Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATH SRC 6FR 533-639T

Facility

$244.85

Hospital Charge Code	270600707
Hospital Revenue Code	272
Min. Negotiated Rate	$36.73
Max. Negotiated Rate	$36.73
Rate for Payer: Qualcare PPO/HMO/WC	$36.73

CATH SRC 6FR 533-639T

Facility

$244.85

Hospital Charge Code	270600707
Hospital Revenue Code	272
Min. Negotiated Rate	$31.83
Max. Negotiated Rate	$122.42
Rate for Payer: Aetna Commercial	$73.45
Rate for Payer: Aetna Medicare Advantage	$73.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.44
Rate for Payer: Cigna Commercial	$122.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.83
Rate for Payer: Oxford Commercial	$122.42
Rate for Payer: Qualcare PPO/HMO/WC	$36.73
Rate for Payer: UnitedHealthcare Commercial	$122.42

CATH STEALTH 1.25 MICRO 60

Facility

$18,975.00

Hospital Charge Code	270671186
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 STEALTH 1.25 MICRO 60

Facility

$18,975.00

Hospital Charge Code	270671186
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

CATH STEALTH 1.25 SOLID 60

Facility

$18,970.00

Service Code	HCPCS C1724
Hospital Charge Code	270671187
Hospital Revenue Code	278
Min. Negotiated Rate	$2,845.50
Max. Negotiated Rate	$4,590.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,794.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,590.74
Rate for Payer: Qualcare PPO/HMO/WC	$2,845.50

CATH STEALTH 1.25 SOLID 60

Facility

$18,970.00

Service Code	HCPCS C1724
Hospital Charge Code	270671187N
Hospital Revenue Code	278
Min. Negotiated Rate	$2,845.50
Max. Negotiated Rate	$4,590.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,794.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,590.74
Rate for Payer: Qualcare PPO/HMO/WC	$2,845.50

CATH STEALTH 1.25 SOLID 60

Facility

$18,970.00

Service Code	HCPCS C1724
Hospital Charge Code	270671187N
Hospital Revenue Code	278
Min. Negotiated Rate	$2,845.50
Max. Negotiated Rate	$9,485.00
Rate for Payer: Aetna Commercial	$5,691.00
Rate for Payer: Aetna Medicare Advantage	$5,691.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,837.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,837.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,794.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,837.35
Rate for Payer: Cigna Commercial	$9,485.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,590.74
Rate for Payer: Qualcare PPO/HMO/WC	$2,845.50

CATH STEALTH 1.25 SOLID 60

Facility

$18,970.00

Service Code	HCPCS C1724
Hospital Charge Code	270671187
Hospital Revenue Code	278
Min. Negotiated Rate	$2,845.50
Max. Negotiated Rate	$9,485.00
Rate for Payer: Aetna Commercial	$5,691.00
Rate for Payer: Aetna Medicare Advantage	$5,691.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,837.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,837.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,794.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,837.35
Rate for Payer: Cigna Commercial	$9,485.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,590.74
Rate for Payer: Qualcare PPO/HMO/WC	$2,845.50

CATH STEALTH DMNDBK DBE-150

Facility

$16,975.00

Service Code	HCPCS C1714
Hospital Charge Code	270647202C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,546.25
Max. Negotiated Rate	$4,107.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,107.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,546.25

CATH STEALTH DMNDBK DBE-150

Facility

$16,975.00

Service Code	HCPCS C1714
Hospital Charge Code	270647202C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,546.25
Max. Negotiated Rate	$8,487.50
Rate for Payer: Aetna Commercial	$5,092.50
Rate for Payer: Aetna Medicare Advantage	$5,092.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,328.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,328.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,395.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,328.62
Rate for Payer: Cigna Commercial	$8,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,107.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,546.25

CATH STEALTH DMNDBK DBE-150

Facility

$16,975.00

Service Code	HCPCS C1714
Hospital Charge Code	270647202N
Hospital Revenue Code	278
Min. Negotiated Rate	$2,546.25
Max. Negotiated Rate	$4,107.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,107.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,546.25

CATH STEALTH DMNDBK DBE-150

Facility

$16,975.00

Service Code	HCPCS C1714
Hospital Charge Code	270647202N
Hospital Revenue Code	278
Min. Negotiated Rate	$2,546.25
Max. Negotiated Rate	$8,487.50
Rate for Payer: Aetna Commercial	$5,092.50
Rate for Payer: Aetna Medicare Advantage	$5,092.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,328.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,328.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,395.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,328.62
Rate for Payer: Cigna Commercial	$8,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,107.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,546.25

CATH STEALTH DMNDBK DBE-200

Facility

$16,975.00

Service Code	HCPCS C1714
Hospital Charge Code	270647204C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,546.25
Max. Negotiated Rate	$4,107.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,107.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,546.25

CATH STEALTH DMNDBK DBE-200

Facility

$16,975.00

Service Code	HCPCS C1714
Hospital Charge Code	270647204C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,546.25
Max. Negotiated Rate	$8,487.50
Rate for Payer: Aetna Commercial	$5,092.50
Rate for Payer: Aetna Medicare Advantage	$5,092.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,328.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,328.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,395.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,328.62
Rate for Payer: Cigna Commercial	$8,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,107.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,546.25

CATH STEALTH PRDR PRD-SC30-125

Facility

$16,975.00

Service Code	HCPCS C1714
Hospital Charge Code	270647205N
Hospital Revenue Code	278
Min. Negotiated Rate	$2,546.25
Max. Negotiated Rate	$8,487.50
Rate for Payer: Aetna Commercial	$5,092.50
Rate for Payer: Aetna Medicare Advantage	$5,092.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,328.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,328.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,395.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,328.62
Rate for Payer: Cigna Commercial	$8,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,107.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,546.25

CATH STEALTH PRDR PRD-SC30-125

Facility

$16,975.00

Service Code	HCPCS C1714
Hospital Charge Code	270647205C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,546.25
Max. Negotiated Rate	$8,487.50
Rate for Payer: Aetna Commercial	$5,092.50
Rate for Payer: Aetna Medicare Advantage	$5,092.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,328.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,328.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,395.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,328.62
Rate for Payer: Cigna Commercial	$8,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,107.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,546.25

CATH STEALTH PRDR PRD-SC30-125

Facility

$16,975.00

Service Code	HCPCS C1714
Hospital Charge Code	270647205C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,546.25
Max. Negotiated Rate	$4,107.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,107.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,546.25

CATH STEALTH PRDR PRD-SC30-125

Facility

$16,975.00

Service Code	HCPCS C1714
Hospital Charge Code	270647205N
Hospital Revenue Code	278
Min. Negotiated Rate	$2,546.25
Max. Negotiated Rate	$4,107.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,107.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,546.25

CATH STEALTH PRDR PRD-SC30-200

Facility

$16,975.00

Service Code	HCPCS C1714
Hospital Charge Code	270647207N
Hospital Revenue Code	278
Min. Negotiated Rate	$2,546.25
Max. Negotiated Rate	$8,487.50
Rate for Payer: Aetna Commercial	$5,092.50
Rate for Payer: Aetna Medicare Advantage	$5,092.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,328.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,328.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,395.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,328.62
Rate for Payer: Cigna Commercial	$8,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,107.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,546.25

CATH STEALTH PRDR PRD-SC30-200

Facility

$16,975.00

Service Code	HCPCS C1714
Hospital Charge Code	270647207N
Hospital Revenue Code	278
Min. Negotiated Rate	$2,546.25
Max. Negotiated Rate	$4,107.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,107.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,546.25

CATH STEALTH PRDR PRD-SC30-200

Facility

$16,975.00

Service Code	HCPCS C1714
Hospital Charge Code	270647207C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,546.25
Max. Negotiated Rate	$4,107.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,107.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,546.25

CATH STEALTH PRDR PRD-SC30-200

Facility

$16,975.00

Service Code	HCPCS C1714
Hospital Charge Code	270647207C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,546.25
Max. Negotiated Rate	$8,487.50
Rate for Payer: Aetna Commercial	$5,092.50
Rate for Payer: Aetna Medicare Advantage	$5,092.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,328.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,328.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,395.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,328.62
Rate for Payer: Cigna Commercial	$8,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,107.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,546.25

CATH STEALTH PRDR-SC30-150

Facility

$16,975.00

Service Code	HCPCS C1874
Hospital Charge Code	270647206C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,546.25
Max. Negotiated Rate	$4,107.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,107.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,546.25

CATH STEALTH PRDR-SC30-150

Facility

$16,975.00

Service Code	HCPCS C1874
Hospital Charge Code	270647206C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,546.25
Max. Negotiated Rate	$8,487.50
Rate for Payer: Aetna Commercial	$5,092.50
Rate for Payer: Aetna Medicare Advantage	$5,092.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,328.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,328.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,395.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,328.62
Rate for Payer: Cigna Commercial	$8,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,107.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,546.25

CATH STM AHS SPLIT 14F ASPC40

Facility

$2,050.00

Hospital Charge Code	270624359
Hospital Revenue Code	272
Min. Negotiated Rate	$266.50
Max. Negotiated Rate	$1,025.00
Rate for Payer: Aetna Commercial	$615.00
Rate for Payer: Aetna Medicare Advantage	$615.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$522.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$522.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$522.75
Rate for Payer: Cigna Commercial	$1,025.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$266.50
Rate for Payer: Oxford Commercial	$1,025.00
Rate for Payer: Qualcare PPO/HMO/WC	$307.50
Rate for Payer: UnitedHealthcare Commercial	$1,025.00

Know your out-of-pocket cost for care.

All Charges