Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATH BERENSTEIN 5FR .038 65CM

Facility

$152.00

Hospital Charge Code	270647404
Hospital Revenue Code	278
Min. Negotiated Rate	$22.80
Max. Negotiated Rate	$76.00
Rate for Payer: Aetna Commercial	$45.60
Rate for Payer: Aetna Medicare Advantage	$45.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.76
Rate for Payer: Cigna Commercial	$76.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.78
Rate for Payer: Qualcare PPO/HMO/WC	$22.80

CATH BERENSTEIN 5FR .038 65CM

Facility

$152.00

Hospital Charge Code	270647404
Hospital Revenue Code	278
Min. Negotiated Rate	$22.80
Max. Negotiated Rate	$36.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.78
Rate for Payer: Qualcare PPO/HMO/WC	$22.80

CATH BERENSTEIN MARINER 100cm

Facility

$317.50

Hospital Charge Code	270638836
Hospital Revenue Code	278
Min. Negotiated Rate	$47.62
Max. Negotiated Rate	$158.75
Rate for Payer: Aetna Commercial	$95.25
Rate for Payer: Aetna Medicare Advantage	$95.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80.96
Rate for Payer: Cigna Commercial	$158.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.83
Rate for Payer: Qualcare PPO/HMO/WC	$47.62

CATH BERENSTEIN MARINER 100cm

Facility

$317.50

Hospital Charge Code	270638836
Hospital Revenue Code	278
Min. Negotiated Rate	$47.62
Max. Negotiated Rate	$76.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.83
Rate for Payer: Qualcare PPO/HMO/WC	$47.62

CATH BERENSTEIN MARINER 65cm

Facility

$368.00

Hospital Charge Code	270638837
Hospital Revenue Code	278
Min. Negotiated Rate	$55.20
Max. Negotiated Rate	$184.00
Rate for Payer: Aetna Commercial	$110.40
Rate for Payer: Aetna Medicare Advantage	$110.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$73.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$93.84
Rate for Payer: Cigna Commercial	$184.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.06
Rate for Payer: Qualcare PPO/HMO/WC	$55.20

CATH BERENSTEIN MARINER 65cm

Facility

$368.00

Hospital Charge Code	270638837
Hospital Revenue Code	278
Min. Negotiated Rate	$55.20
Max. Negotiated Rate	$89.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$73.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.06
Rate for Payer: Qualcare PPO/HMO/WC	$55.20

CATH BERENSTEIN TEMPO 5FR100CM

Facility

$74.75

Service Code	HCPCS C1887
Hospital Charge Code	270623709
Hospital Revenue Code	278
Min. Negotiated Rate	$11.21
Max. Negotiated Rate	$37.38
Rate for Payer: Aetna Commercial	$22.43
Rate for Payer: Aetna Medicare Advantage	$22.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.06
Rate for Payer: Cigna Commercial	$37.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.09
Rate for Payer: Qualcare PPO/HMO/WC	$11.21

CATH BERENSTEIN TEMPO 5FR100CM

Facility

$74.75

Service Code	HCPCS C1887
Hospital Charge Code	270623709
Hospital Revenue Code	278
Min. Negotiated Rate	$11.21
Max. Negotiated Rate	$18.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.09
Rate for Payer: Qualcare PPO/HMO/WC	$11.21

CATH BERN IMPRESS 5FX100CM

Facility

$300.00

Service Code	HCPCS C1887
Hospital Charge Code	270700330S
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$72.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

CATH BERN IMPRESS 5FX100CM

Facility

$300.00

Service Code	HCPCS C1887
Hospital Charge Code	270700330S
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$150.00
Rate for Payer: Aetna Commercial	$90.00
Rate for Payer: Aetna Medicare Advantage	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

CATH BIOFLO 15FR 55CM SNGL VLV

Facility

$2,050.00

Hospital Charge Code	270677954
Hospital Revenue Code	272
Min. Negotiated Rate	$307.50
Max. Negotiated Rate	$307.50
Rate for Payer: Qualcare PPO/HMO/WC	$307.50

CATH BIOFLO 15FR 55CM SNGL VLV

Facility

$2,050.00

Hospital Charge Code	270677954
Hospital Revenue Code	272
Min. Negotiated Rate	$266.50
Max. Negotiated Rate	$1,025.00
Rate for Payer: Aetna Commercial	$615.00
Rate for Payer: Aetna Medicare Advantage	$615.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$522.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$522.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$522.75
Rate for Payer: Cigna Commercial	$1,025.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$266.50
Rate for Payer: Oxford Commercial	$1,025.00
Rate for Payer: Qualcare PPO/HMO/WC	$307.50
Rate for Payer: UnitedHealthcare Commercial	$1,025.00

CATH BIOFLO PICC 5FR DUAL 70CM

Facility

$450.00

Service Code	HCPCS C1769
Hospital Charge Code	270676708
Hospital Revenue Code	272
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$225.00
Rate for Payer: Aetna Commercial	$135.00
Rate for Payer: Aetna Medicare Advantage	$135.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.75
Rate for Payer: Cigna Commercial	$225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.50
Rate for Payer: Oxford Commercial	$225.00
Rate for Payer: Qualcare PPO/HMO/WC	$67.50
Rate for Payer: UnitedHealthcare Commercial	$225.00

CATH BIOFLO PICC 5FR DUAL 70CM

Facility

$450.00

Service Code	HCPCS C1769
Hospital Charge Code	270676708
Hospital Revenue Code	272
Min. Negotiated Rate	$67.50
Max. Negotiated Rate	$67.50
Rate for Payer: Qualcare PPO/HMO/WC	$67.50

CATH BIOFLO PICC DUAL 145cm

Facility

$600.00

Service Code	HCPCS C1751
Hospital Charge Code	270673435
Hospital Revenue Code	278
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$300.00
Rate for Payer: Aetna Commercial	$180.00
Rate for Payer: Aetna Medicare Advantage	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.00
Rate for Payer: Cigna Commercial	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

CATH BIOFLO PICC DUAL 145cm

Facility

$600.00

Service Code	HCPCS C1751
Hospital Charge Code	270673435
Hospital Revenue Code	278
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$145.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

CATH BIOFLO PICC SNGL 145cm

Facility

$575.00

Service Code	HCPCS C1751
Hospital Charge Code	270673434
Hospital Revenue Code	278
Min. Negotiated Rate	$86.25
Max. Negotiated Rate	$139.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.15
Rate for Payer: Qualcare PPO/HMO/WC	$86.25

CATH BIOFLO PICC SNGL 145cm

Facility

$575.00

Service Code	HCPCS C1751
Hospital Charge Code	270673434
Hospital Revenue Code	278
Min. Negotiated Rate	$86.25
Max. Negotiated Rate	$287.50
Rate for Payer: Aetna Commercial	$172.50
Rate for Payer: Aetna Medicare Advantage	$172.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$146.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$146.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$146.62
Rate for Payer: Cigna Commercial	$287.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.15
Rate for Payer: Qualcare PPO/HMO/WC	$86.25

CATH BIOFLOW DURAMAX 19CM

Facility

$1,250.00

Hospital Charge Code	270676455
Hospital Revenue Code	272
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

CATH BIOFLOW DURAMAX 19CM

Facility

$1,250.00

Hospital Charge Code	270676455
Hospital Revenue Code	272
Min. Negotiated Rate	$162.50
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$375.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.50
Rate for Payer: Oxford Commercial	$625.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Commercial	$625.00

CATH BIOFLOW DURAMAX 23CM

Facility

$1,250.00

Hospital Charge Code	270676456
Hospital Revenue Code	272
Min. Negotiated Rate	$162.50
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$375.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.50
Rate for Payer: Oxford Commercial	$625.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Commercial	$625.00

CATH BIOFLOW DURAMAX 23CM

Facility

$1,250.00

Hospital Charge Code	270676456
Hospital Revenue Code	272
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

CATH BIOFLOW DURAMAX 27CM

Facility

$1,250.00

Hospital Charge Code	270676457
Hospital Revenue Code	272
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

CATH BIOFLOW DURAMAX 27CM

Facility

$1,250.00

Hospital Charge Code	270676457
Hospital Revenue Code	272
Min. Negotiated Rate	$162.50
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$375.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.50
Rate for Payer: Oxford Commercial	$625.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Commercial	$625.00

CATH BLN ADM XTRM.035/4/40/130

Facility

$900.00

Hospital Charge Code	2700900359
Hospital Revenue Code	272
Min. Negotiated Rate	$117.00
Max. Negotiated Rate	$450.00
Rate for Payer: Aetna Commercial	$270.00
Rate for Payer: Aetna Medicare Advantage	$270.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$229.50
Rate for Payer: Cigna Commercial	$450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.00
Rate for Payer: Oxford Commercial	$450.00
Rate for Payer: Qualcare PPO/HMO/WC	$135.00
Rate for Payer: UnitedHealthcare Commercial	$450.00

Know your out-of-pocket cost for care.

All Charges