Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATHETER PALINDRONE DIALY 23CM

Facility

$2,183.60

Hospital Charge Code	270669447
Hospital Revenue Code	278
Min. Negotiated Rate	$327.54
Max. Negotiated Rate	$1,091.80
Rate for Payer: Aetna Commercial	$655.08
Rate for Payer: Aetna Medicare Advantage	$655.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$556.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$556.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$436.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$556.82
Rate for Payer: Cigna Commercial	$1,091.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$528.43
Rate for Payer: Qualcare PPO/HMO/WC	$327.54

CATHETER PALINDRONE DIALY 23CM

Facility

$2,183.60

Hospital Charge Code	270669447
Hospital Revenue Code	278
Min. Negotiated Rate	$327.54
Max. Negotiated Rate	$528.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$436.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$528.43
Rate for Payer: Qualcare PPO/HMO/WC	$327.54

CATHETER PALINDRONE DIALY 28CM

Facility

$2,183.60

Hospital Charge Code	270669448
Hospital Revenue Code	278
Min. Negotiated Rate	$327.54
Max. Negotiated Rate	$528.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$436.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$528.43
Rate for Payer: Qualcare PPO/HMO/WC	$327.54

CATHETER PALINDRONE DIALY 28CM

Facility

$2,183.60

Hospital Charge Code	270669448
Hospital Revenue Code	278
Min. Negotiated Rate	$327.54
Max. Negotiated Rate	$1,091.80
Rate for Payer: Aetna Commercial	$655.08
Rate for Payer: Aetna Medicare Advantage	$655.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$556.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$556.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$436.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$556.82
Rate for Payer: Cigna Commercial	$1,091.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$528.43
Rate for Payer: Qualcare PPO/HMO/WC	$327.54

CATHETER PASSER

Facility

$72.00

Hospital Charge Code	270335598
Hospital Revenue Code	272
Min. Negotiated Rate	$10.80
Max. Negotiated Rate	$10.80
Rate for Payer: Qualcare PPO/HMO/WC	$10.80

CATHETER PASSER

Facility

$72.00

Hospital Charge Code	270335598
Hospital Revenue Code	272
Min. Negotiated Rate	$9.36
Max. Negotiated Rate	$36.00
Rate for Payer: Aetna Commercial	$21.60
Rate for Payer: Aetna Medicare Advantage	$21.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.36
Rate for Payer: Cigna Commercial	$36.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.36
Rate for Payer: Oxford Commercial	$36.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.80
Rate for Payer: UnitedHealthcare Commercial	$36.00

CATHETER PASSER 36CM

Facility

$119.00

Hospital Charge Code	270335606
Hospital Revenue Code	272
Min. Negotiated Rate	$17.85
Max. Negotiated Rate	$17.85
Rate for Payer: Qualcare PPO/HMO/WC	$17.85

CATHETER PASSER 36CM

Facility

$119.00

Hospital Charge Code	270335606
Hospital Revenue Code	272
Min. Negotiated Rate	$15.47
Max. Negotiated Rate	$59.50
Rate for Payer: Aetna Commercial	$35.70
Rate for Payer: Aetna Medicare Advantage	$35.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.34
Rate for Payer: Cigna Commercial	$59.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.47
Rate for Payer: Oxford Commercial	$59.50
Rate for Payer: Qualcare PPO/HMO/WC	$17.85
Rate for Payer: UnitedHealthcare Commercial	$59.50

CATHETER PASSER 38CM

Facility

$490.00

Hospital Charge Code	270691735
Hospital Revenue Code	272
Min. Negotiated Rate	$63.70
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) PPO	$124.95
Rate for Payer: Cigna Commercial	$245.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.70
Rate for Payer: Oxford Commercial	$245.00
Rate for Payer: Qualcare PPO/HMO/WC	$73.50
Rate for Payer: UnitedHealthcare Commercial	$245.00

CATHETER PASSER 38CM

Facility

$490.00

Hospital Charge Code	270691735
Hospital Revenue Code	272
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$73.50
Rate for Payer: Qualcare PPO/HMO/WC	$73.50

CATHETER PASSER 55CM.

Facility

$142.00

Hospital Charge Code	270335605
Hospital Revenue Code	272
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$21.30
Rate for Payer: Qualcare PPO/HMO/WC	$21.30

CATHETER PASSER 55CM.

Facility

$142.00

Hospital Charge Code	270335605
Hospital Revenue Code	272
Min. Negotiated Rate	$18.46
Max. Negotiated Rate	$71.00
Rate for Payer: Aetna Commercial	$42.60
Rate for Payer: Aetna Medicare Advantage	$42.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.21
Rate for Payer: Cigna Commercial	$71.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.46
Rate for Payer: Oxford Commercial	$71.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.30
Rate for Payer: UnitedHealthcare Commercial	$71.00

CATHETER PEAR SHAPED

Facility

$8,250.00

Service Code	HCPCS C1886
Hospital Charge Code	270682728
Hospital Revenue Code	278
Min. Negotiated Rate	$1,237.50
Max. Negotiated Rate	$4,125.00
Rate for Payer: Aetna Commercial	$2,475.00
Rate for Payer: Aetna Medicare Advantage	$2,475.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,103.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,103.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,103.75
Rate for Payer: Cigna Commercial	$4,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,996.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,237.50

CATHETER PEAR SHAPED

Facility

$8,250.00

Service Code	HCPCS C1886
Hospital Charge Code	270682728
Hospital Revenue Code	278
Min. Negotiated Rate	$1,237.50
Max. Negotiated Rate	$1,996.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,996.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,237.50

CATHETER PERF 6F 610038ULT1

Facility

$113.75

Service Code	HCPCS C1725
Hospital Charge Code	270667499
Hospital Revenue Code	278
Min. Negotiated Rate	$17.06
Max. Negotiated Rate	$27.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.53
Rate for Payer: Qualcare PPO/HMO/WC	$17.06

CATHETER PERF 6F 610038ULT1

Facility

$113.75

Service Code	HCPCS C1725
Hospital Charge Code	270667499
Hospital Revenue Code	278
Min. Negotiated Rate	$17.06
Max. Negotiated Rate	$56.88
Rate for Payer: Aetna Commercial	$34.12
Rate for Payer: Aetna Medicare Advantage	$34.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.01
Rate for Payer: Cigna Commercial	$56.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.53
Rate for Payer: Qualcare PPO/HMO/WC	$17.06

CATHETER PERFORMA

Facility

$40.00

Hospital Charge Code	2709000688
Hospital Revenue Code	272
Min. Negotiated Rate	$6.00
Max. Negotiated Rate	$6.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.00

CATHETER PERFORMA

Facility

$40.00

Hospital Charge Code	2709000688
Hospital Revenue Code	272
Min. Negotiated Rate	$5.20
Max. Negotiated Rate	$20.00
Rate for Payer: Aetna Commercial	$12.00
Rate for Payer: Aetna Medicare Advantage	$12.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.20
Rate for Payer: Cigna Commercial	$20.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.20
Rate for Payer: Oxford Commercial	$20.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.00
Rate for Payer: UnitedHealthcare Commercial	$20.00

CATHETER PERFORMA 145 DEGREE C

Facility

$40.00

Service Code	HCPCS C1729
Hospital Charge Code	270658203
Hospital Revenue Code	278
Min. Negotiated Rate	$6.00
Max. Negotiated Rate	$9.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.68
Rate for Payer: Qualcare PPO/HMO/WC	$6.00

CATHETER PERFORMA 145 DEGREE C

Facility

$40.00

Service Code	HCPCS C1729
Hospital Charge Code	270658203
Hospital Revenue Code	278
Min. Negotiated Rate	$6.00
Max. Negotiated Rate	$20.00
Rate for Payer: Aetna Commercial	$12.00
Rate for Payer: Aetna Medicare Advantage	$12.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.20
Rate for Payer: Cigna Commercial	$20.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.68
Rate for Payer: Qualcare PPO/HMO/WC	$6.00

CATHETER PERFORMA 5 F 65 CM

Facility

$135.60

Hospital Charge Code	270690529
Hospital Revenue Code	272
Min. Negotiated Rate	$17.63
Max. Negotiated Rate	$67.80
Rate for Payer: Aetna Commercial	$40.68
Rate for Payer: Aetna Medicare Advantage	$40.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.58
Rate for Payer: Cigna Commercial	$67.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.63
Rate for Payer: Oxford Commercial	$67.80
Rate for Payer: Qualcare PPO/HMO/WC	$20.34
Rate for Payer: UnitedHealthcare Commercial	$67.80

CATHETER PERFORMA 5 F 65 CM

Facility

$135.60

Hospital Charge Code	270690529
Hospital Revenue Code	272
Min. Negotiated Rate	$20.34
Max. Negotiated Rate	$20.34
Rate for Payer: Qualcare PPO/HMO/WC	$20.34

CATHETER PERFORMA AMPLATZ LEF

Facility

$40.00

Hospital Charge Code	270658195
Hospital Revenue Code	278
Min. Negotiated Rate	$6.00
Max. Negotiated Rate	$9.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.68
Rate for Payer: Qualcare PPO/HMO/WC	$6.00

CATHETER PERFORMA AMPLATZ LEF

Facility

$40.00

Hospital Charge Code	270658192
Hospital Revenue Code	278
Min. Negotiated Rate	$6.00
Max. Negotiated Rate	$20.00
Rate for Payer: Aetna Commercial	$12.00
Rate for Payer: Aetna Medicare Advantage	$12.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.20
Rate for Payer: Cigna Commercial	$20.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.68
Rate for Payer: Qualcare PPO/HMO/WC	$6.00

CATHETER PERFORMA AMPLATZ LEF

Facility

$40.00

Hospital Charge Code	270658192
Hospital Revenue Code	278
Min. Negotiated Rate	$6.00
Max. Negotiated Rate	$9.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.68
Rate for Payer: Qualcare PPO/HMO/WC	$6.00

Know your out-of-pocket cost for care.

All Charges