Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATH RBU LAUNCHER 6FR 3.5

Facility

$650.00

Service Code	HCPCS C1887
Hospital Charge Code	270636781N
Hospital Revenue Code	278
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$157.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.30
Rate for Payer: Qualcare PPO/HMO/WC	$97.50

CATH RBU LAUNCHER 6FR 3.5

Facility

$245.00

Service Code	HCPCS C1887
Hospital Charge Code	270636781
Hospital Revenue Code	278
Min. Negotiated Rate	$36.75
Max. Negotiated Rate	$59.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.29
Rate for Payer: Qualcare PPO/HMO/WC	$36.75

CATH RBU LAUNCHER 6FR 3.5

Facility

$245.00

Service Code	HCPCS C1887
Hospital Charge Code	270636781
Hospital Revenue Code	278
Min. Negotiated Rate	$36.75
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) NJ Health	$49.00
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	$59.29
Rate for Payer: Qualcare PPO/HMO/WC	$36.75

CATH RBU LAUNCHER 6FR 4.0

Facility

$225.00

Service Code	HCPCS C1887
Hospital Charge Code	270636782C
Hospital Revenue Code	278
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$54.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

CATH RBU LAUNCHER 6FR 4.0

Facility

$650.00

Service Code	HCPCS C1887
Hospital Charge Code	270636782N
Hospital Revenue Code	278
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$325.00
Rate for Payer: Aetna Commercial	$195.00
Rate for Payer: Aetna Medicare Advantage	$195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$165.75
Rate for Payer: Cigna Commercial	$325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.30
Rate for Payer: Qualcare PPO/HMO/WC	$97.50

CATH RBU LAUNCHER 6FR 4.0

Facility

$225.00

Service Code	HCPCS C1887
Hospital Charge Code	270636782C
Hospital Revenue Code	278
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$112.50
Rate for Payer: Aetna Commercial	$67.50
Rate for Payer: Aetna Medicare Advantage	$67.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.38
Rate for Payer: Cigna Commercial	$112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

CATH RBU LAUNCHER 6FR 4.0

Facility

$650.00

Service Code	HCPCS C1887
Hospital Charge Code	270636782N
Hospital Revenue Code	278
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$157.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.30
Rate for Payer: Qualcare PPO/HMO/WC	$97.50

CATH RBU LNCH 6FR 3 LA6RBU3.5

Facility

$650.00

Hospital Charge Code	270636781C
Hospital Revenue Code	278
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$325.00
Rate for Payer: Aetna Commercial	$195.00
Rate for Payer: Aetna Medicare Advantage	$195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$165.75
Rate for Payer: Cigna Commercial	$325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.30
Rate for Payer: Qualcare PPO/HMO/WC	$97.50

CATH RBU LNCH 6FR 3 LA6RBU3.5

Facility

$650.00

Hospital Charge Code	270636781C
Hospital Revenue Code	278
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$157.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.30
Rate for Payer: Qualcare PPO/HMO/WC	$97.50

CATH RED RUBBER UTILITY 10FR

Facility

$1.70

Hospital Charge Code	270649057
Hospital Revenue Code	272
Min. Negotiated Rate	$0.26
Max. Negotiated Rate	$0.26
Rate for Payer: Qualcare PPO/HMO/WC	$0.26

CATH RED RUBBER UTILITY 10FR

Facility

$1.70

Hospital Charge Code	270649057
Hospital Revenue Code	272
Min. Negotiated Rate	$0.22
Max. Negotiated Rate	$0.85
Rate for Payer: Aetna Commercial	$0.51
Rate for Payer: Aetna Medicare Advantage	$0.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.43
Rate for Payer: Cigna Commercial	$0.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.22
Rate for Payer: Oxford Commercial	$0.85
Rate for Payer: Qualcare PPO/HMO/WC	$0.26
Rate for Payer: UnitedHealthcare Commercial	$0.85

CATH RED RUBBER UTILITY 12FR

Facility

$2.70

Hospital Charge Code	270649058
Hospital Revenue Code	272
Min. Negotiated Rate	$0.41
Max. Negotiated Rate	$0.41
Rate for Payer: Qualcare PPO/HMO/WC	$0.41

CATH RED RUBBER UTILITY 12FR

Facility

$2.70

Hospital Charge Code	270649058
Hospital Revenue Code	272
Min. Negotiated Rate	$0.35
Max. Negotiated Rate	$1.35
Rate for Payer: Aetna Commercial	$0.81
Rate for Payer: Aetna Medicare Advantage	$0.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.69
Rate for Payer: Cigna Commercial	$1.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.35
Rate for Payer: Oxford Commercial	$1.35
Rate for Payer: Qualcare PPO/HMO/WC	$0.41
Rate for Payer: UnitedHealthcare Commercial	$1.35

CATH REENT 2 7X20 ENB27520150

Facility

$12,475.00

Hospital Charge Code	270664081
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 REENT 2 7X20 ENB27520150

Facility

$12,475.00

Hospital Charge Code	270664081
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 REENTRY 3 7MMx20MMx135CM

Facility

$13,975.00

Hospital Charge Code	270660085S
Hospital Revenue Code	272
Min. Negotiated Rate	$1,816.75
Max. Negotiated Rate	$6,987.50
Rate for Payer: Aetna Commercial	$4,192.50
Rate for Payer: Aetna Medicare Advantage	$4,192.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,563.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,563.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,563.62
Rate for Payer: Cigna Commercial	$6,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,816.75
Rate for Payer: Oxford Commercial	$6,987.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,096.25
Rate for Payer: UnitedHealthcare Commercial	$6,987.50

CATH REENTRY 3 7MMx20MMx135CM

Facility

$14,975.00

Hospital Charge Code	270660085N
Hospital Revenue Code	272
Min. Negotiated Rate	$2,246.25
Max. Negotiated Rate	$2,246.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,246.25

CATH REENTRY 3 7MMx20MMx135CM

Facility

$13,975.00

Hospital Charge Code	270660085
Hospital Revenue Code	272
Min. Negotiated Rate	$2,096.25
Max. Negotiated Rate	$2,096.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,096.25

CATH REENTRY 3 7MMx20MMx135CM

Facility

$14,975.00

Hospital Charge Code	270660085N
Hospital Revenue Code	272
Min. Negotiated Rate	$1,946.75
Max. Negotiated Rate	$7,487.50
Rate for Payer: Aetna Commercial	$4,492.50
Rate for Payer: Aetna Medicare Advantage	$4,492.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,818.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,818.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,818.62
Rate for Payer: Cigna Commercial	$7,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,946.75
Rate for Payer: Oxford Commercial	$7,487.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,246.25
Rate for Payer: UnitedHealthcare Commercial	$7,487.50

CATH REENTRY 3 7MMx20MMx135CM

Facility

$13,975.00

Hospital Charge Code	270660085
Hospital Revenue Code	272
Min. Negotiated Rate	$1,816.75
Max. Negotiated Rate	$6,987.50
Rate for Payer: Aetna Commercial	$4,192.50
Rate for Payer: Aetna Medicare Advantage	$4,192.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,563.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,563.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,563.62
Rate for Payer: Cigna Commercial	$6,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,816.75
Rate for Payer: Oxford Commercial	$6,987.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,096.25
Rate for Payer: UnitedHealthcare Commercial	$6,987.50

CATH REENTRY 3 7MMx20MMx135CM

Facility

$13,975.00

Hospital Charge Code	270660085S
Hospital Revenue Code	272
Min. Negotiated Rate	$2,096.25
Max. Negotiated Rate	$2,096.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,096.25

CATH REENTRY MALECOT 20FR 35CM

Facility

$685.25

Service Code	HCPCS C1729
Hospital Charge Code	270692873
Hospital Revenue Code	278
Min. Negotiated Rate	$102.79
Max. Negotiated Rate	$342.62
Rate for Payer: Aetna Commercial	$205.57
Rate for Payer: Aetna Medicare Advantage	$205.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$174.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$174.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$137.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$174.74
Rate for Payer: Cigna Commercial	$342.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$165.83
Rate for Payer: Qualcare PPO/HMO/WC	$102.79

CATH REENTRY MALECOT 20FR 35CM

Facility

$685.25

Service Code	HCPCS C1729
Hospital Charge Code	270692873
Hospital Revenue Code	278
Min. Negotiated Rate	$102.79
Max. Negotiated Rate	$165.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$137.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$165.83
Rate for Payer: Qualcare PPO/HMO/WC	$102.79

CATH RE-ENTRY NEPHROS 410107

Facility

$596.50

Hospital Charge Code	270632773
Hospital Revenue Code	272
Min. Negotiated Rate	$77.55
Max. Negotiated Rate	$298.25
Rate for Payer: Aetna Commercial	$178.95
Rate for Payer: Aetna Medicare Advantage	$178.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$152.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$152.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$152.11
Rate for Payer: Cigna Commercial	$298.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.55
Rate for Payer: Oxford Commercial	$298.25
Rate for Payer: Qualcare PPO/HMO/WC	$89.47
Rate for Payer: UnitedHealthcare Commercial	$298.25

CATH RE-ENTRY NEPHROS 410107

Facility

$596.50

Hospital Charge Code	270632773
Hospital Revenue Code	272
Min. Negotiated Rate	$89.47
Max. Negotiated Rate	$89.47
Rate for Payer: Qualcare PPO/HMO/WC	$89.47

Know your out-of-pocket cost for care.

All Charges