Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATH POWER PICC 4FR SNGL 70CM

Facility

$518.50

Hospital Charge Code	270677809
Hospital Revenue Code	278
Min. Negotiated Rate	$77.78
Max. Negotiated Rate	$259.25
Rate for Payer: Aetna Commercial	$155.55
Rate for Payer: Aetna Medicare Advantage	$155.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.22
Rate for Payer: Cigna Commercial	$259.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.48
Rate for Payer: Qualcare PPO/HMO/WC	$77.78

CATH POWER PICC 5FR DUAL 135CM

Facility

$520.00

Service Code	HCPCS C1751
Hospital Charge Code	270644329N
Hospital Revenue Code	278
Min. Negotiated Rate	$78.00
Max. Negotiated Rate	$125.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.84
Rate for Payer: Qualcare PPO/HMO/WC	$78.00

CATH POWER PICC 5FR DUAL 135CM

Facility

$520.00

Service Code	HCPCS C1751
Hospital Charge Code	270644329
Hospital Revenue Code	278
Min. Negotiated Rate	$78.00
Max. Negotiated Rate	$125.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.84
Rate for Payer: Qualcare PPO/HMO/WC	$78.00

CATH POWER PICC 5FR DUAL 135CM

Facility

$520.00

Service Code	HCPCS C1751
Hospital Charge Code	270644329
Hospital Revenue Code	278
Min. Negotiated Rate	$78.00
Max. Negotiated Rate	$260.00
Rate for Payer: Aetna Commercial	$156.00
Rate for Payer: Aetna Medicare Advantage	$156.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.60
Rate for Payer: Cigna Commercial	$260.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.84
Rate for Payer: Qualcare PPO/HMO/WC	$78.00

CATH POWER PICC 5FR DUAL 135CM

Facility

$520.00

Service Code	HCPCS C1751
Hospital Charge Code	270644329S
Hospital Revenue Code	278
Min. Negotiated Rate	$78.00
Max. Negotiated Rate	$125.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.84
Rate for Payer: Qualcare PPO/HMO/WC	$78.00

CATH POWER PICC 5FR DUAL 135CM

Facility

$520.00

Service Code	HCPCS C1751
Hospital Charge Code	270644329N
Hospital Revenue Code	278
Min. Negotiated Rate	$78.00
Max. Negotiated Rate	$260.00
Rate for Payer: Aetna Commercial	$156.00
Rate for Payer: Aetna Medicare Advantage	$156.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.60
Rate for Payer: Cigna Commercial	$260.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.84
Rate for Payer: Qualcare PPO/HMO/WC	$78.00

CATH POWER PICC 5FR DUAL 135CM

Facility

$520.00

Service Code	HCPCS C1751
Hospital Charge Code	270644329S
Hospital Revenue Code	278
Min. Negotiated Rate	$78.00
Max. Negotiated Rate	$260.00
Rate for Payer: Aetna Commercial	$156.00
Rate for Payer: Aetna Medicare Advantage	$156.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.60
Rate for Payer: Cigna Commercial	$260.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.84
Rate for Payer: Qualcare PPO/HMO/WC	$78.00

CATH POWER PICC 5FR DUAL 70CM

Facility

$520.00

Hospital Charge Code	270662310
Hospital Revenue Code	278
Min. Negotiated Rate	$78.00
Max. Negotiated Rate	$260.00
Rate for Payer: Aetna Commercial	$156.00
Rate for Payer: Aetna Medicare Advantage	$156.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.60
Rate for Payer: Cigna Commercial	$260.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.84
Rate for Payer: Qualcare PPO/HMO/WC	$78.00

CATH POWER PICC 5FR DUAL 70CM

Facility

$520.00

Hospital Charge Code	270662310
Hospital Revenue Code	278
Min. Negotiated Rate	$78.00
Max. Negotiated Rate	$125.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.84
Rate for Payer: Qualcare PPO/HMO/WC	$78.00

CATH POWER PICC SOLO D/LUM 5FR

Facility

$1,169.50

Service Code	HCPCS C1751
Hospital Charge Code	270649055
Hospital Revenue Code	278
Min. Negotiated Rate	$175.43
Max. Negotiated Rate	$584.75
Rate for Payer: Aetna Commercial	$350.85
Rate for Payer: Aetna Medicare Advantage	$350.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$298.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$298.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$233.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$298.22
Rate for Payer: Cigna Commercial	$584.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$283.02
Rate for Payer: Qualcare PPO/HMO/WC	$175.43

CATH POWER PICC SOLO D/LUM 5FR

Facility

$1,169.50

Service Code	HCPCS C1751
Hospital Charge Code	270649055
Hospital Revenue Code	278
Min. Negotiated Rate	$175.43
Max. Negotiated Rate	$283.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$233.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$283.02
Rate for Payer: Qualcare PPO/HMO/WC	$175.43

CATH POWER PICC SOLO D/LUM 5FR

Facility

$1,169.50

Service Code	HCPCS C1751
Hospital Charge Code	270649055N
Hospital Revenue Code	278
Min. Negotiated Rate	$175.43
Max. Negotiated Rate	$283.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$233.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$283.02
Rate for Payer: Qualcare PPO/HMO/WC	$175.43

CATH POWER PICC SOLO D/LUM 5FR

Facility

$1,169.50

Service Code	HCPCS C1751
Hospital Charge Code	270649055N
Hospital Revenue Code	278
Min. Negotiated Rate	$175.43
Max. Negotiated Rate	$584.75
Rate for Payer: Aetna Commercial	$350.85
Rate for Payer: Aetna Medicare Advantage	$350.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$298.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$298.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$233.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$298.22
Rate for Payer: Cigna Commercial	$584.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$283.02
Rate for Payer: Qualcare PPO/HMO/WC	$175.43

CATH POWER PICC SOLO S/LUM 4FR

Facility

$1,111.00

Service Code	HCPCS C1751
Hospital Charge Code	270649056S
Hospital Revenue Code	278
Min. Negotiated Rate	$166.65
Max. Negotiated Rate	$555.50
Rate for Payer: Aetna Commercial	$333.30
Rate for Payer: Aetna Medicare Advantage	$333.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$283.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$283.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$222.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$283.31
Rate for Payer: Cigna Commercial	$555.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$268.86
Rate for Payer: Qualcare PPO/HMO/WC	$166.65

CATH POWER PICC SOLO S/LUM 4FR

Facility

$1,015.00

Service Code	HCPCS C1751
Hospital Charge Code	270649056N
Hospital Revenue Code	278
Min. Negotiated Rate	$152.25
Max. Negotiated Rate	$245.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$203.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$245.63
Rate for Payer: Qualcare PPO/HMO/WC	$152.25

CATH POWER PICC SOLO S/LUM 4FR

Facility

$1,111.00

Service Code	HCPCS C1751
Hospital Charge Code	270649056
Hospital Revenue Code	278
Min. Negotiated Rate	$166.65
Max. Negotiated Rate	$555.50
Rate for Payer: Aetna Commercial	$333.30
Rate for Payer: Aetna Medicare Advantage	$333.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$283.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$283.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$222.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$283.31
Rate for Payer: Cigna Commercial	$555.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$268.86
Rate for Payer: Qualcare PPO/HMO/WC	$166.65

CATH POWER PICC SOLO S/LUM 4FR

Facility

$1,015.00

Service Code	HCPCS C1751
Hospital Charge Code	270649056N
Hospital Revenue Code	278
Min. Negotiated Rate	$152.25
Max. Negotiated Rate	$507.50
Rate for Payer: Aetna Commercial	$304.50
Rate for Payer: Aetna Medicare Advantage	$304.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$258.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$258.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$203.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$258.82
Rate for Payer: Cigna Commercial	$507.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$245.63
Rate for Payer: Qualcare PPO/HMO/WC	$152.25

CATH POWER PICC SOLO S/LUM 4FR

Facility

$1,111.00

Service Code	HCPCS C1751
Hospital Charge Code	270649056S
Hospital Revenue Code	278
Min. Negotiated Rate	$166.65
Max. Negotiated Rate	$268.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$222.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$268.86
Rate for Payer: Qualcare PPO/HMO/WC	$166.65

CATH POWER PICC SOLO S/LUM 4FR

Facility

$1,111.00

Service Code	HCPCS C1751
Hospital Charge Code	270649056
Hospital Revenue Code	278
Min. Negotiated Rate	$166.65
Max. Negotiated Rate	$268.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$222.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$268.86
Rate for Payer: Qualcare PPO/HMO/WC	$166.65

CATH POWER PICC SOLO T/LUM 5FR

Facility

$1,350.00

Hospital Charge Code	270668310
Hospital Revenue Code	272
Min. Negotiated Rate	$202.50
Max. Negotiated Rate	$202.50
Rate for Payer: Qualcare PPO/HMO/WC	$202.50

CATH POWER PICC SOLO T/LUM 5FR

Facility

$1,350.00

Hospital Charge Code	270668310
Hospital Revenue Code	272
Min. Negotiated Rate	$175.50
Max. Negotiated Rate	$675.00
Rate for Payer: Aetna Commercial	$405.00
Rate for Payer: Aetna Medicare Advantage	$405.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$344.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$344.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$344.25
Rate for Payer: Cigna Commercial	$675.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$175.50
Rate for Payer: Oxford Commercial	$675.00
Rate for Payer: Qualcare PPO/HMO/WC	$202.50
Rate for Payer: UnitedHealthcare Commercial	$675.00

CATH POWFLX BLN 135cm 4207030X

Facility

$1,314.45

Hospital Charge Code	270624398
Hospital Revenue Code	272
Min. Negotiated Rate	$170.88
Max. Negotiated Rate	$657.23
Rate for Payer: Aetna Commercial	$394.33
Rate for Payer: Aetna Medicare Advantage	$394.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$335.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$335.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$335.18
Rate for Payer: Cigna Commercial	$657.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.88
Rate for Payer: Oxford Commercial	$657.23
Rate for Payer: Qualcare PPO/HMO/WC	$197.17
Rate for Payer: UnitedHealthcare Commercial	$657.23

CATH POWFLX BLN 135cm 4207030X

Facility

$1,314.45

Hospital Charge Code	270624398
Hospital Revenue Code	272
Min. Negotiated Rate	$197.17
Max. Negotiated Rate	$197.17
Rate for Payer: Qualcare PPO/HMO/WC	$197.17

CATH PREDATOR 1.50MM

Facility

$3,195.00

Hospital Charge Code	270644721
Hospital Revenue Code	278
Min. Negotiated Rate	$479.25
Max. Negotiated Rate	$1,597.50
Rate for Payer: Aetna Commercial	$958.50
Rate for Payer: Aetna Medicare Advantage	$958.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$814.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$814.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$639.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$814.73
Rate for Payer: Cigna Commercial	$1,597.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$773.19
Rate for Payer: Qualcare PPO/HMO/WC	$479.25

CATH PREDATOR 1.50MM

Facility

$3,195.00

Hospital Charge Code	270644721
Hospital Revenue Code	278
Min. Negotiated Rate	$479.25
Max. Negotiated Rate	$773.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$639.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$773.19
Rate for Payer: Qualcare PPO/HMO/WC	$479.25

Know your out-of-pocket cost for care.

All Charges