Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATH MT URET UT/5-4/5/75 14318

Facility

$2,301.65

Hospital Charge Code	270601086
Hospital Revenue Code	272
Min. Negotiated Rate	$299.21
Max. Negotiated Rate	$1,150.83
Rate for Payer: Aetna Commercial	$690.50
Rate for Payer: Aetna Medicare Advantage	$690.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$586.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$586.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$586.92
Rate for Payer: Cigna Commercial	$1,150.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$299.21
Rate for Payer: Oxford Commercial	$1,150.83
Rate for Payer: Qualcare PPO/HMO/WC	$345.25
Rate for Payer: UnitedHealthcare Commercial	$1,150.83

CATH MT UT BALLN 10-4/5 16-526

Facility

$1,071.25

Hospital Charge Code	270627286
Hospital Revenue Code	278
Min. Negotiated Rate	$160.69
Max. Negotiated Rate	$259.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.24
Rate for Payer: Qualcare PPO/HMO/WC	$160.69

CATH MT UT BALLN 10-4/5 16-526

Facility

$1,071.25

Hospital Charge Code	270627286
Hospital Revenue Code	278
Min. Negotiated Rate	$160.69
Max. Negotiated Rate	$535.62
Rate for Payer: Aetna Commercial	$321.38
Rate for Payer: Aetna Medicare Advantage	$321.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$273.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$273.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$273.17
Rate for Payer: Cigna Commercial	$535.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.24
Rate for Payer: Qualcare PPO/HMO/WC	$160.69

CATH MT UT SDS 5.3 76 17-656

Facility

$1,010.45

Hospital Charge Code	270626932
Hospital Revenue Code	278
Min. Negotiated Rate	$151.57
Max. Negotiated Rate	$505.23
Rate for Payer: Aetna Commercial	$303.13
Rate for Payer: Aetna Medicare Advantage	$303.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$257.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$257.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$202.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$257.66
Rate for Payer: Cigna Commercial	$505.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$244.53
Rate for Payer: Qualcare PPO/HMO/WC	$151.57

CATH MT UT SDS 5.3 76 17-656

Facility

$1,010.45

Hospital Charge Code	270626932
Hospital Revenue Code	278
Min. Negotiated Rate	$151.57
Max. Negotiated Rate	$244.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$202.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$244.53
Rate for Payer: Qualcare PPO/HMO/WC	$151.57

CATH MUSHROOM 26F

Facility

$108.00

Hospital Charge Code	270060470
Hospital Revenue Code	272
Min. Negotiated Rate	$14.04
Max. Negotiated Rate	$54.00
Rate for Payer: Aetna Commercial	$32.40
Rate for Payer: Aetna Medicare Advantage	$32.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.54
Rate for Payer: Cigna Commercial	$54.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.04
Rate for Payer: Oxford Commercial	$54.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.20
Rate for Payer: UnitedHealthcare Commercial	$54.00

CATH MUSHROOM 26F

Facility

$108.00

Hospital Charge Code	270060470
Hospital Revenue Code	272
Min. Negotiated Rate	$16.20
Max. Negotiated Rate	$16.20
Rate for Payer: Qualcare PPO/HMO/WC	$16.20

CATH MUSHROOM 28F

Facility

$88.00

Hospital Charge Code	270060475
Hospital Revenue Code	272
Min. Negotiated Rate	$11.44
Max. Negotiated Rate	$44.00
Rate for Payer: Aetna Commercial	$26.40
Rate for Payer: Aetna Medicare Advantage	$26.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.44
Rate for Payer: Cigna Commercial	$44.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.44
Rate for Payer: Oxford Commercial	$44.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.20
Rate for Payer: UnitedHealthcare Commercial	$44.00

CATH MUSHROOM 28F

Facility

$88.00

Hospital Charge Code	270060475
Hospital Revenue Code	272
Min. Negotiated Rate	$13.20
Max. Negotiated Rate	$13.20
Rate for Payer: Qualcare PPO/HMO/WC	$13.20

CATH MUSHROOM 30F

Facility

$108.00

Hospital Charge Code	270060500
Hospital Revenue Code	272
Min. Negotiated Rate	$14.04
Max. Negotiated Rate	$54.00
Rate for Payer: Aetna Commercial	$32.40
Rate for Payer: Aetna Medicare Advantage	$32.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.54
Rate for Payer: Cigna Commercial	$54.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.04
Rate for Payer: Oxford Commercial	$54.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.20
Rate for Payer: UnitedHealthcare Commercial	$54.00

CATH MUSHROOM 30F

Facility

$108.00

Hospital Charge Code	270060500
Hospital Revenue Code	272
Min. Negotiated Rate	$16.20
Max. Negotiated Rate	$16.20
Rate for Payer: Qualcare PPO/HMO/WC	$16.20

CATH MUSHROOM 32F *******

Facility

$39.00

Hospital Charge Code	1600725
Hospital Revenue Code	272
Min. Negotiated Rate	$5.85
Max. Negotiated Rate	$5.85
Rate for Payer: Qualcare PPO/HMO/WC	$5.85

CATH MUSHROOM 32F *******

Facility

$39.00

Hospital Charge Code	1600725
Hospital Revenue Code	272
Min. Negotiated Rate	$5.07
Max. Negotiated Rate	$19.50
Rate for Payer: Aetna Commercial	$11.70
Rate for Payer: Aetna Medicare Advantage	$11.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.95
Rate for Payer: Cigna Commercial	$19.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.07
Rate for Payer: Oxford Commercial	$19.50
Rate for Payer: Qualcare PPO/HMO/WC	$5.85
Rate for Payer: UnitedHealthcare Commercial	$19.50

CATH MUSTANG BALLOON 6MMx200CM

Facility

$1,250.00

Service Code	HCPCS C1725
Hospital Charge Code	270673900
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$375.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

CATH MUSTANG BALLOON 6MMx200CM

Facility

$1,250.00

Service Code	HCPCS C1725
Hospital Charge Code	270673900
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$302.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

CATH NAVIEN DSC ST LP 5F 105CM

Facility

$6,750.00

Service Code	HCPCS C1887
Hospital Charge Code	270695993S
Hospital Revenue Code	278
Min. Negotiated Rate	$1,012.50
Max. Negotiated Rate	$1,633.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,633.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50

CATH NAVIEN DSC ST LP 5F 105CM

Facility

$6,750.00

Service Code	HCPCS C1887
Hospital Charge Code	270695993S
Hospital Revenue Code	278
Min. Negotiated Rate	$1,012.50
Max. Negotiated Rate	$3,375.00
Rate for Payer: Aetna Commercial	$2,025.00
Rate for Payer: Aetna Medicare Advantage	$2,025.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,721.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,721.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,721.25
Rate for Payer: Cigna Commercial	$3,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,633.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50

CATH NC 8X3 391240830

Facility

$1,225.00

Hospital Charge Code	270661308
Hospital Revenue Code	272
Min. Negotiated Rate	$183.75
Max. Negotiated Rate	$183.75
Rate for Payer: Qualcare PPO/HMO/WC	$183.75

CATH NC 8X3 391240830

Facility

$1,225.00

Hospital Charge Code	270661308
Hospital Revenue Code	272
Min. Negotiated Rate	$159.25
Max. Negotiated Rate	$612.50
Rate for Payer: Aetna Commercial	$367.50
Rate for Payer: Aetna Medicare Advantage	$367.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$312.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$312.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$312.38
Rate for Payer: Cigna Commercial	$612.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.25
Rate for Payer: Oxford Commercial	$612.50
Rate for Payer: Qualcare PPO/HMO/WC	$183.75
Rate for Payer: UnitedHealthcare Commercial	$612.50

CATH NC QUAN APEX 8X 2 50

Facility

$1,225.00

Hospital Charge Code	270661309
Hospital Revenue Code	272
Min. Negotiated Rate	$183.75
Max. Negotiated Rate	$183.75
Rate for Payer: Qualcare PPO/HMO/WC	$183.75

CATH NC QUAN APEX 8X 2 50

Facility

$1,225.00

Hospital Charge Code	270661309
Hospital Revenue Code	272
Min. Negotiated Rate	$159.25
Max. Negotiated Rate	$612.50
Rate for Payer: Aetna Commercial	$367.50
Rate for Payer: Aetna Medicare Advantage	$367.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$312.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$312.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$312.38
Rate for Payer: Cigna Commercial	$612.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.25
Rate for Payer: Oxford Commercial	$612.50
Rate for Payer: Qualcare PPO/HMO/WC	$183.75
Rate for Payer: UnitedHealthcare Commercial	$612.50

CATH NC QUAN APEX MR 15mmx3.50

Facility

$1,225.00

Hospital Charge Code	2709007382
Hospital Revenue Code	272
Min. Negotiated Rate	$159.25
Max. Negotiated Rate	$612.50
Rate for Payer: Aetna Commercial	$367.50
Rate for Payer: Aetna Medicare Advantage	$367.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$312.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$312.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$312.38
Rate for Payer: Cigna Commercial	$612.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.25
Rate for Payer: Oxford Commercial	$612.50
Rate for Payer: Qualcare PPO/HMO/WC	$183.75
Rate for Payer: UnitedHealthcare Commercial	$612.50

CATH NC QUAN APEX MR 15mmx3.50

Facility

$1,225.00

Hospital Charge Code	2709007382
Hospital Revenue Code	272
Min. Negotiated Rate	$183.75
Max. Negotiated Rate	$183.75
Rate for Payer: Qualcare PPO/HMO/WC	$183.75

CATH NC QUAN APEX MR 8mmx3.00m

Facility

$1,225.00

Hospital Charge Code	2709007379
Hospital Revenue Code	272
Min. Negotiated Rate	$159.25
Max. Negotiated Rate	$612.50
Rate for Payer: Aetna Commercial	$367.50
Rate for Payer: Aetna Medicare Advantage	$367.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$312.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$312.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$312.38
Rate for Payer: Cigna Commercial	$612.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.25
Rate for Payer: Oxford Commercial	$612.50
Rate for Payer: Qualcare PPO/HMO/WC	$183.75
Rate for Payer: UnitedHealthcare Commercial	$612.50

CATH NC QUAN APEX MR 8mmx3.00m

Facility

$1,225.00

Hospital Charge Code	2709007379
Hospital Revenue Code	272
Min. Negotiated Rate	$183.75
Max. Negotiated Rate	$183.75
Rate for Payer: Qualcare PPO/HMO/WC	$183.75

Know your out-of-pocket cost for care.

All Charges