Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATH XTRACT APIRATION 4.2FR

Facility

$2,750.00

Hospital Charge Code	270643088
Hospital Revenue Code	278
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$665.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$665.50
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

CATH XTRACT APIRATION 4.2FR

Facility

$2,750.00

Hospital Charge Code	270643088
Hospital Revenue Code	278
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$1,375.00
Rate for Payer: Aetna Commercial	$825.00
Rate for Payer: Aetna Medicare Advantage	$825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$701.25
Rate for Payer: Cigna Commercial	$1,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$665.50
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

CATH ZELANTE DVT 8FR

Facility

$14,625.00

Service Code	HCPCS C1757
Hospital Charge Code	270677077S
Hospital Revenue Code	278
Min. Negotiated Rate	$2,193.75
Max. Negotiated Rate	$3,539.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,925.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,539.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,193.75

CATH ZELANTE DVT 8FR

Facility

$14,625.00

Service Code	HCPCS C1757
Hospital Charge Code	270677077
Hospital Revenue Code	278
Min. Negotiated Rate	$2,193.75
Max. Negotiated Rate	$3,539.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,925.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,539.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,193.75

CATH ZELANTE DVT 8FR

Facility

$14,625.00

Service Code	HCPCS C1757
Hospital Charge Code	270677077N
Hospital Revenue Code	278
Min. Negotiated Rate	$2,193.75
Max. Negotiated Rate	$7,312.50
Rate for Payer: Aetna Commercial	$4,387.50
Rate for Payer: Aetna Medicare Advantage	$4,387.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,729.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,729.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,925.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,729.38
Rate for Payer: Cigna Commercial	$7,312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,539.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,193.75

CATH ZELANTE DVT 8FR

Facility

$14,625.00

Service Code	HCPCS C1757
Hospital Charge Code	270677077N
Hospital Revenue Code	278
Min. Negotiated Rate	$2,193.75
Max. Negotiated Rate	$3,539.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,925.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,539.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,193.75

CATH ZELANTE DVT 8FR

Facility

$14,625.00

Service Code	HCPCS C1757
Hospital Charge Code	270677077
Hospital Revenue Code	278
Min. Negotiated Rate	$2,193.75
Max. Negotiated Rate	$7,312.50
Rate for Payer: Aetna Commercial	$4,387.50
Rate for Payer: Aetna Medicare Advantage	$4,387.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,729.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,729.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,925.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,729.38
Rate for Payer: Cigna Commercial	$7,312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,539.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,193.75

CATH ZELANTE DVT 8FR

Facility

$14,625.00

Service Code	HCPCS C1757
Hospital Charge Code	270677077S
Hospital Revenue Code	278
Min. Negotiated Rate	$2,193.75
Max. Negotiated Rate	$7,312.50
Rate for Payer: Aetna Commercial	$4,387.50
Rate for Payer: Aetna Medicare Advantage	$4,387.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,729.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,729.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,925.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,729.38
Rate for Payer: Cigna Commercial	$7,312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,539.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,193.75

CATH Z-MED 12FR 24MM

Facility

$2,975.65

Hospital Charge Code	270634560
Hospital Revenue Code	272
Min. Negotiated Rate	$446.35
Max. Negotiated Rate	$446.35
Rate for Payer: Qualcare PPO/HMO/WC	$446.35

CATH Z-MED 12FR 24MM

Facility

$2,975.65

Hospital Charge Code	270634560
Hospital Revenue Code	272
Min. Negotiated Rate	$386.83
Max. Negotiated Rate	$1,487.83
Rate for Payer: Aetna Commercial	$892.70
Rate for Payer: Aetna Medicare Advantage	$892.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$758.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$758.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$758.79
Rate for Payer: Cigna Commercial	$1,487.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$386.83
Rate for Payer: Oxford Commercial	$1,487.83
Rate for Payer: Qualcare PPO/HMO/WC	$446.35
Rate for Payer: UnitedHealthcare Commercial	$1,487.83

CATJ IRRIGATOR 4FR

Facility

$113.00

Hospital Charge Code	270656007
Hospital Revenue Code	272
Min. Negotiated Rate	$16.95
Max. Negotiated Rate	$16.95
Rate for Payer: Qualcare PPO/HMO/WC	$16.95

CATJ IRRIGATOR 4FR

Facility

$113.00

Hospital Charge Code	270656007
Hospital Revenue Code	272
Min. Negotiated Rate	$14.69
Max. Negotiated Rate	$56.50
Rate for Payer: Aetna Commercial	$33.90
Rate for Payer: Aetna Medicare Advantage	$33.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.82
Rate for Payer: Cigna Commercial	$56.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.69
Rate for Payer: Oxford Commercial	$56.50
Rate for Payer: Qualcare PPO/HMO/WC	$16.95
Rate for Payer: UnitedHealthcare Commercial	$56.50

CATRIDGE MONARCH C

Facility

$333.33

Hospital Charge Code	270655841
Hospital Revenue Code	271
Min. Negotiated Rate	$43.33
Max. Negotiated Rate	$166.66
Rate for Payer: Aetna Commercial	$100.00
Rate for Payer: Aetna Medicare Advantage	$100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$85.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$85.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$85.00
Rate for Payer: Cigna Commercial	$166.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.33
Rate for Payer: Oxford Commercial	$166.66
Rate for Payer: Qualcare PPO/HMO/WC	$50.00
Rate for Payer: UnitedHealthcare Commercial	$166.66

CATRIDGE MONARCH C

Facility

$333.33

Hospital Charge Code	270655841
Hospital Revenue Code	271
Min. Negotiated Rate	$50.00
Max. Negotiated Rate	$50.00
Rate for Payer: Qualcare PPO/HMO/WC	$50.00

Cat RX

Facility

$9,700.00

Hospital Charge Code	270685892
Hospital Revenue Code	272
Min. Negotiated Rate	$1,455.00
Max. Negotiated Rate	$1,455.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,455.00

Cat RX

Facility

$9,700.00

Hospital Charge Code	270685892
Hospital Revenue Code	272
Min. Negotiated Rate	$1,261.00
Max. Negotiated Rate	$4,850.00
Rate for Payer: Aetna Commercial	$2,910.00
Rate for Payer: Aetna Medicare Advantage	$2,910.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,473.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,473.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,473.50
Rate for Payer: Cigna Commercial	$4,850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,261.00
Rate for Payer: Oxford Commercial	$4,850.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,455.00
Rate for Payer: UnitedHealthcare Commercial	$4,850.00

Cat RX

Facility

$9,700.00

Hospital Charge Code	270685892N
Hospital Revenue Code	272
Min. Negotiated Rate	$1,261.00
Max. Negotiated Rate	$4,850.00
Rate for Payer: Aetna Commercial	$2,910.00
Rate for Payer: Aetna Medicare Advantage	$2,910.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,473.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,473.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,473.50
Rate for Payer: Cigna Commercial	$4,850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,261.00
Rate for Payer: Oxford Commercial	$4,850.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,455.00
Rate for Payer: UnitedHealthcare Commercial	$4,850.00

Cat RX

Facility

$9,700.00

Hospital Charge Code	270685892N
Hospital Revenue Code	272
Min. Negotiated Rate	$1,455.00
Max. Negotiated Rate	$1,455.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,455.00

CAT RX

Facility

$9,700.00

Hospital Charge Code	270685892S
Hospital Revenue Code	272
Min. Negotiated Rate	$1,261.00
Max. Negotiated Rate	$4,850.00
Rate for Payer: Aetna Commercial	$2,910.00
Rate for Payer: Aetna Medicare Advantage	$2,910.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,473.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,473.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,473.50
Rate for Payer: Cigna Commercial	$4,850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,261.00
Rate for Payer: Oxford Commercial	$4,850.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,455.00
Rate for Payer: UnitedHealthcare Commercial	$4,850.00

CAT RX

Facility

$9,700.00

Hospital Charge Code	270685892S
Hospital Revenue Code	272
Min. Negotiated Rate	$1,455.00
Max. Negotiated Rate	$1,455.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,455.00

CAT SCRATCH DISEASE AB PA I

Facility

$82.85

Service Code	HCPCS 8625591
Hospital Charge Code	39990028A
Hospital Revenue Code	302
Min. Negotiated Rate	$10.77
Max. Negotiated Rate	$114.00
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: Aetna Commercial	$24.86
Rate for Payer: Aetna Medicare Advantage	$24.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.13
Rate for Payer: Cigna Commercial	$41.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.77
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.43

CAT SCRATCH DISEASE AB PA I

Facility

$82.85

Service Code	HCPCS 8625591
Hospital Charge Code	39990028A
Hospital Revenue Code	302
Min. Negotiated Rate	$12.43
Max. Negotiated Rate	$12.43
Rate for Payer: Qualcare PPO/HMO/WC	$12.43

CAT SCRATCH DISEASE AB PA II

Facility

$82.85

Service Code	HCPCS 8625591
Hospital Charge Code	39990028B
Hospital Revenue Code	302
Min. Negotiated Rate	$12.43
Max. Negotiated Rate	$12.43
Rate for Payer: Qualcare PPO/HMO/WC	$12.43

CAT SCRATCH DISEASE AB PA II

Facility

$82.85

Service Code	HCPCS 8625591
Hospital Charge Code	39990028B
Hospital Revenue Code	302
Min. Negotiated Rate	$10.77
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$24.86
Rate for Payer: Aetna Medicare Advantage	$24.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.13
Rate for Payer: Cigna Commercial	$41.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.77
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.43
Rate for Payer: UnitedHealthcare Commercial	$114.00

CAT SCRATCH DISEASE AB PA III

Facility

$82.85

Service Code	HCPCS 8625591
Hospital Charge Code	39990028C
Hospital Revenue Code	302
Min. Negotiated Rate	$12.43
Max. Negotiated Rate	$12.43
Rate for Payer: Qualcare PPO/HMO/WC	$12.43

Know your out-of-pocket cost for care.

All Charges