Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATH 24FR 3WAY 5CC 0119S124

Facility

$65.21

Hospital Charge Code	270649019
Hospital Revenue Code	272
Min. Negotiated Rate	$9.78
Max. Negotiated Rate	$9.78
Rate for Payer: Qualcare PPO/HMO/WC	$9.78

CATH 24 FR 605691*****

Facility

$33.76

Hospital Charge Code	270605691
Hospital Revenue Code	272
Min. Negotiated Rate	$5.06
Max. Negotiated Rate	$5.06
Rate for Payer: Qualcare PPO/HMO/WC	$5.06

CATH 24 FR 605691*****

Facility

$33.76

Hospital Charge Code	270605691
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 2 WAY 12FR 5ML 0165SI12

Facility

$39.25

Hospital Charge Code	270302520
Hospital Revenue Code	272
Min. Negotiated Rate	$5.89
Max. Negotiated Rate	$5.89
Rate for Payer: Qualcare PPO/HMO/WC	$5.89

CATH 2 WAY 12FR 5ML 0165SI12

Facility

$39.25

Hospital Charge Code	270302520
Hospital Revenue Code	272
Min. Negotiated Rate	$5.10
Max. Negotiated Rate	$19.62
Rate for Payer: Aetna Commercial	$11.78
Rate for Payer: Aetna Medicare Advantage	$11.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.01
Rate for Payer: Cigna Commercial	$19.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.10
Rate for Payer: Oxford Commercial	$19.62
Rate for Payer: Qualcare PPO/HMO/WC	$5.89
Rate for Payer: UnitedHealthcare Commercial	$19.62

CATH 2-WAY 28FR 5CC****

Facility

$27.00

Hospital Charge Code	8003923
Hospital Revenue Code	272
Min. Negotiated Rate	$3.51
Max. Negotiated Rate	$13.50
Rate for Payer: Aetna Commercial	$8.10
Rate for Payer: Aetna Medicare Advantage	$8.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.88
Rate for Payer: Cigna Commercial	$13.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.51
Rate for Payer: Oxford Commercial	$13.50
Rate for Payer: Qualcare PPO/HMO/WC	$4.05
Rate for Payer: UnitedHealthcare Commercial	$13.50

CATH 2-WAY 28FR 5CC****

Facility

$27.00

Hospital Charge Code	8003923
Hospital Revenue Code	272
Min. Negotiated Rate	$4.05
Max. Negotiated Rate	$4.05
Rate for Payer: Qualcare PPO/HMO/WC	$4.05

CATH 2-WAY 28FR 5CC*****

Facility

$32.00

Hospital Charge Code	8003931
Hospital Revenue Code	272
Min. Negotiated Rate	$4.80
Max. Negotiated Rate	$4.80
Rate for Payer: Qualcare PPO/HMO/WC	$4.80

CATH 2-WAY 28FR 5CC*****

Facility

$32.00

Hospital Charge Code	8003931
Hospital Revenue Code	272
Min. Negotiated Rate	$4.16
Max. Negotiated Rate	$16.00
Rate for Payer: Aetna Commercial	$9.60
Rate for Payer: Aetna Medicare Advantage	$9.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.16
Rate for Payer: Cigna Commercial	$16.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.16
Rate for Payer: Oxford Commercial	$16.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.80
Rate for Payer: UnitedHealthcare Commercial	$16.00

CATH 2 WAY 30FR 5CC 0165SI30

Facility

$39.25

Hospital Charge Code	270649051
Hospital Revenue Code	272
Min. Negotiated Rate	$5.10
Max. Negotiated Rate	$19.62
Rate for Payer: Aetna Commercial	$11.78
Rate for Payer: Aetna Medicare Advantage	$11.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.01
Rate for Payer: Cigna Commercial	$19.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.10
Rate for Payer: Oxford Commercial	$19.62
Rate for Payer: Qualcare PPO/HMO/WC	$5.89
Rate for Payer: UnitedHealthcare Commercial	$19.62

CATH 2 WAY 30FR 5CC 0165SI30

Facility

$39.25

Hospital Charge Code	270649051
Hospital Revenue Code	272
Min. Negotiated Rate	$5.89
Max. Negotiated Rate	$5.89
Rate for Payer: Qualcare PPO/HMO/WC	$5.89

CATH 30CC 22FR 2W 0166S122

Facility

$43.63

Hospital Charge Code	2706490411
Hospital Revenue Code	272
Min. Negotiated Rate	$5.67
Max. Negotiated Rate	$21.82
Rate for Payer: Aetna Commercial	$13.09
Rate for Payer: Aetna Medicare Advantage	$13.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.13
Rate for Payer: Cigna Commercial	$21.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.67
Rate for Payer: Oxford Commercial	$21.82
Rate for Payer: Qualcare PPO/HMO/WC	$6.54
Rate for Payer: UnitedHealthcare Commercial	$21.82

CATH 30CC 22FR 2W 0166S122

Facility

$43.63

Hospital Charge Code	2706490411
Hospital Revenue Code	272
Min. Negotiated Rate	$6.54
Max. Negotiated Rate	$6.54
Rate for Payer: Qualcare PPO/HMO/WC	$6.54

CATH 3DRC 5FR 100cm 534576T

Facility

$34.00

Hospital Charge Code	270644609
Hospital Revenue Code	272
Min. Negotiated Rate	$5.10
Max. Negotiated Rate	$5.10
Rate for Payer: Qualcare PPO/HMO/WC	$5.10

CATH 3DRC 5FR 100cm 534576T

Facility

$42.50

Hospital Charge Code	270644609C
Hospital Revenue Code	272
Min. Negotiated Rate	$6.38
Max. Negotiated Rate	$6.38
Rate for Payer: Qualcare PPO/HMO/WC	$6.38

CATH 3DRC 5FR 100cm 534576T

Facility

$42.50

Hospital Charge Code	270644609S
Hospital Revenue Code	272
Min. Negotiated Rate	$5.53
Max. Negotiated Rate	$21.25
Rate for Payer: Aetna Commercial	$12.75
Rate for Payer: Aetna Medicare Advantage	$12.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.84
Rate for Payer: Cigna Commercial	$21.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.53
Rate for Payer: Oxford Commercial	$21.25
Rate for Payer: Qualcare PPO/HMO/WC	$6.38
Rate for Payer: UnitedHealthcare Commercial	$21.25

CATH 3DRC 5FR 100cm 534576T

Facility

$42.50

Hospital Charge Code	270644609S
Hospital Revenue Code	272
Min. Negotiated Rate	$6.38
Max. Negotiated Rate	$6.38
Rate for Payer: Qualcare PPO/HMO/WC	$6.38

CATH 3DRC 5FR 100cm 534576T

Facility

$34.00

Hospital Charge Code	270644609
Hospital Revenue Code	272
Min. Negotiated Rate	$4.42
Max. Negotiated Rate	$17.00
Rate for Payer: Aetna Commercial	$10.20
Rate for Payer: Aetna Medicare Advantage	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.67
Rate for Payer: Cigna Commercial	$17.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.42
Rate for Payer: Oxford Commercial	$17.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.10
Rate for Payer: UnitedHealthcare Commercial	$17.00

CATH 3DRC 5FR 100cm 534576T

Facility

$42.50

Hospital Charge Code	270644609C
Hospital Revenue Code	272
Min. Negotiated Rate	$5.53
Max. Negotiated Rate	$21.25
Rate for Payer: Aetna Commercial	$12.75
Rate for Payer: Aetna Medicare Advantage	$12.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.84
Rate for Payer: Cigna Commercial	$21.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.53
Rate for Payer: Oxford Commercial	$21.25
Rate for Payer: Qualcare PPO/HMO/WC	$6.38
Rate for Payer: UnitedHealthcare Commercial	$21.25

CATH 5F 62CM HNBR503565NSC1

Facility

$104.85

Hospital Charge Code	270624957
Hospital Revenue Code	272
Min. Negotiated Rate	$15.73
Max. Negotiated Rate	$15.73
Rate for Payer: Qualcare PPO/HMO/WC	$15.73

CATH 5F 62CM HNBR503565NSC1

Facility

$104.85

Hospital Charge Code	270624957
Hospital Revenue Code	272
Min. Negotiated Rate	$13.63
Max. Negotiated Rate	$52.42
Rate for Payer: Aetna Commercial	$31.45
Rate for Payer: Aetna Medicare Advantage	$31.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.74
Rate for Payer: Cigna Commercial	$52.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.63
Rate for Payer: Oxford Commercial	$52.42
Rate for Payer: Qualcare PPO/HMO/WC	$15.73
Rate for Payer: UnitedHealthcare Commercial	$52.42

CATH 5F,7CM,FIXER LUER W/NEEDL

Facility

$45.00

Service Code	HCPCS C1729
Hospital Charge Code	4800950
Hospital Revenue Code	278
Min. Negotiated Rate	$6.75
Max. Negotiated Rate	$10.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.89
Rate for Payer: Qualcare PPO/HMO/WC	$6.75

CATH 5F,7CM,FIXER LUER W/NEEDL

Facility

$45.00

Service Code	HCPCS C1729
Hospital Charge Code	4800950
Hospital Revenue Code	278
Min. Negotiated Rate	$6.75
Max. Negotiated Rate	$22.50
Rate for Payer: Aetna Commercial	$13.50
Rate for Payer: Aetna Medicare Advantage	$13.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.47
Rate for Payer: Cigna Commercial	$22.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.89
Rate for Payer: Qualcare PPO/HMO/WC	$6.75

CATH 5FR 65CM 0.038 COBRA 2

Facility

$144.00

Hospital Charge Code	270647846
Hospital Revenue Code	272
Min. Negotiated Rate	$18.72
Max. Negotiated Rate	$72.00
Rate for Payer: Aetna Commercial	$43.20
Rate for Payer: Aetna Medicare Advantage	$43.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.72
Rate for Payer: Cigna Commercial	$72.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.72
Rate for Payer: Oxford Commercial	$72.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.60
Rate for Payer: UnitedHealthcare Commercial	$72.00

CATH 5FR 65CM 0.038 COBRA 2

Facility

$144.00

Hospital Charge Code	270647846
Hospital Revenue Code	272
Min. Negotiated Rate	$21.60
Max. Negotiated Rate	$21.60
Rate for Payer: Qualcare PPO/HMO/WC	$21.60

Know your out-of-pocket cost for care.

All Charges