Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATHETER HEMATURA 30CC 24FR

Facility

$101.23

Hospital Charge Code	270659391
Hospital Revenue Code	272
Min. Negotiated Rate	$13.16
Max. Negotiated Rate	$50.62
Rate for Payer: Aetna Commercial	$30.37
Rate for Payer: Aetna Medicare Advantage	$30.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.81
Rate for Payer: Cigna Commercial	$50.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.16
Rate for Payer: Oxford Commercial	$50.62
Rate for Payer: Qualcare PPO/HMO/WC	$15.18
Rate for Payer: UnitedHealthcare Commercial	$50.62

CATHETER HEMATURA 30CC 24FR

Facility

$101.23

Hospital Charge Code	270659391
Hospital Revenue Code	272
Min. Negotiated Rate	$15.18
Max. Negotiated Rate	$15.18
Rate for Payer: Qualcare PPO/HMO/WC	$15.18

CATHETER HEMODIALYSIS 2L 15FR

Facility

$1,810.65

Service Code	HCPCS C1750
Hospital Charge Code	270680129
Hospital Revenue Code	278
Min. Negotiated Rate	$271.60
Max. Negotiated Rate	$905.33
Rate for Payer: Aetna Commercial	$543.20
Rate for Payer: Aetna Medicare Advantage	$543.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$461.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$461.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$362.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$461.72
Rate for Payer: Cigna Commercial	$905.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$438.18
Rate for Payer: Qualcare PPO/HMO/WC	$271.60

CATHETER HEMODIALYSIS 2L 15FR

Facility

$1,810.65

Service Code	HCPCS C1750
Hospital Charge Code	270680129
Hospital Revenue Code	278
Min. Negotiated Rate	$271.60
Max. Negotiated Rate	$438.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$362.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$438.18
Rate for Payer: Qualcare PPO/HMO/WC	$271.60

CATHETER,HEMODIALYSIS,LONG-TRM

Facility

$21.40

Service Code	HCPCS C1750
Hospital Charge Code	4800940
Hospital Revenue Code	278
Min. Negotiated Rate	$3.21
Max. Negotiated Rate	$5.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.18
Rate for Payer: Qualcare PPO/HMO/WC	$3.21

CATHETER,HEMODIALYSIS,LONG-TRM

Facility

$21.40

Service Code	HCPCS C1750
Hospital Charge Code	4800940
Hospital Revenue Code	278
Min. Negotiated Rate	$3.21
Max. Negotiated Rate	$10.70
Rate for Payer: Aetna Commercial	$6.42
Rate for Payer: Aetna Medicare Advantage	$6.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.46
Rate for Payer: Cigna Commercial	$10.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.18
Rate for Payer: Qualcare PPO/HMO/WC	$3.21

CATHETER HEMODIALYSIS NS 27 CM

Facility

$1,500.75

Service Code	HCPCS C1751
Hospital Charge Code	270681579
Hospital Revenue Code	278
Min. Negotiated Rate	$225.11
Max. Negotiated Rate	$750.38
Rate for Payer: Aetna Commercial	$450.23
Rate for Payer: Aetna Medicare Advantage	$450.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.69
Rate for Payer: Cigna Commercial	$750.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.18
Rate for Payer: Qualcare PPO/HMO/WC	$225.11

CATHETER HEMODIALYSIS NS 27 CM

Facility

$1,500.75

Service Code	HCPCS C1751
Hospital Charge Code	270681579
Hospital Revenue Code	278
Min. Negotiated Rate	$225.11
Max. Negotiated Rate	$363.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.18
Rate for Payer: Qualcare PPO/HMO/WC	$225.11

CATHETER,HEMODIALYSIS,SHRT-TR

Facility

$21.40

Service Code	HCPCS C1752
Hospital Charge Code	4800895
Hospital Revenue Code	278
Min. Negotiated Rate	$3.21
Max. Negotiated Rate	$10.70
Rate for Payer: Aetna Commercial	$6.42
Rate for Payer: Aetna Medicare Advantage	$6.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.46
Rate for Payer: Cigna Commercial	$10.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.18
Rate for Payer: Qualcare PPO/HMO/WC	$3.21

CATHETER,HEMODIALYSIS,SHRT-TR

Facility

$21.40

Service Code	HCPCS C1752
Hospital Charge Code	4800895
Hospital Revenue Code	278
Min. Negotiated Rate	$3.21
Max. Negotiated Rate	$5.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.18
Rate for Payer: Qualcare PPO/HMO/WC	$3.21

CATHETER HEMODIALYSIS TIP 23CM

Facility

$1,500.75

Service Code	HCPCS C1750
Hospital Charge Code	270681411
Hospital Revenue Code	278
Min. Negotiated Rate	$225.11
Max. Negotiated Rate	$750.38
Rate for Payer: Aetna Commercial	$450.23
Rate for Payer: Aetna Medicare Advantage	$450.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.69
Rate for Payer: Cigna Commercial	$750.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.18
Rate for Payer: Qualcare PPO/HMO/WC	$225.11

CATHETER HEMODIALYSIS TIP 23CM

Facility

$1,500.75

Service Code	HCPCS C1750
Hospital Charge Code	270681411N
Hospital Revenue Code	278
Min. Negotiated Rate	$225.11
Max. Negotiated Rate	$750.38
Rate for Payer: Aetna Commercial	$450.23
Rate for Payer: Aetna Medicare Advantage	$450.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.69
Rate for Payer: Cigna Commercial	$750.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.18
Rate for Payer: Qualcare PPO/HMO/WC	$225.11

CATHETER HEMODIALYSIS TIP 23CM

Facility

$1,500.75

Service Code	HCPCS C1750
Hospital Charge Code	270681411C
Hospital Revenue Code	278
Min. Negotiated Rate	$225.11
Max. Negotiated Rate	$363.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.18
Rate for Payer: Qualcare PPO/HMO/WC	$225.11

CATHETER HEMODIALYSIS TIP 23CM

Facility

$1,500.75

Service Code	HCPCS C1750
Hospital Charge Code	270681411C
Hospital Revenue Code	278
Min. Negotiated Rate	$225.11
Max. Negotiated Rate	$750.38
Rate for Payer: Aetna Commercial	$450.23
Rate for Payer: Aetna Medicare Advantage	$450.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.69
Rate for Payer: Cigna Commercial	$750.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.18
Rate for Payer: Qualcare PPO/HMO/WC	$225.11

CATHETER HEMODIALYSIS TIP 23CM

Facility

$1,500.75

Service Code	HCPCS C1750
Hospital Charge Code	270681411
Hospital Revenue Code	278
Min. Negotiated Rate	$225.11
Max. Negotiated Rate	$363.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.18
Rate for Payer: Qualcare PPO/HMO/WC	$225.11

CATHETER HEMODIALYSIS TIP 23CM

Facility

$1,500.75

Service Code	HCPCS C1750
Hospital Charge Code	270681411N
Hospital Revenue Code	278
Min. Negotiated Rate	$225.11
Max. Negotiated Rate	$363.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.18
Rate for Payer: Qualcare PPO/HMO/WC	$225.11

CATHETER HEMOSTAR DUAL 42 CM

Facility

$1,495.00

Service Code	HCPCS C1750
Hospital Charge Code	270684237
Hospital Revenue Code	278
Min. Negotiated Rate	$224.25
Max. Negotiated Rate	$361.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$299.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$361.79
Rate for Payer: Qualcare PPO/HMO/WC	$224.25

CATHETER HEMOSTAR DUAL 42 CM

Facility

$1,495.00

Service Code	HCPCS C1750
Hospital Charge Code	270684237
Hospital Revenue Code	278
Min. Negotiated Rate	$224.25
Max. Negotiated Rate	$747.50
Rate for Payer: Aetna Commercial	$448.50
Rate for Payer: Aetna Medicare Advantage	$448.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$381.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$381.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$299.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$381.23
Rate for Payer: Cigna Commercial	$747.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$361.79
Rate for Payer: Qualcare PPO/HMO/WC	$224.25

CATHETER HICKAMN 9.6FR

Facility

$874.00

Hospital Charge Code	270651791
Hospital Revenue Code	272
Min. Negotiated Rate	$131.10
Max. Negotiated Rate	$131.10
Rate for Payer: Qualcare PPO/HMO/WC	$131.10

CATHETER HICKAMN 9.6FR

Facility

$874.00

Hospital Charge Code	270651791
Hospital Revenue Code	272
Min. Negotiated Rate	$113.62
Max. Negotiated Rate	$437.00
Rate for Payer: Aetna Commercial	$262.20
Rate for Payer: Aetna Medicare Advantage	$262.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$222.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$222.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$222.87
Rate for Payer: Cigna Commercial	$437.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.62
Rate for Payer: Oxford Commercial	$437.00
Rate for Payer: Qualcare PPO/HMO/WC	$131.10
Rate for Payer: UnitedHealthcare Commercial	$437.00

CATHETER HYDROPHILIC 4F 100cm

Facility

$235.00

Hospital Charge Code	270657615
Hospital Revenue Code	278
Min. Negotiated Rate	$35.25
Max. Negotiated Rate	$56.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.87
Rate for Payer: Qualcare PPO/HMO/WC	$35.25

CATHETER HYDROPHILIC 4F 100cm

Facility

$235.00

Hospital Charge Code	270657615
Hospital Revenue Code	278
Min. Negotiated Rate	$35.25
Max. Negotiated Rate	$117.50
Rate for Payer: Aetna Commercial	$70.50
Rate for Payer: Aetna Medicare Advantage	$70.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.92
Rate for Payer: Cigna Commercial	$117.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.87
Rate for Payer: Qualcare PPO/HMO/WC	$35.25

CATHETER, HYSTERO

Facility

$192.00

Hospital Charge Code	2008110
Hospital Revenue Code	272
Min. Negotiated Rate	$28.80
Max. Negotiated Rate	$28.80
Rate for Payer: Qualcare PPO/HMO/WC	$28.80

CATHETER, HYSTERO

Facility

$192.00

Hospital Charge Code	2008110
Hospital Revenue Code	272
Min. Negotiated Rate	$24.96
Max. Negotiated Rate	$96.00
Rate for Payer: Aetna Commercial	$57.60
Rate for Payer: Aetna Medicare Advantage	$57.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.96
Rate for Payer: Cigna Commercial	$96.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.96
Rate for Payer: Oxford Commercial	$96.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.80
Rate for Payer: UnitedHealthcare Commercial	$96.00

CATHETER IMA 6FR

Facility

$37.35

Hospital Charge Code	270658054S
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

Know your out-of-pocket cost for care.

All Charges