Heights University Hospital

All Charges

Charge

Type

Setting

Price

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	$10.70
Rate for Payer: Aetna Commercial	$6.42
Rate for Payer: Aetna Medicare Advantage	$6.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.46
Rate for Payer: Cigna Commercial	$10.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.18
Rate for Payer: Qualcare PPO/HMO/WC	$3.21

CATHETER TIEMANN COUDE 22FR

Facility

$139.00

Hospital Charge Code	270311612
Hospital Revenue Code	272
Min. Negotiated Rate	$18.07
Max. Negotiated Rate	$69.50
Rate for Payer: Aetna Commercial	$41.70
Rate for Payer: Aetna Medicare Advantage	$41.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.45
Rate for Payer: Cigna Commercial	$69.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.07
Rate for Payer: Oxford Commercial	$69.50
Rate for Payer: Qualcare PPO/HMO/WC	$20.85
Rate for Payer: UnitedHealthcare Commercial	$69.50

CATHETER TIEMANN COUDE 22FR

Facility

$139.00

Hospital Charge Code	270311612
Hospital Revenue Code	272
Min. Negotiated Rate	$20.85
Max. Negotiated Rate	$20.85
Rate for Payer: Qualcare PPO/HMO/WC	$20.85

CATHETER TIEMANN COUDE 5CC 22

Facility

$106.00

Hospital Charge Code	270331133
Hospital Revenue Code	272
Min. Negotiated Rate	$13.78
Max. Negotiated Rate	$53.00
Rate for Payer: Aetna Commercial	$31.80
Rate for Payer: Aetna Medicare Advantage	$31.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.03
Rate for Payer: Cigna Commercial	$53.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.78
Rate for Payer: Oxford Commercial	$53.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.90
Rate for Payer: UnitedHealthcare Commercial	$53.00

CATHETER TIEMANN COUDE 5CC 22

Facility

$106.00

Hospital Charge Code	270331133
Hospital Revenue Code	272
Min. Negotiated Rate	$15.90
Max. Negotiated Rate	$15.90
Rate for Payer: Qualcare PPO/HMO/WC	$15.90

CATHETER TIGERTAIL FLEX TIP

Facility

$95.35

Service Code	HCPCS C1758
Hospital Charge Code	270650582
Hospital Revenue Code	272
Min. Negotiated Rate	$12.40
Max. Negotiated Rate	$47.67
Rate for Payer: Aetna Commercial	$28.61
Rate for Payer: Aetna Medicare Advantage	$28.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.31
Rate for Payer: Cigna Commercial	$47.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.40
Rate for Payer: Oxford Commercial	$47.67
Rate for Payer: Qualcare PPO/HMO/WC	$14.30
Rate for Payer: UnitedHealthcare Commercial	$47.67

CATHETER TIGERTAIL FLEX TIP

Facility

$95.35

Service Code	HCPCS C1758
Hospital Charge Code	270650582
Hospital Revenue Code	272
Min. Negotiated Rate	$14.30
Max. Negotiated Rate	$14.30
Rate for Payer: Qualcare PPO/HMO/WC	$14.30

CATHETER TIGERTIEVER 17 23MM

Facility

$34,000.00

Service Code	HCPCS C1757
Hospital Charge Code	270694967S
Hospital Revenue Code	278
Min. Negotiated Rate	$5,100.00
Max. Negotiated Rate	$8,228.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,228.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,100.00

CATHETER TIGERTIEVER 17 23MM

Facility

$34,000.00

Service Code	HCPCS C1757
Hospital Charge Code	270694967S
Hospital Revenue Code	278
Min. Negotiated Rate	$5,100.00
Max. Negotiated Rate	$17,000.00
Rate for Payer: Aetna Commercial	$10,200.00
Rate for Payer: Aetna Medicare Advantage	$10,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,670.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,670.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,670.00
Rate for Payer: Cigna Commercial	$17,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,228.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,100.00

CATHETER TI ISP SI 8cf INT, S

Facility

$2,175.00

Hospital Charge Code	270CH0064
Hospital Revenue Code	272
Min. Negotiated Rate	$326.25
Max. Negotiated Rate	$326.25
Rate for Payer: Qualcare PPO/HMO/WC	$326.25

CATHETER TI ISP SI 8cf INT, S

Facility

$2,175.00

Hospital Charge Code	270CH0064
Hospital Revenue Code	272
Min. Negotiated Rate	$282.75
Max. Negotiated Rate	$1,087.50
Rate for Payer: Aetna Commercial	$652.50
Rate for Payer: Aetna Medicare Advantage	$652.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$554.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$554.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$554.62
Rate for Payer: Cigna Commercial	$1,087.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$282.75
Rate for Payer: Oxford Commercial	$1,087.50
Rate for Payer: Qualcare PPO/HMO/WC	$326.25
Rate for Payer: UnitedHealthcare Commercial	$1,087.50

CATHETER TIP 5FR 65CM RIM

Facility

$561.00

Hospital Charge Code	270675909
Hospital Revenue Code	272
Min. Negotiated Rate	$84.15
Max. Negotiated Rate	$84.15
Rate for Payer: Qualcare PPO/HMO/WC	$84.15

CATHETER TIP 5FR 65CM RIM

Facility

$561.00

Hospital Charge Code	270675909
Hospital Revenue Code	272
Min. Negotiated Rate	$72.93
Max. Negotiated Rate	$280.50
Rate for Payer: Aetna Commercial	$168.30
Rate for Payer: Aetna Medicare Advantage	$168.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$143.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$143.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$143.06
Rate for Payer: Cigna Commercial	$280.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.93
Rate for Payer: Oxford Commercial	$280.50
Rate for Payer: Qualcare PPO/HMO/WC	$84.15
Rate for Payer: UnitedHealthcare Commercial	$280.50

CATHETER TIP CULTURE

Facility

$390.00

Service Code	HCPCS 87070
Hospital Charge Code	3036052
Hospital Revenue Code	306
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CATHETER TIP CULTURE

Facility

$390.00

Service Code	HCPCS 87070
Hospital Charge Code	3036052
Hospital Revenue Code	306
Min. Negotiated Rate	$4.31
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$27.93
Rate for Payer: Aetna Medicare Advantage	$8.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.58
Rate for Payer: Cigna Commercial	$8.62
Rate for Payer: Cigna Medicare Advantage	$4.31
Rate for Payer: Clover Medicare Advantage	$8.19
Rate for Payer: EmblemHealth Commercial	$25.86
Rate for Payer: Humana Medicare Advantage	$8.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$8.62
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$9.14
Rate for Payer: Wellcare Medicare Advantage	$8.62

CATHETER TORCON C1 .038mmX65cm

Facility

$74.30

Hospital Charge Code	270678586
Hospital Revenue Code	272
Min. Negotiated Rate	$9.66
Max. Negotiated Rate	$37.15
Rate for Payer: Aetna Commercial	$22.29
Rate for Payer: Aetna Medicare Advantage	$22.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.95
Rate for Payer: Cigna Commercial	$37.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.66
Rate for Payer: Oxford Commercial	$37.15
Rate for Payer: Qualcare PPO/HMO/WC	$11.14
Rate for Payer: UnitedHealthcare Commercial	$37.15

CATHETER TORCON C1 .038mmX65cm

Facility

$74.30

Hospital Charge Code	270678586
Hospital Revenue Code	272
Min. Negotiated Rate	$11.14
Max. Negotiated Rate	$11.14
Rate for Payer: Qualcare PPO/HMO/WC	$11.14

CATHETER TORCON C2 .038mmX65cm

Facility

$74.30

Hospital Charge Code	270678587
Hospital Revenue Code	272
Min. Negotiated Rate	$11.14
Max. Negotiated Rate	$11.14
Rate for Payer: Qualcare PPO/HMO/WC	$11.14

CATHETER TORCON C2 .038mmX65cm

Facility

$74.30

Hospital Charge Code	270678587
Hospital Revenue Code	272
Min. Negotiated Rate	$9.66
Max. Negotiated Rate	$37.15
Rate for Payer: Aetna Commercial	$22.29
Rate for Payer: Aetna Medicare Advantage	$22.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.95
Rate for Payer: Cigna Commercial	$37.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.66
Rate for Payer: Oxford Commercial	$37.15
Rate for Payer: Qualcare PPO/HMO/WC	$11.14
Rate for Payer: UnitedHealthcare Commercial	$37.15

CATHETER TRAIBLAZER 35cm 0.035

Facility

$666.67

Hospital Charge Code	2709007360
Hospital Revenue Code	272
Min. Negotiated Rate	$86.67
Max. Negotiated Rate	$333.33
Rate for Payer: Aetna Commercial	$200.00
Rate for Payer: Aetna Medicare Advantage	$200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.00
Rate for Payer: Cigna Commercial	$333.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.67
Rate for Payer: Oxford Commercial	$333.33
Rate for Payer: Qualcare PPO/HMO/WC	$100.00
Rate for Payer: UnitedHealthcare Commercial	$333.33

CATHETER TRAIBLAZER 35cm 0.035

Facility

$666.67

Hospital Charge Code	2709007360
Hospital Revenue Code	272
Min. Negotiated Rate	$100.00
Max. Negotiated Rate	$100.00
Rate for Payer: Qualcare PPO/HMO/WC	$100.00

CATHETER TRAILBLAZER.035X135CM

Facility

$4,864.00

Service Code	HCPCS C1887
Hospital Charge Code	270689924
Hospital Revenue Code	278
Min. Negotiated Rate	$729.60
Max. Negotiated Rate	$2,432.00
Rate for Payer: Aetna Commercial	$1,459.20
Rate for Payer: Aetna Medicare Advantage	$1,459.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,240.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,240.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$972.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,240.32
Rate for Payer: Cigna Commercial	$2,432.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,177.09
Rate for Payer: Qualcare PPO/HMO/WC	$729.60

CATHETER TRAILBLAZER.035X135CM

Facility

$4,864.00

Service Code	HCPCS C1887
Hospital Charge Code	270689924
Hospital Revenue Code	278
Min. Negotiated Rate	$729.60
Max. Negotiated Rate	$1,177.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$972.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,177.09
Rate for Payer: Qualcare PPO/HMO/WC	$729.60

CATHETER TRAILBLAZER .035X150

Facility

$4,864.00

Service Code	HCPCS C1887
Hospital Charge Code	270683677
Hospital Revenue Code	278
Min. Negotiated Rate	$729.60
Max. Negotiated Rate	$2,432.00
Rate for Payer: Aetna Commercial	$1,459.20
Rate for Payer: Aetna Medicare Advantage	$1,459.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,240.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,240.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$972.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,240.32
Rate for Payer: Cigna Commercial	$2,432.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,177.09
Rate for Payer: Qualcare PPO/HMO/WC	$729.60

CATHETER TRAILBLAZER .035X150

Facility

$4,864.00

Service Code	HCPCS C1887
Hospital Charge Code	270683677
Hospital Revenue Code	278
Min. Negotiated Rate	$729.60
Max. Negotiated Rate	$1,177.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$972.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,177.09
Rate for Payer: Qualcare PPO/HMO/WC	$729.60

Know your out-of-pocket cost for care.

All Charges