Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATH 5FR 65CM W/9MM FRAG BASK.

Facility

$3,646.15

Hospital Charge Code	270668156
Hospital Revenue Code	278
Min. Negotiated Rate	$546.92
Max. Negotiated Rate	$882.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$729.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$882.37
Rate for Payer: Qualcare PPO/HMO/WC	$546.92

CATH 5FR 65CM W/9MM FRAG BASK.

Facility

$3,646.15

Hospital Charge Code	270668156
Hospital Revenue Code	278
Min. Negotiated Rate	$546.92
Max. Negotiated Rate	$1,823.08
Rate for Payer: Aetna Commercial	$1,093.85
Rate for Payer: Aetna Medicare Advantage	$1,093.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$929.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$929.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$729.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$929.77
Rate for Payer: Cigna Commercial	$1,823.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$882.37
Rate for Payer: Qualcare PPO/HMO/WC	$546.92

CATH 5FR AL1 100CM 534545T

Facility

$44.50

Hospital Charge Code	270644622C
Hospital Revenue Code	272
Min. Negotiated Rate	$6.67
Max. Negotiated Rate	$6.67
Rate for Payer: Qualcare PPO/HMO/WC	$6.67

CATH 5FR AL1 100CM 534545T

Facility

$44.50

Hospital Charge Code	270644622C
Hospital Revenue Code	272
Min. Negotiated Rate	$5.79
Max. Negotiated Rate	$22.25
Rate for Payer: Aetna Commercial	$13.35
Rate for Payer: Aetna Medicare Advantage	$13.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.35
Rate for Payer: Cigna Commercial	$22.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.79
Rate for Payer: Oxford Commercial	$22.25
Rate for Payer: Qualcare PPO/HMO/WC	$6.67
Rate for Payer: UnitedHealthcare Commercial	$22.25

CATH 5FR AL1 SH

Facility

$255.00

Hospital Charge Code	270640090
Hospital Revenue Code	272
Min. Negotiated Rate	$33.15
Max. Negotiated Rate	$127.50
Rate for Payer: Aetna Commercial	$76.50
Rate for Payer: Aetna Medicare Advantage	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.03
Rate for Payer: Cigna Commercial	$127.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.15
Rate for Payer: Oxford Commercial	$127.50
Rate for Payer: Qualcare PPO/HMO/WC	$38.25
Rate for Payer: UnitedHealthcare Commercial	$127.50

CATH 5FR AL1 SH

Facility

$255.00

Hospital Charge Code	270640090
Hospital Revenue Code	272
Min. Negotiated Rate	$38.25
Max. Negotiated Rate	$38.25
Rate for Payer: Qualcare PPO/HMO/WC	$38.25

CATH 5FR AL2 100cm 534546T

Facility

$42.50

Hospital Charge Code	270644623C
Hospital Revenue Code	272
Min. Negotiated Rate	$6.38
Max. Negotiated Rate	$6.38
Rate for Payer: Qualcare PPO/HMO/WC	$6.38

CATH 5FR AL2 100cm 534546T

Facility

$42.50

Hospital Charge Code	270644623C
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 5FR AL3 100cm 534547T

Facility

$42.50

Hospital Charge Code	270644616C
Hospital Revenue Code	272
Min. Negotiated Rate	$6.38
Max. Negotiated Rate	$6.38
Rate for Payer: Qualcare PPO/HMO/WC	$6.38

CATH 5FR AL3 100cm 534547T

Facility

$42.50

Hospital Charge Code	270644616C
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 5FR AR2 MOD 100cm

Facility

$42.50

Hospital Charge Code	270644621
Hospital Revenue Code	272
Min. Negotiated Rate	$6.38
Max. Negotiated Rate	$6.38
Rate for Payer: Qualcare PPO/HMO/WC	$6.38

CATH 5FR AR2 MOD 100cm

Facility

$42.50

Hospital Charge Code	270644621
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 5FR IM 100CM 534560T

Facility

$44.50

Hospital Charge Code	270644617C
Hospital Revenue Code	272
Min. Negotiated Rate	$5.79
Max. Negotiated Rate	$22.25
Rate for Payer: Aetna Commercial	$13.35
Rate for Payer: Aetna Medicare Advantage	$13.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.35
Rate for Payer: Cigna Commercial	$22.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.79
Rate for Payer: Oxford Commercial	$22.25
Rate for Payer: Qualcare PPO/HMO/WC	$6.67
Rate for Payer: UnitedHealthcare Commercial	$22.25

CATH 5FR IM 100CM 534560T

Facility

$44.50

Hospital Charge Code	270644617C
Hospital Revenue Code	272
Min. Negotiated Rate	$6.67
Max. Negotiated Rate	$6.67
Rate for Payer: Qualcare PPO/HMO/WC	$6.67

CATH 5FR INFINITI JL 4.0 100cm

Facility

$42.50

Hospital Charge Code	270618314
Hospital Revenue Code	272
Min. Negotiated Rate	$6.38
Max. Negotiated Rate	$6.38
Rate for Payer: Qualcare PPO/HMO/WC	$6.38

CATH 5FR INFINITI JL 4.0 100cm

Facility

$42.50

Hospital Charge Code	270618314
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 5FR INFINITI JR 4.0 100cm

Facility

$42.50

Hospital Charge Code	270618315
Hospital Revenue Code	272
Min. Negotiated Rate	$6.38
Max. Negotiated Rate	$6.38
Rate for Payer: Qualcare PPO/HMO/WC	$6.38

CATH 5FR INFINITI JR 4.0 100cm

Facility

$42.50

Hospital Charge Code	270618315
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 5FR JL3.5 100cm 534518T

Facility

$275.00

Hospital Charge Code	270644604
Hospital Revenue Code	279
Min. Negotiated Rate	$41.25
Max. Negotiated Rate	$41.25
Rate for Payer: Qualcare PPO/HMO/WC	$41.25

CATH 5FR JL3.5 100cm 534518T

Facility

$275.00

Hospital Charge Code	270644604
Hospital Revenue Code	279
Min. Negotiated Rate	$35.75
Max. Negotiated Rate	$137.50
Rate for Payer: Aetna Commercial	$82.50
Rate for Payer: Aetna Medicare Advantage	$82.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.12
Rate for Payer: Cigna Commercial	$137.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.75
Rate for Payer: Oxford Commercial	$137.50
Rate for Payer: Qualcare PPO/HMO/WC	$41.25
Rate for Payer: UnitedHealthcare Commercial	$137.50

CATH 5FR JL4 100CM

Facility

$78.65

Hospital Charge Code	270644605
Hospital Revenue Code	272
Min. Negotiated Rate	$10.22
Max. Negotiated Rate	$39.33
Rate for Payer: Aetna Commercial	$23.59
Rate for Payer: Aetna Medicare Advantage	$23.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.06
Rate for Payer: Cigna Commercial	$39.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.22
Rate for Payer: Oxford Commercial	$39.33
Rate for Payer: Qualcare PPO/HMO/WC	$11.80
Rate for Payer: UnitedHealthcare Commercial	$39.33

CATH 5FR JL4 100CM

Facility

$78.65

Hospital Charge Code	270644605
Hospital Revenue Code	272
Min. Negotiated Rate	$11.80
Max. Negotiated Rate	$11.80
Rate for Payer: Qualcare PPO/HMO/WC	$11.80

CATH 5FR JL4.5 100CM 534517T

Facility

$44.50

Hospital Charge Code	270644607C
Hospital Revenue Code	272
Min. Negotiated Rate	$6.67
Max. Negotiated Rate	$6.67
Rate for Payer: Qualcare PPO/HMO/WC	$6.67

CATH 5FR JL4.5 100CM 534517T

Facility

$44.50

Hospital Charge Code	270644607C
Hospital Revenue Code	272
Min. Negotiated Rate	$5.79
Max. Negotiated Rate	$22.25
Rate for Payer: Aetna Commercial	$13.35
Rate for Payer: Aetna Medicare Advantage	$13.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.35
Rate for Payer: Cigna Commercial	$22.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.79
Rate for Payer: Oxford Commercial	$22.25
Rate for Payer: Qualcare PPO/HMO/WC	$6.67
Rate for Payer: UnitedHealthcare Commercial	$22.25

CATH 5FR JL5 100CM 534522T

Facility

$44.50

Hospital Charge Code	270644608C
Hospital Revenue Code	272
Min. Negotiated Rate	$6.67
Max. Negotiated Rate	$6.67
Rate for Payer: Qualcare PPO/HMO/WC	$6.67

Know your out-of-pocket cost for care.

All Charges