Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATH OTW,XK/31CM SPLIT KIT

Facility

$1,925.00

Hospital Charge Code	2709006967
Hospital Revenue Code	272
Min. Negotiated Rate	$288.75
Max. Negotiated Rate	$288.75
Rate for Payer: Qualcare PPO/HMO/WC	$288.75

CATH OUTBACK

Facility

$10,500.00

Service Code	HCPCS C2628
Hospital Charge Code	270637755S
Hospital Revenue Code	278
Min. Negotiated Rate	$1,575.00
Max. Negotiated Rate	$5,250.00
Rate for Payer: Aetna Commercial	$3,150.00
Rate for Payer: Aetna Medicare Advantage	$3,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,677.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,677.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,677.50
Rate for Payer: Cigna Commercial	$5,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,541.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,575.00

CATH OUTBACK

Facility

$8,750.00

Service Code	HCPCS C2628
Hospital Charge Code	270637755C
Hospital Revenue Code	278
Min. Negotiated Rate	$1,312.50
Max. Negotiated Rate	$2,117.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,117.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,312.50

CATH OUTBACK

Facility

$10,500.00

Service Code	HCPCS C2628
Hospital Charge Code	270637755S
Hospital Revenue Code	278
Min. Negotiated Rate	$1,575.00
Max. Negotiated Rate	$2,541.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,541.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,575.00

CATH OUTBACK

Facility

$10,685.70

Service Code	HCPCS C2628
Hospital Charge Code	270637755O
Hospital Revenue Code	278
Min. Negotiated Rate	$1,602.86
Max. Negotiated Rate	$5,342.85
Rate for Payer: Aetna Commercial	$3,205.71
Rate for Payer: Aetna Medicare Advantage	$3,205.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,724.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,724.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,137.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,724.85
Rate for Payer: Cigna Commercial	$5,342.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,585.94
Rate for Payer: Qualcare PPO/HMO/WC	$1,602.86

CATH OUTBACK

Facility

$10,685.70

Service Code	HCPCS C2628
Hospital Charge Code	270637755O
Hospital Revenue Code	278
Min. Negotiated Rate	$1,602.86
Max. Negotiated Rate	$2,585.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,137.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,585.94
Rate for Payer: Qualcare PPO/HMO/WC	$1,602.86

CATH OUTBACK

Facility

$8,750.00

Service Code	HCPCS C2628
Hospital Charge Code	270637755C
Hospital Revenue Code	278
Min. Negotiated Rate	$1,312.50
Max. Negotiated Rate	$4,375.00
Rate for Payer: Aetna Commercial	$2,625.00
Rate for Payer: Aetna Medicare Advantage	$2,625.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,231.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,231.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,231.25
Rate for Payer: Cigna Commercial	$4,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,117.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,312.50

CATH OUTBACK 120 CM RE-ENTRY

Facility

$8,775.00

Hospital Charge Code	270637755
Hospital Revenue Code	279
Min. Negotiated Rate	$1,140.75
Max. Negotiated Rate	$4,387.50
Rate for Payer: Aetna Commercial	$2,632.50
Rate for Payer: Aetna Medicare Advantage	$2,632.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,237.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,237.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,237.62
Rate for Payer: Cigna Commercial	$4,387.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,140.75
Rate for Payer: Oxford Commercial	$4,387.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,316.25
Rate for Payer: UnitedHealthcare Commercial	$4,387.50

CATH OUTBACK 120 CM RE-ENTRY

Facility

$8,775.00

Hospital Charge Code	270637755
Hospital Revenue Code	279
Min. Negotiated Rate	$1,316.25
Max. Negotiated Rate	$1,316.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,316.25

CATH OUTBACK 80 CM RE-ENTRY

Facility

$875.00

Hospital Charge Code	270705293
Hospital Revenue Code	279
Min. Negotiated Rate	$113.75
Max. Negotiated Rate	$437.50
Rate for Payer: Aetna Commercial	$262.50
Rate for Payer: Aetna Medicare Advantage	$262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.12
Rate for Payer: Cigna Commercial	$437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.75
Rate for Payer: Oxford Commercial	$437.50
Rate for Payer: Qualcare PPO/HMO/WC	$131.25
Rate for Payer: UnitedHealthcare Commercial	$437.50

CATH OUTBACK 80 CM RE-ENTRY

Facility

$875.00

Hospital Charge Code	270705293
Hospital Revenue Code	279
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$131.25
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

CATH PACE PORT 7.5F 93A931H7.5

Facility

$514.45

Hospital Charge Code	270110030
Hospital Revenue Code	272
Min. Negotiated Rate	$66.88
Max. Negotiated Rate	$257.23
Rate for Payer: Aetna Commercial	$154.34
Rate for Payer: Aetna Medicare Advantage	$154.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$131.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$131.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$131.18
Rate for Payer: Cigna Commercial	$257.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.88
Rate for Payer: Oxford Commercial	$257.23
Rate for Payer: Qualcare PPO/HMO/WC	$77.17
Rate for Payer: UnitedHealthcare Commercial	$257.23

CATH PACE PORT 7.5F 93A931H7.5

Facility

$514.45

Hospital Charge Code	270110030
Hospital Revenue Code	272
Min. Negotiated Rate	$77.17
Max. Negotiated Rate	$77.17
Rate for Payer: Qualcare PPO/HMO/WC	$77.17

CATH PACING GD RIGHTSITE 43CM

Facility

$2,200.00

Service Code	HCPCS C1887
Hospital Charge Code	270699656C
Hospital Revenue Code	278
Min. Negotiated Rate	$330.00
Max. Negotiated Rate	$1,100.00
Rate for Payer: Aetna Commercial	$660.00
Rate for Payer: Aetna Medicare Advantage	$660.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$561.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$561.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$440.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$561.00
Rate for Payer: Cigna Commercial	$1,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$532.40
Rate for Payer: Qualcare PPO/HMO/WC	$330.00

CATH PACING GD RIGHTSITE 43CM

Facility

$2,200.00

Service Code	HCPCS C1887
Hospital Charge Code	270699656C
Hospital Revenue Code	278
Min. Negotiated Rate	$330.00
Max. Negotiated Rate	$532.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$440.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$532.40
Rate for Payer: Qualcare PPO/HMO/WC	$330.00

CATH PACING SSPC2 .035 8FX40CM

Facility

$2,475.00

Service Code	HCPCS C1887
Hospital Charge Code	270695977S
Hospital Revenue Code	272
Min. Negotiated Rate	$371.25
Max. Negotiated Rate	$371.25
Rate for Payer: Qualcare PPO/HMO/WC	$371.25

CATH PACING SSPC2 .035 8FX40CM

Facility

$2,475.00

Service Code	HCPCS C1887
Hospital Charge Code	270695977S
Hospital Revenue Code	272
Min. Negotiated Rate	$321.75
Max. Negotiated Rate	$1,237.50
Rate for Payer: Aetna Commercial	$742.50
Rate for Payer: Aetna Medicare Advantage	$742.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$631.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$631.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$631.12
Rate for Payer: Cigna Commercial	$1,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$321.75
Rate for Payer: Oxford Commercial	$1,237.50
Rate for Payer: Qualcare PPO/HMO/WC	$371.25
Rate for Payer: UnitedHealthcare Commercial	$1,237.50

CATH PACING SSPC3 .035 8FX40CM

Facility

$2,475.00

Service Code	HCPCS C1887
Hospital Charge Code	270695975S
Hospital Revenue Code	272
Min. Negotiated Rate	$371.25
Max. Negotiated Rate	$371.25
Rate for Payer: Qualcare PPO/HMO/WC	$371.25

CATH PACING SSPC3 .035 8FX40CM

Facility

$2,475.00

Service Code	HCPCS C1887
Hospital Charge Code	270695975S
Hospital Revenue Code	272
Min. Negotiated Rate	$321.75
Max. Negotiated Rate	$1,237.50
Rate for Payer: Aetna Commercial	$742.50
Rate for Payer: Aetna Medicare Advantage	$742.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$631.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$631.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$631.12
Rate for Payer: Cigna Commercial	$1,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$321.75
Rate for Payer: Oxford Commercial	$1,237.50
Rate for Payer: Qualcare PPO/HMO/WC	$371.25
Rate for Payer: UnitedHealthcare Commercial	$1,237.50

CATH PANTHERIS 7FR ARTHERECTMY

Facility

$16,475.00

Service Code	HCPCS C1724
Hospital Charge Code	270676627N
Hospital Revenue Code	278
Min. Negotiated Rate	$2,471.25
Max. Negotiated Rate	$3,986.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,295.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,986.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,471.25

CATH PANTHERIS 7FR ARTHERECTMY

Facility

$16,475.00

Service Code	HCPCS C1724
Hospital Charge Code	270676627
Hospital Revenue Code	278
Min. Negotiated Rate	$2,471.25
Max. Negotiated Rate	$8,237.50
Rate for Payer: Aetna Commercial	$4,942.50
Rate for Payer: Aetna Medicare Advantage	$4,942.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,201.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,201.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,295.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,201.12
Rate for Payer: Cigna Commercial	$8,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,986.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,471.25

CATH PANTHERIS 7FR ARTHERECTMY

Facility

$16,475.00

Service Code	HCPCS C1724
Hospital Charge Code	270676627
Hospital Revenue Code	278
Min. Negotiated Rate	$2,471.25
Max. Negotiated Rate	$3,986.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,295.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,986.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,471.25

CATH PANTHERIS 7FR ARTHERECTMY

Facility

$16,475.00

Service Code	HCPCS C1724
Hospital Charge Code	270676627N
Hospital Revenue Code	278
Min. Negotiated Rate	$2,471.25
Max. Negotiated Rate	$8,237.50
Rate for Payer: Aetna Commercial	$4,942.50
Rate for Payer: Aetna Medicare Advantage	$4,942.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,201.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,201.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,295.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,201.12
Rate for Payer: Cigna Commercial	$8,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,986.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,471.25

CATH PANTHERIS 8FR ARTHERECTMY

Facility

$105.00

Hospital Charge Code	270676332
Hospital Revenue Code	278
Min. Negotiated Rate	$15.75
Max. Negotiated Rate	$52.50
Rate for Payer: Aetna Commercial	$31.50
Rate for Payer: Aetna Medicare Advantage	$31.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.77
Rate for Payer: Cigna Commercial	$52.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.41
Rate for Payer: Qualcare PPO/HMO/WC	$15.75

CATH PANTHERIS 8FR ARTHERECTMY

Facility

$105.00

Hospital Charge Code	270676332
Hospital Revenue Code	278
Min. Negotiated Rate	$15.75
Max. Negotiated Rate	$25.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.41
Rate for Payer: Qualcare PPO/HMO/WC	$15.75

Know your out-of-pocket cost for care.

All Charges