Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATH 8FR NR 4.0

Facility

$230.00

Hospital Charge Code	270637739
Hospital Revenue Code	278
Min. Negotiated Rate	$34.50
Max. Negotiated Rate	$115.00
Rate for Payer: Aetna Commercial	$69.00
Rate for Payer: Aetna Medicare Advantage	$69.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.65
Rate for Payer: Cigna Commercial	$115.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.66
Rate for Payer: Qualcare PPO/HMO/WC	$34.50

CATH 8FR RCB 100cm

Facility

$230.00

Hospital Charge Code	270637994
Hospital Revenue Code	272
Min. Negotiated Rate	$34.50
Max. Negotiated Rate	$34.50
Rate for Payer: Qualcare PPO/HMO/WC	$34.50

CATH 8FR RCB 100cm

Facility

$230.00

Hospital Charge Code	270637994
Hospital Revenue Code	272
Min. Negotiated Rate	$29.90
Max. Negotiated Rate	$115.00
Rate for Payer: Aetna Commercial	$69.00
Rate for Payer: Aetna Medicare Advantage	$69.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.65
Rate for Payer: Cigna Commercial	$115.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.90
Rate for Payer: Oxford Commercial	$115.00
Rate for Payer: Qualcare PPO/HMO/WC	$34.50
Rate for Payer: UnitedHealthcare Commercial	$115.00

CATH 8FR XB 3.0 588829

Facility

$255.00

Hospital Charge Code	270637964C
Hospital Revenue Code	278
Min. Negotiated Rate	$38.25
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) NJ Health	$51.00
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	$61.71
Rate for Payer: Qualcare PPO/HMO/WC	$38.25

CATH 8FR XB 3.0 588829

Facility

$255.00

Hospital Charge Code	270637964C
Hospital Revenue Code	278
Min. Negotiated Rate	$38.25
Max. Negotiated Rate	$61.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.71
Rate for Payer: Qualcare PPO/HMO/WC	$38.25

CATH 8FR XBLAD 4.0cm

Facility

$255.00

Hospital Charge Code	270637738
Hospital Revenue Code	278
Min. Negotiated Rate	$38.25
Max. Negotiated Rate	$61.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.71
Rate for Payer: Qualcare PPO/HMO/WC	$38.25

CATH 8FR XBLAD 4.0cm

Facility

$255.00

Hospital Charge Code	270637738
Hospital Revenue Code	278
Min. Negotiated Rate	$38.25
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) NJ Health	$51.00
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	$61.71
Rate for Payer: Qualcare PPO/HMO/WC	$38.25

CATH 8 INDIGO ASPIRATION 115CM

Facility

$14,450.00

Service Code	HCPCS C1757
Hospital Charge Code	270683403
Hospital Revenue Code	278
Min. Negotiated Rate	$2,167.50
Max. Negotiated Rate	$3,496.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,890.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,496.90
Rate for Payer: Qualcare PPO/HMO/WC	$2,167.50

CATH 8 INDIGO ASPIRATION 115CM

Facility

$14,450.00

Service Code	HCPCS C1757
Hospital Charge Code	270683403N
Hospital Revenue Code	278
Min. Negotiated Rate	$2,167.50
Max. Negotiated Rate	$7,225.00
Rate for Payer: Aetna Commercial	$4,335.00
Rate for Payer: Aetna Medicare Advantage	$4,335.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,684.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,684.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,890.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,684.75
Rate for Payer: Cigna Commercial	$7,225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,496.90
Rate for Payer: Qualcare PPO/HMO/WC	$2,167.50

CATH 8 INDIGO ASPIRATION 115CM

Facility

$14,450.00

Service Code	HCPCS C1757
Hospital Charge Code	270683403N
Hospital Revenue Code	278
Min. Negotiated Rate	$2,167.50
Max. Negotiated Rate	$3,496.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,890.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,496.90
Rate for Payer: Qualcare PPO/HMO/WC	$2,167.50

CATH 8 INDIGO ASPIRATION 115CM

Facility

$14,450.00

Service Code	HCPCS C1757
Hospital Charge Code	270683403
Hospital Revenue Code	278
Min. Negotiated Rate	$2,167.50
Max. Negotiated Rate	$7,225.00
Rate for Payer: Aetna Commercial	$4,335.00
Rate for Payer: Aetna Medicare Advantage	$4,335.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,684.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,684.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,890.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,684.75
Rate for Payer: Cigna Commercial	$7,225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,496.90
Rate for Payer: Qualcare PPO/HMO/WC	$2,167.50

CATH 8 INDIGO ASPIRATION 85CM

Facility

$14,450.00

Service Code	HCPCS C1757
Hospital Charge Code	270685329N
Hospital Revenue Code	278
Min. Negotiated Rate	$2,167.50
Max. Negotiated Rate	$3,496.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,890.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,496.90
Rate for Payer: Qualcare PPO/HMO/WC	$2,167.50

CATH 8 INDIGO ASPIRATION 85CM

Facility

$14,450.00

Service Code	HCPCS C1757
Hospital Charge Code	270685329
Hospital Revenue Code	278
Min. Negotiated Rate	$2,167.50
Max. Negotiated Rate	$7,225.00
Rate for Payer: Aetna Commercial	$4,335.00
Rate for Payer: Aetna Medicare Advantage	$4,335.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,684.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,684.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,890.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,684.75
Rate for Payer: Cigna Commercial	$7,225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,496.90
Rate for Payer: Qualcare PPO/HMO/WC	$2,167.50

CATH 8 INDIGO ASPIRATION 85CM

Facility

$14,450.00

Service Code	HCPCS C1757
Hospital Charge Code	270685329N
Hospital Revenue Code	278
Min. Negotiated Rate	$2,167.50
Max. Negotiated Rate	$7,225.00
Rate for Payer: Aetna Commercial	$4,335.00
Rate for Payer: Aetna Medicare Advantage	$4,335.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,684.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,684.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,890.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,684.75
Rate for Payer: Cigna Commercial	$7,225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,496.90
Rate for Payer: Qualcare PPO/HMO/WC	$2,167.50

CATH 8 INDIGO ASPIRATION 85CM

Facility

$14,450.00

Service Code	HCPCS C1757
Hospital Charge Code	270685329
Hospital Revenue Code	278
Min. Negotiated Rate	$2,167.50
Max. Negotiated Rate	$3,496.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,890.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,496.90
Rate for Payer: Qualcare PPO/HMO/WC	$2,167.50

CATH 8MMX39MM 7FR 80CM

Facility

$17,520.00

Service Code	HCPCS C1874
Hospital Charge Code	270692153
Hospital Revenue Code	278
Min. Negotiated Rate	$2,628.00
Max. Negotiated Rate	$8,760.00
Rate for Payer: Aetna Commercial	$5,256.00
Rate for Payer: Aetna Medicare Advantage	$5,256.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,467.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,467.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,504.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,467.60
Rate for Payer: Cigna Commercial	$8,760.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,239.84
Rate for Payer: Qualcare PPO/HMO/WC	$2,628.00

CATH 8MMX39MM 7FR 80CM

Facility

$17,520.00

Service Code	HCPCS C1874
Hospital Charge Code	270692153
Hospital Revenue Code	278
Min. Negotiated Rate	$2,628.00
Max. Negotiated Rate	$4,239.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,504.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,239.84
Rate for Payer: Qualcare PPO/HMO/WC	$2,628.00

CATH 9F LUMEN DUAL 008273-902

Facility

$925.00

Service Code	HCPCS C1887
Hospital Charge Code	270658556
Hospital Revenue Code	278
Min. Negotiated Rate	$138.75
Max. Negotiated Rate	$223.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$185.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$223.85
Rate for Payer: Qualcare PPO/HMO/WC	$138.75

CATH 9F LUMEN DUAL 008273-902

Facility

$925.00

Service Code	HCPCS C1887
Hospital Charge Code	270658556
Hospital Revenue Code	278
Min. Negotiated Rate	$138.75
Max. Negotiated Rate	$462.50
Rate for Payer: Aetna Commercial	$277.50
Rate for Payer: Aetna Medicare Advantage	$277.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$235.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$235.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$185.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$235.88
Rate for Payer: Cigna Commercial	$462.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$223.85
Rate for Payer: Qualcare PPO/HMO/WC	$138.75

CATH ACCESS ********

Facility

$98.00

Hospital Charge Code	8001422
Hospital Revenue Code	279
Min. Negotiated Rate	$12.74
Max. Negotiated Rate	$49.00
Rate for Payer: Aetna Commercial	$29.40
Rate for Payer: Aetna Medicare Advantage	$29.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.99
Rate for Payer: Cigna Commercial	$49.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.74
Rate for Payer: Oxford Commercial	$49.00
Rate for Payer: Qualcare PPO/HMO/WC	$14.70
Rate for Payer: UnitedHealthcare Commercial	$49.00

CATH ACCESS ********

Facility

$98.00

Hospital Charge Code	8001422
Hospital Revenue Code	279
Min. Negotiated Rate	$14.70
Max. Negotiated Rate	$14.70
Rate for Payer: Qualcare PPO/HMO/WC	$14.70

CATH ACCU-FLO PERITONEAL

Facility

$1,445.00

Hospital Charge Code	270654009
Hospital Revenue Code	272
Min. Negotiated Rate	$187.85
Max. Negotiated Rate	$722.50
Rate for Payer: Aetna Commercial	$433.50
Rate for Payer: Aetna Medicare Advantage	$433.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$368.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$368.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$368.48
Rate for Payer: Cigna Commercial	$722.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.85
Rate for Payer: Oxford Commercial	$722.50
Rate for Payer: Qualcare PPO/HMO/WC	$216.75
Rate for Payer: UnitedHealthcare Commercial	$722.50

CATH ACCU-FLO PERITONEAL

Facility

$1,445.00

Hospital Charge Code	270654009
Hospital Revenue Code	272
Min. Negotiated Rate	$216.75
Max. Negotiated Rate	$216.75
Rate for Payer: Qualcare PPO/HMO/WC	$216.75

CATH ACCU KIT INTERM 18GX2.25

Facility

$580.00

Service Code	HCPCS C1751
Hospital Charge Code	270699051C
Hospital Revenue Code	278
Min. Negotiated Rate	$87.00
Max. Negotiated Rate	$290.00
Rate for Payer: Aetna Commercial	$174.00
Rate for Payer: Aetna Medicare Advantage	$174.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$147.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$147.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$147.90
Rate for Payer: Cigna Commercial	$290.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$140.36
Rate for Payer: Qualcare PPO/HMO/WC	$87.00

CATH ACCU KIT INTERM 18GX2.25

Facility

$580.00

Service Code	HCPCS C1751
Hospital Charge Code	270699051C
Hospital Revenue Code	278
Min. Negotiated Rate	$87.00
Max. Negotiated Rate	$140.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$140.36
Rate for Payer: Qualcare PPO/HMO/WC	$87.00

Know your out-of-pocket cost for care.

All Charges