Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATH VAXEL DIALYSIS 19cm 45511

Facility

$1,785.65

Hospital Charge Code	270628311
Hospital Revenue Code	278
Min. Negotiated Rate	$267.85
Max. Negotiated Rate	$892.83
Rate for Payer: Aetna Commercial	$535.70
Rate for Payer: Aetna Medicare Advantage	$535.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$455.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$455.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$357.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$455.34
Rate for Payer: Cigna Commercial	$892.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$432.13
Rate for Payer: Qualcare PPO/HMO/WC	$267.85

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 23cm 45521

Facility

$1,785.65

Hospital Charge Code	270628312
Hospital Revenue Code	278
Min. Negotiated Rate	$267.85
Max. Negotiated Rate	$892.83
Rate for Payer: Cigna Commercial	$892.83
Rate for Payer: Aetna Commercial	$535.70
Rate for Payer: Aetna Medicare Advantage	$535.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$455.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$455.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$357.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$455.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$432.13
Rate for Payer: Qualcare PPO/HMO/WC	$267.85

CATH VAXEL DIALYSIS 23cm 45521

Facility

$1,800.00

Hospital Charge Code	270628312V
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 23cm 45521

Facility

$1,800.00

Hospital Charge Code	270628312V
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 23cm 45521

Facility

$1,785.65

Hospital Charge Code	270628312
Hospital Revenue Code	278
Min. Negotiated Rate	$267.85
Max. Negotiated Rate	$432.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$357.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$432.13
Rate for Payer: Qualcare PPO/HMO/WC	$267.85

CATH VAXEL DIALYSIS 28cm 45531

Facility

$1,785.65

Hospital Charge Code	270628313
Hospital Revenue Code	278
Min. Negotiated Rate	$267.85
Max. Negotiated Rate	$432.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$357.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$432.13
Rate for Payer: Qualcare PPO/HMO/WC	$267.85

CATH VAXEL DIALYSIS 28cm 45531

Facility

$1,800.00

Hospital Charge Code	270628313V
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 28cm 45531

Facility

$1,800.00

Hospital Charge Code	270628313V
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 28cm 45531

Facility

$1,785.65

Hospital Charge Code	270628313
Hospital Revenue Code	278
Min. Negotiated Rate	$267.85
Max. Negotiated Rate	$892.83
Rate for Payer: Aetna Commercial	$535.70
Rate for Payer: Aetna Medicare Advantage	$535.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$455.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$455.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$357.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$455.34
Rate for Payer: Cigna Commercial	$892.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$432.13
Rate for Payer: Qualcare PPO/HMO/WC	$267.85

CATH VAXL PICC 5x130 CLP 45432

Facility

$64.70

Hospital Charge Code	270623513
Hospital Revenue Code	278
Min. Negotiated Rate	$9.71
Max. Negotiated Rate	$32.35
Rate for Payer: Aetna Commercial	$19.41
Rate for Payer: Aetna Medicare Advantage	$19.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.50
Rate for Payer: Cigna Commercial	$32.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.66
Rate for Payer: Qualcare PPO/HMO/WC	$9.71

CATH VAXL PICC 5x130 CLP 45432

Facility

$64.70

Hospital Charge Code	270623513
Hospital Revenue Code	278
Min. Negotiated Rate	$9.71
Max. Negotiated Rate	$15.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.66
Rate for Payer: Qualcare PPO/HMO/WC	$9.71

CATH VAX PICC 5F 130C CL 45432

Facility

$360.00

Hospital Charge Code	270623512
Hospital Revenue Code	278
Min. Negotiated Rate	$54.00
Max. Negotiated Rate	$180.00
Rate for Payer: Aetna Commercial	$108.00
Rate for Payer: Aetna Medicare Advantage	$108.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$72.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.80
Rate for Payer: Cigna Commercial	$180.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.12
Rate for Payer: Qualcare PPO/HMO/WC	$54.00

CATH VAX PICC 5F 130C CL 45432

Facility

$360.00

Hospital Charge Code	270623512V
Hospital Revenue Code	278
Min. Negotiated Rate	$54.00
Max. Negotiated Rate	$180.00
Rate for Payer: Aetna Commercial	$108.00
Rate for Payer: Aetna Medicare Advantage	$108.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$72.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.80
Rate for Payer: Cigna Commercial	$180.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.12
Rate for Payer: Qualcare PPO/HMO/WC	$54.00

CATH VAX PICC 5F 130C CL 45432

Facility

$360.00

Hospital Charge Code	270623512V
Hospital Revenue Code	278
Min. Negotiated Rate	$54.00
Max. Negotiated Rate	$87.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$72.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.12
Rate for Payer: Qualcare PPO/HMO/WC	$54.00

CATH VAX PICC 5F 130C CL 45432

Facility

$360.00

Hospital Charge Code	270623512
Hospital Revenue Code	278
Min. Negotiated Rate	$54.00
Max. Negotiated Rate	$87.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$72.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.12
Rate for Payer: Qualcare PPO/HMO/WC	$54.00

CATH VCF HIGH FLOW 4FR .035X65

Facility

$550.00

Service Code	HCPCS C1887
Hospital Charge Code	270662848S
Hospital Revenue Code	278
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$275.00
Rate for Payer: Aetna Commercial	$165.00
Rate for Payer: Aetna Medicare Advantage	$165.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

CATH VCF HIGH FLOW 4FR .035X65

Facility

$550.00

Service Code	HCPCS C1887
Hospital Charge Code	270662848N
Hospital Revenue Code	278
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$275.00
Rate for Payer: Aetna Commercial	$165.00
Rate for Payer: Aetna Medicare Advantage	$165.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

CATH VCF HIGH FLOW 4FR .035X65

Facility

$550.00

Service Code	HCPCS C1887
Hospital Charge Code	270662848
Hospital Revenue Code	278
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$133.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

CATH VCF HIGH FLOW 4FR .035X65

Facility

$550.00

Service Code	HCPCS C1887
Hospital Charge Code	270662848
Hospital Revenue Code	278
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$275.00
Rate for Payer: Aetna Commercial	$165.00
Rate for Payer: Aetna Medicare Advantage	$165.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

CATH VCF HIGH FLOW 4FR .035X65

Facility

$550.00

Service Code	HCPCS C1887
Hospital Charge Code	270662848N
Hospital Revenue Code	278
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$133.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

CATH VCF HIGH FLOW 4FR .035X65

Facility

$550.00

Service Code	HCPCS C1887
Hospital Charge Code	270662848S
Hospital Revenue Code	278
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$133.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

CATH VENOUS MRI POR

Facility

$1,149.00

Hospital Charge Code	270606031
Hospital Revenue Code	272
Min. Negotiated Rate	$172.35
Max. Negotiated Rate	$172.35
Rate for Payer: Qualcare PPO/HMO/WC	$172.35

CATH VENOUS MRI POR

Facility

$1,149.00

Hospital Charge Code	270606031
Hospital Revenue Code	272
Min. Negotiated Rate	$149.37
Max. Negotiated Rate	$574.50
Rate for Payer: Aetna Commercial	$344.70
Rate for Payer: Aetna Medicare Advantage	$344.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$293.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$293.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$293.00
Rate for Payer: Cigna Commercial	$574.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$149.37
Rate for Payer: Oxford Commercial	$574.50
Rate for Payer: Qualcare PPO/HMO/WC	$172.35
Rate for Payer: UnitedHealthcare Commercial	$574.50

CATH VENT DRAIN 3.14MMX35CM

Facility

$945.00

Service Code	HCPCS C1729
Hospital Charge Code	270695273
Hospital Revenue Code	278
Min. Negotiated Rate	$141.75
Max. Negotiated Rate	$228.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$189.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$228.69
Rate for Payer: Qualcare PPO/HMO/WC	$141.75

Know your out-of-pocket cost for care.

All Charges