Heights University Hospital

All Charges

Charge

Type

Setting

Price

SET CATH ARROW CS-01700 ******

Facility

$248.00

Hospital Charge Code	1608199
Hospital Revenue Code	272
Min. Negotiated Rate	$37.20
Max. Negotiated Rate	$37.20
Rate for Payer: Qualcare PPO/HMO/WC	$37.20

SET CATH CHOLANGIO C1002

Facility

$340.00

Hospital Charge Code	270627916
Hospital Revenue Code	272
Min. Negotiated Rate	$51.00
Max. Negotiated Rate	$51.00
Rate for Payer: Qualcare PPO/HMO/WC	$51.00

SET CATH CHOLANGIO C1002

Facility

$340.00

Hospital Charge Code	270627916
Hospital Revenue Code	272
Min. Negotiated Rate	$44.20
Max. Negotiated Rate	$170.00
Rate for Payer: Aetna Commercial	$102.00
Rate for Payer: Aetna Medicare Advantage	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.70
Rate for Payer: Cigna Commercial	$170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.20
Rate for Payer: Oxford Commercial	$170.00
Rate for Payer: Qualcare PPO/HMO/WC	$51.00
Rate for Payer: UnitedHealthcare Commercial	$170.00

SET CATH RADIAL ART FEP 22G

Facility

$46.61

Hospital Charge Code	270606560
Hospital Revenue Code	272
Min. Negotiated Rate	$6.06
Max. Negotiated Rate	$23.30
Rate for Payer: Aetna Commercial	$13.98
Rate for Payer: Aetna Medicare Advantage	$13.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.89
Rate for Payer: Cigna Commercial	$23.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.06
Rate for Payer: Oxford Commercial	$23.30
Rate for Payer: Qualcare PPO/HMO/WC	$6.99
Rate for Payer: UnitedHealthcare Commercial	$23.30

SET CATH RADIAL ART FEP 22G

Facility

$46.61

Hospital Charge Code	270606560
Hospital Revenue Code	272
Min. Negotiated Rate	$6.99
Max. Negotiated Rate	$6.99
Rate for Payer: Qualcare PPO/HMO/WC	$6.99

SET CATH STAMEY PERC SUPRA

Facility

$216.00

Hospital Charge Code	270684724
Hospital Revenue Code	272
Min. Negotiated Rate	$32.40
Max. Negotiated Rate	$32.40
Rate for Payer: Qualcare PPO/HMO/WC	$32.40

SET CATH STAMEY PERC SUPRA

Facility

$216.00

Hospital Charge Code	270684724
Hospital Revenue Code	272
Min. Negotiated Rate	$28.08
Max. Negotiated Rate	$108.00
Rate for Payer: Aetna Commercial	$64.80
Rate for Payer: Aetna Medicare Advantage	$64.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55.08
Rate for Payer: Cigna Commercial	$108.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.08
Rate for Payer: Oxford Commercial	$108.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.40
Rate for Payer: UnitedHealthcare Commercial	$108.00

SET CHOLANGIO W/BALLOON CATH

Facility

$577.50

Hospital Charge Code	270605529
Hospital Revenue Code	272
Min. Negotiated Rate	$75.08
Max. Negotiated Rate	$288.75
Rate for Payer: Aetna Commercial	$173.25
Rate for Payer: Aetna Medicare Advantage	$173.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$147.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$147.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$147.26
Rate for Payer: Cigna Commercial	$288.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.08
Rate for Payer: Oxford Commercial	$288.75
Rate for Payer: Qualcare PPO/HMO/WC	$86.62
Rate for Payer: UnitedHealthcare Commercial	$288.75

SET CHOLANGIO W/BALLOON CATH

Facility

$577.50

Hospital Charge Code	270605529
Hospital Revenue Code	272
Min. Negotiated Rate	$86.62
Max. Negotiated Rate	$86.62
Rate for Payer: Qualcare PPO/HMO/WC	$86.62

SET CK LIVER BX 19G LABS-200

Facility

$2,124.00

Hospital Charge Code	270626547
Hospital Revenue Code	272
Min. Negotiated Rate	$276.12
Max. Negotiated Rate	$1,062.00
Rate for Payer: Aetna Commercial	$637.20
Rate for Payer: Aetna Medicare Advantage	$637.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$541.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$541.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$541.62
Rate for Payer: Cigna Commercial	$1,062.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$276.12
Rate for Payer: Oxford Commercial	$1,062.00
Rate for Payer: Qualcare PPO/HMO/WC	$318.60
Rate for Payer: UnitedHealthcare Commercial	$1,062.00

SET CK LIVER BX 19G LABS-200

Facility

$2,124.00

Hospital Charge Code	270626547
Hospital Revenue Code	272
Min. Negotiated Rate	$318.60
Max. Negotiated Rate	$318.60
Rate for Payer: Qualcare PPO/HMO/WC	$318.60

SET COLLECTION SYNEVAC 610

Facility

$26.75

Hospital Charge Code	270612228
Hospital Revenue Code	272
Min. Negotiated Rate	$4.01
Max. Negotiated Rate	$4.01
Rate for Payer: Qualcare PPO/HMO/WC	$4.01

SET COLLECTION SYNEVAC 610

Facility

$26.75

Hospital Charge Code	270612228
Hospital Revenue Code	272
Min. Negotiated Rate	$3.48
Max. Negotiated Rate	$13.38
Rate for Payer: Aetna Commercial	$8.03
Rate for Payer: Aetna Medicare Advantage	$8.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.82
Rate for Payer: Cigna Commercial	$13.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.48
Rate for Payer: Oxford Commercial	$13.38
Rate for Payer: Qualcare PPO/HMO/WC	$4.01
Rate for Payer: UnitedHealthcare Commercial	$13.38

SET CONNECTION ACCEL TUBING

Facility

$9.80

Hospital Charge Code	270703866
Hospital Revenue Code	279
Min. Negotiated Rate	$1.47
Max. Negotiated Rate	$1.47
Rate for Payer: Qualcare PPO/HMO/WC	$1.47

SET CONNECTION ACCEL TUBING

Facility

$9.80

Hospital Charge Code	270703866
Hospital Revenue Code	279
Min. Negotiated Rate	$1.27
Max. Negotiated Rate	$4.90
Rate for Payer: Aetna Commercial	$2.94
Rate for Payer: Aetna Medicare Advantage	$2.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.50
Rate for Payer: Cigna Commercial	$4.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.27
Rate for Payer: Oxford Commercial	$4.90
Rate for Payer: Qualcare PPO/HMO/WC	$1.47
Rate for Payer: UnitedHealthcare Commercial	$4.90

SET COUDE 30 CC **********

Facility

$84.00

Hospital Charge Code	8002776
Hospital Revenue Code	279
Min. Negotiated Rate	$12.60
Max. Negotiated Rate	$12.60
Rate for Payer: Qualcare PPO/HMO/WC	$12.60

SET COUDE 30 CC **********

Facility

$84.00

Hospital Charge Code	8002776
Hospital Revenue Code	279
Min. Negotiated Rate	$10.92
Max. Negotiated Rate	$42.00
Rate for Payer: Aetna Commercial	$25.20
Rate for Payer: Aetna Medicare Advantage	$25.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.42
Rate for Payer: Cigna Commercial	$42.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.92
Rate for Payer: Oxford Commercial	$42.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.60
Rate for Payer: UnitedHealthcare Commercial	$42.00

SET COUDE CATH ********

Facility

$68.00

Hospital Charge Code	8000366
Hospital Revenue Code	279
Min. Negotiated Rate	$10.20
Max. Negotiated Rate	$10.20
Rate for Payer: Qualcare PPO/HMO/WC	$10.20

SET COUDE CATH ********

Facility

$68.00

Hospital Charge Code	8000366
Hospital Revenue Code	279
Min. Negotiated Rate	$8.84
Max. Negotiated Rate	$34.00
Rate for Payer: Aetna Commercial	$20.40
Rate for Payer: Aetna Medicare Advantage	$20.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.34
Rate for Payer: Cigna Commercial	$34.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.84
Rate for Payer: Oxford Commercial	$34.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.20
Rate for Payer: UnitedHealthcare Commercial	$34.00

SET CYLIN 19cm INFRAP 909818IC

Facility

$34,320.00

Hospital Charge Code	270640427
Hospital Revenue Code	278
Min. Negotiated Rate	$5,148.00
Max. Negotiated Rate	$17,160.00
Rate for Payer: Aetna Commercial	$10,296.00
Rate for Payer: Aetna Medicare Advantage	$10,296.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,751.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,751.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,751.60
Rate for Payer: Cigna Commercial	$17,160.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,305.44
Rate for Payer: Qualcare PPO/HMO/WC	$5,148.00

SET CYLIN 19cm INFRAP 909818IC

Facility

$34,320.00

Hospital Charge Code	270640427
Hospital Revenue Code	278
Min. Negotiated Rate	$5,148.00
Max. Negotiated Rate	$8,305.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,864.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,305.44
Rate for Payer: Qualcare PPO/HMO/WC	$5,148.00

SET CYSTOSTOMY CATH 8/12FR****

Facility

$218.00

Hospital Charge Code	1608447
Hospital Revenue Code	272
Min. Negotiated Rate	$28.34
Max. Negotiated Rate	$109.00
Rate for Payer: Aetna Commercial	$65.40
Rate for Payer: Aetna Medicare Advantage	$65.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55.59
Rate for Payer: Cigna Commercial	$109.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.34
Rate for Payer: Oxford Commercial	$109.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.70
Rate for Payer: UnitedHealthcare Commercial	$109.00

SET CYSTOSTOMY CATH 8/12FR****

Facility

$218.00

Hospital Charge Code	1608447
Hospital Revenue Code	272
Min. Negotiated Rate	$32.70
Max. Negotiated Rate	$32.70
Rate for Payer: Qualcare PPO/HMO/WC	$32.70

SET DB NEEDLE 22Gx6 SPL 181030

Facility

$58.50

Hospital Charge Code	270636101
Hospital Revenue Code	272
Min. Negotiated Rate	$7.61
Max. Negotiated Rate	$29.25
Rate for Payer: Aetna Commercial	$17.55
Rate for Payer: Aetna Medicare Advantage	$17.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.92
Rate for Payer: Cigna Commercial	$29.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.61
Rate for Payer: Oxford Commercial	$29.25
Rate for Payer: Qualcare PPO/HMO/WC	$8.78
Rate for Payer: UnitedHealthcare Commercial	$29.25

SET DB NEEDLE 22Gx6 SPL 181030

Facility

$58.50

Hospital Charge Code	270636101
Hospital Revenue Code	272
Min. Negotiated Rate	$8.78
Max. Negotiated Rate	$8.78
Rate for Payer: Qualcare PPO/HMO/WC	$8.78

Know your out-of-pocket cost for care.

All Charges