Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATHETER COUNCIL MODEL 12FR

Facility

$118.00

Hospital Charge Code	270331064
Hospital Revenue Code	272
Min. Negotiated Rate	$17.70
Max. Negotiated Rate	$17.70
Rate for Payer: Qualcare PPO/HMO/WC	$17.70

CATHETER COYOTE ES 3X40X145CM

Facility

$1,493.50

Service Code	HCPCS C1725
Hospital Charge Code	270669598
Hospital Revenue Code	278
Min. Negotiated Rate	$224.03
Max. Negotiated Rate	$361.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$298.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$361.43
Rate for Payer: Qualcare PPO/HMO/WC	$224.03

CATHETER COYOTE ES 3X40X145CM

Facility

$1,493.50

Service Code	HCPCS C1725
Hospital Charge Code	270669598
Hospital Revenue Code	278
Min. Negotiated Rate	$224.03
Max. Negotiated Rate	$746.75
Rate for Payer: Aetna Commercial	$448.05
Rate for Payer: Aetna Medicare Advantage	$448.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$380.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$380.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$298.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$380.84
Rate for Payer: Cigna Commercial	$746.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$361.43
Rate for Payer: Qualcare PPO/HMO/WC	$224.03

CATHETER CRAGG-MCNAMARA

Facility

$490.00

Service Code	HCPCS C1887
Hospital Charge Code	270657463
Hospital Revenue Code	278
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$118.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$98.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.58
Rate for Payer: Qualcare PPO/HMO/WC	$73.50

CATHETER CRAGG-MCNAMARA

Facility

$759.50

Service Code	HCPCS C1887
Hospital Charge Code	270657466
Hospital Revenue Code	278
Min. Negotiated Rate	$113.92
Max. Negotiated Rate	$379.75
Rate for Payer: Aetna Commercial	$227.85
Rate for Payer: Aetna Medicare Advantage	$227.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$193.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$193.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$151.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$193.67
Rate for Payer: Cigna Commercial	$379.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$183.80
Rate for Payer: Qualcare PPO/HMO/WC	$113.92

CATHETER CRAGG-MCNAMARA

Facility

$800.00

Service Code	HCPCS C1887
Hospital Charge Code	270657466N
Hospital Revenue Code	278
Min. Negotiated Rate	$120.00
Max. Negotiated Rate	$400.00
Rate for Payer: Aetna Commercial	$240.00
Rate for Payer: Aetna Medicare Advantage	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.00
Rate for Payer: Cigna Commercial	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.60
Rate for Payer: Qualcare PPO/HMO/WC	$120.00

CATHETER CRAGG-MCNAMARA

Facility

$800.00

Service Code	HCPCS C1887
Hospital Charge Code	270657466N
Hospital Revenue Code	278
Min. Negotiated Rate	$120.00
Max. Negotiated Rate	$193.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.60
Rate for Payer: Qualcare PPO/HMO/WC	$120.00

CATHETER CRAGG-MCNAMARA

Facility

$500.00

Service Code	HCPCS C1887
Hospital Charge Code	270657463N
Hospital Revenue Code	278
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$121.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

CATHETER CRAGG-MCNAMARA

Facility

$759.50

Service Code	HCPCS C1887
Hospital Charge Code	270657466
Hospital Revenue Code	278
Min. Negotiated Rate	$113.92
Max. Negotiated Rate	$183.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$151.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$183.80
Rate for Payer: Qualcare PPO/HMO/WC	$113.92

CATHETER CRAGG-MCNAMARA

Facility

$490.00

Service Code	HCPCS C1887
Hospital Charge Code	270657463
Hospital Revenue Code	278
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$245.00
Rate for Payer: Aetna Commercial	$147.00
Rate for Payer: Aetna Medicare Advantage	$147.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$98.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.95
Rate for Payer: Cigna Commercial	$245.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.58
Rate for Payer: Qualcare PPO/HMO/WC	$73.50

CATHETER CRAGG-MCNAMARA

Facility

$500.00

Service Code	HCPCS C1887
Hospital Charge Code	270657463N
Hospital Revenue Code	278
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$150.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

CATHETER CRAGG-MCNAMARA 5FR/13

Facility

$490.00

Service Code	HCPCS C1887
Hospital Charge Code	270657469
Hospital Revenue Code	278
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$118.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$98.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.58
Rate for Payer: Qualcare PPO/HMO/WC	$73.50

CATHETER CRAGG-MCNAMARA 5FR/13

Facility

$490.00

Service Code	HCPCS C1887
Hospital Charge Code	270657469
Hospital Revenue Code	278
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$245.00
Rate for Payer: Aetna Commercial	$147.00
Rate for Payer: Aetna Medicare Advantage	$147.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$98.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.95
Rate for Payer: Cigna Commercial	$245.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.58
Rate for Payer: Qualcare PPO/HMO/WC	$73.50

CATHETER CRYO 2 x 40 x 150

Facility

$4,455.00

Hospital Charge Code	270CH0046
Hospital Revenue Code	272
Min. Negotiated Rate	$579.15
Max. Negotiated Rate	$2,227.50
Rate for Payer: Aetna Commercial	$1,336.50
Rate for Payer: Aetna Medicare Advantage	$1,336.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,136.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,136.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,136.03
Rate for Payer: Cigna Commercial	$2,227.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$579.15
Rate for Payer: Oxford Commercial	$2,227.50
Rate for Payer: Qualcare PPO/HMO/WC	$668.25
Rate for Payer: UnitedHealthcare Commercial	$2,227.50

CATHETER CRYO 2 x 40 x 150

Facility

$4,455.00

Hospital Charge Code	270CH0046
Hospital Revenue Code	272
Min. Negotiated Rate	$668.25
Max. Negotiated Rate	$668.25
Rate for Payer: Qualcare PPO/HMO/WC	$668.25

CATHETER CRYO 2 X 40 X 150

Facility

$4,455.00

Hospital Charge Code	2709006441
Hospital Revenue Code	272
Min. Negotiated Rate	$668.25
Max. Negotiated Rate	$668.25
Rate for Payer: Qualcare PPO/HMO/WC	$668.25

CATHETER CRYO 2 X 40 X 150

Facility

$4,455.00

Hospital Charge Code	2709006441
Hospital Revenue Code	272
Min. Negotiated Rate	$579.15
Max. Negotiated Rate	$2,227.50
Rate for Payer: Aetna Commercial	$1,336.50
Rate for Payer: Aetna Medicare Advantage	$1,336.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,136.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,136.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,136.03
Rate for Payer: Cigna Commercial	$2,227.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$579.15
Rate for Payer: Oxford Commercial	$2,227.50
Rate for Payer: Qualcare PPO/HMO/WC	$668.25
Rate for Payer: UnitedHealthcare Commercial	$2,227.50

CATHETER CRYO 6 x 40 x 120

Facility

$3,350.00

Hospital Charge Code	270CH0008
Hospital Revenue Code	272
Min. Negotiated Rate	$435.50
Max. Negotiated Rate	$1,675.00
Rate for Payer: Aetna Commercial	$1,005.00
Rate for Payer: Aetna Medicare Advantage	$1,005.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$854.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$854.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$854.25
Rate for Payer: Cigna Commercial	$1,675.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$435.50
Rate for Payer: Oxford Commercial	$1,675.00
Rate for Payer: Qualcare PPO/HMO/WC	$502.50
Rate for Payer: UnitedHealthcare Commercial	$1,675.00

CATHETER CRYO 6 x 40 x 120

Facility

$3,350.00

Hospital Charge Code	270CH0008
Hospital Revenue Code	272
Min. Negotiated Rate	$502.50
Max. Negotiated Rate	$502.50
Rate for Payer: Qualcare PPO/HMO/WC	$502.50

CATHETER CRYO 6 X 40 X 120

Facility

$3,350.00

Hospital Charge Code	2709006444
Hospital Revenue Code	272
Min. Negotiated Rate	$435.50
Max. Negotiated Rate	$1,675.00
Rate for Payer: Aetna Commercial	$1,005.00
Rate for Payer: Aetna Medicare Advantage	$1,005.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$854.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$854.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$854.25
Rate for Payer: Cigna Commercial	$1,675.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$435.50
Rate for Payer: Oxford Commercial	$1,675.00
Rate for Payer: Qualcare PPO/HMO/WC	$502.50
Rate for Payer: UnitedHealthcare Commercial	$1,675.00

CATHETER CRYO 6 X 40 X 120

Facility

$3,350.00

Hospital Charge Code	2709006444
Hospital Revenue Code	272
Min. Negotiated Rate	$502.50
Max. Negotiated Rate	$502.50
Rate for Payer: Qualcare PPO/HMO/WC	$502.50

CATHETER CRYO FOCAL ABLATION

Facility

$5,500.00

Hospital Charge Code	270679455
Hospital Revenue Code	272
Min. Negotiated Rate	$825.00
Max. Negotiated Rate	$825.00
Rate for Payer: Qualcare PPO/HMO/WC	$825.00

CATHETER CRYO FOCAL ABLATION

Facility

$5,500.00

Hospital Charge Code	270679455
Hospital Revenue Code	272
Min. Negotiated Rate	$715.00
Max. Negotiated Rate	$2,750.00
Rate for Payer: Aetna Commercial	$1,650.00
Rate for Payer: Aetna Medicare Advantage	$1,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,402.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,402.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,402.50
Rate for Payer: Cigna Commercial	$2,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$715.00
Rate for Payer: Oxford Commercial	$2,750.00
Rate for Payer: Qualcare PPO/HMO/WC	$825.00
Rate for Payer: UnitedHealthcare Commercial	$2,750.00

CATHETER CRYO FOCAL ABLATION

Facility

$5,500.00

Service Code	HCPCS C1886
Hospital Charge Code	270679445
Hospital Revenue Code	278
Min. Negotiated Rate	$825.00
Max. Negotiated Rate	$1,331.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,331.00
Rate for Payer: Qualcare PPO/HMO/WC	$825.00

CATHETER CRYO FOCAL ABLATION

Facility

$5,500.00

Service Code	HCPCS C1886
Hospital Charge Code	270679445
Hospital Revenue Code	278
Min. Negotiated Rate	$825.00
Max. Negotiated Rate	$2,750.00
Rate for Payer: Aetna Commercial	$1,650.00
Rate for Payer: Aetna Medicare Advantage	$1,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,402.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,402.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,402.50
Rate for Payer: Cigna Commercial	$2,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,331.00
Rate for Payer: Qualcare PPO/HMO/WC	$825.00

Know your out-of-pocket cost for care.

All Charges