Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATH CRD CARD JR6.0 523-845

Facility

$131.25

Hospital Charge Code	270607609
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 LCB 6F 533-672

Facility

$42.25

Hospital Charge Code	270613997
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 LCB 6F 533-672

Facility

$42.25

Hospital Charge Code	270613997
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 MPA2 125 524-843

Facility

$128.00

Hospital Charge Code	270607614
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 MPA2 125 524-843

Facility

$128.00

Hospital Charge Code	270607614
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 MPA26FTL 533644T

Facility

$136.85

Hospital Charge Code	270607622
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 MPA26FTL 533644T

Facility

$136.85

Hospital Charge Code	270607622
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 PIGTL 523-850

Facility

$131.25

Hospital Charge Code	270607619
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 PIGTL 523-850

Facility

$131.25

Hospital Charge Code	270607619
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 PIGTL 6F 534650S

Facility

$44.50

Hospital Charge Code	270605714
Hospital Revenue Code	272
Min. Negotiated Rate	$5.79
Max. Negotiated Rate	$22.25
Rate for Payer: Aetna Commercial	$13.35
Rate for Payer: Aetna Medicare Advantage	$13.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.35
Rate for Payer: Cigna Commercial	$22.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.79
Rate for Payer: Oxford Commercial	$22.25
Rate for Payer: Qualcare PPO/HMO/WC	$6.67
Rate for Payer: UnitedHealthcare Commercial	$22.25

CATH CRD CARD PIGTL 6F 534650S

Facility

$44.50

Hospital Charge Code	270605714
Hospital Revenue Code	272
Min. Negotiated Rate	$6.67
Max. Negotiated Rate	$6.67
Rate for Payer: Qualcare PPO/HMO/WC	$6.67

CATH CRD CARD RCB 6F 533-670

Facility

$77.65

Hospital Charge Code	270612747
Hospital Revenue Code	272
Min. Negotiated Rate	$10.09
Max. Negotiated Rate	$38.83
Rate for Payer: Aetna Commercial	$23.30
Rate for Payer: Aetna Medicare Advantage	$23.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.80
Rate for Payer: Cigna Commercial	$38.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.09
Rate for Payer: Oxford Commercial	$38.83
Rate for Payer: Qualcare PPO/HMO/WC	$11.65
Rate for Payer: UnitedHealthcare Commercial	$38.83

CATH CRD CARD RCB 6F 533-670

Facility

$77.65

Hospital Charge Code	270612747
Hospital Revenue Code	272
Min. Negotiated Rate	$11.65
Max. Negotiated Rate	$11.65
Rate for Payer: Qualcare PPO/HMO/WC	$11.65

CATH CRD CARD VJC 6F 533618T

Facility

$42.25

Hospital Charge Code	270606063
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 VJC 6F 533618T

Facility

$42.25

Hospital Charge Code	270606063
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 PTA BALLN 419-9040L

Facility

$1,180.00

Hospital Charge Code	270623885
Hospital Revenue Code	272
Min. Negotiated Rate	$153.40
Max. Negotiated Rate	$590.00
Rate for Payer: Aetna Commercial	$354.00
Rate for Payer: Aetna Medicare Advantage	$354.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$300.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$300.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$300.90
Rate for Payer: Cigna Commercial	$590.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$153.40
Rate for Payer: Oxford Commercial	$590.00
Rate for Payer: Qualcare PPO/HMO/WC	$177.00
Rate for Payer: UnitedHealthcare Commercial	$590.00

CATH CRD PTA BALLN 419-9040L

Facility

$1,180.00

Hospital Charge Code	270623885
Hospital Revenue Code	272
Min. Negotiated Rate	$177.00
Max. Negotiated Rate	$177.00
Rate for Payer: Qualcare PPO/HMO/WC	$177.00

CATH CRD PTA BLN 4 80 4198040S

Facility

$1,337.65

Hospital Charge Code	270622621
Hospital Revenue Code	278
Min. Negotiated Rate	$200.65
Max. Negotiated Rate	$323.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$267.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$323.71
Rate for Payer: Qualcare PPO/HMO/WC	$200.65

CATH CRD PTA BLN 4 80 4198040S

Facility

$1,337.65

Hospital Charge Code	270622621
Hospital Revenue Code	278
Min. Negotiated Rate	$200.65
Max. Negotiated Rate	$668.83
Rate for Payer: Aetna Commercial	$401.30
Rate for Payer: Aetna Medicare Advantage	$401.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$341.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$341.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$267.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$341.10
Rate for Payer: Cigna Commercial	$668.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$323.71
Rate for Payer: Qualcare PPO/HMO/WC	$200.65

CATH CROSSTELLA RX 5F 4X100MM

Facility

$1,891.05

Service Code	HCPCS C1725
Hospital Charge Code	270698328S
Hospital Revenue Code	278
Min. Negotiated Rate	$283.66
Max. Negotiated Rate	$945.52
Rate for Payer: Aetna Commercial	$567.32
Rate for Payer: Aetna Medicare Advantage	$567.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$482.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$482.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$378.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$482.22
Rate for Payer: Cigna Commercial	$945.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$457.63
Rate for Payer: Qualcare PPO/HMO/WC	$283.66

CATH CROSSTELLA RX 5F 4X100MM

Facility

$1,891.05

Service Code	HCPCS C1725
Hospital Charge Code	270698328S
Hospital Revenue Code	278
Min. Negotiated Rate	$283.66
Max. Negotiated Rate	$457.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$378.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$457.63
Rate for Payer: Qualcare PPO/HMO/WC	$283.66

CATH CROSSTELLA RX 5F 4X150MM

Facility

$1,891.05

Service Code	HCPCS C1725
Hospital Charge Code	270698330S
Hospital Revenue Code	278
Min. Negotiated Rate	$283.66
Max. Negotiated Rate	$457.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$378.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$457.63
Rate for Payer: Qualcare PPO/HMO/WC	$283.66

CATH CROSSTELLA RX 5F 4X150MM

Facility

$1,891.05

Service Code	HCPCS C1725
Hospital Charge Code	270698330S
Hospital Revenue Code	278
Min. Negotiated Rate	$283.66
Max. Negotiated Rate	$945.52
Rate for Payer: Aetna Commercial	$567.32
Rate for Payer: Aetna Medicare Advantage	$567.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$482.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$482.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$378.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$482.22
Rate for Payer: Cigna Commercial	$945.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$457.63
Rate for Payer: Qualcare PPO/HMO/WC	$283.66

CATH CROSSTELLA RX 5F 6X200MM

Facility

$1,891.05

Service Code	HCPCS C1725
Hospital Charge Code	270698329S
Hospital Revenue Code	278
Min. Negotiated Rate	$283.66
Max. Negotiated Rate	$945.52
Rate for Payer: Aetna Commercial	$567.32
Rate for Payer: Aetna Medicare Advantage	$567.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$482.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$482.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$378.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$482.22
Rate for Payer: Cigna Commercial	$945.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$457.63
Rate for Payer: Qualcare PPO/HMO/WC	$283.66

CATH CROSSTELLA RX 5F 6X200MM

Facility

$1,891.05

Service Code	HCPCS C1725
Hospital Charge Code	270698329S
Hospital Revenue Code	278
Min. Negotiated Rate	$283.66
Max. Negotiated Rate	$457.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$378.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$457.63
Rate for Payer: Qualcare PPO/HMO/WC	$283.66

Know your out-of-pocket cost for care.

All Charges