Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATH COUDE 3W 22FR

Facility

$137.14

Hospital Charge Code	27064778
Hospital Revenue Code	272
Min. Negotiated Rate	$17.83
Max. Negotiated Rate	$68.57
Rate for Payer: Aetna Commercial	$41.14
Rate for Payer: Aetna Medicare Advantage	$41.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.97
Rate for Payer: Cigna Commercial	$68.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.83
Rate for Payer: Oxford Commercial	$68.57
Rate for Payer: Qualcare PPO/HMO/WC	$20.57
Rate for Payer: UnitedHealthcare Commercial	$68.57

CATH COUDE 3W 22FR

Facility

$137.14

Hospital Charge Code	27064778
Hospital Revenue Code	272
Min. Negotiated Rate	$20.57
Max. Negotiated Rate	$20.57
Rate for Payer: Qualcare PPO/HMO/WC	$20.57

CATH COUDE ALL SIZES ******

Facility

$38.00

Hospital Charge Code	8000358
Hospital Revenue Code	279
Min. Negotiated Rate	$5.70
Max. Negotiated Rate	$5.70
Rate for Payer: Qualcare PPO/HMO/WC	$5.70

CATH COUDE ALL SIZES ******

Facility

$38.00

Hospital Charge Code	8000358
Hospital Revenue Code	279
Min. Negotiated Rate	$4.94
Max. Negotiated Rate	$19.00
Rate for Payer: Aetna Commercial	$11.40
Rate for Payer: Aetna Medicare Advantage	$11.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.69
Rate for Payer: Cigna Commercial	$19.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.94
Rate for Payer: Oxford Commercial	$19.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.70
Rate for Payer: UnitedHealthcare Commercial	$19.00

CATH COUNCIL 2WAY 18FR 5cc

Facility

$147.50

Hospital Charge Code	270651012
Hospital Revenue Code	272
Min. Negotiated Rate	$19.18
Max. Negotiated Rate	$73.75
Rate for Payer: Aetna Commercial	$44.25
Rate for Payer: Aetna Medicare Advantage	$44.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.61
Rate for Payer: Cigna Commercial	$73.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.18
Rate for Payer: Oxford Commercial	$73.75
Rate for Payer: Qualcare PPO/HMO/WC	$22.12
Rate for Payer: UnitedHealthcare Commercial	$73.75

CATH COUNCIL 2WAY 18FR 5cc

Facility

$147.50

Hospital Charge Code	270651012
Hospital Revenue Code	272
Min. Negotiated Rate	$22.12
Max. Negotiated Rate	$22.12
Rate for Payer: Qualcare PPO/HMO/WC	$22.12

CATH COUNCIL TIP 2WAY 16FR 5CC

Facility

$61.76

Hospital Charge Code	270625258
Hospital Revenue Code	272
Min. Negotiated Rate	$9.26
Max. Negotiated Rate	$9.26
Rate for Payer: Qualcare PPO/HMO/WC	$9.26

CATH COUNCIL TIP 2WAY 16FR 5CC

Facility

$61.76

Hospital Charge Code	270625258
Hospital Revenue Code	272
Min. Negotiated Rate	$8.03
Max. Negotiated Rate	$30.88
Rate for Payer: Aetna Commercial	$18.53
Rate for Payer: Aetna Medicare Advantage	$18.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.75
Rate for Payer: Cigna Commercial	$30.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.03
Rate for Payer: Oxford Commercial	$30.88
Rate for Payer: Qualcare PPO/HMO/WC	$9.26
Rate for Payer: UnitedHealthcare Commercial	$30.88

CATH COUNCL TIP 20 5 200196L20

Facility

$61.76

Hospital Charge Code	270633135
Hospital Revenue Code	272
Min. Negotiated Rate	$9.26
Max. Negotiated Rate	$9.26
Rate for Payer: Qualcare PPO/HMO/WC	$9.26

CATH COUNCL TIP 20 5 200196L20

Facility

$61.76

Hospital Charge Code	270633135
Hospital Revenue Code	272
Min. Negotiated Rate	$8.03
Max. Negotiated Rate	$30.88
Rate for Payer: Aetna Commercial	$18.53
Rate for Payer: Aetna Medicare Advantage	$18.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.75
Rate for Payer: Cigna Commercial	$30.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.03
Rate for Payer: Oxford Commercial	$30.88
Rate for Payer: Qualcare PPO/HMO/WC	$9.26
Rate for Payer: UnitedHealthcare Commercial	$30.88

CATH COYOTE 3x150MM 150CM

Facility

$1,866.90

Hospital Charge Code	270676336
Hospital Revenue Code	278
Min. Negotiated Rate	$280.04
Max. Negotiated Rate	$451.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$373.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$451.79
Rate for Payer: Qualcare PPO/HMO/WC	$280.04

CATH COYOTE 3x150MM 150CM

Facility

$1,866.90

Hospital Charge Code	270676336
Hospital Revenue Code	278
Min. Negotiated Rate	$280.04
Max. Negotiated Rate	$933.45
Rate for Payer: Aetna Commercial	$560.07
Rate for Payer: Aetna Medicare Advantage	$560.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$476.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$476.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$373.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$476.06
Rate for Payer: Cigna Commercial	$933.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$451.79
Rate for Payer: Qualcare PPO/HMO/WC	$280.04

CATH COYOTE OTW 2.5x120MM

Facility

$1,866.90

Service Code	HCPCS C1725
Hospital Charge Code	270673987
Hospital Revenue Code	278
Min. Negotiated Rate	$280.04
Max. Negotiated Rate	$451.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$373.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$451.79
Rate for Payer: Qualcare PPO/HMO/WC	$280.04

CATH COYOTE OTW 2.5x120MM

Facility

$1,866.90

Service Code	HCPCS C1725
Hospital Charge Code	270673987
Hospital Revenue Code	278
Min. Negotiated Rate	$280.04
Max. Negotiated Rate	$933.45
Rate for Payer: Aetna Commercial	$560.07
Rate for Payer: Aetna Medicare Advantage	$560.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$476.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$476.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$373.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$476.06
Rate for Payer: Cigna Commercial	$933.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$451.79
Rate for Payer: Qualcare PPO/HMO/WC	$280.04

CATH CRAGG MCN 100x20cm4105101

Facility

$525.00

Hospital Charge Code	270637237V
Hospital Revenue Code	278
Min. Negotiated Rate	$78.75
Max. Negotiated Rate	$127.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$105.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.05
Rate for Payer: Qualcare PPO/HMO/WC	$78.75

CATH CRAGG MCN 100x20cm4105101

Facility

$525.00

Hospital Charge Code	270637237V
Hospital Revenue Code	278
Min. Negotiated Rate	$78.75
Max. Negotiated Rate	$262.50
Rate for Payer: Aetna Commercial	$157.50
Rate for Payer: Aetna Medicare Advantage	$157.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$105.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.88
Rate for Payer: Cigna Commercial	$262.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.05
Rate for Payer: Qualcare PPO/HMO/WC	$78.75

CATH CRAGG MCNAMARA 100x20

Facility

$490.00

Service Code	HCPCS C1887
Hospital Charge Code	270637237
Hospital Revenue Code	278
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$118.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$98.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.58
Rate for Payer: Qualcare PPO/HMO/WC	$73.50

CATH CRAGG MCNAMARA 100x20

Facility

$490.00

Service Code	HCPCS C1887
Hospital Charge Code	270637237
Hospital Revenue Code	278
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$245.00
Rate for Payer: Aetna Commercial	$147.00
Rate for Payer: Aetna Medicare Advantage	$147.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$98.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.95
Rate for Payer: Cigna Commercial	$245.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.58
Rate for Payer: Qualcare PPO/HMO/WC	$73.50

CATH CRAGG MCNAMARA 100x30cm

Facility

$800.00

Service Code	HCPCS C1887
Hospital Charge Code	270631254O
Hospital Revenue Code	278
Min. Negotiated Rate	$120.00
Max. Negotiated Rate	$193.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.60
Rate for Payer: Qualcare PPO/HMO/WC	$120.00

CATH CRAGG MCNAMARA 100x30cm

Facility

$490.00

Service Code	HCPCS C1887
Hospital Charge Code	270631254
Hospital Revenue Code	278
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$118.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$98.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.58
Rate for Payer: Qualcare PPO/HMO/WC	$73.50

CATH CRAGG MCNAMARA 100x30cm

Facility

$800.00

Service Code	HCPCS C1887
Hospital Charge Code	270631254O
Hospital Revenue Code	278
Min. Negotiated Rate	$120.00
Max. Negotiated Rate	$400.00
Rate for Payer: Aetna Commercial	$240.00
Rate for Payer: Aetna Medicare Advantage	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.00
Rate for Payer: Cigna Commercial	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.60
Rate for Payer: Qualcare PPO/HMO/WC	$120.00

CATH CRAGG MCNAMARA 100x30cm

Facility

$490.00

Service Code	HCPCS C1887
Hospital Charge Code	270631254
Hospital Revenue Code	278
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$245.00
Rate for Payer: Aetna Commercial	$147.00
Rate for Payer: Aetna Medicare Advantage	$147.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$98.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.95
Rate for Payer: Cigna Commercial	$245.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.58
Rate for Payer: Qualcare PPO/HMO/WC	$73.50

CATH CRAGG MCNAMARA 4106001

Facility

$775.00

Hospital Charge Code	270657473
Hospital Revenue Code	278
Min. Negotiated Rate	$116.25
Max. Negotiated Rate	$187.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.55
Rate for Payer: Qualcare PPO/HMO/WC	$116.25

CATH CRAGG MCNAMARA 4106001

Facility

$775.00

Hospital Charge Code	270657473
Hospital Revenue Code	278
Min. Negotiated Rate	$116.25
Max. Negotiated Rate	$387.50
Rate for Payer: Aetna Commercial	$232.50
Rate for Payer: Aetna Medicare Advantage	$232.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.62
Rate for Payer: Cigna Commercial	$387.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.55
Rate for Payer: Qualcare PPO/HMO/WC	$116.25

CATH CRAG MCN 100x40cm 4105301

Facility

$759.50

Service Code	HCPCS C1887
Hospital Charge Code	270637238
Hospital Revenue Code	278
Min. Negotiated Rate	$113.92
Max. Negotiated Rate	$183.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$151.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$183.80
Rate for Payer: Qualcare PPO/HMO/WC	$113.92

Know your out-of-pocket cost for care.

All Charges