Heights University Hospital

All Charges

Charge

Type

Setting

Price

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	$2,642.50
Rate for Payer: Aetna Commercial	$1,585.50
Rate for Payer: Aetna Medicare Advantage	$1,585.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,347.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,347.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,057.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,347.67
Rate for Payer: Cigna Commercial	$2,642.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,278.97
Rate for Payer: Qualcare PPO/HMO/WC	$792.75

MICROCATHETER VIA 17MM TIP

Facility

$6,750.00

Service Code	HCPCS C1887
Hospital Charge Code	270696910S
Hospital Revenue Code	278
Min. Negotiated Rate	$1,012.50
Max. Negotiated Rate	$1,633.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,633.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50

MICROCATHETER VIA 17MM TIP

Facility

$6,750.00

Service Code	HCPCS C1887
Hospital Charge Code	270696910S
Hospital Revenue Code	278
Min. Negotiated Rate	$1,012.50
Max. Negotiated Rate	$3,375.00
Rate for Payer: Aetna Commercial	$2,025.00
Rate for Payer: Aetna Medicare Advantage	$2,025.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,721.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,721.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,721.25
Rate for Payer: Cigna Commercial	$3,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,633.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50

MICROCATHETER VIA 17 TI 45D

Facility

$6,750.00

Service Code	HCPCS C1887
Hospital Charge Code	270697715S
Hospital Revenue Code	278
Min. Negotiated Rate	$1,012.50
Max. Negotiated Rate	$1,633.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,633.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50

MICROCATHETER VIA 17 TI 45D

Facility

$6,750.00

Service Code	HCPCS C1887
Hospital Charge Code	270697715S
Hospital Revenue Code	278
Min. Negotiated Rate	$1,012.50
Max. Negotiated Rate	$3,375.00
Rate for Payer: Aetna Commercial	$2,025.00
Rate for Payer: Aetna Medicare Advantage	$2,025.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,721.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,721.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,721.25
Rate for Payer: Cigna Commercial	$3,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,633.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50

MICROCATH VASC 2.4/1.7F 156CM

Facility

$4,650.00

Service Code	HCPCS C1887
Hospital Charge Code	270693915S
Hospital Revenue Code	278
Min. Negotiated Rate	$697.50
Max. Negotiated Rate	$2,325.00
Rate for Payer: Aetna Commercial	$1,395.00
Rate for Payer: Aetna Medicare Advantage	$1,395.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,185.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,185.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$930.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,185.75
Rate for Payer: Cigna Commercial	$2,325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,125.30
Rate for Payer: Qualcare PPO/HMO/WC	$697.50

MICROCATH VASC 2.4/1.7F 156CM

Facility

$4,650.00

Service Code	HCPCS C1887
Hospital Charge Code	270693915S
Hospital Revenue Code	278
Min. Negotiated Rate	$697.50
Max. Negotiated Rate	$1,125.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$930.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,125.30
Rate for Payer: Qualcare PPO/HMO/WC	$697.50

MICROCLIPS TITANIUM HEMOSTATIC

Facility

$51.67

Hospital Charge Code	270663934
Hospital Revenue Code	270
Min. Negotiated Rate	$6.72
Max. Negotiated Rate	$25.84
Rate for Payer: Aetna Commercial	$15.50
Rate for Payer: Aetna Medicare Advantage	$15.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.18
Rate for Payer: Cigna Commercial	$25.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.72
Rate for Payer: Oxford Commercial	$25.84
Rate for Payer: Qualcare PPO/HMO/WC	$7.75
Rate for Payer: UnitedHealthcare Commercial	$25.84

MICROCLIPS TITANIUM HEMOSTATIC

Facility

$51.67

Hospital Charge Code	270663934
Hospital Revenue Code	270
Min. Negotiated Rate	$7.75
Max. Negotiated Rate	$7.75
Rate for Payer: Qualcare PPO/HMO/WC	$7.75

MICROCOIL HILAL EMBOL .018x1CM

Facility

$227.50

Hospital Charge Code	270668351
Hospital Revenue Code	278
Min. Negotiated Rate	$34.12
Max. Negotiated Rate	$113.75
Rate for Payer: Aetna Commercial	$68.25
Rate for Payer: Aetna Medicare Advantage	$68.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.01
Rate for Payer: Cigna Commercial	$113.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.05
Rate for Payer: Qualcare PPO/HMO/WC	$34.12

MICROCOIL HILAL EMBOL .018x1CM

Facility

$227.50

Hospital Charge Code	270668351
Hospital Revenue Code	278
Min. Negotiated Rate	$34.12
Max. Negotiated Rate	$55.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.05
Rate for Payer: Qualcare PPO/HMO/WC	$34.12

MICROCOIL HILAL EMBOL.018x.5CM

Facility

$427.50

Hospital Charge Code	270676280
Hospital Revenue Code	278
Min. Negotiated Rate	$64.12
Max. Negotiated Rate	$213.75
Rate for Payer: Aetna Commercial	$128.25
Rate for Payer: Aetna Medicare Advantage	$128.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$85.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.01
Rate for Payer: Cigna Commercial	$213.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$103.45
Rate for Payer: Qualcare PPO/HMO/WC	$64.12

MICROCOIL HILAL EMBOL.018x.5CM

Facility

$427.50

Hospital Charge Code	270676280
Hospital Revenue Code	278
Min. Negotiated Rate	$64.12
Max. Negotiated Rate	$103.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$85.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$103.45
Rate for Payer: Qualcare PPO/HMO/WC	$64.12

MICROCTHTER 2.9F 130CM STGHT

Facility

$375.00

Hospital Charge Code	270657610
Hospital Revenue Code	278
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$90.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.75
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

MICROCTHTER 2.9F 130CM STGHT

Facility

$375.00

Hospital Charge Code	270657610
Hospital Revenue Code	278
Min. Negotiated Rate	$56.25
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) NJ Health	$75.00
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	$90.75
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

MICROCTHTER 2.9F 130CM STGHT

Facility

$375.00

Hospital Charge Code	270657613
Hospital Revenue Code	278
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$90.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.75
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

MICROCTHTER 2.9F 130CM STGHT

Facility

$375.00

Hospital Charge Code	270657613
Hospital Revenue Code	278
Min. Negotiated Rate	$56.25
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) NJ Health	$75.00
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	$90.75
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

MICRODEBRIDER EZ IFF

Facility

$5,729.80

Hospital Charge Code	270677008
Hospital Revenue Code	272
Min. Negotiated Rate	$859.47
Max. Negotiated Rate	$859.47
Rate for Payer: Qualcare PPO/HMO/WC	$859.47

MICRODEBRIDER EZ IFF

Facility

$5,729.80

Hospital Charge Code	270677008
Hospital Revenue Code	272
Min. Negotiated Rate	$744.87
Max. Negotiated Rate	$2,864.90
Rate for Payer: Aetna Commercial	$1,718.94
Rate for Payer: Aetna Medicare Advantage	$1,718.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,461.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,461.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,461.10
Rate for Payer: Cigna Commercial	$2,864.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$744.87
Rate for Payer: Oxford Commercial	$2,864.90
Rate for Payer: Qualcare PPO/HMO/WC	$859.47
Rate for Payer: UnitedHealthcare Commercial	$2,864.90

MICRO DRILL 1.5 MM

Facility

$1,925.00

Hospital Charge Code	270682454
Hospital Revenue Code	272
Min. Negotiated Rate	$250.25
Max. Negotiated Rate	$962.50
Rate for Payer: Aetna Commercial	$577.50
Rate for Payer: Aetna Medicare Advantage	$577.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$490.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$490.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$490.88
Rate for Payer: Cigna Commercial	$962.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$250.25
Rate for Payer: Oxford Commercial	$962.50
Rate for Payer: Qualcare PPO/HMO/WC	$288.75
Rate for Payer: UnitedHealthcare Commercial	$962.50

MICRO DRILL 1.5 MM

Facility

$1,925.00

Hospital Charge Code	270682454
Hospital Revenue Code	272
Min. Negotiated Rate	$288.75
Max. Negotiated Rate	$288.75
Rate for Payer: Qualcare PPO/HMO/WC	$288.75

MICROFILARIAE DETECTION

Facility

$29.35

Service Code	HCPCS 87210
Hospital Charge Code	39990163B
Hospital Revenue Code	309
Min. Negotiated Rate	$4.40
Max. Negotiated Rate	$4.40
Rate for Payer: Qualcare PPO/HMO/WC	$4.40

MICROFILARIAE DETECTION

Facility

$29.35

Service Code	HCPCS 87210
Hospital Charge Code	39990163B
Hospital Revenue Code	309
Min. Negotiated Rate	$2.91
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$18.86
Rate for Payer: Aetna Medicare Advantage	$5.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.32
Rate for Payer: Cigna Commercial	$5.82
Rate for Payer: Cigna Medicare Advantage	$2.91
Rate for Payer: Clover Medicare Advantage	$5.53
Rate for Payer: EmblemHealth Commercial	$17.46
Rate for Payer: Humana Medicare Advantage	$5.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.82
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.40
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.82
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.17
Rate for Payer: Wellcare Medicare Advantage	$5.82

MICROFILARIAE DETECTION

Facility

$45.90

Service Code	HCPCS 87015
Hospital Charge Code	39990163A
Hospital Revenue Code	309
Min. Negotiated Rate	$3.34
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$21.64
Rate for Payer: Aetna Medicare Advantage	$6.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.48
Rate for Payer: Cigna Commercial	$6.68
Rate for Payer: Cigna Medicare Advantage	$3.34
Rate for Payer: Clover Medicare Advantage	$6.35
Rate for Payer: EmblemHealth Commercial	$20.04
Rate for Payer: Humana Medicare Advantage	$6.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.97
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.88
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.68
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$7.08
Rate for Payer: Wellcare Medicare Advantage	$6.68

MICROFILARIAE DETECTION

Facility

$45.90

Service Code	HCPCS 87015
Hospital Charge Code	39990163A
Hospital Revenue Code	309
Min. Negotiated Rate	$6.88
Max. Negotiated Rate	$6.88
Rate for Payer: Qualcare PPO/HMO/WC	$6.88

Know your out-of-pocket cost for care.

All Charges