Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATH BALN SLAM 5x4 80 4385040S

Facility

$1,884.85

Hospital Charge Code	270630608V
Hospital Revenue Code	278
Min. Negotiated Rate	$282.73
Max. Negotiated Rate	$942.42
Rate for Payer: Aetna Commercial	$565.46
Rate for Payer: Aetna Medicare Advantage	$565.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$480.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$480.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$376.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$480.64
Rate for Payer: Cigna Commercial	$942.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$456.13
Rate for Payer: Qualcare PPO/HMO/WC	$282.73

CATH BALN SLAM 5x4 80 4385040S

Facility

$1,884.85

Hospital Charge Code	270630608V
Hospital Revenue Code	278
Min. Negotiated Rate	$282.73
Max. Negotiated Rate	$456.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$376.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$456.13
Rate for Payer: Qualcare PPO/HMO/WC	$282.73

CATH BALN SLAM 5x4 80 4385040S

Facility

$1,884.85

Hospital Charge Code	270630608
Hospital Revenue Code	278
Min. Negotiated Rate	$282.73
Max. Negotiated Rate	$942.42
Rate for Payer: Aetna Commercial	$565.46
Rate for Payer: Aetna Medicare Advantage	$565.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$480.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$480.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$376.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$480.64
Rate for Payer: Cigna Commercial	$942.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$456.13
Rate for Payer: Qualcare PPO/HMO/WC	$282.73

CATH BALN SLAM 5x4 80 4385040S

Facility

$1,884.85

Hospital Charge Code	270630608
Hospital Revenue Code	278
Min. Negotiated Rate	$282.73
Max. Negotiated Rate	$456.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$376.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$456.13
Rate for Payer: Qualcare PPO/HMO/WC	$282.73

CATH BALN SLM 8x4 135 4388040X

Facility

$1,884.85

Hospital Charge Code	270624764
Hospital Revenue Code	278
Min. Negotiated Rate	$282.73
Max. Negotiated Rate	$456.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$376.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$456.13
Rate for Payer: Qualcare PPO/HMO/WC	$282.73

CATH BALN SLM 8x4 135 4388040X

Facility

$1,900.00

Hospital Charge Code	270624764V
Hospital Revenue Code	278
Min. Negotiated Rate	$285.00
Max. Negotiated Rate	$950.00
Rate for Payer: Aetna Commercial	$570.00
Rate for Payer: Aetna Medicare Advantage	$570.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$484.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$484.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$380.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$484.50
Rate for Payer: Cigna Commercial	$950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.80
Rate for Payer: Qualcare PPO/HMO/WC	$285.00

CATH BALN SLM 8x4 135 4388040X

Facility

$1,884.85

Hospital Charge Code	270624764
Hospital Revenue Code	278
Min. Negotiated Rate	$282.73
Max. Negotiated Rate	$942.42
Rate for Payer: Aetna Commercial	$565.46
Rate for Payer: Aetna Medicare Advantage	$565.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$480.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$480.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$376.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$480.64
Rate for Payer: Cigna Commercial	$942.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$456.13
Rate for Payer: Qualcare PPO/HMO/WC	$282.73

CATH BALN SLM 8x4 135 4388040X

Facility

$1,900.00

Hospital Charge Code	270624764V
Hospital Revenue Code	278
Min. Negotiated Rate	$285.00
Max. Negotiated Rate	$459.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$380.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.80
Rate for Payer: Qualcare PPO/HMO/WC	$285.00

CATH BALN SLOM 7x2 80 4387020S

Facility

$1,900.00

Hospital Charge Code	270631031V
Hospital Revenue Code	278
Min. Negotiated Rate	$285.00
Max. Negotiated Rate	$950.00
Rate for Payer: Aetna Commercial	$570.00
Rate for Payer: Aetna Medicare Advantage	$570.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$484.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$484.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$380.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$484.50
Rate for Payer: Cigna Commercial	$950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.80
Rate for Payer: Qualcare PPO/HMO/WC	$285.00

CATH BALN SLOM 7x2 80 4387020S

Facility

$1,884.85

Hospital Charge Code	270631031
Hospital Revenue Code	278
Min. Negotiated Rate	$282.73
Max. Negotiated Rate	$942.42
Rate for Payer: Aetna Commercial	$565.46
Rate for Payer: Aetna Medicare Advantage	$565.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$480.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$480.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$376.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$480.64
Rate for Payer: Cigna Commercial	$942.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$456.13
Rate for Payer: Qualcare PPO/HMO/WC	$282.73

CATH BALN SLOM 7x2 80 4387020S

Facility

$1,884.85

Hospital Charge Code	270631031
Hospital Revenue Code	278
Min. Negotiated Rate	$282.73
Max. Negotiated Rate	$456.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$376.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$456.13
Rate for Payer: Qualcare PPO/HMO/WC	$282.73

CATH BALN SLOM 7x2 80 4387020S

Facility

$1,900.00

Hospital Charge Code	270631031V
Hospital Revenue Code	278
Min. Negotiated Rate	$285.00
Max. Negotiated Rate	$459.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$380.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.80
Rate for Payer: Qualcare PPO/HMO/WC	$285.00

CATH BALN TALON 5-2 135c 11612

Facility

$1,912.00

Hospital Charge Code	270623535
Hospital Revenue Code	278
Min. Negotiated Rate	$286.80
Max. Negotiated Rate	$956.00
Rate for Payer: Aetna Commercial	$573.60
Rate for Payer: Aetna Medicare Advantage	$573.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$487.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$487.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$382.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$487.56
Rate for Payer: Cigna Commercial	$956.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$462.70
Rate for Payer: Qualcare PPO/HMO/WC	$286.80

CATH BALN TALON 5-2 135c 11612

Facility

$1,912.00

Hospital Charge Code	270623535
Hospital Revenue Code	278
Min. Negotiated Rate	$286.80
Max. Negotiated Rate	$462.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$382.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$462.70
Rate for Payer: Qualcare PPO/HMO/WC	$286.80

CATH BALN TALON 5-2 135c 11612

Facility

$1,927.40

Hospital Charge Code	270623535V
Hospital Revenue Code	278
Min. Negotiated Rate	$289.11
Max. Negotiated Rate	$466.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$385.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$466.43
Rate for Payer: Qualcare PPO/HMO/WC	$289.11

CATH BALN TALON 5-2 135c 11612

Facility

$1,927.40

Hospital Charge Code	270623535V
Hospital Revenue Code	278
Min. Negotiated Rate	$289.11
Max. Negotiated Rate	$963.70
Rate for Payer: Aetna Commercial	$578.22
Rate for Payer: Aetna Medicare Advantage	$578.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$491.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$491.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$385.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$491.49
Rate for Payer: Cigna Commercial	$963.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$466.43
Rate for Payer: Qualcare PPO/HMO/WC	$289.11

CATH BALN TALON 5-4 135c 11614

Facility

$1,909.65

Hospital Charge Code	270623536
Hospital Revenue Code	278
Min. Negotiated Rate	$286.45
Max. Negotiated Rate	$462.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$381.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$462.14
Rate for Payer: Qualcare PPO/HMO/WC	$286.45

CATH BALN TALON 5-4 135c 11614

Facility

$2,387.00

Hospital Charge Code	270623539
Hospital Revenue Code	272
Min. Negotiated Rate	$310.31
Max. Negotiated Rate	$1,193.50
Rate for Payer: Aetna Commercial	$716.10
Rate for Payer: Aetna Medicare Advantage	$716.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$608.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$608.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$608.68
Rate for Payer: Cigna Commercial	$1,193.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$310.31
Rate for Payer: Oxford Commercial	$1,193.50
Rate for Payer: Qualcare PPO/HMO/WC	$358.05
Rate for Payer: UnitedHealthcare Commercial	$1,193.50

CATH BALN TALON 5-4 135c 11614

Facility

$1,909.65

Hospital Charge Code	270623536
Hospital Revenue Code	278
Min. Negotiated Rate	$286.45
Max. Negotiated Rate	$954.83
Rate for Payer: Aetna Commercial	$572.89
Rate for Payer: Aetna Medicare Advantage	$572.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$486.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$486.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$381.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$486.96
Rate for Payer: Cigna Commercial	$954.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$462.14
Rate for Payer: Qualcare PPO/HMO/WC	$286.45

CATH BALN TALON 5-4 135c 11614

Facility

$2,387.00

Hospital Charge Code	270623539
Hospital Revenue Code	272
Min. Negotiated Rate	$358.05
Max. Negotiated Rate	$358.05
Rate for Payer: Qualcare PPO/HMO/WC	$358.05

CATH BALN TALON 5-4 135c 11614

Facility

$1,927.40

Hospital Charge Code	270623536V
Hospital Revenue Code	278
Min. Negotiated Rate	$289.11
Max. Negotiated Rate	$963.70
Rate for Payer: Aetna Commercial	$578.22
Rate for Payer: Aetna Medicare Advantage	$578.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$491.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$491.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$385.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$491.49
Rate for Payer: Cigna Commercial	$963.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$466.43
Rate for Payer: Qualcare PPO/HMO/WC	$289.11

CATH BALN TALON 5-4 135c 11614

Facility

$1,927.40

Hospital Charge Code	270623536V
Hospital Revenue Code	278
Min. Negotiated Rate	$289.11
Max. Negotiated Rate	$466.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$385.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$466.43
Rate for Payer: Qualcare PPO/HMO/WC	$289.11

CATH BALN TALON 6-4 135c 11623

Facility

$1,909.65

Hospital Charge Code	270623538
Hospital Revenue Code	278
Min. Negotiated Rate	$286.45
Max. Negotiated Rate	$954.83
Rate for Payer: Aetna Commercial	$572.89
Rate for Payer: Aetna Medicare Advantage	$572.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$486.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$486.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$381.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$486.96
Rate for Payer: Cigna Commercial	$954.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$462.14
Rate for Payer: Qualcare PPO/HMO/WC	$286.45

CATH BALN TALON 6-4 135c 11623

Facility

$1,909.65

Hospital Charge Code	270623538
Hospital Revenue Code	278
Min. Negotiated Rate	$286.45
Max. Negotiated Rate	$462.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$381.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$462.14
Rate for Payer: Qualcare PPO/HMO/WC	$286.45

CATH BALN TALON 6-4 135c 11623

Facility

$1,927.40

Hospital Charge Code	270623538V
Hospital Revenue Code	278
Min. Negotiated Rate	$289.11
Max. Negotiated Rate	$963.70
Rate for Payer: Aetna Commercial	$578.22
Rate for Payer: Aetna Medicare Advantage	$578.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$491.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$491.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$385.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$491.49
Rate for Payer: Cigna Commercial	$963.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$466.43
Rate for Payer: Qualcare PPO/HMO/WC	$289.11

Know your out-of-pocket cost for care.

All Charges