Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATH MALE EXTERNAL MEDIUM

Facility

$8.12

Hospital Charge Code	270650100
Hospital Revenue Code	270
Min. Negotiated Rate	$1.06
Max. Negotiated Rate	$4.06
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	$2.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.07
Rate for Payer: Cigna Commercial	$4.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.06
Rate for Payer: Oxford Commercial	$4.06
Rate for Payer: Qualcare PPO/HMO/WC	$1.22
Rate for Payer: UnitedHealthcare Commercial	$4.06

CATH MARINER VERTEBRAL 5FR

Facility

$625.00

Service Code	HCPCS C1887
Hospital Charge Code	270677243
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$151.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

CATH MARINER VERTEBRAL 5FR

Facility

$625.00

Service Code	HCPCS C1887
Hospital Charge Code	270677243
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$187.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

CATH MARINER VERTEBRAL 5FR

Facility

$625.00

Service Code	HCPCS C1887
Hospital Charge Code	270677243N
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$151.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

CATH MARINER VERTEBRAL 5FR

Facility

$625.00

Service Code	HCPCS C1887
Hospital Charge Code	270677243N
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$187.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

CATH MC SUPERCROSS 150CM 120DG

Facility

$2,550.00

Service Code	HCPCS C1887
Hospital Charge Code	270678228
Hospital Revenue Code	278
Min. Negotiated Rate	$382.50
Max. Negotiated Rate	$1,275.00
Rate for Payer: Aetna Commercial	$765.00
Rate for Payer: Aetna Medicare Advantage	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$650.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$650.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$650.25
Rate for Payer: Cigna Commercial	$1,275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$617.10
Rate for Payer: Qualcare PPO/HMO/WC	$382.50

CATH MC SUPERCROSS 150CM 120DG

Facility

$2,550.00

Service Code	HCPCS C1887
Hospital Charge Code	270678228
Hospital Revenue Code	278
Min. Negotiated Rate	$382.50
Max. Negotiated Rate	$617.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$510.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$617.10
Rate for Payer: Qualcare PPO/HMO/WC	$382.50

CATH MCV DILAT 10-12MM 5841

Facility

$1,070.00

Service Code	HCPCS C1726
Hospital Charge Code	270619659
Hospital Revenue Code	278
Min. Negotiated Rate	$160.50
Max. Negotiated Rate	$258.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$258.94
Rate for Payer: Qualcare PPO/HMO/WC	$160.50

CATH MCV DILAT 10-12MM 5841

Facility

$1,070.00

Service Code	HCPCS C1726
Hospital Charge Code	270619659
Hospital Revenue Code	278
Min. Negotiated Rate	$160.50
Max. Negotiated Rate	$535.00
Rate for Payer: Aetna Commercial	$321.00
Rate for Payer: Aetna Medicare Advantage	$321.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$272.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$272.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$272.85
Rate for Payer: Cigna Commercial	$535.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$258.94
Rate for Payer: Qualcare PPO/HMO/WC	$160.50

CATH MCV DILAT 12-15MM 5840

Facility

$1,067.35

Service Code	HCPCS C1726
Hospital Charge Code	270619661
Hospital Revenue Code	278
Min. Negotiated Rate	$160.10
Max. Negotiated Rate	$533.67
Rate for Payer: Aetna Commercial	$320.20
Rate for Payer: Aetna Medicare Advantage	$320.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$272.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$272.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$272.17
Rate for Payer: Cigna Commercial	$533.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$258.30
Rate for Payer: Qualcare PPO/HMO/WC	$160.10

CATH MCV DILAT 12-15MM 5840

Facility

$1,067.35

Service Code	HCPCS C1726
Hospital Charge Code	270619661
Hospital Revenue Code	278
Min. Negotiated Rate	$160.10
Max. Negotiated Rate	$258.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$258.30
Rate for Payer: Qualcare PPO/HMO/WC	$160.10

CATH MCV NEPH 10-12//55 210118

Facility

$1,915.25

Hospital Charge Code	270614890
Hospital Revenue Code	272
Min. Negotiated Rate	$287.29
Max. Negotiated Rate	$287.29
Rate for Payer: Qualcare PPO/HMO/WC	$287.29

CATH MCV NEPH 10-12//55 210118

Facility

$1,915.25

Hospital Charge Code	270614890
Hospital Revenue Code	272
Min. Negotiated Rate	$248.98
Max. Negotiated Rate	$957.62
Rate for Payer: Aetna Commercial	$574.58
Rate for Payer: Aetna Medicare Advantage	$574.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$488.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$488.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$488.39
Rate for Payer: Cigna Commercial	$957.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$248.98
Rate for Payer: Oxford Commercial	$957.62
Rate for Payer: Qualcare PPO/HMO/WC	$287.29
Rate for Payer: UnitedHealthcare Commercial	$957.62

CATH MCV OCCL OB7/2/100 220110

Facility

$760.85

Hospital Charge Code	270616304
Hospital Revenue Code	272
Min. Negotiated Rate	$98.91
Max. Negotiated Rate	$380.43
Rate for Payer: Aetna Commercial	$228.25
Rate for Payer: Aetna Medicare Advantage	$228.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$194.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$194.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$194.02
Rate for Payer: Cigna Commercial	$380.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.91
Rate for Payer: Oxford Commercial	$380.43
Rate for Payer: Qualcare PPO/HMO/WC	$114.13
Rate for Payer: UnitedHealthcare Commercial	$380.43

CATH MCV OCCL OB7/2/100 220110

Facility

$760.85

Hospital Charge Code	270616304
Hospital Revenue Code	272
Min. Negotiated Rate	$114.13
Max. Negotiated Rate	$114.13
Rate for Payer: Qualcare PPO/HMO/WC	$114.13

CATH MCV OC OB11.5/7/65 220109

Facility

$1,112.85

Hospital Charge Code	270616303
Hospital Revenue Code	272
Min. Negotiated Rate	$144.67
Max. Negotiated Rate	$556.42
Rate for Payer: Aetna Commercial	$333.86
Rate for Payer: Aetna Medicare Advantage	$333.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$283.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$283.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$283.78
Rate for Payer: Cigna Commercial	$556.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.67
Rate for Payer: Oxford Commercial	$556.42
Rate for Payer: Qualcare PPO/HMO/WC	$166.93
Rate for Payer: UnitedHealthcare Commercial	$556.42

CATH MCV OC OB11.5/7/65 220109

Facility

$1,112.85

Hospital Charge Code	270616303
Hospital Revenue Code	272
Min. Negotiated Rate	$166.93
Max. Negotiated Rate	$166.93
Rate for Payer: Qualcare PPO/HMO/WC	$166.93

CATH MCV PHAN BALLN 5-7 421-20

Facility

$2,608.00

Hospital Charge Code	270601084
Hospital Revenue Code	272
Min. Negotiated Rate	$339.04
Max. Negotiated Rate	$1,304.00
Rate for Payer: Aetna Commercial	$782.40
Rate for Payer: Aetna Medicare Advantage	$782.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$665.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$665.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$665.04
Rate for Payer: Cigna Commercial	$1,304.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$339.04
Rate for Payer: Oxford Commercial	$1,304.00
Rate for Payer: Qualcare PPO/HMO/WC	$391.20
Rate for Payer: UnitedHealthcare Commercial	$1,304.00

CATH MCV PHAN BALLN 5-7 421-20

Facility

$2,608.00

Hospital Charge Code	270601084
Hospital Revenue Code	272
Min. Negotiated Rate	$391.20
Max. Negotiated Rate	$391.20
Rate for Payer: Qualcare PPO/HMO/WC	$391.20

CATH MCV PIGTL 7/5CM 3101

Facility

$912.85

Hospital Charge Code	270600931
Hospital Revenue Code	272
Min. Negotiated Rate	$136.93
Max. Negotiated Rate	$136.93
Rate for Payer: Qualcare PPO/HMO/WC	$136.93

CATH MCV PIGTL 7/5CM 3101

Facility

$912.85

Hospital Charge Code	270600931
Hospital Revenue Code	272
Min. Negotiated Rate	$118.67
Max. Negotiated Rate	$456.43
Rate for Payer: Aetna Commercial	$273.86
Rate for Payer: Aetna Medicare Advantage	$273.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$232.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$232.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$232.78
Rate for Payer: Cigna Commercial	$456.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.67
Rate for Payer: Oxford Commercial	$456.43
Rate for Payer: Qualcare PPO/HMO/WC	$136.93
Rate for Payer: UnitedHealthcare Commercial	$456.43

CATH MCV PULM TAMPONADE 5187

Facility

$1,280.85

Hospital Charge Code	270609956
Hospital Revenue Code	272
Min. Negotiated Rate	$192.13
Max. Negotiated Rate	$192.13
Rate for Payer: Qualcare PPO/HMO/WC	$192.13

CATH MCV PULM TAMPONADE 5187

Facility

$1,280.85

Hospital Charge Code	270609956
Hospital Revenue Code	272
Min. Negotiated Rate	$166.51
Max. Negotiated Rate	$640.42
Rate for Payer: Aetna Commercial	$384.25
Rate for Payer: Aetna Medicare Advantage	$384.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$326.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$326.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$326.62
Rate for Payer: Cigna Commercial	$640.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$166.51
Rate for Payer: Oxford Commercial	$640.42
Rate for Payer: Qualcare PPO/HMO/WC	$192.13
Rate for Payer: UnitedHealthcare Commercial	$640.42

CATH MCV URET 5 4 LP 221-211

Facility

$1,468.85

Hospital Charge Code	270618104
Hospital Revenue Code	272
Min. Negotiated Rate	$190.95
Max. Negotiated Rate	$734.42
Rate for Payer: Aetna Commercial	$440.65
Rate for Payer: Aetna Medicare Advantage	$440.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$374.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$374.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$374.56
Rate for Payer: Cigna Commercial	$734.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$190.95
Rate for Payer: Oxford Commercial	$734.42
Rate for Payer: Qualcare PPO/HMO/WC	$220.33
Rate for Payer: UnitedHealthcare Commercial	$734.42

CATH MCV URET 5 4 LP 221-211

Facility

$1,468.85

Hospital Charge Code	270618104
Hospital Revenue Code	272
Min. Negotiated Rate	$220.33
Max. Negotiated Rate	$220.33
Rate for Payer: Qualcare PPO/HMO/WC	$220.33

Know your out-of-pocket cost for care.

All Charges