Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATHETER PROIMAL CEREBRAL ULTR

Facility

$8,000.00

Hospital Charge Code	270681485
Hospital Revenue Code	272
Min. Negotiated Rate	$1,200.00
Max. Negotiated Rate	$1,200.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,200.00

CATHETER PROIMAL CEREBRAL ULTR

Facility

$8,000.00

Hospital Charge Code	270681485O
Hospital Revenue Code	272
Min. Negotiated Rate	$1,040.00
Max. Negotiated Rate	$4,000.00
Rate for Payer: Aetna Commercial	$2,400.00
Rate for Payer: Aetna Medicare Advantage	$2,400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,040.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,040.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,040.00
Rate for Payer: Cigna Commercial	$4,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,040.00
Rate for Payer: Oxford Commercial	$4,000.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,200.00
Rate for Payer: UnitedHealthcare Commercial	$4,000.00

CATHETER PROIMAL CEREBRAL ULTR

Facility

$8,000.00

Hospital Charge Code	270681485O
Hospital Revenue Code	272
Min. Negotiated Rate	$1,200.00
Max. Negotiated Rate	$1,200.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,200.00

CATHETER PROIMAL CEREBRAL ULTR

Facility

$8,000.00

Hospital Charge Code	270681485
Hospital Revenue Code	272
Min. Negotiated Rate	$1,040.00
Max. Negotiated Rate	$4,000.00
Rate for Payer: Aetna Commercial	$2,400.00
Rate for Payer: Aetna Medicare Advantage	$2,400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,040.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,040.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,040.00
Rate for Payer: Cigna Commercial	$4,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,040.00
Rate for Payer: Oxford Commercial	$4,000.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,200.00
Rate for Payer: UnitedHealthcare Commercial	$4,000.00

CATHETER PRO-LINE 5F X 60CM

Facility

$1,975.00

Service Code	HCPCS C1751
Hospital Charge Code	270678222
Hospital Revenue Code	278
Min. Negotiated Rate	$296.25
Max. Negotiated Rate	$477.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$477.95
Rate for Payer: Qualcare PPO/HMO/WC	$296.25

CATHETER PRO-LINE 5F X 60CM

Facility

$1,975.00

Service Code	HCPCS C1751
Hospital Charge Code	270678222
Hospital Revenue Code	278
Min. Negotiated Rate	$296.25
Max. Negotiated Rate	$987.50
Rate for Payer: Aetna Commercial	$592.50
Rate for Payer: Aetna Medicare Advantage	$592.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$395.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$503.62
Rate for Payer: Cigna Commercial	$987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$477.95
Rate for Payer: Qualcare PPO/HMO/WC	$296.25

CATHETER PROTECTIV 18GX 1-1/4

Facility

$1,568.60

Hospital Charge Code	270662927
Hospital Revenue Code	270
Min. Negotiated Rate	$203.92
Max. Negotiated Rate	$784.30
Rate for Payer: Aetna Commercial	$470.58
Rate for Payer: Aetna Medicare Advantage	$470.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$399.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$399.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$399.99
Rate for Payer: Cigna Commercial	$784.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$203.92
Rate for Payer: Oxford Commercial	$784.30
Rate for Payer: Qualcare PPO/HMO/WC	$235.29
Rate for Payer: UnitedHealthcare Commercial	$784.30

CATHETER PROTECTIV 18GX 1-1/4

Facility

$1,568.60

Hospital Charge Code	270662927
Hospital Revenue Code	270
Min. Negotiated Rate	$235.29
Max. Negotiated Rate	$235.29
Rate for Payer: Qualcare PPO/HMO/WC	$235.29

CATHETER PROTECTIV 20GX 1-1/4

Facility

$1,568.60

Hospital Charge Code	270662928
Hospital Revenue Code	270
Min. Negotiated Rate	$235.29
Max. Negotiated Rate	$235.29
Rate for Payer: Qualcare PPO/HMO/WC	$235.29

CATHETER PROTECTIV 20GX 1-1/4

Facility

$1,568.60

Hospital Charge Code	270662928
Hospital Revenue Code	270
Min. Negotiated Rate	$203.92
Max. Negotiated Rate	$784.30
Rate for Payer: Aetna Commercial	$470.58
Rate for Payer: Aetna Medicare Advantage	$470.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$399.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$399.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$399.99
Rate for Payer: Cigna Commercial	$784.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$203.92
Rate for Payer: Oxford Commercial	$784.30
Rate for Payer: Qualcare PPO/HMO/WC	$235.29
Rate for Payer: UnitedHealthcare Commercial	$784.30

CATHETER PTA AVIATOR 5 X 30 MM

Facility

$1,710.00

Service Code	HCPCS C1725
Hospital Charge Code	270689713
Hospital Revenue Code	272
Min. Negotiated Rate	$222.30
Max. Negotiated Rate	$855.00
Rate for Payer: Aetna Commercial	$513.00
Rate for Payer: Aetna Medicare Advantage	$513.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$436.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$436.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$436.05
Rate for Payer: Cigna Commercial	$855.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$222.30
Rate for Payer: Oxford Commercial	$855.00
Rate for Payer: Qualcare PPO/HMO/WC	$256.50
Rate for Payer: UnitedHealthcare Commercial	$855.00

CATHETER PTA AVIATOR 5 X 30 MM

Facility

$1,710.00

Service Code	HCPCS C1725
Hospital Charge Code	270689713
Hospital Revenue Code	272
Min. Negotiated Rate	$256.50
Max. Negotiated Rate	$256.50
Rate for Payer: Qualcare PPO/HMO/WC	$256.50

CATHETER PTA AVIATOR 7 X 30 MM

Facility

$1,710.00

Service Code	HCPCS C1725
Hospital Charge Code	270689714
Hospital Revenue Code	272
Min. Negotiated Rate	$256.50
Max. Negotiated Rate	$256.50
Rate for Payer: Qualcare PPO/HMO/WC	$256.50

CATHETER PTA AVIATOR 7 X 30 MM

Facility

$1,710.00

Service Code	HCPCS C1725
Hospital Charge Code	270689714
Hospital Revenue Code	272
Min. Negotiated Rate	$222.30
Max. Negotiated Rate	$855.00
Rate for Payer: Aetna Commercial	$513.00
Rate for Payer: Aetna Medicare Advantage	$513.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$436.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$436.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$436.05
Rate for Payer: Cigna Commercial	$855.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$222.30
Rate for Payer: Oxford Commercial	$855.00
Rate for Payer: Qualcare PPO/HMO/WC	$256.50
Rate for Payer: UnitedHealthcare Commercial	$855.00

CATHETER PUSHING PC-3

Facility

$178.10

Hospital Charge Code	270634354
Hospital Revenue Code	272
Min. Negotiated Rate	$23.15
Max. Negotiated Rate	$89.05
Rate for Payer: Aetna Commercial	$53.43
Rate for Payer: Aetna Medicare Advantage	$53.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.42
Rate for Payer: Cigna Commercial	$89.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.15
Rate for Payer: Oxford Commercial	$89.05
Rate for Payer: Qualcare PPO/HMO/WC	$26.71
Rate for Payer: UnitedHealthcare Commercial	$89.05

CATHETER PUSHING PC-3

Facility

$178.10

Hospital Charge Code	270634354
Hospital Revenue Code	272
Min. Negotiated Rate	$26.71
Max. Negotiated Rate	$26.71
Rate for Payer: Qualcare PPO/HMO/WC	$26.71

CATHETER PUSHING PC-5

Facility

$178.10

Hospital Charge Code	270634355
Hospital Revenue Code	272
Min. Negotiated Rate	$26.71
Max. Negotiated Rate	$26.71
Rate for Payer: Qualcare PPO/HMO/WC	$26.71

CATHETER PUSHING PC-5

Facility

$178.10

Hospital Charge Code	270634355
Hospital Revenue Code	272
Min. Negotiated Rate	$23.15
Max. Negotiated Rate	$89.05
Rate for Payer: Aetna Commercial	$53.43
Rate for Payer: Aetna Medicare Advantage	$53.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.42
Rate for Payer: Cigna Commercial	$89.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.15
Rate for Payer: Oxford Commercial	$89.05
Rate for Payer: Qualcare PPO/HMO/WC	$26.71
Rate for Payer: UnitedHealthcare Commercial	$89.05

CATHETER QUICK C 2 3FRx150cm

Facility

$925.00

Service Code	HCPCS C1887
Hospital Charge Code	270679801S
Hospital Revenue Code	278
Min. Negotiated Rate	$138.75
Max. Negotiated Rate	$462.50
Rate for Payer: Aetna Commercial	$277.50
Rate for Payer: Aetna Medicare Advantage	$277.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$235.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$235.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$185.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$235.88
Rate for Payer: Cigna Commercial	$462.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$223.85
Rate for Payer: Qualcare PPO/HMO/WC	$138.75

CATHETER QUICK C 2 3FRx150cm

Facility

$1,020.95

Hospital Charge Code	270679801
Hospital Revenue Code	278
Min. Negotiated Rate	$153.14
Max. Negotiated Rate	$510.48
Rate for Payer: Aetna Commercial	$306.29
Rate for Payer: Aetna Medicare Advantage	$306.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$260.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$260.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$204.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$260.34
Rate for Payer: Cigna Commercial	$510.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.07
Rate for Payer: Qualcare PPO/HMO/WC	$153.14

CATHETER QUICK C 2 3FRx150cm

Facility

$994.50

Service Code	HCPCS C1887
Hospital Charge Code	270679801N
Hospital Revenue Code	278
Min. Negotiated Rate	$149.18
Max. Negotiated Rate	$240.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$198.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$240.67
Rate for Payer: Qualcare PPO/HMO/WC	$149.18

CATHETER QUICK C 2 3FRx150cm

Facility

$1,020.95

Hospital Charge Code	270679801
Hospital Revenue Code	278
Min. Negotiated Rate	$153.14
Max. Negotiated Rate	$247.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$204.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.07
Rate for Payer: Qualcare PPO/HMO/WC	$153.14

CATHETER QUICK C 2 3FRx150cm

Facility

$925.00

Service Code	HCPCS C1887
Hospital Charge Code	270679801S
Hospital Revenue Code	278
Min. Negotiated Rate	$138.75
Max. Negotiated Rate	$223.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$185.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$223.85
Rate for Payer: Qualcare PPO/HMO/WC	$138.75

CATHETER QUICK C 2 3FRx150cm

Facility

$994.50

Service Code	HCPCS C1887
Hospital Charge Code	270679801N
Hospital Revenue Code	278
Min. Negotiated Rate	$149.18
Max. Negotiated Rate	$497.25
Rate for Payer: Aetna Commercial	$298.35
Rate for Payer: Aetna Medicare Advantage	$298.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$253.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$253.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$198.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$253.60
Rate for Payer: Cigna Commercial	$497.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$240.67
Rate for Payer: Qualcare PPO/HMO/WC	$149.18

CATHETER QUICK CROSS .018X150C

Facility

$835.00

Hospital Charge Code	270642211
Hospital Revenue Code	278
Min. Negotiated Rate	$125.25
Max. Negotiated Rate	$202.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$167.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$202.07
Rate for Payer: Qualcare PPO/HMO/WC	$125.25

Know your out-of-pocket cost for care.

All Charges