Heights University Hospital

All Charges

Charge

Type

Setting

Price

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	$379.75
Rate for Payer: Aetna Commercial	$227.85
Rate for Payer: Aetna Medicare Advantage	$227.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$193.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$193.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$151.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$193.67
Rate for Payer: Cigna Commercial	$379.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$183.80
Rate for Payer: Qualcare PPO/HMO/WC	$113.92

CATH CRD BALLN 4CM 4127040S

Facility

$892.00

Hospital Charge Code	270623560
Hospital Revenue Code	278
Min. Negotiated Rate	$133.80
Max. Negotiated Rate	$215.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$178.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$215.86
Rate for Payer: Qualcare PPO/HMO/WC	$133.80

CATH CRD BALLN 4CM 4127040S

Facility

$892.00

Hospital Charge Code	270623560
Hospital Revenue Code	278
Min. Negotiated Rate	$133.80
Max. Negotiated Rate	$446.00
Rate for Payer: Aetna Commercial	$267.60
Rate for Payer: Aetna Medicare Advantage	$267.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$227.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$227.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$178.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$227.46
Rate for Payer: Cigna Commercial	$446.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$215.86
Rate for Payer: Qualcare PPO/HMO/WC	$133.80

CATH CRD BALLN 5F 8 4208040S

Facility

$1,325.00

Hospital Charge Code	270625226V
Hospital Revenue Code	278
Min. Negotiated Rate	$198.75
Max. Negotiated Rate	$662.50
Rate for Payer: Aetna Commercial	$397.50
Rate for Payer: Aetna Medicare Advantage	$397.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$337.88
Rate for Payer: Cigna Commercial	$662.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: Qualcare PPO/HMO/WC	$198.75

CATH CRD BALLN 5F 8 4208040S

Facility

$1,325.00

Hospital Charge Code	270625226V
Hospital Revenue Code	278
Min. Negotiated Rate	$198.75
Max. Negotiated Rate	$320.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: Qualcare PPO/HMO/WC	$198.75

CATH CRD BALLN 5F 8 4208040S

Facility

$1,312.00

Hospital Charge Code	270625226
Hospital Revenue Code	278
Min. Negotiated Rate	$196.80
Max. Negotiated Rate	$656.00
Rate for Payer: Aetna Commercial	$393.60
Rate for Payer: Aetna Medicare Advantage	$393.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$334.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$334.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$262.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$334.56
Rate for Payer: Cigna Commercial	$656.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$317.50
Rate for Payer: Qualcare PPO/HMO/WC	$196.80

CATH CRD BALLN 5F 8 4208040S

Facility

$1,312.00

Hospital Charge Code	270625226
Hospital Revenue Code	278
Min. Negotiated Rate	$196.80
Max. Negotiated Rate	$317.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$262.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$317.50
Rate for Payer: Qualcare PPO/HMO/WC	$196.80

CATH CRD BERENSTN 5F 451513V0

Facility

$92.85

Hospital Charge Code	270623528
Hospital Revenue Code	272
Min. Negotiated Rate	$13.93
Max. Negotiated Rate	$13.93
Rate for Payer: Qualcare PPO/HMO/WC	$13.93

CATH CRD BERENSTN 5F 451513V0

Facility

$92.85

Hospital Charge Code	270623528
Hospital Revenue Code	272
Min. Negotiated Rate	$12.07
Max. Negotiated Rate	$46.42
Rate for Payer: Aetna Commercial	$27.86
Rate for Payer: Aetna Medicare Advantage	$27.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.68
Rate for Payer: Cigna Commercial	$46.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.07
Rate for Payer: Oxford Commercial	$46.42
Rate for Payer: Qualcare PPO/HMO/WC	$13.93
Rate for Payer: UnitedHealthcare Commercial	$46.42

CATH CRD CARD 3DRC 6F

Facility

$292.85

Hospital Charge Code	270600704
Hospital Revenue Code	272
Min. Negotiated Rate	$38.07
Max. Negotiated Rate	$146.43
Rate for Payer: Aetna Commercial	$87.86
Rate for Payer: Aetna Medicare Advantage	$87.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.68
Rate for Payer: Cigna Commercial	$146.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.07
Rate for Payer: Oxford Commercial	$146.43
Rate for Payer: Qualcare PPO/HMO/WC	$43.93
Rate for Payer: UnitedHealthcare Commercial	$146.43

CATH CRD CARD 3DRC 6F

Facility

$292.85

Hospital Charge Code	270600704
Hospital Revenue Code	272
Min. Negotiated Rate	$43.93
Max. Negotiated Rate	$43.93
Rate for Payer: Qualcare PPO/HMO/WC	$43.93

CATH CRD CARD 6F+TL 533614T

Facility

$136.85

Hospital Charge Code	270607620
Hospital Revenue Code	272
Min. Negotiated Rate	$17.79
Max. Negotiated Rate	$68.42
Rate for Payer: Aetna Commercial	$41.05
Rate for Payer: Aetna Medicare Advantage	$41.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.90
Rate for Payer: Cigna Commercial	$68.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.79
Rate for Payer: Oxford Commercial	$68.42
Rate for Payer: Qualcare PPO/HMO/WC	$20.53
Rate for Payer: UnitedHealthcare Commercial	$68.42

CATH CRD CARD 6F+TL 533614T

Facility

$136.85

Hospital Charge Code	270607620
Hospital Revenue Code	272
Min. Negotiated Rate	$20.53
Max. Negotiated Rate	$20.53
Rate for Payer: Qualcare PPO/HMO/WC	$20.53

CATH CRD CARD AL111 524-844

Facility

$131.25

Hospital Charge Code	270607618
Hospital Revenue Code	272
Min. Negotiated Rate	$19.69
Max. Negotiated Rate	$19.69
Rate for Payer: Qualcare PPO/HMO/WC	$19.69

CATH CRD CARD AL111 524-844

Facility

$131.25

Hospital Charge Code	270607618
Hospital Revenue Code	272
Min. Negotiated Rate	$17.06
Max. Negotiated Rate	$65.62
Rate for Payer: Aetna Commercial	$39.38
Rate for Payer: Aetna Medicare Advantage	$39.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.47
Rate for Payer: Cigna Commercial	$65.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.06
Rate for Payer: Oxford Commercial	$65.62
Rate for Payer: Qualcare PPO/HMO/WC	$19.69
Rate for Payer: UnitedHealthcare Commercial	$65.62

CATH CRD CARD AL111 7F 533647T

Facility

$42.25

Hospital Charge Code	270614269
Hospital Revenue Code	272
Min. Negotiated Rate	$5.49
Max. Negotiated Rate	$21.12
Rate for Payer: Aetna Commercial	$12.68
Rate for Payer: Aetna Medicare Advantage	$12.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.77
Rate for Payer: Cigna Commercial	$21.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.49
Rate for Payer: Oxford Commercial	$21.12
Rate for Payer: Qualcare PPO/HMO/WC	$6.34
Rate for Payer: UnitedHealthcare Commercial	$21.12

CATH CRD CARD AL111 7F 533647T

Facility

$42.25

Hospital Charge Code	270614269
Hospital Revenue Code	272
Min. Negotiated Rate	$6.34
Max. Negotiated Rate	$6.34
Rate for Payer: Qualcare PPO/HMO/WC	$6.34

CATH CRD CARD AL11 524-842

Facility

$128.00

Hospital Charge Code	270607617
Hospital Revenue Code	272
Min. Negotiated Rate	$19.20
Max. Negotiated Rate	$19.20
Rate for Payer: Qualcare PPO/HMO/WC	$19.20

CATH CRD CARD AL11 524-842

Facility

$128.00

Hospital Charge Code	270607617
Hospital Revenue Code	272
Min. Negotiated Rate	$16.64
Max. Negotiated Rate	$64.00
Rate for Payer: Aetna Commercial	$38.40
Rate for Payer: Aetna Medicare Advantage	$38.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.64
Rate for Payer: Cigna Commercial	$64.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.64
Rate for Payer: Oxford Commercial	$64.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.20
Rate for Payer: UnitedHealthcare Commercial	$64.00

CATH CRD CARD AL11 6F 533-646T

Facility

$42.25

Hospital Charge Code	270614263
Hospital Revenue Code	272
Min. Negotiated Rate	$6.34
Max. Negotiated Rate	$6.34
Rate for Payer: Qualcare PPO/HMO/WC	$6.34

CATH CRD CARD AL11 6F 533-646T

Facility

$42.25

Hospital Charge Code	270614263
Hospital Revenue Code	272
Min. Negotiated Rate	$5.49
Max. Negotiated Rate	$21.12
Rate for Payer: Aetna Commercial	$12.68
Rate for Payer: Aetna Medicare Advantage	$12.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.77
Rate for Payer: Cigna Commercial	$21.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.49
Rate for Payer: Oxford Commercial	$21.12
Rate for Payer: Qualcare PPO/HMO/WC	$6.34
Rate for Payer: UnitedHealthcare Commercial	$21.12

CATH CRD CARD AL1 524-840

Facility

$128.00

Hospital Charge Code	270607616
Hospital Revenue Code	272
Min. Negotiated Rate	$16.64
Max. Negotiated Rate	$64.00
Rate for Payer: Aetna Commercial	$38.40
Rate for Payer: Aetna Medicare Advantage	$38.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.64
Rate for Payer: Cigna Commercial	$64.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.64
Rate for Payer: Oxford Commercial	$64.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.20
Rate for Payer: UnitedHealthcare Commercial	$64.00

CATH CRD CARD AL1 524-840

Facility

$128.00

Hospital Charge Code	270607616
Hospital Revenue Code	272
Min. Negotiated Rate	$19.20
Max. Negotiated Rate	$19.20
Rate for Payer: Qualcare PPO/HMO/WC	$19.20

CATH CRD CARD AR11 524-843

Facility

$131.25

Hospital Charge Code	270607615
Hospital Revenue Code	272
Min. Negotiated Rate	$17.06
Max. Negotiated Rate	$65.62
Rate for Payer: Aetna Commercial	$39.38
Rate for Payer: Aetna Medicare Advantage	$39.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.47
Rate for Payer: Cigna Commercial	$65.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.06
Rate for Payer: Oxford Commercial	$65.62
Rate for Payer: Qualcare PPO/HMO/WC	$19.69
Rate for Payer: UnitedHealthcare Commercial	$65.62

CATH CRD CARD AR11 524-843

Facility

$131.25

Hospital Charge Code	270607615
Hospital Revenue Code	272
Min. Negotiated Rate	$19.69
Max. Negotiated Rate	$19.69
Rate for Payer: Qualcare PPO/HMO/WC	$19.69

Know your out-of-pocket cost for care.

All Charges