Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATHETER TROCAR 16FR 10

Facility

$74.50

Hospital Charge Code	270649812
Hospital Revenue Code	270
Min. Negotiated Rate	$11.18
Max. Negotiated Rate	$11.18
Rate for Payer: Qualcare PPO/HMO/WC	$11.18

CATHETER TROCAR 16FR 10

Facility

$74.50

Hospital Charge Code	270649812
Hospital Revenue Code	270
Min. Negotiated Rate	$9.69
Max. Negotiated Rate	$37.25
Rate for Payer: Aetna Commercial	$22.35
Rate for Payer: Aetna Medicare Advantage	$22.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.00
Rate for Payer: Cigna Commercial	$37.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.69
Rate for Payer: Oxford Commercial	$37.25
Rate for Payer: Qualcare PPO/HMO/WC	$11.18
Rate for Payer: UnitedHealthcare Commercial	$37.25

CATHETER TROCAR 28FR 561068

Facility

$78.82

Hospital Charge Code	270635998
Hospital Revenue Code	272
Min. Negotiated Rate	$10.25
Max. Negotiated Rate	$39.41
Rate for Payer: Aetna Commercial	$23.65
Rate for Payer: Aetna Medicare Advantage	$23.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.10
Rate for Payer: Cigna Commercial	$39.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.25
Rate for Payer: Oxford Commercial	$39.41
Rate for Payer: Qualcare PPO/HMO/WC	$11.82
Rate for Payer: UnitedHealthcare Commercial	$39.41

CATHETER TROCAR 28FR 561068

Facility

$78.82

Hospital Charge Code	270635998
Hospital Revenue Code	272
Min. Negotiated Rate	$11.82
Max. Negotiated Rate	$11.82
Rate for Payer: Qualcare PPO/HMO/WC	$11.82

CATHETER TROCAR 32FR

Facility

$50.84

Hospital Charge Code	270649364
Hospital Revenue Code	272
Min. Negotiated Rate	$6.61
Max. Negotiated Rate	$25.42
Rate for Payer: Aetna Commercial	$15.25
Rate for Payer: Aetna Medicare Advantage	$15.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.96
Rate for Payer: Cigna Commercial	$25.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.61
Rate for Payer: Oxford Commercial	$25.42
Rate for Payer: Qualcare PPO/HMO/WC	$7.63
Rate for Payer: UnitedHealthcare Commercial	$25.42

CATHETER TROCAR 32FR

Facility

$50.84

Hospital Charge Code	270649364
Hospital Revenue Code	272
Min. Negotiated Rate	$7.63
Max. Negotiated Rate	$7.63
Rate for Payer: Qualcare PPO/HMO/WC	$7.63

CATHETER TURBOHAWK THLSM

Facility

$17,500.00

Service Code	HCPCS C1885
Hospital Charge Code	270660344
Hospital Revenue Code	278
Min. Negotiated Rate	$2,625.00
Max. Negotiated Rate	$8,750.00
Rate for Payer: Aetna Commercial	$5,250.00
Rate for Payer: Aetna Medicare Advantage	$5,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,462.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,462.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,462.50
Rate for Payer: Cigna Commercial	$8,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,235.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,625.00

CATHETER TURBOHAWK THLSM

Facility

$17,500.00

Service Code	HCPCS C1885
Hospital Charge Code	270660344
Hospital Revenue Code	278
Min. Negotiated Rate	$2,625.00
Max. Negotiated Rate	$4,235.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,235.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,625.00

CATHETER UNI FUSE 5F 15CM

Facility

$1,250.00

Service Code	HCPCS C1757
Hospital Charge Code	270691929
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$302.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

CATHETER UNI FUSE 5F 15CM

Facility

$1,250.00

Service Code	HCPCS C1757
Hospital Charge Code	270691929
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$375.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

CATHETER UNIFUSE 5F 30X135CM

Facility

$800.00

Service Code	HCPCS C1751
Hospital Charge Code	270694142S
Hospital Revenue Code	278
Min. Negotiated Rate	$120.00
Max. Negotiated Rate	$193.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.60
Rate for Payer: Qualcare PPO/HMO/WC	$120.00

CATHETER UNIFUSE 5F 30X135CM

Facility

$800.00

Service Code	HCPCS C1751
Hospital Charge Code	270694142S
Hospital Revenue Code	278
Min. Negotiated Rate	$120.00
Max. Negotiated Rate	$400.00
Rate for Payer: Aetna Commercial	$240.00
Rate for Payer: Aetna Medicare Advantage	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.00
Rate for Payer: Cigna Commercial	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.60
Rate for Payer: Qualcare PPO/HMO/WC	$120.00

CATHETER UNI-FUSE 5FX90X10CM

Facility

$1,250.00

Service Code	HCPCS C1757
Hospital Charge Code	270691928S
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$375.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

CATHETER UNI-FUSE 5FX90X10CM

Facility

$1,250.00

Service Code	HCPCS C1757
Hospital Charge Code	270691928S
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$302.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

CATHETER URETERAL 5FR OLIVE TP

Facility

$497.25

Service Code	HCPCS C1758
Hospital Charge Code	270660056
Hospital Revenue Code	278
Min. Negotiated Rate	$74.59
Max. Negotiated Rate	$120.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.33
Rate for Payer: Qualcare PPO/HMO/WC	$74.59

CATHETER URETERAL 5FR OLIVE TP

Facility

$497.25

Service Code	HCPCS C1758
Hospital Charge Code	270660056
Hospital Revenue Code	278
Min. Negotiated Rate	$74.59
Max. Negotiated Rate	$248.62
Rate for Payer: Aetna Commercial	$149.18
Rate for Payer: Aetna Medicare Advantage	$149.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.80
Rate for Payer: Cigna Commercial	$248.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.33
Rate for Payer: Qualcare PPO/HMO/WC	$74.59

CATHETER URETERAL 5FR WHISTLE

Facility

$180.00

Hospital Charge Code	270331568
Hospital Revenue Code	278
Min. Negotiated Rate	$27.00
Max. Negotiated Rate	$90.00
Rate for Payer: Aetna Commercial	$54.00
Rate for Payer: Aetna Medicare Advantage	$54.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.90
Rate for Payer: Cigna Commercial	$90.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.56
Rate for Payer: Qualcare PPO/HMO/WC	$27.00

CATHETER URETERAL 5FR WHISTLE

Facility

$180.00

Hospital Charge Code	270331568
Hospital Revenue Code	278
Min. Negotiated Rate	$27.00
Max. Negotiated Rate	$43.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.56
Rate for Payer: Qualcare PPO/HMO/WC	$27.00

CATHETER URETERAL 6FR OLIVETIP

Facility

$49.73

Hospital Charge Code	270658726
Hospital Revenue Code	270
Min. Negotiated Rate	$7.46
Max. Negotiated Rate	$7.46
Rate for Payer: Qualcare PPO/HMO/WC	$7.46

CATHETER URETERAL 6FR OLIVETIP

Facility

$49.73

Hospital Charge Code	270658726
Hospital Revenue Code	270
Min. Negotiated Rate	$6.46
Max. Negotiated Rate	$24.86
Rate for Payer: Aetna Commercial	$14.92
Rate for Payer: Aetna Medicare Advantage	$14.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.68
Rate for Payer: Cigna Commercial	$24.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.46
Rate for Payer: Oxford Commercial	$24.86
Rate for Payer: Qualcare PPO/HMO/WC	$7.46
Rate for Payer: UnitedHealthcare Commercial	$24.86

CATHETER URETERAL CONE TIP

Facility

$614.25

Service Code	HCPCS C1758
Hospital Charge Code	270689505
Hospital Revenue Code	272
Min. Negotiated Rate	$79.85
Max. Negotiated Rate	$307.12
Rate for Payer: Aetna Commercial	$184.28
Rate for Payer: Aetna Medicare Advantage	$184.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$156.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$156.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$156.63
Rate for Payer: Cigna Commercial	$307.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.85
Rate for Payer: Oxford Commercial	$307.12
Rate for Payer: Qualcare PPO/HMO/WC	$92.14
Rate for Payer: UnitedHealthcare Commercial	$307.12

CATHETER URETERAL CONE TIP

Facility

$614.25

Service Code	HCPCS C1758
Hospital Charge Code	270689505
Hospital Revenue Code	272
Min. Negotiated Rate	$92.14
Max. Negotiated Rate	$92.14
Rate for Payer: Qualcare PPO/HMO/WC	$92.14

CATHETER URETERAL OPEN END 5FR

Facility

$500.50

Hospital Charge Code	270684725
Hospital Revenue Code	272
Min. Negotiated Rate	$65.06
Max. Negotiated Rate	$250.25
Rate for Payer: Aetna Commercial	$150.15
Rate for Payer: Aetna Medicare Advantage	$150.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.63
Rate for Payer: Cigna Commercial	$250.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.06
Rate for Payer: Oxford Commercial	$250.25
Rate for Payer: Qualcare PPO/HMO/WC	$75.08
Rate for Payer: UnitedHealthcare Commercial	$250.25

CATHETER URETERAL OPEN END 5FR

Facility

$500.50

Hospital Charge Code	270684725
Hospital Revenue Code	272
Min. Negotiated Rate	$75.08
Max. Negotiated Rate	$75.08
Rate for Payer: Qualcare PPO/HMO/WC	$75.08

CATHETER URETERAL OPEN END 6FR

Facility

$80.56

Hospital Charge Code	270675130
Hospital Revenue Code	272
Min. Negotiated Rate	$12.08
Max. Negotiated Rate	$12.08
Rate for Payer: Qualcare PPO/HMO/WC	$12.08

Know your out-of-pocket cost for care.

All Charges