Heights University Hospital

All Charges

Charge

Type

Setting

Price

GUIDE CATH AL 0.75 6F SH

Facility

$274.75

Hospital Charge Code	2709001199
Hospital Revenue Code	272
Min. Negotiated Rate	$41.21
Max. Negotiated Rate	$41.21
Rate for Payer: Qualcare PPO/HMO/WC	$41.21

GUIDE CATH AL 0.75 6F SH

Facility

$274.75

Hospital Charge Code	2709001199
Hospital Revenue Code	272
Min. Negotiated Rate	$35.72
Max. Negotiated Rate	$137.38
Rate for Payer: Aetna Commercial	$82.42
Rate for Payer: Aetna Medicare Advantage	$82.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.06
Rate for Payer: Cigna Commercial	$137.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.72
Rate for Payer: Oxford Commercial	$137.38
Rate for Payer: Qualcare PPO/HMO/WC	$41.21
Rate for Payer: UnitedHealthcare Commercial	$137.38

GUIDE CATH AL 1.0 6F

Facility

$275.00

Hospital Charge Code	2709001200
Hospital Revenue Code	272
Min. Negotiated Rate	$35.75
Max. Negotiated Rate	$137.50
Rate for Payer: Aetna Commercial	$82.50
Rate for Payer: Aetna Medicare Advantage	$82.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.12
Rate for Payer: Cigna Commercial	$137.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.75
Rate for Payer: Oxford Commercial	$137.50
Rate for Payer: Qualcare PPO/HMO/WC	$41.25
Rate for Payer: UnitedHealthcare Commercial	$137.50

GUIDE CATH AL 1.0 6F

Facility

$275.00

Hospital Charge Code	2709001200
Hospital Revenue Code	272
Min. Negotiated Rate	$41.25
Max. Negotiated Rate	$41.25
Rate for Payer: Qualcare PPO/HMO/WC	$41.25

GUIDE CATH AR 1.0 6F

Facility

$280.00

Hospital Charge Code	2709001202
Hospital Revenue Code	272
Min. Negotiated Rate	$36.40
Max. Negotiated Rate	$140.00
Rate for Payer: Aetna Commercial	$84.00
Rate for Payer: Aetna Medicare Advantage	$84.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71.40
Rate for Payer: Cigna Commercial	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.40
Rate for Payer: Oxford Commercial	$140.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.00
Rate for Payer: UnitedHealthcare Commercial	$140.00

GUIDE CATH AR 1.0 6F

Facility

$280.00

Hospital Charge Code	2709001202
Hospital Revenue Code	272
Min. Negotiated Rate	$42.00
Max. Negotiated Rate	$42.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.00

GUIDE CATHET FLUID DRAINAGE

Facility

$2,291.40

Service Code	HCPCS 10030
Hospital Charge Code	16000404
Hospital Revenue Code	360
Min. Negotiated Rate	$343.71
Max. Negotiated Rate	$343.71
Rate for Payer: Qualcare PPO/HMO/WC	$343.71

GUIDE CATHET FLUID DRAINAGE

Facility

$5,102.15

Service Code	HCPCS 10030
Hospital Charge Code	411010030
Hospital Revenue Code	361
Min. Negotiated Rate	$663.28
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$1,530.64
Rate for Payer: Aetna Medicare Advantage	$1,530.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,301.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,301.05
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	$1,301.05
Rate for Payer: Cigna Commercial	$1,686.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$663.28
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.32
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

GUIDE CATHET FLUID DRAINAGE

Facility

$5,102.15

Service Code	HCPCS 10030
Hospital Charge Code	366810030
Hospital Revenue Code	361
Min. Negotiated Rate	$663.28
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$1,530.64
Rate for Payer: Aetna Medicare Advantage	$1,530.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,301.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,301.05
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	$1,301.05
Rate for Payer: Cigna Commercial	$1,686.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$663.28
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.32
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

GUIDE CATHET FLUID DRAINAGE

Facility

$5,102.15

Service Code	HCPCS 10030
Hospital Charge Code	366810030
Hospital Revenue Code	361
Min. Negotiated Rate	$765.32
Max. Negotiated Rate	$765.32
Rate for Payer: Qualcare PPO/HMO/WC	$765.32

GUIDE CATHET FLUID DRAINAGE

Facility

$2,291.40

Service Code	HCPCS 10030
Hospital Charge Code	16000404
Hospital Revenue Code	360
Min. Negotiated Rate	$297.88
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$687.42
Rate for Payer: Aetna Medicare Advantage	$687.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$584.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$584.31
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	$584.31
Rate for Payer: Cigna Commercial	$1,686.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$297.88
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$343.71
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

GUIDE CATHET FLUID DRAINAGE

Facility

$5,102.15

Service Code	HCPCS 10030
Hospital Charge Code	411010030
Hospital Revenue Code	361
Min. Negotiated Rate	$765.32
Max. Negotiated Rate	$765.32
Rate for Payer: Qualcare PPO/HMO/WC	$765.32

GUIDE CATH HS 6F

Facility

$274.75

Hospital Charge Code	2709001204
Hospital Revenue Code	272
Min. Negotiated Rate	$41.21
Max. Negotiated Rate	$41.21
Rate for Payer: Qualcare PPO/HMO/WC	$41.21

GUIDE CATH HS 6F

Facility

$274.75

Hospital Charge Code	2709001204
Hospital Revenue Code	272
Min. Negotiated Rate	$35.72
Max. Negotiated Rate	$137.38
Rate for Payer: Aetna Commercial	$82.42
Rate for Payer: Aetna Medicare Advantage	$82.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.06
Rate for Payer: Cigna Commercial	$137.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.72
Rate for Payer: Oxford Commercial	$137.38
Rate for Payer: Qualcare PPO/HMO/WC	$41.21
Rate for Payer: UnitedHealthcare Commercial	$137.38

GUIDE CATH HS 6F SH

Facility

$274.75

Hospital Charge Code	2709001205
Hospital Revenue Code	272
Min. Negotiated Rate	$41.21
Max. Negotiated Rate	$41.21
Rate for Payer: Qualcare PPO/HMO/WC	$41.21

GUIDE CATH HS 6F SH

Facility

$274.75

Hospital Charge Code	2709001205
Hospital Revenue Code	272
Min. Negotiated Rate	$35.72
Max. Negotiated Rate	$137.38
Rate for Payer: Aetna Commercial	$82.42
Rate for Payer: Aetna Medicare Advantage	$82.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.06
Rate for Payer: Cigna Commercial	$137.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.72
Rate for Payer: Oxford Commercial	$137.38
Rate for Payer: Qualcare PPO/HMO/WC	$41.21
Rate for Payer: UnitedHealthcare Commercial	$137.38

GUIDE CATH JL 3.5 6F

Facility

$280.00

Hospital Charge Code	2709001172
Hospital Revenue Code	272
Min. Negotiated Rate	$42.00
Max. Negotiated Rate	$42.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.00

GUIDE CATH JL 3.5 6F

Facility

$280.00

Hospital Charge Code	2709001172
Hospital Revenue Code	272
Min. Negotiated Rate	$36.40
Max. Negotiated Rate	$140.00
Rate for Payer: Aetna Commercial	$84.00
Rate for Payer: Aetna Medicare Advantage	$84.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71.40
Rate for Payer: Cigna Commercial	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.40
Rate for Payer: Oxford Commercial	$140.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.00
Rate for Payer: UnitedHealthcare Commercial	$140.00

GUIDE CATH JL 3.5 6F SH

Facility

$274.75

Hospital Charge Code	2709001173
Hospital Revenue Code	272
Min. Negotiated Rate	$35.72
Max. Negotiated Rate	$137.38
Rate for Payer: Aetna Commercial	$82.42
Rate for Payer: Aetna Medicare Advantage	$82.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.06
Rate for Payer: Cigna Commercial	$137.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.72
Rate for Payer: Oxford Commercial	$137.38
Rate for Payer: Qualcare PPO/HMO/WC	$41.21
Rate for Payer: UnitedHealthcare Commercial	$137.38

GUIDE CATH JL 3.5 6F SH

Facility

$274.75

Hospital Charge Code	2709001173
Hospital Revenue Code	272
Min. Negotiated Rate	$41.21
Max. Negotiated Rate	$41.21
Rate for Payer: Qualcare PPO/HMO/WC	$41.21

GUIDE CATH JL 4.0 6F

Facility

$280.00

Hospital Charge Code	2709001176
Hospital Revenue Code	272
Min. Negotiated Rate	$42.00
Max. Negotiated Rate	$42.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.00

GUIDE CATH JL 4.0 6F

Facility

$280.00

Hospital Charge Code	2709001176
Hospital Revenue Code	272
Min. Negotiated Rate	$36.40
Max. Negotiated Rate	$140.00
Rate for Payer: Aetna Commercial	$84.00
Rate for Payer: Aetna Medicare Advantage	$84.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71.40
Rate for Payer: Cigna Commercial	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.40
Rate for Payer: Oxford Commercial	$140.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.00
Rate for Payer: UnitedHealthcare Commercial	$140.00

GUIDE CATH JL 4.0 6F SH

Facility

$274.75

Hospital Charge Code	2709001177
Hospital Revenue Code	272
Min. Negotiated Rate	$41.21
Max. Negotiated Rate	$41.21
Rate for Payer: Qualcare PPO/HMO/WC	$41.21

GUIDE CATH JL 4.0 6F SH

Facility

$274.75

Hospital Charge Code	2709001177
Hospital Revenue Code	272
Min. Negotiated Rate	$35.72
Max. Negotiated Rate	$137.38
Rate for Payer: Aetna Commercial	$82.42
Rate for Payer: Aetna Medicare Advantage	$82.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.06
Rate for Payer: Cigna Commercial	$137.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.72
Rate for Payer: Oxford Commercial	$137.38
Rate for Payer: Qualcare PPO/HMO/WC	$41.21
Rate for Payer: UnitedHealthcare Commercial	$137.38

GUIDE CATH JL 4.0 SH 6F

Facility

$240.00

Service Code	HCPCS C1887
Hospital Charge Code	270636295
Hospital Revenue Code	278
Min. Negotiated Rate	$36.00
Max. Negotiated Rate	$120.00
Rate for Payer: Aetna Commercial	$72.00
Rate for Payer: Aetna Medicare Advantage	$72.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.20
Rate for Payer: Cigna Commercial	$120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.08
Rate for Payer: Qualcare PPO/HMO/WC	$36.00

Know your out-of-pocket cost for care.

All Charges