Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATH SILVERHAWK SS+ P4030

Facility

$14,750.00

Service Code	HCPCS C1714
Hospital Charge Code	270643355
Hospital Revenue Code	278
Min. Negotiated Rate	$2,212.50
Max. Negotiated Rate	$7,375.00
Rate for Payer: Aetna Commercial	$4,425.00
Rate for Payer: Aetna Medicare Advantage	$4,425.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,761.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,761.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,950.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,761.25
Rate for Payer: Cigna Commercial	$7,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,569.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,212.50

CATH SILVERHAWK SS+ P4030

Facility

$15,725.00

Hospital Charge Code	270643355V
Hospital Revenue Code	272
Min. Negotiated Rate	$2,358.75
Max. Negotiated Rate	$2,358.75
Rate for Payer: Qualcare PPO/HMO/WC	$2,358.75

CATH SILVERHAWK SS+ P4030

Facility

$15,725.00

Hospital Charge Code	270643355V
Hospital Revenue Code	272
Min. Negotiated Rate	$2,044.25
Max. Negotiated Rate	$7,862.50
Rate for Payer: Aetna Commercial	$4,717.50
Rate for Payer: Aetna Medicare Advantage	$4,717.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,009.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,009.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,009.88
Rate for Payer: Cigna Commercial	$7,862.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,044.25
Rate for Payer: Oxford Commercial	$7,862.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,358.75
Rate for Payer: UnitedHealthcare Commercial	$7,862.50

CATH SILVERHAWK SS+ P4030

Facility

$15,725.00

Hospital Charge Code	270643355C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,358.75
Max. Negotiated Rate	$7,862.50
Rate for Payer: Aetna Commercial	$4,717.50
Rate for Payer: Aetna Medicare Advantage	$4,717.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,009.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,009.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,145.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,009.88
Rate for Payer: Cigna Commercial	$7,862.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,805.45
Rate for Payer: Qualcare PPO/HMO/WC	$2,358.75

CATH SILVERHAWK SS+ P4044

Facility

$17,150.00

Hospital Charge Code	270643356S
Hospital Revenue Code	278
Min. Negotiated Rate	$2,572.50
Max. Negotiated Rate	$8,575.00
Rate for Payer: Aetna Commercial	$5,145.00
Rate for Payer: Aetna Medicare Advantage	$5,145.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,373.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,373.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,430.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,373.25
Rate for Payer: Cigna Commercial	$8,575.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,150.30
Rate for Payer: Qualcare PPO/HMO/WC	$2,572.50

CATH SILVERHAWK SS+ P4044

Facility

$17,150.00

Hospital Charge Code	270643356
Hospital Revenue Code	278
Min. Negotiated Rate	$2,572.50
Max. Negotiated Rate	$8,575.00
Rate for Payer: Aetna Commercial	$5,145.00
Rate for Payer: Aetna Medicare Advantage	$5,145.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,373.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,373.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,430.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,373.25
Rate for Payer: Cigna Commercial	$8,575.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,150.30
Rate for Payer: Qualcare PPO/HMO/WC	$2,572.50

CATH SILVERHAWK SS+ P4044

Facility

$17,150.00

Hospital Charge Code	270643356V
Hospital Revenue Code	278
Min. Negotiated Rate	$2,572.50
Max. Negotiated Rate	$4,150.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,430.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,150.30
Rate for Payer: Qualcare PPO/HMO/WC	$2,572.50

CATH SILVERHAWK SS+ P4044

Facility

$17,150.00

Hospital Charge Code	270643356C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,572.50
Max. Negotiated Rate	$4,150.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,430.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,150.30
Rate for Payer: Qualcare PPO/HMO/WC	$2,572.50

CATH SILVERHAWK SS+ P4044

Facility

$17,150.00

Hospital Charge Code	270643356C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,572.50
Max. Negotiated Rate	$8,575.00
Rate for Payer: Aetna Commercial	$5,145.00
Rate for Payer: Aetna Medicare Advantage	$5,145.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,373.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,373.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,430.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,373.25
Rate for Payer: Cigna Commercial	$8,575.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,150.30
Rate for Payer: Qualcare PPO/HMO/WC	$2,572.50

CATH SILVERHAWK SS+ P4044

Facility

$17,150.00

Hospital Charge Code	270643356
Hospital Revenue Code	278
Min. Negotiated Rate	$2,572.50
Max. Negotiated Rate	$4,150.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,430.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,150.30
Rate for Payer: Qualcare PPO/HMO/WC	$2,572.50

CATH SILVERHAWK SS+ P4044

Facility

$17,150.00

Hospital Charge Code	270643356V
Hospital Revenue Code	278
Min. Negotiated Rate	$2,572.50
Max. Negotiated Rate	$8,575.00
Rate for Payer: Aetna Commercial	$5,145.00
Rate for Payer: Aetna Medicare Advantage	$5,145.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,373.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,373.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,430.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,373.25
Rate for Payer: Cigna Commercial	$8,575.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,150.30
Rate for Payer: Qualcare PPO/HMO/WC	$2,572.50

CATH SILVERHAWK SS+ P4044

Facility

$17,150.00

Hospital Charge Code	270643356S
Hospital Revenue Code	278
Min. Negotiated Rate	$2,572.50
Max. Negotiated Rate	$4,150.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,430.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,150.30
Rate for Payer: Qualcare PPO/HMO/WC	$2,572.50

CATH SILVERHAWK SXL 7.2cm

Facility

$15,725.00

Hospital Charge Code	270643440C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,358.75
Max. Negotiated Rate	$7,862.50
Rate for Payer: Aetna Commercial	$4,717.50
Rate for Payer: Aetna Medicare Advantage	$4,717.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,009.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,009.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,145.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,009.88
Rate for Payer: Cigna Commercial	$7,862.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,805.45
Rate for Payer: Qualcare PPO/HMO/WC	$2,358.75

CATH SILVERHAWK SXL 7.2cm

Facility

$15,725.00

Hospital Charge Code	270643440C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,358.75
Max. Negotiated Rate	$3,805.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,145.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,805.45
Rate for Payer: Qualcare PPO/HMO/WC	$2,358.75

CATH SILVERHK SX 4.3 135 P4023

Facility

$17,475.00

Hospital Charge Code	270634515
Hospital Revenue Code	278
Min. Negotiated Rate	$2,621.25
Max. Negotiated Rate	$8,737.50
Rate for Payer: Aetna Commercial	$5,242.50
Rate for Payer: Aetna Medicare Advantage	$5,242.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,456.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,456.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,456.12
Rate for Payer: Cigna Commercial	$8,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,228.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,621.25

CATH SILVERHK SX 4.3 135 P4023

Facility

$17,475.00

Hospital Charge Code	270634515
Hospital Revenue Code	278
Min. Negotiated Rate	$2,621.25
Max. Negotiated Rate	$4,228.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,228.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,621.25

CATH SILVER MSM 6.0 110C P4056

Facility

$15,750.00

Hospital Charge Code	270643309V
Hospital Revenue Code	278
Min. Negotiated Rate	$2,362.50
Max. Negotiated Rate	$3,811.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,811.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,362.50

CATH SILVER MSM 6.0 110C P4056

Facility

$15,750.00

Hospital Charge Code	270643309V
Hospital Revenue Code	278
Min. Negotiated Rate	$2,362.50
Max. Negotiated Rate	$7,875.00
Rate for Payer: Aetna Commercial	$4,725.00
Rate for Payer: Aetna Medicare Advantage	$4,725.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,016.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,016.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,016.25
Rate for Payer: Cigna Commercial	$7,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,811.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,362.50

CATH SILVER MSM 6.0 110C P4056

Facility

$15,750.00

Hospital Charge Code	270643309S
Hospital Revenue Code	278
Min. Negotiated Rate	$2,362.50
Max. Negotiated Rate	$3,811.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,811.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,362.50

CATH SILVER MSM 6.0 110C P4056

Facility

$15,750.00

Hospital Charge Code	270643309S
Hospital Revenue Code	278
Min. Negotiated Rate	$2,362.50
Max. Negotiated Rate	$7,875.00
Rate for Payer: Aetna Commercial	$4,725.00
Rate for Payer: Aetna Medicare Advantage	$4,725.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,016.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,016.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,016.25
Rate for Payer: Cigna Commercial	$7,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,811.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,362.50

CATH SILVERSOAKER ON-Q 7.5in

Facility

$615.00

Hospital Charge Code	270650398
Hospital Revenue Code	272
Min. Negotiated Rate	$92.25
Max. Negotiated Rate	$92.25
Rate for Payer: Qualcare PPO/HMO/WC	$92.25

CATH SILVERSOAKER ON-Q 7.5in

Facility

$615.00

Hospital Charge Code	270650398
Hospital Revenue Code	272
Min. Negotiated Rate	$79.95
Max. Negotiated Rate	$307.50
Rate for Payer: Aetna Commercial	$184.50
Rate for Payer: Aetna Medicare Advantage	$184.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$156.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$156.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$156.82
Rate for Payer: Cigna Commercial	$307.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.95
Rate for Payer: Oxford Commercial	$307.50
Rate for Payer: Qualcare PPO/HMO/WC	$92.25
Rate for Payer: UnitedHealthcare Commercial	$307.50

CATH SILVHA SS 2.6 135cm P4020

Facility

$17,335.25

Hospital Charge Code	270634348
Hospital Revenue Code	278
Min. Negotiated Rate	$2,600.29
Max. Negotiated Rate	$4,195.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,467.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,195.13
Rate for Payer: Qualcare PPO/HMO/WC	$2,600.29

CATH SILVHA SS 2.6 135cm P4020

Facility

$17,335.25

Hospital Charge Code	270634348
Hospital Revenue Code	278
Min. Negotiated Rate	$2,600.29
Max. Negotiated Rate	$8,667.62
Rate for Payer: Aetna Commercial	$5,200.57
Rate for Payer: Aetna Medicare Advantage	$5,200.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,420.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,420.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,467.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,420.49
Rate for Payer: Cigna Commercial	$8,667.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,195.13
Rate for Payer: Qualcare PPO/HMO/WC	$2,600.29

CATH SIM 2 5FR X 100CM

Facility

$74.30

Hospital Charge Code	270681565
Hospital Revenue Code	272
Min. Negotiated Rate	$11.14
Max. Negotiated Rate	$11.14
Rate for Payer: Qualcare PPO/HMO/WC	$11.14

Know your out-of-pocket cost for care.

All Charges