Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATHETER 5F PIGTAIL

Facility

$47.50

Service Code	HCPCS C1729
Hospital Charge Code	270658266N
Hospital Revenue Code	278
Min. Negotiated Rate	$7.12
Max. Negotiated Rate	$11.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.49
Rate for Payer: Qualcare PPO/HMO/WC	$7.12

CATHETER 5F PIGTAIL

Facility

$45.25

Service Code	HCPCS C1729
Hospital Charge Code	270658266
Hospital Revenue Code	278
Min. Negotiated Rate	$6.79
Max. Negotiated Rate	$22.62
Rate for Payer: Aetna Commercial	$13.57
Rate for Payer: Aetna Medicare Advantage	$13.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.54
Rate for Payer: Cigna Commercial	$22.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.95
Rate for Payer: Qualcare PPO/HMO/WC	$6.79

CATHETER 5F PIGTAIL

Facility

$47.50

Hospital Charge Code	2709000313
Hospital Revenue Code	272
Min. Negotiated Rate	$6.17
Max. Negotiated Rate	$23.75
Rate for Payer: Aetna Commercial	$14.25
Rate for Payer: Aetna Medicare Advantage	$14.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.11
Rate for Payer: Cigna Commercial	$23.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.17
Rate for Payer: Oxford Commercial	$23.75
Rate for Payer: Qualcare PPO/HMO/WC	$7.12
Rate for Payer: UnitedHealthcare Commercial	$23.75

CATHETER 5F PIGTAIL

Facility

$47.50

Service Code	HCPCS C1729
Hospital Charge Code	270658266N
Hospital Revenue Code	278
Min. Negotiated Rate	$7.12
Max. Negotiated Rate	$23.75
Rate for Payer: Aetna Commercial	$14.25
Rate for Payer: Aetna Medicare Advantage	$14.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.11
Rate for Payer: Cigna Commercial	$23.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.49
Rate for Payer: Qualcare PPO/HMO/WC	$7.12

CATHETER 5F PIGTAIL

Facility

$45.25

Service Code	HCPCS C1729
Hospital Charge Code	270658266
Hospital Revenue Code	278
Min. Negotiated Rate	$6.79
Max. Negotiated Rate	$10.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.95
Rate for Payer: Qualcare PPO/HMO/WC	$6.79

CATHETER 5F PIGTAIL

Facility

$45.25

Service Code	HCPCS C1729
Hospital Charge Code	270658266S
Hospital Revenue Code	278
Min. Negotiated Rate	$6.79
Max. Negotiated Rate	$10.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.95
Rate for Payer: Qualcare PPO/HMO/WC	$6.79

CATHETER 5F PIGTAIL

Facility

$47.50

Hospital Charge Code	2709000313
Hospital Revenue Code	272
Min. Negotiated Rate	$7.12
Max. Negotiated Rate	$7.12
Rate for Payer: Qualcare PPO/HMO/WC	$7.12

CATHETER 5F RCB

Facility

$237.50

Service Code	HCPCS C1887
Hospital Charge Code	270658060
Hospital Revenue Code	278
Min. Negotiated Rate	$35.62
Max. Negotiated Rate	$57.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.48
Rate for Payer: Qualcare PPO/HMO/WC	$35.62

CATHETER 5F RCB

Facility

$47.50

Hospital Charge Code	2709000311
Hospital Revenue Code	272
Min. Negotiated Rate	$7.12
Max. Negotiated Rate	$7.12
Rate for Payer: Qualcare PPO/HMO/WC	$7.12

CATHETER 5F RCB

Facility

$47.50

Hospital Charge Code	2709000311
Hospital Revenue Code	272
Min. Negotiated Rate	$6.17
Max. Negotiated Rate	$23.75
Rate for Payer: Aetna Commercial	$14.25
Rate for Payer: Aetna Medicare Advantage	$14.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.11
Rate for Payer: Cigna Commercial	$23.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.17
Rate for Payer: Oxford Commercial	$23.75
Rate for Payer: Qualcare PPO/HMO/WC	$7.12
Rate for Payer: UnitedHealthcare Commercial	$23.75

CATHETER 5F RCB

Facility

$237.50

Service Code	HCPCS C1887
Hospital Charge Code	270658060
Hospital Revenue Code	278
Min. Negotiated Rate	$35.62
Max. Negotiated Rate	$118.75
Rate for Payer: Aetna Commercial	$71.25
Rate for Payer: Aetna Medicare Advantage	$71.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.56
Rate for Payer: Cigna Commercial	$118.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.48
Rate for Payer: Qualcare PPO/HMO/WC	$35.62

CATHETER 5FR CTR FLUSH 65CM

Facility

$55.82

Hospital Charge Code	270651795
Hospital Revenue Code	272
Min. Negotiated Rate	$8.37
Max. Negotiated Rate	$8.37
Rate for Payer: Qualcare PPO/HMO/WC	$8.37

CATHETER 5FR CTR FLUSH 65CM

Facility

$55.82

Hospital Charge Code	270651795
Hospital Revenue Code	272
Min. Negotiated Rate	$7.26
Max. Negotiated Rate	$27.91
Rate for Payer: Aetna Commercial	$16.75
Rate for Payer: Aetna Medicare Advantage	$16.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.23
Rate for Payer: Cigna Commercial	$27.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.26
Rate for Payer: Oxford Commercial	$27.91
Rate for Payer: Qualcare PPO/HMO/WC	$8.37
Rate for Payer: UnitedHealthcare Commercial	$27.91

CATHETER 5FR CTR FLUSH 65CM

Facility

$27.91

Hospital Charge Code	270651795N
Hospital Revenue Code	272
Min. Negotiated Rate	$3.63
Max. Negotiated Rate	$13.96
Rate for Payer: Aetna Commercial	$8.37
Rate for Payer: Aetna Medicare Advantage	$8.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.12
Rate for Payer: Cigna Commercial	$13.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.63
Rate for Payer: Oxford Commercial	$13.96
Rate for Payer: Qualcare PPO/HMO/WC	$4.19
Rate for Payer: UnitedHealthcare Commercial	$13.96

CATHETER 5FR CTR FLUSH 65CM

Facility

$55.82

Hospital Charge Code	270651795S
Hospital Revenue Code	272
Min. Negotiated Rate	$8.37
Max. Negotiated Rate	$8.37
Rate for Payer: Qualcare PPO/HMO/WC	$8.37

CATHETER 5FR CTR FLUSH 65CM

Facility

$27.91

Hospital Charge Code	270651795N
Hospital Revenue Code	272
Min. Negotiated Rate	$4.19
Max. Negotiated Rate	$4.19
Rate for Payer: Qualcare PPO/HMO/WC	$4.19

CATHETER 5FR CTR FLUSH 65CM

Facility

$55.82

Hospital Charge Code	270651795S
Hospital Revenue Code	272
Min. Negotiated Rate	$7.26
Max. Negotiated Rate	$27.91
Rate for Payer: Aetna Commercial	$16.75
Rate for Payer: Aetna Medicare Advantage	$16.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.23
Rate for Payer: Cigna Commercial	$27.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.26
Rate for Payer: Oxford Commercial	$27.91
Rate for Payer: Qualcare PPO/HMO/WC	$8.37
Rate for Payer: UnitedHealthcare Commercial	$27.91

CATHETER 5FR JR 3.5

Facility

$47.50

Hospital Charge Code	2707400147
Hospital Revenue Code	272
Min. Negotiated Rate	$6.17
Max. Negotiated Rate	$23.75
Rate for Payer: Aetna Commercial	$14.25
Rate for Payer: Aetna Medicare Advantage	$14.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.11
Rate for Payer: Cigna Commercial	$23.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.17
Rate for Payer: Oxford Commercial	$23.75
Rate for Payer: Qualcare PPO/HMO/WC	$7.12
Rate for Payer: UnitedHealthcare Commercial	$23.75

CATHETER 5FR JR 3.5

Facility

$37.35

Service Code	HCPCS C1887
Hospital Charge Code	270658168S
Hospital Revenue Code	278
Min. Negotiated Rate	$5.60
Max. Negotiated Rate	$18.68
Rate for Payer: Aetna Commercial	$11.21
Rate for Payer: Aetna Medicare Advantage	$11.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.52
Rate for Payer: Cigna Commercial	$18.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.04
Rate for Payer: Qualcare PPO/HMO/WC	$5.60

CATHETER 5FR JR 3.5

Facility

$47.50

Service Code	HCPCS C1887
Hospital Charge Code	270658168N
Hospital Revenue Code	278
Min. Negotiated Rate	$7.12
Max. Negotiated Rate	$23.75
Rate for Payer: Aetna Commercial	$14.25
Rate for Payer: Aetna Medicare Advantage	$14.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.11
Rate for Payer: Cigna Commercial	$23.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.49
Rate for Payer: Qualcare PPO/HMO/WC	$7.12

CATHETER 5FR JR 3.5

Facility

$47.50

Service Code	HCPCS C1887
Hospital Charge Code	270658168N
Hospital Revenue Code	278
Min. Negotiated Rate	$7.12
Max. Negotiated Rate	$11.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.49
Rate for Payer: Qualcare PPO/HMO/WC	$7.12

CATHETER 5FR JR 3.5

Facility

$37.35

Service Code	HCPCS C1887
Hospital Charge Code	270658168S
Hospital Revenue Code	278
Min. Negotiated Rate	$5.60
Max. Negotiated Rate	$9.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.04
Rate for Payer: Qualcare PPO/HMO/WC	$5.60

CATHETER 5FR JR 3.5

Facility

$37.35

Service Code	HCPCS C1887
Hospital Charge Code	270658168
Hospital Revenue Code	278
Min. Negotiated Rate	$5.60
Max. Negotiated Rate	$18.68
Rate for Payer: Aetna Commercial	$11.21
Rate for Payer: Aetna Medicare Advantage	$11.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.52
Rate for Payer: Cigna Commercial	$18.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.04
Rate for Payer: Qualcare PPO/HMO/WC	$5.60

CATHETER 5FR JR 3.5

Facility

$47.50

Hospital Charge Code	2707400147
Hospital Revenue Code	272
Min. Negotiated Rate	$7.12
Max. Negotiated Rate	$7.12
Rate for Payer: Qualcare PPO/HMO/WC	$7.12

CATHETER 5FR JR 3.5

Facility

$37.35

Service Code	HCPCS C1887
Hospital Charge Code	270658168
Hospital Revenue Code	278
Min. Negotiated Rate	$5.60
Max. Negotiated Rate	$9.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.04
Rate for Payer: Qualcare PPO/HMO/WC	$5.60

Know your out-of-pocket cost for care.

All Charges