Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATHETER EXCELSIOR SL-10

Facility

$5,027.25

Service Code	HCPCS C1887
Hospital Charge Code	270695286S
Hospital Revenue Code	278
Min. Negotiated Rate	$754.09
Max. Negotiated Rate	$1,216.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,005.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,216.59
Rate for Payer: Qualcare PPO/HMO/WC	$754.09

CATHETER EXCELSIOR SL-10

Facility

$5,027.25

Service Code	HCPCS C1887
Hospital Charge Code	270695286S
Hospital Revenue Code	278
Min. Negotiated Rate	$754.09
Max. Negotiated Rate	$2,513.62
Rate for Payer: Aetna Commercial	$1,508.17
Rate for Payer: Aetna Medicare Advantage	$1,508.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,281.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,281.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,005.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,281.95
Rate for Payer: Cigna Commercial	$2,513.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,216.59
Rate for Payer: Qualcare PPO/HMO/WC	$754.09

CATHETER EXCELSIOR SL 10 PS J

Facility

$5,027.25

Service Code	HCPCS C1887
Hospital Charge Code	270695284S
Hospital Revenue Code	278
Min. Negotiated Rate	$754.09
Max. Negotiated Rate	$2,513.62
Rate for Payer: Aetna Commercial	$1,508.17
Rate for Payer: Aetna Medicare Advantage	$1,508.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,281.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,281.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,005.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,281.95
Rate for Payer: Cigna Commercial	$2,513.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,216.59
Rate for Payer: Qualcare PPO/HMO/WC	$754.09

CATHETER EXCELSIOR SL 10 PS J

Facility

$5,027.25

Service Code	HCPCS C1887
Hospital Charge Code	270695284S
Hospital Revenue Code	278
Min. Negotiated Rate	$754.09
Max. Negotiated Rate	$1,216.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,005.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,216.59
Rate for Payer: Qualcare PPO/HMO/WC	$754.09

CATHETER EXCELSIOR SL 10 PS J

Facility

$5,463.75

Service Code	HCPCS C1887
Hospital Charge Code	270695284
Hospital Revenue Code	278
Min. Negotiated Rate	$819.56
Max. Negotiated Rate	$1,322.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,092.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,322.23
Rate for Payer: Qualcare PPO/HMO/WC	$819.56

CATHETER EXCELSIOR SL 10 PS J

Facility

$5,463.75

Service Code	HCPCS C1887
Hospital Charge Code	270695284
Hospital Revenue Code	278
Min. Negotiated Rate	$819.56
Max. Negotiated Rate	$2,731.88
Rate for Payer: Aetna Commercial	$1,639.12
Rate for Payer: Aetna Medicare Advantage	$1,639.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,393.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,393.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,092.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,393.26
Rate for Payer: Cigna Commercial	$2,731.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,322.23
Rate for Payer: Qualcare PPO/HMO/WC	$819.56

CATHETER EXCELSIOR XT17 PS45

Facility

$5,463.75

Service Code	HCPCS C1887
Hospital Charge Code	270695288
Hospital Revenue Code	278
Min. Negotiated Rate	$819.56
Max. Negotiated Rate	$2,731.88
Rate for Payer: Aetna Commercial	$1,639.12
Rate for Payer: Aetna Medicare Advantage	$1,639.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,393.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,393.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,092.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,393.26
Rate for Payer: Cigna Commercial	$2,731.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,322.23
Rate for Payer: Qualcare PPO/HMO/WC	$819.56

CATHETER EXCELSIOR XT17 PS45

Facility

$5,463.75

Service Code	HCPCS C1887
Hospital Charge Code	270695288
Hospital Revenue Code	278
Min. Negotiated Rate	$819.56
Max. Negotiated Rate	$1,322.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,092.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,322.23
Rate for Payer: Qualcare PPO/HMO/WC	$819.56

CATHETER EXCELSIOR XT-17 STD

Facility

$5,463.75

Service Code	HCPCS C1887
Hospital Charge Code	270695289
Hospital Revenue Code	278
Min. Negotiated Rate	$819.56
Max. Negotiated Rate	$1,322.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,092.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,322.23
Rate for Payer: Qualcare PPO/HMO/WC	$819.56

CATHETER EXCELSIOR XT-17 STD

Facility

$5,463.75

Service Code	HCPCS C1887
Hospital Charge Code	270695289
Hospital Revenue Code	278
Min. Negotiated Rate	$819.56
Max. Negotiated Rate	$2,731.88
Rate for Payer: Aetna Commercial	$1,639.12
Rate for Payer: Aetna Medicare Advantage	$1,639.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,393.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,393.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,092.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,393.26
Rate for Payer: Cigna Commercial	$2,731.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,322.23
Rate for Payer: Qualcare PPO/HMO/WC	$819.56

CATHETER FEMORAL AORTIC FLUSH

Facility

$115.00

Hospital Charge Code	270331514
Hospital Revenue Code	272
Min. Negotiated Rate	$14.95
Max. Negotiated Rate	$57.50
Rate for Payer: Aetna Commercial	$34.50
Rate for Payer: Aetna Medicare Advantage	$34.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.32
Rate for Payer: Cigna Commercial	$57.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.95
Rate for Payer: Oxford Commercial	$57.50
Rate for Payer: Qualcare PPO/HMO/WC	$17.25
Rate for Payer: UnitedHealthcare Commercial	$57.50

CATHETER FEMORAL AORTIC FLUSH

Facility

$115.00

Hospital Charge Code	270331514
Hospital Revenue Code	272
Min. Negotiated Rate	$17.25
Max. Negotiated Rate	$17.25
Rate for Payer: Qualcare PPO/HMO/WC	$17.25

CATHETER FLOWGATE 8F 85CM

Facility

$6,151.25

Service Code	HCPCS C2628
Hospital Charge Code	270685309S
Hospital Revenue Code	278
Min. Negotiated Rate	$922.69
Max. Negotiated Rate	$3,075.62
Rate for Payer: Aetna Commercial	$1,845.38
Rate for Payer: Aetna Medicare Advantage	$1,845.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,568.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,568.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,230.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,568.57
Rate for Payer: Cigna Commercial	$3,075.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,488.60
Rate for Payer: Qualcare PPO/HMO/WC	$922.69

CATHETER FLOWGATE 8F 85CM

Facility

$6,151.25

Service Code	HCPCS C2628
Hospital Charge Code	270685309S
Hospital Revenue Code	278
Min. Negotiated Rate	$922.69
Max. Negotiated Rate	$1,488.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,230.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,488.60
Rate for Payer: Qualcare PPO/HMO/WC	$922.69

Catheter FlowGate 8F 95cm

Facility

$6,475.00

Hospital Charge Code	270685066N
Hospital Revenue Code	272
Min. Negotiated Rate	$971.25
Max. Negotiated Rate	$971.25
Rate for Payer: Qualcare PPO/HMO/WC	$971.25

Catheter FlowGate 8F 95cm

Facility

$6,475.00

Hospital Charge Code	270685066S
Hospital Revenue Code	272
Min. Negotiated Rate	$841.75
Max. Negotiated Rate	$3,237.50
Rate for Payer: Aetna Commercial	$1,942.50
Rate for Payer: Aetna Medicare Advantage	$1,942.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,651.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,651.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,651.12
Rate for Payer: Cigna Commercial	$3,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$841.75
Rate for Payer: Oxford Commercial	$3,237.50
Rate for Payer: Qualcare PPO/HMO/WC	$971.25
Rate for Payer: UnitedHealthcare Commercial	$3,237.50

Catheter FlowGate 8F 95cm

Facility

$6,475.00

Hospital Charge Code	270685066S
Hospital Revenue Code	272
Min. Negotiated Rate	$971.25
Max. Negotiated Rate	$971.25
Rate for Payer: Qualcare PPO/HMO/WC	$971.25

Catheter FlowGate 8F 95cm

Facility

$6,475.00

Hospital Charge Code	270685066N
Hospital Revenue Code	272
Min. Negotiated Rate	$841.75
Max. Negotiated Rate	$3,237.50
Rate for Payer: Aetna Commercial	$1,942.50
Rate for Payer: Aetna Medicare Advantage	$1,942.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,651.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,651.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,651.12
Rate for Payer: Cigna Commercial	$3,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$841.75
Rate for Payer: Oxford Commercial	$3,237.50
Rate for Payer: Qualcare PPO/HMO/WC	$971.25
Rate for Payer: UnitedHealthcare Commercial	$3,237.50

CATHETER FLOWGATE 8F 95 CM

Facility

$6,475.00

Hospital Charge Code	270685066
Hospital Revenue Code	272
Min. Negotiated Rate	$841.75
Max. Negotiated Rate	$3,237.50
Rate for Payer: Aetna Commercial	$1,942.50
Rate for Payer: Aetna Medicare Advantage	$1,942.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,651.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,651.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,651.12
Rate for Payer: Cigna Commercial	$3,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$841.75
Rate for Payer: Oxford Commercial	$3,237.50
Rate for Payer: Qualcare PPO/HMO/WC	$971.25
Rate for Payer: UnitedHealthcare Commercial	$3,237.50

CATHETER FLOWGATE 8F 95 CM

Facility

$6,475.00

Hospital Charge Code	270685066
Hospital Revenue Code	272
Min. Negotiated Rate	$971.25
Max. Negotiated Rate	$971.25
Rate for Payer: Qualcare PPO/HMO/WC	$971.25

CATHETER FOGARTY ARTERIAL

Facility

$249.35

Hospital Charge Code	270654327
Hospital Revenue Code	272
Min. Negotiated Rate	$37.40
Max. Negotiated Rate	$37.40
Rate for Payer: Qualcare PPO/HMO/WC	$37.40

CATHETER FOGARTY ARTERIAL

Facility

$249.35

Hospital Charge Code	270654327
Hospital Revenue Code	272
Min. Negotiated Rate	$32.42
Max. Negotiated Rate	$124.67
Rate for Payer: Aetna Commercial	$74.81
Rate for Payer: Aetna Medicare Advantage	$74.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.58
Rate for Payer: Cigna Commercial	$124.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.42
Rate for Payer: Oxford Commercial	$124.67
Rate for Payer: Qualcare PPO/HMO/WC	$37.40
Rate for Payer: UnitedHealthcare Commercial	$124.67

CATHETER FOGARTY EMBOLECTOM

Facility

$368.00

Hospital Charge Code	270331682
Hospital Revenue Code	278
Min. Negotiated Rate	$55.20
Max. Negotiated Rate	$89.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$73.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.06
Rate for Payer: Qualcare PPO/HMO/WC	$55.20

CATHETER FOGARTY EMBOLECTOM

Facility

$368.00

Hospital Charge Code	270331682
Hospital Revenue Code	278
Min. Negotiated Rate	$55.20
Max. Negotiated Rate	$184.00
Rate for Payer: Aetna Commercial	$110.40
Rate for Payer: Aetna Medicare Advantage	$110.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$73.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$93.84
Rate for Payer: Cigna Commercial	$184.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.06
Rate for Payer: Qualcare PPO/HMO/WC	$55.20

CATHETER FOGARTY IRR.5FR/80CM

Facility

$110.00

Hospital Charge Code	270650854
Hospital Revenue Code	272
Min. Negotiated Rate	$16.50
Max. Negotiated Rate	$16.50
Rate for Payer: Qualcare PPO/HMO/WC	$16.50

Know your out-of-pocket cost for care.

All Charges