Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATHETER NEEDLE YUEH CENTESIS

Facility

$110.25

Hospital Charge Code	270651793R
Hospital Revenue Code	272
Min. Negotiated Rate	$16.54
Max. Negotiated Rate	$16.54
Rate for Payer: Qualcare PPO/HMO/WC	$16.54

CATHETER NEEDLE YUEH CENTESIS

Facility

$110.25

Hospital Charge Code	270651793
Hospital Revenue Code	272
Min. Negotiated Rate	$16.54
Max. Negotiated Rate	$16.54
Rate for Payer: Qualcare PPO/HMO/WC	$16.54

CATHETER NEEDLE YUEH DTVN-5.0F

Facility

$91.65

Hospital Charge Code	270CH0055
Hospital Revenue Code	278
Min. Negotiated Rate	$13.75
Max. Negotiated Rate	$22.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.18
Rate for Payer: Qualcare PPO/HMO/WC	$13.75

CATHETER NEEDLE YUEH DTVN-5.0F

Facility

$94.00

Hospital Charge Code	270CH0056
Hospital Revenue Code	278
Min. Negotiated Rate	$14.10
Max. Negotiated Rate	$22.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.75
Rate for Payer: Qualcare PPO/HMO/WC	$14.10

CATHETER NEEDLE YUEH DTVN-5.0F

Facility

$91.65

Hospital Charge Code	270CH0055
Hospital Revenue Code	278
Min. Negotiated Rate	$13.75
Max. Negotiated Rate	$45.83
Rate for Payer: Aetna Commercial	$27.50
Rate for Payer: Aetna Medicare Advantage	$27.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.37
Rate for Payer: Cigna Commercial	$45.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.18
Rate for Payer: Qualcare PPO/HMO/WC	$13.75

CATHETER NEEDLE YUEH DTVN-5.0F

Facility

$94.00

Hospital Charge Code	270CH0056
Hospital Revenue Code	278
Min. Negotiated Rate	$14.10
Max. Negotiated Rate	$47.00
Rate for Payer: Aetna Commercial	$28.20
Rate for Payer: Aetna Medicare Advantage	$28.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.97
Rate for Payer: Cigna Commercial	$47.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.75
Rate for Payer: Qualcare PPO/HMO/WC	$14.10

CATHETER NEONTATAL SILICONE

Facility

$269.87

Hospital Charge Code	270669981
Hospital Revenue Code	272
Min. Negotiated Rate	$40.48
Max. Negotiated Rate	$40.48
Rate for Payer: Qualcare PPO/HMO/WC	$40.48

CATHETER NEONTATAL SILICONE

Facility

$269.87

Hospital Charge Code	270669981
Hospital Revenue Code	272
Min. Negotiated Rate	$35.08
Max. Negotiated Rate	$134.94
Rate for Payer: Aetna Commercial	$80.96
Rate for Payer: Aetna Medicare Advantage	$80.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.82
Rate for Payer: Cigna Commercial	$134.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.08
Rate for Payer: Oxford Commercial	$134.94
Rate for Payer: Qualcare PPO/HMO/WC	$40.48
Rate for Payer: UnitedHealthcare Commercial	$134.94

CATHETER NEURO AXS CAT 5

Facility

$10,901.25

Service Code	HCPCS C1887
Hospital Charge Code	270690868
Hospital Revenue Code	278
Min. Negotiated Rate	$1,635.19
Max. Negotiated Rate	$5,450.62
Rate for Payer: Aetna Commercial	$3,270.38
Rate for Payer: Aetna Medicare Advantage	$3,270.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,779.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,779.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,180.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,779.82
Rate for Payer: Cigna Commercial	$5,450.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,638.10
Rate for Payer: Qualcare PPO/HMO/WC	$1,635.19

CATHETER NEURO AXS CAT 5

Facility

$10,901.25

Service Code	HCPCS C1887
Hospital Charge Code	270690868
Hospital Revenue Code	278
Min. Negotiated Rate	$1,635.19
Max. Negotiated Rate	$2,638.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,180.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,638.10
Rate for Payer: Qualcare PPO/HMO/WC	$1,635.19

CATHETER NEURO AXS CAT 7

Facility

$11,875.00

Service Code	HCPCS C1887
Hospital Charge Code	270690869
Hospital Revenue Code	278
Min. Negotiated Rate	$1,781.25
Max. Negotiated Rate	$2,873.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,873.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,781.25

CATHETER NEURO AXS CAT 7

Facility

$11,875.00

Service Code	HCPCS C1887
Hospital Charge Code	270690869
Hospital Revenue Code	278
Min. Negotiated Rate	$1,781.25
Max. Negotiated Rate	$5,937.50
Rate for Payer: Aetna Commercial	$3,562.50
Rate for Payer: Aetna Medicare Advantage	$3,562.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,028.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,028.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,028.12
Rate for Payer: Cigna Commercial	$5,937.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,873.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,781.25

CATHETER OCELOT 5FR 135cm

Facility

$12,475.00

Hospital Charge Code	270671671
Hospital Revenue Code	272
Min. Negotiated Rate	$1,621.75
Max. Negotiated Rate	$6,237.50
Rate for Payer: Aetna Commercial	$3,742.50
Rate for Payer: Aetna Medicare Advantage	$3,742.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,181.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,181.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,181.12
Rate for Payer: Cigna Commercial	$6,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,621.75
Rate for Payer: Oxford Commercial	$6,237.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,871.25
Rate for Payer: UnitedHealthcare Commercial	$6,237.50

CATHETER OCELOT 5FR 135cm

Facility

$12,475.00

Hospital Charge Code	270671671
Hospital Revenue Code	272
Min. Negotiated Rate	$1,871.25
Max. Negotiated Rate	$1,871.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,871.25

CATHETER OCELOT 6FR 110cm

Facility

$12,475.00

Hospital Charge Code	270671670
Hospital Revenue Code	272
Min. Negotiated Rate	$1,871.25
Max. Negotiated Rate	$1,871.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,871.25

CATHETER OCELOT 6FR 110cm

Facility

$12,475.00

Hospital Charge Code	270671670
Hospital Revenue Code	272
Min. Negotiated Rate	$1,621.75
Max. Negotiated Rate	$6,237.50
Rate for Payer: Aetna Commercial	$3,742.50
Rate for Payer: Aetna Medicare Advantage	$3,742.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,181.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,181.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,181.12
Rate for Payer: Cigna Commercial	$6,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,621.75
Rate for Payer: Oxford Commercial	$6,237.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,871.25
Rate for Payer: UnitedHealthcare Commercial	$6,237.50

CATHETER OLIVE TIP 3FR. WOVEN

Facility

$797.00

Hospital Charge Code	270332029
Hospital Revenue Code	278
Min. Negotiated Rate	$119.55
Max. Negotiated Rate	$192.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$159.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$192.87
Rate for Payer: Qualcare PPO/HMO/WC	$119.55

CATHETER OLIVE TIP 3FR. WOVEN

Facility

$797.00

Hospital Charge Code	270332029
Hospital Revenue Code	278
Min. Negotiated Rate	$119.55
Max. Negotiated Rate	$398.50
Rate for Payer: Aetna Commercial	$239.10
Rate for Payer: Aetna Medicare Advantage	$239.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$203.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$203.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$159.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$203.24
Rate for Payer: Cigna Commercial	$398.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$192.87
Rate for Payer: Qualcare PPO/HMO/WC	$119.55

CATHETER OLIVE TIP URETERAL4FR

Facility

$44.58

Hospital Charge Code	270663719
Hospital Revenue Code	278
Min. Negotiated Rate	$6.69
Max. Negotiated Rate	$10.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.79
Rate for Payer: Qualcare PPO/HMO/WC	$6.69

CATHETER OLIVE TIP URETERAL4FR

Facility

$44.58

Hospital Charge Code	270663719
Hospital Revenue Code	278
Min. Negotiated Rate	$6.69
Max. Negotiated Rate	$22.29
Rate for Payer: Aetna Commercial	$13.37
Rate for Payer: Aetna Medicare Advantage	$13.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.37
Rate for Payer: Cigna Commercial	$22.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.79
Rate for Payer: Qualcare PPO/HMO/WC	$6.69

CATHETER OLIVE TIP URETERAL5FR

Facility

$44.58

Hospital Charge Code	270663720
Hospital Revenue Code	278
Min. Negotiated Rate	$6.69
Max. Negotiated Rate	$22.29
Rate for Payer: Aetna Commercial	$13.37
Rate for Payer: Aetna Medicare Advantage	$13.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.37
Rate for Payer: Cigna Commercial	$22.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.79
Rate for Payer: Qualcare PPO/HMO/WC	$6.69

CATHETER OLIVE TIP URETERAL5FR

Facility

$44.58

Hospital Charge Code	270663720
Hospital Revenue Code	278
Min. Negotiated Rate	$6.69
Max. Negotiated Rate	$10.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.79
Rate for Payer: Qualcare PPO/HMO/WC	$6.69

CATHETER OPTITORQUE 5FR JACKY

Facility

$275.00

Hospital Charge Code	2709007304
Hospital Revenue Code	272
Min. Negotiated Rate	$41.25
Max. Negotiated Rate	$41.25
Rate for Payer: Qualcare PPO/HMO/WC	$41.25

CATHETER OPTITORQUE 5FR JACKY

Facility

$275.00

Hospital Charge Code	2709007304
Hospital Revenue Code	272
Min. Negotiated Rate	$35.75
Max. Negotiated Rate	$137.50
Rate for Payer: Aetna Commercial	$82.50
Rate for Payer: Aetna Medicare Advantage	$82.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.12
Rate for Payer: Cigna Commercial	$137.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.75
Rate for Payer: Oxford Commercial	$137.50
Rate for Payer: Qualcare PPO/HMO/WC	$41.25
Rate for Payer: UnitedHealthcare Commercial	$137.50

CATHETER OPTITORQUE 5FR TIGER

Facility

$275.00

Hospital Charge Code	2709007303
Hospital Revenue Code	272
Min. Negotiated Rate	$35.75
Max. Negotiated Rate	$137.50
Rate for Payer: Aetna Commercial	$82.50
Rate for Payer: Aetna Medicare Advantage	$82.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.12
Rate for Payer: Cigna Commercial	$137.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.75
Rate for Payer: Oxford Commercial	$137.50
Rate for Payer: Qualcare PPO/HMO/WC	$41.25
Rate for Payer: UnitedHealthcare Commercial	$137.50

Know your out-of-pocket cost for care.

All Charges