Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATH FOLEY 20FR 3WAY 30cc

Facility

$64.74

Hospital Charge Code	270649434
Hospital Revenue Code	272
Min. Negotiated Rate	$9.71
Max. Negotiated Rate	$9.71
Rate for Payer: Qualcare PPO/HMO/WC	$9.71

CATH FOLEY 20FR 3WAY 5cc

Facility

$65.83

Hospital Charge Code	270649440
Hospital Revenue Code	272
Min. Negotiated Rate	$8.56
Max. Negotiated Rate	$32.91
Rate for Payer: Aetna Commercial	$19.75
Rate for Payer: Aetna Medicare Advantage	$19.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.79
Rate for Payer: Cigna Commercial	$32.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.56
Rate for Payer: Oxford Commercial	$32.91
Rate for Payer: Qualcare PPO/HMO/WC	$9.87
Rate for Payer: UnitedHealthcare Commercial	$32.91

CATH FOLEY 20FR 3WAY 5cc

Facility

$65.83

Hospital Charge Code	270649440
Hospital Revenue Code	272
Min. Negotiated Rate	$9.87
Max. Negotiated Rate	$9.87
Rate for Payer: Qualcare PPO/HMO/WC	$9.87

CATH FOLEY 20FR LATEX 2 WAY

Facility

$40.25

Service Code	HCPCS C2627
Hospital Charge Code	270649040
Hospital Revenue Code	278
Min. Negotiated Rate	$6.04
Max. Negotiated Rate	$20.12
Rate for Payer: Aetna Commercial	$12.07
Rate for Payer: Aetna Medicare Advantage	$12.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.26
Rate for Payer: Cigna Commercial	$20.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.74
Rate for Payer: Qualcare PPO/HMO/WC	$6.04

CATH FOLEY 20FR LATEX 2 WAY

Facility

$40.25

Service Code	HCPCS C2627
Hospital Charge Code	270649040
Hospital Revenue Code	278
Min. Negotiated Rate	$6.04
Max. Negotiated Rate	$9.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.74
Rate for Payer: Qualcare PPO/HMO/WC	$6.04

CATH FOLEY 22FR 3WAY 30cc

Facility

$65.36

Hospital Charge Code	270649435
Hospital Revenue Code	272
Min. Negotiated Rate	$8.50
Max. Negotiated Rate	$32.68
Rate for Payer: Aetna Commercial	$19.61
Rate for Payer: Aetna Medicare Advantage	$19.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.67
Rate for Payer: Cigna Commercial	$32.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.50
Rate for Payer: Oxford Commercial	$32.68
Rate for Payer: Qualcare PPO/HMO/WC	$9.80
Rate for Payer: UnitedHealthcare Commercial	$32.68

CATH FOLEY 22FR 3WAY 30cc

Facility

$65.36

Hospital Charge Code	270649435
Hospital Revenue Code	272
Min. Negotiated Rate	$9.80
Max. Negotiated Rate	$9.80
Rate for Payer: Qualcare PPO/HMO/WC	$9.80

CATH FOLEY 22FR 3WAY 5cc

Facility

$65.83

Hospital Charge Code	270649441
Hospital Revenue Code	272
Min. Negotiated Rate	$8.56
Max. Negotiated Rate	$32.91
Rate for Payer: Aetna Commercial	$19.75
Rate for Payer: Aetna Medicare Advantage	$19.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.79
Rate for Payer: Cigna Commercial	$32.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.56
Rate for Payer: Oxford Commercial	$32.91
Rate for Payer: Qualcare PPO/HMO/WC	$9.87
Rate for Payer: UnitedHealthcare Commercial	$32.91

CATH FOLEY 22FR 3WAY 5cc

Facility

$65.83

Hospital Charge Code	270649441
Hospital Revenue Code	272
Min. Negotiated Rate	$9.87
Max. Negotiated Rate	$9.87
Rate for Payer: Qualcare PPO/HMO/WC	$9.87

CATH FOLEY 24FR 3WAY 30cc

Facility

$64.74

Hospital Charge Code	270649436
Hospital Revenue Code	272
Min. Negotiated Rate	$9.71
Max. Negotiated Rate	$9.71
Rate for Payer: Qualcare PPO/HMO/WC	$9.71

CATH FOLEY 24FR 3WAY 30cc

Facility

$64.74

Hospital Charge Code	270649436
Hospital Revenue Code	272
Min. Negotiated Rate	$8.42
Max. Negotiated Rate	$32.37
Rate for Payer: Aetna Commercial	$19.42
Rate for Payer: Aetna Medicare Advantage	$19.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.51
Rate for Payer: Cigna Commercial	$32.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.42
Rate for Payer: Oxford Commercial	$32.37
Rate for Payer: Qualcare PPO/HMO/WC	$9.71
Rate for Payer: UnitedHealthcare Commercial	$32.37

CATH FOLEY 26FR 3WAY 30cc

Facility

$63.50

Hospital Charge Code	270649437
Hospital Revenue Code	272
Min. Negotiated Rate	$9.53
Max. Negotiated Rate	$9.53
Rate for Payer: Qualcare PPO/HMO/WC	$9.53

CATH FOLEY 26FR 3WAY 30cc

Facility

$63.50

Hospital Charge Code	270649437
Hospital Revenue Code	272
Min. Negotiated Rate	$8.26
Max. Negotiated Rate	$31.75
Rate for Payer: Aetna Commercial	$19.05
Rate for Payer: Aetna Medicare Advantage	$19.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.19
Rate for Payer: Cigna Commercial	$31.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.26
Rate for Payer: Oxford Commercial	$31.75
Rate for Payer: Qualcare PPO/HMO/WC	$9.53
Rate for Payer: UnitedHealthcare Commercial	$31.75

CATH FOLEY 2-WAY ********

Facility

$9.00

Hospital Charge Code	8000309
Hospital Revenue Code	272
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$1.35
Rate for Payer: Qualcare PPO/HMO/WC	$1.35

CATH FOLEY 2-WAY ********

Facility

$9.00

Hospital Charge Code	8000309
Hospital Revenue Code	272
Min. Negotiated Rate	$1.17
Max. Negotiated Rate	$4.50
Rate for Payer: Aetna Commercial	$2.70
Rate for Payer: Aetna Medicare Advantage	$2.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.29
Rate for Payer: Cigna Commercial	$4.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.17
Rate for Payer: Oxford Commercial	$4.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.35
Rate for Payer: UnitedHealthcare Commercial	$4.50

CATH FOLEY 2-WAY 12FR 30CC

Facility

$12.30

Hospital Charge Code	270302631
Hospital Revenue Code	272
Min. Negotiated Rate	$1.60
Max. Negotiated Rate	$6.15
Rate for Payer: Aetna Commercial	$3.69
Rate for Payer: Aetna Medicare Advantage	$3.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.14
Rate for Payer: Cigna Commercial	$6.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.60
Rate for Payer: Oxford Commercial	$6.15
Rate for Payer: Qualcare PPO/HMO/WC	$1.84
Rate for Payer: UnitedHealthcare Commercial	$6.15

CATH FOLEY 2-WAY 12FR 30CC

Facility

$12.30

Hospital Charge Code	270302631
Hospital Revenue Code	272
Min. Negotiated Rate	$1.84
Max. Negotiated Rate	$1.84
Rate for Payer: Qualcare PPO/HMO/WC	$1.84

CATH FOLEY 2-WAY 14FR 30CC

Facility

$12.30

Hospital Charge Code	270302635
Hospital Revenue Code	272
Min. Negotiated Rate	$1.84
Max. Negotiated Rate	$1.84
Rate for Payer: Qualcare PPO/HMO/WC	$1.84

CATH FOLEY 2-WAY 14FR 30CC

Facility

$12.30

Hospital Charge Code	270302635
Hospital Revenue Code	272
Min. Negotiated Rate	$1.60
Max. Negotiated Rate	$6.15
Rate for Payer: Aetna Commercial	$3.69
Rate for Payer: Aetna Medicare Advantage	$3.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.14
Rate for Payer: Cigna Commercial	$6.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.60
Rate for Payer: Oxford Commercial	$6.15
Rate for Payer: Qualcare PPO/HMO/WC	$1.84
Rate for Payer: UnitedHealthcare Commercial	$6.15

CATH FOLEY 2-WAY 14FR 5CC

Facility

$39.25

Hospital Charge Code	270302545
Hospital Revenue Code	272
Min. Negotiated Rate	$5.10
Max. Negotiated Rate	$19.62
Rate for Payer: Aetna Commercial	$11.78
Rate for Payer: Aetna Medicare Advantage	$11.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.01
Rate for Payer: Cigna Commercial	$19.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.10
Rate for Payer: Oxford Commercial	$19.62
Rate for Payer: Qualcare PPO/HMO/WC	$5.89
Rate for Payer: UnitedHealthcare Commercial	$19.62

CATH FOLEY 2-WAY 14FR 5CC

Facility

$88.00

Hospital Charge Code	270302455
Hospital Revenue Code	272
Min. Negotiated Rate	$13.20
Max. Negotiated Rate	$13.20
Rate for Payer: Qualcare PPO/HMO/WC	$13.20

CATH FOLEY 2-WAY 14FR 5CC

Facility

$39.25

Hospital Charge Code	270302545
Hospital Revenue Code	272
Min. Negotiated Rate	$5.89
Max. Negotiated Rate	$5.89
Rate for Payer: Qualcare PPO/HMO/WC	$5.89

CATH FOLEY 2-WAY 14FR 5CC

Facility

$88.00

Hospital Charge Code	270302455
Hospital Revenue Code	272
Min. Negotiated Rate	$11.44
Max. Negotiated Rate	$44.00
Rate for Payer: Aetna Commercial	$26.40
Rate for Payer: Aetna Medicare Advantage	$26.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.44
Rate for Payer: Cigna Commercial	$44.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.44
Rate for Payer: Oxford Commercial	$44.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.20
Rate for Payer: UnitedHealthcare Commercial	$44.00

CATH FOLEY 2-WAY 16FR 30CC

Facility

$12.54

Hospital Charge Code	270302575
Hospital Revenue Code	272
Min. Negotiated Rate	$1.63
Max. Negotiated Rate	$6.27
Rate for Payer: Aetna Commercial	$3.76
Rate for Payer: Aetna Medicare Advantage	$3.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.20
Rate for Payer: Cigna Commercial	$6.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.63
Rate for Payer: Oxford Commercial	$6.27
Rate for Payer: Qualcare PPO/HMO/WC	$1.88
Rate for Payer: UnitedHealthcare Commercial	$6.27

CATH FOLEY 2-WAY 16FR 30CC

Facility

$12.54

Hospital Charge Code	270302575
Hospital Revenue Code	272
Min. Negotiated Rate	$1.88
Max. Negotiated Rate	$1.88
Rate for Payer: Qualcare PPO/HMO/WC	$1.88

Know your out-of-pocket cost for care.

All Charges