Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATH FOX PTA 7x20mm UA12007

Facility

$843.25

Hospital Charge Code	270634855
Hospital Revenue Code	278
Min. Negotiated Rate	$126.49
Max. Negotiated Rate	$421.62
Rate for Payer: Aetna Commercial	$252.97
Rate for Payer: Aetna Medicare Advantage	$252.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$215.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$215.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$168.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$215.03
Rate for Payer: Cigna Commercial	$421.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$204.07
Rate for Payer: Qualcare PPO/HMO/WC	$126.49

CATH FOX PTA 7x24mm UA24007

Facility

$843.25

Hospital Charge Code	270635418V
Hospital Revenue Code	278
Min. Negotiated Rate	$126.49
Max. Negotiated Rate	$421.62
Rate for Payer: Aetna Commercial	$252.97
Rate for Payer: Aetna Medicare Advantage	$252.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$215.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$215.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$168.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$215.03
Rate for Payer: Cigna Commercial	$421.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$204.07
Rate for Payer: Qualcare PPO/HMO/WC	$126.49

CATH FOX PTA 7x24mm UA24007

Facility

$843.25

Hospital Charge Code	270635418V
Hospital Revenue Code	278
Min. Negotiated Rate	$126.49
Max. Negotiated Rate	$204.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$168.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$204.07
Rate for Payer: Qualcare PPO/HMO/WC	$126.49

CATH FOX PTA 7x24mm UA24007

Facility

$843.25

Hospital Charge Code	270635418
Hospital Revenue Code	278
Min. Negotiated Rate	$126.49
Max. Negotiated Rate	$204.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$168.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$204.07
Rate for Payer: Qualcare PPO/HMO/WC	$126.49

CATH FOX PTA 7x24mm UA24007

Facility

$843.25

Hospital Charge Code	270635418
Hospital Revenue Code	278
Min. Negotiated Rate	$126.49
Max. Negotiated Rate	$421.62
Rate for Payer: Aetna Commercial	$252.97
Rate for Payer: Aetna Medicare Advantage	$252.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$215.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$215.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$168.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$215.03
Rate for Payer: Cigna Commercial	$421.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$204.07
Rate for Payer: Qualcare PPO/HMO/WC	$126.49

CATH FOX PTA 8x40mm UA14008

Facility

$843.25

Hospital Charge Code	270634775V
Hospital Revenue Code	278
Min. Negotiated Rate	$126.49
Max. Negotiated Rate	$204.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$168.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$204.07
Rate for Payer: Qualcare PPO/HMO/WC	$126.49

CATH FOX PTA 8x40mm UA14008

Facility

$843.25

Hospital Charge Code	270634775V
Hospital Revenue Code	278
Min. Negotiated Rate	$126.49
Max. Negotiated Rate	$421.62
Rate for Payer: Aetna Commercial	$252.97
Rate for Payer: Aetna Medicare Advantage	$252.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$215.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$215.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$168.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$215.03
Rate for Payer: Cigna Commercial	$421.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$204.07
Rate for Payer: Qualcare PPO/HMO/WC	$126.49

CATH FOX PTA 8x40mm UA14008

Facility

$843.25

Hospital Charge Code	270634775
Hospital Revenue Code	278
Min. Negotiated Rate	$126.49
Max. Negotiated Rate	$204.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$168.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$204.07
Rate for Payer: Qualcare PPO/HMO/WC	$126.49

CATH FOX PTA 8x40mm UA14008

Facility

$843.25

Hospital Charge Code	270634775
Hospital Revenue Code	278
Min. Negotiated Rate	$126.49
Max. Negotiated Rate	$421.62
Rate for Payer: Aetna Commercial	$252.97
Rate for Payer: Aetna Medicare Advantage	$252.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$215.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$215.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$168.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$215.03
Rate for Payer: Cigna Commercial	$421.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$204.07
Rate for Payer: Qualcare PPO/HMO/WC	$126.49

CATH FOX PTA SV 2.5x120cm

Facility

$975.00

Hospital Charge Code	270644104C
Hospital Revenue Code	278
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$235.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.95
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

CATH FOX PTA SV 2.5x120cm

Facility

$975.00

Hospital Charge Code	270644104C
Hospital Revenue Code	278
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$487.50
Rate for Payer: Aetna Commercial	$292.50
Rate for Payer: Aetna Medicare Advantage	$292.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.62
Rate for Payer: Cigna Commercial	$487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.95
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

CATH FOX PTA SV 2.5x40x150cm

Facility

$975.00

Hospital Charge Code	270644013C
Hospital Revenue Code	278
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$487.50
Rate for Payer: Aetna Commercial	$292.50
Rate for Payer: Aetna Medicare Advantage	$292.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.62
Rate for Payer: Cigna Commercial	$487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.95
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

CATH FOX PTA SV 2.5x40x150cm

Facility

$975.00

Hospital Charge Code	270644013C
Hospital Revenue Code	278
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$235.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.95
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

CATH FOX PTA SV 2.5x80x150cm

Facility

$975.00

Hospital Charge Code	270644514C
Hospital Revenue Code	278
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$235.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.95
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

CATH FOX PTA SV 2.5x80x150cm

Facility

$975.00

Hospital Charge Code	270644514C
Hospital Revenue Code	278
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$487.50
Rate for Payer: Aetna Commercial	$292.50
Rate for Payer: Aetna Medicare Advantage	$292.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.62
Rate for Payer: Cigna Commercial	$487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.95
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

CATH FOX PTA SV 2x120x150cm

Facility

$975.00

Hospital Charge Code	270644513C
Hospital Revenue Code	278
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$487.50
Rate for Payer: Aetna Commercial	$292.50
Rate for Payer: Aetna Medicare Advantage	$292.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.62
Rate for Payer: Cigna Commercial	$487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.95
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

CATH FOX PTA SV 2x120x150cm

Facility

$975.00

Hospital Charge Code	270644513C
Hospital Revenue Code	278
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$235.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.95
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

CATH FOX PTA SV 2x40x150cm

Facility

$975.00

Hospital Charge Code	270644512C
Hospital Revenue Code	278
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$487.50
Rate for Payer: Aetna Commercial	$292.50
Rate for Payer: Aetna Medicare Advantage	$292.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.62
Rate for Payer: Cigna Commercial	$487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.95
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

CATH FOX PTA SV 2x40x150cm

Facility

$975.00

Hospital Charge Code	270644512C
Hospital Revenue Code	278
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$235.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.95
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

CATH FOX PTA SV 3x120x150cm

Facility

$975.00

Hospital Charge Code	270644517C
Hospital Revenue Code	278
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$235.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.95
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

CATH FOX PTA SV 3x120x150cm

Facility

$975.00

Hospital Charge Code	270644517C
Hospital Revenue Code	278
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$487.50
Rate for Payer: Aetna Commercial	$292.50
Rate for Payer: Aetna Medicare Advantage	$292.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.62
Rate for Payer: Cigna Commercial	$487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.95
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

CATH FOX PTA SV 3x40x150cm

Facility

$975.00

Hospital Charge Code	270644515C
Hospital Revenue Code	278
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$235.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.95
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

CATH FOX PTA SV 3x40x150cm

Facility

$975.00

Hospital Charge Code	270644515C
Hospital Revenue Code	278
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$487.50
Rate for Payer: Aetna Commercial	$292.50
Rate for Payer: Aetna Medicare Advantage	$292.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.62
Rate for Payer: Cigna Commercial	$487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.95
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

CATH FOX PTA SV 3x80x150cm

Facility

$1,425.00

Hospital Charge Code	270644516C
Hospital Revenue Code	278
Min. Negotiated Rate	$213.75
Max. Negotiated Rate	$344.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$285.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$344.85
Rate for Payer: Qualcare PPO/HMO/WC	$213.75

CATH FOX PTA SV 3x80x150cm

Facility

$1,425.00

Hospital Charge Code	270644516C
Hospital Revenue Code	278
Min. Negotiated Rate	$213.75
Max. Negotiated Rate	$712.50
Rate for Payer: Aetna Commercial	$427.50
Rate for Payer: Aetna Medicare Advantage	$427.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$363.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$363.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$363.38
Rate for Payer: Cigna Commercial	$712.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$344.85
Rate for Payer: Qualcare PPO/HMO/WC	$213.75

Know your out-of-pocket cost for care.

All Charges