Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATHETER QUICK CROSS .018X150C

Facility

$835.00

Hospital Charge Code	270642211
Hospital Revenue Code	278
Min. Negotiated Rate	$125.25
Max. Negotiated Rate	$417.50
Rate for Payer: Aetna Commercial	$250.50
Rate for Payer: Aetna Medicare Advantage	$250.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$212.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$212.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$167.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$212.93
Rate for Payer: Cigna Commercial	$417.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$202.07
Rate for Payer: Qualcare PPO/HMO/WC	$125.25

CATHETER QUICK CROSS .035x135

Facility

$835.00

Hospital Charge Code	2709003695
Hospital Revenue Code	272
Min. Negotiated Rate	$108.55
Max. Negotiated Rate	$417.50
Rate for Payer: Aetna Commercial	$250.50
Rate for Payer: Aetna Medicare Advantage	$250.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$212.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$212.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$212.93
Rate for Payer: Cigna Commercial	$417.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.55
Rate for Payer: Oxford Commercial	$417.50
Rate for Payer: Qualcare PPO/HMO/WC	$125.25
Rate for Payer: UnitedHealthcare Commercial	$417.50

CATHETER QUICK CROSS .035x135

Facility

$835.00

Hospital Charge Code	2709003695
Hospital Revenue Code	272
Min. Negotiated Rate	$125.25
Max. Negotiated Rate	$125.25
Rate for Payer: Qualcare PPO/HMO/WC	$125.25

CATHETER QUICK CROSS .035X135

Facility

$835.00

Hospital Charge Code	270642212
Hospital Revenue Code	278
Min. Negotiated Rate	$125.25
Max. Negotiated Rate	$417.50
Rate for Payer: Aetna Commercial	$250.50
Rate for Payer: Aetna Medicare Advantage	$250.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$212.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$212.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$167.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$212.93
Rate for Payer: Cigna Commercial	$417.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$202.07
Rate for Payer: Qualcare PPO/HMO/WC	$125.25

CATHETER QUICK CROSS .035X135

Facility

$835.00

Hospital Charge Code	270642212
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

CATHETER REACT 68

Facility

$11,600.00

Hospital Charge Code	270685185
Hospital Revenue Code	272
Min. Negotiated Rate	$1,740.00
Max. Negotiated Rate	$1,740.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,740.00

CATHETER REACT 68

Facility

$11,600.00

Hospital Charge Code	270685185
Hospital Revenue Code	272
Min. Negotiated Rate	$1,508.00
Max. Negotiated Rate	$5,800.00
Rate for Payer: Aetna Commercial	$3,480.00
Rate for Payer: Aetna Medicare Advantage	$3,480.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,958.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,958.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,958.00
Rate for Payer: Cigna Commercial	$5,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,508.00
Rate for Payer: Oxford Commercial	$5,800.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,740.00
Rate for Payer: UnitedHealthcare Commercial	$5,800.00

CATHETER RED72KIT TUBING

Facility

$13,975.00

Service Code	HCPCS C1757
Hospital Charge Code	270693923C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,096.25
Max. Negotiated Rate	$6,987.50
Rate for Payer: Aetna Commercial	$4,192.50
Rate for Payer: Aetna Medicare Advantage	$4,192.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,563.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,563.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,795.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,563.62
Rate for Payer: Cigna Commercial	$6,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,381.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,096.25

CATHETER RED72KIT TUBING

Facility

$13,975.00

Service Code	HCPCS C1757
Hospital Charge Code	270693923C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,096.25
Max. Negotiated Rate	$3,381.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,795.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,381.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,096.25

CATHETER REDDICK CHOLAGIOGRAPH

Facility

$2,738.75

Hospital Charge Code	270651797
Hospital Revenue Code	278
Min. Negotiated Rate	$410.81
Max. Negotiated Rate	$1,369.38
Rate for Payer: Aetna Commercial	$821.62
Rate for Payer: Aetna Medicare Advantage	$821.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$698.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$698.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$547.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$698.38
Rate for Payer: Cigna Commercial	$1,369.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$662.78
Rate for Payer: Qualcare PPO/HMO/WC	$410.81

CATHETER REDDICK CHOLAGIOGRAPH

Facility

$2,873.75

Hospital Charge Code	270657231
Hospital Revenue Code	278
Min. Negotiated Rate	$431.06
Max. Negotiated Rate	$695.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$574.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$695.45
Rate for Payer: Qualcare PPO/HMO/WC	$431.06

CATHETER REDDICK CHOLAGIOGRAPH

Facility

$2,873.75

Hospital Charge Code	270657231
Hospital Revenue Code	278
Min. Negotiated Rate	$431.06
Max. Negotiated Rate	$1,436.88
Rate for Payer: Aetna Commercial	$862.12
Rate for Payer: Aetna Medicare Advantage	$862.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$732.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$732.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$574.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$732.81
Rate for Payer: Cigna Commercial	$1,436.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$695.45
Rate for Payer: Qualcare PPO/HMO/WC	$431.06

CATHETER REDDICK CHOLAGIOGRAPH

Facility

$2,873.75

Hospital Charge Code	270657233
Hospital Revenue Code	278
Min. Negotiated Rate	$431.06
Max. Negotiated Rate	$1,436.88
Rate for Payer: Aetna Commercial	$862.12
Rate for Payer: Aetna Medicare Advantage	$862.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$732.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$732.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$574.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$732.81
Rate for Payer: Cigna Commercial	$1,436.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$695.45
Rate for Payer: Qualcare PPO/HMO/WC	$431.06

CATHETER REDDICK CHOLAGIOGRAPH

Facility

$2,738.75

Hospital Charge Code	270651797
Hospital Revenue Code	278
Min. Negotiated Rate	$410.81
Max. Negotiated Rate	$662.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$547.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$662.78
Rate for Payer: Qualcare PPO/HMO/WC	$410.81

CATHETER REDDICK CHOLAGIOGRAPH

Facility

$2,873.75

Hospital Charge Code	270657233
Hospital Revenue Code	278
Min. Negotiated Rate	$431.06
Max. Negotiated Rate	$695.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$574.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$695.45
Rate for Payer: Qualcare PPO/HMO/WC	$431.06

CATHETER REPERFUSION 3MAX

Facility

$7,450.00

Service Code	HCPCS C1725
Hospital Charge Code	270682973
Hospital Revenue Code	278
Min. Negotiated Rate	$1,117.50
Max. Negotiated Rate	$3,725.00
Rate for Payer: Aetna Commercial	$2,235.00
Rate for Payer: Aetna Medicare Advantage	$2,235.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,899.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,899.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,490.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,899.75
Rate for Payer: Cigna Commercial	$3,725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,802.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,117.50

CATHETER REPERFUSION 3MAX

Facility

$7,450.00

Service Code	HCPCS C1725
Hospital Charge Code	270682973N
Hospital Revenue Code	278
Min. Negotiated Rate	$1,117.50
Max. Negotiated Rate	$3,725.00
Rate for Payer: Aetna Commercial	$2,235.00
Rate for Payer: Aetna Medicare Advantage	$2,235.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,899.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,899.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,490.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,899.75
Rate for Payer: Cigna Commercial	$3,725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,802.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,117.50

CATHETER REPERFUSION 3MAX

Facility

$7,450.00

Service Code	HCPCS C1725
Hospital Charge Code	270682973
Hospital Revenue Code	278
Min. Negotiated Rate	$1,117.50
Max. Negotiated Rate	$1,802.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,490.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,802.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,117.50

CATHETER REPERFUSION 3MAX

Facility

$7,450.00

Service Code	HCPCS C1725
Hospital Charge Code	270682973N
Hospital Revenue Code	278
Min. Negotiated Rate	$1,117.50
Max. Negotiated Rate	$1,802.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,490.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,802.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,117.50

CATHETER REPERFUSION 4MAX

Facility

$7,450.00

Service Code	HCPCS C1725
Hospital Charge Code	270682972
Hospital Revenue Code	278
Min. Negotiated Rate	$1,117.50
Max. Negotiated Rate	$3,725.00
Rate for Payer: Aetna Commercial	$2,235.00
Rate for Payer: Aetna Medicare Advantage	$2,235.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,899.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,899.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,490.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,899.75
Rate for Payer: Cigna Commercial	$3,725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,802.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,117.50

CATHETER REPERFUSION 4MAX

Facility

$7,450.00

Service Code	HCPCS C1725
Hospital Charge Code	270682972N
Hospital Revenue Code	278
Min. Negotiated Rate	$1,117.50
Max. Negotiated Rate	$1,802.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,490.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,802.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,117.50

CATHETER REPERFUSION 4MAX

Facility

$7,450.00

Service Code	HCPCS C1725
Hospital Charge Code	270682972N
Hospital Revenue Code	278
Min. Negotiated Rate	$1,117.50
Max. Negotiated Rate	$3,725.00
Rate for Payer: Aetna Commercial	$2,235.00
Rate for Payer: Aetna Medicare Advantage	$2,235.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,899.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,899.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,490.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,899.75
Rate for Payer: Cigna Commercial	$3,725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,802.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,117.50

CATHETER REPERFUSION 4MAX

Facility

$7,450.00

Service Code	HCPCS C1725
Hospital Charge Code	270682972
Hospital Revenue Code	278
Min. Negotiated Rate	$1,117.50
Max. Negotiated Rate	$1,802.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,490.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,802.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,117.50

CATHETER REPERFUSION ACE132

Facility

$11,450.00

Service Code	HCPCS C1725
Hospital Charge Code	270682971N
Hospital Revenue Code	278
Min. Negotiated Rate	$1,717.50
Max. Negotiated Rate	$5,725.00
Rate for Payer: Aetna Commercial	$3,435.00
Rate for Payer: Aetna Medicare Advantage	$3,435.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,919.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,919.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,290.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,919.75
Rate for Payer: Cigna Commercial	$5,725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,770.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,717.50

CATHETER REPERFUSION ACE132

Facility

$11,450.00

Service Code	HCPCS C1725
Hospital Charge Code	270682971
Hospital Revenue Code	278
Min. Negotiated Rate	$1,717.50
Max. Negotiated Rate	$5,725.00
Rate for Payer: Aetna Commercial	$3,435.00
Rate for Payer: Aetna Medicare Advantage	$3,435.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,919.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,919.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,290.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,919.75
Rate for Payer: Cigna Commercial	$5,725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,770.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,717.50

Know your out-of-pocket cost for care.

All Charges