Heights University Hospital

All Charges

Charge

Type

Setting

Price

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	$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 BALON HIGH PRESS 6X40X80

Facility

$950.00

Service Code	HCPCS C1725
Hospital Charge Code	270658398
Hospital Revenue Code	278
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$229.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: Qualcare PPO/HMO/WC	$142.50

CATH BALON HIGH PRESS 6X40X80

Facility

$950.00

Service Code	HCPCS C1725
Hospital Charge Code	270658398
Hospital Revenue Code	278
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$475.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.25
Rate for Payer: Cigna Commercial	$475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: Qualcare PPO/HMO/WC	$142.50

CATH BAL PO 6x60x120 P66012001

Facility

$3,000.00

Hospital Charge Code	270634519V
Hospital Revenue Code	278
Min. Negotiated Rate	$450.00
Max. Negotiated Rate	$1,500.00
Rate for Payer: Aetna Commercial	$900.00
Rate for Payer: Aetna Medicare Advantage	$900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$765.00
Rate for Payer: Cigna Commercial	$1,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$726.00
Rate for Payer: Qualcare PPO/HMO/WC	$450.00

CATH BAL PO 6x60x120 P66012001

Facility

$3,000.00

Hospital Charge Code	270634519V
Hospital Revenue Code	278
Min. Negotiated Rate	$450.00
Max. Negotiated Rate	$726.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$726.00
Rate for Payer: Qualcare PPO/HMO/WC	$450.00

CATH BAL POL5x60 120cP56012001

Facility

$3,000.00

Hospital Charge Code	270634518V
Hospital Revenue Code	278
Min. Negotiated Rate	$450.00
Max. Negotiated Rate	$1,500.00
Rate for Payer: Aetna Commercial	$900.00
Rate for Payer: Aetna Medicare Advantage	$900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$765.00
Rate for Payer: Cigna Commercial	$1,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$726.00
Rate for Payer: Qualcare PPO/HMO/WC	$450.00

CATH BAL POL5x60 120cP56012001

Facility

$3,000.00

Hospital Charge Code	270634518V
Hospital Revenue Code	278
Min. Negotiated Rate	$450.00
Max. Negotiated Rate	$726.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$726.00
Rate for Payer: Qualcare PPO/HMO/WC	$450.00

CATH BAL POL5x60 120cP56012001

Facility

$2,976.00

Hospital Charge Code	270634518
Hospital Revenue Code	278
Min. Negotiated Rate	$446.40
Max. Negotiated Rate	$1,488.00
Rate for Payer: Aetna Commercial	$892.80
Rate for Payer: Aetna Medicare Advantage	$892.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$758.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$758.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$595.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$758.88
Rate for Payer: Cigna Commercial	$1,488.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$720.19
Rate for Payer: Qualcare PPO/HMO/WC	$446.40

CATH BAL POL5x60 120cP56012001

Facility

$2,976.00

Hospital Charge Code	270634518
Hospital Revenue Code	278
Min. Negotiated Rate	$446.40
Max. Negotiated Rate	$720.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$595.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$720.19
Rate for Payer: Qualcare PPO/HMO/WC	$446.40

CATH BAL SAVVY 5x100 435-500L

Facility

$1,810.45

Hospital Charge Code	270634509
Hospital Revenue Code	278
Min. Negotiated Rate	$271.57
Max. Negotiated Rate	$905.23
Rate for Payer: Aetna Commercial	$543.13
Rate for Payer: Aetna Medicare Advantage	$543.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$461.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$461.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$362.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$461.66
Rate for Payer: Cigna Commercial	$905.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$438.13
Rate for Payer: Qualcare PPO/HMO/WC	$271.57

CATH BAL SAVVY 5x100 435-500L

Facility

$1,810.45

Hospital Charge Code	270634509
Hospital Revenue Code	278
Min. Negotiated Rate	$271.57
Max. Negotiated Rate	$438.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$362.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$438.13
Rate for Payer: Qualcare PPO/HMO/WC	$271.57

CATH BARTHOLIN GLAND WORD***

Facility

$62.00

Hospital Charge Code	1604602
Hospital Revenue Code	272
Min. Negotiated Rate	$9.30
Max. Negotiated Rate	$9.30
Rate for Payer: Qualcare PPO/HMO/WC	$9.30

CATH BARTHOLIN GLAND WORD***

Facility

$62.00

Hospital Charge Code	1604602
Hospital Revenue Code	272
Min. Negotiated Rate	$8.06
Max. Negotiated Rate	$31.00
Rate for Payer: Aetna Commercial	$18.60
Rate for Payer: Aetna Medicare Advantage	$18.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.81
Rate for Payer: Cigna Commercial	$31.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.06
Rate for Payer: Oxford Commercial	$31.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.30
Rate for Payer: UnitedHealthcare Commercial	$31.00

CATH BB CARD ZMED 22F 611760

Facility

$3,014.45

Hospital Charge Code	270623258
Hospital Revenue Code	272
Min. Negotiated Rate	$391.88
Max. Negotiated Rate	$1,507.22
Rate for Payer: Aetna Commercial	$904.34
Rate for Payer: Aetna Medicare Advantage	$904.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$768.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$768.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$768.68
Rate for Payer: Cigna Commercial	$1,507.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$391.88
Rate for Payer: Oxford Commercial	$1,507.22
Rate for Payer: Qualcare PPO/HMO/WC	$452.17
Rate for Payer: UnitedHealthcare Commercial	$1,507.22

CATH BB CARD ZMED 22F 611760

Facility

$3,014.45

Hospital Charge Code	270623258
Hospital Revenue Code	272
Min. Negotiated Rate	$452.17
Max. Negotiated Rate	$452.17
Rate for Payer: Qualcare PPO/HMO/WC	$452.17

CATH BB CARD ZMED 28F 611810

Facility

$3,014.45

Hospital Charge Code	270623259
Hospital Revenue Code	272
Min. Negotiated Rate	$391.88
Max. Negotiated Rate	$1,507.22
Rate for Payer: Aetna Commercial	$904.34
Rate for Payer: Aetna Medicare Advantage	$904.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$768.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$768.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$768.68
Rate for Payer: Cigna Commercial	$1,507.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$391.88
Rate for Payer: Oxford Commercial	$1,507.22
Rate for Payer: Qualcare PPO/HMO/WC	$452.17
Rate for Payer: UnitedHealthcare Commercial	$1,507.22

CATH BB CARD ZMED 28F 611810

Facility

$3,014.45

Hospital Charge Code	270623259
Hospital Revenue Code	272
Min. Negotiated Rate	$452.17
Max. Negotiated Rate	$452.17
Rate for Payer: Qualcare PPO/HMO/WC	$452.17

CATH BD COUNCIL 2W 18F 0196L18

Facility

$62.05

Hospital Charge Code	270626856
Hospital Revenue Code	272
Min. Negotiated Rate	$8.07
Max. Negotiated Rate	$31.02
Rate for Payer: Aetna Commercial	$18.61
Rate for Payer: Aetna Medicare Advantage	$18.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.82
Rate for Payer: Cigna Commercial	$31.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.07
Rate for Payer: Oxford Commercial	$31.02
Rate for Payer: Qualcare PPO/HMO/WC	$9.31
Rate for Payer: UnitedHealthcare Commercial	$31.02

CATH BD COUNCIL 2W 18F 0196L18

Facility

$62.05

Hospital Charge Code	270626856
Hospital Revenue Code	272
Min. Negotiated Rate	$9.31
Max. Negotiated Rate	$9.31
Rate for Payer: Qualcare PPO/HMO/WC	$9.31

CATH BD LATEX 16 5CC 160196L16

Facility

$11.25

Hospital Charge Code	270616037
Hospital Revenue Code	272
Min. Negotiated Rate	$1.46
Max. Negotiated Rate	$5.62
Rate for Payer: Aetna Commercial	$3.38
Rate for Payer: Aetna Medicare Advantage	$3.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.87
Rate for Payer: Cigna Commercial	$5.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.46
Rate for Payer: Oxford Commercial	$5.62
Rate for Payer: Qualcare PPO/HMO/WC	$1.69
Rate for Payer: UnitedHealthcare Commercial	$5.62

CATH BD LATEX 16 5CC 160196L16

Facility

$11.25

Hospital Charge Code	270616037
Hospital Revenue Code	272
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$1.69
Rate for Payer: Qualcare PPO/HMO/WC	$1.69

CATH BD STONE REMOVL 7.5F 646

Facility

$923.25

Hospital Charge Code	270609567
Hospital Revenue Code	272
Min. Negotiated Rate	$138.49
Max. Negotiated Rate	$138.49
Rate for Payer: Qualcare PPO/HMO/WC	$138.49

CATH BD STONE REMOVL 7.5F 646

Facility

$923.25

Hospital Charge Code	270609567
Hospital Revenue Code	272
Min. Negotiated Rate	$120.02
Max. Negotiated Rate	$461.62
Rate for Payer: Aetna Commercial	$276.98
Rate for Payer: Aetna Medicare Advantage	$276.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$235.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$235.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$235.43
Rate for Payer: Cigna Commercial	$461.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.02
Rate for Payer: Oxford Commercial	$461.62
Rate for Payer: Qualcare PPO/HMO/WC	$138.49
Rate for Payer: UnitedHealthcare Commercial	$461.62

CATH BERENSTEIN 4FR .035 100CM

Facility

$90.00

Service Code	HCPCS C1887
Hospital Charge Code	270647405
Hospital Revenue Code	278
Min. Negotiated Rate	$13.50
Max. Negotiated Rate	$45.00
Rate for Payer: Aetna Commercial	$27.00
Rate for Payer: Aetna Medicare Advantage	$27.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.95
Rate for Payer: Cigna Commercial	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.78
Rate for Payer: Qualcare PPO/HMO/WC	$13.50

CATH BERENSTEIN 4FR .035 100CM

Facility

$90.00

Service Code	HCPCS C1887
Hospital Charge Code	270647405
Hospital Revenue Code	278
Min. Negotiated Rate	$13.50
Max. Negotiated Rate	$21.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.78
Rate for Payer: Qualcare PPO/HMO/WC	$13.50

Know your out-of-pocket cost for care.

All Charges