Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATH CXI SPPT 4FR .035x90 STR

Facility

$1,024.95

Hospital Charge Code	270705312
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 SUPP .014 2.3x135 STR

Facility

$1,024.95

Hospital Charge Code	270705307
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 SUPP .014 2.3x135 STR

Facility

$1,024.95

Hospital Charge Code	270705307
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 SUPP .018 2.6x150 ANG

Facility

$1,132.45

Hospital Charge Code	270705308
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 SUPP .018 2.6x150 ANG

Facility

$1,132.45

Hospital Charge Code	270705308
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 SUPP 2.3 FR 135CM ANG

Facility

$925.00

Hospital Charge Code	270673502S
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 SUPP 2.3 FR 135CM ANG

Facility

$925.00

Hospital Charge Code	270673502S
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 SUPP 2.3 FR 135CM ANG

Facility

$1,024.95

Hospital Charge Code	270673502
Hospital Revenue Code	272
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 SUPP 2.3 FR 135CM ANG

Facility

$1,024.95

Hospital Charge Code	270673502
Hospital Revenue Code	272
Min. Negotiated Rate	$153.74
Max. Negotiated Rate	$153.74
Rate for Payer: Qualcare PPO/HMO/WC	$153.74

CATH CXI SUPP 2.3FR 135CM ANG2

Facility

$975.00

Hospital Charge Code	270673503
Hospital Revenue Code	272
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$146.25
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

CATH CXI SUPP 2.3FR 135CM ANG2

Facility

$975.00

Hospital Charge Code	270673503
Hospital Revenue Code	272
Min. Negotiated Rate	$126.75
Max. Negotiated Rate	$487.50
Rate for Payer: Aetna Commercial	$292.50
Rate for Payer: Aetna Medicare Advantage	$292.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.62
Rate for Payer: Cigna Commercial	$487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.75
Rate for Payer: Oxford Commercial	$487.50
Rate for Payer: Qualcare PPO/HMO/WC	$146.25
Rate for Payer: UnitedHealthcare Commercial	$487.50

CATH CXI SUPP 2.3 FR 150CM ANG

Facility

$1,024.95

Hospital Charge Code	270673504
Hospital Revenue Code	272
Min. Negotiated Rate	$153.74
Max. Negotiated Rate	$153.74
Rate for Payer: Qualcare PPO/HMO/WC	$153.74

CATH CXI SUPP 2.3 FR 150CM ANG

Facility

$1,024.95

Hospital Charge Code	270673504
Hospital Revenue Code	272
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 SUPP 2.3FR 150CM ANG

Facility

$975.00

Hospital Charge Code	270673504S
Hospital Revenue Code	272
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$146.25
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

CATH CXI SUPP 2.3FR 150CM ANG

Facility

$975.00

Hospital Charge Code	270673504S
Hospital Revenue Code	272
Min. Negotiated Rate	$126.75
Max. Negotiated Rate	$487.50
Rate for Payer: Aetna Commercial	$292.50
Rate for Payer: Aetna Medicare Advantage	$292.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.62
Rate for Payer: Cigna Commercial	$487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.75
Rate for Payer: Oxford Commercial	$487.50
Rate for Payer: Qualcare PPO/HMO/WC	$146.25
Rate for Payer: UnitedHealthcare Commercial	$487.50

CATH CXI SUPP 2.3FR 150CM ANG2

Facility

$975.00

Hospital Charge Code	270673505
Hospital Revenue Code	272
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$146.25
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

CATH CXI SUPP 2.3FR 150CM ANG2

Facility

$975.00

Hospital Charge Code	270673505
Hospital Revenue Code	272
Min. Negotiated Rate	$126.75
Max. Negotiated Rate	$487.50
Rate for Payer: Aetna Commercial	$292.50
Rate for Payer: Aetna Medicare Advantage	$292.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.62
Rate for Payer: Cigna Commercial	$487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.75
Rate for Payer: Oxford Commercial	$487.50
Rate for Payer: Qualcare PPO/HMO/WC	$146.25
Rate for Payer: UnitedHealthcare Commercial	$487.50

CATH CXI SUPP 2.3 FR 65CM ANG

Facility

$925.00

Hospital Charge Code	270673492
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 SUPP 2.3 FR 65CM ANG

Facility

$925.00

Hospital Charge Code	270673492
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 SUPP 2.3 FR 65CM ANG2

Facility

$975.00

Hospital Charge Code	270673496
Hospital Revenue Code	272
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$146.25
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

CATH CXI SUPP 2.3 FR 65CM ANG2

Facility

$975.00

Hospital Charge Code	270673496
Hospital Revenue Code	272
Min. Negotiated Rate	$126.75
Max. Negotiated Rate	$487.50
Rate for Payer: Aetna Commercial	$292.50
Rate for Payer: Aetna Medicare Advantage	$292.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.62
Rate for Payer: Cigna Commercial	$487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.75
Rate for Payer: Oxford Commercial	$487.50
Rate for Payer: Qualcare PPO/HMO/WC	$146.25
Rate for Payer: UnitedHealthcare Commercial	$487.50

CATH CXI SUPP 2.3 FR 65CM STR

Facility

$1,020.00

Hospital Charge Code	270673497
Hospital Revenue Code	272
Min. Negotiated Rate	$153.00
Max. Negotiated Rate	$153.00
Rate for Payer: Qualcare PPO/HMO/WC	$153.00

CATH CXI SUPP 2.3 FR 65CM STR

Facility

$1,020.00

Hospital Charge Code	270673497
Hospital Revenue Code	272
Min. Negotiated Rate	$132.60
Max. Negotiated Rate	$510.00
Rate for Payer: Aetna Commercial	$306.00
Rate for Payer: Aetna Medicare Advantage	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$260.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$260.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$260.10
Rate for Payer: Cigna Commercial	$510.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$132.60
Rate for Payer: Oxford Commercial	$510.00
Rate for Payer: Qualcare PPO/HMO/WC	$153.00
Rate for Payer: UnitedHealthcare Commercial	$510.00

CATH CXI SUPP 2.3 FR 90CM ANG

Facility

$975.00

Hospital Charge Code	270671144
Hospital Revenue Code	272
Min. Negotiated Rate	$126.75
Max. Negotiated Rate	$487.50
Rate for Payer: Aetna Commercial	$292.50
Rate for Payer: Aetna Medicare Advantage	$292.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.62
Rate for Payer: Cigna Commercial	$487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.75
Rate for Payer: Oxford Commercial	$487.50
Rate for Payer: Qualcare PPO/HMO/WC	$146.25
Rate for Payer: UnitedHealthcare Commercial	$487.50

CATH CXI SUPP 2.3 FR 90CM ANG

Facility

$975.00

Hospital Charge Code	270671144
Hospital Revenue Code	272
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$146.25
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

Know your out-of-pocket cost for care.

All Charges