Heights University Hospital

All Charges

Charge

Type

Setting

Price

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	$1,375.00
Rate for Payer: Aetna Commercial	$825.00
Rate for Payer: Aetna Medicare Advantage	$825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$701.25
Rate for Payer: Cigna Commercial	$1,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$665.50
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

CATH CHEMO SITE 10.5FR 120110

Facility

$2,684.85

Hospital Charge Code	270605597
Hospital Revenue Code	278
Min. Negotiated Rate	$402.73
Max. Negotiated Rate	$1,342.42
Rate for Payer: Aetna Commercial	$805.46
Rate for Payer: Aetna Medicare Advantage	$805.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$684.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$684.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$536.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$684.64
Rate for Payer: Cigna Commercial	$1,342.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$649.73
Rate for Payer: Qualcare PPO/HMO/WC	$402.73

CATH CHEMO SITE 10.5FR 120110

Facility

$2,684.85

Hospital Charge Code	270605597
Hospital Revenue Code	278
Min. Negotiated Rate	$402.73
Max. Negotiated Rate	$649.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$536.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$649.73
Rate for Payer: Qualcare PPO/HMO/WC	$402.73

CATH CHOCOLATE 4.0X40CM

Facility

$5,250.00

Service Code	HCPCS C1725
Hospital Charge Code	270684604
Hospital Revenue Code	278
Min. Negotiated Rate	$787.50
Max. Negotiated Rate	$1,270.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: Qualcare PPO/HMO/WC	$787.50

CATH CHOCOLATE 4.0X40CM

Facility

$5,250.00

Service Code	HCPCS C1725
Hospital Charge Code	270684604
Hospital Revenue Code	278
Min. Negotiated Rate	$787.50
Max. Negotiated Rate	$2,625.00
Rate for Payer: Aetna Commercial	$1,575.00
Rate for Payer: Aetna Medicare Advantage	$1,575.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,338.75
Rate for Payer: Cigna Commercial	$2,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: Qualcare PPO/HMO/WC	$787.50

CATH CHOCOLATE 5.0X120CM

Facility

$5,250.00

Service Code	HCPCS C1725
Hospital Charge Code	270687524
Hospital Revenue Code	278
Min. Negotiated Rate	$787.50
Max. Negotiated Rate	$2,625.00
Rate for Payer: Aetna Commercial	$1,575.00
Rate for Payer: Aetna Medicare Advantage	$1,575.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,338.75
Rate for Payer: Cigna Commercial	$2,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: Qualcare PPO/HMO/WC	$787.50

CATH CHOCOLATE 5.0X120CM

Facility

$5,250.00

Service Code	HCPCS C1725
Hospital Charge Code	270687524
Hospital Revenue Code	278
Min. Negotiated Rate	$787.50
Max. Negotiated Rate	$1,270.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: Qualcare PPO/HMO/WC	$787.50

CATH CHOLANGIOGRAPH 4 & 6FR***

Facility

$93.00

Hospital Charge Code	1600550
Hospital Revenue Code	272
Min. Negotiated Rate	$12.09
Max. Negotiated Rate	$46.50
Rate for Payer: Aetna Commercial	$27.90
Rate for Payer: Aetna Medicare Advantage	$27.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.71
Rate for Payer: Cigna Commercial	$46.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.09
Rate for Payer: Oxford Commercial	$46.50
Rate for Payer: Qualcare PPO/HMO/WC	$13.95
Rate for Payer: UnitedHealthcare Commercial	$46.50

CATH CHOLANGIOGRAPH 4 & 6FR***

Facility

$93.00

Hospital Charge Code	1600550
Hospital Revenue Code	272
Min. Negotiated Rate	$13.95
Max. Negotiated Rate	$13.95
Rate for Payer: Qualcare PPO/HMO/WC	$13.95

CATH CHOLANGIOGRAPH 4FR

Facility

$300.00

Hospital Charge Code	270600380
Hospital Revenue Code	272
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$45.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

CATH CHOLANGIOGRAPH 4FR

Facility

$300.00

Hospital Charge Code	270600380
Hospital Revenue Code	272
Min. Negotiated Rate	$39.00
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) PPO	$76.50
Rate for Payer: Cigna Commercial	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.00
Rate for Payer: Oxford Commercial	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00
Rate for Payer: UnitedHealthcare Commercial	$150.00

CATH CHOLANGIOGRAPH 6FR

Facility

$300.00

Hospital Charge Code	270600381
Hospital Revenue Code	272
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$45.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

CATH CHOLANGIOGRAPH 6FR

Facility

$300.00

Hospital Charge Code	270600381
Hospital Revenue Code	272
Min. Negotiated Rate	$39.00
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) PPO	$76.50
Rate for Payer: Cigna Commercial	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.00
Rate for Payer: Oxford Commercial	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00
Rate for Payer: UnitedHealthcare Commercial	$150.00

CATH CK ANGIOGRAPH SZNG 250686

Facility

$973.65

Hospital Charge Code	270621637
Hospital Revenue Code	270
Min. Negotiated Rate	$146.05
Max. Negotiated Rate	$146.05
Rate for Payer: Qualcare PPO/HMO/WC	$146.05

CATH CK ANGIOGRAPH SZNG 250686

Facility

$973.65

Hospital Charge Code	270621637
Hospital Revenue Code	270
Min. Negotiated Rate	$126.57
Max. Negotiated Rate	$486.82
Rate for Payer: Aetna Commercial	$292.10
Rate for Payer: Aetna Medicare Advantage	$292.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.28
Rate for Payer: Cigna Commercial	$486.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.57
Rate for Payer: Oxford Commercial	$486.82
Rate for Payer: Qualcare PPO/HMO/WC	$146.05
Rate for Payer: UnitedHealthcare Commercial	$486.82

CATH CK BALN DIL 7FR 200621

Facility

$1,382.45

Hospital Charge Code	270600990
Hospital Revenue Code	272
Min. Negotiated Rate	$179.72
Max. Negotiated Rate	$691.23
Rate for Payer: Aetna Commercial	$414.74
Rate for Payer: Aetna Medicare Advantage	$414.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$352.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$352.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$352.52
Rate for Payer: Cigna Commercial	$691.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$179.72
Rate for Payer: Oxford Commercial	$691.23
Rate for Payer: Qualcare PPO/HMO/WC	$207.37
Rate for Payer: UnitedHealthcare Commercial	$691.23

CATH CK BALN DIL 7FR 200621

Facility

$1,382.45

Hospital Charge Code	270600990
Hospital Revenue Code	272
Min. Negotiated Rate	$207.37
Max. Negotiated Rate	$207.37
Rate for Payer: Qualcare PPO/HMO/WC	$207.37

CATH CK CBRA CST P5.03565M2SC2

Facility

$175.25

Hospital Charge Code	270601460
Hospital Revenue Code	272
Min. Negotiated Rate	$26.29
Max. Negotiated Rate	$26.29
Rate for Payer: Qualcare PPO/HMO/WC	$26.29

CATH CK CBRA CST P5.03565M2SC2

Facility

$175.25

Hospital Charge Code	270601460
Hospital Revenue Code	272
Min. Negotiated Rate	$22.78
Max. Negotiated Rate	$87.62
Rate for Payer: Aetna Commercial	$52.58
Rate for Payer: Aetna Medicare Advantage	$52.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.69
Rate for Payer: Cigna Commercial	$87.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.78
Rate for Payer: Oxford Commercial	$87.62
Rate for Payer: Qualcare PPO/HMO/WC	$26.29
Rate for Payer: UnitedHealthcare Commercial	$87.62

CATH CK CBRA P5.03565M2SC3

Facility

$175.25

Hospital Charge Code	270601459
Hospital Revenue Code	272
Min. Negotiated Rate	$22.78
Max. Negotiated Rate	$87.62
Rate for Payer: Aetna Commercial	$52.58
Rate for Payer: Aetna Medicare Advantage	$52.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.69
Rate for Payer: Cigna Commercial	$87.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.78
Rate for Payer: Oxford Commercial	$87.62
Rate for Payer: Qualcare PPO/HMO/WC	$26.29
Rate for Payer: UnitedHealthcare Commercial	$87.62

CATH CK CBRA P5.03565M2SC3

Facility

$175.25

Hospital Charge Code	270601459
Hospital Revenue Code	272
Min. Negotiated Rate	$26.29
Max. Negotiated Rate	$26.29
Rate for Payer: Qualcare PPO/HMO/WC	$26.29

CATH CK COBRA VISCERAL 214402

Facility

$88.00

Hospital Charge Code	270623305
Hospital Revenue Code	272
Min. Negotiated Rate	$13.20
Max. Negotiated Rate	$13.20
Rate for Payer: Qualcare PPO/HMO/WC	$13.20

CATH CK COBRA VISCERAL 214402

Facility

$88.00

Hospital Charge Code	270623305
Hospital Revenue Code	272
Min. Negotiated Rate	$11.44
Max. Negotiated Rate	$44.00
Rate for Payer: Aetna Commercial	$26.40
Rate for Payer: Aetna Medicare Advantage	$26.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.44
Rate for Payer: Cigna Commercial	$44.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.44
Rate for Payer: Oxford Commercial	$44.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.20
Rate for Payer: UnitedHealthcare Commercial	$44.00

CATH CK CST BPS6.53865MNS

Facility

$175.25

Hospital Charge Code	270601462
Hospital Revenue Code	272
Min. Negotiated Rate	$26.29
Max. Negotiated Rate	$26.29
Rate for Payer: Qualcare PPO/HMO/WC	$26.29

CATH CK CST BPS6.53865MNS

Facility

$175.25

Hospital Charge Code	270601462
Hospital Revenue Code	272
Min. Negotiated Rate	$22.78
Max. Negotiated Rate	$87.62
Rate for Payer: Aetna Commercial	$52.58
Rate for Payer: Aetna Medicare Advantage	$52.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.69
Rate for Payer: Cigna Commercial	$87.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.78
Rate for Payer: Oxford Commercial	$87.62
Rate for Payer: Qualcare PPO/HMO/WC	$26.29
Rate for Payer: UnitedHealthcare Commercial	$87.62

Know your out-of-pocket cost for care.

All Charges