Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATH NC QUANT 15MMX3.50MM

Facility

$245.00

Hospital Charge Code	270659668
Hospital Revenue Code	272
Min. Negotiated Rate	$31.85
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) PPO	$62.48
Rate for Payer: Cigna Commercial	$122.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.85
Rate for Payer: Oxford Commercial	$122.50
Rate for Payer: Qualcare PPO/HMO/WC	$36.75
Rate for Payer: UnitedHealthcare Commercial	$122.50

CATH NC QUANT 15MMX3.50MM

Facility

$245.00

Hospital Charge Code	270659668
Hospital Revenue Code	272
Min. Negotiated Rate	$36.75
Max. Negotiated Rate	$36.75
Rate for Payer: Qualcare PPO/HMO/WC	$36.75

CATH NC QUANT APEX MR 15X3 0

Facility

$1,225.00

Hospital Charge Code	270659105
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 QUANT APEX MR 15X3 0

Facility

$1,225.00

Hospital Charge Code	270659105
Hospital Revenue Code	272
Min. Negotiated Rate	$183.75
Max. Negotiated Rate	$183.75
Rate for Payer: Qualcare PPO/HMO/WC	$183.75

CATHNEEDLEYUEH5.0FR-19G-15.0CM

Facility

$94.00

Hospital Charge Code	2709005725
Hospital Revenue Code	272
Min. Negotiated Rate	$12.22
Max. Negotiated Rate	$47.00
Rate for Payer: Aetna Commercial	$28.20
Rate for Payer: Aetna Medicare Advantage	$28.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.97
Rate for Payer: Cigna Commercial	$47.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.22
Rate for Payer: Oxford Commercial	$47.00
Rate for Payer: Qualcare PPO/HMO/WC	$14.10
Rate for Payer: UnitedHealthcare Commercial	$47.00

CATHNEEDLEYUEH5.0FR-19G-15.0CM

Facility

$94.00

Hospital Charge Code	2709005725
Hospital Revenue Code	272
Min. Negotiated Rate	$14.10
Max. Negotiated Rate	$14.10
Rate for Payer: Qualcare PPO/HMO/WC	$14.10

CATHNEEDLEYUEH5.0FR-19GA-10.0C

Facility

$91.65

Hospital Charge Code	2709005724
Hospital Revenue Code	272
Min. Negotiated Rate	$11.91
Max. Negotiated Rate	$45.83
Rate for Payer: Aetna Commercial	$27.50
Rate for Payer: Aetna Medicare Advantage	$27.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.37
Rate for Payer: Cigna Commercial	$45.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.91
Rate for Payer: Oxford Commercial	$45.83
Rate for Payer: Qualcare PPO/HMO/WC	$13.75
Rate for Payer: UnitedHealthcare Commercial	$45.83

CATHNEEDLEYUEH5.0FR-19GA-10.0C

Facility

$91.65

Hospital Charge Code	2709005724
Hospital Revenue Code	272
Min. Negotiated Rate	$13.75
Max. Negotiated Rate	$13.75
Rate for Payer: Qualcare PPO/HMO/WC	$13.75

CATH NEPHROSTOMY SYS 10F 27179

Facility

$435.25

Hospital Charge Code	270601342V
Hospital Revenue Code	278
Min. Negotiated Rate	$65.29
Max. Negotiated Rate	$105.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.33
Rate for Payer: Qualcare PPO/HMO/WC	$65.29

CATH NEPHROSTOMY SYS 10F 27179

Facility

$435.25

Hospital Charge Code	270601342V
Hospital Revenue Code	278
Min. Negotiated Rate	$65.29
Max. Negotiated Rate	$217.62
Rate for Payer: Aetna Commercial	$130.57
Rate for Payer: Aetna Medicare Advantage	$130.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$110.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$110.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$110.99
Rate for Payer: Cigna Commercial	$217.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.33
Rate for Payer: Qualcare PPO/HMO/WC	$65.29

CATH NEURON 6F 125SIMV

Facility

$625.00

Service Code	HCPCS C1887
Hospital Charge Code	270685232S
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 NEURON 6F 125SIMV

Facility

$625.00

Service Code	HCPCS C1887
Hospital Charge Code	270685232S
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 NR 4.0 SH 6FR 67012100

Facility

$277.75

Hospital Charge Code	270636347
Hospital Revenue Code	278
Min. Negotiated Rate	$41.66
Max. Negotiated Rate	$67.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.22
Rate for Payer: Qualcare PPO/HMO/WC	$41.66

CATH NR 4.0 SH 6FR 67012100

Facility

$277.75

Hospital Charge Code	270636347
Hospital Revenue Code	278
Min. Negotiated Rate	$41.66
Max. Negotiated Rate	$138.88
Rate for Payer: Aetna Commercial	$83.33
Rate for Payer: Aetna Medicare Advantage	$83.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.83
Rate for Payer: Cigna Commercial	$138.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.22
Rate for Payer: Qualcare PPO/HMO/WC	$41.66

CATH OCCLUSION 5F 65x035 17500

Facility

$972.25

Hospital Charge Code	270632722
Hospital Revenue Code	272
Min. Negotiated Rate	$126.39
Max. Negotiated Rate	$486.12
Rate for Payer: Aetna Commercial	$291.68
Rate for Payer: Aetna Medicare Advantage	$291.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$247.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$247.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$247.92
Rate for Payer: Cigna Commercial	$486.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.39
Rate for Payer: Oxford Commercial	$486.12
Rate for Payer: Qualcare PPO/HMO/WC	$145.84
Rate for Payer: UnitedHealthcare Commercial	$486.12

CATH OCCLUSION 5F 65x035 17500

Facility

$972.25

Hospital Charge Code	270632722
Hospital Revenue Code	272
Min. Negotiated Rate	$145.84
Max. Negotiated Rate	$145.84
Rate for Payer: Qualcare PPO/HMO/WC	$145.84

CATH OCCLUS TRANSFORM C 4X10MM

Facility

$7,876.00

Service Code	HCPCS C2628
Hospital Charge Code	270699938S
Hospital Revenue Code	278
Min. Negotiated Rate	$1,181.40
Max. Negotiated Rate	$1,905.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,575.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,905.99
Rate for Payer: Qualcare PPO/HMO/WC	$1,181.40

CATH OCCLUS TRANSFORM C 4X10MM

Facility

$7,876.00

Service Code	HCPCS C2628
Hospital Charge Code	270699938S
Hospital Revenue Code	278
Min. Negotiated Rate	$1,181.40
Max. Negotiated Rate	$3,938.00
Rate for Payer: Aetna Commercial	$2,362.80
Rate for Payer: Aetna Medicare Advantage	$2,362.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,008.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,008.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,575.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,008.38
Rate for Payer: Cigna Commercial	$3,938.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,905.99
Rate for Payer: Qualcare PPO/HMO/WC	$1,181.40

CATH OCELOT MVRX 6FR 110CM

Facility

$12,475.00

Service Code	HCPCS C1725
Hospital Charge Code	270675458N
Hospital Revenue Code	278
Min. Negotiated Rate	$1,871.25
Max. Negotiated Rate	$6,237.50
Rate for Payer: Aetna Commercial	$3,742.50
Rate for Payer: Aetna Medicare Advantage	$3,742.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,181.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,181.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,181.12
Rate for Payer: Cigna Commercial	$6,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,018.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,871.25

CATH OCELOT MVRX 6FR 110CM

Facility

$12,475.00

Service Code	HCPCS C1725
Hospital Charge Code	270675458
Hospital Revenue Code	278
Min. Negotiated Rate	$1,871.25
Max. Negotiated Rate	$6,237.50
Rate for Payer: Aetna Commercial	$3,742.50
Rate for Payer: Aetna Medicare Advantage	$3,742.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,181.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,181.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,181.12
Rate for Payer: Cigna Commercial	$6,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,018.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,871.25

CATH OCELOT MVRX 6FR 110CM

Facility

$12,475.00

Service Code	HCPCS C1725
Hospital Charge Code	270675458N
Hospital Revenue Code	278
Min. Negotiated Rate	$1,871.25
Max. Negotiated Rate	$3,018.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,018.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,871.25

CATH OCELOT MVRX 6FR 110CM

Facility

$12,475.00

Service Code	HCPCS C1725
Hospital Charge Code	270675458
Hospital Revenue Code	278
Min. Negotiated Rate	$1,871.25
Max. Negotiated Rate	$3,018.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,018.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,871.25

CATH OM FLUSH 5F 7603-D1

Facility

$52.00

Hospital Charge Code	270623733
Hospital Revenue Code	278
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$26.00
Rate for Payer: Aetna Commercial	$15.60
Rate for Payer: Aetna Medicare Advantage	$15.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.26
Rate for Payer: Cigna Commercial	$26.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.58
Rate for Payer: Qualcare PPO/HMO/WC	$7.80

CATH OM FLUSH 5F 7603-D1

Facility

$52.00

Hospital Charge Code	270623733
Hospital Revenue Code	278
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$12.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.58
Rate for Payer: Qualcare PPO/HMO/WC	$7.80

CATH OMNIFLUSH 5F 90c 10732202

Facility

$90.00

Service Code	HCPCS C1887
Hospital Charge Code	270624375
Hospital Revenue Code	278
Min. Negotiated Rate	$13.50
Max. Negotiated Rate	$21.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.78
Rate for Payer: Qualcare PPO/HMO/WC	$13.50

Know your out-of-pocket cost for care.

All Charges