Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATHETER ROYAL FLUSH 5FR 100cm

Facility

$550.00

Hospital Charge Code	270647398
Hospital Revenue Code	271
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$82.50
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

CATHETER RT ANG CHEST TUB 32FR

Facility

$28.90

Hospital Charge Code	270663923
Hospital Revenue Code	270
Min. Negotiated Rate	$4.33
Max. Negotiated Rate	$4.33
Rate for Payer: Qualcare PPO/HMO/WC	$4.33

CATHETER RT ANG CHEST TUB 32FR

Facility

$28.90

Hospital Charge Code	270663923
Hospital Revenue Code	270
Min. Negotiated Rate	$3.76
Max. Negotiated Rate	$14.45
Rate for Payer: Aetna Commercial	$8.67
Rate for Payer: Aetna Medicare Advantage	$8.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.37
Rate for Payer: Cigna Commercial	$14.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.76
Rate for Payer: Oxford Commercial	$14.45
Rate for Payer: Qualcare PPO/HMO/WC	$4.33
Rate for Payer: UnitedHealthcare Commercial	$14.45

CATHETER RT X THORACIC 24FR

Facility

$28.90

Hospital Charge Code	270667143
Hospital Revenue Code	272
Min. Negotiated Rate	$3.76
Max. Negotiated Rate	$14.45
Rate for Payer: Cigna Commercial	$14.45
Rate for Payer: Aetna Commercial	$8.67
Rate for Payer: Aetna Medicare Advantage	$8.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.76
Rate for Payer: Oxford Commercial	$14.45
Rate for Payer: Qualcare PPO/HMO/WC	$4.33
Rate for Payer: UnitedHealthcare Commercial	$14.45

CATHETER RT X THORACIC 24FR

Facility

$28.90

Hospital Charge Code	270667143
Hospital Revenue Code	272
Min. Negotiated Rate	$4.33
Max. Negotiated Rate	$4.33
Rate for Payer: Qualcare PPO/HMO/WC	$4.33

CATHETER RUBICON 4F 135CMx.018

Facility

$775.00

Service Code	HCPCS C1887
Hospital Charge Code	270672778
Hospital Revenue Code	278
Min. Negotiated Rate	$116.25
Max. Negotiated Rate	$187.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.55
Rate for Payer: Qualcare PPO/HMO/WC	$116.25

CATHETER RUBICON 4F 135CMx.018

Facility

$775.00

Service Code	HCPCS C1887
Hospital Charge Code	270672778
Hospital Revenue Code	278
Min. Negotiated Rate	$116.25
Max. Negotiated Rate	$387.50
Rate for Payer: Aetna Commercial	$232.50
Rate for Payer: Aetna Medicare Advantage	$232.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.62
Rate for Payer: Cigna Commercial	$387.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.55
Rate for Payer: Qualcare PPO/HMO/WC	$116.25

CATHETER RUBICON 4FR .014 135

Facility

$775.00

Hospital Charge Code	270676380
Hospital Revenue Code	272
Min. Negotiated Rate	$116.25
Max. Negotiated Rate	$116.25
Rate for Payer: Qualcare PPO/HMO/WC	$116.25

CATHETER RUBICON 4FR .014 135

Facility

$775.00

Hospital Charge Code	270676380
Hospital Revenue Code	272
Min. Negotiated Rate	$100.75
Max. Negotiated Rate	$387.50
Rate for Payer: Aetna Commercial	$232.50
Rate for Payer: Aetna Medicare Advantage	$232.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.62
Rate for Payer: Cigna Commercial	$387.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.75
Rate for Payer: Oxford Commercial	$387.50
Rate for Payer: Qualcare PPO/HMO/WC	$116.25
Rate for Payer: UnitedHealthcare Commercial	$387.50

CATHETER SCHON 14 FR X 20 CM

Facility

$425.00

Service Code	HCPCS C1752
Hospital Charge Code	270680742
Hospital Revenue Code	278
Min. Negotiated Rate	$63.75
Max. Negotiated Rate	$212.50
Rate for Payer: Aetna Commercial	$127.50
Rate for Payer: Aetna Medicare Advantage	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$85.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$108.38
Rate for Payer: Cigna Commercial	$212.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.85
Rate for Payer: Qualcare PPO/HMO/WC	$63.75

CATHETER SCHON 14 FR X 20 CM

Facility

$425.00

Service Code	HCPCS C1752
Hospital Charge Code	270680742
Hospital Revenue Code	278
Min. Negotiated Rate	$63.75
Max. Negotiated Rate	$102.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$85.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.85
Rate for Payer: Qualcare PPO/HMO/WC	$63.75

CATHETER SCHON XL SET 15CM

Facility

$475.00

Service Code	HCPCS C1752
Hospital Charge Code	270671344
Hospital Revenue Code	278
Min. Negotiated Rate	$71.25
Max. Negotiated Rate	$114.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$95.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.95
Rate for Payer: Qualcare PPO/HMO/WC	$71.25

CATHETER SCHON XL SET 15CM

Facility

$475.00

Service Code	HCPCS C1752
Hospital Charge Code	270671344
Hospital Revenue Code	278
Min. Negotiated Rate	$71.25
Max. Negotiated Rate	$237.50
Rate for Payer: Aetna Commercial	$142.50
Rate for Payer: Aetna Medicare Advantage	$142.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$121.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$121.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$95.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$121.12
Rate for Payer: Cigna Commercial	$237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.95
Rate for Payer: Qualcare PPO/HMO/WC	$71.25

CATHETER SET 15FRX20CM CANNON

Facility

$3,306.00

Hospital Charge Code	270664095
Hospital Revenue Code	272
Min. Negotiated Rate	$495.90
Max. Negotiated Rate	$495.90
Rate for Payer: Qualcare PPO/HMO/WC	$495.90

CATHETER SET 15FRX20CM CANNON

Facility

$3,306.00

Hospital Charge Code	270664095
Hospital Revenue Code	272
Min. Negotiated Rate	$429.78
Max. Negotiated Rate	$1,653.00
Rate for Payer: Aetna Commercial	$991.80
Rate for Payer: Aetna Medicare Advantage	$991.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$843.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$843.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$843.03
Rate for Payer: Cigna Commercial	$1,653.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$429.78
Rate for Payer: Oxford Commercial	$1,653.00
Rate for Payer: Qualcare PPO/HMO/WC	$495.90
Rate for Payer: UnitedHealthcare Commercial	$1,653.00

CATHETER SET CRICOTHYROTOMY

Facility

$2,274.90

Hospital Charge Code	270660191
Hospital Revenue Code	278
Min. Negotiated Rate	$341.24
Max. Negotiated Rate	$550.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$454.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$550.53
Rate for Payer: Qualcare PPO/HMO/WC	$341.24

CATHETER SET CRICOTHYROTOMY

Facility

$2,274.90

Hospital Charge Code	270660191
Hospital Revenue Code	278
Min. Negotiated Rate	$341.24
Max. Negotiated Rate	$1,137.45
Rate for Payer: Aetna Commercial	$682.47
Rate for Payer: Aetna Medicare Advantage	$682.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$580.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$580.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$454.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$580.10
Rate for Payer: Cigna Commercial	$1,137.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$550.53
Rate for Payer: Qualcare PPO/HMO/WC	$341.24

CATHETER SET EVD

Facility

$2,925.00

Hospital Charge Code	270667557
Hospital Revenue Code	278
Min. Negotiated Rate	$438.75
Max. Negotiated Rate	$707.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$585.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$707.85
Rate for Payer: Qualcare PPO/HMO/WC	$438.75

CATHETER SET EVD

Facility

$2,925.00

Hospital Charge Code	270667557
Hospital Revenue Code	278
Min. Negotiated Rate	$438.75
Max. Negotiated Rate	$1,462.50
Rate for Payer: Aetna Medicare Advantage	$877.50
Rate for Payer: Aetna Commercial	$877.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$745.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$745.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$585.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$745.88
Rate for Payer: Cigna Commercial	$1,462.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$707.85
Rate for Payer: Qualcare PPO/HMO/WC	$438.75

CATHETER SET SUPRAPUBIC

Facility

$2,287.80

Service Code	HCPCS C2627
Hospital Charge Code	270658452
Hospital Revenue Code	272
Min. Negotiated Rate	$297.41
Max. Negotiated Rate	$1,143.90
Rate for Payer: Aetna Commercial	$686.34
Rate for Payer: Aetna Medicare Advantage	$686.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$583.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$583.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$583.39
Rate for Payer: Cigna Commercial	$1,143.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$297.41
Rate for Payer: Oxford Commercial	$1,143.90
Rate for Payer: Qualcare PPO/HMO/WC	$343.17
Rate for Payer: UnitedHealthcare Commercial	$1,143.90

CATHETER SET SUPRAPUBIC

Facility

$2,287.80

Service Code	HCPCS C2627
Hospital Charge Code	270658452
Hospital Revenue Code	272
Min. Negotiated Rate	$343.17
Max. Negotiated Rate	$343.17
Rate for Payer: Qualcare PPO/HMO/WC	$343.17

CATHETER SHOCKWAVE 3.5X60MM

Facility

$17,250.00

Service Code	HCPCS C1725
Hospital Charge Code	270698156V
Hospital Revenue Code	278
Min. Negotiated Rate	$2,587.50
Max. Negotiated Rate	$4,174.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,174.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,587.50

CATHETER SHOCKWAVE 3.5X60MM

Facility

$17,250.00

Service Code	HCPCS C1725
Hospital Charge Code	270698156V
Hospital Revenue Code	278
Min. Negotiated Rate	$2,587.50
Max. Negotiated Rate	$8,625.00
Rate for Payer: Aetna Commercial	$5,175.00
Rate for Payer: Aetna Medicare Advantage	$5,175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,398.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,398.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,398.75
Rate for Payer: Cigna Commercial	$8,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,174.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,587.50

CATHETER SILCNE 18F 5cc 165818

Facility

$17.85

Hospital Charge Code	270611853
Hospital Revenue Code	272
Min. Negotiated Rate	$2.68
Max. Negotiated Rate	$2.68
Rate for Payer: Qualcare PPO/HMO/WC	$2.68

CATHETER SILCNE 18F 5cc 165818

Facility

$17.85

Hospital Charge Code	270611853
Hospital Revenue Code	272
Min. Negotiated Rate	$2.32
Max. Negotiated Rate	$8.93
Rate for Payer: Aetna Commercial	$5.36
Rate for Payer: Aetna Medicare Advantage	$5.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.55
Rate for Payer: Cigna Commercial	$8.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.32
Rate for Payer: Oxford Commercial	$8.93
Rate for Payer: Qualcare PPO/HMO/WC	$2.68
Rate for Payer: UnitedHealthcare Commercial	$8.93

Know your out-of-pocket cost for care.

All Charges