Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATH TROCAR 10FR

Facility

$111.25

Hospital Charge Code	270608302
Hospital Revenue Code	272
Min. Negotiated Rate	$16.69
Max. Negotiated Rate	$16.69
Rate for Payer: Qualcare PPO/HMO/WC	$16.69

CATH TROCAR 12FR

Facility

$80.12

Hospital Charge Code	270646706
Hospital Revenue Code	272
Min. Negotiated Rate	$10.42
Max. Negotiated Rate	$40.06
Rate for Payer: Aetna Commercial	$24.04
Rate for Payer: Aetna Medicare Advantage	$24.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.43
Rate for Payer: Cigna Commercial	$40.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.42
Rate for Payer: Oxford Commercial	$40.06
Rate for Payer: Qualcare PPO/HMO/WC	$12.02
Rate for Payer: UnitedHealthcare Commercial	$40.06

CATH TROCAR 12FR

Facility

$80.12

Hospital Charge Code	270646706
Hospital Revenue Code	272
Min. Negotiated Rate	$12.02
Max. Negotiated Rate	$12.02
Rate for Payer: Qualcare PPO/HMO/WC	$12.02

CATH TROCAR 28FR 8428

Facility

$80.71

Hospital Charge Code	270649078
Hospital Revenue Code	272
Min. Negotiated Rate	$10.49
Max. Negotiated Rate	$40.35
Rate for Payer: Aetna Commercial	$24.21
Rate for Payer: Aetna Medicare Advantage	$24.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.58
Rate for Payer: Cigna Commercial	$40.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.49
Rate for Payer: Oxford Commercial	$40.35
Rate for Payer: Qualcare PPO/HMO/WC	$12.11
Rate for Payer: UnitedHealthcare Commercial	$40.35

CATH TROCAR 28FR 8428

Facility

$80.71

Hospital Charge Code	270649078
Hospital Revenue Code	272
Min. Negotiated Rate	$12.11
Max. Negotiated Rate	$12.11
Rate for Payer: Qualcare PPO/HMO/WC	$12.11

CATH TROCAR 8FR

Facility

$160.00

Hospital Charge Code	270678172
Hospital Revenue Code	272
Min. Negotiated Rate	$24.00
Max. Negotiated Rate	$24.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.00

CATH TROCAR 8FR

Facility

$160.00

Hospital Charge Code	270678172
Hospital Revenue Code	272
Min. Negotiated Rate	$20.80
Max. Negotiated Rate	$80.00
Rate for Payer: Aetna Commercial	$48.00
Rate for Payer: Aetna Medicare Advantage	$48.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.80
Rate for Payer: Cigna Commercial	$80.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.80
Rate for Payer: Oxford Commercial	$80.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.00
Rate for Payer: UnitedHealthcare Commercial	$80.00

CATH TROCAR THORACIC 20FR

Facility

$80.12

Hospital Charge Code	270635997
Hospital Revenue Code	270
Min. Negotiated Rate	$12.02
Max. Negotiated Rate	$12.02
Rate for Payer: Qualcare PPO/HMO/WC	$12.02

CATH TROCAR THORACIC 20FR

Facility

$80.12

Hospital Charge Code	270635997
Hospital Revenue Code	270
Min. Negotiated Rate	$10.42
Max. Negotiated Rate	$40.06
Rate for Payer: Aetna Commercial	$24.04
Rate for Payer: Aetna Medicare Advantage	$24.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.43
Rate for Payer: Cigna Commercial	$40.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.42
Rate for Payer: Oxford Commercial	$40.06
Rate for Payer: Qualcare PPO/HMO/WC	$12.02
Rate for Payer: UnitedHealthcare Commercial	$40.06

CATH TROC STER 24FR 8888561050

Facility

$71.95

Hospital Charge Code	270639740
Hospital Revenue Code	272
Min. Negotiated Rate	$10.79
Max. Negotiated Rate	$10.79
Rate for Payer: Qualcare PPO/HMO/WC	$10.79

CATH TROC STER 24FR 8888561050

Facility

$71.95

Hospital Charge Code	270639740
Hospital Revenue Code	272
Min. Negotiated Rate	$9.35
Max. Negotiated Rate	$35.98
Rate for Payer: Aetna Commercial	$21.59
Rate for Payer: Aetna Medicare Advantage	$21.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.35
Rate for Payer: Cigna Commercial	$35.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.35
Rate for Payer: Oxford Commercial	$35.98
Rate for Payer: Qualcare PPO/HMO/WC	$10.79
Rate for Payer: UnitedHealthcare Commercial	$35.98

CATH TROC STER 32FR 8888561076

Facility

$71.95

Hospital Charge Code	270639741
Hospital Revenue Code	272
Min. Negotiated Rate	$10.79
Max. Negotiated Rate	$10.79
Rate for Payer: Qualcare PPO/HMO/WC	$10.79

CATH TROC STER 32FR 8888561076

Facility

$71.95

Hospital Charge Code	270639741
Hospital Revenue Code	272
Min. Negotiated Rate	$9.35
Max. Negotiated Rate	$35.98
Rate for Payer: Aetna Commercial	$21.59
Rate for Payer: Aetna Medicare Advantage	$21.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.35
Rate for Payer: Cigna Commercial	$35.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.35
Rate for Payer: Oxford Commercial	$35.98
Rate for Payer: Qualcare PPO/HMO/WC	$10.79
Rate for Payer: UnitedHealthcare Commercial	$35.98

CATH TRPL LUMEN BASIC SET 15CM

Facility

$700.00

Service Code	HCPCS C1752
Hospital Charge Code	270689086
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$350.00
Rate for Payer: Aetna Commercial	$210.00
Rate for Payer: Aetna Medicare Advantage	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.50
Rate for Payer: Cigna Commercial	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

CATH TRPL LUMEN BASIC SET 15CM

Facility

$700.00

Service Code	HCPCS C1752
Hospital Charge Code	270689086
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$169.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

CATH TUBE CHOLANGIOGRAM #14

Facility

$34.75

Hospital Charge Code	270655499
Hospital Revenue Code	270
Min. Negotiated Rate	$4.52
Max. Negotiated Rate	$17.38
Rate for Payer: Aetna Commercial	$10.43
Rate for Payer: Aetna Medicare Advantage	$10.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.86
Rate for Payer: Cigna Commercial	$17.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.52
Rate for Payer: Oxford Commercial	$17.38
Rate for Payer: Qualcare PPO/HMO/WC	$5.21
Rate for Payer: UnitedHealthcare Commercial	$17.38

CATH TUBE CHOLANGIOGRAM #14

Facility

$34.75

Hospital Charge Code	270655499
Hospital Revenue Code	270
Min. Negotiated Rate	$5.21
Max. Negotiated Rate	$5.21
Rate for Payer: Qualcare PPO/HMO/WC	$5.21

CATH TUBE CHOLANGIOGRAM #16

Facility

$34.75

Hospital Charge Code	270655496
Hospital Revenue Code	270
Min. Negotiated Rate	$4.52
Max. Negotiated Rate	$17.38
Rate for Payer: Aetna Commercial	$10.43
Rate for Payer: Aetna Medicare Advantage	$10.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.86
Rate for Payer: Cigna Commercial	$17.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.52
Rate for Payer: Oxford Commercial	$17.38
Rate for Payer: Qualcare PPO/HMO/WC	$5.21
Rate for Payer: UnitedHealthcare Commercial	$17.38

CATH TUBE CHOLANGIOGRAM #16

Facility

$34.75

Hospital Charge Code	270655496
Hospital Revenue Code	270
Min. Negotiated Rate	$5.21
Max. Negotiated Rate	$5.21
Rate for Payer: Qualcare PPO/HMO/WC	$5.21

CATH TUBE CHOLANGIOGRAM #18

Facility

$34.75

Hospital Charge Code	270655495
Hospital Revenue Code	270
Min. Negotiated Rate	$4.52
Max. Negotiated Rate	$17.38
Rate for Payer: Aetna Commercial	$10.43
Rate for Payer: Aetna Medicare Advantage	$10.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.86
Rate for Payer: Cigna Commercial	$17.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.52
Rate for Payer: Oxford Commercial	$17.38
Rate for Payer: Qualcare PPO/HMO/WC	$5.21
Rate for Payer: UnitedHealthcare Commercial	$17.38

CATH TUBE CHOLANGIOGRAM #18

Facility

$34.75

Hospital Charge Code	270655495
Hospital Revenue Code	270
Min. Negotiated Rate	$5.21
Max. Negotiated Rate	$5.21
Rate for Payer: Qualcare PPO/HMO/WC	$5.21

CATH TURBO 6cm TIP

Facility

$16,975.00

Service Code	HCPCS C1885
Hospital Charge Code	270644411
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 TURBO 6cm TIP

Facility

$16,975.00

Service Code	HCPCS C1885
Hospital Charge Code	270644411
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 TURBO BOOST 8F 110 518063

Facility

$2,625.00

Hospital Charge Code	270639523C
Hospital Revenue Code	278
Min. Negotiated Rate	$393.75
Max. Negotiated Rate	$635.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$525.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$635.25
Rate for Payer: Qualcare PPO/HMO/WC	$393.75

CATH TURBO BOOST 8F 110 518063

Facility

$2,625.00

Hospital Charge Code	270639523C
Hospital Revenue Code	278
Min. Negotiated Rate	$393.75
Max. Negotiated Rate	$1,312.50
Rate for Payer: Aetna Commercial	$787.50
Rate for Payer: Aetna Medicare Advantage	$787.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$669.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$669.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$669.38
Rate for Payer: Cigna Commercial	$1,312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$635.25
Rate for Payer: Qualcare PPO/HMO/WC	$393.75

Know your out-of-pocket cost for care.

All Charges