Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATH SIM 2 5FR X 100CM

Facility

$74.30

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

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

CATH SIM 2 5FR X 100CM

Facility

$74.30

Hospital Charge Code	270681565N
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 SIM 2 5FR X 100CM

Facility

$74.30

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

CATH SIM 2 5FR X 100CM

Facility

$74.30

Hospital Charge Code	270681565
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 SIM2 RADIAL DX 105FSIM130

Facility

$0.01

Service Code	HCPCS C1887
Hospital Charge Code	270696078S
Hospital Revenue Code	278
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$0.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

CATH SIM2 RADIAL DX 105FSIM130

Facility

$0.01

Service Code	HCPCS C1887
Hospital Charge Code	270696078S
Hospital Revenue Code	278
Max. Negotiated Rate	$0.01
Rate for Payer: Aetna Commercial	$0.00
Rate for Payer: Aetna Medicare Advantage	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.00
Rate for Payer: Cigna Commercial	$0.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

CATH SIZING 5FR 100CM 13709703

Facility

$750.00

Hospital Charge Code	270639810C
Hospital Revenue Code	272
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$225.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.50
Rate for Payer: Oxford Commercial	$375.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Commercial	$375.00

CATH SIZING 5FR 100CM 13709703

Facility

$750.00

Hospital Charge Code	270639810C
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

CATH SLD CRN 2.00 DB-SC30-200

Facility

$18,975.00

Hospital Charge Code	270642015C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,846.25
Max. Negotiated Rate	$9,487.50
Rate for Payer: Aetna Commercial	$5,692.50
Rate for Payer: Aetna Medicare Advantage	$5,692.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,838.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,838.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,795.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,838.62
Rate for Payer: Cigna Commercial	$9,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,591.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,846.25

CATH SLD CRN 2.00 DB-SC30-200

Facility

$18,975.00

Hospital Charge Code	270642015C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,846.25
Max. Negotiated Rate	$4,591.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,795.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,591.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,846.25

CATHSLDCRWN ORBARTH 1.75mm 30G

Facility

$15,975.00

Hospital Charge Code	2709003739
Hospital Revenue Code	272
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

CATHSLDCRWN ORBARTH 1.75mm 30G

Facility

$15,975.00

Hospital Charge Code	2709003739
Hospital Revenue Code	272
Min. Negotiated Rate	$2,396.25
Max. Negotiated Rate	$2,396.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,396.25

CATHSLDCRWN ORBARTH 2.00mm 30G

Facility

$15,975.00

Hospital Charge Code	2709003740
Hospital Revenue Code	272
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

CATHSLDCRWN ORBARTH 2.00mm 30G

Facility

$15,975.00

Hospital Charge Code	2709003740
Hospital Revenue Code	272
Min. Negotiated Rate	$2,396.25
Max. Negotiated Rate	$2,396.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,396.25

CATHSLDCRWN ORBARTH 2.25mm 30G

Facility

$15,975.00

Hospital Charge Code	2709003741
Hospital Revenue Code	272
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

CATHSLDCRWN ORBARTH 2.25mm 30G

Facility

$15,975.00

Hospital Charge Code	2709003741
Hospital Revenue Code	272
Min. Negotiated Rate	$2,396.25
Max. Negotiated Rate	$2,396.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,396.25

CATH SLIP BEACON TIP 6FR 125cm

Facility

$463.75

Hospital Charge Code	270644912
Hospital Revenue Code	272
Min. Negotiated Rate	$69.56
Max. Negotiated Rate	$69.56
Rate for Payer: Qualcare PPO/HMO/WC	$69.56

CATH SLIP BEACON TIP 6FR 125cm

Facility

$463.75

Hospital Charge Code	270644912
Hospital Revenue Code	272
Min. Negotiated Rate	$60.29
Max. Negotiated Rate	$231.88
Rate for Payer: Aetna Commercial	$139.12
Rate for Payer: Aetna Medicare Advantage	$139.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$118.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$118.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$118.26
Rate for Payer: Cigna Commercial	$231.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.29
Rate for Payer: Oxford Commercial	$231.88
Rate for Payer: Qualcare PPO/HMO/WC	$69.56
Rate for Payer: UnitedHealthcare Commercial	$231.88

CATH SLIP VERT 5FR 125cm

Facility

$1,657.50

Hospital Charge Code	270635004
Hospital Revenue Code	272
Min. Negotiated Rate	$215.47
Max. Negotiated Rate	$828.75
Rate for Payer: Aetna Commercial	$497.25
Rate for Payer: Aetna Medicare Advantage	$497.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$422.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$422.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$422.66
Rate for Payer: Cigna Commercial	$828.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$215.47
Rate for Payer: Oxford Commercial	$828.75
Rate for Payer: Qualcare PPO/HMO/WC	$248.62
Rate for Payer: UnitedHealthcare Commercial	$828.75

CATH SLIP VERT 5FR 125cm

Facility

$1,657.50

Hospital Charge Code	270635004
Hospital Revenue Code	272
Min. Negotiated Rate	$248.62
Max. Negotiated Rate	$248.62
Rate for Payer: Qualcare PPO/HMO/WC	$248.62

CATH SNGL HICKMAN W/VITA CUFF

Facility

$540.00

Hospital Charge Code	270655424
Hospital Revenue Code	278
Min. Negotiated Rate	$81.00
Max. Negotiated Rate	$270.00
Rate for Payer: Aetna Commercial	$162.00
Rate for Payer: Aetna Medicare Advantage	$162.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$137.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$137.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$137.70
Rate for Payer: Cigna Commercial	$270.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.68
Rate for Payer: Qualcare PPO/HMO/WC	$81.00

CATH SNGL HICKMAN W/VITA CUFF

Facility

$540.00

Hospital Charge Code	270655424
Hospital Revenue Code	278
Min. Negotiated Rate	$81.00
Max. Negotiated Rate	$130.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.68
Rate for Payer: Qualcare PPO/HMO/WC	$81.00

CATH SOAKER 5',ON O

Facility

$1,751.00

Hospital Charge Code	270656036
Hospital Revenue Code	272
Min. Negotiated Rate	$227.63
Max. Negotiated Rate	$875.50
Rate for Payer: Aetna Commercial	$525.30
Rate for Payer: Aetna Medicare Advantage	$525.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.50
Rate for Payer: Cigna Commercial	$875.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$227.63
Rate for Payer: Oxford Commercial	$875.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.65
Rate for Payer: UnitedHealthcare Commercial	$875.50

CATH SOAKER 5',ON O

Facility

$1,751.00

Hospital Charge Code	270656036
Hospital Revenue Code	272
Min. Negotiated Rate	$262.65
Max. Negotiated Rate	$262.65
Rate for Payer: Qualcare PPO/HMO/WC	$262.65

Know your out-of-pocket cost for care.

All Charges