Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATH MPA I 7FR 77827000

Facility

$277.70

Hospital Charge Code	270636375
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 MPA I 7FR 77827000

Facility

$277.70

Hospital Charge Code	270636375
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 MPA I SH 7FR 67012000

Facility

$277.70

Hospital Charge Code	270636346
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 MPA I SH 7FR 67012000

Facility

$277.70

Hospital Charge Code	270636346
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 MPA I SH 7FR 77827100

Facility

$277.70

Hospital Charge Code	270636376
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 MPA I SH 7FR 77827100

Facility

$277.70

Hospital Charge Code	270636376
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 MP DRAINAGE 10FR

Facility

$512.70

Hospital Charge Code	270637553
Hospital Revenue Code	272
Min. Negotiated Rate	$76.91
Max. Negotiated Rate	$76.91
Rate for Payer: Qualcare PPO/HMO/WC	$76.91

CATH MP DRAINAGE 10FR

Facility

$512.70

Hospital Charge Code	270637553
Hospital Revenue Code	272
Min. Negotiated Rate	$66.65
Max. Negotiated Rate	$256.35
Rate for Payer: Aetna Commercial	$153.81
Rate for Payer: Aetna Medicare Advantage	$153.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$130.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$130.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$130.74
Rate for Payer: Cigna Commercial	$256.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.65
Rate for Payer: Oxford Commercial	$256.35
Rate for Payer: Qualcare PPO/HMO/WC	$76.91
Rate for Payer: UnitedHealthcare Commercial	$256.35

CATH MP DRAINAGE 12FR

Facility

$512.70

Hospital Charge Code	270642067
Hospital Revenue Code	272
Min. Negotiated Rate	$66.65
Max. Negotiated Rate	$256.35
Rate for Payer: Aetna Commercial	$153.81
Rate for Payer: Aetna Medicare Advantage	$153.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$130.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$130.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$130.74
Rate for Payer: Cigna Commercial	$256.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.65
Rate for Payer: Oxford Commercial	$256.35
Rate for Payer: Qualcare PPO/HMO/WC	$76.91
Rate for Payer: UnitedHealthcare Commercial	$256.35

CATH MP DRAINAGE 12FR

Facility

$512.70

Hospital Charge Code	270642067
Hospital Revenue Code	272
Min. Negotiated Rate	$76.91
Max. Negotiated Rate	$76.91
Rate for Payer: Qualcare PPO/HMO/WC	$76.91

CATH MP DRAINAGE 14FR

Facility

$512.70

Hospital Charge Code	270637554
Hospital Revenue Code	272
Min. Negotiated Rate	$66.65
Max. Negotiated Rate	$256.35
Rate for Payer: Aetna Commercial	$153.81
Rate for Payer: Aetna Medicare Advantage	$153.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$130.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$130.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$130.74
Rate for Payer: Cigna Commercial	$256.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.65
Rate for Payer: Oxford Commercial	$256.35
Rate for Payer: Qualcare PPO/HMO/WC	$76.91
Rate for Payer: UnitedHealthcare Commercial	$256.35

CATH MP DRAINAGE 14FR

Facility

$512.70

Hospital Charge Code	270637554
Hospital Revenue Code	272
Min. Negotiated Rate	$76.91
Max. Negotiated Rate	$76.91
Rate for Payer: Qualcare PPO/HMO/WC	$76.91

CATH MP DRAINAGE 8FR

Facility

$512.70

Hospital Charge Code	270642068
Hospital Revenue Code	272
Min. Negotiated Rate	$76.91
Max. Negotiated Rate	$76.91
Rate for Payer: Qualcare PPO/HMO/WC	$76.91

CATH MP DRAINAGE 8FR

Facility

$512.70

Hospital Charge Code	270642068
Hospital Revenue Code	272
Min. Negotiated Rate	$66.65
Max. Negotiated Rate	$256.35
Rate for Payer: Aetna Commercial	$153.81
Rate for Payer: Aetna Medicare Advantage	$153.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$130.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$130.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$130.74
Rate for Payer: Cigna Commercial	$256.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.65
Rate for Payer: Oxford Commercial	$256.35
Rate for Payer: Qualcare PPO/HMO/WC	$76.91
Rate for Payer: UnitedHealthcare Commercial	$256.35

CATH MRAFLX 2.5FR 135cm 643115

Facility

$1,876.25

Hospital Charge Code	270638908C
Hospital Revenue Code	278
Min. Negotiated Rate	$281.44
Max. Negotiated Rate	$454.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$375.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$454.05
Rate for Payer: Qualcare PPO/HMO/WC	$281.44

CATH MRAFLX 2.5FR 135cm 643115

Facility

$1,876.25

Hospital Charge Code	270638908C
Hospital Revenue Code	278
Min. Negotiated Rate	$281.44
Max. Negotiated Rate	$938.12
Rate for Payer: Aetna Commercial	$562.88
Rate for Payer: Aetna Medicare Advantage	$562.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$478.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$478.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$375.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$478.44
Rate for Payer: Cigna Commercial	$938.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$454.05
Rate for Payer: Qualcare PPO/HMO/WC	$281.44

CATH MRI LO PROF 7 SNG 0603870

Facility

$2,182.45

Hospital Charge Code	270630250
Hospital Revenue Code	278
Min. Negotiated Rate	$327.37
Max. Negotiated Rate	$1,091.22
Rate for Payer: Aetna Commercial	$654.74
Rate for Payer: Aetna Medicare Advantage	$654.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$556.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$556.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$436.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$556.52
Rate for Payer: Cigna Commercial	$1,091.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$528.15
Rate for Payer: Qualcare PPO/HMO/WC	$327.37

CATH MRI LO PROF 7 SNG 0603870

Facility

$2,182.45

Hospital Charge Code	270630250
Hospital Revenue Code	278
Min. Negotiated Rate	$327.37
Max. Negotiated Rate	$528.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$436.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$528.15
Rate for Payer: Qualcare PPO/HMO/WC	$327.37

CATH MRI POWER PORT 8F 1LUMEN

Facility

$3,050.00

Service Code	HCPCS C1788
Hospital Charge Code	270644422
Hospital Revenue Code	278
Min. Negotiated Rate	$457.50
Max. Negotiated Rate	$738.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$610.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$738.10
Rate for Payer: Qualcare PPO/HMO/WC	$457.50

CATH MRI POWER PORT 8F 1LUMEN

Facility

$3,050.00

Service Code	HCPCS C1788
Hospital Charge Code	270644422
Hospital Revenue Code	278
Min. Negotiated Rate	$457.50
Max. Negotiated Rate	$1,525.00
Rate for Payer: Aetna Commercial	$915.00
Rate for Payer: Aetna Medicare Advantage	$915.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$777.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$777.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$610.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$777.75
Rate for Payer: Cigna Commercial	$1,525.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$738.10
Rate for Payer: Qualcare PPO/HMO/WC	$457.50

CATH MRI POWER PORT 8fr

Facility

$1.00

Hospital Charge Code	270644422C
Hospital Revenue Code	278
Min. Negotiated Rate	$0.15
Max. Negotiated Rate	$0.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$0.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.24
Rate for Payer: Qualcare PPO/HMO/WC	$0.15

CATH MRI POWER PORT 8fr

Facility

$1.00

Hospital Charge Code	270644422C
Hospital Revenue Code	278
Min. Negotiated Rate	$0.15
Max. Negotiated Rate	$0.50
Rate for Payer: Aetna Commercial	$0.30
Rate for Payer: Aetna Medicare Advantage	$0.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$0.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.26
Rate for Payer: Cigna Commercial	$0.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.24
Rate for Payer: Qualcare PPO/HMO/WC	$0.15

CATH MT BALLN DIL 5.3F 19-421

Facility

$1,336.85

Hospital Charge Code	270623797
Hospital Revenue Code	272
Min. Negotiated Rate	$200.53
Max. Negotiated Rate	$200.53
Rate for Payer: Qualcare PPO/HMO/WC	$200.53

CATH MT BALLN DIL 5.3F 19-421

Facility

$1,336.85

Hospital Charge Code	270623797
Hospital Revenue Code	272
Min. Negotiated Rate	$173.79
Max. Negotiated Rate	$668.42
Rate for Payer: Aetna Commercial	$401.06
Rate for Payer: Aetna Medicare Advantage	$401.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$340.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$340.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$340.90
Rate for Payer: Cigna Commercial	$668.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.79
Rate for Payer: Oxford Commercial	$668.42
Rate for Payer: Qualcare PPO/HMO/WC	$200.53
Rate for Payer: UnitedHealthcare Commercial	$668.42

CATH MT BALLN DIL 5.8F 12-722

Facility

$1,368.00

Hospital Charge Code	270623798
Hospital Revenue Code	272
Min. Negotiated Rate	$177.84
Max. Negotiated Rate	$684.00
Rate for Payer: Aetna Commercial	$410.40
Rate for Payer: Aetna Medicare Advantage	$410.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$348.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$348.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$348.84
Rate for Payer: Cigna Commercial	$684.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$177.84
Rate for Payer: Oxford Commercial	$684.00
Rate for Payer: Qualcare PPO/HMO/WC	$205.20
Rate for Payer: UnitedHealthcare Commercial	$684.00

Know your out-of-pocket cost for care.

All Charges