Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATHETER WORD BARTHOLIN 10F

Facility

$131.90

Hospital Charge Code	270654027
Hospital Revenue Code	278
Min. Negotiated Rate	$19.79
Max. Negotiated Rate	$65.95
Rate for Payer: Aetna Commercial	$39.57
Rate for Payer: Aetna Medicare Advantage	$39.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.63
Rate for Payer: Cigna Commercial	$65.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.92
Rate for Payer: Qualcare PPO/HMO/WC	$19.79

CATHETER WORD BARTHOLIN 10F

Facility

$131.90

Hospital Charge Code	270654027
Hospital Revenue Code	278
Min. Negotiated Rate	$19.79
Max. Negotiated Rate	$31.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.92
Rate for Payer: Qualcare PPO/HMO/WC	$19.79

CATHETER XCEL

Facility

$1,025.00

Hospital Charge Code	270697249S
Hospital Revenue Code	272
Min. Negotiated Rate	$153.75
Max. Negotiated Rate	$153.75
Rate for Payer: Qualcare PPO/HMO/WC	$153.75

CATHETER XCEL

Facility

$1,025.00

Hospital Charge Code	270697249S
Hospital Revenue Code	272
Min. Negotiated Rate	$133.25
Max. Negotiated Rate	$512.50
Rate for Payer: Aetna Commercial	$307.50
Rate for Payer: Aetna Medicare Advantage	$307.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$261.38
Rate for Payer: Cigna Commercial	$512.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: Oxford Commercial	$512.50
Rate for Payer: Qualcare PPO/HMO/WC	$153.75
Rate for Payer: UnitedHealthcare Commercial	$512.50

CATHETER ZILVER PTX 6MM X 140M

Facility

$11,975.00

Service Code	HCPCS C1874
Hospital Charge Code	270682885
Hospital Revenue Code	278
Min. Negotiated Rate	$1,796.25
Max. Negotiated Rate	$2,897.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,897.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,796.25

CATHETER ZILVER PTX 6MM X 140M

Facility

$11,975.00

Service Code	HCPCS C1874
Hospital Charge Code	270682885
Hospital Revenue Code	278
Min. Negotiated Rate	$1,796.25
Max. Negotiated Rate	$5,987.50
Rate for Payer: Aetna Commercial	$3,592.50
Rate for Payer: Aetna Medicare Advantage	$3,592.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,053.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,053.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,395.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,053.62
Rate for Payer: Cigna Commercial	$5,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,897.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,796.25

CATHETER ZILVER PTX 7MMX140MM

Facility

$11,975.00

Service Code	HCPCS C1874
Hospital Charge Code	270682884N
Hospital Revenue Code	278
Min. Negotiated Rate	$1,796.25
Max. Negotiated Rate	$2,897.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,897.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,796.25

CATHETER ZILVER PTX 7MMX140MM

Facility

$11,975.00

Service Code	HCPCS C1874
Hospital Charge Code	270682884N
Hospital Revenue Code	278
Min. Negotiated Rate	$1,796.25
Max. Negotiated Rate	$5,987.50
Rate for Payer: Aetna Commercial	$3,592.50
Rate for Payer: Aetna Medicare Advantage	$3,592.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,053.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,053.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,395.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,053.62
Rate for Payer: Cigna Commercial	$5,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,897.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,796.25

CATHETER ZILVER PTX 7MMX140MM

Facility

$11,975.00

Service Code	HCPCS C1874
Hospital Charge Code	270682884
Hospital Revenue Code	278
Min. Negotiated Rate	$1,796.25
Max. Negotiated Rate	$5,987.50
Rate for Payer: Aetna Commercial	$3,592.50
Rate for Payer: Aetna Medicare Advantage	$3,592.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,053.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,053.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,395.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,053.62
Rate for Payer: Cigna Commercial	$5,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,897.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,796.25

CATHETER ZILVER PTX 7MMX140MM

Facility

$11,975.00

Service Code	HCPCS C1874
Hospital Charge Code	270682884
Hospital Revenue Code	278
Min. Negotiated Rate	$1,796.25
Max. Negotiated Rate	$2,897.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,897.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,796.25

CATHETHER 6F LCB

Facility

$47.50

Hospital Charge Code	2709000321
Hospital Revenue Code	272
Min. Negotiated Rate	$6.17
Max. Negotiated Rate	$23.75
Rate for Payer: Aetna Commercial	$14.25
Rate for Payer: Aetna Medicare Advantage	$14.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.11
Rate for Payer: Cigna Commercial	$23.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.17
Rate for Payer: Oxford Commercial	$23.75
Rate for Payer: Qualcare PPO/HMO/WC	$7.12
Rate for Payer: UnitedHealthcare Commercial	$23.75

CATHETHER 6F LCB

Facility

$47.50

Hospital Charge Code	2709000321
Hospital Revenue Code	272
Min. Negotiated Rate	$7.12
Max. Negotiated Rate	$7.12
Rate for Payer: Qualcare PPO/HMO/WC	$7.12

CATHETHER BALLOON UT/SDS OTW

Facility

$1,020.00

Hospital Charge Code	270653599
Hospital Revenue Code	278
Min. Negotiated Rate	$153.00
Max. Negotiated Rate	$246.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$204.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$246.84
Rate for Payer: Qualcare PPO/HMO/WC	$153.00

CATHETHER BALLOON UT/SDS OTW

Facility

$1,355.00

Hospital Charge Code	270653592
Hospital Revenue Code	278
Min. Negotiated Rate	$203.25
Max. Negotiated Rate	$327.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$271.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$327.91
Rate for Payer: Qualcare PPO/HMO/WC	$203.25

CATHETHER BALLOON UT/SDS OTW

Facility

$1,020.00

Hospital Charge Code	270653599
Hospital Revenue Code	278
Min. Negotiated Rate	$153.00
Max. Negotiated Rate	$510.00
Rate for Payer: Aetna Commercial	$306.00
Rate for Payer: Aetna Medicare Advantage	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$260.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$260.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$260.10
Rate for Payer: Cigna Commercial	$510.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$246.84
Rate for Payer: Qualcare PPO/HMO/WC	$153.00

CATHETHER BALLOON UT/SDS OTW

Facility

$1,355.00

Hospital Charge Code	270653592
Hospital Revenue Code	278
Min. Negotiated Rate	$203.25
Max. Negotiated Rate	$677.50
Rate for Payer: Aetna Commercial	$406.50
Rate for Payer: Aetna Medicare Advantage	$406.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$345.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$345.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$271.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$345.52
Rate for Payer: Cigna Commercial	$677.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$327.91
Rate for Payer: Qualcare PPO/HMO/WC	$203.25

CATHET PERFORMA PRGRSVE CORONA

Facility

$57.50

Hospital Charge Code	270658258
Hospital Revenue Code	278
Min. Negotiated Rate	$8.62
Max. Negotiated Rate	$13.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.91
Rate for Payer: Qualcare PPO/HMO/WC	$8.62

CATHET PERFORMA PRGRSVE CORONA

Facility

$57.50

Hospital Charge Code	270658258
Hospital Revenue Code	278
Min. Negotiated Rate	$8.62
Max. Negotiated Rate	$28.75
Rate for Payer: Aetna Commercial	$17.25
Rate for Payer: Aetna Medicare Advantage	$17.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.66
Rate for Payer: Cigna Commercial	$28.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.91
Rate for Payer: Qualcare PPO/HMO/WC	$8.62

CATHETR BALLN ADMRLXTRME 6/40

Facility

$700.00

Service Code	HCPCS C1725
Hospital Charge Code	270657948
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$350.00
Rate for Payer: Aetna Commercial	$210.00
Rate for Payer: Aetna Medicare Advantage	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.50
Rate for Payer: Cigna Commercial	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

CATHETR BALLN ADMRLXTRME 6/40

Facility

$700.00

Service Code	HCPCS C1725
Hospital Charge Code	270657948
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$169.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

CATHETR BALLN ADMRLXTRME 8/20

Facility

$700.00

Service Code	HCPCS C1725
Hospital Charge Code	270657951
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$350.00
Rate for Payer: Aetna Commercial	$210.00
Rate for Payer: Aetna Medicare Advantage	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.50
Rate for Payer: Cigna Commercial	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

CATHETR BALLN ADMRLXTRME 8/20

Facility

$700.00

Service Code	HCPCS C1725
Hospital Charge Code	270657951
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$169.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

CATH EVD BACTISEAL 3MMX35CM

Facility

$4,080.00

Service Code	HCPCS C1729
Hospital Charge Code	270695431
Hospital Revenue Code	278
Min. Negotiated Rate	$612.00
Max. Negotiated Rate	$987.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$816.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$987.36
Rate for Payer: Qualcare PPO/HMO/WC	$612.00

CATH EVD BACTISEAL 3MMX35CM

Facility

$4,080.00

Service Code	HCPCS C1729
Hospital Charge Code	270695431
Hospital Revenue Code	278
Min. Negotiated Rate	$612.00
Max. Negotiated Rate	$2,040.00
Rate for Payer: Aetna Commercial	$1,224.00
Rate for Payer: Aetna Medicare Advantage	$1,224.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,040.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,040.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$816.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,040.40
Rate for Payer: Cigna Commercial	$2,040.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$987.36
Rate for Payer: Qualcare PPO/HMO/WC	$612.00

CATH EXCELSIOR SL 10PS 90

Facility

$5,463.75

Service Code	HCPCS C1887
Hospital Charge Code	270695281S
Hospital Revenue Code	278
Min. Negotiated Rate	$819.56
Max. Negotiated Rate	$1,322.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,092.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,322.23
Rate for Payer: Qualcare PPO/HMO/WC	$819.56

Know your out-of-pocket cost for care.

All Charges