Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATHETER 12 FR HIGH 20 CM

Facility

$2,647.60

Hospital Charge Code	270700834
Hospital Revenue Code	278
Min. Negotiated Rate	$397.14
Max. Negotiated Rate	$1,323.80
Rate for Payer: Aetna Commercial	$794.28
Rate for Payer: Aetna Medicare Advantage	$794.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$675.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$675.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$529.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$675.14
Rate for Payer: Cigna Commercial	$1,323.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$640.72
Rate for Payer: Qualcare PPO/HMO/WC	$397.14

CATHETER 130CM 5F SIMMON

Facility

$625.00

Service Code	HCPCS C1725
Hospital Charge Code	270695066S
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$187.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

CATHETER 130CM 5F SIMMON

Facility

$625.00

Service Code	HCPCS C1725
Hospital Charge Code	270695066S
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$151.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

CATHETER 130 CM TO CAT 7

Facility

$40,100.00

Hospital Charge Code	270700669
Hospital Revenue Code	272
Min. Negotiated Rate	$6,015.00
Max. Negotiated Rate	$6,015.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,015.00

CATHETER 130 CM TO CAT 7

Facility

$40,100.00

Hospital Charge Code	270700669
Hospital Revenue Code	272
Min. Negotiated Rate	$5,213.00
Max. Negotiated Rate	$20,050.00
Rate for Payer: Aetna Commercial	$12,030.00
Rate for Payer: Aetna Medicare Advantage	$12,030.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,225.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,225.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10,225.50
Rate for Payer: Cigna Commercial	$20,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,213.00
Rate for Payer: Oxford Commercial	$20,050.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,015.00
Rate for Payer: UnitedHealthcare Commercial	$20,050.00

CATHETER 14FR CLOSED TRACH

Facility

$35.00

Hospital Charge Code	270689128
Hospital Revenue Code	272
Min. Negotiated Rate	$4.55
Max. Negotiated Rate	$17.50
Rate for Payer: Aetna Commercial	$10.50
Rate for Payer: Aetna Medicare Advantage	$10.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.93
Rate for Payer: Cigna Commercial	$17.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.55
Rate for Payer: Oxford Commercial	$17.50
Rate for Payer: Qualcare PPO/HMO/WC	$5.25
Rate for Payer: UnitedHealthcare Commercial	$17.50

CATHETER 14FR CLOSED TRACH

Facility

$35.00

Hospital Charge Code	270689128
Hospital Revenue Code	272
Min. Negotiated Rate	$5.25
Max. Negotiated Rate	$5.25
Rate for Payer: Qualcare PPO/HMO/WC	$5.25

CATHETER 14FX15CM SLX DOUBLE L

Facility

$465.00

Hospital Charge Code	270CH0065
Hospital Revenue Code	278
Min. Negotiated Rate	$69.75
Max. Negotiated Rate	$232.50
Rate for Payer: Aetna Commercial	$139.50
Rate for Payer: Aetna Medicare Advantage	$139.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$118.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$118.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$93.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$118.58
Rate for Payer: Cigna Commercial	$232.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$112.53
Rate for Payer: Qualcare PPO/HMO/WC	$69.75

CATHETER 14FX15CM SLX DOUBLE L

Facility

$465.00

Hospital Charge Code	270CH0065
Hospital Revenue Code	278
Min. Negotiated Rate	$69.75
Max. Negotiated Rate	$112.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$93.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$112.53
Rate for Payer: Qualcare PPO/HMO/WC	$69.75

CATHETER 14F X20CM SLX DOUBLE

Facility

$425.00

Hospital Charge Code	270CH0066
Hospital Revenue Code	278
Min. Negotiated Rate	$63.75
Max. Negotiated Rate	$102.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$85.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.85
Rate for Payer: Qualcare PPO/HMO/WC	$63.75

CATHETER 14F X20CM SLX DOUBLE

Facility

$425.00

Hospital Charge Code	270CH0066
Hospital Revenue Code	278
Min. Negotiated Rate	$63.75
Max. Negotiated Rate	$212.50
Rate for Payer: Aetna Commercial	$127.50
Rate for Payer: Aetna Medicare Advantage	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$85.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$108.38
Rate for Payer: Cigna Commercial	$212.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.85
Rate for Payer: Qualcare PPO/HMO/WC	$63.75

CATHETER 16FR 20 IN 4 EYE

Facility

$33.60

Hospital Charge Code	270697328
Hospital Revenue Code	272
Min. Negotiated Rate	$5.04
Max. Negotiated Rate	$5.04
Rate for Payer: Qualcare PPO/HMO/WC	$5.04

CATHETER 16FR 20 IN 4 EYE

Facility

$33.60

Hospital Charge Code	270697328
Hospital Revenue Code	272
Min. Negotiated Rate	$4.37
Max. Negotiated Rate	$16.80
Rate for Payer: Aetna Commercial	$10.08
Rate for Payer: Aetna Medicare Advantage	$10.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.57
Rate for Payer: Cigna Commercial	$16.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.37
Rate for Payer: Oxford Commercial	$16.80
Rate for Payer: Qualcare PPO/HMO/WC	$5.04
Rate for Payer: UnitedHealthcare Commercial	$16.80

CATHETER 20FR 5CC 3WAY FOLEY

Facility

$191.00

Hospital Charge Code	270331252
Hospital Revenue Code	272
Min. Negotiated Rate	$24.83
Max. Negotiated Rate	$95.50
Rate for Payer: Aetna Commercial	$57.30
Rate for Payer: Aetna Medicare Advantage	$57.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.70
Rate for Payer: Cigna Commercial	$95.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.83
Rate for Payer: Oxford Commercial	$95.50
Rate for Payer: Qualcare PPO/HMO/WC	$28.65
Rate for Payer: UnitedHealthcare Commercial	$95.50

CATHETER 20FR 5CC 3WAY FOLEY

Facility

$191.00

Hospital Charge Code	270331252
Hospital Revenue Code	272
Min. Negotiated Rate	$28.65
Max. Negotiated Rate	$28.65
Rate for Payer: Qualcare PPO/HMO/WC	$28.65

CATHETER 26FR 30CC/ML RIBBED

Facility

$60.60

Hospital Charge Code	270664341
Hospital Revenue Code	272
Min. Negotiated Rate	$7.88
Max. Negotiated Rate	$30.30
Rate for Payer: Aetna Commercial	$18.18
Rate for Payer: Aetna Medicare Advantage	$18.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.45
Rate for Payer: Cigna Commercial	$30.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.88
Rate for Payer: Oxford Commercial	$30.30
Rate for Payer: Qualcare PPO/HMO/WC	$9.09
Rate for Payer: UnitedHealthcare Commercial	$30.30

CATHETER 26FR 30CC/ML RIBBED

Facility

$60.60

Hospital Charge Code	270664341
Hospital Revenue Code	272
Min. Negotiated Rate	$9.09
Max. Negotiated Rate	$9.09
Rate for Payer: Qualcare PPO/HMO/WC	$9.09

CATHETER 26FR 5CC/ML RIBBED

Facility

$55.95

Hospital Charge Code	270664342
Hospital Revenue Code	272
Min. Negotiated Rate	$7.27
Max. Negotiated Rate	$27.98
Rate for Payer: Aetna Commercial	$16.79
Rate for Payer: Aetna Medicare Advantage	$16.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.27
Rate for Payer: Cigna Commercial	$27.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.27
Rate for Payer: Oxford Commercial	$27.98
Rate for Payer: Qualcare PPO/HMO/WC	$8.39
Rate for Payer: UnitedHealthcare Commercial	$27.98

CATHETER 26FR 5CC/ML RIBBED

Facility

$55.95

Hospital Charge Code	270664342
Hospital Revenue Code	272
Min. Negotiated Rate	$8.39
Max. Negotiated Rate	$8.39
Rate for Payer: Qualcare PPO/HMO/WC	$8.39

CATHETER 3 MAX W TUBE

Facility

$8,750.00

Service Code	HCPCS C1725
Hospital Charge Code	270682967N
Hospital Revenue Code	278
Min. Negotiated Rate	$1,312.50
Max. Negotiated Rate	$4,375.00
Rate for Payer: Aetna Commercial	$2,625.00
Rate for Payer: Aetna Medicare Advantage	$2,625.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,231.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,231.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,231.25
Rate for Payer: Cigna Commercial	$4,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,117.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,312.50

CATHETER 3 MAX W TUBE

Facility

$8,750.00

Service Code	HCPCS C1725
Hospital Charge Code	270682967N
Hospital Revenue Code	278
Min. Negotiated Rate	$1,312.50
Max. Negotiated Rate	$2,117.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,117.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,312.50

CATHETER 3 MAX W TUBE

Facility

$8,750.00

Service Code	HCPCS C1725
Hospital Charge Code	270682967
Hospital Revenue Code	278
Min. Negotiated Rate	$1,312.50
Max. Negotiated Rate	$4,375.00
Rate for Payer: Aetna Commercial	$2,625.00
Rate for Payer: Aetna Medicare Advantage	$2,625.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,231.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,231.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,231.25
Rate for Payer: Cigna Commercial	$4,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,117.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,312.50

CATHETER 3 MAX W TUBE

Facility

$8,750.00

Service Code	HCPCS C1725
Hospital Charge Code	270682967
Hospital Revenue Code	278
Min. Negotiated Rate	$1,312.50
Max. Negotiated Rate	$2,117.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,117.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,312.50

CATHETER3WAY30CCLUBHAMATURIA

Facility

$398.95

Hospital Charge Code	270663715
Hospital Revenue Code	272
Min. Negotiated Rate	$59.84
Max. Negotiated Rate	$59.84
Rate for Payer: Qualcare PPO/HMO/WC	$59.84

CATHETER3WAY30CCLUBHAMATURIA

Facility

$398.95

Hospital Charge Code	270663715
Hospital Revenue Code	272
Min. Negotiated Rate	$51.86
Max. Negotiated Rate	$199.47
Rate for Payer: Aetna Commercial	$119.69
Rate for Payer: Aetna Medicare Advantage	$119.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$101.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$101.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$101.73
Rate for Payer: Cigna Commercial	$199.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.86
Rate for Payer: Oxford Commercial	$199.47
Rate for Payer: Qualcare PPO/HMO/WC	$59.84
Rate for Payer: UnitedHealthcare Commercial	$199.47

Know your out-of-pocket cost for care.

All Charges