Heights University Hospital

All Charges

Charge

Type

Setting

Price

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	$361.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$298.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$361.43
Rate for Payer: Qualcare PPO/HMO/WC	$224.03

CATH SYM SS/2.0-2/4T 135 10530

Facility

$1,775.15

Hospital Charge Code	270633142
Hospital Revenue Code	278
Min. Negotiated Rate	$266.27
Max. Negotiated Rate	$887.58
Rate for Payer: Aetna Commercial	$532.54
Rate for Payer: Aetna Medicare Advantage	$532.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$452.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$452.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$355.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$452.66
Rate for Payer: Cigna Commercial	$887.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$429.59
Rate for Payer: Qualcare PPO/HMO/WC	$266.27

CATH SYM SS/2.0-2/4T 135 10530

Facility

$1,775.15

Hospital Charge Code	270633142
Hospital Revenue Code	278
Min. Negotiated Rate	$266.27
Max. Negotiated Rate	$429.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$355.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$429.59
Rate for Payer: Qualcare PPO/HMO/WC	$266.27

CATH SYM SS/3.0-2/4T/135 10536

Facility

$1,775.15

Hospital Charge Code	270629633
Hospital Revenue Code	278
Min. Negotiated Rate	$266.27
Max. Negotiated Rate	$429.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$355.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$429.59
Rate for Payer: Qualcare PPO/HMO/WC	$266.27

CATH SYM SS/3.0-2/4T/135 10536

Facility

$1,775.15

Hospital Charge Code	270629633
Hospital Revenue Code	278
Min. Negotiated Rate	$266.27
Max. Negotiated Rate	$887.58
Rate for Payer: Aetna Commercial	$532.54
Rate for Payer: Aetna Medicare Advantage	$532.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$452.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$452.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$355.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$452.66
Rate for Payer: Cigna Commercial	$887.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$429.59
Rate for Payer: Qualcare PPO/HMO/WC	$266.27

CATH SYM SS/3.0-4/4T/135 10537

Facility

$1,775.15

Hospital Charge Code	270629635
Hospital Revenue Code	278
Min. Negotiated Rate	$266.27
Max. Negotiated Rate	$887.58
Rate for Payer: Aetna Commercial	$532.54
Rate for Payer: Aetna Medicare Advantage	$532.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$452.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$452.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$355.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$452.66
Rate for Payer: Cigna Commercial	$887.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$429.59
Rate for Payer: Qualcare PPO/HMO/WC	$266.27

CATH SYM SS/3.0-4/4T/135 10537

Facility

$1,789.40

Hospital Charge Code	270629635V
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 SYM SS/3.0-4/4T/135 10537

Facility

$1,775.15

Hospital Charge Code	270629635
Hospital Revenue Code	278
Min. Negotiated Rate	$266.27
Max. Negotiated Rate	$429.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$355.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$429.59
Rate for Payer: Qualcare PPO/HMO/WC	$266.27

CATH SYM SS/3.0-4/4T/135 10537

Facility

$1,789.40

Hospital Charge Code	270629635V
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 SYNCHRO STR .014 215CM

Facility

$3,325.00

Service Code	HCPCS C1887
Hospital Charge Code	270693900S
Hospital Revenue Code	278
Min. Negotiated Rate	$498.75
Max. Negotiated Rate	$804.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$665.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$804.65
Rate for Payer: Qualcare PPO/HMO/WC	$498.75

CATH SYNCHRO STR .014 215CM

Facility

$3,325.00

Service Code	HCPCS C1887
Hospital Charge Code	270693900S
Hospital Revenue Code	278
Min. Negotiated Rate	$498.75
Max. Negotiated Rate	$1,662.50
Rate for Payer: Aetna Commercial	$997.50
Rate for Payer: Aetna Medicare Advantage	$997.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$847.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$847.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$665.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$847.88
Rate for Payer: Cigna Commercial	$1,662.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$804.65
Rate for Payer: Qualcare PPO/HMO/WC	$498.75

CATH SYNCHRO STR 215CM

Facility

$3,231.75

Service Code	HCPCS C1769
Hospital Charge Code	270693900
Hospital Revenue Code	278
Min. Negotiated Rate	$484.76
Max. Negotiated Rate	$782.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$646.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$782.08
Rate for Payer: Qualcare PPO/HMO/WC	$484.76

CATH SYNCHRO STR 215CM

Facility

$3,231.75

Service Code	HCPCS C1769
Hospital Charge Code	270693900
Hospital Revenue Code	278
Min. Negotiated Rate	$484.76
Max. Negotiated Rate	$1,615.88
Rate for Payer: Aetna Commercial	$969.52
Rate for Payer: Aetna Medicare Advantage	$969.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$824.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$824.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$646.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$824.10
Rate for Payer: Cigna Commercial	$1,615.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$782.08
Rate for Payer: Qualcare PPO/HMO/WC	$484.76

CATH SYNCHRO STRANDED

Facility

$3,325.00

Service Code	HCPCS C1769
Hospital Charge Code	270693899S
Hospital Revenue Code	272
Min. Negotiated Rate	$498.75
Max. Negotiated Rate	$498.75
Rate for Payer: Qualcare PPO/HMO/WC	$498.75

CATH SYNCHRO STRANDED

Facility

$3,325.00

Service Code	HCPCS C1769
Hospital Charge Code	270693899S
Hospital Revenue Code	272
Min. Negotiated Rate	$432.25
Max. Negotiated Rate	$1,662.50
Rate for Payer: Aetna Commercial	$997.50
Rate for Payer: Aetna Medicare Advantage	$997.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$847.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$847.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$847.88
Rate for Payer: Cigna Commercial	$1,662.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$432.25
Rate for Payer: Oxford Commercial	$1,662.50
Rate for Payer: Qualcare PPO/HMO/WC	$498.75
Rate for Payer: UnitedHealthcare Commercial	$1,662.50

CATH SYNCHRO STRAND STR 215CM

Facility

$3,231.75

Service Code	HCPCS C1769
Hospital Charge Code	270693899
Hospital Revenue Code	278
Min. Negotiated Rate	$484.76
Max. Negotiated Rate	$1,615.88
Rate for Payer: Aetna Commercial	$969.52
Rate for Payer: Aetna Medicare Advantage	$969.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$824.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$824.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$646.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$824.10
Rate for Payer: Cigna Commercial	$1,615.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$782.08
Rate for Payer: Qualcare PPO/HMO/WC	$484.76

CATH SYNCHRO STRAND STR 215CM

Facility

$3,231.75

Service Code	HCPCS C1769
Hospital Charge Code	270693899
Hospital Revenue Code	278
Min. Negotiated Rate	$484.76
Max. Negotiated Rate	$782.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$646.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$782.08
Rate for Payer: Qualcare PPO/HMO/WC	$484.76

CATH SYNERGY 5-10 135cm 19343

Facility

$1,387.10

Hospital Charge Code	270634770V
Hospital Revenue Code	278
Min. Negotiated Rate	$208.06
Max. Negotiated Rate	$693.55
Rate for Payer: Aetna Commercial	$416.13
Rate for Payer: Aetna Medicare Advantage	$416.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$353.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$353.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$277.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$353.71
Rate for Payer: Cigna Commercial	$693.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$335.68
Rate for Payer: Qualcare PPO/HMO/WC	$208.06

CATH SYNERGY 5-10 135cm 19343

Facility

$1,387.10

Hospital Charge Code	270634770V
Hospital Revenue Code	278
Min. Negotiated Rate	$208.06
Max. Negotiated Rate	$335.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$277.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$335.68
Rate for Payer: Qualcare PPO/HMO/WC	$208.06

CATH SYNERGY 5-10 135cm 19343

Facility

$1,376.00

Hospital Charge Code	270634770
Hospital Revenue Code	278
Min. Negotiated Rate	$206.40
Max. Negotiated Rate	$688.00
Rate for Payer: Aetna Commercial	$412.80
Rate for Payer: Aetna Medicare Advantage	$412.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$350.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$350.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$275.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$350.88
Rate for Payer: Cigna Commercial	$688.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$332.99
Rate for Payer: Qualcare PPO/HMO/WC	$206.40

CATH SYNERGY 5-10 135cm 19343

Facility

$1,376.00

Hospital Charge Code	270634770
Hospital Revenue Code	278
Min. Negotiated Rate	$206.40
Max. Negotiated Rate	$332.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$275.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$332.99
Rate for Payer: Qualcare PPO/HMO/WC	$206.40

CATH SYNERGY 6-10 135cm 19378

Facility

$1,387.10

Hospital Charge Code	270634771V
Hospital Revenue Code	278
Min. Negotiated Rate	$208.06
Max. Negotiated Rate	$335.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$277.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$335.68
Rate for Payer: Qualcare PPO/HMO/WC	$208.06

CATH SYNERGY 6-10 135cm 19378

Facility

$1,387.10

Hospital Charge Code	270634771V
Hospital Revenue Code	278
Min. Negotiated Rate	$208.06
Max. Negotiated Rate	$693.55
Rate for Payer: Aetna Commercial	$416.13
Rate for Payer: Aetna Medicare Advantage	$416.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$353.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$353.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$277.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$353.71
Rate for Payer: Cigna Commercial	$693.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$335.68
Rate for Payer: Qualcare PPO/HMO/WC	$208.06

CATH SYNERGY 6-10 135cm 19378

Facility

$1,376.00

Hospital Charge Code	270634771
Hospital Revenue Code	278
Min. Negotiated Rate	$206.40
Max. Negotiated Rate	$332.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$275.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$332.99
Rate for Payer: Qualcare PPO/HMO/WC	$206.40

CATH SYNERGY 6-10 135cm 19378

Facility

$1,387.10

Hospital Charge Code	270634772V
Hospital Revenue Code	278
Min. Negotiated Rate	$208.06
Max. Negotiated Rate	$335.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$277.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$335.68
Rate for Payer: Qualcare PPO/HMO/WC	$208.06

Know your out-of-pocket cost for care.

All Charges