Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATH WILDCAT GW SUPPORT 6FR

Facility

$7,975.00

Service Code	HCPCS C1769
Hospital Charge Code	270644955
Hospital Revenue Code	278
Min. Negotiated Rate	$1,196.25
Max. Negotiated Rate	$1,929.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,595.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,929.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,196.25

CATH WILDCAT GW SUPPORT 6FR W/

Facility

$7,975.00

Service Code	HCPCS C1887
Hospital Charge Code	270646591N
Hospital Revenue Code	278
Min. Negotiated Rate	$1,196.25
Max. Negotiated Rate	$3,987.50
Rate for Payer: Aetna Commercial	$2,392.50
Rate for Payer: Aetna Medicare Advantage	$2,392.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,033.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,033.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,595.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,033.62
Rate for Payer: Cigna Commercial	$3,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,929.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,196.25

CATH WILDCAT GW SUPPORT 6FR W/

Facility

$7,975.00

Service Code	HCPCS C1887
Hospital Charge Code	270646591C
Hospital Revenue Code	278
Min. Negotiated Rate	$1,196.25
Max. Negotiated Rate	$1,929.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,595.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,929.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,196.25

CATH WILDCAT GW SUPPORT 6FR W/

Facility

$7,975.00

Hospital Charge Code	270646291
Hospital Revenue Code	278
Min. Negotiated Rate	$1,196.25
Max. Negotiated Rate	$1,929.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,595.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,929.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,196.25

CATH WILDCAT GW SUPPORT 6FR W/

Facility

$7,975.00

Hospital Charge Code	270646291
Hospital Revenue Code	278
Min. Negotiated Rate	$1,196.25
Max. Negotiated Rate	$3,987.50
Rate for Payer: Aetna Commercial	$2,392.50
Rate for Payer: Aetna Medicare Advantage	$2,392.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,033.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,033.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,595.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,033.62
Rate for Payer: Cigna Commercial	$3,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,929.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,196.25

CATH WILDCAT GW SUPPORT 6FR W/

Facility

$7,975.00

Service Code	HCPCS C1887
Hospital Charge Code	270646591C
Hospital Revenue Code	278
Min. Negotiated Rate	$1,196.25
Max. Negotiated Rate	$3,987.50
Rate for Payer: Aetna Commercial	$2,392.50
Rate for Payer: Aetna Medicare Advantage	$2,392.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,033.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,033.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,595.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,033.62
Rate for Payer: Cigna Commercial	$3,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,929.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,196.25

CATH WILDCAT GW SUPPORT 6FR W/

Facility

$7,975.00

Service Code	HCPCS C1887
Hospital Charge Code	270646591N
Hospital Revenue Code	278
Min. Negotiated Rate	$1,196.25
Max. Negotiated Rate	$1,929.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,595.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,929.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,196.25

CATH WILDCATH GW SUPPORT 5FR

Facility

$7,975.00

Hospital Charge Code	27067588
Hospital Revenue Code	278
Min. Negotiated Rate	$1,196.25
Max. Negotiated Rate	$3,987.50
Rate for Payer: Aetna Commercial	$2,392.50
Rate for Payer: Aetna Medicare Advantage	$2,392.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,033.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,033.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,595.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,033.62
Rate for Payer: Cigna Commercial	$3,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,929.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,196.25

CATH WILDCATH GW SUPPORT 5FR

Facility

$7,975.00

Hospital Charge Code	270647588C
Hospital Revenue Code	278
Min. Negotiated Rate	$1,196.25
Max. Negotiated Rate	$1,929.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,595.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,929.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,196.25

CATH WILDCATH GW SUPPORT 5FR

Facility

$7,975.00

Hospital Charge Code	27067588
Hospital Revenue Code	278
Min. Negotiated Rate	$1,196.25
Max. Negotiated Rate	$1,929.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,595.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,929.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,196.25

CATH WILDCATH GW SUPPORT 5FR

Facility

$6,975.00

Hospital Charge Code	270645073C
Hospital Revenue Code	278
Min. Negotiated Rate	$1,046.25
Max. Negotiated Rate	$1,687.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,687.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,046.25

CATH WILDCATH GW SUPPORT 5FR

Facility

$6,975.00

Hospital Charge Code	270645073C
Hospital Revenue Code	278
Min. Negotiated Rate	$1,046.25
Max. Negotiated Rate	$3,487.50
Rate for Payer: Cigna Commercial	$3,487.50
Rate for Payer: Aetna Commercial	$2,092.50
Rate for Payer: Aetna Medicare Advantage	$2,092.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,778.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,778.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,395.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,778.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,687.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,046.25

CATH WILDCATH GW SUPPORT 5FR

Facility

$7,975.00

Hospital Charge Code	270647588C
Hospital Revenue Code	278
Min. Negotiated Rate	$1,196.25
Max. Negotiated Rate	$3,987.50
Rate for Payer: Aetna Commercial	$2,392.50
Rate for Payer: Aetna Medicare Advantage	$2,392.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,033.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,033.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,595.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,033.62
Rate for Payer: Cigna Commercial	$3,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,929.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,196.25

CATH WILLSOGLES PREC GAS 140F

Facility

$800.35

Hospital Charge Code	270658330
Hospital Revenue Code	272
Min. Negotiated Rate	$120.05
Max. Negotiated Rate	$120.05
Rate for Payer: Qualcare PPO/HMO/WC	$120.05

CATH WILLSOGLES PREC GAS 140F

Facility

$800.35

Hospital Charge Code	270658330
Hospital Revenue Code	272
Min. Negotiated Rate	$104.05
Max. Negotiated Rate	$400.18
Rate for Payer: Aetna Commercial	$240.10
Rate for Payer: Aetna Medicare Advantage	$240.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.09
Rate for Payer: Cigna Commercial	$400.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$104.05
Rate for Payer: Oxford Commercial	$400.18
Rate for Payer: Qualcare PPO/HMO/WC	$120.05
Rate for Payer: UnitedHealthcare Commercial	$400.18

CATH WINGMAN CROSS.014C150 3F

Facility

$4,975.00

Hospital Charge Code	270705363
Hospital Revenue Code	279
Min. Negotiated Rate	$746.25
Max. Negotiated Rate	$746.25
Rate for Payer: Qualcare PPO/HMO/WC	$746.25

CATH WINGMAN CROSS.014C150 3F

Facility

$4,975.00

Hospital Charge Code	270705363
Hospital Revenue Code	279
Min. Negotiated Rate	$646.75
Max. Negotiated Rate	$2,487.50
Rate for Payer: Aetna Commercial	$1,492.50
Rate for Payer: Aetna Medicare Advantage	$1,492.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,268.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,268.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,268.62
Rate for Payer: Cigna Commercial	$2,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$646.75
Rate for Payer: Oxford Commercial	$2,487.50
Rate for Payer: Qualcare PPO/HMO/WC	$746.25
Rate for Payer: UnitedHealthcare Commercial	$2,487.50

CATH WORD BARTHOLIN 10/12F 100

Facility

$139.25

Hospital Charge Code	270612908
Hospital Revenue Code	272
Min. Negotiated Rate	$20.89
Max. Negotiated Rate	$20.89
Rate for Payer: Qualcare PPO/HMO/WC	$20.89

CATH WORD BARTHOLIN 10/12F 100

Facility

$139.25

Hospital Charge Code	270612908
Hospital Revenue Code	272
Min. Negotiated Rate	$18.10
Max. Negotiated Rate	$69.62
Rate for Payer: Aetna Commercial	$41.77
Rate for Payer: Aetna Medicare Advantage	$41.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.51
Rate for Payer: Cigna Commercial	$69.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.10
Rate for Payer: Oxford Commercial	$69.62
Rate for Payer: Qualcare PPO/HMO/WC	$20.89
Rate for Payer: UnitedHealthcare Commercial	$69.62

CATH WRD BART GLAND 10/12F 100

Facility

$78.60

Hospital Charge Code	270633188
Hospital Revenue Code	272
Min. Negotiated Rate	$10.22
Max. Negotiated Rate	$39.30
Rate for Payer: Aetna Commercial	$23.58
Rate for Payer: Aetna Medicare Advantage	$23.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.04
Rate for Payer: Cigna Commercial	$39.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.22
Rate for Payer: Oxford Commercial	$39.30
Rate for Payer: Qualcare PPO/HMO/WC	$11.79
Rate for Payer: UnitedHealthcare Commercial	$39.30

CATH WRD BART GLAND 10/12F 100

Facility

$78.60

Hospital Charge Code	270633188
Hospital Revenue Code	272
Min. Negotiated Rate	$11.79
Max. Negotiated Rate	$11.79
Rate for Payer: Qualcare PPO/HMO/WC	$11.79

CATH XB 3.0 6F

Facility

$220.00

Service Code	HCPCS C1887
Hospital Charge Code	270636715S
Hospital Revenue Code	278
Min. Negotiated Rate	$33.00
Max. Negotiated Rate	$53.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.24
Rate for Payer: Qualcare PPO/HMO/WC	$33.00

CATH XB 3.0 6F

Facility

$220.00

Service Code	HCPCS C1887
Hospital Charge Code	270636715
Hospital Revenue Code	278
Min. Negotiated Rate	$33.00
Max. Negotiated Rate	$110.00
Rate for Payer: Aetna Commercial	$66.00
Rate for Payer: Aetna Medicare Advantage	$66.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.10
Rate for Payer: Cigna Commercial	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.24
Rate for Payer: Qualcare PPO/HMO/WC	$33.00

CATH XB 3.0 6F

Facility

$220.00

Service Code	HCPCS C1887
Hospital Charge Code	270636715S
Hospital Revenue Code	278
Min. Negotiated Rate	$33.00
Max. Negotiated Rate	$110.00
Rate for Payer: Aetna Commercial	$66.00
Rate for Payer: Aetna Medicare Advantage	$66.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.10
Rate for Payer: Cigna Commercial	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.24
Rate for Payer: Qualcare PPO/HMO/WC	$33.00

CATH XB 3.0 6F

Facility

$220.00

Service Code	HCPCS C1887
Hospital Charge Code	270636715
Hospital Revenue Code	278
Min. Negotiated Rate	$33.00
Max. Negotiated Rate	$53.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.24
Rate for Payer: Qualcare PPO/HMO/WC	$33.00

Know your out-of-pocket cost for care.

All Charges