Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATH FOLEY 2-WAY 30FR 30CC

Facility

$32.00

Hospital Charge Code	270302615
Hospital Revenue Code	272
Min. Negotiated Rate	$4.80
Max. Negotiated Rate	$4.80
Rate for Payer: Qualcare PPO/HMO/WC	$4.80

CATH FOLEY 2-WAY 8FR 3CC

Facility

$85.65

Hospital Charge Code	270302510
Hospital Revenue Code	272
Min. Negotiated Rate	$11.13
Max. Negotiated Rate	$42.83
Rate for Payer: Aetna Commercial	$25.70
Rate for Payer: Aetna Medicare Advantage	$25.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.84
Rate for Payer: Cigna Commercial	$42.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.13
Rate for Payer: Oxford Commercial	$42.83
Rate for Payer: Qualcare PPO/HMO/WC	$12.85
Rate for Payer: UnitedHealthcare Commercial	$42.83

CATH FOLEY 2-WAY 8FR 3CC

Facility

$85.65

Hospital Charge Code	270302510
Hospital Revenue Code	272
Min. Negotiated Rate	$12.85
Max. Negotiated Rate	$12.85
Rate for Payer: Qualcare PPO/HMO/WC	$12.85

CATH FOLEY 3-WAY *******

Facility

$24.00

Hospital Charge Code	8000325
Hospital Revenue Code	272
Min. Negotiated Rate	$3.60
Max. Negotiated Rate	$3.60
Rate for Payer: Qualcare PPO/HMO/WC	$3.60

CATH FOLEY 3-WAY *******

Facility

$24.00

Hospital Charge Code	8000325
Hospital Revenue Code	272
Min. Negotiated Rate	$3.12
Max. Negotiated Rate	$12.00
Rate for Payer: Aetna Commercial	$7.20
Rate for Payer: Aetna Medicare Advantage	$7.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.12
Rate for Payer: Cigna Commercial	$12.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.12
Rate for Payer: Oxford Commercial	$12.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.60
Rate for Payer: UnitedHealthcare Commercial	$12.00

CATH FOLEY 3-WAY 16FR 30CC

Facility

$43.67

Hospital Charge Code	270302640
Hospital Revenue Code	272
Min. Negotiated Rate	$6.55
Max. Negotiated Rate	$6.55
Rate for Payer: Qualcare PPO/HMO/WC	$6.55

CATH FOLEY 3-WAY 16FR 30CC

Facility

$43.67

Hospital Charge Code	270302640
Hospital Revenue Code	272
Min. Negotiated Rate	$5.68
Max. Negotiated Rate	$21.84
Rate for Payer: Aetna Commercial	$13.10
Rate for Payer: Aetna Medicare Advantage	$13.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.14
Rate for Payer: Cigna Commercial	$21.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.68
Rate for Payer: Oxford Commercial	$21.84
Rate for Payer: Qualcare PPO/HMO/WC	$6.55
Rate for Payer: UnitedHealthcare Commercial	$21.84

CATH FOLEY 3-WAY 16FR 5CC

Facility

$99.25

Hospital Charge Code	270302620
Hospital Revenue Code	272
Min. Negotiated Rate	$12.90
Max. Negotiated Rate	$49.62
Rate for Payer: Aetna Commercial	$29.77
Rate for Payer: Aetna Medicare Advantage	$29.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.31
Rate for Payer: Cigna Commercial	$49.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.90
Rate for Payer: Oxford Commercial	$49.62
Rate for Payer: Qualcare PPO/HMO/WC	$14.89
Rate for Payer: UnitedHealthcare Commercial	$49.62

CATH FOLEY 3-WAY 16FR 5CC

Facility

$99.25

Hospital Charge Code	270302620
Hospital Revenue Code	272
Min. Negotiated Rate	$14.89
Max. Negotiated Rate	$14.89
Rate for Payer: Qualcare PPO/HMO/WC	$14.89

CATH FOLEY 3-WAY 18FR 30CC

Facility

$44.52

Hospital Charge Code	270302645
Hospital Revenue Code	272
Min. Negotiated Rate	$6.68
Max. Negotiated Rate	$6.68
Rate for Payer: Qualcare PPO/HMO/WC	$6.68

CATH FOLEY 3-WAY 18FR 30CC

Facility

$44.52

Hospital Charge Code	270302645
Hospital Revenue Code	272
Min. Negotiated Rate	$5.79
Max. Negotiated Rate	$22.26
Rate for Payer: Aetna Commercial	$13.36
Rate for Payer: Aetna Medicare Advantage	$13.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.35
Rate for Payer: Cigna Commercial	$22.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.79
Rate for Payer: Oxford Commercial	$22.26
Rate for Payer: Qualcare PPO/HMO/WC	$6.68
Rate for Payer: UnitedHealthcare Commercial	$22.26

CATH FOLEY 3-WAY 18FR 5CC

Facility

$43.36

Hospital Charge Code	270302625
Hospital Revenue Code	272
Min. Negotiated Rate	$5.64
Max. Negotiated Rate	$21.68
Rate for Payer: Aetna Commercial	$13.01
Rate for Payer: Aetna Medicare Advantage	$13.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.06
Rate for Payer: Cigna Commercial	$21.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.64
Rate for Payer: Oxford Commercial	$21.68
Rate for Payer: Qualcare PPO/HMO/WC	$6.50
Rate for Payer: UnitedHealthcare Commercial	$21.68

CATH FOLEY 3-WAY 18FR 5CC

Facility

$43.36

Hospital Charge Code	270302625
Hospital Revenue Code	272
Min. Negotiated Rate	$6.50
Max. Negotiated Rate	$6.50
Rate for Payer: Qualcare PPO/HMO/WC	$6.50

CATH FOLEY 3-WAY 20FR 30CC

Facility

$44.94

Hospital Charge Code	270302650
Hospital Revenue Code	272
Min. Negotiated Rate	$6.74
Max. Negotiated Rate	$6.74
Rate for Payer: Qualcare PPO/HMO/WC	$6.74

CATH FOLEY 3-WAY 20FR 30CC

Facility

$44.94

Hospital Charge Code	270302650
Hospital Revenue Code	272
Min. Negotiated Rate	$5.84
Max. Negotiated Rate	$22.47
Rate for Payer: Aetna Commercial	$13.48
Rate for Payer: Aetna Medicare Advantage	$13.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.46
Rate for Payer: Cigna Commercial	$22.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.84
Rate for Payer: Oxford Commercial	$22.47
Rate for Payer: Qualcare PPO/HMO/WC	$6.74
Rate for Payer: UnitedHealthcare Commercial	$22.47

CATH FOLEY 3-WAY 20FR 5CC

Facility

$44.52

Hospital Charge Code	270302651
Hospital Revenue Code	272
Min. Negotiated Rate	$6.68
Max. Negotiated Rate	$6.68
Rate for Payer: Qualcare PPO/HMO/WC	$6.68

CATH FOLEY 3-WAY 20FR 5CC

Facility

$44.20

Hospital Charge Code	270302630
Hospital Revenue Code	272
Min. Negotiated Rate	$6.63
Max. Negotiated Rate	$6.63
Rate for Payer: Qualcare PPO/HMO/WC	$6.63

CATH FOLEY 3-WAY 20FR 5CC

Facility

$44.20

Hospital Charge Code	270302630
Hospital Revenue Code	272
Min. Negotiated Rate	$5.75
Max. Negotiated Rate	$22.10
Rate for Payer: Aetna Commercial	$13.26
Rate for Payer: Aetna Medicare Advantage	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.27
Rate for Payer: Cigna Commercial	$22.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.75
Rate for Payer: Oxford Commercial	$22.10
Rate for Payer: Qualcare PPO/HMO/WC	$6.63
Rate for Payer: UnitedHealthcare Commercial	$22.10

CATH FOLEY 3-WAY 20FR 5CC

Facility

$44.52

Hospital Charge Code	270302651
Hospital Revenue Code	272
Min. Negotiated Rate	$5.79
Max. Negotiated Rate	$22.26
Rate for Payer: Aetna Commercial	$13.36
Rate for Payer: Aetna Medicare Advantage	$13.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.35
Rate for Payer: Cigna Commercial	$22.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.79
Rate for Payer: Oxford Commercial	$22.26
Rate for Payer: Qualcare PPO/HMO/WC	$6.68
Rate for Payer: UnitedHealthcare Commercial	$22.26

CATH FOLEY 3-WAY 22FR 5CC

Facility

$43.36

Hospital Charge Code	270302591
Hospital Revenue Code	272
Min. Negotiated Rate	$6.50
Max. Negotiated Rate	$6.50
Rate for Payer: Qualcare PPO/HMO/WC	$6.50

CATH FOLEY 3-WAY 22FR 5CC

Facility

$43.36

Hospital Charge Code	270302591
Hospital Revenue Code	272
Min. Negotiated Rate	$5.64
Max. Negotiated Rate	$21.68
Rate for Payer: Aetna Commercial	$13.01
Rate for Payer: Aetna Medicare Advantage	$13.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.06
Rate for Payer: Cigna Commercial	$21.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.64
Rate for Payer: Oxford Commercial	$21.68
Rate for Payer: Qualcare PPO/HMO/WC	$6.50
Rate for Payer: UnitedHealthcare Commercial	$21.68

CATH FOLEY 3-WAY 24FR 30CC

Facility

$43.67

Hospital Charge Code	270302655
Hospital Revenue Code	272
Min. Negotiated Rate	$6.55
Max. Negotiated Rate	$6.55
Rate for Payer: Qualcare PPO/HMO/WC	$6.55

CATH FOLEY 3-WAY 24FR 30CC

Facility

$43.67

Hospital Charge Code	270302655
Hospital Revenue Code	272
Min. Negotiated Rate	$5.68
Max. Negotiated Rate	$21.84
Rate for Payer: Aetna Commercial	$13.10
Rate for Payer: Aetna Medicare Advantage	$13.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.14
Rate for Payer: Cigna Commercial	$21.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.68
Rate for Payer: Oxford Commercial	$21.84
Rate for Payer: Qualcare PPO/HMO/WC	$6.55
Rate for Payer: UnitedHealthcare Commercial	$21.84

CATH FOLEY 3-WAY 26FR 30CC

Facility

$43.67

Hospital Charge Code	270302660
Hospital Revenue Code	272
Min. Negotiated Rate	$5.68
Max. Negotiated Rate	$21.84
Rate for Payer: Aetna Commercial	$13.10
Rate for Payer: Aetna Medicare Advantage	$13.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.14
Rate for Payer: Cigna Commercial	$21.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.68
Rate for Payer: Oxford Commercial	$21.84
Rate for Payer: Qualcare PPO/HMO/WC	$6.55
Rate for Payer: UnitedHealthcare Commercial	$21.84

CATH FOLEY 3-WAY 26FR 30CC

Facility

$43.67

Hospital Charge Code	270302660
Hospital Revenue Code	272
Min. Negotiated Rate	$6.55
Max. Negotiated Rate	$6.55
Rate for Payer: Qualcare PPO/HMO/WC	$6.55

Know your out-of-pocket cost for care.

All Charges