Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATHETER 7.5FR 40 CC FIBER

Facility

$5,227.25

Hospital Charge Code	270682409
Hospital Revenue Code	272
Min. Negotiated Rate	$784.09
Max. Negotiated Rate	$784.09
Rate for Payer: Qualcare PPO/HMO/WC	$784.09

CATHETER 7.5FR 40 CC FIBER

Facility

$5,227.25

Hospital Charge Code	270682409
Hospital Revenue Code	272
Min. Negotiated Rate	$679.54
Max. Negotiated Rate	$2,613.62
Rate for Payer: Aetna Commercial	$1,568.17
Rate for Payer: Aetna Medicare Advantage	$1,568.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,332.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,332.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,332.95
Rate for Payer: Cigna Commercial	$2,613.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$679.54
Rate for Payer: Oxford Commercial	$2,613.62
Rate for Payer: Qualcare PPO/HMO/WC	$784.09
Rate for Payer: UnitedHealthcare Commercial	$2,613.62

CATHETER 7FR AL1 527-740

Facility

$52.15

Hospital Charge Code	270618296
Hospital Revenue Code	272
Min. Negotiated Rate	$6.78
Max. Negotiated Rate	$26.07
Rate for Payer: Aetna Commercial	$15.64
Rate for Payer: Aetna Medicare Advantage	$15.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.30
Rate for Payer: Cigna Commercial	$26.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.78
Rate for Payer: Oxford Commercial	$26.07
Rate for Payer: Qualcare PPO/HMO/WC	$7.82
Rate for Payer: UnitedHealthcare Commercial	$26.07

CATHETER 7FR AL1 527-740

Facility

$52.15

Hospital Charge Code	270618296
Hospital Revenue Code	272
Min. Negotiated Rate	$7.82
Max. Negotiated Rate	$7.82
Rate for Payer: Qualcare PPO/HMO/WC	$7.82

CATHETER 7FR JL5.0 SH 78800900

Facility

$280.00

Hospital Charge Code	270662300
Hospital Revenue Code	272
Min. Negotiated Rate	$42.00
Max. Negotiated Rate	$42.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.00

CATHETER 7FR JL5.0 SH 78800900

Facility

$280.00

Hospital Charge Code	270662300
Hospital Revenue Code	272
Min. Negotiated Rate	$36.40
Max. Negotiated Rate	$140.00
Rate for Payer: Aetna Commercial	$84.00
Rate for Payer: Aetna Medicare Advantage	$84.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71.40
Rate for Payer: Cigna Commercial	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.40
Rate for Payer: Oxford Commercial	$140.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.00
Rate for Payer: UnitedHealthcare Commercial	$140.00

CATHETER 7FR XB 3-1 INTERVENTN

Facility

$220.00

Service Code	HCPCS C1751
Hospital Charge Code	270658029
Hospital Revenue Code	278
Min. Negotiated Rate	$33.00
Max. Negotiated Rate	$53.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.24
Rate for Payer: Qualcare PPO/HMO/WC	$33.00

CATHETER 7FR XB 3-1 INTERVENTN

Facility

$220.00

Service Code	HCPCS C1751
Hospital Charge Code	270658029
Hospital Revenue Code	278
Min. Negotiated Rate	$33.00
Max. Negotiated Rate	$110.00
Rate for Payer: Aetna Commercial	$66.00
Rate for Payer: Aetna Medicare Advantage	$66.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.10
Rate for Payer: Cigna Commercial	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.24
Rate for Payer: Qualcare PPO/HMO/WC	$33.00

CATHETER 8 F 50CC IAB FIBER

Facility

$5,227.25

Hospital Charge Code	270682408
Hospital Revenue Code	272
Min. Negotiated Rate	$784.09
Max. Negotiated Rate	$784.09
Rate for Payer: Qualcare PPO/HMO/WC	$784.09

CATHETER 8 F 50CC IAB FIBER

Facility

$5,227.25

Hospital Charge Code	270682408
Hospital Revenue Code	272
Min. Negotiated Rate	$679.54
Max. Negotiated Rate	$2,613.62
Rate for Payer: Aetna Commercial	$1,568.17
Rate for Payer: Aetna Medicare Advantage	$1,568.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,332.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,332.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,332.95
Rate for Payer: Cigna Commercial	$2,613.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$679.54
Rate for Payer: Oxford Commercial	$2,613.62
Rate for Payer: Qualcare PPO/HMO/WC	$784.09
Rate for Payer: UnitedHealthcare Commercial	$2,613.62

CATHETER 8FR. FLEXIMA NEPHROST

Facility

$359.45

Hospital Charge Code	2706000659
Hospital Revenue Code	272
Min. Negotiated Rate	$53.92
Max. Negotiated Rate	$53.92
Rate for Payer: Qualcare PPO/HMO/WC	$53.92

CATHETER 8FR. FLEXIMA NEPHROST

Facility

$359.45

Hospital Charge Code	2706000659
Hospital Revenue Code	272
Min. Negotiated Rate	$46.73
Max. Negotiated Rate	$179.72
Rate for Payer: Aetna Commercial	$107.83
Rate for Payer: Aetna Medicare Advantage	$107.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.66
Rate for Payer: Cigna Commercial	$179.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.73
Rate for Payer: Oxford Commercial	$179.72
Rate for Payer: Qualcare PPO/HMO/WC	$53.92
Rate for Payer: UnitedHealthcare Commercial	$179.72

CATHETER ABDOMINAL 10FR LUMAX

Facility

$1,927.00

Hospital Charge Code	270657869
Hospital Revenue Code	272
Min. Negotiated Rate	$250.51
Max. Negotiated Rate	$963.50
Rate for Payer: Aetna Commercial	$578.10
Rate for Payer: Aetna Medicare Advantage	$578.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$491.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$491.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$491.38
Rate for Payer: Cigna Commercial	$963.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$250.51
Rate for Payer: Oxford Commercial	$963.50
Rate for Payer: Qualcare PPO/HMO/WC	$289.05
Rate for Payer: UnitedHealthcare Commercial	$963.50

CATHETER ABDOMINAL 10FR LUMAX

Facility

$1,927.00

Hospital Charge Code	270657869
Hospital Revenue Code	272
Min. Negotiated Rate	$289.05
Max. Negotiated Rate	$289.05
Rate for Payer: Qualcare PPO/HMO/WC	$289.05

CATHETER,AC-CIRC.C KIT19CM-13

Facility

$470.00

Hospital Charge Code	270335404
Hospital Revenue Code	272
Min. Negotiated Rate	$61.10
Max. Negotiated Rate	$235.00
Rate for Payer: Aetna Commercial	$141.00
Rate for Payer: Aetna Medicare Advantage	$141.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.85
Rate for Payer: Cigna Commercial	$235.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.10
Rate for Payer: Oxford Commercial	$235.00
Rate for Payer: Qualcare PPO/HMO/WC	$70.50
Rate for Payer: UnitedHealthcare Commercial	$235.00

CATHETER,AC-CIRC.C KIT19CM-13

Facility

$470.00

Hospital Charge Code	270335404
Hospital Revenue Code	272
Min. Negotiated Rate	$70.50
Max. Negotiated Rate	$70.50
Rate for Payer: Qualcare PPO/HMO/WC	$70.50

CATHETER ACE60 REFERFUSION W/T

Facility

$12,125.00

Service Code	HCPCS C1725
Hospital Charge Code	270682965N
Hospital Revenue Code	278
Min. Negotiated Rate	$1,818.75
Max. Negotiated Rate	$2,934.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,934.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,818.75

CATHETER ACE60 REFERFUSION W/T

Facility

$12,125.00

Service Code	HCPCS C1725
Hospital Charge Code	270682965
Hospital Revenue Code	278
Min. Negotiated Rate	$1,818.75
Max. Negotiated Rate	$6,062.50
Rate for Payer: Aetna Commercial	$3,637.50
Rate for Payer: Aetna Medicare Advantage	$3,637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,091.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,091.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,425.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,091.88
Rate for Payer: Cigna Commercial	$6,062.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,934.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,818.75

CATHETER ACE60 REFERFUSION W/T

Facility

$12,125.00

Service Code	HCPCS C1725
Hospital Charge Code	270682965S
Hospital Revenue Code	278
Min. Negotiated Rate	$1,818.75
Max. Negotiated Rate	$2,934.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,934.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,818.75

CATHETER ACE60 REFERFUSION W/T

Facility

$12,125.00

Service Code	HCPCS C1725
Hospital Charge Code	270682965S
Hospital Revenue Code	278
Min. Negotiated Rate	$1,818.75
Max. Negotiated Rate	$6,062.50
Rate for Payer: Aetna Commercial	$3,637.50
Rate for Payer: Aetna Medicare Advantage	$3,637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,091.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,091.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,425.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,091.88
Rate for Payer: Cigna Commercial	$6,062.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,934.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,818.75

CATHETER ACE60 REFERFUSION W/T

Facility

$12,125.00

Service Code	HCPCS C1725
Hospital Charge Code	270682965N
Hospital Revenue Code	278
Min. Negotiated Rate	$1,818.75
Max. Negotiated Rate	$6,062.50
Rate for Payer: Aetna Commercial	$3,637.50
Rate for Payer: Aetna Medicare Advantage	$3,637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,091.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,091.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,425.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,091.88
Rate for Payer: Cigna Commercial	$6,062.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,934.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,818.75

CATHETER ACE60 REFERFUSION W/T

Facility

$12,125.00

Service Code	HCPCS C1725
Hospital Charge Code	270682965
Hospital Revenue Code	278
Min. Negotiated Rate	$1,818.75
Max. Negotiated Rate	$2,934.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,934.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,818.75

CATHETER ACE64 REFERFUSION W/T

Facility

$13,750.00

Service Code	HCPCS C1725
Hospital Charge Code	270682964
Hospital Revenue Code	278
Min. Negotiated Rate	$2,062.50
Max. Negotiated Rate	$6,875.00
Rate for Payer: Aetna Commercial	$4,125.00
Rate for Payer: Aetna Medicare Advantage	$4,125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,506.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,506.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,506.25
Rate for Payer: Cigna Commercial	$6,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,327.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,062.50

CATHETER ACE64 REFERFUSION W/T

Facility

$13,750.00

Service Code	HCPCS C1725
Hospital Charge Code	270682964
Hospital Revenue Code	278
Min. Negotiated Rate	$2,062.50
Max. Negotiated Rate	$3,327.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,327.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,062.50

CATHETER ACE68 REFERFUSION W/T

Facility

$13,750.00

Service Code	HCPCS C1725
Hospital Charge Code	270682963
Hospital Revenue Code	278
Min. Negotiated Rate	$2,062.50
Max. Negotiated Rate	$6,875.00
Rate for Payer: Aetna Commercial	$4,125.00
Rate for Payer: Aetna Medicare Advantage	$4,125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,506.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,506.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,506.25
Rate for Payer: Cigna Commercial	$6,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,327.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,062.50

Know your out-of-pocket cost for care.

All Charges