Heights University Hospital

All Charges

Charge

Type

Setting

Price

PORT-A-CATH DUAL MRI 0605930

Facility

$4,667.25

Hospital Charge Code	270606446
Hospital Revenue Code	278
Min. Negotiated Rate	$700.09
Max. Negotiated Rate	$2,333.62
Rate for Payer: Aetna Commercial	$1,400.17
Rate for Payer: Aetna Medicare Advantage	$1,400.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,190.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,190.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$933.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,190.15
Rate for Payer: Cigna Commercial	$2,333.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,129.47
Rate for Payer: Qualcare PPO/HMO/WC	$700.09

PORT-A-CATH DUAL MRI 0605930

Facility

$4,667.25

Hospital Charge Code	270606446
Hospital Revenue Code	278
Min. Negotiated Rate	$700.09
Max. Negotiated Rate	$1,129.47
Rate for Payer: Qualcare PPO/HMO/WC	$700.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$933.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,129.47

PORT A CATH POWER PORT 8F S

Facility

$3,215.00

Service Code	HCPCS C1788
Hospital Charge Code	270688735
Hospital Revenue Code	278
Min. Negotiated Rate	$482.25
Max. Negotiated Rate	$778.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$643.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$778.03
Rate for Payer: Qualcare PPO/HMO/WC	$482.25

PORT A CATH POWER PORT 8F S

Facility

$3,215.00

Service Code	HCPCS C1788
Hospital Charge Code	270688735
Hospital Revenue Code	278
Min. Negotiated Rate	$482.25
Max. Negotiated Rate	$1,607.50
Rate for Payer: Aetna Commercial	$964.50
Rate for Payer: Aetna Medicare Advantage	$964.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$819.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$819.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$643.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$819.83
Rate for Payer: Cigna Commercial	$1,607.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$778.03
Rate for Payer: Qualcare PPO/HMO/WC	$482.25

PORTACATH PRECON 10FR 0607100

Facility

$1,475.00

Service Code	HCPCS C1751
Hospital Charge Code	270614611
Hospital Revenue Code	278
Min. Negotiated Rate	$221.25
Max. Negotiated Rate	$356.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$295.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.95
Rate for Payer: Qualcare PPO/HMO/WC	$221.25

PORTACATH PRECON 10FR 0607100

Facility

$1,475.00

Service Code	HCPCS C1751
Hospital Charge Code	270614611
Hospital Revenue Code	278
Min. Negotiated Rate	$221.25
Max. Negotiated Rate	$737.50
Rate for Payer: Aetna Commercial	$442.50
Rate for Payer: Aetna Medicare Advantage	$442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$295.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$376.12
Rate for Payer: Cigna Commercial	$737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.95
Rate for Payer: Qualcare PPO/HMO/WC	$221.25

PORT A CATH PRECON9.6F 0602610

Facility

$955.00

Service Code	HCPCS C1788
Hospital Charge Code	270614986
Hospital Revenue Code	278
Min. Negotiated Rate	$143.25
Max. Negotiated Rate	$231.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$191.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$231.11
Rate for Payer: Qualcare PPO/HMO/WC	$143.25

PORT A CATH PRECON9.6F 0602610

Facility

$955.00

Service Code	HCPCS C1788
Hospital Charge Code	270614986
Hospital Revenue Code	278
Min. Negotiated Rate	$143.25
Max. Negotiated Rate	$477.50
Rate for Payer: Aetna Commercial	$286.50
Rate for Payer: Aetna Medicare Advantage	$286.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$243.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$243.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$191.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$243.53
Rate for Payer: Cigna Commercial	$477.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$231.11
Rate for Payer: Qualcare PPO/HMO/WC	$143.25

PORT ADAPTER Y FEEDING 20F

Facility

$35.88

Hospital Charge Code	270678363
Hospital Revenue Code	272
Min. Negotiated Rate	$4.66
Max. Negotiated Rate	$17.94
Rate for Payer: Aetna Commercial	$10.76
Rate for Payer: Aetna Medicare Advantage	$10.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.15
Rate for Payer: Cigna Commercial	$17.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.66
Rate for Payer: Oxford Commercial	$17.94
Rate for Payer: Qualcare PPO/HMO/WC	$5.38
Rate for Payer: UnitedHealthcare Commercial	$17.94

PORT ADAPTER Y FEEDING 20F

Facility

$35.88

Hospital Charge Code	270678363
Hospital Revenue Code	272
Min. Negotiated Rate	$5.38
Max. Negotiated Rate	$5.38
Rate for Payer: Qualcare PPO/HMO/WC	$5.38

PORTAL SKID ENDO DIL

Facility

$225.00

Service Code	HCPCS A4649
Hospital Charge Code	270690982
Hospital Revenue Code	272
Min. Negotiated Rate	$29.25
Max. Negotiated Rate	$112.50
Rate for Payer: Aetna Commercial	$67.50
Rate for Payer: Aetna Medicare Advantage	$67.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.38
Rate for Payer: Cigna Commercial	$112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.25
Rate for Payer: Oxford Commercial	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$33.75
Rate for Payer: UnitedHealthcare Commercial	$112.50

PORTAL SKID ENDO DIL

Facility

$225.00

Service Code	HCPCS A4649
Hospital Charge Code	270690982
Hospital Revenue Code	272
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$33.75
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

PORT BIOFLO 6FR PASV VALVED

Facility

$1,975.00

Service Code	HCPCS C1788
Hospital Charge Code	270673515
Hospital Revenue Code	278
Min. Negotiated Rate	$296.25
Max. Negotiated Rate	$987.50
Rate for Payer: Aetna Commercial	$592.50
Rate for Payer: Aetna Medicare Advantage	$592.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$395.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$503.62
Rate for Payer: Cigna Commercial	$987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$477.95
Rate for Payer: Qualcare PPO/HMO/WC	$296.25

PORT BIOFLO 6FR PASV VALVED

Facility

$1,975.00

Service Code	HCPCS C1788
Hospital Charge Code	270673515
Hospital Revenue Code	278
Min. Negotiated Rate	$296.25
Max. Negotiated Rate	$477.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$477.95
Rate for Payer: Qualcare PPO/HMO/WC	$296.25

PORT BIOFLO 8FR PASV VALVE

Facility

$1,375.00

Service Code	HCPCS C1889
Hospital Charge Code	270704983
Hospital Revenue Code	278
Min. Negotiated Rate	$206.25
Max. Negotiated Rate	$687.50
Rate for Payer: Aetna Commercial	$412.50
Rate for Payer: Aetna Medicare Advantage	$412.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$350.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$350.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$350.62
Rate for Payer: Cigna Commercial	$687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$332.75
Rate for Payer: Qualcare PPO/HMO/WC	$206.25

PORT BIOFLO 8FR PASV VALVE

Facility

$1,375.00

Service Code	HCPCS C1889
Hospital Charge Code	270704983
Hospital Revenue Code	278
Min. Negotiated Rate	$206.25
Max. Negotiated Rate	$332.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$332.75
Rate for Payer: Qualcare PPO/HMO/WC	$206.25

PORT BIOFLO 8FR PASV VALVED

Facility

$3,359.00

Hospital Charge Code	270673516
Hospital Revenue Code	279
Min. Negotiated Rate	$436.67
Max. Negotiated Rate	$1,679.50
Rate for Payer: Aetna Commercial	$1,007.70
Rate for Payer: Aetna Medicare Advantage	$1,007.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$856.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$856.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$856.54
Rate for Payer: Cigna Commercial	$1,679.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$436.67
Rate for Payer: Oxford Commercial	$1,679.50
Rate for Payer: Qualcare PPO/HMO/WC	$503.85
Rate for Payer: UnitedHealthcare Commercial	$1,679.50

PORT BIOFLO 8FR PASV VALVED

Facility

$3,359.00

Hospital Charge Code	270673516
Hospital Revenue Code	279
Min. Negotiated Rate	$503.85
Max. Negotiated Rate	$503.85
Rate for Payer: Qualcare PPO/HMO/WC	$503.85

PORT,INDWELLING (IMPLANTABLE)

Facility

$21.40

Service Code	HCPCS C1751
Hospital Charge Code	4800885
Hospital Revenue Code	278
Min. Negotiated Rate	$3.21
Max. Negotiated Rate	$10.70
Rate for Payer: Aetna Commercial	$6.42
Rate for Payer: Aetna Medicare Advantage	$6.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.46
Rate for Payer: Cigna Commercial	$10.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.18
Rate for Payer: Qualcare PPO/HMO/WC	$3.21

PORT,INDWELLING (IMPLANTABLE)

Facility

$21.40

Service Code	HCPCS C1751
Hospital Charge Code	4800885
Hospital Revenue Code	278
Min. Negotiated Rate	$3.21
Max. Negotiated Rate	$5.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.18
Rate for Payer: Qualcare PPO/HMO/WC	$3.21

PORT INFUSEARTERIAL 0.6MM

Facility

$2,798.45

Hospital Charge Code	270601151
Hospital Revenue Code	270
Min. Negotiated Rate	$363.80
Max. Negotiated Rate	$1,399.22
Rate for Payer: Aetna Commercial	$839.53
Rate for Payer: Aetna Medicare Advantage	$839.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$713.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$713.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$713.60
Rate for Payer: Cigna Commercial	$1,399.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.80
Rate for Payer: Oxford Commercial	$1,399.22
Rate for Payer: Qualcare PPO/HMO/WC	$419.77
Rate for Payer: UnitedHealthcare Commercial	$1,399.22

PORT INFUSEARTERIAL 0.6MM

Facility

$2,798.45

Hospital Charge Code	270601151
Hospital Revenue Code	270
Min. Negotiated Rate	$419.77
Max. Negotiated Rate	$419.77
Rate for Payer: Qualcare PPO/HMO/WC	$419.77

PORT INFUSOR ART 6.9fr 38940

Facility

$1,835.25

Hospital Charge Code	270634994
Hospital Revenue Code	272
Min. Negotiated Rate	$238.58
Max. Negotiated Rate	$917.62
Rate for Payer: Aetna Commercial	$550.58
Rate for Payer: Aetna Medicare Advantage	$550.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$467.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$467.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$467.99
Rate for Payer: Cigna Commercial	$917.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$238.58
Rate for Payer: Oxford Commercial	$917.62
Rate for Payer: Qualcare PPO/HMO/WC	$275.29
Rate for Payer: UnitedHealthcare Commercial	$917.62

PORT INFUSOR ART 6.9fr 38940

Facility

$1,835.25

Hospital Charge Code	270634994
Hospital Revenue Code	272
Min. Negotiated Rate	$275.29
Max. Negotiated Rate	$275.29
Rate for Payer: Qualcare PPO/HMO/WC	$275.29

PORT MINI W/INTRO 2MM 171313

Facility

$272.85

Hospital Charge Code	270612742
Hospital Revenue Code	272
Min. Negotiated Rate	$40.93
Max. Negotiated Rate	$40.93
Rate for Payer: Qualcare PPO/HMO/WC	$40.93

Know your out-of-pocket cost for care.

All Charges