Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATH PREDATOR 1.75MM

Facility

$15,975.00

Hospital Charge Code	270644966
Hospital Revenue Code	278
Min. Negotiated Rate	$2,396.25
Max. Negotiated Rate	$3,865.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,865.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,396.25

CATH PREDATOR 1.75MM

Facility

$15,975.00

Hospital Charge Code	270644966
Hospital Revenue Code	278
Min. Negotiated Rate	$2,396.25
Max. Negotiated Rate	$7,987.50
Rate for Payer: Aetna Commercial	$4,792.50
Rate for Payer: Aetna Medicare Advantage	$4,792.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,073.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,073.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,073.62
Rate for Payer: Cigna Commercial	$7,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,865.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,396.25

CATH PREDATOR 2.0mm

Facility

$15,975.00

Hospital Charge Code	270644720C
Hospital Revenue Code	270
Min. Negotiated Rate	$2,396.25
Max. Negotiated Rate	$2,396.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,396.25

CATH PREDATOR 2.0mm

Facility

$15,975.00

Hospital Charge Code	270644720C
Hospital Revenue Code	270
Min. Negotiated Rate	$2,076.75
Max. Negotiated Rate	$7,987.50
Rate for Payer: Aetna Commercial	$4,792.50
Rate for Payer: Aetna Medicare Advantage	$4,792.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,073.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,073.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,073.62
Rate for Payer: Cigna Commercial	$7,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,076.75
Rate for Payer: Oxford Commercial	$7,987.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,396.25
Rate for Payer: UnitedHealthcare Commercial	$7,987.50

CATH PREDATOR 2.25mm 145cmL

Facility

$15,975.00

Hospital Charge Code	270644587C
Hospital Revenue Code	270
Min. Negotiated Rate	$2,076.75
Max. Negotiated Rate	$7,987.50
Rate for Payer: Aetna Commercial	$4,792.50
Rate for Payer: Aetna Medicare Advantage	$4,792.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,073.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,073.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,073.62
Rate for Payer: Cigna Commercial	$7,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,076.75
Rate for Payer: Oxford Commercial	$7,987.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,396.25
Rate for Payer: UnitedHealthcare Commercial	$7,987.50

CATH PREDATOR 2.25mm 145cmL

Facility

$15,975.00

Hospital Charge Code	270644587C
Hospital Revenue Code	270
Min. Negotiated Rate	$2,396.25
Max. Negotiated Rate	$2,396.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,396.25

CATH PREDATOR360SLIDCRWN1.25MM

Facility

$3,195.00

Hospital Charge Code	270644722
Hospital Revenue Code	272
Min. Negotiated Rate	$479.25
Max. Negotiated Rate	$479.25
Rate for Payer: Qualcare PPO/HMO/WC	$479.25

CATH PREDATOR360SLIDCRWN1.25MM

Facility

$3,195.00

Hospital Charge Code	270644722
Hospital Revenue Code	272
Min. Negotiated Rate	$415.35
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) PPO	$814.73
Rate for Payer: Cigna Commercial	$1,597.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$415.35
Rate for Payer: Oxford Commercial	$1,597.50
Rate for Payer: Qualcare PPO/HMO/WC	$479.25
Rate for Payer: UnitedHealthcare Commercial	$1,597.50

CATH PREF RT4FR JR4.0

Facility

$40.00

Hospital Charge Code	2709006887
Hospital Revenue Code	272
Min. Negotiated Rate	$5.20
Max. Negotiated Rate	$20.00
Rate for Payer: Aetna Commercial	$12.00
Rate for Payer: Aetna Medicare Advantage	$12.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.20
Rate for Payer: Cigna Commercial	$20.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.20
Rate for Payer: Oxford Commercial	$20.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.00
Rate for Payer: UnitedHealthcare Commercial	$20.00

CATH PREF RT4FR JR4.0

Facility

$40.00

Hospital Charge Code	2709006887
Hospital Revenue Code	272
Min. Negotiated Rate	$6.00
Max. Negotiated Rate	$6.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.00

CATH PRESEP OXIM 8.5F 20CM

Facility

$2,137.50

Hospital Charge Code	270660557
Hospital Revenue Code	278
Min. Negotiated Rate	$320.62
Max. Negotiated Rate	$517.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$427.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$517.27
Rate for Payer: Qualcare PPO/HMO/WC	$320.62

CATH PRESEP OXIM 8.5F 20CM

Facility

$2,137.50

Hospital Charge Code	270660557
Hospital Revenue Code	278
Min. Negotiated Rate	$320.62
Max. Negotiated Rate	$1,068.75
Rate for Payer: Aetna Commercial	$641.25
Rate for Payer: Aetna Medicare Advantage	$641.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$545.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$545.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$427.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$545.06
Rate for Payer: Cigna Commercial	$1,068.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$517.27
Rate for Payer: Qualcare PPO/HMO/WC	$320.62

CATH PRFRMA JUDKNS LFT 4FRJL6

Facility

$40.00

Hospital Charge Code	270658178
Hospital Revenue Code	278
Min. Negotiated Rate	$6.00
Max. Negotiated Rate	$9.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.68
Rate for Payer: Qualcare PPO/HMO/WC	$6.00

CATH PRFRMA JUDKNS LFT 4FRJL6

Facility

$40.00

Hospital Charge Code	270658178
Hospital Revenue Code	278
Min. Negotiated Rate	$6.00
Max. Negotiated Rate	$20.00
Rate for Payer: Aetna Commercial	$12.00
Rate for Payer: Aetna Medicare Advantage	$12.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.20
Rate for Payer: Cigna Commercial	$20.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.68
Rate for Payer: Qualcare PPO/HMO/WC	$6.00

CATH PRO-LINE 6FR 60CM D/LUMEN

Facility

$1,125.00

Hospital Charge Code	270678223
Hospital Revenue Code	278
Min. Negotiated Rate	$168.75
Max. Negotiated Rate	$562.50
Rate for Payer: Aetna Commercial	$337.50
Rate for Payer: Aetna Medicare Advantage	$337.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.88
Rate for Payer: Cigna Commercial	$562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.25
Rate for Payer: Qualcare PPO/HMO/WC	$168.75

CATH PRO-LINE 6FR 60CM D/LUMEN

Facility

$1,125.00

Hospital Charge Code	270678223
Hospital Revenue Code	278
Min. Negotiated Rate	$168.75
Max. Negotiated Rate	$272.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.25
Rate for Payer: Qualcare PPO/HMO/WC	$168.75

CATH PRONTO EXTRACTION

Facility

$2,455.25

Hospital Charge Code	270636440V
Hospital Revenue Code	278
Min. Negotiated Rate	$368.29
Max. Negotiated Rate	$1,227.62
Rate for Payer: Aetna Commercial	$736.58
Rate for Payer: Aetna Medicare Advantage	$736.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$626.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$626.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$491.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$626.09
Rate for Payer: Cigna Commercial	$1,227.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$594.17
Rate for Payer: Qualcare PPO/HMO/WC	$368.29

CATH PRONTO EXTRACTION

Facility

$2,455.25

Service Code	HCPCS C1757
Hospital Charge Code	270636440N
Hospital Revenue Code	278
Min. Negotiated Rate	$368.29
Max. Negotiated Rate	$594.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$491.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$594.17
Rate for Payer: Qualcare PPO/HMO/WC	$368.29

CATH PRONTO EXTRACTION

Facility

$1,475.00

Service Code	HCPCS C1757
Hospital Charge Code	270636440S
Hospital Revenue Code	278
Min. Negotiated Rate	$221.25
Max. Negotiated Rate	$356.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$295.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.95
Rate for Payer: Qualcare PPO/HMO/WC	$221.25

CATH PRONTO EXTRACTION

Facility

$1,475.00

Service Code	HCPCS C1757
Hospital Charge Code	270636440
Hospital Revenue Code	278
Min. Negotiated Rate	$221.25
Max. Negotiated Rate	$737.50
Rate for Payer: Aetna Commercial	$442.50
Rate for Payer: Aetna Medicare Advantage	$442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$295.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$376.12
Rate for Payer: Cigna Commercial	$737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.95
Rate for Payer: Qualcare PPO/HMO/WC	$221.25

CATH PRONTO EXTRACTION

Facility

$1,475.00

Service Code	HCPCS C1757
Hospital Charge Code	270636440
Hospital Revenue Code	278
Min. Negotiated Rate	$221.25
Max. Negotiated Rate	$356.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$295.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.95
Rate for Payer: Qualcare PPO/HMO/WC	$221.25

CATH PRONTO EXTRACTION

Facility

$1,475.00

Service Code	HCPCS C1757
Hospital Charge Code	270636440S
Hospital Revenue Code	278
Min. Negotiated Rate	$221.25
Max. Negotiated Rate	$737.50
Rate for Payer: Aetna Commercial	$442.50
Rate for Payer: Aetna Medicare Advantage	$442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$295.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$376.12
Rate for Payer: Cigna Commercial	$737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.95
Rate for Payer: Qualcare PPO/HMO/WC	$221.25

CATH PRONTO EXTRACTION

Facility

$2,455.25

Hospital Charge Code	270636440V
Hospital Revenue Code	278
Min. Negotiated Rate	$368.29
Max. Negotiated Rate	$594.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$491.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$594.17
Rate for Payer: Qualcare PPO/HMO/WC	$368.29

CATH PRONTO EXTRACTION

Facility

$2,455.25

Service Code	HCPCS C1757
Hospital Charge Code	270636440N
Hospital Revenue Code	278
Min. Negotiated Rate	$368.29
Max. Negotiated Rate	$1,227.62
Rate for Payer: Aetna Commercial	$736.58
Rate for Payer: Aetna Medicare Advantage	$736.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$626.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$626.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$491.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$626.09
Rate for Payer: Cigna Commercial	$1,227.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$594.17
Rate for Payer: Qualcare PPO/HMO/WC	$368.29

CATH PRONTO LP 5FR .014x138CM

Facility

$1,475.00

Service Code	HCPCS C1757
Hospital Charge Code	270676760N
Hospital Revenue Code	278
Min. Negotiated Rate	$221.25
Max. Negotiated Rate	$356.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$295.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.95
Rate for Payer: Qualcare PPO/HMO/WC	$221.25

Know your out-of-pocket cost for care.

All Charges