Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATH U/THIN S 5F 4-8 135 17578

Facility

$1,071.45

Hospital Charge Code	270634116
Hospital Revenue Code	278
Min. Negotiated Rate	$160.72
Max. Negotiated Rate	$535.73
Rate for Payer: Aetna Commercial	$321.44
Rate for Payer: Aetna Medicare Advantage	$321.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$273.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$273.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$273.22
Rate for Payer: Cigna Commercial	$535.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.29
Rate for Payer: Qualcare PPO/HMO/WC	$160.72

CATH U/THIN SDS 5x4x135 17-598

Facility

$1,418.65

Hospital Charge Code	270632140
Hospital Revenue Code	278
Min. Negotiated Rate	$212.80
Max. Negotiated Rate	$709.33
Rate for Payer: Aetna Commercial	$425.60
Rate for Payer: Aetna Medicare Advantage	$425.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$361.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$361.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$283.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$361.76
Rate for Payer: Cigna Commercial	$709.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$343.31
Rate for Payer: Qualcare PPO/HMO/WC	$212.80

CATH U/THIN SDS 5x4x135 17-598

Facility

$1,418.65

Hospital Charge Code	270632140
Hospital Revenue Code	278
Min. Negotiated Rate	$212.80
Max. Negotiated Rate	$343.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$283.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$343.31
Rate for Payer: Qualcare PPO/HMO/WC	$212.80

CATH UTHIN SDS 5x5-8x135 17608

Facility

$1,071.45

Hospital Charge Code	270632850
Hospital Revenue Code	278
Min. Negotiated Rate	$160.72
Max. Negotiated Rate	$535.73
Rate for Payer: Aetna Commercial	$321.44
Rate for Payer: Aetna Medicare Advantage	$321.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$273.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$273.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$273.22
Rate for Payer: Cigna Commercial	$535.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.29
Rate for Payer: Qualcare PPO/HMO/WC	$160.72

CATH UTHIN SDS 5x5-8x135 17608

Facility

$1,071.45

Hospital Charge Code	270632850
Hospital Revenue Code	278
Min. Negotiated Rate	$160.72
Max. Negotiated Rate	$259.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.29
Rate for Payer: Qualcare PPO/HMO/WC	$160.72

CATH UTHIN SDS 5x5-8x135 17608

Facility

$1,080.00

Hospital Charge Code	270632850V
Hospital Revenue Code	278
Min. Negotiated Rate	$162.00
Max. Negotiated Rate	$540.00
Rate for Payer: Aetna Commercial	$324.00
Rate for Payer: Aetna Medicare Advantage	$324.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$275.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$275.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$216.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$275.40
Rate for Payer: Cigna Commercial	$540.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$261.36
Rate for Payer: Qualcare PPO/HMO/WC	$162.00

CATH UTHIN SDS 5x5-8x135 17608

Facility

$1,080.00

Hospital Charge Code	270632850V
Hospital Revenue Code	278
Min. Negotiated Rate	$162.00
Max. Negotiated Rate	$261.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$216.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$261.36
Rate for Payer: Qualcare PPO/HMO/WC	$162.00

CATH U/TN DIM 10x2x75 16-521

Facility

$1,020.00

Hospital Charge Code	270629354V
Hospital Revenue Code	278
Min. Negotiated Rate	$153.00
Max. Negotiated Rate	$246.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$204.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$246.84
Rate for Payer: Qualcare PPO/HMO/WC	$153.00

CATH U/TN DIM 10x2x75 16-521

Facility

$1,011.90

Hospital Charge Code	270629354
Hospital Revenue Code	278
Min. Negotiated Rate	$151.78
Max. Negotiated Rate	$244.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$202.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$244.88
Rate for Payer: Qualcare PPO/HMO/WC	$151.78

CATH U/TN DIM 10x2x75 16-521

Facility

$1,020.00

Hospital Charge Code	270629354V
Hospital Revenue Code	278
Min. Negotiated Rate	$153.00
Max. Negotiated Rate	$510.00
Rate for Payer: Aetna Commercial	$306.00
Rate for Payer: Aetna Medicare Advantage	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$260.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$260.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$260.10
Rate for Payer: Cigna Commercial	$510.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$246.84
Rate for Payer: Qualcare PPO/HMO/WC	$153.00

CATH U/TN DIM 10x2x75 16-521

Facility

$1,011.90

Hospital Charge Code	270629354
Hospital Revenue Code	278
Min. Negotiated Rate	$151.78
Max. Negotiated Rate	$505.95
Rate for Payer: Aetna Commercial	$303.57
Rate for Payer: Aetna Medicare Advantage	$303.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$258.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$258.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$202.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$258.03
Rate for Payer: Cigna Commercial	$505.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$244.88
Rate for Payer: Qualcare PPO/HMO/WC	$151.78

CATH VAN ANDEL BALLOON ERCP

Facility

$390.00

Hospital Charge Code	270651763
Hospital Revenue Code	272
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CATH VAN ANDEL BALLOON ERCP

Facility

$390.00

Hospital Charge Code	270651763
Hospital Revenue Code	272
Min. Negotiated Rate	$50.70
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$117.00
Rate for Payer: Aetna Medicare Advantage	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.45
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$195.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$195.00

CATH VASCEL PASV 5FR DUAL PICC

Facility

$1,025.00

Hospital Charge Code	270638411
Hospital Revenue Code	278
Min. Negotiated Rate	$153.75
Max. Negotiated Rate	$512.50
Rate for Payer: Aetna Commercial	$307.50
Rate for Payer: Aetna Medicare Advantage	$307.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$205.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$261.38
Rate for Payer: Cigna Commercial	$512.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$248.05
Rate for Payer: Qualcare PPO/HMO/WC	$153.75

CATH VASCEL PASV 5FR DUAL PICC

Facility

$1,025.00

Hospital Charge Code	270638411
Hospital Revenue Code	278
Min. Negotiated Rate	$153.75
Max. Negotiated Rate	$248.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$205.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$248.05
Rate for Payer: Qualcare PPO/HMO/WC	$153.75

CATH VASCEL PASV 5FR SNGL PICC

Facility

$800.00

Hospital Charge Code	270638410
Hospital Revenue Code	278
Min. Negotiated Rate	$120.00
Max. Negotiated Rate	$193.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.60
Rate for Payer: Qualcare PPO/HMO/WC	$120.00

CATH VASCEL PASV 5FR SNGL PICC

Facility

$800.00

Hospital Charge Code	270638410
Hospital Revenue Code	278
Min. Negotiated Rate	$120.00
Max. Negotiated Rate	$400.00
Rate for Payer: Aetna Commercial	$240.00
Rate for Payer: Aetna Medicare Advantage	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.00
Rate for Payer: Cigna Commercial	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.60
Rate for Payer: Qualcare PPO/HMO/WC	$120.00

CATH VASCULR NONSELECT SVC IVC

Facility

$331.55

Service Code	HCPCS 36010
Hospital Charge Code	5100190
Hospital Revenue Code	361
Min. Negotiated Rate	$49.73
Max. Negotiated Rate	$49.73
Rate for Payer: Qualcare PPO/HMO/WC	$49.73

CATH VASCULR NONSELECT SVC IVC

Facility

$331.55

Service Code	HCPCS 36010
Hospital Charge Code	5100190
Hospital Revenue Code	361
Min. Negotiated Rate	$43.10
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$99.47
Rate for Payer: Aetna Medicare Advantage	$99.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.55
Rate for Payer: Cigna Commercial	$102.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.10
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$49.73
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

CATH VAXCEL PASV 6F 45213

Facility

$1,800.00

Hospital Charge Code	270632597V
Hospital Revenue Code	278
Min. Negotiated Rate	$270.00
Max. Negotiated Rate	$900.00
Rate for Payer: Aetna Commercial	$540.00
Rate for Payer: Aetna Medicare Advantage	$540.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$360.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$459.00
Rate for Payer: Cigna Commercial	$900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$435.60
Rate for Payer: Qualcare PPO/HMO/WC	$270.00

CATH VAXCEL PASV 6F 45213

Facility

$1,800.00

Hospital Charge Code	270632597
Hospital Revenue Code	278
Min. Negotiated Rate	$270.00
Max. Negotiated Rate	$435.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$360.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$435.60
Rate for Payer: Qualcare PPO/HMO/WC	$270.00

CATH VAXCEL PASV 6F 45213

Facility

$1,800.00

Hospital Charge Code	270632597V
Hospital Revenue Code	278
Min. Negotiated Rate	$270.00
Max. Negotiated Rate	$435.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$360.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$435.60
Rate for Payer: Qualcare PPO/HMO/WC	$270.00

CATH VAXCEL PASV 6F 45213

Facility

$1,800.00

Hospital Charge Code	270632597
Hospital Revenue Code	278
Min. Negotiated Rate	$270.00
Max. Negotiated Rate	$900.00
Rate for Payer: Aetna Commercial	$540.00
Rate for Payer: Aetna Medicare Advantage	$540.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$360.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$459.00
Rate for Payer: Cigna Commercial	$900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$435.60
Rate for Payer: Qualcare PPO/HMO/WC	$270.00

CATH VAXEL DIALYSIS 19cm 45511

Facility

$1,800.00

Hospital Charge Code	270628311V
Hospital Revenue Code	278
Min. Negotiated Rate	$270.00
Max. Negotiated Rate	$435.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$360.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$435.60
Rate for Payer: Qualcare PPO/HMO/WC	$270.00

CATH VAXEL DIALYSIS 19cm 45511

Facility

$1,800.00

Hospital Charge Code	270628311V
Hospital Revenue Code	278
Min. Negotiated Rate	$270.00
Max. Negotiated Rate	$900.00
Rate for Payer: Aetna Commercial	$540.00
Rate for Payer: Aetna Medicare Advantage	$540.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$360.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$459.00
Rate for Payer: Cigna Commercial	$900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$435.60
Rate for Payer: Qualcare PPO/HMO/WC	$270.00

Know your out-of-pocket cost for care.

All Charges