Heights University Hospital

All Charges

Charge

Type

Setting

Price

GUIDE INSERT 3.5 W/STOP

Facility

$864.00

Hospital Charge Code	270657125
Hospital Revenue Code	272
Min. Negotiated Rate	$112.32
Max. Negotiated Rate	$432.00
Rate for Payer: Aetna Commercial	$259.20
Rate for Payer: Aetna Medicare Advantage	$259.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$220.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$220.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$220.32
Rate for Payer: Cigna Commercial	$432.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$112.32
Rate for Payer: Oxford Commercial	$432.00
Rate for Payer: Qualcare PPO/HMO/WC	$129.60
Rate for Payer: UnitedHealthcare Commercial	$432.00

GUIDELINE HIWIRE .038 ANGL

Facility

$154.70

Hospital Charge Code	270647878
Hospital Revenue Code	278
Min. Negotiated Rate	$23.20
Max. Negotiated Rate	$37.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.44
Rate for Payer: Qualcare PPO/HMO/WC	$23.20

GUIDELINE HIWIRE .038 ANGL

Facility

$154.70

Hospital Charge Code	270647878
Hospital Revenue Code	278
Min. Negotiated Rate	$23.20
Max. Negotiated Rate	$77.35
Rate for Payer: Aetna Commercial	$46.41
Rate for Payer: Aetna Medicare Advantage	$46.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.45
Rate for Payer: Cigna Commercial	$77.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.44
Rate for Payer: Qualcare PPO/HMO/WC	$23.20

GUIDE MT TRANSCEND T 46813

Facility

$910.00

Hospital Charge Code	270627379
Hospital Revenue Code	272
Min. Negotiated Rate	$136.50
Max. Negotiated Rate	$136.50
Rate for Payer: Qualcare PPO/HMO/WC	$136.50

GUIDE MT TRANSCEND T 46813

Facility

$910.00

Hospital Charge Code	270627379
Hospital Revenue Code	272
Min. Negotiated Rate	$118.30
Max. Negotiated Rate	$455.00
Rate for Payer: Aetna Commercial	$273.00
Rate for Payer: Aetna Medicare Advantage	$273.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$232.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$232.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$232.05
Rate for Payer: Cigna Commercial	$455.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.30
Rate for Payer: Oxford Commercial	$455.00
Rate for Payer: Qualcare PPO/HMO/WC	$136.50
Rate for Payer: UnitedHealthcare Commercial	$455.00

GUIDE NEEDLE

Facility

$71.88

Hospital Charge Code	270667234
Hospital Revenue Code	272
Min. Negotiated Rate	$9.34
Max. Negotiated Rate	$35.94
Rate for Payer: Aetna Commercial	$21.56
Rate for Payer: Aetna Medicare Advantage	$21.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.33
Rate for Payer: Cigna Commercial	$35.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.34
Rate for Payer: Oxford Commercial	$35.94
Rate for Payer: Qualcare PPO/HMO/WC	$10.78
Rate for Payer: UnitedHealthcare Commercial	$35.94

GUIDE NEEDLE

Facility

$71.88

Hospital Charge Code	270667234
Hospital Revenue Code	272
Min. Negotiated Rate	$10.78
Max. Negotiated Rate	$10.78
Rate for Payer: Qualcare PPO/HMO/WC	$10.78

GUIDE NEEDLE EVIVA 9G

Facility

$42.25

Hospital Charge Code	270642615N
Hospital Revenue Code	272
Min. Negotiated Rate	$5.49
Max. Negotiated Rate	$21.12
Rate for Payer: Aetna Commercial	$12.68
Rate for Payer: Aetna Medicare Advantage	$12.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.77
Rate for Payer: Cigna Commercial	$21.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.49
Rate for Payer: Oxford Commercial	$21.12
Rate for Payer: Qualcare PPO/HMO/WC	$6.34
Rate for Payer: UnitedHealthcare Commercial	$21.12

GUIDE NEEDLE EVIVA 9G

Facility

$48.50

Hospital Charge Code	270642615
Hospital Revenue Code	272
Min. Negotiated Rate	$7.28
Max. Negotiated Rate	$7.28
Rate for Payer: Qualcare PPO/HMO/WC	$7.28

GUIDE NEEDLE EVIVA 9G

Facility

$48.50

Hospital Charge Code	270642615R
Hospital Revenue Code	272
Min. Negotiated Rate	$6.30
Max. Negotiated Rate	$24.25
Rate for Payer: Aetna Commercial	$14.55
Rate for Payer: Aetna Medicare Advantage	$14.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.37
Rate for Payer: Cigna Commercial	$24.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.30
Rate for Payer: Oxford Commercial	$24.25
Rate for Payer: Qualcare PPO/HMO/WC	$7.28
Rate for Payer: UnitedHealthcare Commercial	$24.25

GUIDE NEEDLE EVIVA 9G

Facility

$48.50

Hospital Charge Code	270642615
Hospital Revenue Code	272
Min. Negotiated Rate	$6.30
Max. Negotiated Rate	$24.25
Rate for Payer: Aetna Commercial	$14.55
Rate for Payer: Aetna Medicare Advantage	$14.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.37
Rate for Payer: Cigna Commercial	$24.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.30
Rate for Payer: Oxford Commercial	$24.25
Rate for Payer: Qualcare PPO/HMO/WC	$7.28
Rate for Payer: UnitedHealthcare Commercial	$24.25

GUIDE NEEDLE EVIVA 9G

Facility

$48.50

Hospital Charge Code	270642615R
Hospital Revenue Code	272
Min. Negotiated Rate	$7.28
Max. Negotiated Rate	$7.28
Rate for Payer: Qualcare PPO/HMO/WC	$7.28

GUIDE NEEDLE EVIVA 9G

Facility

$42.25

Hospital Charge Code	270642615N
Hospital Revenue Code	272
Min. Negotiated Rate	$6.34
Max. Negotiated Rate	$6.34
Rate for Payer: Qualcare PPO/HMO/WC	$6.34

GUIDE NEEDLE SITERITE

Facility

$85.00

Hospital Charge Code	270658267
Hospital Revenue Code	272
Min. Negotiated Rate	$12.75
Max. Negotiated Rate	$12.75
Rate for Payer: Qualcare PPO/HMO/WC	$12.75

GUIDE NEEDLE SITERITE

Facility

$85.00

Hospital Charge Code	270658267
Hospital Revenue Code	272
Min. Negotiated Rate	$11.05
Max. Negotiated Rate	$42.50
Rate for Payer: Aetna Commercial	$25.50
Rate for Payer: Aetna Medicare Advantage	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.68
Rate for Payer: Cigna Commercial	$42.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.05
Rate for Payer: Oxford Commercial	$42.50
Rate for Payer: Qualcare PPO/HMO/WC	$12.75
Rate for Payer: UnitedHealthcare Commercial	$42.50

GUIDEPIN

Facility

$500.00

Hospital Charge Code	270703487
Hospital Revenue Code	278
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$121.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

GUIDEPIN

Facility

$500.00

Hospital Charge Code	270703487
Hospital Revenue Code	278
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$150.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

GUIDE PIN .062x4

Facility

$480.00

Hospital Charge Code	270656319
Hospital Revenue Code	272
Min. Negotiated Rate	$72.00
Max. Negotiated Rate	$72.00
Rate for Payer: Qualcare PPO/HMO/WC	$72.00

GUIDE PIN .062x4

Facility

$480.00

Hospital Charge Code	270656319
Hospital Revenue Code	272
Min. Negotiated Rate	$62.40
Max. Negotiated Rate	$240.00
Rate for Payer: Aetna Commercial	$144.00
Rate for Payer: Aetna Medicare Advantage	$144.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$122.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$122.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$122.40
Rate for Payer: Cigna Commercial	$240.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.40
Rate for Payer: Oxford Commercial	$240.00
Rate for Payer: Qualcare PPO/HMO/WC	$72.00
Rate for Payer: UnitedHealthcare Commercial	$240.00

GUIDE PIN 2.0

Facility

$420.00

Service Code	HCPCS C1713
Hospital Charge Code	270688881
Hospital Revenue Code	278
Min. Negotiated Rate	$63.00
Max. Negotiated Rate	$210.00
Rate for Payer: Aetna Commercial	$126.00
Rate for Payer: Aetna Medicare Advantage	$126.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.10
Rate for Payer: Cigna Commercial	$210.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.64
Rate for Payer: Qualcare PPO/HMO/WC	$63.00

GUIDE PIN 2.0

Facility

$420.00

Service Code	HCPCS C1713
Hospital Charge Code	270688881
Hospital Revenue Code	278
Min. Negotiated Rate	$63.00
Max. Negotiated Rate	$101.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.64
Rate for Payer: Qualcare PPO/HMO/WC	$63.00

GUIDE PIN 2.0mm WS2009ST

Facility

$105.00

Hospital Charge Code	270646200
Hospital Revenue Code	272
Min. Negotiated Rate	$13.65
Max. Negotiated Rate	$52.50
Rate for Payer: Aetna Commercial	$31.50
Rate for Payer: Aetna Medicare Advantage	$31.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.77
Rate for Payer: Cigna Commercial	$52.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.65
Rate for Payer: Oxford Commercial	$52.50
Rate for Payer: Qualcare PPO/HMO/WC	$15.75
Rate for Payer: UnitedHealthcare Commercial	$52.50

GUIDE PIN 2.0mm WS2009ST

Facility

$105.00

Hospital Charge Code	270646200
Hospital Revenue Code	272
Min. Negotiated Rate	$15.75
Max. Negotiated Rate	$15.75
Rate for Payer: Qualcare PPO/HMO/WC	$15.75

GUIDE PIN 2.0 X 150CM

Facility

$420.00

Service Code	HCPCS C1713
Hospital Charge Code	270689207
Hospital Revenue Code	278
Min. Negotiated Rate	$63.00
Max. Negotiated Rate	$101.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.64
Rate for Payer: Qualcare PPO/HMO/WC	$63.00

GUIDE PIN 2.0 X 150CM

Facility

$420.00

Service Code	HCPCS C1713
Hospital Charge Code	270689207
Hospital Revenue Code	278
Min. Negotiated Rate	$63.00
Max. Negotiated Rate	$210.00
Rate for Payer: Aetna Commercial	$126.00
Rate for Payer: Aetna Medicare Advantage	$126.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.10
Rate for Payer: Cigna Commercial	$210.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.64
Rate for Payer: Qualcare PPO/HMO/WC	$63.00

Know your out-of-pocket cost for care.

All Charges