Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATH CRYO 2X40X150

Facility

$891.00

Hospital Charge Code	270642197
Hospital Revenue Code	278
Min. Negotiated Rate	$133.65
Max. Negotiated Rate	$445.50
Rate for Payer: Aetna Commercial	$267.30
Rate for Payer: Aetna Medicare Advantage	$267.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$227.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$227.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$178.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$227.21
Rate for Payer: Cigna Commercial	$445.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$215.62
Rate for Payer: Qualcare PPO/HMO/WC	$133.65

CATH CRYO 2X40X150

Facility

$891.00

Hospital Charge Code	270642197
Hospital Revenue Code	278
Min. Negotiated Rate	$133.65
Max. Negotiated Rate	$215.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$178.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$215.62
Rate for Payer: Qualcare PPO/HMO/WC	$133.65

CATH CT PICC S/LUM 5F 12102811

Facility

$520.85

Hospital Charge Code	270635355
Hospital Revenue Code	278
Min. Negotiated Rate	$78.13
Max. Negotiated Rate	$260.43
Rate for Payer: Aetna Commercial	$156.25
Rate for Payer: Aetna Medicare Advantage	$156.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.82
Rate for Payer: Cigna Commercial	$260.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.05
Rate for Payer: Qualcare PPO/HMO/WC	$78.13

CATH CT PICC S/LUM 5F 12102811

Facility

$520.85

Hospital Charge Code	270635355
Hospital Revenue Code	278
Min. Negotiated Rate	$78.13
Max. Negotiated Rate	$126.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.05
Rate for Payer: Qualcare PPO/HMO/WC	$78.13

CATH CT PICC S/LUMEN 5F

Facility

$520.85

Hospital Charge Code	270635355V
Hospital Revenue Code	278
Min. Negotiated Rate	$78.13
Max. Negotiated Rate	$126.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.05
Rate for Payer: Qualcare PPO/HMO/WC	$78.13

CATH CT PICC S/LUMEN 5F

Facility

$520.85

Hospital Charge Code	270635355V
Hospital Revenue Code	278
Min. Negotiated Rate	$78.13
Max. Negotiated Rate	$260.43
Rate for Payer: Aetna Commercial	$156.25
Rate for Payer: Aetna Medicare Advantage	$156.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.82
Rate for Payer: Cigna Commercial	$260.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.05
Rate for Payer: Qualcare PPO/HMO/WC	$78.13

CATH CURL PERIL 57C 8811313015

Facility

$455.40

Hospital Charge Code	270644734C
Hospital Revenue Code	278
Min. Negotiated Rate	$68.31
Max. Negotiated Rate	$227.70
Rate for Payer: Aetna Commercial	$136.62
Rate for Payer: Aetna Medicare Advantage	$136.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$116.13
Rate for Payer: Cigna Commercial	$227.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.21
Rate for Payer: Qualcare PPO/HMO/WC	$68.31

CATH CURL PERIL 57C 8811313015

Facility

$455.00

Hospital Charge Code	270644734
Hospital Revenue Code	278
Min. Negotiated Rate	$68.25
Max. Negotiated Rate	$227.50
Rate for Payer: Aetna Commercial	$136.50
Rate for Payer: Aetna Medicare Advantage	$136.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$116.03
Rate for Payer: Cigna Commercial	$227.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.11
Rate for Payer: Qualcare PPO/HMO/WC	$68.25

CATH CURL PERIL 57C 8811313015

Facility

$455.40

Hospital Charge Code	270644734C
Hospital Revenue Code	278
Min. Negotiated Rate	$68.31
Max. Negotiated Rate	$110.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.21
Rate for Payer: Qualcare PPO/HMO/WC	$68.31

CATH CURL PERIL 57C 8811313015

Facility

$455.00

Hospital Charge Code	270644734
Hospital Revenue Code	278
Min. Negotiated Rate	$68.25
Max. Negotiated Rate	$110.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.11
Rate for Payer: Qualcare PPO/HMO/WC	$68.25

CATH CXI SPPT 2.6FR 018x65 ANG

Facility

$1,132.45

Hospital Charge Code	270705309
Hospital Revenue Code	279
Min. Negotiated Rate	$169.87
Max. Negotiated Rate	$169.87
Rate for Payer: Qualcare PPO/HMO/WC	$169.87

CATH CXI SPPT 2.6FR 018x65 ANG

Facility

$1,132.45

Hospital Charge Code	270705309
Hospital Revenue Code	279
Min. Negotiated Rate	$147.22
Max. Negotiated Rate	$566.23
Rate for Payer: Aetna Commercial	$339.74
Rate for Payer: Aetna Medicare Advantage	$339.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$288.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$288.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$288.77
Rate for Payer: Cigna Commercial	$566.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.22
Rate for Payer: Oxford Commercial	$566.23
Rate for Payer: Qualcare PPO/HMO/WC	$169.87
Rate for Payer: UnitedHealthcare Commercial	$566.23

CATH CXI SPPT 2.6FR 18X035x150

Facility

$1,132.45

Hospital Charge Code	270705310
Hospital Revenue Code	279
Min. Negotiated Rate	$169.87
Max. Negotiated Rate	$169.87
Rate for Payer: Qualcare PPO/HMO/WC	$169.87

CATH CXI SPPT 2.6FR 18X035x150

Facility

$1,132.45

Hospital Charge Code	270705310
Hospital Revenue Code	279
Min. Negotiated Rate	$147.22
Max. Negotiated Rate	$566.23
Rate for Payer: Aetna Commercial	$339.74
Rate for Payer: Aetna Medicare Advantage	$339.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$288.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$288.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$288.77
Rate for Payer: Cigna Commercial	$566.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.22
Rate for Payer: Oxford Commercial	$566.23
Rate for Payer: Qualcare PPO/HMO/WC	$169.87
Rate for Payer: UnitedHealthcare Commercial	$566.23

CATH CXI SPPT 4FR

Facility

$925.00

Service Code	HCPCS C1887
Hospital Charge Code	270677154S
Hospital Revenue Code	278
Min. Negotiated Rate	$138.75
Max. Negotiated Rate	$462.50
Rate for Payer: Aetna Commercial	$277.50
Rate for Payer: Aetna Medicare Advantage	$277.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$235.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$235.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$185.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$235.88
Rate for Payer: Cigna Commercial	$462.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$223.85
Rate for Payer: Qualcare PPO/HMO/WC	$138.75

CATH CXI SPPT 4FR

Facility

$925.00

Service Code	HCPCS C1887
Hospital Charge Code	270677154N
Hospital Revenue Code	278
Min. Negotiated Rate	$138.75
Max. Negotiated Rate	$462.50
Rate for Payer: Aetna Commercial	$277.50
Rate for Payer: Aetna Medicare Advantage	$277.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$235.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$235.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$185.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$235.88
Rate for Payer: Cigna Commercial	$462.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$223.85
Rate for Payer: Qualcare PPO/HMO/WC	$138.75

CATH CXI SPPT 4FR

Facility

$925.00

Service Code	HCPCS C1887
Hospital Charge Code	270677154S
Hospital Revenue Code	278
Min. Negotiated Rate	$138.75
Max. Negotiated Rate	$223.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$185.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$223.85
Rate for Payer: Qualcare PPO/HMO/WC	$138.75

CATH CXI SPPT 4FR

Facility

$925.00

Service Code	HCPCS C1887
Hospital Charge Code	270677154N
Hospital Revenue Code	278
Min. Negotiated Rate	$138.75
Max. Negotiated Rate	$223.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$185.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$223.85
Rate for Payer: Qualcare PPO/HMO/WC	$138.75

CATH CXI SPPT 4FR .035x135CM

Facility

$925.00

Hospital Charge Code	270677153
Hospital Revenue Code	272
Min. Negotiated Rate	$120.25
Max. Negotiated Rate	$462.50
Rate for Payer: Aetna Commercial	$277.50
Rate for Payer: Aetna Medicare Advantage	$277.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$235.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$235.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$235.88
Rate for Payer: Cigna Commercial	$462.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.25
Rate for Payer: Oxford Commercial	$462.50
Rate for Payer: Qualcare PPO/HMO/WC	$138.75
Rate for Payer: UnitedHealthcare Commercial	$462.50

CATH CXI SPPT 4FR .035x135CM

Facility

$925.00

Hospital Charge Code	270677153
Hospital Revenue Code	272
Min. Negotiated Rate	$138.75
Max. Negotiated Rate	$138.75
Rate for Payer: Qualcare PPO/HMO/WC	$138.75

CATH CXI SPPT 4FR .035x150

Facility

$1,024.95

Hospital Charge Code	270677154
Hospital Revenue Code	278
Min. Negotiated Rate	$153.74
Max. Negotiated Rate	$248.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$204.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$248.04
Rate for Payer: Qualcare PPO/HMO/WC	$153.74

CATH CXI SPPT 4FR .035x150

Facility

$1,024.95

Hospital Charge Code	270677154
Hospital Revenue Code	278
Min. Negotiated Rate	$153.74
Max. Negotiated Rate	$512.48
Rate for Payer: Aetna Commercial	$307.49
Rate for Payer: Aetna Medicare Advantage	$307.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$261.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$261.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$204.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$261.36
Rate for Payer: Cigna Commercial	$512.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$248.04
Rate for Payer: Qualcare PPO/HMO/WC	$153.74

CATH CXI SPPT 4FR .035x90 DAV

Facility

$1,024.95

Hospital Charge Code	270705311
Hospital Revenue Code	279
Min. Negotiated Rate	$153.74
Max. Negotiated Rate	$153.74
Rate for Payer: Qualcare PPO/HMO/WC	$153.74

CATH CXI SPPT 4FR .035x90 DAV

Facility

$1,024.95

Hospital Charge Code	270705311
Hospital Revenue Code	279
Min. Negotiated Rate	$133.24
Max. Negotiated Rate	$512.48
Rate for Payer: Aetna Commercial	$307.49
Rate for Payer: Aetna Medicare Advantage	$307.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$261.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$261.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$261.36
Rate for Payer: Cigna Commercial	$512.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.24
Rate for Payer: Oxford Commercial	$512.48
Rate for Payer: Qualcare PPO/HMO/WC	$153.74
Rate for Payer: UnitedHealthcare Commercial	$512.48

CATH CXI SPPT 4FR .035x90 STR

Facility

$1,024.95

Hospital Charge Code	270705312
Hospital Revenue Code	279
Min. Negotiated Rate	$153.74
Max. Negotiated Rate	$153.74
Rate for Payer: Qualcare PPO/HMO/WC	$153.74

Know your out-of-pocket cost for care.

All Charges