Heights University Hospital

All Charges

Charge

Type

Setting

Price

KIT CATATACT EYE CUSTOM

Facility

$490.24

Hospital Charge Code	270604865
Hospital Revenue Code	272
Min. Negotiated Rate	$63.73
Max. Negotiated Rate	$245.12
Rate for Payer: Aetna Commercial	$147.07
Rate for Payer: Aetna Medicare Advantage	$147.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$125.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$125.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$125.01
Rate for Payer: Cigna Commercial	$245.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.73
Rate for Payer: Oxford Commercial	$245.12
Rate for Payer: Qualcare PPO/HMO/WC	$73.54
Rate for Payer: UnitedHealthcare Commercial	$245.12

KIT CATH BAXTER PERCUTANEOUS**

Facility

$95.00

Hospital Charge Code	8003121
Hospital Revenue Code	279
Min. Negotiated Rate	$14.25
Max. Negotiated Rate	$14.25
Rate for Payer: Qualcare PPO/HMO/WC	$14.25

KIT CATH BAXTER PERCUTANEOUS**

Facility

$95.00

Hospital Charge Code	8003121
Hospital Revenue Code	279
Min. Negotiated Rate	$12.35
Max. Negotiated Rate	$47.50
Rate for Payer: Aetna Commercial	$28.50
Rate for Payer: Aetna Medicare Advantage	$28.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.23
Rate for Payer: Cigna Commercial	$47.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.35
Rate for Payer: Oxford Commercial	$47.50
Rate for Payer: Qualcare PPO/HMO/WC	$14.25
Rate for Payer: UnitedHealthcare Commercial	$47.50

KIT CATHETER ACCESS PORT 5840

Facility

$138.95

Hospital Charge Code	270633467
Hospital Revenue Code	272
Min. Negotiated Rate	$20.84
Max. Negotiated Rate	$20.84
Rate for Payer: Qualcare PPO/HMO/WC	$20.84

KIT CATHETER ACCESS PORT 5840

Facility

$138.95

Hospital Charge Code	270633467
Hospital Revenue Code	272
Min. Negotiated Rate	$18.06
Max. Negotiated Rate	$69.47
Rate for Payer: Aetna Commercial	$41.69
Rate for Payer: Aetna Medicare Advantage	$41.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.43
Rate for Payer: Cigna Commercial	$69.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.06
Rate for Payer: Oxford Commercial	$69.47
Rate for Payer: Qualcare PPO/HMO/WC	$20.84
Rate for Payer: UnitedHealthcare Commercial	$69.47

KIT CATHETER ASCENDA INTRA

Facility

$2,750.00

Hospital Charge Code	270691699
Hospital Revenue Code	272
Min. Negotiated Rate	$357.50
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) PPO	$701.25
Rate for Payer: Cigna Commercial	$1,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$357.50
Rate for Payer: Oxford Commercial	$1,375.00
Rate for Payer: Qualcare PPO/HMO/WC	$412.50
Rate for Payer: UnitedHealthcare Commercial	$1,375.00

KIT CATHETER ASCENDA INTRA

Facility

$2,750.00

Hospital Charge Code	270691699
Hospital Revenue Code	272
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$412.50
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

KIT CATHETER POWERMIDLINE 5F

Facility

$800.00

Service Code	HCPCS C1751
Hospital Charge Code	270682902
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

KIT CATHETER POWERMIDLINE 5F

Facility

$800.00

Service Code	HCPCS C1751
Hospital Charge Code	270682902
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

KIT CATHETER SILVERSOAKER ON-Q

Facility

$230.00

Hospital Charge Code	270650274
Hospital Revenue Code	271
Min. Negotiated Rate	$34.50
Max. Negotiated Rate	$34.50
Rate for Payer: Qualcare PPO/HMO/WC	$34.50

KIT CATHETER SILVERSOAKER ON-Q

Facility

$230.00

Hospital Charge Code	270650274
Hospital Revenue Code	271
Min. Negotiated Rate	$29.90
Max. Negotiated Rate	$115.00
Rate for Payer: Aetna Commercial	$69.00
Rate for Payer: Aetna Medicare Advantage	$69.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.65
Rate for Payer: Cigna Commercial	$115.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.90
Rate for Payer: Oxford Commercial	$115.00
Rate for Payer: Qualcare PPO/HMO/WC	$34.50
Rate for Payer: UnitedHealthcare Commercial	$115.00

KIT CATH HEMOSPLIT 14.5 FR

Facility

$1,615.00

Service Code	HCPCS C1750
Hospital Charge Code	270637884
Hospital Revenue Code	278
Min. Negotiated Rate	$242.25
Max. Negotiated Rate	$390.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$323.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$390.83
Rate for Payer: Qualcare PPO/HMO/WC	$242.25

KIT CATH HEMOSPLIT 14.5 FR

Facility

$1,615.00

Service Code	HCPCS C1750
Hospital Charge Code	270637884
Hospital Revenue Code	278
Min. Negotiated Rate	$242.25
Max. Negotiated Rate	$807.50
Rate for Payer: Aetna Commercial	$484.50
Rate for Payer: Aetna Medicare Advantage	$484.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$411.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$411.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$323.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$411.82
Rate for Payer: Cigna Commercial	$807.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$390.83
Rate for Payer: Qualcare PPO/HMO/WC	$242.25

KIT CATH HEMOSPLIT STRT STD 27

Facility

$1,750.00

Service Code	HCPCS C1750
Hospital Charge Code	270655799
Hospital Revenue Code	278
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$423.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

KIT CATH HEMOSPLIT STRT STD 27

Facility

$1,750.00

Service Code	HCPCS C1750
Hospital Charge Code	270655799
Hospital Revenue Code	278
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$875.00
Rate for Payer: Aetna Commercial	$525.00
Rate for Payer: Aetna Medicare Advantage	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.25
Rate for Payer: Cigna Commercial	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

KIT CATH INTRO 13.5 & 14FR****

Facility

$932.00

Hospital Charge Code	1604271
Hospital Revenue Code	278
Min. Negotiated Rate	$139.80
Max. Negotiated Rate	$466.00
Rate for Payer: Aetna Commercial	$279.60
Rate for Payer: Aetna Medicare Advantage	$279.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$237.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$237.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$186.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$237.66
Rate for Payer: Cigna Commercial	$466.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.54
Rate for Payer: Qualcare PPO/HMO/WC	$139.80

KIT CATH INTRO 13.5 & 14FR****

Facility

$932.00

Hospital Charge Code	1604271
Hospital Revenue Code	278
Min. Negotiated Rate	$139.80
Max. Negotiated Rate	$225.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$186.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.54
Rate for Payer: Qualcare PPO/HMO/WC	$139.80

KIT CATH NEPHROMAX BALN 210117

Facility

$1,215.00

Hospital Charge Code	270614843
Hospital Revenue Code	272
Min. Negotiated Rate	$157.95
Max. Negotiated Rate	$607.50
Rate for Payer: Aetna Commercial	$364.50
Rate for Payer: Aetna Medicare Advantage	$364.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$309.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$309.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$309.82
Rate for Payer: Cigna Commercial	$607.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.95
Rate for Payer: Oxford Commercial	$607.50
Rate for Payer: Qualcare PPO/HMO/WC	$182.25
Rate for Payer: UnitedHealthcare Commercial	$607.50

KIT CATH NEPHROMAX BALN 210117

Facility

$1,215.00

Hospital Charge Code	270614843
Hospital Revenue Code	272
Min. Negotiated Rate	$182.25
Max. Negotiated Rate	$182.25
Rate for Payer: Qualcare PPO/HMO/WC	$182.25

KIT CATH PERIT CURL 2CUFF 57CM

Facility

$618.41

Hospital Charge Code	270607726
Hospital Revenue Code	270
Min. Negotiated Rate	$80.39
Max. Negotiated Rate	$309.20
Rate for Payer: Aetna Commercial	$185.52
Rate for Payer: Aetna Medicare Advantage	$185.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$157.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$157.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$157.69
Rate for Payer: Cigna Commercial	$309.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.39
Rate for Payer: Oxford Commercial	$309.20
Rate for Payer: Qualcare PPO/HMO/WC	$92.76
Rate for Payer: UnitedHealthcare Commercial	$309.20

KIT CATH PERIT CURL 2CUFF 57CM

Facility

$618.41

Hospital Charge Code	270607726
Hospital Revenue Code	270
Min. Negotiated Rate	$92.76
Max. Negotiated Rate	$92.76
Rate for Payer: Qualcare PPO/HMO/WC	$92.76

KIT CHAIR TRIMANO BEACH

Facility

$375.00

Hospital Charge Code	270648819
Hospital Revenue Code	272
Min. Negotiated Rate	$48.75
Max. Negotiated Rate	$187.50
Rate for Payer: Aetna Commercial	$112.50
Rate for Payer: Aetna Medicare Advantage	$112.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.62
Rate for Payer: Cigna Commercial	$187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.75
Rate for Payer: Oxford Commercial	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$56.25
Rate for Payer: UnitedHealthcare Commercial	$187.50

KIT CHAIR TRIMANO BEACH

Facility

$375.00

Hospital Charge Code	270648819
Hospital Revenue Code	272
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$56.25
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

KIT CLOSURE DEVICE M-CLOSE

Facility

$449.95

Hospital Charge Code	270696983
Hospital Revenue Code	272
Min. Negotiated Rate	$67.49
Max. Negotiated Rate	$67.49
Rate for Payer: Qualcare PPO/HMO/WC	$67.49

KIT CLOSURE DEVICE M-CLOSE

Facility

$449.95

Hospital Charge Code	270696983
Hospital Revenue Code	272
Min. Negotiated Rate	$58.49
Max. Negotiated Rate	$224.97
Rate for Payer: Aetna Commercial	$134.99
Rate for Payer: Aetna Medicare Advantage	$134.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.74
Rate for Payer: Cigna Commercial	$224.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.49
Rate for Payer: Oxford Commercial	$224.97
Rate for Payer: Qualcare PPO/HMO/WC	$67.49
Rate for Payer: UnitedHealthcare Commercial	$224.97

Know your out-of-pocket cost for care.

All Charges