Heights University Hospital

All Charges

Charge

Type

Setting

Price

MICRO ANIS 20MMX3.0MM

Facility

$1,000.00

Hospital Charge Code	270702602
Hospital Revenue Code	278
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$300.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

MICRO ANIS 20MMX3.0MM

Facility

$1,000.00

Hospital Charge Code	270702602
Hospital Revenue Code	278
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$242.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

MICRO ANIS 22MMX3.0MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270702603
Hospital Revenue Code	278
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$300.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

MICRO ANIS 22MMX3.0MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270702603
Hospital Revenue Code	278
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$242.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

MICROBE SUSCEPTIBLE MIC PLT

Facility

$138.14

Service Code	HCPCS 87186
Hospital Charge Code	401387186B
Hospital Revenue Code	306
Min. Negotiated Rate	$20.72
Max. Negotiated Rate	$20.72
Rate for Payer: Qualcare PPO/HMO/WC	$20.72

MICROBE SUSCEPTIBLE MIC PLT

Facility

$138.14

Service Code	HCPCS 87186
Hospital Charge Code	401387186B
Hospital Revenue Code	306
Min. Negotiated Rate	$4.33
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$28.03
Rate for Payer: Aetna Medicare Advantage	$8.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.69
Rate for Payer: Cigna Commercial	$8.65
Rate for Payer: Cigna Medicare Advantage	$4.33
Rate for Payer: Clover Medicare Advantage	$8.22
Rate for Payer: EmblemHealth Commercial	$25.95
Rate for Payer: Humana Medicare Advantage	$8.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.96
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$20.72
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$8.65
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$9.17
Rate for Payer: Wellcare Medicare Advantage	$8.65

MICROBIAL IDENT W/AMPLIFICATIO

Facility

$431.00

Service Code	HCPCS 87798
Hospital Charge Code	38476243
Hospital Revenue Code	306
Min. Negotiated Rate	$64.65
Max. Negotiated Rate	$64.65
Rate for Payer: Qualcare PPO/HMO/WC	$64.65

MICROBIAL IDENT W/AMPLIFICATIO

Facility

$431.00

Service Code	HCPCS 87798
Hospital Charge Code	38476243
Hospital Revenue Code	306
Min. Negotiated Rate	$17.55
Max. Negotiated Rate	$147.80
Rate for Payer: Aetna Commercial	$113.69
Rate for Payer: Aetna Medicare Advantage	$35.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$128.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$128.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$35.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$147.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$128.57
Rate for Payer: Cigna Commercial	$35.09
Rate for Payer: Cigna Medicare Advantage	$17.55
Rate for Payer: Clover Medicare Advantage	$33.34
Rate for Payer: EmblemHealth Commercial	$105.27
Rate for Payer: Humana Medicare Advantage	$36.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.03
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$64.65
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$35.09
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$37.20
Rate for Payer: Wellcare Medicare Advantage	$35.09

MICROBIOLOGY SPECIMEN BRUSH

Facility

$387.00

Hospital Charge Code	270330773
Hospital Revenue Code	272
Min. Negotiated Rate	$58.05
Max. Negotiated Rate	$58.05
Rate for Payer: Qualcare PPO/HMO/WC	$58.05

MICROBIOLOGY SPECIMEN BRUSH

Facility

$387.00

Hospital Charge Code	270330773
Hospital Revenue Code	272
Min. Negotiated Rate	$50.31
Max. Negotiated Rate	$193.50
Rate for Payer: Aetna Commercial	$116.10
Rate for Payer: Aetna Medicare Advantage	$116.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$98.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$98.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$98.69
Rate for Payer: Cigna Commercial	$193.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.31
Rate for Payer: Oxford Commercial	$193.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.05
Rate for Payer: UnitedHealthcare Commercial	$193.50

MICROBLATOR 30 ICW 1.4MM

Facility

$2,455.00

Hospital Charge Code	270675004
Hospital Revenue Code	272
Min. Negotiated Rate	$368.25
Max. Negotiated Rate	$368.25
Rate for Payer: Qualcare PPO/HMO/WC	$368.25

MICROBLATOR 30 ICW 1.4MM

Facility

$2,455.00

Hospital Charge Code	270675004
Hospital Revenue Code	272
Min. Negotiated Rate	$319.15
Max. Negotiated Rate	$1,227.50
Rate for Payer: Aetna Commercial	$736.50
Rate for Payer: Aetna Medicare Advantage	$736.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$626.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$626.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$626.02
Rate for Payer: Cigna Commercial	$1,227.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$319.15
Rate for Payer: Oxford Commercial	$1,227.50
Rate for Payer: Qualcare PPO/HMO/WC	$368.25
Rate for Payer: UnitedHealthcare Commercial	$1,227.50

MICROCATHETER 135 CM 45 CM

Facility

$3,250.00

Hospital Charge Code	270683212N
Hospital Revenue Code	272
Min. Negotiated Rate	$422.50
Max. Negotiated Rate	$1,625.00
Rate for Payer: Aetna Commercial	$975.00
Rate for Payer: Aetna Medicare Advantage	$975.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$828.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$828.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$828.75
Rate for Payer: Cigna Commercial	$1,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$422.50
Rate for Payer: Oxford Commercial	$1,625.00
Rate for Payer: Qualcare PPO/HMO/WC	$487.50
Rate for Payer: UnitedHealthcare Commercial	$1,625.00

MICROCATHETER 135 CM 45 CM

Facility

$3,250.00

Hospital Charge Code	270683212
Hospital Revenue Code	272
Min. Negotiated Rate	$487.50
Max. Negotiated Rate	$487.50
Rate for Payer: Qualcare PPO/HMO/WC	$487.50

MICROCATHETER 135 CM 45 CM

Facility

$3,250.00

Hospital Charge Code	270683212
Hospital Revenue Code	272
Min. Negotiated Rate	$422.50
Max. Negotiated Rate	$1,625.00
Rate for Payer: Aetna Commercial	$975.00
Rate for Payer: Aetna Medicare Advantage	$975.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$828.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$828.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$828.75
Rate for Payer: Cigna Commercial	$1,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$422.50
Rate for Payer: Oxford Commercial	$1,625.00
Rate for Payer: Qualcare PPO/HMO/WC	$487.50
Rate for Payer: UnitedHealthcare Commercial	$1,625.00

MICROCATHETER 135 CM 45 CM

Facility

$3,250.00

Hospital Charge Code	270683212N
Hospital Revenue Code	272
Min. Negotiated Rate	$487.50
Max. Negotiated Rate	$487.50
Rate for Payer: Qualcare PPO/HMO/WC	$487.50

MICROCATHETER 135CM STR LANTER

Facility

$3,250.00

Hospital Charge Code	270683211N
Hospital Revenue Code	272
Min. Negotiated Rate	$422.50
Max. Negotiated Rate	$1,625.00
Rate for Payer: Aetna Commercial	$975.00
Rate for Payer: Aetna Medicare Advantage	$975.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$828.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$828.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$828.75
Rate for Payer: Cigna Commercial	$1,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$422.50
Rate for Payer: Oxford Commercial	$1,625.00
Rate for Payer: Qualcare PPO/HMO/WC	$487.50
Rate for Payer: UnitedHealthcare Commercial	$1,625.00

MICROCATHETER 135CM STR LANTER

Facility

$3,250.00

Hospital Charge Code	270683211
Hospital Revenue Code	272
Min. Negotiated Rate	$487.50
Max. Negotiated Rate	$487.50
Rate for Payer: Qualcare PPO/HMO/WC	$487.50

MICROCATHETER 135CM STR LANTER

Facility

$3,250.00

Hospital Charge Code	270683211
Hospital Revenue Code	272
Min. Negotiated Rate	$422.50
Max. Negotiated Rate	$1,625.00
Rate for Payer: Aetna Commercial	$975.00
Rate for Payer: Aetna Medicare Advantage	$975.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$828.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$828.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$828.75
Rate for Payer: Cigna Commercial	$1,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$422.50
Rate for Payer: Oxford Commercial	$1,625.00
Rate for Payer: Qualcare PPO/HMO/WC	$487.50
Rate for Payer: UnitedHealthcare Commercial	$1,625.00

MICROCATHETER 135CM STR LANTER

Facility

$3,250.00

Hospital Charge Code	270683211N
Hospital Revenue Code	272
Min. Negotiated Rate	$487.50
Max. Negotiated Rate	$487.50
Rate for Payer: Qualcare PPO/HMO/WC	$487.50

MICROCATHETER HEADWAY 21 PLUS

Facility

$6,000.00

Service Code	HCPCS C1887
Hospital Charge Code	270699999S
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$3,000.00
Rate for Payer: Aetna Commercial	$1,800.00
Rate for Payer: Aetna Medicare Advantage	$1,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,530.00
Rate for Payer: Cigna Commercial	$3,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

MICROCATHETER HEADWAY 21 PLUS

Facility

$6,000.00

Service Code	HCPCS C1887
Hospital Charge Code	270699999S
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$1,452.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

MICROCATHETER RENEGADE HI-FLO

Facility

$2,624.00

Service Code	HCPCS C1887
Hospital Charge Code	270662978
Hospital Revenue Code	278
Min. Negotiated Rate	$393.60
Max. Negotiated Rate	$1,312.00
Rate for Payer: Aetna Commercial	$787.20
Rate for Payer: Aetna Medicare Advantage	$787.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$669.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$669.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$524.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$669.12
Rate for Payer: Cigna Commercial	$1,312.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$635.01
Rate for Payer: Qualcare PPO/HMO/WC	$393.60

MICROCATHETER RENEGADE HI-FLO

Facility

$2,624.00

Service Code	HCPCS C1887
Hospital Charge Code	270662978
Hospital Revenue Code	278
Min. Negotiated Rate	$393.60
Max. Negotiated Rate	$635.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$524.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$635.01
Rate for Payer: Qualcare PPO/HMO/WC	$393.60

MICROCATHETER VELOCITY

Facility

$5,285.00

Service Code	HCPCS C1725
Hospital Charge Code	270682974
Hospital Revenue Code	278
Min. Negotiated Rate	$792.75
Max. Negotiated Rate	$1,278.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,057.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,278.97
Rate for Payer: Qualcare PPO/HMO/WC	$792.75

Know your out-of-pocket cost for care.

All Charges