Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATH 11.5FRX19.5CM MAHURKAR

Facility

$626.68

Service Code	HCPCS C1752
Hospital Charge Code	278649890
Hospital Revenue Code	278
Min. Negotiated Rate	$94.00
Max. Negotiated Rate	$151.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.66
Rate for Payer: Qualcare PPO/HMO/WC	$94.00

CATH 11.5FRX19.5CM MAHURKAR

Facility

$626.68

Service Code	HCPCS C1752
Hospital Charge Code	278649890
Hospital Revenue Code	278
Min. Negotiated Rate	$94.00
Max. Negotiated Rate	$313.34
Rate for Payer: Aetna Commercial	$188.00
Rate for Payer: Aetna Medicare Advantage	$188.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.80
Rate for Payer: Cigna Commercial	$313.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.66
Rate for Payer: Qualcare PPO/HMO/WC	$94.00

CATH 12 FR 605687*****

Facility

$33.76

Hospital Charge Code	270605687
Hospital Revenue Code	272
Min. Negotiated Rate	$4.39
Max. Negotiated Rate	$16.88
Rate for Payer: Aetna Commercial	$10.13
Rate for Payer: Aetna Medicare Advantage	$10.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.61
Rate for Payer: Cigna Commercial	$16.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.39
Rate for Payer: Oxford Commercial	$16.88
Rate for Payer: Qualcare PPO/HMO/WC	$5.06
Rate for Payer: UnitedHealthcare Commercial	$16.88

CATH 12 FR 605687*****

Facility

$33.76

Hospital Charge Code	270605687
Hospital Revenue Code	272
Min. Negotiated Rate	$5.06
Max. Negotiated Rate	$5.06
Rate for Payer: Qualcare PPO/HMO/WC	$5.06

CATH 14 FR 605688*****

Facility

$33.76

Hospital Charge Code	270605688
Hospital Revenue Code	272
Min. Negotiated Rate	$5.06
Max. Negotiated Rate	$5.06
Rate for Payer: Qualcare PPO/HMO/WC	$5.06

CATH 14 FR 605688*****

Facility

$33.76

Hospital Charge Code	270605688
Hospital Revenue Code	272
Min. Negotiated Rate	$4.39
Max. Negotiated Rate	$16.88
Rate for Payer: Aetna Commercial	$10.13
Rate for Payer: Aetna Medicare Advantage	$10.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.61
Rate for Payer: Cigna Commercial	$16.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.39
Rate for Payer: Oxford Commercial	$16.88
Rate for Payer: Qualcare PPO/HMO/WC	$5.06
Rate for Payer: UnitedHealthcare Commercial	$16.88

CATH 14FR SHEATH

Facility

$39.57

Hospital Charge Code	270644425
Hospital Revenue Code	270
Min. Negotiated Rate	$5.14
Max. Negotiated Rate	$19.79
Rate for Payer: Aetna Commercial	$11.87
Rate for Payer: Aetna Medicare Advantage	$11.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.09
Rate for Payer: Cigna Commercial	$19.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.14
Rate for Payer: Oxford Commercial	$19.79
Rate for Payer: Qualcare PPO/HMO/WC	$5.94
Rate for Payer: UnitedHealthcare Commercial	$19.79

CATH 14FR SHEATH

Facility

$39.57

Hospital Charge Code	270644425
Hospital Revenue Code	270
Min. Negotiated Rate	$5.94
Max. Negotiated Rate	$5.94
Rate for Payer: Qualcare PPO/HMO/WC	$5.94

CATH 14PLUS 4x30 135 100818930

Facility

$1,425.00

Hospital Charge Code	270638381V
Hospital Revenue Code	278
Min. Negotiated Rate	$213.75
Max. Negotiated Rate	$712.50
Rate for Payer: Aetna Commercial	$427.50
Rate for Payer: Aetna Medicare Advantage	$427.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$363.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$363.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$363.38
Rate for Payer: Cigna Commercial	$712.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$344.85
Rate for Payer: Qualcare PPO/HMO/WC	$213.75

CATH 14PLUS 4x30 135 100818930

Facility

$1,425.00

Hospital Charge Code	270638381V
Hospital Revenue Code	278
Min. Negotiated Rate	$213.75
Max. Negotiated Rate	$344.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$285.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$344.85
Rate for Payer: Qualcare PPO/HMO/WC	$213.75

CATH 16 FR 605685*****

Facility

$33.76

Hospital Charge Code	270605685
Hospital Revenue Code	272
Min. Negotiated Rate	$4.39
Max. Negotiated Rate	$16.88
Rate for Payer: Aetna Commercial	$10.13
Rate for Payer: Aetna Medicare Advantage	$10.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.61
Rate for Payer: Cigna Commercial	$16.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.39
Rate for Payer: Oxford Commercial	$16.88
Rate for Payer: Qualcare PPO/HMO/WC	$5.06
Rate for Payer: UnitedHealthcare Commercial	$16.88

CATH 16 FR 605685*****

Facility

$33.76

Hospital Charge Code	270605685
Hospital Revenue Code	272
Min. Negotiated Rate	$5.06
Max. Negotiated Rate	$5.06
Rate for Payer: Qualcare PPO/HMO/WC	$5.06

CATH 18 FR****

Facility

$33.76

Hospital Charge Code	706056862
Hospital Revenue Code	272
Min. Negotiated Rate	$4.39
Max. Negotiated Rate	$16.88
Rate for Payer: Aetna Commercial	$10.13
Rate for Payer: Aetna Medicare Advantage	$10.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.61
Rate for Payer: Cigna Commercial	$16.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.39
Rate for Payer: Oxford Commercial	$16.88
Rate for Payer: Qualcare PPO/HMO/WC	$5.06
Rate for Payer: UnitedHealthcare Commercial	$16.88

CATH 18 FR****

Facility

$33.76

Hospital Charge Code	706056862
Hospital Revenue Code	272
Min. Negotiated Rate	$5.06
Max. Negotiated Rate	$5.06
Rate for Payer: Qualcare PPO/HMO/WC	$5.06

CATH 18 FR****

Facility

$33.76

Hospital Charge Code	270605686
Hospital Revenue Code	272
Min. Negotiated Rate	$4.39
Max. Negotiated Rate	$16.88
Rate for Payer: Aetna Commercial	$10.13
Rate for Payer: Aetna Medicare Advantage	$10.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.61
Rate for Payer: Cigna Commercial	$16.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.39
Rate for Payer: Oxford Commercial	$16.88
Rate for Payer: Qualcare PPO/HMO/WC	$5.06
Rate for Payer: UnitedHealthcare Commercial	$16.88

CATH 18 FR****

Facility

$33.76

Hospital Charge Code	270605686
Hospital Revenue Code	272
Min. Negotiated Rate	$5.06
Max. Negotiated Rate	$5.06
Rate for Payer: Qualcare PPO/HMO/WC	$5.06

CATH 2.00MM/30MICRO145CM

Facility

$16,975.00

Hospital Charge Code	2709007656
Hospital Revenue Code	272
Min. Negotiated Rate	$2,206.75
Max. Negotiated Rate	$8,487.50
Rate for Payer: Aetna Commercial	$5,092.50
Rate for Payer: Aetna Medicare Advantage	$5,092.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,328.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,328.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,328.62
Rate for Payer: Cigna Commercial	$8,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,206.75
Rate for Payer: Oxford Commercial	$8,487.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,546.25
Rate for Payer: UnitedHealthcare Commercial	$8,487.50

CATH 2.00MM/30MICRO145CM

Facility

$16,975.00

Hospital Charge Code	2709007656
Hospital Revenue Code	272
Min. Negotiated Rate	$2,546.25
Max. Negotiated Rate	$2,546.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,546.25

CATH 20 FR 605689*****

Facility

$33.76

Hospital Charge Code	270605689
Hospital Revenue Code	272
Min. Negotiated Rate	$4.39
Max. Negotiated Rate	$16.88
Rate for Payer: Aetna Commercial	$10.13
Rate for Payer: Aetna Medicare Advantage	$10.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.61
Rate for Payer: Cigna Commercial	$16.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.39
Rate for Payer: Oxford Commercial	$16.88
Rate for Payer: Qualcare PPO/HMO/WC	$5.06
Rate for Payer: UnitedHealthcare Commercial	$16.88

CATH 20 FR 605689*****

Facility

$33.76

Hospital Charge Code	270605689
Hospital Revenue Code	272
Min. Negotiated Rate	$5.06
Max. Negotiated Rate	$5.06
Rate for Payer: Qualcare PPO/HMO/WC	$5.06

CATH 2/30MICRON 14M PRDSC30200

Facility

$21.40

Hospital Charge Code	270661303
Hospital Revenue Code	272
Min. Negotiated Rate	$3.21
Max. Negotiated Rate	$3.21
Rate for Payer: Qualcare PPO/HMO/WC	$3.21

CATH 2/30MICRON 14M PRDSC30200

Facility

$21.40

Hospital Charge Code	270661303
Hospital Revenue Code	272
Min. Negotiated Rate	$2.78
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) PPO	$5.46
Rate for Payer: Cigna Commercial	$10.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.78
Rate for Payer: Oxford Commercial	$10.70
Rate for Payer: Qualcare PPO/HMO/WC	$3.21
Rate for Payer: UnitedHealthcare Commercial	$10.70

CATH 23 FR 605690******

Facility

$33.76

Hospital Charge Code	270605690
Hospital Revenue Code	272
Min. Negotiated Rate	$4.39
Max. Negotiated Rate	$16.88
Rate for Payer: Aetna Commercial	$10.13
Rate for Payer: Aetna Medicare Advantage	$10.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.61
Rate for Payer: Cigna Commercial	$16.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.39
Rate for Payer: Oxford Commercial	$16.88
Rate for Payer: Qualcare PPO/HMO/WC	$5.06
Rate for Payer: UnitedHealthcare Commercial	$16.88

CATH 23 FR 605690******

Facility

$33.76

Hospital Charge Code	270605690
Hospital Revenue Code	272
Min. Negotiated Rate	$5.06
Max. Negotiated Rate	$5.06
Rate for Payer: Qualcare PPO/HMO/WC	$5.06

CATH 24FR 3WAY 5CC 0119S124

Facility

$65.21

Hospital Charge Code	270649019
Hospital Revenue Code	272
Min. Negotiated Rate	$8.48
Max. Negotiated Rate	$32.60
Rate for Payer: Aetna Commercial	$19.56
Rate for Payer: Aetna Medicare Advantage	$19.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.63
Rate for Payer: Cigna Commercial	$32.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.48
Rate for Payer: Oxford Commercial	$32.60
Rate for Payer: Qualcare PPO/HMO/WC	$9.78
Rate for Payer: UnitedHealthcare Commercial	$32.60

Know your out-of-pocket cost for care.

All Charges