Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATH FOLEY PED 3cc 10FR

Facility

$41.33

Hospital Charge Code	270649033
Hospital Revenue Code	272
Min. Negotiated Rate	$5.37
Max. Negotiated Rate	$20.66
Rate for Payer: Aetna Commercial	$12.40
Rate for Payer: Aetna Medicare Advantage	$12.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.54
Rate for Payer: Cigna Commercial	$20.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.37
Rate for Payer: Oxford Commercial	$20.66
Rate for Payer: Qualcare PPO/HMO/WC	$6.20
Rate for Payer: UnitedHealthcare Commercial	$20.66

CATH FOLEY PED 3cc 10FR

Facility

$41.33

Hospital Charge Code	270649033
Hospital Revenue Code	272
Min. Negotiated Rate	$6.20
Max. Negotiated Rate	$6.20
Rate for Payer: Qualcare PPO/HMO/WC	$6.20

CATH FOLEY PED 3CC 10FR 2 WAY

Facility

$49.00

Hospital Charge Code	270649032
Hospital Revenue Code	272
Min. Negotiated Rate	$6.37
Max. Negotiated Rate	$24.50
Rate for Payer: Aetna Commercial	$14.70
Rate for Payer: Aetna Medicare Advantage	$14.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.49
Rate for Payer: Cigna Commercial	$24.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.37
Rate for Payer: Oxford Commercial	$24.50
Rate for Payer: Qualcare PPO/HMO/WC	$7.35
Rate for Payer: UnitedHealthcare Commercial	$24.50

CATH FOLEY PED 3CC 10FR 2 WAY

Facility

$49.00

Hospital Charge Code	270649032
Hospital Revenue Code	272
Min. Negotiated Rate	$7.35
Max. Negotiated Rate	$7.35
Rate for Payer: Qualcare PPO/HMO/WC	$7.35

CATH FOLEY PED 3cc 8FR

Facility

$41.33

Hospital Charge Code	270649034
Hospital Revenue Code	272
Min. Negotiated Rate	$6.20
Max. Negotiated Rate	$6.20
Rate for Payer: Qualcare PPO/HMO/WC	$6.20

CATH FOLEY PED 3cc 8FR

Facility

$41.33

Hospital Charge Code	270649034
Hospital Revenue Code	272
Min. Negotiated Rate	$5.37
Max. Negotiated Rate	$20.66
Rate for Payer: Aetna Commercial	$12.40
Rate for Payer: Aetna Medicare Advantage	$12.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.54
Rate for Payer: Cigna Commercial	$20.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.37
Rate for Payer: Oxford Commercial	$20.66
Rate for Payer: Qualcare PPO/HMO/WC	$6.20
Rate for Payer: UnitedHealthcare Commercial	$20.66

CATH FOLEY SILICONE 3WAY 30cc

Facility

$70.29

Hospital Charge Code	270644551
Hospital Revenue Code	272
Min. Negotiated Rate	$10.54
Max. Negotiated Rate	$10.54
Rate for Payer: Qualcare PPO/HMO/WC	$10.54

CATH FOLEY SILICONE 3WAY 30cc

Facility

$70.29

Hospital Charge Code	270644551
Hospital Revenue Code	272
Min. Negotiated Rate	$9.14
Max. Negotiated Rate	$35.15
Rate for Payer: Aetna Commercial	$21.09
Rate for Payer: Aetna Medicare Advantage	$21.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.92
Rate for Payer: Cigna Commercial	$35.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.14
Rate for Payer: Oxford Commercial	$35.15
Rate for Payer: Qualcare PPO/HMO/WC	$10.54
Rate for Payer: UnitedHealthcare Commercial	$35.15

CATH FOLEY TEFLON 5cc 18FR

Facility

$38.88

Hospital Charge Code	270649048
Hospital Revenue Code	272
Min. Negotiated Rate	$5.83
Max. Negotiated Rate	$5.83
Rate for Payer: Qualcare PPO/HMO/WC	$5.83

CATH FOLEY TEFLON 5cc 18FR

Facility

$38.88

Hospital Charge Code	270649048
Hospital Revenue Code	272
Min. Negotiated Rate	$5.05
Max. Negotiated Rate	$19.44
Rate for Payer: Aetna Commercial	$11.66
Rate for Payer: Aetna Medicare Advantage	$11.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.91
Rate for Payer: Cigna Commercial	$19.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.05
Rate for Payer: Oxford Commercial	$19.44
Rate for Payer: Qualcare PPO/HMO/WC	$5.83
Rate for Payer: UnitedHealthcare Commercial	$19.44

CATH FOLEY TEMP PROBE 16FR

Facility

$57.44

Hospital Charge Code	270641656
Hospital Revenue Code	272
Min. Negotiated Rate	$7.47
Max. Negotiated Rate	$28.72
Rate for Payer: Aetna Commercial	$17.23
Rate for Payer: Aetna Medicare Advantage	$17.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.65
Rate for Payer: Cigna Commercial	$28.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.47
Rate for Payer: Oxford Commercial	$28.72
Rate for Payer: Qualcare PPO/HMO/WC	$8.62
Rate for Payer: UnitedHealthcare Commercial	$28.72

CATH FOLEY TEMP PROBE 16FR

Facility

$57.44

Hospital Charge Code	270641656
Hospital Revenue Code	272
Min. Negotiated Rate	$8.62
Max. Negotiated Rate	$8.62
Rate for Payer: Qualcare PPO/HMO/WC	$8.62

CATH FOLLOWERS*******

Facility

$342.00

Hospital Charge Code	8000408
Hospital Revenue Code	279
Min. Negotiated Rate	$44.46
Max. Negotiated Rate	$171.00
Rate for Payer: Aetna Commercial	$102.60
Rate for Payer: Aetna Medicare Advantage	$102.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$87.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$87.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$87.21
Rate for Payer: Cigna Commercial	$171.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.46
Rate for Payer: Oxford Commercial	$171.00
Rate for Payer: Qualcare PPO/HMO/WC	$51.30
Rate for Payer: UnitedHealthcare Commercial	$171.00

CATH FOLLOWERS*******

Facility

$342.00

Hospital Charge Code	8000408
Hospital Revenue Code	279
Min. Negotiated Rate	$51.30
Max. Negotiated Rate	$51.30
Rate for Payer: Qualcare PPO/HMO/WC	$51.30

CATH FOR AMPLATZ DIL SET 8 FR

Facility

$154.00

Hospital Charge Code	270331496
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

CATH FOR AMPLATZ DIL SET 8 FR

Facility

$154.00

Hospital Charge Code	270331496
Hospital Revenue Code	272
Min. Negotiated Rate	$23.10
Max. Negotiated Rate	$23.10
Rate for Payer: Qualcare PPO/HMO/WC	$23.10

CATH FOXC PTA 5x80x135 1033580

Facility

$775.00

Hospital Charge Code	270644502C
Hospital Revenue Code	278
Min. Negotiated Rate	$116.25
Max. Negotiated Rate	$187.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.55
Rate for Payer: Qualcare PPO/HMO/WC	$116.25

CATH FOXC PTA 5x80x135 1033580

Facility

$775.00

Hospital Charge Code	270644502C
Hospital Revenue Code	278
Min. Negotiated Rate	$116.25
Max. Negotiated Rate	$387.50
Rate for Payer: Aetna Commercial	$232.50
Rate for Payer: Aetna Medicare Advantage	$232.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.62
Rate for Payer: Cigna Commercial	$387.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.55
Rate for Payer: Qualcare PPO/HMO/WC	$116.25

CATH FOXCROSS PTA 10335-120

Facility

$775.00

Hospital Charge Code	270644130C
Hospital Revenue Code	278
Min. Negotiated Rate	$116.25
Max. Negotiated Rate	$387.50
Rate for Payer: Aetna Commercial	$232.50
Rate for Payer: Aetna Medicare Advantage	$232.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.62
Rate for Payer: Cigna Commercial	$387.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.55
Rate for Payer: Qualcare PPO/HMO/WC	$116.25

CATH FOXCROSS PTA 10335-120

Facility

$775.00

Hospital Charge Code	270644130C
Hospital Revenue Code	278
Min. Negotiated Rate	$116.25
Max. Negotiated Rate	$187.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.55
Rate for Payer: Qualcare PPO/HMO/WC	$116.25

CATH FOXCROSS PTA 10x40x80cm

Facility

$575.00

Service Code	HCPCS C1725
Hospital Charge Code	270644510C
Hospital Revenue Code	278
Min. Negotiated Rate	$86.25
Max. Negotiated Rate	$287.50
Rate for Payer: Aetna Commercial	$172.50
Rate for Payer: Aetna Medicare Advantage	$172.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$146.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$146.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$146.62
Rate for Payer: Cigna Commercial	$287.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.15
Rate for Payer: Qualcare PPO/HMO/WC	$86.25

CATH FOXCROSS PTA 10x40x80cm

Facility

$575.00

Service Code	HCPCS C1725
Hospital Charge Code	270644510C
Hospital Revenue Code	278
Min. Negotiated Rate	$86.25
Max. Negotiated Rate	$139.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.15
Rate for Payer: Qualcare PPO/HMO/WC	$86.25

CATH FOXCROSS PTA 12x40x80cm

Facility

$775.00

Service Code	HCPCS C1725
Hospital Charge Code	270644511C
Hospital Revenue Code	278
Min. Negotiated Rate	$116.25
Max. Negotiated Rate	$187.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.55
Rate for Payer: Qualcare PPO/HMO/WC	$116.25

CATH FOXCROSS PTA 12x40x80cm

Facility

$775.00

Service Code	HCPCS C1725
Hospital Charge Code	270644511C
Hospital Revenue Code	278
Min. Negotiated Rate	$116.25
Max. Negotiated Rate	$387.50
Rate for Payer: Aetna Commercial	$232.50
Rate for Payer: Aetna Medicare Advantage	$232.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.62
Rate for Payer: Cigna Commercial	$387.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.55
Rate for Payer: Qualcare PPO/HMO/WC	$116.25

CATH FOXCROSS PTA 4x100x135CM

Facility

$775.00

Hospital Charge Code	270648367C
Hospital Revenue Code	278
Min. Negotiated Rate	$116.25
Max. Negotiated Rate	$387.50
Rate for Payer: Aetna Commercial	$232.50
Rate for Payer: Aetna Medicare Advantage	$232.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.62
Rate for Payer: Cigna Commercial	$387.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.55
Rate for Payer: Qualcare PPO/HMO/WC	$116.25

Know your out-of-pocket cost for care.

All Charges