Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATH TREK CORON/3.00MMX20MM

Facility

$850.00

Hospital Charge Code	2709007082
Hospital Revenue Code	272
Min. Negotiated Rate	$110.50
Max. Negotiated Rate	$425.00
Rate for Payer: Aetna Commercial	$255.00
Rate for Payer: Aetna Medicare Advantage	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$216.75
Rate for Payer: Cigna Commercial	$425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.50
Rate for Payer: Oxford Commercial	$425.00
Rate for Payer: Qualcare PPO/HMO/WC	$127.50
Rate for Payer: UnitedHealthcare Commercial	$425.00

CATH TREK CORON/3.00MMX20MM

Facility

$850.00

Hospital Charge Code	2709007082
Hospital Revenue Code	272
Min. Negotiated Rate	$127.50
Max. Negotiated Rate	$127.50
Rate for Payer: Qualcare PPO/HMO/WC	$127.50

CATH TREK CORON/3.0MMX12MM

Facility

$850.00

Hospital Charge Code	2709007120
Hospital Revenue Code	272
Min. Negotiated Rate	$127.50
Max. Negotiated Rate	$127.50
Rate for Payer: Qualcare PPO/HMO/WC	$127.50

CATH TREK CORON/3.0MMX12MM

Facility

$850.00

Hospital Charge Code	2709007120
Hospital Revenue Code	272
Min. Negotiated Rate	$110.50
Max. Negotiated Rate	$425.00
Rate for Payer: Aetna Commercial	$255.00
Rate for Payer: Aetna Medicare Advantage	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$216.75
Rate for Payer: Cigna Commercial	$425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.50
Rate for Payer: Oxford Commercial	$425.00
Rate for Payer: Qualcare PPO/HMO/WC	$127.50
Rate for Payer: UnitedHealthcare Commercial	$425.00

CATH TREK CORON/3.5MMX15MM

Facility

$850.00

Hospital Charge Code	2709007122
Hospital Revenue Code	272
Min. Negotiated Rate	$127.50
Max. Negotiated Rate	$127.50
Rate for Payer: Qualcare PPO/HMO/WC	$127.50

CATH TREK CORON/3.5MMX15MM

Facility

$850.00

Hospital Charge Code	2709007122
Hospital Revenue Code	272
Min. Negotiated Rate	$110.50
Max. Negotiated Rate	$425.00
Rate for Payer: Aetna Commercial	$255.00
Rate for Payer: Aetna Medicare Advantage	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$216.75
Rate for Payer: Cigna Commercial	$425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.50
Rate for Payer: Oxford Commercial	$425.00
Rate for Payer: Qualcare PPO/HMO/WC	$127.50
Rate for Payer: UnitedHealthcare Commercial	$425.00

CATH TRELLIS PERIPHERAL

Facility

$10,475.00

Hospital Charge Code	27064266
Hospital Revenue Code	278
Min. Negotiated Rate	$1,571.25
Max. Negotiated Rate	$2,534.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,095.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,534.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,571.25

CATH TRELLIS PERIPHERAL

Facility

$10,475.00

Hospital Charge Code	27064266
Hospital Revenue Code	278
Min. Negotiated Rate	$1,571.25
Max. Negotiated Rate	$5,237.50
Rate for Payer: Aetna Commercial	$3,142.50
Rate for Payer: Aetna Medicare Advantage	$3,142.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,671.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,671.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,095.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,671.12
Rate for Payer: Cigna Commercial	$5,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,534.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,571.25

CATH TRELLIS PERIPHERAL 80X30

Facility

$10,475.00

Hospital Charge Code	270639940
Hospital Revenue Code	278
Min. Negotiated Rate	$1,571.25
Max. Negotiated Rate	$5,237.50
Rate for Payer: Aetna Commercial	$3,142.50
Rate for Payer: Aetna Medicare Advantage	$3,142.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,671.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,671.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,095.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,671.12
Rate for Payer: Cigna Commercial	$5,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,534.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,571.25

CATH TRELLIS PERIPHERAL 80X30

Facility

$10,475.00

Hospital Charge Code	270639940
Hospital Revenue Code	278
Min. Negotiated Rate	$1,571.25
Max. Negotiated Rate	$2,534.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,095.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,534.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,571.25

CATH TREL PERIP 30x120

Facility

$9,975.00

Hospital Charge Code	270639805
Hospital Revenue Code	272
Min. Negotiated Rate	$1,496.25
Max. Negotiated Rate	$1,496.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,496.25

CATH TREL PERIP 30x120

Facility

$9,975.00

Hospital Charge Code	270639805
Hospital Revenue Code	272
Min. Negotiated Rate	$1,296.75
Max. Negotiated Rate	$4,987.50
Rate for Payer: Aetna Commercial	$2,992.50
Rate for Payer: Aetna Medicare Advantage	$2,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,543.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,543.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,543.62
Rate for Payer: Cigna Commercial	$4,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,296.75
Rate for Payer: Oxford Commercial	$4,987.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,496.25
Rate for Payer: UnitedHealthcare Commercial	$4,987.50

CATH TRIPLE LM 6 AK-22123-F

Facility

$936.85

Hospital Charge Code	270606228
Hospital Revenue Code	272
Min. Negotiated Rate	$121.79
Max. Negotiated Rate	$468.43
Rate for Payer: Aetna Commercial	$281.06
Rate for Payer: Aetna Medicare Advantage	$281.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$238.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$238.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$238.90
Rate for Payer: Cigna Commercial	$468.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.79
Rate for Payer: Oxford Commercial	$468.43
Rate for Payer: Qualcare PPO/HMO/WC	$140.53
Rate for Payer: UnitedHealthcare Commercial	$468.43

CATH TRIPLE LM 6 AK-22123-F

Facility

$936.85

Hospital Charge Code	270302228
Hospital Revenue Code	272
Min. Negotiated Rate	$121.79
Max. Negotiated Rate	$468.43
Rate for Payer: Aetna Commercial	$281.06
Rate for Payer: Aetna Medicare Advantage	$281.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$238.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$238.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$238.90
Rate for Payer: Cigna Commercial	$468.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.79
Rate for Payer: Oxford Commercial	$468.43
Rate for Payer: Qualcare PPO/HMO/WC	$140.53
Rate for Payer: UnitedHealthcare Commercial	$468.43

CATH TRIPLE LM 6 AK-22123-F

Facility

$936.85

Hospital Charge Code	270302228
Hospital Revenue Code	272
Min. Negotiated Rate	$140.53
Max. Negotiated Rate	$140.53
Rate for Payer: Qualcare PPO/HMO/WC	$140.53

CATH TRIPLE LM 6 AK-22123-F

Facility

$936.85

Hospital Charge Code	270606228
Hospital Revenue Code	272
Min. Negotiated Rate	$140.53
Max. Negotiated Rate	$140.53
Rate for Payer: Qualcare PPO/HMO/WC	$140.53

CATH TRIPLE LM 8 AK-25123-F

Facility

$739.25

Hospital Charge Code	270606227
Hospital Revenue Code	272
Min. Negotiated Rate	$96.10
Max. Negotiated Rate	$369.62
Rate for Payer: Aetna Commercial	$221.78
Rate for Payer: Aetna Medicare Advantage	$221.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$188.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$188.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$188.51
Rate for Payer: Cigna Commercial	$369.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.10
Rate for Payer: Oxford Commercial	$369.62
Rate for Payer: Qualcare PPO/HMO/WC	$110.89
Rate for Payer: UnitedHealthcare Commercial	$369.62

CATH TRIPLE LM 8 AK-25123-F

Facility

$739.25

Hospital Charge Code	270606227
Hospital Revenue Code	272
Min. Negotiated Rate	$110.89
Max. Negotiated Rate	$110.89
Rate for Payer: Qualcare PPO/HMO/WC	$110.89

CATH TRIPLE LM 8 AK-25123-F

Facility

$466.83

Hospital Charge Code	270302229
Hospital Revenue Code	272
Min. Negotiated Rate	$70.02
Max. Negotiated Rate	$70.02
Rate for Payer: Qualcare PPO/HMO/WC	$70.02

CATH TRIPLE LM 8 AK-25123-F

Facility

$466.83

Hospital Charge Code	270302229
Hospital Revenue Code	272
Min. Negotiated Rate	$60.69
Max. Negotiated Rate	$233.41
Rate for Payer: Aetna Commercial	$140.05
Rate for Payer: Aetna Medicare Advantage	$140.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.04
Rate for Payer: Cigna Commercial	$233.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.69
Rate for Payer: Oxford Commercial	$233.41
Rate for Payer: Qualcare PPO/HMO/WC	$70.02
Rate for Payer: UnitedHealthcare Commercial	$233.41

CATH TRLBLZR .014 SC-014-150

Facility

$744.80

Service Code	HCPCS C1725
Hospital Charge Code	270643849C
Hospital Revenue Code	278
Min. Negotiated Rate	$111.72
Max. Negotiated Rate	$180.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$148.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$180.24
Rate for Payer: Qualcare PPO/HMO/WC	$111.72

CATH TRLBLZR .014 SC-014-150

Facility

$744.80

Service Code	HCPCS C1725
Hospital Charge Code	270643849C
Hospital Revenue Code	278
Min. Negotiated Rate	$111.72
Max. Negotiated Rate	$372.40
Rate for Payer: Aetna Commercial	$223.44
Rate for Payer: Aetna Medicare Advantage	$223.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$189.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$189.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$148.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$189.92
Rate for Payer: Cigna Commercial	$372.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$180.24
Rate for Payer: Qualcare PPO/HMO/WC	$111.72

CATH TRLBLZR 035 135 SC035135

Facility

$744.80

Service Code	HCPCS C1725
Hospital Charge Code	270643851C
Hospital Revenue Code	278
Min. Negotiated Rate	$111.72
Max. Negotiated Rate	$372.40
Rate for Payer: Aetna Commercial	$223.44
Rate for Payer: Aetna Medicare Advantage	$223.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$189.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$189.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$148.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$189.92
Rate for Payer: Cigna Commercial	$372.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$180.24
Rate for Payer: Qualcare PPO/HMO/WC	$111.72

CATH TRLBLZR 035 135 SC035135

Facility

$744.80

Service Code	HCPCS C1725
Hospital Charge Code	270643851C
Hospital Revenue Code	278
Min. Negotiated Rate	$111.72
Max. Negotiated Rate	$180.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$148.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$180.24
Rate for Payer: Qualcare PPO/HMO/WC	$111.72

CATH TROCAR 10FR

Facility

$111.25

Hospital Charge Code	270608302
Hospital Revenue Code	272
Min. Negotiated Rate	$14.46
Max. Negotiated Rate	$55.62
Rate for Payer: Aetna Commercial	$33.38
Rate for Payer: Aetna Medicare Advantage	$33.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.37
Rate for Payer: Cigna Commercial	$55.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.46
Rate for Payer: Oxford Commercial	$55.62
Rate for Payer: Qualcare PPO/HMO/WC	$16.69
Rate for Payer: UnitedHealthcare Commercial	$55.62

Know your out-of-pocket cost for care.

All Charges