Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATH CXI SUPP 4 FR 150CM ANG

Facility

$1,024.95

Hospital Charge Code	270673512
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 CYSTO BALN DBL 20FR******

Facility

$249.00

Hospital Charge Code	1604529
Hospital Revenue Code	272
Min. Negotiated Rate	$32.37
Max. Negotiated Rate	$124.50
Rate for Payer: Aetna Commercial	$74.70
Rate for Payer: Aetna Medicare Advantage	$74.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.49
Rate for Payer: Cigna Commercial	$124.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.37
Rate for Payer: Oxford Commercial	$124.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.35
Rate for Payer: UnitedHealthcare Commercial	$124.50

CATH CYSTO BALN DBL 20FR******

Facility

$249.00

Hospital Charge Code	1604529
Hospital Revenue Code	272
Min. Negotiated Rate	$37.35
Max. Negotiated Rate	$37.35
Rate for Payer: Qualcare PPO/HMO/WC	$37.35

CATH DAVIS 5FR

Facility

$74.30

Service Code	HCPCS C1887
Hospital Charge Code	270677004
Hospital Revenue Code	272
Min. Negotiated Rate	$9.66
Max. Negotiated Rate	$37.15
Rate for Payer: Aetna Commercial	$22.29
Rate for Payer: Aetna Medicare Advantage	$22.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.95
Rate for Payer: Cigna Commercial	$37.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.66
Rate for Payer: Oxford Commercial	$37.15
Rate for Payer: Qualcare PPO/HMO/WC	$11.14
Rate for Payer: UnitedHealthcare Commercial	$37.15

CATH DAVIS 5FR

Facility

$74.30

Service Code	HCPCS C1887
Hospital Charge Code	270677004
Hospital Revenue Code	272
Min. Negotiated Rate	$11.14
Max. Negotiated Rate	$11.14
Rate for Payer: Qualcare PPO/HMO/WC	$11.14

CATH DEVICE CTO CROSS FLEX 150

Facility

$10,975.00

Service Code	HCPCS C1887
Hospital Charge Code	270661755
Hospital Revenue Code	278
Min. Negotiated Rate	$1,646.25
Max. Negotiated Rate	$5,487.50
Rate for Payer: Aetna Commercial	$3,292.50
Rate for Payer: Aetna Medicare Advantage	$3,292.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,798.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,798.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,798.62
Rate for Payer: Cigna Commercial	$5,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,655.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,646.25

CATH DEVICE CTO CROSS FLEX 150

Facility

$10,975.00

Service Code	HCPCS C1887
Hospital Charge Code	270661755
Hospital Revenue Code	278
Min. Negotiated Rate	$1,646.25
Max. Negotiated Rate	$2,655.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,655.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,646.25

CATH DIAMONDBK 1.25MICRO145CM

Facility

$18,475.00

Service Code	HCPCS C1724
Hospital Charge Code	270693011
Hospital Revenue Code	278
Min. Negotiated Rate	$2,771.25
Max. Negotiated Rate	$4,470.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,695.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,470.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,771.25

CATH DIAMONDBK 1.25MICRO145CM

Facility

$18,475.00

Service Code	HCPCS C1724
Hospital Charge Code	270693011
Hospital Revenue Code	278
Min. Negotiated Rate	$2,771.25
Max. Negotiated Rate	$9,237.50
Rate for Payer: Aetna Commercial	$5,542.50
Rate for Payer: Aetna Medicare Advantage	$5,542.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,711.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,711.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,695.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,711.12
Rate for Payer: Cigna Commercial	$9,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,470.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,771.25

CATH DIAMOND BK CL CROWN 2.25

Facility

$15,975.00

Hospital Charge Code	270642391V
Hospital Revenue Code	278
Min. Negotiated Rate	$2,396.25
Max. Negotiated Rate	$3,865.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,865.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,396.25

CATH DIAMOND BK CL CROWN 2.25

Facility

$15,975.00

Hospital Charge Code	270642391V
Hospital Revenue Code	278
Min. Negotiated Rate	$2,396.25
Max. Negotiated Rate	$7,987.50
Rate for Payer: Aetna Commercial	$4,792.50
Rate for Payer: Aetna Medicare Advantage	$4,792.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,073.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,073.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,073.62
Rate for Payer: Cigna Commercial	$7,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,865.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,396.25

CATH DIL GUIDE FUBUKI 6FR 80CM

Facility

$2,745.00

Service Code	HCPCS C1887
Hospital Charge Code	270699484S
Hospital Revenue Code	278
Min. Negotiated Rate	$411.75
Max. Negotiated Rate	$664.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$549.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$664.29
Rate for Payer: Qualcare PPO/HMO/WC	$411.75

CATH DIL GUIDE FUBUKI 6FR 80CM

Facility

$2,745.00

Service Code	HCPCS C1887
Hospital Charge Code	270699484S
Hospital Revenue Code	278
Min. Negotiated Rate	$411.75
Max. Negotiated Rate	$1,372.50
Rate for Payer: Aetna Commercial	$823.50
Rate for Payer: Aetna Medicare Advantage	$823.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$699.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$699.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$549.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$699.98
Rate for Payer: Cigna Commercial	$1,372.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$664.29
Rate for Payer: Qualcare PPO/HMO/WC	$411.75

CATH DRAINAGE 16FR 40CM 0.038

Facility

$457.60

Hospital Charge Code	270648117
Hospital Revenue Code	272
Min. Negotiated Rate	$59.49
Max. Negotiated Rate	$228.80
Rate for Payer: Aetna Commercial	$137.28
Rate for Payer: Aetna Medicare Advantage	$137.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$116.69
Rate for Payer: Cigna Commercial	$228.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.49
Rate for Payer: Oxford Commercial	$228.80
Rate for Payer: Qualcare PPO/HMO/WC	$68.64
Rate for Payer: UnitedHealthcare Commercial	$228.80

CATH DRAINAGE 16FR 40CM 0.038

Facility

$457.60

Hospital Charge Code	270648117
Hospital Revenue Code	272
Min. Negotiated Rate	$68.64
Max. Negotiated Rate	$68.64
Rate for Payer: Qualcare PPO/HMO/WC	$68.64

CATH DRAINAGE APD GLIDEX 8FR

Facility

$466.90

Hospital Charge Code	270651754
Hospital Revenue Code	272
Min. Negotiated Rate	$70.03
Max. Negotiated Rate	$70.03
Rate for Payer: Qualcare PPO/HMO/WC	$70.03

CATH DRAINAGE APD GLIDEX 8FR

Facility

$466.90

Hospital Charge Code	270651754
Hospital Revenue Code	272
Min. Negotiated Rate	$60.70
Max. Negotiated Rate	$233.45
Rate for Payer: Aetna Commercial	$140.07
Rate for Payer: Aetna Medicare Advantage	$140.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.06
Rate for Payer: Cigna Commercial	$233.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.70
Rate for Payer: Oxford Commercial	$233.45
Rate for Payer: Qualcare PPO/HMO/WC	$70.03
Rate for Payer: UnitedHealthcare Commercial	$233.45

CATH DRAINAGE THAL-QUICK 16FR

Facility

$694.40

Hospital Charge Code	270624607
Hospital Revenue Code	272
Min. Negotiated Rate	$90.27
Max. Negotiated Rate	$347.20
Rate for Payer: Aetna Commercial	$208.32
Rate for Payer: Aetna Medicare Advantage	$208.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$177.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$177.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$177.07
Rate for Payer: Cigna Commercial	$347.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.27
Rate for Payer: Oxford Commercial	$347.20
Rate for Payer: Qualcare PPO/HMO/WC	$104.16
Rate for Payer: UnitedHealthcare Commercial	$347.20

CATH DRAINAGE THAL-QUICK 16FR

Facility

$694.40

Hospital Charge Code	270624607
Hospital Revenue Code	272
Min. Negotiated Rate	$104.16
Max. Negotiated Rate	$104.16
Rate for Payer: Qualcare PPO/HMO/WC	$104.16

CATH DRAINGE BILIAR 12F G09499

Facility

$443.00

Hospital Charge Code	270637472C
Hospital Revenue Code	278
Min. Negotiated Rate	$66.45
Max. Negotiated Rate	$107.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$88.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.21
Rate for Payer: Qualcare PPO/HMO/WC	$66.45

CATH DRAINGE BILIAR 12F G09499

Facility

$443.00

Hospital Charge Code	270637472C
Hospital Revenue Code	278
Min. Negotiated Rate	$66.45
Max. Negotiated Rate	$221.50
Rate for Payer: Aetna Commercial	$132.90
Rate for Payer: Aetna Medicare Advantage	$132.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$112.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$112.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$88.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$112.97
Rate for Payer: Cigna Commercial	$221.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.21
Rate for Payer: Qualcare PPO/HMO/WC	$66.45

CATH DRAINGE BILIARY 12FR

Facility

$595.15

Hospital Charge Code	270637472
Hospital Revenue Code	272
Min. Negotiated Rate	$77.37
Max. Negotiated Rate	$297.57
Rate for Payer: Aetna Commercial	$178.54
Rate for Payer: Aetna Medicare Advantage	$178.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.76
Rate for Payer: Cigna Commercial	$297.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.37
Rate for Payer: Oxford Commercial	$297.57
Rate for Payer: Qualcare PPO/HMO/WC	$89.27
Rate for Payer: UnitedHealthcare Commercial	$297.57

CATH DRAINGE BILIARY 12FR

Facility

$595.15

Hospital Charge Code	270637472
Hospital Revenue Code	272
Min. Negotiated Rate	$89.27
Max. Negotiated Rate	$89.27
Rate for Payer: Qualcare PPO/HMO/WC	$89.27

CATH DRC 3 SH 67013100

Facility

$240.00

Service Code	HCPCS C1887
Hospital Charge Code	270636345
Hospital Revenue Code	278
Min. Negotiated Rate	$36.00
Max. Negotiated Rate	$120.00
Rate for Payer: Aetna Commercial	$72.00
Rate for Payer: Aetna Medicare Advantage	$72.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.20
Rate for Payer: Cigna Commercial	$120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.08
Rate for Payer: Qualcare PPO/HMO/WC	$36.00

CATH DRC 3 SH 67013100

Facility

$240.00

Service Code	HCPCS C1887
Hospital Charge Code	270636345
Hospital Revenue Code	278
Min. Negotiated Rate	$36.00
Max. Negotiated Rate	$58.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.08
Rate for Payer: Qualcare PPO/HMO/WC	$36.00

Know your out-of-pocket cost for care.

All Charges