Heights University Hospital

All Charges

Charge

Type

Setting

Price

GLIDEWIRE ANGLE .038

Facility

$109.79

Hospital Charge Code	270655411
Hospital Revenue Code	278
Min. Negotiated Rate	$16.47
Max. Negotiated Rate	$54.90
Rate for Payer: Aetna Commercial	$32.94
Rate for Payer: Aetna Medicare Advantage	$32.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.00
Rate for Payer: Cigna Commercial	$54.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.57
Rate for Payer: Qualcare PPO/HMO/WC	$16.47

GLIDEWIRE ANGLE .038

Facility

$109.79

Hospital Charge Code	270655411
Hospital Revenue Code	278
Min. Negotiated Rate	$16.47
Max. Negotiated Rate	$26.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.57
Rate for Payer: Qualcare PPO/HMO/WC	$16.47

GLIDEWIRE ANGLED 0.025 X 260CM

Facility

$1,625.00

Hospital Charge Code	270666812
Hospital Revenue Code	270
Min. Negotiated Rate	$211.25
Max. Negotiated Rate	$812.50
Rate for Payer: Aetna Commercial	$487.50
Rate for Payer: Aetna Medicare Advantage	$487.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$414.38
Rate for Payer: Cigna Commercial	$812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.25
Rate for Payer: Oxford Commercial	$812.50
Rate for Payer: Qualcare PPO/HMO/WC	$243.75
Rate for Payer: UnitedHealthcare Commercial	$812.50

GLIDEWIRE ANGLED 0.025 X 260CM

Facility

$1,625.00

Hospital Charge Code	270666812
Hospital Revenue Code	270
Min. Negotiated Rate	$243.75
Max. Negotiated Rate	$243.75
Rate for Payer: Qualcare PPO/HMO/WC	$243.75

GLIDEWIRE ANGLED 0.035X260CM

Facility

$300.00

Hospital Charge Code	270666808
Hospital Revenue Code	270
Min. Negotiated Rate	$39.00
Max. Negotiated Rate	$150.00
Rate for Payer: Aetna Commercial	$90.00
Rate for Payer: Aetna Medicare Advantage	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.00
Rate for Payer: Oxford Commercial	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00
Rate for Payer: UnitedHealthcare Commercial	$150.00

GLIDEWIRE ANGLED 0.035X260CM

Facility

$300.00

Hospital Charge Code	270666808
Hospital Revenue Code	270
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$45.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

GLIDEWIRE ANGLED .035

Facility

$320.85

Hospital Charge Code	270601267
Hospital Revenue Code	272
Min. Negotiated Rate	$41.71
Max. Negotiated Rate	$160.43
Rate for Payer: Aetna Commercial	$96.25
Rate for Payer: Aetna Medicare Advantage	$96.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.82
Rate for Payer: Cigna Commercial	$160.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.71
Rate for Payer: Oxford Commercial	$160.43
Rate for Payer: Qualcare PPO/HMO/WC	$48.13
Rate for Payer: UnitedHealthcare Commercial	$160.43

GLIDEWIRE ANGLED .035

Facility

$320.85

Hospital Charge Code	270601267
Hospital Revenue Code	272
Min. Negotiated Rate	$48.13
Max. Negotiated Rate	$48.13
Rate for Payer: Qualcare PPO/HMO/WC	$48.13

GLIDEWIRE ANGLED .035 150CM

Facility

$1,665.65

Hospital Charge Code	270605415C
Hospital Revenue Code	278
Min. Negotiated Rate	$249.85
Max. Negotiated Rate	$832.83
Rate for Payer: Aetna Commercial	$499.69
Rate for Payer: Aetna Medicare Advantage	$499.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$424.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$424.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$333.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$424.74
Rate for Payer: Cigna Commercial	$832.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$403.09
Rate for Payer: Qualcare PPO/HMO/WC	$249.85

GLIDEWIRE ANGLED .035 150CM

Facility

$1,665.65

Hospital Charge Code	270605415C
Hospital Revenue Code	278
Min. Negotiated Rate	$249.85
Max. Negotiated Rate	$403.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$333.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$403.09
Rate for Payer: Qualcare PPO/HMO/WC	$249.85

GLIDEWIRE ANGLE TIP .035X

Facility

$753.00

Hospital Charge Code	270330564
Hospital Revenue Code	278
Min. Negotiated Rate	$112.95
Max. Negotiated Rate	$376.50
Rate for Payer: Aetna Commercial	$225.90
Rate for Payer: Aetna Medicare Advantage	$225.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.01
Rate for Payer: Cigna Commercial	$376.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.23
Rate for Payer: Qualcare PPO/HMO/WC	$112.95

GLIDEWIRE ANGLE TIP .035X

Facility

$753.00

Hospital Charge Code	270330564
Hospital Revenue Code	278
Min. Negotiated Rate	$112.95
Max. Negotiated Rate	$182.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.23
Rate for Payer: Qualcare PPO/HMO/WC	$112.95

GLIDEWIRE GM 45 DEG 300CM

Facility

$956.25

Service Code	HCPCS C1769
Hospital Charge Code	270663285
Hospital Revenue Code	278
Min. Negotiated Rate	$143.44
Max. Negotiated Rate	$478.12
Rate for Payer: Aetna Commercial	$286.88
Rate for Payer: Aetna Medicare Advantage	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$243.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$243.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$243.84
Rate for Payer: Cigna Commercial	$478.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$231.41
Rate for Payer: Qualcare PPO/HMO/WC	$143.44

GLIDEWIRE GM 45 DEG 300CM

Facility

$1,125.00

Service Code	HCPCS C1769
Hospital Charge Code	270663285N
Hospital Revenue Code	278
Min. Negotiated Rate	$168.75
Max. Negotiated Rate	$272.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.25
Rate for Payer: Qualcare PPO/HMO/WC	$168.75

GLIDEWIRE GM 45 DEG 300CM

Facility

$956.25

Service Code	HCPCS C1769
Hospital Charge Code	270663285S
Hospital Revenue Code	278
Min. Negotiated Rate	$143.44
Max. Negotiated Rate	$231.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$191.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$231.41
Rate for Payer: Qualcare PPO/HMO/WC	$143.44

GLIDEWIRE GM 45 DEG 300CM

Facility

$956.25

Service Code	HCPCS C1769
Hospital Charge Code	270663285S
Hospital Revenue Code	278
Min. Negotiated Rate	$143.44
Max. Negotiated Rate	$478.12
Rate for Payer: Aetna Commercial	$286.88
Rate for Payer: Aetna Medicare Advantage	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$243.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$243.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$243.84
Rate for Payer: Cigna Commercial	$478.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$231.41
Rate for Payer: Qualcare PPO/HMO/WC	$143.44

GLIDEWIRE GM 45 DEG 300CM

Facility

$1,125.00

Service Code	HCPCS C1769
Hospital Charge Code	270663285N
Hospital Revenue Code	278
Min. Negotiated Rate	$168.75
Max. Negotiated Rate	$562.50
Rate for Payer: Aetna Commercial	$337.50
Rate for Payer: Aetna Medicare Advantage	$337.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.88
Rate for Payer: Cigna Commercial	$562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.25
Rate for Payer: Qualcare PPO/HMO/WC	$168.75

GLIDEWIRE GM 45 DEG 300CM

Facility

$956.25

Service Code	HCPCS C1769
Hospital Charge Code	270663285
Hospital Revenue Code	278
Min. Negotiated Rate	$143.44
Max. Negotiated Rate	$231.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$191.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$231.41
Rate for Payer: Qualcare PPO/HMO/WC	$143.44

GLIDEWIRE GM 45 GED 180CM

Facility

$662.50

Service Code	HCPCS C1769
Hospital Charge Code	270663283
Hospital Revenue Code	278
Min. Negotiated Rate	$99.38
Max. Negotiated Rate	$331.25
Rate for Payer: Aetna Commercial	$198.75
Rate for Payer: Aetna Medicare Advantage	$198.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.94
Rate for Payer: Cigna Commercial	$331.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.32
Rate for Payer: Qualcare PPO/HMO/WC	$99.38

GLIDEWIRE GM 45 GED 180CM

Facility

$895.00

Service Code	HCPCS C1769
Hospital Charge Code	270663283N
Hospital Revenue Code	278
Min. Negotiated Rate	$134.25
Max. Negotiated Rate	$447.50
Rate for Payer: Aetna Commercial	$268.50
Rate for Payer: Aetna Medicare Advantage	$268.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$228.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$228.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$179.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$228.22
Rate for Payer: Cigna Commercial	$447.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$216.59
Rate for Payer: Qualcare PPO/HMO/WC	$134.25

GLIDEWIRE GM 45 GED 180CM

Facility

$662.50

Service Code	HCPCS C1769
Hospital Charge Code	270663283S
Hospital Revenue Code	278
Min. Negotiated Rate	$99.38
Max. Negotiated Rate	$160.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.32
Rate for Payer: Qualcare PPO/HMO/WC	$99.38

GLIDEWIRE GM 45 GED 180CM

Facility

$662.50

Service Code	HCPCS C1769
Hospital Charge Code	270663283
Hospital Revenue Code	278
Min. Negotiated Rate	$99.38
Max. Negotiated Rate	$160.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.32
Rate for Payer: Qualcare PPO/HMO/WC	$99.38

GLIDEWIRE GM 45 GED 180CM

Facility

$895.00

Service Code	HCPCS C1769
Hospital Charge Code	270663283N
Hospital Revenue Code	278
Min. Negotiated Rate	$134.25
Max. Negotiated Rate	$216.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$179.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$216.59
Rate for Payer: Qualcare PPO/HMO/WC	$134.25

GLIDEWIRE GM 45 GED 180CM

Facility

$662.50

Service Code	HCPCS C1769
Hospital Charge Code	270663283S
Hospital Revenue Code	278
Min. Negotiated Rate	$99.38
Max. Negotiated Rate	$331.25
Rate for Payer: Aetna Commercial	$198.75
Rate for Payer: Aetna Medicare Advantage	$198.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.94
Rate for Payer: Cigna Commercial	$331.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.32
Rate for Payer: Qualcare PPO/HMO/WC	$99.38

GLIDEWIRE GM 75 DEG 180CM

Facility

$780.00

Hospital Charge Code	270663284
Hospital Revenue Code	279
Min. Negotiated Rate	$101.40
Max. Negotiated Rate	$390.00
Rate for Payer: Aetna Commercial	$234.00
Rate for Payer: Aetna Medicare Advantage	$234.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$198.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$198.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$198.90
Rate for Payer: Cigna Commercial	$390.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.40
Rate for Payer: Oxford Commercial	$390.00
Rate for Payer: Qualcare PPO/HMO/WC	$117.00
Rate for Payer: UnitedHealthcare Commercial	$390.00

Know your out-of-pocket cost for care.

All Charges