Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATH CANATA 2.5FR 135cm

Facility

$1,700.00

Hospital Charge Code	270645715
Hospital Revenue Code	278
Min. Negotiated Rate	$255.00
Max. Negotiated Rate	$850.00
Rate for Payer: Aetna Commercial	$510.00
Rate for Payer: Aetna Medicare Advantage	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$433.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$433.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$340.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$433.50
Rate for Payer: Cigna Commercial	$850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$411.40
Rate for Payer: Qualcare PPO/HMO/WC	$255.00

CATH CANATA 2.5FR 135cm

Facility

$1,700.00

Hospital Charge Code	270645715
Hospital Revenue Code	278
Min. Negotiated Rate	$255.00
Max. Negotiated Rate	$411.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$340.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$411.40
Rate for Payer: Qualcare PPO/HMO/WC	$255.00

CATH CANNONII 15FR50 CS15552SP

Facility

$1,504.35

Service Code	HCPCS C1752
Hospital Charge Code	270632406
Hospital Revenue Code	278
Min. Negotiated Rate	$225.65
Max. Negotiated Rate	$364.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$364.05
Rate for Payer: Qualcare PPO/HMO/WC	$225.65

CATH CANNONII 15FR50 CS15552SP

Facility

$1,504.35

Service Code	HCPCS C1752
Hospital Charge Code	270632406
Hospital Revenue Code	278
Min. Negotiated Rate	$225.65
Max. Negotiated Rate	$752.17
Rate for Payer: Aetna Commercial	$451.31
Rate for Payer: Aetna Medicare Advantage	$451.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$383.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$383.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$383.61
Rate for Payer: Cigna Commercial	$752.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$364.05
Rate for Payer: Qualcare PPO/HMO/WC	$225.65

CATH CANNON II 15FR 55 CS15552

Facility

$1,720.55

Hospital Charge Code	270632406V
Hospital Revenue Code	278
Min. Negotiated Rate	$258.08
Max. Negotiated Rate	$416.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$344.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$416.37
Rate for Payer: Qualcare PPO/HMO/WC	$258.08

CATH CANNON II 15FR 55 CS15552

Facility

$1,720.55

Hospital Charge Code	270632406V
Hospital Revenue Code	278
Min. Negotiated Rate	$258.08
Max. Negotiated Rate	$860.27
Rate for Payer: Aetna Commercial	$516.16
Rate for Payer: Aetna Medicare Advantage	$516.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$438.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$438.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$344.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$438.74
Rate for Payer: Cigna Commercial	$860.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$416.37
Rate for Payer: Qualcare PPO/HMO/WC	$258.08

CATH CANNON II 15x36 CS15362

Facility

$1,504.35

Service Code	HCPCS C1752
Hospital Charge Code	270632405
Hospital Revenue Code	278
Min. Negotiated Rate	$225.65
Max. Negotiated Rate	$752.17
Rate for Payer: Aetna Commercial	$451.31
Rate for Payer: Aetna Medicare Advantage	$451.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$383.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$383.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$383.61
Rate for Payer: Cigna Commercial	$752.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$364.05
Rate for Payer: Qualcare PPO/HMO/WC	$225.65

CATH CANNON II 15x36 CS15362

Facility

$1,504.35

Service Code	HCPCS C1752
Hospital Charge Code	270632405
Hospital Revenue Code	278
Min. Negotiated Rate	$225.65
Max. Negotiated Rate	$364.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$364.05
Rate for Payer: Qualcare PPO/HMO/WC	$225.65

CATH CANNON II 15x36 CS15362

Facility

$1,935.55

Hospital Charge Code	270632405V
Hospital Revenue Code	278
Min. Negotiated Rate	$290.33
Max. Negotiated Rate	$468.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$387.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$468.40
Rate for Payer: Qualcare PPO/HMO/WC	$290.33

CATH CANNON II 15x36 CS15362

Facility

$1,935.55

Hospital Charge Code	270632405V
Hospital Revenue Code	278
Min. Negotiated Rate	$290.33
Max. Negotiated Rate	$967.77
Rate for Payer: Aetna Commercial	$580.66
Rate for Payer: Aetna Medicare Advantage	$580.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$493.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$493.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$387.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$493.57
Rate for Payer: Cigna Commercial	$967.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$468.40
Rate for Payer: Qualcare PPO/HMO/WC	$290.33

CATH CANO II 15F 24 CS15242VSP

Facility

$1,504.35

Service Code	HCPCS C1752
Hospital Charge Code	270640063
Hospital Revenue Code	278
Min. Negotiated Rate	$225.65
Max. Negotiated Rate	$364.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$364.05
Rate for Payer: Qualcare PPO/HMO/WC	$225.65

CATH CANO II 15F 24 CS15242VSP

Facility

$1,504.35

Service Code	HCPCS C1752
Hospital Charge Code	270640063
Hospital Revenue Code	278
Min. Negotiated Rate	$225.65
Max. Negotiated Rate	$752.17
Rate for Payer: Aetna Commercial	$451.31
Rate for Payer: Aetna Medicare Advantage	$451.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$383.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$383.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$383.61
Rate for Payer: Cigna Commercial	$752.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$364.05
Rate for Payer: Qualcare PPO/HMO/WC	$225.65

CATH CANON II 15FR 28c CS15282

Facility

$1,504.35

Service Code	HCPCS C1750
Hospital Charge Code	270632034
Hospital Revenue Code	278
Min. Negotiated Rate	$225.65
Max. Negotiated Rate	$364.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$364.05
Rate for Payer: Qualcare PPO/HMO/WC	$225.65

CATH CANON II 15FR 28c CS15282

Facility

$1,935.55

Hospital Charge Code	270632034V
Hospital Revenue Code	278
Min. Negotiated Rate	$290.33
Max. Negotiated Rate	$468.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$387.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$468.40
Rate for Payer: Qualcare PPO/HMO/WC	$290.33

CATH CANON II 15FR 28c CS15282

Facility

$1,935.55

Hospital Charge Code	270632034V
Hospital Revenue Code	278
Min. Negotiated Rate	$290.33
Max. Negotiated Rate	$967.77
Rate for Payer: Aetna Commercial	$580.66
Rate for Payer: Aetna Medicare Advantage	$580.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$493.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$493.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$387.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$493.57
Rate for Payer: Cigna Commercial	$967.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$468.40
Rate for Payer: Qualcare PPO/HMO/WC	$290.33

CATH CANON II 15FR 28c CS15282

Facility

$1,504.35

Service Code	HCPCS C1750
Hospital Charge Code	270632034
Hospital Revenue Code	278
Min. Negotiated Rate	$225.65
Max. Negotiated Rate	$752.17
Rate for Payer: Aetna Commercial	$451.31
Rate for Payer: Aetna Medicare Advantage	$451.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$383.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$383.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$383.61
Rate for Payer: Cigna Commercial	$752.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$364.05
Rate for Payer: Qualcare PPO/HMO/WC	$225.65

CATH CANON II 15FR 32c CS15322

Facility

$1,587.10

Service Code	HCPCS C1752
Hospital Charge Code	270631856
Hospital Revenue Code	278
Min. Negotiated Rate	$238.06
Max. Negotiated Rate	$384.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$317.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$384.08
Rate for Payer: Qualcare PPO/HMO/WC	$238.06

CATH CANON II 15FR 32c CS15322

Facility

$1,936.15

Hospital Charge Code	270631856V
Hospital Revenue Code	278
Min. Negotiated Rate	$290.42
Max. Negotiated Rate	$968.08
Rate for Payer: Aetna Commercial	$580.85
Rate for Payer: Aetna Medicare Advantage	$580.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$493.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$493.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$387.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$493.72
Rate for Payer: Cigna Commercial	$968.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$468.55
Rate for Payer: Qualcare PPO/HMO/WC	$290.42

CATH CANON II 15FR 32c CS15322

Facility

$1,587.10

Service Code	HCPCS C1752
Hospital Charge Code	270631856
Hospital Revenue Code	278
Min. Negotiated Rate	$238.06
Max. Negotiated Rate	$793.55
Rate for Payer: Aetna Commercial	$476.13
Rate for Payer: Aetna Medicare Advantage	$476.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$404.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$404.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$317.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$404.71
Rate for Payer: Cigna Commercial	$793.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$384.08
Rate for Payer: Qualcare PPO/HMO/WC	$238.06

CATH CANON II 15FR 32c CS15322

Facility

$1,936.15

Hospital Charge Code	270631856V
Hospital Revenue Code	278
Min. Negotiated Rate	$290.42
Max. Negotiated Rate	$468.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$387.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$468.55
Rate for Payer: Qualcare PPO/HMO/WC	$290.42

CATH CENTERCROSS ANCHOR DEVIC

Facility

$7,475.00

Hospital Charge Code	270683237N
Hospital Revenue Code	272
Min. Negotiated Rate	$1,121.25
Max. Negotiated Rate	$1,121.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,121.25

CATH CENTERCROSS ANCHOR DEVIC

Facility

$7,475.00

Hospital Charge Code	270683237N
Hospital Revenue Code	272
Min. Negotiated Rate	$971.75
Max. Negotiated Rate	$3,737.50
Rate for Payer: Aetna Commercial	$2,242.50
Rate for Payer: Aetna Medicare Advantage	$2,242.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,906.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,906.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,906.12
Rate for Payer: Cigna Commercial	$3,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$971.75
Rate for Payer: Oxford Commercial	$3,737.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,121.25
Rate for Payer: UnitedHealthcare Commercial	$3,737.50

CATH CENTERCROSS ANCHOR DEVIC

Facility

$7,475.00

Hospital Charge Code	270683237
Hospital Revenue Code	272
Min. Negotiated Rate	$971.75
Max. Negotiated Rate	$3,737.50
Rate for Payer: Aetna Commercial	$2,242.50
Rate for Payer: Aetna Medicare Advantage	$2,242.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,906.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,906.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,906.12
Rate for Payer: Cigna Commercial	$3,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$971.75
Rate for Payer: Oxford Commercial	$3,737.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,121.25
Rate for Payer: UnitedHealthcare Commercial	$3,737.50

CATH CENTERCROSS ANCHOR DEVIC

Facility

$7,475.00

Hospital Charge Code	270683237
Hospital Revenue Code	272
Min. Negotiated Rate	$1,121.25
Max. Negotiated Rate	$1,121.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,121.25

CATH CENTRAL VENOUS OXIMETRY

Facility

$2,750.00

Service Code	HCPCS C1751
Hospital Charge Code	270689001
Hospital Revenue Code	278
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$665.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$665.50
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

Know your out-of-pocket cost for care.

All Charges