Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATHETER MARKSMAN 160 CM

Facility

$6,650.00

Service Code	HCPCS C1887
Hospital Charge Code	270685146
Hospital Revenue Code	278
Min. Negotiated Rate	$997.50
Max. Negotiated Rate	$1,609.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,330.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,609.30
Rate for Payer: Qualcare PPO/HMO/WC	$997.50

CATHETER MARKSMAN 160 CM

Facility

$6,650.00

Service Code	HCPCS C1887
Hospital Charge Code	270685146
Hospital Revenue Code	278
Min. Negotiated Rate	$997.50
Max. Negotiated Rate	$3,325.00
Rate for Payer: Aetna Commercial	$1,995.00
Rate for Payer: Aetna Medicare Advantage	$1,995.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,695.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,695.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,330.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,695.75
Rate for Payer: Cigna Commercial	$3,325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,609.30
Rate for Payer: Qualcare PPO/HMO/WC	$997.50

CATHETER MARKSMAN 160 CM

Facility

$6,650.00

Service Code	HCPCS C1887
Hospital Charge Code	270685146S
Hospital Revenue Code	278
Min. Negotiated Rate	$997.50
Max. Negotiated Rate	$1,609.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,330.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,609.30
Rate for Payer: Qualcare PPO/HMO/WC	$997.50

CATHETER MICRO STC .018X150CM

Facility

$2,016.00

Service Code	HCPCS C1887
Hospital Charge Code	270669493
Hospital Revenue Code	278
Min. Negotiated Rate	$302.40
Max. Negotiated Rate	$1,008.00
Rate for Payer: Aetna Commercial	$604.80
Rate for Payer: Aetna Medicare Advantage	$604.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$514.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$514.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$403.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$514.08
Rate for Payer: Cigna Commercial	$1,008.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$487.87
Rate for Payer: Qualcare PPO/HMO/WC	$302.40

CATHETER MICRO STC .018X150CM

Facility

$2,016.00

Service Code	HCPCS C1887
Hospital Charge Code	270669493
Hospital Revenue Code	278
Min. Negotiated Rate	$302.40
Max. Negotiated Rate	$487.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$403.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$487.87
Rate for Payer: Qualcare PPO/HMO/WC	$302.40

CATHETER MPA1 6FR 100cm 532667

Facility

$45.25

Hospital Charge Code	270640534
Hospital Revenue Code	272
Min. Negotiated Rate	$5.88
Max. Negotiated Rate	$22.62
Rate for Payer: Aetna Commercial	$13.57
Rate for Payer: Aetna Medicare Advantage	$13.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.54
Rate for Payer: Cigna Commercial	$22.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.88
Rate for Payer: Oxford Commercial	$22.62
Rate for Payer: Qualcare PPO/HMO/WC	$6.79
Rate for Payer: UnitedHealthcare Commercial	$22.62

CATHETER MPA1 6FR 100cm 532667

Facility

$45.25

Hospital Charge Code	270640534
Hospital Revenue Code	272
Min. Negotiated Rate	$6.79
Max. Negotiated Rate	$6.79
Rate for Payer: Qualcare PPO/HMO/WC	$6.79

CATHETER MUSTANG 5FR 5.0X80MM

Facility

$1,250.00

Hospital Charge Code	270671668
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$302.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

CATHETER MUSTANG 5FR 5.0X80MM

Facility

$1,250.00

Hospital Charge Code	270671668
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$375.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

CATHETER MUSTANG 5FR 6.0X80MM

Facility

$1,250.00

Service Code	HCPCS C1725
Hospital Charge Code	270671669
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$302.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

CATHETER MUSTANG 5FR 6.0X80MM

Facility

$1,250.00

Service Code	HCPCS C1725
Hospital Charge Code	270671669
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$375.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

CATHETER NAVICROSS SUPPORT 30

Facility

$975.00

Service Code	HCPCS C1725
Hospital Charge Code	270665135
Hospital Revenue Code	278
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$235.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.95
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

CATHETER NAVICROSS SUPPORT 30

Facility

$975.00

Service Code	HCPCS C1725
Hospital Charge Code	270665135
Hospital Revenue Code	278
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$487.50
Rate for Payer: Aetna Commercial	$292.50
Rate for Payer: Aetna Medicare Advantage	$292.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.62
Rate for Payer: Cigna Commercial	$487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.95
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

CATHETER NC TREK 2.5x8mm

Facility

$850.00

Hospital Charge Code	270652091
Hospital Revenue Code	272
Min. Negotiated Rate	$110.50
Max. Negotiated Rate	$425.00
Rate for Payer: Aetna Commercial	$255.00
Rate for Payer: Aetna Medicare Advantage	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$216.75
Rate for Payer: Cigna Commercial	$425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.50
Rate for Payer: Oxford Commercial	$425.00
Rate for Payer: Qualcare PPO/HMO/WC	$127.50
Rate for Payer: UnitedHealthcare Commercial	$425.00

CATHETER NC TREK 2.5x8mm

Facility

$850.00

Hospital Charge Code	270652091
Hospital Revenue Code	272
Min. Negotiated Rate	$127.50
Max. Negotiated Rate	$127.50
Rate for Payer: Qualcare PPO/HMO/WC	$127.50

CATHETER NC TREK 2 75MMX15MM

Facility

$850.00

Service Code	HCPCS C1725
Hospital Charge Code	270666553
Hospital Revenue Code	278
Min. Negotiated Rate	$127.50
Max. Negotiated Rate	$425.00
Rate for Payer: Aetna Commercial	$255.00
Rate for Payer: Aetna Medicare Advantage	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$170.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$216.75
Rate for Payer: Cigna Commercial	$425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$205.70
Rate for Payer: Qualcare PPO/HMO/WC	$127.50

CATHETER NC TREK 2 75MMX15MM

Facility

$850.00

Service Code	HCPCS C1725
Hospital Charge Code	270666553
Hospital Revenue Code	278
Min. Negotiated Rate	$127.50
Max. Negotiated Rate	$205.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$205.70
Rate for Payer: Qualcare PPO/HMO/WC	$127.50

CATHETER NC TREK 3.0x12mm

Facility

$850.00

Hospital Charge Code	270652093
Hospital Revenue Code	272
Min. Negotiated Rate	$127.50
Max. Negotiated Rate	$127.50
Rate for Payer: Qualcare PPO/HMO/WC	$127.50

CATHETER NC TREK 3.0x12mm

Facility

$850.00

Hospital Charge Code	270652093
Hospital Revenue Code	272
Min. Negotiated Rate	$110.50
Max. Negotiated Rate	$425.00
Rate for Payer: Aetna Commercial	$255.00
Rate for Payer: Aetna Medicare Advantage	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$216.75
Rate for Payer: Cigna Commercial	$425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.50
Rate for Payer: Oxford Commercial	$425.00
Rate for Payer: Qualcare PPO/HMO/WC	$127.50
Rate for Payer: UnitedHealthcare Commercial	$425.00

CATHETER NC TREK 3.25x12mm

Facility

$850.00

Hospital Charge Code	270652094
Hospital Revenue Code	272
Min. Negotiated Rate	$127.50
Max. Negotiated Rate	$127.50
Rate for Payer: Qualcare PPO/HMO/WC	$127.50

CATHETER NC TREK 3.25x12mm

Facility

$850.00

Hospital Charge Code	270652094
Hospital Revenue Code	272
Min. Negotiated Rate	$110.50
Max. Negotiated Rate	$425.00
Rate for Payer: Aetna Commercial	$255.00
Rate for Payer: Aetna Medicare Advantage	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$216.75
Rate for Payer: Cigna Commercial	$425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.50
Rate for Payer: Oxford Commercial	$425.00
Rate for Payer: Qualcare PPO/HMO/WC	$127.50
Rate for Payer: UnitedHealthcare Commercial	$425.00

CATHETER NC TREK 3.5MM X 8MM

Facility

$850.00

Hospital Charge Code	270651814
Hospital Revenue Code	272
Min. Negotiated Rate	$110.50
Max. Negotiated Rate	$425.00
Rate for Payer: Aetna Commercial	$255.00
Rate for Payer: Aetna Medicare Advantage	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$216.75
Rate for Payer: Cigna Commercial	$425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.50
Rate for Payer: Oxford Commercial	$425.00
Rate for Payer: Qualcare PPO/HMO/WC	$127.50
Rate for Payer: UnitedHealthcare Commercial	$425.00

CATHETER NC TREK 3.5MM X 8MM

Facility

$850.00

Hospital Charge Code	270651814
Hospital Revenue Code	272
Min. Negotiated Rate	$127.50
Max. Negotiated Rate	$127.50
Rate for Payer: Qualcare PPO/HMO/WC	$127.50

CATHETER NEEDLE YUEH CENTESIS

Facility

$110.25

Hospital Charge Code	270651793
Hospital Revenue Code	272
Min. Negotiated Rate	$14.33
Max. Negotiated Rate	$55.12
Rate for Payer: Aetna Commercial	$33.08
Rate for Payer: Aetna Medicare Advantage	$33.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.11
Rate for Payer: Cigna Commercial	$55.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.33
Rate for Payer: Oxford Commercial	$55.12
Rate for Payer: Qualcare PPO/HMO/WC	$16.54
Rate for Payer: UnitedHealthcare Commercial	$55.12

CATHETER NEEDLE YUEH CENTESIS

Facility

$110.25

Hospital Charge Code	270651793R
Hospital Revenue Code	272
Min. Negotiated Rate	$14.33
Max. Negotiated Rate	$55.12
Rate for Payer: Aetna Commercial	$33.08
Rate for Payer: Aetna Medicare Advantage	$33.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.11
Rate for Payer: Cigna Commercial	$55.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.33
Rate for Payer: Oxford Commercial	$55.12
Rate for Payer: Qualcare PPO/HMO/WC	$16.54
Rate for Payer: UnitedHealthcare Commercial	$55.12

Know your out-of-pocket cost for care.

All Charges