Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATHETER URETERAL OPEN END 6FR

Facility

$80.56

Hospital Charge Code	270675130
Hospital Revenue Code	272
Min. Negotiated Rate	$10.47
Max. Negotiated Rate	$40.28
Rate for Payer: Aetna Commercial	$24.17
Rate for Payer: Aetna Medicare Advantage	$24.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.54
Rate for Payer: Cigna Commercial	$40.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.47
Rate for Payer: Oxford Commercial	$40.28
Rate for Payer: Qualcare PPO/HMO/WC	$12.08
Rate for Payer: UnitedHealthcare Commercial	$40.28

CATHETER URETERAL TIP 8 CONE

Facility

$262.15

Hospital Charge Code	270658469
Hospital Revenue Code	272
Min. Negotiated Rate	$39.32
Max. Negotiated Rate	$39.32
Rate for Payer: Qualcare PPO/HMO/WC	$39.32

CATHETER URETERAL TIP 8 CONE

Facility

$262.15

Hospital Charge Code	270658469
Hospital Revenue Code	272
Min. Negotiated Rate	$34.08
Max. Negotiated Rate	$131.07
Rate for Payer: Aetna Commercial	$78.64
Rate for Payer: Aetna Medicare Advantage	$78.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.85
Rate for Payer: Cigna Commercial	$131.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.08
Rate for Payer: Oxford Commercial	$131.07
Rate for Payer: Qualcare PPO/HMO/WC	$39.32
Rate for Payer: UnitedHealthcare Commercial	$131.07

CATHETER URETHAL 2 EYE 8 FR.

Facility

$22.00

Hospital Charge Code	270331351
Hospital Revenue Code	272
Min. Negotiated Rate	$2.86
Max. Negotiated Rate	$11.00
Rate for Payer: Aetna Commercial	$6.60
Rate for Payer: Aetna Medicare Advantage	$6.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.61
Rate for Payer: Cigna Commercial	$11.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.86
Rate for Payer: Oxford Commercial	$11.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.30
Rate for Payer: UnitedHealthcare Commercial	$11.00

CATHETER URETHAL 2 EYE 8 FR.

Facility

$22.00

Hospital Charge Code	270331351
Hospital Revenue Code	272
Min. Negotiated Rate	$3.30
Max. Negotiated Rate	$3.30
Rate for Payer: Qualcare PPO/HMO/WC	$3.30

CATHETER URETHRAL 2 EYE 18FR

Facility

$22.00

Hospital Charge Code	270331352
Hospital Revenue Code	272
Min. Negotiated Rate	$2.86
Max. Negotiated Rate	$11.00
Rate for Payer: Aetna Commercial	$6.60
Rate for Payer: Aetna Medicare Advantage	$6.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.61
Rate for Payer: Cigna Commercial	$11.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.86
Rate for Payer: Oxford Commercial	$11.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.30
Rate for Payer: UnitedHealthcare Commercial	$11.00

CATHETER URETHRAL 2 EYE 18FR

Facility

$22.00

Hospital Charge Code	270331352
Hospital Revenue Code	272
Min. Negotiated Rate	$3.30
Max. Negotiated Rate	$3.30
Rate for Payer: Qualcare PPO/HMO/WC	$3.30

CATHETER URETHRAL 4FR WHISTLE

Facility

$148.00

Hospital Charge Code	270331565
Hospital Revenue Code	272
Min. Negotiated Rate	$22.20
Max. Negotiated Rate	$22.20
Rate for Payer: Qualcare PPO/HMO/WC	$22.20

CATHETER URETHRAL 4FR WHISTLE

Facility

$148.00

Hospital Charge Code	270331565
Hospital Revenue Code	272
Min. Negotiated Rate	$19.24
Max. Negotiated Rate	$74.00
Rate for Payer: Aetna Commercial	$44.40
Rate for Payer: Aetna Medicare Advantage	$44.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.74
Rate for Payer: Cigna Commercial	$74.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.24
Rate for Payer: Oxford Commercial	$74.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.20
Rate for Payer: UnitedHealthcare Commercial	$74.00

CATHETER URETHRAL 6FR WHISTLE

Facility

$151.00

Hospital Charge Code	270331581
Hospital Revenue Code	272
Min. Negotiated Rate	$22.65
Max. Negotiated Rate	$22.65
Rate for Payer: Qualcare PPO/HMO/WC	$22.65

CATHETER URETHRAL 6FR WHISTLE

Facility

$151.00

Hospital Charge Code	270331581
Hospital Revenue Code	272
Min. Negotiated Rate	$19.63
Max. Negotiated Rate	$75.50
Rate for Payer: Aetna Commercial	$45.30
Rate for Payer: Aetna Medicare Advantage	$45.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.51
Rate for Payer: Cigna Commercial	$75.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.63
Rate for Payer: Oxford Commercial	$75.50
Rate for Payer: Qualcare PPO/HMO/WC	$22.65
Rate for Payer: UnitedHealthcare Commercial	$75.50

CATHETER URETHRAL OLIVE TIP 4F

Facility

$154.00

Hospital Charge Code	270331583
Hospital Revenue Code	272
Min. Negotiated Rate	$23.10
Max. Negotiated Rate	$23.10
Rate for Payer: Qualcare PPO/HMO/WC	$23.10

CATHETER URETHRAL OLIVE TIP 4F

Facility

$154.00

Hospital Charge Code	270331583
Hospital Revenue Code	272
Min. Negotiated Rate	$20.02
Max. Negotiated Rate	$77.00
Rate for Payer: Aetna Commercial	$46.20
Rate for Payer: Aetna Medicare Advantage	$46.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.27
Rate for Payer: Cigna Commercial	$77.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.02
Rate for Payer: Oxford Commercial	$77.00
Rate for Payer: Qualcare PPO/HMO/WC	$23.10
Rate for Payer: UnitedHealthcare Commercial	$77.00

CATHETER URETHRAL OLIVE TIP 6F

Facility

$125.00

Hospital Charge Code	270331589
Hospital Revenue Code	272
Min. Negotiated Rate	$18.75
Max. Negotiated Rate	$18.75
Rate for Payer: Qualcare PPO/HMO/WC	$18.75

CATHETER URETHRAL OLIVE TIP 6F

Facility

$125.00

Hospital Charge Code	270331589
Hospital Revenue Code	272
Min. Negotiated Rate	$16.25
Max. Negotiated Rate	$62.50
Rate for Payer: Aetna Commercial	$37.50
Rate for Payer: Aetna Medicare Advantage	$37.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.88
Rate for Payer: Cigna Commercial	$62.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.25
Rate for Payer: Oxford Commercial	$62.50
Rate for Payer: Qualcare PPO/HMO/WC	$18.75
Rate for Payer: UnitedHealthcare Commercial	$62.50

CATHETER VAXCEL DIALYSIS 14x23

Facility

$1,820.00

Hospital Charge Code	270651771
Hospital Revenue Code	272
Min. Negotiated Rate	$273.00
Max. Negotiated Rate	$273.00
Rate for Payer: Qualcare PPO/HMO/WC	$273.00

CATHETER VAXCEL DIALYSIS 14x23

Facility

$1,820.00

Hospital Charge Code	270651771
Hospital Revenue Code	272
Min. Negotiated Rate	$236.60
Max. Negotiated Rate	$910.00
Rate for Payer: Aetna Commercial	$546.00
Rate for Payer: Aetna Medicare Advantage	$546.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$464.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$464.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$464.10
Rate for Payer: Cigna Commercial	$910.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$236.60
Rate for Payer: Oxford Commercial	$910.00
Rate for Payer: Qualcare PPO/HMO/WC	$273.00
Rate for Payer: UnitedHealthcare Commercial	$910.00

CATHETER VENTRICULAR BARI 35CM

Facility

$765.00

Hospital Charge Code	270669640
Hospital Revenue Code	278
Min. Negotiated Rate	$114.75
Max. Negotiated Rate	$185.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$153.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$185.13
Rate for Payer: Qualcare PPO/HMO/WC	$114.75

CATHETER VENTRICULAR BARI 35CM

Facility

$765.00

Hospital Charge Code	270669640
Hospital Revenue Code	278
Min. Negotiated Rate	$114.75
Max. Negotiated Rate	$382.50
Rate for Payer: Aetna Commercial	$229.50
Rate for Payer: Aetna Medicare Advantage	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$195.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$195.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$195.07
Rate for Payer: Cigna Commercial	$382.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$185.13
Rate for Payer: Qualcare PPO/HMO/WC	$114.75

CATHETER VISION PV .035 IVUS

Facility

$4,750.00

Service Code	HCPCS C1753
Hospital Charge Code	270688658
Hospital Revenue Code	278
Min. Negotiated Rate	$712.50
Max. Negotiated Rate	$1,149.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,149.50
Rate for Payer: Qualcare PPO/HMO/WC	$712.50

CATHETER VISION PV .035 IVUS

Facility

$4,750.00

Service Code	HCPCS C1753
Hospital Charge Code	270688658
Hospital Revenue Code	278
Min. Negotiated Rate	$712.50
Max. Negotiated Rate	$2,375.00
Rate for Payer: Aetna Commercial	$1,425.00
Rate for Payer: Aetna Medicare Advantage	$1,425.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$950.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,211.25
Rate for Payer: Cigna Commercial	$2,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,149.50
Rate for Payer: Qualcare PPO/HMO/WC	$712.50

CATHETER VISIPRO 8 X 37X 40

Facility

$5,198.90

Service Code	HCPCS C1876
Hospital Charge Code	270692310
Hospital Revenue Code	278
Min. Negotiated Rate	$779.84
Max. Negotiated Rate	$2,599.45
Rate for Payer: Aetna Commercial	$1,559.67
Rate for Payer: Aetna Medicare Advantage	$1,559.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,325.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,325.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,039.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,325.72
Rate for Payer: Cigna Commercial	$2,599.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,258.13
Rate for Payer: Qualcare PPO/HMO/WC	$779.84

CATHETER VISIPRO 8 X 37X 40

Facility

$5,198.90

Service Code	HCPCS C1876
Hospital Charge Code	270692310
Hospital Revenue Code	278
Min. Negotiated Rate	$779.84
Max. Negotiated Rate	$1,258.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,039.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,258.13
Rate for Payer: Qualcare PPO/HMO/WC	$779.84

CATHETER VOLCANO PV 0.018

Facility

$3,775.00

Hospital Charge Code	270647773
Hospital Revenue Code	272
Min. Negotiated Rate	$566.25
Max. Negotiated Rate	$566.25
Rate for Payer: Qualcare PPO/HMO/WC	$566.25

CATHETER VOLCANO PV 0.018

Facility

$3,775.00

Hospital Charge Code	270647773
Hospital Revenue Code	272
Min. Negotiated Rate	$490.75
Max. Negotiated Rate	$1,887.50
Rate for Payer: Aetna Commercial	$1,132.50
Rate for Payer: Aetna Medicare Advantage	$1,132.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$962.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$962.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$962.62
Rate for Payer: Cigna Commercial	$1,887.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$490.75
Rate for Payer: Oxford Commercial	$1,887.50
Rate for Payer: Qualcare PPO/HMO/WC	$566.25
Rate for Payer: UnitedHealthcare Commercial	$1,887.50

Know your out-of-pocket cost for care.

All Charges