Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATH RENEGADE

Facility

$1,836.80

Service Code	HCPCS C1887
Hospital Charge Code	270629051
Hospital Revenue Code	278
Min. Negotiated Rate	$275.52
Max. Negotiated Rate	$918.40
Rate for Payer: Aetna Commercial	$551.04
Rate for Payer: Aetna Medicare Advantage	$551.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$468.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$468.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$367.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$468.38
Rate for Payer: Cigna Commercial	$918.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$444.51
Rate for Payer: Qualcare PPO/HMO/WC	$275.52

CATH RENEGADE

Facility

$1,836.80

Service Code	HCPCS C1887
Hospital Charge Code	270629051
Hospital Revenue Code	278
Min. Negotiated Rate	$275.52
Max. Negotiated Rate	$444.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$367.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$444.51
Rate for Payer: Qualcare PPO/HMO/WC	$275.52

CATH REPERFUSION RED72 PENUMBR

Facility

$13,975.00

Service Code	HCPCS C1887
Hospital Charge Code	270693923S
Hospital Revenue Code	278
Min. Negotiated Rate	$2,096.25
Max. Negotiated Rate	$3,381.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,795.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,381.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,096.25

CATH REPERFUSION RED72 PENUMBR

Facility

$13,975.00

Service Code	HCPCS C1887
Hospital Charge Code	270693923S
Hospital Revenue Code	278
Min. Negotiated Rate	$2,096.25
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) NJ Health	$2,795.00
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	$3,381.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,096.25

CATH RIM ADAVANTAGE 4FR .035X6

Facility

$550.00

Service Code	HCPCS C1887
Hospital Charge Code	270662849
Hospital Revenue Code	278
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$133.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

CATH RIM ADAVANTAGE 4FR .035X6

Facility

$550.00

Service Code	HCPCS C1887
Hospital Charge Code	270662849
Hospital Revenue Code	278
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$275.00
Rate for Payer: Aetna Commercial	$165.00
Rate for Payer: Aetna Medicare Advantage	$165.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

CATH ROBERT 5FR 90cm

Facility

$550.00

Service Code	HCPCS C1876
Hospital Charge Code	270632846
Hospital Revenue Code	278
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$133.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

CATH ROBERT 5FR 90cm

Facility

$550.00

Service Code	HCPCS C1876
Hospital Charge Code	270632846
Hospital Revenue Code	278
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$275.00
Rate for Payer: Aetna Commercial	$165.00
Rate for Payer: Aetna Medicare Advantage	$165.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

CATH ROBERT 5x90 HNBR53590RUC

Facility

$88.75

Hospital Charge Code	270632846V
Hospital Revenue Code	278
Min. Negotiated Rate	$13.31
Max. Negotiated Rate	$44.38
Rate for Payer: Aetna Commercial	$26.62
Rate for Payer: Aetna Medicare Advantage	$26.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.63
Rate for Payer: Cigna Commercial	$44.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.48
Rate for Payer: Qualcare PPO/HMO/WC	$13.31

CATH ROBERT 5x90 HNBR53590RUC

Facility

$1,825.00

Hospital Charge Code	270634509V
Hospital Revenue Code	278
Min. Negotiated Rate	$273.75
Max. Negotiated Rate	$441.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$365.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$441.65
Rate for Payer: Qualcare PPO/HMO/WC	$273.75

CATH ROBERT 5x90 HNBR53590RUC

Facility

$1,825.00

Hospital Charge Code	270634509V
Hospital Revenue Code	278
Min. Negotiated Rate	$273.75
Max. Negotiated Rate	$912.50
Rate for Payer: Aetna Commercial	$547.50
Rate for Payer: Aetna Medicare Advantage	$547.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$465.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$465.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$365.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$465.38
Rate for Payer: Cigna Commercial	$912.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$441.65
Rate for Payer: Qualcare PPO/HMO/WC	$273.75

CATH ROBERT 5x90 HNBR53590RUC

Facility

$88.75

Hospital Charge Code	270632846V
Hospital Revenue Code	278
Min. Negotiated Rate	$13.31
Max. Negotiated Rate	$21.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.48
Rate for Payer: Qualcare PPO/HMO/WC	$13.31

CATH ROBERT W/COATING 5FR 90cm

Facility

$1,625.00

Hospital Charge Code	270634650
Hospital Revenue Code	272
Min. Negotiated Rate	$211.25
Max. Negotiated Rate	$812.50
Rate for Payer: Aetna Commercial	$487.50
Rate for Payer: Aetna Medicare Advantage	$487.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$414.38
Rate for Payer: Cigna Commercial	$812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.25
Rate for Payer: Oxford Commercial	$812.50
Rate for Payer: Qualcare PPO/HMO/WC	$243.75
Rate for Payer: UnitedHealthcare Commercial	$812.50

CATH ROBERT W/COATING 5FR 90cm

Facility

$1,625.00

Hospital Charge Code	270634650
Hospital Revenue Code	272
Min. Negotiated Rate	$243.75
Max. Negotiated Rate	$243.75
Rate for Payer: Qualcare PPO/HMO/WC	$243.75

CATH ROBERT W/COATING 5FR 90CM

Facility

$1,625.00

Service Code	HCPCS C1876
Hospital Charge Code	270634650C
Hospital Revenue Code	278
Min. Negotiated Rate	$243.75
Max. Negotiated Rate	$812.50
Rate for Payer: Aetna Commercial	$487.50
Rate for Payer: Aetna Medicare Advantage	$487.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$325.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$414.38
Rate for Payer: Cigna Commercial	$812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$393.25
Rate for Payer: Qualcare PPO/HMO/WC	$243.75

CATH ROBERT W/COATING 5FR 90CM

Facility

$242.95

Service Code	HCPCS C1876
Hospital Charge Code	270634650N
Hospital Revenue Code	278
Min. Negotiated Rate	$36.44
Max. Negotiated Rate	$58.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.79
Rate for Payer: Qualcare PPO/HMO/WC	$36.44

CATH ROBERT W/COATING 5FR 90CM

Facility

$1,625.00

Service Code	HCPCS C1876
Hospital Charge Code	270634650C
Hospital Revenue Code	278
Min. Negotiated Rate	$243.75
Max. Negotiated Rate	$393.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$393.25
Rate for Payer: Qualcare PPO/HMO/WC	$243.75

CATH ROBERT W/COATING 5FR 90CM

Facility

$242.95

Service Code	HCPCS C1876
Hospital Charge Code	270634650N
Hospital Revenue Code	278
Min. Negotiated Rate	$36.44
Max. Negotiated Rate	$121.47
Rate for Payer: Aetna Commercial	$72.89
Rate for Payer: Aetna Medicare Advantage	$72.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.95
Rate for Payer: Cigna Commercial	$121.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.79
Rate for Payer: Qualcare PPO/HMO/WC	$36.44

CATH ROYAL FLUSH 5FR

Facility

$74.30

Hospital Charge Code	270677002
Hospital Revenue Code	272
Min. Negotiated Rate	$11.14
Max. Negotiated Rate	$11.14
Rate for Payer: Qualcare PPO/HMO/WC	$11.14

CATH ROYAL FLUSH 5FR

Facility

$74.30

Hospital Charge Code	270677002
Hospital Revenue Code	272
Min. Negotiated Rate	$9.66
Max. Negotiated Rate	$37.15
Rate for Payer: Aetna Commercial	$22.29
Rate for Payer: Aetna Medicare Advantage	$22.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.95
Rate for Payer: Cigna Commercial	$37.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.66
Rate for Payer: Oxford Commercial	$37.15
Rate for Payer: Qualcare PPO/HMO/WC	$11.14
Rate for Payer: UnitedHealthcare Commercial	$37.15

CATH SA 5x120x130 SAE050120130

Facility

$1,413.65

Hospital Charge Code	270635524V
Hospital Revenue Code	278
Min. Negotiated Rate	$212.05
Max. Negotiated Rate	$342.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$282.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$342.10
Rate for Payer: Qualcare PPO/HMO/WC	$212.05

CATH SA 5x120x130 SAE050120130

Facility

$1,413.65

Hospital Charge Code	270635524
Hospital Revenue Code	278
Min. Negotiated Rate	$212.05
Max. Negotiated Rate	$342.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$282.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$342.10
Rate for Payer: Qualcare PPO/HMO/WC	$212.05

CATH SA 5x120x130 SAE050120130

Facility

$1,413.65

Hospital Charge Code	270635524V
Hospital Revenue Code	278
Min. Negotiated Rate	$212.05
Max. Negotiated Rate	$706.83
Rate for Payer: Aetna Commercial	$424.10
Rate for Payer: Aetna Medicare Advantage	$424.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$360.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$360.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$282.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$360.48
Rate for Payer: Cigna Commercial	$706.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$342.10
Rate for Payer: Qualcare PPO/HMO/WC	$212.05

CATH SA 5x120x130 SAE050120130

Facility

$1,413.65

Hospital Charge Code	270635524
Hospital Revenue Code	278
Min. Negotiated Rate	$212.05
Max. Negotiated Rate	$706.83
Rate for Payer: Aetna Commercial	$424.10
Rate for Payer: Aetna Medicare Advantage	$424.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$360.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$360.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$282.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$360.48
Rate for Payer: Cigna Commercial	$706.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$342.10
Rate for Payer: Qualcare PPO/HMO/WC	$212.05

CATH SAIL 5x80x130 SAE05080130

Facility

$1,413.65

Hospital Charge Code	270636533V
Hospital Revenue Code	278
Min. Negotiated Rate	$212.05
Max. Negotiated Rate	$706.83
Rate for Payer: Aetna Commercial	$424.10
Rate for Payer: Aetna Medicare Advantage	$424.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$360.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$360.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$282.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$360.48
Rate for Payer: Cigna Commercial	$706.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$342.10
Rate for Payer: Qualcare PPO/HMO/WC	$212.05

Know your out-of-pocket cost for care.

All Charges