	$178.95
Rate for Payer: Aetna Medicare Advantage	$178.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$152.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$152.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$152.11
Rate for Payer: Cigna Commercial	$298.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.35
Rate for Payer: Qualcare PPO/HMO/WC	$89.47

CATH MALECOT NEPHROSTOMY 24FR

Facility

IP

$348.50

Service Code	HCPCS C1729
Hospital Charge Code	270658554
Hospital Revenue Code	278
Min. Negotiated Rate	$52.27
Max. Negotiated Rate	$84.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.34
Rate for Payer: Qualcare PPO/HMO/WC	$52.27

CATH MALECOT NEPHROSTOMY 24FR

Facility

OP

$565.95

Hospital Charge Code	270662063
Hospital Revenue Code	272
Min. Negotiated Rate	$73.57
Max. Negotiated Rate	$282.98
Rate for Payer: Aetna Commercial	$169.78
Rate for Payer: Aetna Medicare Advantage	$169.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.32
Rate for Payer: Cigna Commercial	$282.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.57
Rate for Payer: Oxford Commercial	$282.98
Rate for Payer: Qualcare PPO/HMO/WC	$84.89
Rate for Payer: UnitedHealthcare Commercial	$282.98

CATH MALECOT NEPHROSTOMY 24FR

Facility

IP

$565.95

Hospital Charge Code	270662063
Hospital Revenue Code	272
Min. Negotiated Rate	$84.89
Max. Negotiated Rate	$84.89
Rate for Payer: Qualcare PPO/HMO/WC	$84.89

CATH MALECOT NEPHROSTOMY 24FR

Facility

OP

$348.50

Service Code	HCPCS C1729
Hospital Charge Code	270658554
Hospital Revenue Code	278
Min. Negotiated Rate	$52.27
Max. Negotiated Rate	$174.25
Rate for Payer: Aetna Commercial	$104.55
Rate for Payer: Aetna Medicare Advantage	$104.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.87
Rate for Payer: Cigna Commercial	$174.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.34
Rate for Payer: Qualcare PPO/HMO/WC	$52.27

CATH MALE EXTERNAL LARGE

Facility

IP

$5.00

Hospital Charge Code	270650101
Hospital Revenue Code	270
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

CATH MALE EXTERNAL LARGE

Facility

OP

$5.00

Hospital Charge Code	270650101
Hospital Revenue Code	270
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$2.50
Rate for Payer: Aetna Commercial	$1.50
Rate for Payer: Aetna Medicare Advantage	$1.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.27
Rate for Payer: Cigna Commercial	$2.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.65
Rate for Payer: Oxford Commercial	$2.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.75
Rate for Payer: UnitedHealthcare Commercial	$2.50

CATH MALE EXTERNAL MEDIUM

Facility

IP

$8.12

Hospital Charge Code	270650100
Hospital Revenue Code	270
Min. Negotiated Rate	$1.22
Max. Negotiated Rate	$1.22
Rate for Payer: Qualcare PPO/HMO/WC	$1.22