Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATH SURECROSS 5FX 150CM .018

Facility

$550.00

Hospital Charge Code	270670719N
Hospital Revenue Code	272
Min. Negotiated Rate	$71.50
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) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.50
Rate for Payer: Oxford Commercial	$275.00
Rate for Payer: Qualcare PPO/HMO/WC	$82.50
Rate for Payer: UnitedHealthcare Commercial	$275.00

CATH SURECROSS 5FX 150CM .018

Facility

$550.00

Hospital Charge Code	270670719N
Hospital Revenue Code	272
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$82.50
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

CATH SURECROSS 6FX 150CM .035

Facility

$550.00

Hospital Charge Code	270670720N
Hospital Revenue Code	272
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$82.50
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

CATH SURECROSS 6FX 150CM .035

Facility

$550.00

Hospital Charge Code	270670720
Hospital Revenue Code	272
Min. Negotiated Rate	$71.50
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) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.50
Rate for Payer: Oxford Commercial	$275.00
Rate for Payer: Qualcare PPO/HMO/WC	$82.50
Rate for Payer: UnitedHealthcare Commercial	$275.00

CATH SURECROSS 6FX 150CM .035

Facility

$550.00

Hospital Charge Code	270670720N
Hospital Revenue Code	272
Min. Negotiated Rate	$71.50
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) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.50
Rate for Payer: Oxford Commercial	$275.00
Rate for Payer: Qualcare PPO/HMO/WC	$82.50
Rate for Payer: UnitedHealthcare Commercial	$275.00

CATH SURECROSS 6FX 150CM .035

Facility

$550.00

Hospital Charge Code	270670720
Hospital Revenue Code	272
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$82.50
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

CATH SWAN GANZ5FR TD24CM/100CM

Facility

$735.00

Hospital Charge Code	2709006896
Hospital Revenue Code	272
Min. Negotiated Rate	$110.25
Max. Negotiated Rate	$110.25
Rate for Payer: Qualcare PPO/HMO/WC	$110.25

CATH SWAN GANZ5FR TD24CM/100CM

Facility

$735.00

Hospital Charge Code	2709006896
Hospital Revenue Code	272
Min. Negotiated Rate	$95.55
Max. Negotiated Rate	$367.50
Rate for Payer: Aetna Commercial	$220.50
Rate for Payer: Aetna Medicare Advantage	$220.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$187.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$187.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$187.43
Rate for Payer: Cigna Commercial	$367.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$95.55
Rate for Payer: Oxford Commercial	$367.50
Rate for Payer: Qualcare PPO/HMO/WC	$110.25
Rate for Payer: UnitedHealthcare Commercial	$367.50

CATH SWAN GANZ 7.5FR

Facility

$463.25

Hospital Charge Code	270110025
Hospital Revenue Code	272
Min. Negotiated Rate	$69.49
Max. Negotiated Rate	$69.49
Rate for Payer: Qualcare PPO/HMO/WC	$69.49

CATH SWAN GANZ 7.5FR

Facility

$463.25

Hospital Charge Code	270110025
Hospital Revenue Code	272
Min. Negotiated Rate	$60.22
Max. Negotiated Rate	$231.62
Rate for Payer: Aetna Commercial	$138.97
Rate for Payer: Aetna Medicare Advantage	$138.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$118.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$118.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$118.13
Rate for Payer: Cigna Commercial	$231.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.22
Rate for Payer: Oxford Commercial	$231.62
Rate for Payer: Qualcare PPO/HMO/WC	$69.49
Rate for Payer: UnitedHealthcare Commercial	$231.62

CATH SWAN GANZ BIPOLAR

Facility

$525.25

Hospital Charge Code	270649700
Hospital Revenue Code	272
Min. Negotiated Rate	$68.28
Max. Negotiated Rate	$262.62
Rate for Payer: Aetna Commercial	$157.57
Rate for Payer: Aetna Medicare Advantage	$157.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.94
Rate for Payer: Cigna Commercial	$262.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$68.28
Rate for Payer: Oxford Commercial	$262.62
Rate for Payer: Qualcare PPO/HMO/WC	$78.79
Rate for Payer: UnitedHealthcare Commercial	$262.62

CATH SWAN GANZ BIPOLAR

Facility

$525.25

Hospital Charge Code	270649700
Hospital Revenue Code	272
Min. Negotiated Rate	$78.79
Max. Negotiated Rate	$78.79
Rate for Payer: Qualcare PPO/HMO/WC	$78.79

CATH SWAN GANZ THERMODILUTION

Facility

$74.64

Service Code	HCPCS C1714
Hospital Charge Code	270649976N
Hospital Revenue Code	278
Min. Negotiated Rate	$11.20
Max. Negotiated Rate	$37.32
Rate for Payer: Aetna Commercial	$22.39
Rate for Payer: Aetna Medicare Advantage	$22.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.03
Rate for Payer: Cigna Commercial	$37.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.06
Rate for Payer: Qualcare PPO/HMO/WC	$11.20

CATH SWAN GANZ THERMODILUTION

Facility

$74.64

Service Code	HCPCS C1714
Hospital Charge Code	270649976N
Hospital Revenue Code	278
Min. Negotiated Rate	$11.20
Max. Negotiated Rate	$18.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.06
Rate for Payer: Qualcare PPO/HMO/WC	$11.20

CATH SWAN GANZ THERMODILUTION

Facility

$450.00

Service Code	HCPCS C1714
Hospital Charge Code	270649976S
Hospital Revenue Code	278
Min. Negotiated Rate	$67.50
Max. Negotiated Rate	$108.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.90
Rate for Payer: Qualcare PPO/HMO/WC	$67.50

CATH SWAN GANZ THERMODILUTION

Facility

$450.00

Service Code	HCPCS C1714
Hospital Charge Code	270649976
Hospital Revenue Code	278
Min. Negotiated Rate	$67.50
Max. Negotiated Rate	$108.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.90
Rate for Payer: Qualcare PPO/HMO/WC	$67.50

CATH SWAN GANZ THERMODILUTION

Facility

$450.00

Service Code	HCPCS C1714
Hospital Charge Code	270649976
Hospital Revenue Code	278
Min. Negotiated Rate	$67.50
Max. Negotiated Rate	$225.00
Rate for Payer: Aetna Commercial	$135.00
Rate for Payer: Aetna Medicare Advantage	$135.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.75
Rate for Payer: Cigna Commercial	$225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.90
Rate for Payer: Qualcare PPO/HMO/WC	$67.50

CATH SWAN GANZ THERMODILUTION

Facility

$450.00

Service Code	HCPCS C1714
Hospital Charge Code	270649976S
Hospital Revenue Code	278
Min. Negotiated Rate	$67.50
Max. Negotiated Rate	$225.00
Rate for Payer: Aetna Commercial	$135.00
Rate for Payer: Aetna Medicare Advantage	$135.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.75
Rate for Payer: Cigna Commercial	$225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.90
Rate for Payer: Qualcare PPO/HMO/WC	$67.50

CATH SWAN GANZ WEDGE 5F 110CM

Facility

$675.00

Service Code	HCPCS C1751
Hospital Charge Code	270696315C
Hospital Revenue Code	278
Min. Negotiated Rate	$101.25
Max. Negotiated Rate	$337.50
Rate for Payer: Aetna Commercial	$202.50
Rate for Payer: Aetna Medicare Advantage	$202.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$172.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$172.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$135.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$172.12
Rate for Payer: Cigna Commercial	$337.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$163.35
Rate for Payer: Qualcare PPO/HMO/WC	$101.25

CATH SWAN GANZ WEDGE 5F 110CM

Facility

$675.00

Service Code	HCPCS C1751
Hospital Charge Code	270696315S
Hospital Revenue Code	278
Min. Negotiated Rate	$101.25
Max. Negotiated Rate	$163.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$135.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$163.35
Rate for Payer: Qualcare PPO/HMO/WC	$101.25

CATH SWAN GANZ WEDGE 5F 110CM

Facility

$675.00

Service Code	HCPCS C1751
Hospital Charge Code	270696315S
Hospital Revenue Code	278
Min. Negotiated Rate	$101.25
Max. Negotiated Rate	$337.50
Rate for Payer: Aetna Commercial	$202.50
Rate for Payer: Aetna Medicare Advantage	$202.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$172.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$172.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$135.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$172.12
Rate for Payer: Cigna Commercial	$337.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$163.35
Rate for Payer: Qualcare PPO/HMO/WC	$101.25

CATH SWAN GANZ WEDGE 5F 110CM

Facility

$675.00

Service Code	HCPCS C1751
Hospital Charge Code	270696315C
Hospital Revenue Code	278
Min. Negotiated Rate	$101.25
Max. Negotiated Rate	$163.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$135.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$163.35
Rate for Payer: Qualcare PPO/HMO/WC	$101.25

CATH SYMETRY 6FR 2x4 135 10531

Facility

$1,789.40

Hospital Charge Code	270629631
Hospital Revenue Code	278
Min. Negotiated Rate	$268.41
Max. Negotiated Rate	$433.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$357.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$433.03
Rate for Payer: Qualcare PPO/HMO/WC	$268.41

CATH SYMETRY 6FR 2x4 135 10531

Facility

$1,789.40

Hospital Charge Code	270629631
Hospital Revenue Code	278
Min. Negotiated Rate	$268.41
Max. Negotiated Rate	$894.70
Rate for Payer: Aetna Commercial	$536.82
Rate for Payer: Aetna Medicare Advantage	$536.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$456.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$456.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$357.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$456.30
Rate for Payer: Cigna Commercial	$894.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$433.03
Rate for Payer: Qualcare PPO/HMO/WC	$268.41

CATH SYMMETRY 7FR 5x2 135cm

Facility

$1,493.50

Hospital Charge Code	270628772
Hospital Revenue Code	278
Min. Negotiated Rate	$224.03
Max. Negotiated Rate	$746.75
Rate for Payer: Aetna Commercial	$448.05
Rate for Payer: Aetna Medicare Advantage	$448.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$380.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$380.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$298.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$380.84
Rate for Payer: Cigna Commercial	$746.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$361.43
Rate for Payer: Qualcare PPO/HMO/WC	$224.03

Know your out-of-pocket cost for care.

All Charges