Heights University Hospital

All Charges

Charge

Type

Setting

Price

KIT PEN & LABEL

Facility

$3.10

Hospital Charge Code	270636909C
Hospital Revenue Code	272
Min. Negotiated Rate	$0.40
Max. Negotiated Rate	$1.55
Rate for Payer: Aetna Commercial	$0.93
Rate for Payer: Aetna Medicare Advantage	$0.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.79
Rate for Payer: Cigna Commercial	$1.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.40
Rate for Payer: Oxford Commercial	$1.55
Rate for Payer: Qualcare PPO/HMO/WC	$0.47
Rate for Payer: UnitedHealthcare Commercial	$1.55

KIT PERC CATH INTRODUCER 12FR

Facility

$463.25

Hospital Charge Code	270601153
Hospital Revenue Code	272
Min. Negotiated Rate	$60.22
Max. Negotiated Rate	$231.62
Rate for Payer: Aetna Commercial	$138.97
Rate for Payer: Aetna Medicare Advantage	$138.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$118.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$118.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$118.13
Rate for Payer: Cigna Commercial	$231.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.22
Rate for Payer: Oxford Commercial	$231.62
Rate for Payer: Qualcare PPO/HMO/WC	$69.49
Rate for Payer: UnitedHealthcare Commercial	$231.62

KIT PERC CATH INTRODUCER 12FR

Facility

$463.25

Hospital Charge Code	270601153
Hospital Revenue Code	272
Min. Negotiated Rate	$69.49
Max. Negotiated Rate	$69.49
Rate for Payer: Qualcare PPO/HMO/WC	$69.49

KIT PERCUTANEOUS 3MM

Facility

$975.00

Hospital Charge Code	270672213
Hospital Revenue Code	272
Min. Negotiated Rate	$126.75
Max. Negotiated Rate	$487.50
Rate for Payer: Aetna Commercial	$292.50
Rate for Payer: Aetna Medicare Advantage	$292.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.62
Rate for Payer: Cigna Commercial	$487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.75
Rate for Payer: Oxford Commercial	$487.50
Rate for Payer: Qualcare PPO/HMO/WC	$146.25
Rate for Payer: UnitedHealthcare Commercial	$487.50

KIT PERCUTANEOUS 3MM

Facility

$975.00

Hospital Charge Code	270672213
Hospital Revenue Code	272
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$146.25
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

KIT PERCUTANEOUS CAVITY DRAING

Facility

$651.50

Hospital Charge Code	270676124
Hospital Revenue Code	272
Min. Negotiated Rate	$84.69
Max. Negotiated Rate	$325.75
Rate for Payer: Aetna Commercial	$195.45
Rate for Payer: Aetna Medicare Advantage	$195.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$166.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$166.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$166.13
Rate for Payer: Cigna Commercial	$325.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.69
Rate for Payer: Oxford Commercial	$325.75
Rate for Payer: Qualcare PPO/HMO/WC	$97.72
Rate for Payer: UnitedHealthcare Commercial	$325.75

KIT PERCUTANEOUS CAVITY DRAING

Facility

$651.50

Hospital Charge Code	270676124
Hospital Revenue Code	272
Min. Negotiated Rate	$97.72
Max. Negotiated Rate	$97.72
Rate for Payer: Qualcare PPO/HMO/WC	$97.72

KIT PERIVAC PERICARDIOCENTISIS

Facility

$766.67

Hospital Charge Code	270635912C
Hospital Revenue Code	278
Min. Negotiated Rate	$115.00
Max. Negotiated Rate	$185.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$153.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$185.53
Rate for Payer: Qualcare PPO/HMO/WC	$115.00

KIT PERIVAC PERICARDIOCENTISIS

Facility

$866.67

Service Code	HCPCS C1729
Hospital Charge Code	270645514C
Hospital Revenue Code	278
Min. Negotiated Rate	$130.00
Max. Negotiated Rate	$209.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$173.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$209.73
Rate for Payer: Qualcare PPO/HMO/WC	$130.00

KIT PERIVAC PERICARDIOCENTISIS

Facility

$866.67

Service Code	HCPCS C1729
Hospital Charge Code	270645514C
Hospital Revenue Code	278
Min. Negotiated Rate	$130.00
Max. Negotiated Rate	$433.33
Rate for Payer: Aetna Commercial	$260.00
Rate for Payer: Aetna Medicare Advantage	$260.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$221.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$221.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$173.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$221.00
Rate for Payer: Cigna Commercial	$433.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$209.73
Rate for Payer: Qualcare PPO/HMO/WC	$130.00

KIT PERIVAC PERICARDIOCENTISIS

Facility

$766.67

Hospital Charge Code	270635912C
Hospital Revenue Code	278
Min. Negotiated Rate	$115.00
Max. Negotiated Rate	$383.33
Rate for Payer: Aetna Commercial	$230.00
Rate for Payer: Aetna Medicare Advantage	$230.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$195.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$195.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$153.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$195.50
Rate for Payer: Cigna Commercial	$383.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$185.53
Rate for Payer: Qualcare PPO/HMO/WC	$115.00

KIT PICC 4.5FRx40cm SINGLE

Facility

$525.00

Hospital Charge Code	270648052
Hospital Revenue Code	278
Min. Negotiated Rate	$78.75
Max. Negotiated Rate	$127.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$105.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.05
Rate for Payer: Qualcare PPO/HMO/WC	$78.75

KIT PICC 4.5FRx40cm SINGLE

Facility

$525.00

Hospital Charge Code	270648052
Hospital Revenue Code	278
Min. Negotiated Rate	$78.75
Max. Negotiated Rate	$262.50
Rate for Payer: Aetna Commercial	$157.50
Rate for Payer: Aetna Medicare Advantage	$157.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$105.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.88
Rate for Payer: Cigna Commercial	$262.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.05
Rate for Payer: Qualcare PPO/HMO/WC	$78.75

KIT PICC 4.5FRx50cm SINGLE

Facility

$525.00

Hospital Charge Code	270648053
Hospital Revenue Code	278
Min. Negotiated Rate	$78.75
Max. Negotiated Rate	$127.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$105.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.05
Rate for Payer: Qualcare PPO/HMO/WC	$78.75

KIT PICC 4.5FRx50cm SINGLE

Facility

$525.00

Hospital Charge Code	270648053
Hospital Revenue Code	278
Min. Negotiated Rate	$78.75
Max. Negotiated Rate	$262.50
Rate for Payer: Aetna Commercial	$157.50
Rate for Payer: Aetna Medicare Advantage	$157.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$105.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.88
Rate for Payer: Cigna Commercial	$262.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.05
Rate for Payer: Qualcare PPO/HMO/WC	$78.75

KIT PICC 5.5FRx40cm DOUBLE

Facility

$525.00

Hospital Charge Code	270648054
Hospital Revenue Code	278
Min. Negotiated Rate	$78.75
Max. Negotiated Rate	$127.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$105.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.05
Rate for Payer: Qualcare PPO/HMO/WC	$78.75

KIT PICC 5.5FRx40cm DOUBLE

Facility

$525.00

Hospital Charge Code	270648054
Hospital Revenue Code	278
Min. Negotiated Rate	$78.75
Max. Negotiated Rate	$262.50
Rate for Payer: Aetna Commercial	$157.50
Rate for Payer: Aetna Medicare Advantage	$157.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$105.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.88
Rate for Payer: Cigna Commercial	$262.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.05
Rate for Payer: Qualcare PPO/HMO/WC	$78.75

KIT PICC 5.5FRx50cm DOUBLE

Facility

$525.00

Hospital Charge Code	270648055
Hospital Revenue Code	278
Min. Negotiated Rate	$78.75
Max. Negotiated Rate	$127.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$105.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.05
Rate for Payer: Qualcare PPO/HMO/WC	$78.75

KIT PICC 5.5FRx50cm DOUBLE

Facility

$525.00

Hospital Charge Code	270648055
Hospital Revenue Code	278
Min. Negotiated Rate	$78.75
Max. Negotiated Rate	$262.50
Rate for Payer: Aetna Commercial	$157.50
Rate for Payer: Aetna Medicare Advantage	$157.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$105.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.88
Rate for Payer: Cigna Commercial	$262.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.05
Rate for Payer: Qualcare PPO/HMO/WC	$78.75

KIT PLATET CONC SEPAR 8000603A

Facility

$2,281.65

Hospital Charge Code	270632535
Hospital Revenue Code	272
Min. Negotiated Rate	$296.61
Max. Negotiated Rate	$1,140.83
Rate for Payer: Aetna Commercial	$684.50
Rate for Payer: Aetna Medicare Advantage	$684.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$581.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$581.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$581.82
Rate for Payer: Cigna Commercial	$1,140.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$296.61
Rate for Payer: Oxford Commercial	$1,140.83
Rate for Payer: Qualcare PPO/HMO/WC	$342.25
Rate for Payer: UnitedHealthcare Commercial	$1,140.83

KIT PLATET CONC SEPAR 8000603A

Facility

$2,281.65

Hospital Charge Code	270632535
Hospital Revenue Code	272
Min. Negotiated Rate	$342.25
Max. Negotiated Rate	$342.25
Rate for Payer: Qualcare PPO/HMO/WC	$342.25

KIT PLEURX DRAINAGE 507500

Facility

$285.00

Hospital Charge Code	270629873V
Hospital Revenue Code	272
Min. Negotiated Rate	$37.05
Max. Negotiated Rate	$142.50
Rate for Payer: Aetna Commercial	$85.50
Rate for Payer: Aetna Medicare Advantage	$85.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$72.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$72.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$72.67
Rate for Payer: Cigna Commercial	$142.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.05
Rate for Payer: Oxford Commercial	$142.50
Rate for Payer: Qualcare PPO/HMO/WC	$42.75
Rate for Payer: UnitedHealthcare Commercial	$142.50

KIT PLEURX DRAINAGE 507500

Facility

$285.00

Hospital Charge Code	270629873V
Hospital Revenue Code	272
Min. Negotiated Rate	$42.75
Max. Negotiated Rate	$42.75
Rate for Payer: Qualcare PPO/HMO/WC	$42.75

KIT PLEURX PLEURAL CATH 507000

Facility

$763.25

Hospital Charge Code	27062972V
Hospital Revenue Code	278
Min. Negotiated Rate	$114.49
Max. Negotiated Rate	$184.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$152.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$184.71
Rate for Payer: Qualcare PPO/HMO/WC	$114.49

KIT PLEURX PLEURAL CATH 507000

Facility

$763.25

Hospital Charge Code	27062972V
Hospital Revenue Code	278
Min. Negotiated Rate	$114.49
Max. Negotiated Rate	$381.62
Rate for Payer: Aetna Commercial	$228.97
Rate for Payer: Aetna Medicare Advantage	$228.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$194.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$194.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$152.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$194.63
Rate for Payer: Cigna Commercial	$381.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$184.71
Rate for Payer: Qualcare PPO/HMO/WC	$114.49

Know your out-of-pocket cost for care.

All Charges