Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATH CK URET BAL 5/65 010005**

Facility

$436.00

Hospital Charge Code	1604503
Hospital Revenue Code	272
Min. Negotiated Rate	$65.40
Max. Negotiated Rate	$65.40
Rate for Payer: Qualcare PPO/HMO/WC	$65.40

CATH CK URET BAL 7/65 010004**

Facility

$436.00

Hospital Charge Code	1604511
Hospital Revenue Code	272
Min. Negotiated Rate	$65.40
Max. Negotiated Rate	$65.40
Rate for Payer: Qualcare PPO/HMO/WC	$65.40

CATH CK URET BAL 7/65 010004**

Facility

$436.00

Hospital Charge Code	1604511
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

CATH CK URET BALN 5/65 010005

Facility

$703.50

Service Code	HCPCS C1726
Hospital Charge Code	270601087
Hospital Revenue Code	278
Min. Negotiated Rate	$105.53
Max. Negotiated Rate	$170.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.25
Rate for Payer: Qualcare PPO/HMO/WC	$105.53

CATH CK URET BALN 5/65 010005

Facility

$703.50

Service Code	HCPCS C1726
Hospital Charge Code	270601087
Hospital Revenue Code	278
Min. Negotiated Rate	$105.53
Max. Negotiated Rate	$351.75
Rate for Payer: Aetna Commercial	$211.05
Rate for Payer: Aetna Medicare Advantage	$211.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$179.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$179.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$179.39
Rate for Payer: Cigna Commercial	$351.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.25
Rate for Payer: Qualcare PPO/HMO/WC	$105.53

CATH CK URET BALN 7/65 010004

Facility

$703.50

Service Code	HCPCS C1758
Hospital Charge Code	270605616
Hospital Revenue Code	278
Min. Negotiated Rate	$105.53
Max. Negotiated Rate	$170.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.25
Rate for Payer: Qualcare PPO/HMO/WC	$105.53

CATH CK URET BALN 7/65 010004

Facility

$703.50

Service Code	HCPCS C1758
Hospital Charge Code	270605616
Hospital Revenue Code	278
Min. Negotiated Rate	$105.53
Max. Negotiated Rate	$351.75
Rate for Payer: Aetna Commercial	$211.05
Rate for Payer: Aetna Medicare Advantage	$211.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$179.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$179.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$179.39
Rate for Payer: Cigna Commercial	$351.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.25
Rate for Payer: Qualcare PPO/HMO/WC	$105.53

CATH CK URET CONE TP 5F 024605

Facility

$60.45

Service Code	HCPCS C1758
Hospital Charge Code	270601096
Hospital Revenue Code	278
Min. Negotiated Rate	$9.07
Max. Negotiated Rate	$14.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.63
Rate for Payer: Qualcare PPO/HMO/WC	$9.07

CATH CK URET CONE TP 5F 024605

Facility

$60.45

Service Code	HCPCS C1758
Hospital Charge Code	270601096
Hospital Revenue Code	278
Min. Negotiated Rate	$9.07
Max. Negotiated Rate	$30.23
Rate for Payer: Aetna Commercial	$18.14
Rate for Payer: Aetna Medicare Advantage	$18.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.41
Rate for Payer: Cigna Commercial	$30.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.63
Rate for Payer: Qualcare PPO/HMO/WC	$9.07

CATH CK URET CONE TP 8F 024608

Facility

$83.25

Hospital Charge Code	270605388
Hospital Revenue Code	278
Min. Negotiated Rate	$12.49
Max. Negotiated Rate	$20.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.15
Rate for Payer: Qualcare PPO/HMO/WC	$12.49

CATH CK URET CONE TP 8F 024608

Facility

$83.25

Hospital Charge Code	270605388
Hospital Revenue Code	278
Min. Negotiated Rate	$12.49
Max. Negotiated Rate	$41.62
Rate for Payer: Aetna Commercial	$24.98
Rate for Payer: Aetna Medicare Advantage	$24.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.23
Rate for Payer: Cigna Commercial	$41.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.15
Rate for Payer: Qualcare PPO/HMO/WC	$12.49

CATH CK URET PIGTL 5F 025305

Facility

$360.85

Hospital Charge Code	270601077
Hospital Revenue Code	278
Min. Negotiated Rate	$54.13
Max. Negotiated Rate	$87.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$72.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.33
Rate for Payer: Qualcare PPO/HMO/WC	$54.13

CATH CK URET PIGTL 5F 025305

Facility

$360.85

Hospital Charge Code	270601077
Hospital Revenue Code	278
Min. Negotiated Rate	$54.13
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) NJ Health	$72.17
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	$87.33
Rate for Payer: Qualcare PPO/HMO/WC	$54.13

CATH CK URET PIGTL 5F 025305**

Facility

$157.00

Hospital Charge Code	1604578
Hospital Revenue Code	272
Min. Negotiated Rate	$23.55
Max. Negotiated Rate	$23.55
Rate for Payer: Qualcare PPO/HMO/WC	$23.55

CATH CK URET PIGTL 5F 025305**

Facility

$157.00

Hospital Charge Code	1604578
Hospital Revenue Code	272
Min. Negotiated Rate	$20.41
Max. Negotiated Rate	$78.50
Rate for Payer: Aetna Commercial	$47.10
Rate for Payer: Aetna Medicare Advantage	$47.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.03
Rate for Payer: Cigna Commercial	$78.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.41
Rate for Payer: Oxford Commercial	$78.50
Rate for Payer: Qualcare PPO/HMO/WC	$23.55
Rate for Payer: UnitedHealthcare Commercial	$78.50

CATH CK URET PIGTL 5F 036500

Facility

$923.25

Hospital Charge Code	270605599
Hospital Revenue Code	278
Min. Negotiated Rate	$138.49
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) NJ Health	$184.65
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	$223.43
Rate for Payer: Qualcare PPO/HMO/WC	$138.49

CATH CK URET PIGTL 5F 036500

Facility

$923.25

Hospital Charge Code	270605599
Hospital Revenue Code	278
Min. Negotiated Rate	$138.49
Max. Negotiated Rate	$223.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$184.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$223.43
Rate for Payer: Qualcare PPO/HMO/WC	$138.49

CATH CK URET RTNR 5F 026205

Facility

$83.25

Hospital Charge Code	270602963
Hospital Revenue Code	272
Min. Negotiated Rate	$12.49
Max. Negotiated Rate	$12.49
Rate for Payer: Qualcare PPO/HMO/WC	$12.49

CATH CK URET RTNR 5F 026205

Facility

$83.25

Hospital Charge Code	270602963
Hospital Revenue Code	272
Min. Negotiated Rate	$10.82
Max. Negotiated Rate	$41.62
Rate for Payer: Aetna Commercial	$24.98
Rate for Payer: Aetna Medicare Advantage	$24.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.23
Rate for Payer: Cigna Commercial	$41.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.82
Rate for Payer: Oxford Commercial	$41.62
Rate for Payer: Qualcare PPO/HMO/WC	$12.49
Rate for Payer: UnitedHealthcare Commercial	$41.62

CATH CK URET RTNR 5X70 ******

Facility

$34.00

Hospital Charge Code	1604586
Hospital Revenue Code	272
Min. Negotiated Rate	$5.10
Max. Negotiated Rate	$5.10
Rate for Payer: Qualcare PPO/HMO/WC	$5.10

CATH CK URET RTNR 5X70 ******

Facility

$34.00

Hospital Charge Code	1604586
Hospital Revenue Code	272
Min. Negotiated Rate	$4.42
Max. Negotiated Rate	$17.00
Rate for Payer: Aetna Commercial	$10.20
Rate for Payer: Aetna Medicare Advantage	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.67
Rate for Payer: Cigna Commercial	$17.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.42
Rate for Payer: Oxford Commercial	$17.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.10
Rate for Payer: UnitedHealthcare Commercial	$17.00

CATH CK URET SPRL TP 5F 024405

Facility

$83.25

Hospital Charge Code	270601094
Hospital Revenue Code	278
Min. Negotiated Rate	$12.49
Max. Negotiated Rate	$41.62
Rate for Payer: Aetna Commercial	$24.98
Rate for Payer: Aetna Medicare Advantage	$24.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.23
Rate for Payer: Cigna Commercial	$41.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.15
Rate for Payer: Qualcare PPO/HMO/WC	$12.49

CATH CK URET SPRL TP 5F 024405

Facility

$83.25

Hospital Charge Code	270601094
Hospital Revenue Code	278
Min. Negotiated Rate	$12.49
Max. Negotiated Rate	$20.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.15
Rate for Payer: Qualcare PPO/HMO/WC	$12.49

CATH CLASS CROWN 2.0MM 145CM

Facility

$16,975.00

Service Code	HCPCS C1714
Hospital Charge Code	270681113
Hospital Revenue Code	278
Min. Negotiated Rate	$2,546.25
Max. Negotiated Rate	$8,487.50
Rate for Payer: Aetna Commercial	$5,092.50
Rate for Payer: Aetna Medicare Advantage	$5,092.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,328.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,328.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,395.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,328.62
Rate for Payer: Cigna Commercial	$8,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,107.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,546.25

CATH CLASS CROWN 2.0MM 145CM

Facility

$16,975.00

Service Code	HCPCS C1714
Hospital Charge Code	270681113
Hospital Revenue Code	278
Min. Negotiated Rate	$2,546.25
Max. Negotiated Rate	$4,107.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,107.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,546.25

Know your out-of-pocket cost for care.

All Charges