Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATH CK CUSTOM HIGH FLO TORQUE

Facility

$161.65

Hospital Charge Code	270601463
Hospital Revenue Code	272
Min. Negotiated Rate	$21.01
Max. Negotiated Rate	$80.83
Rate for Payer: Aetna Commercial	$48.49
Rate for Payer: Aetna Medicare Advantage	$48.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.22
Rate for Payer: Cigna Commercial	$80.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.01
Rate for Payer: Oxford Commercial	$80.83
Rate for Payer: Qualcare PPO/HMO/WC	$24.25
Rate for Payer: UnitedHealthcare Commercial	$80.83

CATH CK CUSTOM HIGH FLO TORQUE

Facility

$161.65

Hospital Charge Code	270601463
Hospital Revenue Code	272
Min. Negotiated Rate	$24.25
Max. Negotiated Rate	$24.25
Rate for Payer: Qualcare PPO/HMO/WC	$24.25

CATH CK ERCP-1

Facility

$360.85

Hospital Charge Code	270600974
Hospital Revenue Code	272
Min. Negotiated Rate	$54.13
Max. Negotiated Rate	$54.13
Rate for Payer: Qualcare PPO/HMO/WC	$54.13

CATH CK ERCP-1

Facility

$360.85

Hospital Charge Code	270600974
Hospital Revenue Code	272
Min. Negotiated Rate	$46.91
Max. Negotiated Rate	$180.43
Rate for Payer: Aetna Commercial	$108.25
Rate for Payer: Aetna Medicare Advantage	$108.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.02
Rate for Payer: Cigna Commercial	$180.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.91
Rate for Payer: Oxford Commercial	$180.43
Rate for Payer: Qualcare PPO/HMO/WC	$54.13
Rate for Payer: UnitedHealthcare Commercial	$180.43

CATH CK HN5 5F 100 214202

Facility

$104.85

Hospital Charge Code	270624954
Hospital Revenue Code	272
Min. Negotiated Rate	$13.63
Max. Negotiated Rate	$52.42
Rate for Payer: Aetna Commercial	$31.45
Rate for Payer: Aetna Medicare Advantage	$31.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.74
Rate for Payer: Cigna Commercial	$52.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.63
Rate for Payer: Oxford Commercial	$52.42
Rate for Payer: Qualcare PPO/HMO/WC	$15.73
Rate for Payer: UnitedHealthcare Commercial	$52.42

CATH CK HN5 5F 100 214202

Facility

$104.85

Hospital Charge Code	270624954
Hospital Revenue Code	272
Min. Negotiated Rate	$15.73
Max. Negotiated Rate	$15.73
Rate for Payer: Qualcare PPO/HMO/WC	$15.73

CATH CK KUMPE ACCESS 10732701

Facility

$94.45

Hospital Charge Code	270623311
Hospital Revenue Code	272
Min. Negotiated Rate	$12.28
Max. Negotiated Rate	$47.23
Rate for Payer: Aetna Commercial	$28.34
Rate for Payer: Aetna Medicare Advantage	$28.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.08
Rate for Payer: Cigna Commercial	$47.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.28
Rate for Payer: Oxford Commercial	$47.23
Rate for Payer: Qualcare PPO/HMO/WC	$14.17
Rate for Payer: UnitedHealthcare Commercial	$47.23

CATH CK KUMPE ACCESS 10732701

Facility

$94.45

Hospital Charge Code	270623311
Hospital Revenue Code	272
Min. Negotiated Rate	$14.17
Max. Negotiated Rate	$14.17
Rate for Payer: Qualcare PPO/HMO/WC	$14.17

CATH CK KUMPE ACCESS 228361

Facility

$88.00

Hospital Charge Code	270623303
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 KUMPE ACCESS 228361

Facility

$88.00

Hospital Charge Code	270623303
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 SIZING 5 100 250684

Facility

$666.45

Hospital Charge Code	270622443
Hospital Revenue Code	272
Min. Negotiated Rate	$99.97
Max. Negotiated Rate	$99.97
Rate for Payer: Qualcare PPO/HMO/WC	$99.97

CATH CK SIZING 5 100 250684

Facility

$666.45

Hospital Charge Code	270622443
Hospital Revenue Code	272
Min. Negotiated Rate	$86.64
Max. Negotiated Rate	$333.23
Rate for Payer: Aetna Commercial	$199.94
Rate for Payer: Aetna Medicare Advantage	$199.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$169.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$169.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$169.94
Rate for Payer: Cigna Commercial	$333.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.64
Rate for Payer: Oxford Commercial	$333.23
Rate for Payer: Qualcare PPO/HMO/WC	$99.97
Rate for Payer: UnitedHealthcare Commercial	$333.23

CATH CK SLIP 251316

Facility

$237.65

Hospital Charge Code	270621636
Hospital Revenue Code	272
Min. Negotiated Rate	$30.89
Max. Negotiated Rate	$118.83
Rate for Payer: Aetna Commercial	$71.30
Rate for Payer: Aetna Medicare Advantage	$71.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.60
Rate for Payer: Cigna Commercial	$118.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.89
Rate for Payer: Oxford Commercial	$118.83
Rate for Payer: Qualcare PPO/HMO/WC	$35.65
Rate for Payer: UnitedHealthcare Commercial	$118.83

CATH CK SLIP 251316

Facility

$237.65

Hospital Charge Code	270621636
Hospital Revenue Code	272
Min. Negotiated Rate	$35.65
Max. Negotiated Rate	$35.65
Rate for Payer: Qualcare PPO/HMO/WC	$35.65

CATH CK TORCON 5F 217671

Facility

$82.45

Hospital Charge Code	270624600
Hospital Revenue Code	272
Min. Negotiated Rate	$12.37
Max. Negotiated Rate	$12.37
Rate for Payer: Qualcare PPO/HMO/WC	$12.37

CATH CK TORCON 5F 217671

Facility

$82.45

Hospital Charge Code	270624600
Hospital Revenue Code	272
Min. Negotiated Rate	$10.72
Max. Negotiated Rate	$41.23
Rate for Payer: Aetna Commercial	$24.73
Rate for Payer: Aetna Medicare Advantage	$24.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.02
Rate for Payer: Cigna Commercial	$41.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.72
Rate for Payer: Oxford Commercial	$41.23
Rate for Payer: Qualcare PPO/HMO/WC	$12.37
Rate for Payer: UnitedHealthcare Commercial	$41.23

CATH CK TORCON 5F 220420

Facility

$80.00

Hospital Charge Code	270624344
Hospital Revenue Code	272
Min. Negotiated Rate	$10.40
Max. Negotiated Rate	$40.00
Rate for Payer: Aetna Commercial	$24.00
Rate for Payer: Aetna Medicare Advantage	$24.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.40
Rate for Payer: Cigna Commercial	$40.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.40
Rate for Payer: Oxford Commercial	$40.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.00
Rate for Payer: UnitedHealthcare Commercial	$40.00

CATH CK TORCON 5F 220420

Facility

$80.00

Hospital Charge Code	270624344
Hospital Revenue Code	272
Min. Negotiated Rate	$12.00
Max. Negotiated Rate	$12.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.00

CATH CK URET 5 70 020040CS

Facility

$51.15

Service Code	HCPCS C1758
Hospital Charge Code	270624358
Hospital Revenue Code	278
Min. Negotiated Rate	$7.67
Max. Negotiated Rate	$12.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.38
Rate for Payer: Qualcare PPO/HMO/WC	$7.67

CATH CK URET 5 70 020040CS

Facility

$51.15

Service Code	HCPCS C1758
Hospital Charge Code	270624358
Hospital Revenue Code	278
Min. Negotiated Rate	$7.67
Max. Negotiated Rate	$25.57
Rate for Payer: Aetna Commercial	$15.35
Rate for Payer: Aetna Medicare Advantage	$15.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.04
Rate for Payer: Cigna Commercial	$25.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.38
Rate for Payer: Qualcare PPO/HMO/WC	$7.67

CATH CK URET 6 70 020040C6

Facility

$51.15

Service Code	HCPCS C1758
Hospital Charge Code	270624727
Hospital Revenue Code	278
Min. Negotiated Rate	$7.67
Max. Negotiated Rate	$25.57
Rate for Payer: Aetna Commercial	$15.35
Rate for Payer: Aetna Medicare Advantage	$15.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.04
Rate for Payer: Cigna Commercial	$25.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.38
Rate for Payer: Qualcare PPO/HMO/WC	$7.67

CATH CK URET 6 70 020040C6

Facility

$51.15

Service Code	HCPCS C1758
Hospital Charge Code	270624727
Hospital Revenue Code	278
Min. Negotiated Rate	$7.67
Max. Negotiated Rate	$12.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.38
Rate for Payer: Qualcare PPO/HMO/WC	$7.67

CATH CK URET 7 70 020047-C7

Facility

$32.85

Hospital Charge Code	270624432
Hospital Revenue Code	272
Min. Negotiated Rate	$4.27
Max. Negotiated Rate	$16.43
Rate for Payer: Aetna Commercial	$9.86
Rate for Payer: Aetna Medicare Advantage	$9.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.38
Rate for Payer: Cigna Commercial	$16.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.27
Rate for Payer: Oxford Commercial	$16.43
Rate for Payer: Qualcare PPO/HMO/WC	$4.93
Rate for Payer: UnitedHealthcare Commercial	$16.43

CATH CK URET 7 70 020047-C7

Facility

$32.85

Hospital Charge Code	270624432
Hospital Revenue Code	272
Min. Negotiated Rate	$4.93
Max. Negotiated Rate	$4.93
Rate for Payer: Qualcare PPO/HMO/WC	$4.93

CATH CK URET BAL 5/65 010005**

Facility

$436.00

Hospital Charge Code	1604503
Hospital Revenue Code	272
Min. Negotiated Rate	$56.68
Max. Negotiated Rate	$218.00
Rate for Payer: Aetna Commercial	$130.80
Rate for Payer: Aetna Medicare Advantage	$130.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$111.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$111.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$111.18
Rate for Payer: Cigna Commercial	$218.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.68
Rate for Payer: Oxford Commercial	$218.00
Rate for Payer: Qualcare PPO/HMO/WC	$65.40
Rate for Payer: UnitedHealthcare Commercial	$218.00

Know your out-of-pocket cost for care.

All Charges