Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATH URETERAL TIP #5 WHISTLE

Facility

$214.95

Hospital Charge Code	270658470
Hospital Revenue Code	272
Min. Negotiated Rate	$32.24
Max. Negotiated Rate	$32.24
Rate for Payer: Qualcare PPO/HMO/WC	$32.24

CATH URETH 2WAY 6 EYE 20FR

Facility

$53.81

Hospital Charge Code	270684822
Hospital Revenue Code	272
Min. Negotiated Rate	$7.00
Max. Negotiated Rate	$26.91
Rate for Payer: Aetna Commercial	$16.14
Rate for Payer: Aetna Medicare Advantage	$16.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.72
Rate for Payer: Cigna Commercial	$26.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.00
Rate for Payer: Oxford Commercial	$26.91
Rate for Payer: Qualcare PPO/HMO/WC	$8.07
Rate for Payer: UnitedHealthcare Commercial	$26.91

CATH URETH 2WAY 6 EYE 20FR

Facility

$53.81

Hospital Charge Code	270684822
Hospital Revenue Code	272
Min. Negotiated Rate	$8.07
Max. Negotiated Rate	$8.07
Rate for Payer: Qualcare PPO/HMO/WC	$8.07

CATH URETH 2WAY 6 EYE 22FR

Facility

$53.81

Hospital Charge Code	270684823
Hospital Revenue Code	272
Min. Negotiated Rate	$8.07
Max. Negotiated Rate	$8.07
Rate for Payer: Qualcare PPO/HMO/WC	$8.07

CATH URETH 2WAY 6 EYE 22FR

Facility

$53.81

Hospital Charge Code	270684823
Hospital Revenue Code	272
Min. Negotiated Rate	$7.00
Max. Negotiated Rate	$26.91
Rate for Payer: Aetna Commercial	$16.14
Rate for Payer: Aetna Medicare Advantage	$16.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.72
Rate for Payer: Cigna Commercial	$26.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.00
Rate for Payer: Oxford Commercial	$26.91
Rate for Payer: Qualcare PPO/HMO/WC	$8.07
Rate for Payer: UnitedHealthcare Commercial	$26.91

CATH URETH 2WAY 6 EYE 24FR

Facility

$53.81

Hospital Charge Code	270684824
Hospital Revenue Code	272
Min. Negotiated Rate	$8.07
Max. Negotiated Rate	$8.07
Rate for Payer: Qualcare PPO/HMO/WC	$8.07

CATH URETH 2WAY 6 EYE 24FR

Facility

$53.81

Hospital Charge Code	270684824
Hospital Revenue Code	272
Min. Negotiated Rate	$7.00
Max. Negotiated Rate	$26.91
Rate for Payer: Aetna Commercial	$16.14
Rate for Payer: Aetna Medicare Advantage	$16.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.72
Rate for Payer: Cigna Commercial	$26.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.00
Rate for Payer: Oxford Commercial	$26.91
Rate for Payer: Qualcare PPO/HMO/WC	$8.07
Rate for Payer: UnitedHealthcare Commercial	$26.91

CATH URETH COUDE 3 WAY 22FR 30

Facility

$146.58

Hospital Charge Code	270633022
Hospital Revenue Code	272
Min. Negotiated Rate	$21.99
Max. Negotiated Rate	$21.99
Rate for Payer: Qualcare PPO/HMO/WC	$21.99

CATH URETH COUDE 3 WAY 22FR 30

Facility

$146.58

Hospital Charge Code	270633022
Hospital Revenue Code	272
Min. Negotiated Rate	$19.06
Max. Negotiated Rate	$73.29
Rate for Payer: Aetna Commercial	$43.97
Rate for Payer: Aetna Medicare Advantage	$43.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.38
Rate for Payer: Cigna Commercial	$73.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.06
Rate for Payer: Oxford Commercial	$73.29
Rate for Payer: Qualcare PPO/HMO/WC	$21.99
Rate for Payer: UnitedHealthcare Commercial	$73.29

CATH URETH COUDE 3 WAY 24FR 30

Facility

$146.58

Hospital Charge Code	270684838
Hospital Revenue Code	272
Min. Negotiated Rate	$21.99
Max. Negotiated Rate	$21.99
Rate for Payer: Qualcare PPO/HMO/WC	$21.99

CATH URETH COUDE 3 WAY 24FR 30

Facility

$146.58

Hospital Charge Code	270684838
Hospital Revenue Code	272
Min. Negotiated Rate	$19.06
Max. Negotiated Rate	$73.29
Rate for Payer: Aetna Commercial	$43.97
Rate for Payer: Aetna Medicare Advantage	$43.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.38
Rate for Payer: Cigna Commercial	$73.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.06
Rate for Payer: Oxford Commercial	$73.29
Rate for Payer: Qualcare PPO/HMO/WC	$21.99
Rate for Payer: UnitedHealthcare Commercial	$73.29

CATH URETH MEASUR BAL 72401446

Facility

$545.65

Hospital Charge Code	270625250
Hospital Revenue Code	278
Min. Negotiated Rate	$81.85
Max. Negotiated Rate	$272.82
Rate for Payer: Aetna Commercial	$163.69
Rate for Payer: Aetna Medicare Advantage	$163.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$139.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$139.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$109.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$139.14
Rate for Payer: Cigna Commercial	$272.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$132.05
Rate for Payer: Qualcare PPO/HMO/WC	$81.85

CATH URETH MEASUR BAL 72401446

Facility

$545.65

Hospital Charge Code	270625250
Hospital Revenue Code	278
Min. Negotiated Rate	$81.85
Max. Negotiated Rate	$132.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$109.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$132.05
Rate for Payer: Qualcare PPO/HMO/WC	$81.85

CATH URETHRAL RED RUBBER 10FR

Facility

$4.43

Hospital Charge Code	270300515
Hospital Revenue Code	272
Min. Negotiated Rate	$0.66
Max. Negotiated Rate	$0.66
Rate for Payer: Qualcare PPO/HMO/WC	$0.66

CATH URETHRAL RED RUBBER 10FR

Facility

$4.43

Hospital Charge Code	270300515
Hospital Revenue Code	272
Min. Negotiated Rate	$0.58
Max. Negotiated Rate	$2.21
Rate for Payer: Aetna Commercial	$1.33
Rate for Payer: Aetna Medicare Advantage	$1.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.13
Rate for Payer: Cigna Commercial	$2.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.58
Rate for Payer: Oxford Commercial	$2.21
Rate for Payer: Qualcare PPO/HMO/WC	$0.66
Rate for Payer: UnitedHealthcare Commercial	$2.21

CATH URET OLIVE TP 4FR

Facility

$511.25

Hospital Charge Code	270060420
Hospital Revenue Code	278
Min. Negotiated Rate	$76.69
Max. Negotiated Rate	$123.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$102.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$123.72
Rate for Payer: Qualcare PPO/HMO/WC	$76.69

CATH URET OLIVE TP 4FR

Facility

$511.25

Hospital Charge Code	270060420
Hospital Revenue Code	278
Min. Negotiated Rate	$76.69
Max. Negotiated Rate	$255.62
Rate for Payer: Aetna Commercial	$153.38
Rate for Payer: Aetna Medicare Advantage	$153.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$130.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$130.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$102.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$130.37
Rate for Payer: Cigna Commercial	$255.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$123.72
Rate for Payer: Qualcare PPO/HMO/WC	$76.69

CATH URET OLIVE TP 5FR

Facility

$36.77

Service Code	HCPCS C1758
Hospital Charge Code	270605598
Hospital Revenue Code	278
Min. Negotiated Rate	$5.52
Max. Negotiated Rate	$8.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.90
Rate for Payer: Qualcare PPO/HMO/WC	$5.52

CATH URET OLIVE TP 5FR

Facility

$36.77

Service Code	HCPCS C1758
Hospital Charge Code	270605598
Hospital Revenue Code	278
Min. Negotiated Rate	$5.52
Max. Negotiated Rate	$18.39
Rate for Payer: Aetna Commercial	$11.03
Rate for Payer: Aetna Medicare Advantage	$11.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.38
Rate for Payer: Cigna Commercial	$18.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.90
Rate for Payer: Qualcare PPO/HMO/WC	$5.52

CATH URET OLIVE TP 5FR

Facility

$524.85

Hospital Charge Code	270060425
Hospital Revenue Code	278
Min. Negotiated Rate	$78.73
Max. Negotiated Rate	$127.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.01
Rate for Payer: Qualcare PPO/HMO/WC	$78.73

CATH URET OLIVE TP 5FR

Facility

$524.85

Hospital Charge Code	270060425
Hospital Revenue Code	278
Min. Negotiated Rate	$78.73
Max. Negotiated Rate	$262.43
Rate for Payer: Aetna Commercial	$157.46
Rate for Payer: Aetna Medicare Advantage	$157.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.84
Rate for Payer: Cigna Commercial	$262.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.01
Rate for Payer: Qualcare PPO/HMO/WC	$78.73

CATH URET OLIVE TP 6FR

Facility

$476.00

Hospital Charge Code	270060430
Hospital Revenue Code	272
Min. Negotiated Rate	$61.88
Max. Negotiated Rate	$238.00
Rate for Payer: Aetna Commercial	$142.80
Rate for Payer: Aetna Medicare Advantage	$142.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$121.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$121.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$121.38
Rate for Payer: Cigna Commercial	$238.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.88
Rate for Payer: Oxford Commercial	$238.00
Rate for Payer: Qualcare PPO/HMO/WC	$71.40
Rate for Payer: UnitedHealthcare Commercial	$238.00

CATH URET OLIVE TP 6FR

Facility

$476.00

Hospital Charge Code	270060430
Hospital Revenue Code	272
Min. Negotiated Rate	$71.40
Max. Negotiated Rate	$71.40
Rate for Payer: Qualcare PPO/HMO/WC	$71.40

CATH URET POLLACK 5F 70 021305

Facility

$59.25

Service Code	HCPCS C1758
Hospital Charge Code	270643424
Hospital Revenue Code	278
Min. Negotiated Rate	$8.89
Max. Negotiated Rate	$14.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.34
Rate for Payer: Qualcare PPO/HMO/WC	$8.89

CATH URET POLLACK 5F 70 021305

Facility

$59.25

Service Code	HCPCS C1758
Hospital Charge Code	270643424
Hospital Revenue Code	278
Min. Negotiated Rate	$8.89
Max. Negotiated Rate	$29.62
Rate for Payer: Aetna Commercial	$17.77
Rate for Payer: Aetna Medicare Advantage	$17.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.11
Rate for Payer: Cigna Commercial	$29.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.34
Rate for Payer: Qualcare PPO/HMO/WC	$8.89

Know your out-of-pocket cost for care.

All Charges