Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATHETER CHOCOLATE 6X40CM

Facility

$5,250.00

Service Code	HCPCS C1725
Hospital Charge Code	270687525S
Hospital Revenue Code	278
Min. Negotiated Rate	$787.50
Max. Negotiated Rate	$2,625.00
Rate for Payer: Aetna Commercial	$1,575.00
Rate for Payer: Aetna Medicare Advantage	$1,575.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,338.75
Rate for Payer: Cigna Commercial	$2,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: Qualcare PPO/HMO/WC	$787.50

CATHETER CHOCOLATE 6X40CM

Facility

$5,250.00

Service Code	HCPCS C1725
Hospital Charge Code	270687525S
Hospital Revenue Code	278
Min. Negotiated Rate	$787.50
Max. Negotiated Rate	$1,270.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: Qualcare PPO/HMO/WC	$787.50

CATHETER CHOLANGIOGRAM 4FR

Facility

$438.00

Hospital Charge Code	270330916
Hospital Revenue Code	278
Min. Negotiated Rate	$65.70
Max. Negotiated Rate	$106.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$106.00
Rate for Payer: Qualcare PPO/HMO/WC	$65.70

CATHETER CHOLANGIOGRAM 4FR

Facility

$438.00

Hospital Charge Code	270330916
Hospital Revenue Code	278
Min. Negotiated Rate	$65.70
Max. Negotiated Rate	$219.00
Rate for Payer: Aetna Commercial	$131.40
Rate for Payer: Aetna Medicare Advantage	$131.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$111.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$111.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$111.69
Rate for Payer: Cigna Commercial	$219.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$106.00
Rate for Payer: Qualcare PPO/HMO/WC	$65.70

CATHETER CHOLANGIOGRAM 6FR 4C

Facility

$459.00

Hospital Charge Code	270331279
Hospital Revenue Code	636
Min. Negotiated Rate	$68.85
Max. Negotiated Rate	$111.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.08
Rate for Payer: Qualcare PPO/HMO/WC	$68.85

CATHETER CHOLANGIOGRAM 6FR 4C

Facility

$459.00

Hospital Charge Code	270331279
Hospital Revenue Code	636
Min. Negotiated Rate	$68.85
Max. Negotiated Rate	$229.50
Rate for Payer: Aetna Commercial	$137.70
Rate for Payer: Aetna Medicare Advantage	$137.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$117.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$117.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$117.05
Rate for Payer: Cigna Commercial	$229.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.08
Rate for Payer: Qualcare PPO/HMO/WC	$68.85

CATHETER CLASSIC CROWN ORBITAL

Facility

$15,975.00

Hospital Charge Code	270642011
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

CATHETER CLASSIC CROWN ORBITAL

Facility

$15,975.00

Hospital Charge Code	270642011
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

CATHETER COBRA2 5F 65CM

Facility

$94.50

Hospital Charge Code	270678511C
Hospital Revenue Code	272
Min. Negotiated Rate	$12.29
Max. Negotiated Rate	$47.25
Rate for Payer: Aetna Commercial	$28.35
Rate for Payer: Aetna Medicare Advantage	$28.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.10
Rate for Payer: Cigna Commercial	$47.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.29
Rate for Payer: Oxford Commercial	$47.25
Rate for Payer: Qualcare PPO/HMO/WC	$14.18
Rate for Payer: UnitedHealthcare Commercial	$47.25

CATHETER COBRA2 5F 65CM

Facility

$94.50

Hospital Charge Code	270678511C
Hospital Revenue Code	272
Min. Negotiated Rate	$14.18
Max. Negotiated Rate	$14.18
Rate for Payer: Qualcare PPO/HMO/WC	$14.18

CATHETER COBRA VISCERAL

Facility

$142.00

Hospital Charge Code	270331244
Hospital Revenue Code	278
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$71.00
Rate for Payer: Aetna Commercial	$42.60
Rate for Payer: Aetna Medicare Advantage	$42.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.21
Rate for Payer: Cigna Commercial	$71.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.36
Rate for Payer: Qualcare PPO/HMO/WC	$21.30

CATHETER COBRA VISCERAL

Facility

$142.00

Hospital Charge Code	270331244
Hospital Revenue Code	278
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$34.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.36
Rate for Payer: Qualcare PPO/HMO/WC	$21.30

CATHETER COILED 2 CUFF PD

Facility

$650.00

Hospital Charge Code	270680169
Hospital Revenue Code	272
Min. Negotiated Rate	$84.50
Max. Negotiated Rate	$325.00
Rate for Payer: Aetna Commercial	$195.00
Rate for Payer: Aetna Medicare Advantage	$195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$165.75
Rate for Payer: Cigna Commercial	$325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.50
Rate for Payer: Oxford Commercial	$325.00
Rate for Payer: Qualcare PPO/HMO/WC	$97.50
Rate for Payer: UnitedHealthcare Commercial	$325.00

CATHETER COILED 2 CUFF PD

Facility

$650.00

Hospital Charge Code	270680169
Hospital Revenue Code	272
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$97.50
Rate for Payer: Qualcare PPO/HMO/WC	$97.50

CATHETER CONNECTOR STRAIGHT

Facility

$147.00

Hospital Charge Code	270332232
Hospital Revenue Code	272
Min. Negotiated Rate	$19.11
Max. Negotiated Rate	$73.50
Rate for Payer: Aetna Commercial	$44.10
Rate for Payer: Aetna Medicare Advantage	$44.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.48
Rate for Payer: Cigna Commercial	$73.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.11
Rate for Payer: Oxford Commercial	$73.50
Rate for Payer: Qualcare PPO/HMO/WC	$22.05
Rate for Payer: UnitedHealthcare Commercial	$73.50

CATHETER CONNECTOR STRAIGHT

Facility

$147.00

Hospital Charge Code	270332232
Hospital Revenue Code	272
Min. Negotiated Rate	$22.05
Max. Negotiated Rate	$22.05
Rate for Payer: Qualcare PPO/HMO/WC	$22.05

CATHETER CONNECTOR ST S.STEEL

Facility

$508.80

Hospital Charge Code	270679735
Hospital Revenue Code	278
Min. Negotiated Rate	$76.32
Max. Negotiated Rate	$123.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$101.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$123.13
Rate for Payer: Qualcare PPO/HMO/WC	$76.32

CATHETER CONNECTOR ST S.STEEL

Facility

$508.80

Hospital Charge Code	270679735
Hospital Revenue Code	278
Min. Negotiated Rate	$76.32
Max. Negotiated Rate	$254.40
Rate for Payer: Aetna Commercial	$152.64
Rate for Payer: Aetna Medicare Advantage	$152.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$129.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$129.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$101.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$129.74
Rate for Payer: Cigna Commercial	$254.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$123.13
Rate for Payer: Qualcare PPO/HMO/WC	$76.32

CATHETER CONTINUOUS IRRIGATION

Facility

$80.00

Hospital Charge Code	270331113
Hospital Revenue Code	272
Min. Negotiated Rate	$10.40
Max. Negotiated Rate	$40.00
Rate for Payer: Aetna Commercial	$24.00
Rate for Payer: Aetna Medicare Advantage	$24.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.40
Rate for Payer: Cigna Commercial	$40.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.40
Rate for Payer: Oxford Commercial	$40.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.00
Rate for Payer: UnitedHealthcare Commercial	$40.00

CATHETER CONTINUOUS IRRIGATION

Facility

$80.00

Hospital Charge Code	270331113
Hospital Revenue Code	272
Min. Negotiated Rate	$12.00
Max. Negotiated Rate	$12.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.00

CATHETER CONTRA FLUSH 65CM

Facility

$55.82

Hospital Charge Code	270663945
Hospital Revenue Code	272
Min. Negotiated Rate	$8.37
Max. Negotiated Rate	$8.37
Rate for Payer: Qualcare PPO/HMO/WC	$8.37

CATHETER CONTRA FLUSH 65CM

Facility

$55.82

Hospital Charge Code	270663945
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 COUDE 16FR 30CC

Facility

$251.00

Hospital Charge Code	270332042
Hospital Revenue Code	272
Min. Negotiated Rate	$32.63
Max. Negotiated Rate	$125.50
Rate for Payer: Aetna Commercial	$75.30
Rate for Payer: Aetna Medicare Advantage	$75.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$64.00
Rate for Payer: Cigna Commercial	$125.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.63
Rate for Payer: Oxford Commercial	$125.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.65
Rate for Payer: UnitedHealthcare Commercial	$125.50

CATHETER COUDE 16FR 30CC

Facility

$251.00

Hospital Charge Code	270332042
Hospital Revenue Code	272
Min. Negotiated Rate	$37.65
Max. Negotiated Rate	$37.65
Rate for Payer: Qualcare PPO/HMO/WC	$37.65

CATHETER COUNCIL MODEL 12FR

Facility

$118.00

Hospital Charge Code	270331064
Hospital Revenue Code	272
Min. Negotiated Rate	$15.34
Max. Negotiated Rate	$59.00
Rate for Payer: Aetna Commercial	$35.40
Rate for Payer: Aetna Medicare Advantage	$35.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.09
Rate for Payer: Cigna Commercial	$59.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.34
Rate for Payer: Oxford Commercial	$59.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.70
Rate for Payer: UnitedHealthcare Commercial	$59.00

Know your out-of-pocket cost for care.

All Charges