Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATHETER TEMPOAGUA 4 FRX125 CM

Facility

$210.00

Hospital Charge Code	270682976S
Hospital Revenue Code	272
Min. Negotiated Rate	$27.30
Max. Negotiated Rate	$105.00
Rate for Payer: Aetna Commercial	$63.00
Rate for Payer: Aetna Medicare Advantage	$63.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.55
Rate for Payer: Cigna Commercial	$105.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.30
Rate for Payer: Oxford Commercial	$105.00
Rate for Payer: Qualcare PPO/HMO/WC	$31.50
Rate for Payer: UnitedHealthcare Commercial	$105.00

CATHETER TEMPOAGUA 4 FRX125 CM

Facility

$210.00

Hospital Charge Code	270682976S
Hospital Revenue Code	272
Min. Negotiated Rate	$31.50
Max. Negotiated Rate	$31.50
Rate for Payer: Qualcare PPO/HMO/WC	$31.50

CATHETER TEMPOAGUA 4 FRX125 CM

Facility

$210.00

Hospital Charge Code	270682976
Hospital Revenue Code	272
Min. Negotiated Rate	$27.30
Max. Negotiated Rate	$105.00
Rate for Payer: Aetna Commercial	$63.00
Rate for Payer: Aetna Medicare Advantage	$63.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.55
Rate for Payer: Cigna Commercial	$105.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.30
Rate for Payer: Oxford Commercial	$105.00
Rate for Payer: Qualcare PPO/HMO/WC	$31.50
Rate for Payer: UnitedHealthcare Commercial	$105.00

CATHETER TEMPOAGUA 4 FRX125 CM

Facility

$210.00

Hospital Charge Code	270682976
Hospital Revenue Code	272
Min. Negotiated Rate	$31.50
Max. Negotiated Rate	$31.50
Rate for Payer: Qualcare PPO/HMO/WC	$31.50

CATHETER TESIO RT W/6F INTRO/T

Facility

$1,675.00

Service Code	HCPCS C1750
Hospital Charge Code	270658144
Hospital Revenue Code	278
Min. Negotiated Rate	$251.25
Max. Negotiated Rate	$837.50
Rate for Payer: Aetna Commercial	$502.50
Rate for Payer: Aetna Medicare Advantage	$502.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$427.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$427.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$335.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$427.12
Rate for Payer: Cigna Commercial	$837.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$405.35
Rate for Payer: Qualcare PPO/HMO/WC	$251.25

CATHETER TESIO RT W/6F INTRO/T

Facility

$1,675.00

Service Code	HCPCS C1750
Hospital Charge Code	270658144
Hospital Revenue Code	278
Min. Negotiated Rate	$251.25
Max. Negotiated Rate	$405.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$335.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$405.35
Rate for Payer: Qualcare PPO/HMO/WC	$251.25

CATHETER THERMODILUTION 131HF7

Facility

$373.22

Hospital Charge Code	270100428
Hospital Revenue Code	272
Min. Negotiated Rate	$55.98
Max. Negotiated Rate	$55.98
Rate for Payer: Qualcare PPO/HMO/WC	$55.98

CATHETER THERMODILUTION 131HF7

Facility

$373.22

Hospital Charge Code	270100428
Hospital Revenue Code	272
Min. Negotiated Rate	$48.52
Max. Negotiated Rate	$186.61
Rate for Payer: Aetna Commercial	$111.97
Rate for Payer: Aetna Medicare Advantage	$111.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.17
Rate for Payer: Cigna Commercial	$186.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.52
Rate for Payer: Oxford Commercial	$186.61
Rate for Payer: Qualcare PPO/HMO/WC	$55.98
Rate for Payer: UnitedHealthcare Commercial	$186.61

CATHETER THORACIC 28 FR 8028

Facility

$20.47

Hospital Charge Code	270649069
Hospital Revenue Code	272
Min. Negotiated Rate	$2.66
Max. Negotiated Rate	$10.23
Rate for Payer: Aetna Commercial	$6.14
Rate for Payer: Aetna Medicare Advantage	$6.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.22
Rate for Payer: Cigna Commercial	$10.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.66
Rate for Payer: Oxford Commercial	$10.23
Rate for Payer: Qualcare PPO/HMO/WC	$3.07
Rate for Payer: UnitedHealthcare Commercial	$10.23

CATHETER THORACIC 28 FR 8028

Facility

$20.47

Hospital Charge Code	270649069
Hospital Revenue Code	272
Min. Negotiated Rate	$3.07
Max. Negotiated Rate	$3.07
Rate for Payer: Qualcare PPO/HMO/WC	$3.07

CATHETER THORACIC 28FR. STANDR

Facility

$54.00

Hospital Charge Code	270331007
Hospital Revenue Code	272
Min. Negotiated Rate	$8.10
Max. Negotiated Rate	$8.10
Rate for Payer: Qualcare PPO/HMO/WC	$8.10

CATHETER THORACIC 28FR. STANDR

Facility

$54.00

Hospital Charge Code	270331007
Hospital Revenue Code	272
Min. Negotiated Rate	$7.02
Max. Negotiated Rate	$27.00
Rate for Payer: Aetna Commercial	$16.20
Rate for Payer: Aetna Medicare Advantage	$16.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.77
Rate for Payer: Cigna Commercial	$27.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.02
Rate for Payer: Oxford Commercial	$27.00
Rate for Payer: Qualcare PPO/HMO/WC	$8.10
Rate for Payer: UnitedHealthcare Commercial	$27.00

CATHETER THORACIC 32FR STR

Facility

$54.00

Hospital Charge Code	270331009
Hospital Revenue Code	272
Min. Negotiated Rate	$7.02
Max. Negotiated Rate	$27.00
Rate for Payer: Aetna Commercial	$16.20
Rate for Payer: Aetna Medicare Advantage	$16.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.77
Rate for Payer: Cigna Commercial	$27.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.02
Rate for Payer: Oxford Commercial	$27.00
Rate for Payer: Qualcare PPO/HMO/WC	$8.10
Rate for Payer: UnitedHealthcare Commercial	$27.00

CATHETER THORACIC 32FR STR

Facility

$54.00

Hospital Charge Code	270331009
Hospital Revenue Code	272
Min. Negotiated Rate	$8.10
Max. Negotiated Rate	$8.10
Rate for Payer: Qualcare PPO/HMO/WC	$8.10

CATHETER THORACIC 36FR 8036

Facility

$19.45

Hospital Charge Code	270649073
Hospital Revenue Code	272
Min. Negotiated Rate	$2.53
Max. Negotiated Rate	$9.72
Rate for Payer: Aetna Commercial	$5.83
Rate for Payer: Aetna Medicare Advantage	$5.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.96
Rate for Payer: Cigna Commercial	$9.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.53
Rate for Payer: Oxford Commercial	$9.72
Rate for Payer: Qualcare PPO/HMO/WC	$2.92
Rate for Payer: UnitedHealthcare Commercial	$9.72

CATHETER THORACIC 36FR 8036

Facility

$19.45

Hospital Charge Code	270649073
Hospital Revenue Code	272
Min. Negotiated Rate	$2.92
Max. Negotiated Rate	$2.92
Rate for Payer: Qualcare PPO/HMO/WC	$2.92

CATHETER THORACIC 36FR STR

Facility

$52.00

Hospital Charge Code	270331010
Hospital Revenue Code	272
Min. Negotiated Rate	$6.76
Max. Negotiated Rate	$26.00
Rate for Payer: Aetna Commercial	$15.60
Rate for Payer: Aetna Medicare Advantage	$15.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.26
Rate for Payer: Cigna Commercial	$26.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.76
Rate for Payer: Oxford Commercial	$26.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.80
Rate for Payer: UnitedHealthcare Commercial	$26.00

CATHETER THORACIC 36FR STR

Facility

$52.00

Hospital Charge Code	270331010
Hospital Revenue Code	272
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$7.80
Rate for Payer: Qualcare PPO/HMO/WC	$7.80

CATHETER THORACIC 40FR.

Facility

$54.00

Hospital Charge Code	270331620
Hospital Revenue Code	272
Min. Negotiated Rate	$8.10
Max. Negotiated Rate	$8.10
Rate for Payer: Qualcare PPO/HMO/WC	$8.10

CATHETER THORACIC 40FR.

Facility

$54.00

Hospital Charge Code	270331620
Hospital Revenue Code	272
Min. Negotiated Rate	$7.02
Max. Negotiated Rate	$27.00
Rate for Payer: Aetna Commercial	$16.20
Rate for Payer: Aetna Medicare Advantage	$16.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.77
Rate for Payer: Cigna Commercial	$27.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.02
Rate for Payer: Oxford Commercial	$27.00
Rate for Payer: Qualcare PPO/HMO/WC	$8.10
Rate for Payer: UnitedHealthcare Commercial	$27.00

CATHETER THORACIC STR.24FR

Facility

$20.47

Hospital Charge Code	270649068
Hospital Revenue Code	272
Min. Negotiated Rate	$3.07
Max. Negotiated Rate	$3.07
Rate for Payer: Qualcare PPO/HMO/WC	$3.07

CATHETER THORACIC STR.24FR

Facility

$20.47

Hospital Charge Code	270649068
Hospital Revenue Code	272
Min. Negotiated Rate	$2.66
Max. Negotiated Rate	$10.23
Rate for Payer: Oxford Commercial	$10.23
Rate for Payer: Aetna Commercial	$6.14
Rate for Payer: Aetna Medicare Advantage	$6.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.22
Rate for Payer: Cigna Commercial	$10.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.66
Rate for Payer: Qualcare PPO/HMO/WC	$3.07
Rate for Payer: UnitedHealthcare Commercial	$10.23

CATHETER THREE LUMEN KIT 20CM

Facility

$735.00

Service Code	HCPCS C1752
Hospital Charge Code	270698019
Hospital Revenue Code	278
Min. Negotiated Rate	$110.25
Max. Negotiated Rate	$367.50
Rate for Payer: Aetna Commercial	$220.50
Rate for Payer: Aetna Medicare Advantage	$220.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$187.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$187.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$147.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$187.43
Rate for Payer: Cigna Commercial	$367.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$177.87
Rate for Payer: Qualcare PPO/HMO/WC	$110.25

CATHETER THREE LUMEN KIT 20CM

Facility

$735.00

Service Code	HCPCS C1752
Hospital Charge Code	270698019
Hospital Revenue Code	278
Min. Negotiated Rate	$110.25
Max. Negotiated Rate	$177.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$147.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$177.87
Rate for Payer: Qualcare PPO/HMO/WC	$110.25

CATHETER,THROMBOLECTOMY,EMBOL

Facility

$21.40

Service Code	HCPCS C1757
Hospital Charge Code	4800900
Hospital Revenue Code	278
Min. Negotiated Rate	$3.21
Max. Negotiated Rate	$5.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.18
Rate for Payer: Qualcare PPO/HMO/WC	$3.21

Know your out-of-pocket cost for care.

All Charges