Heights University Hospital

All Charges

Charge

Type

Setting

Price

GUIDE SAFEGUARD

Facility

$3,200.00

Hospital Charge Code	270668390
Hospital Revenue Code	270
Min. Negotiated Rate	$480.00
Max. Negotiated Rate	$480.00
Rate for Payer: Qualcare PPO/HMO/WC	$480.00

GUIDE SAFEGUARD

Facility

$3,200.00

Hospital Charge Code	270668390
Hospital Revenue Code	270
Min. Negotiated Rate	$416.00
Max. Negotiated Rate	$1,600.00
Rate for Payer: Aetna Commercial	$960.00
Rate for Payer: Aetna Medicare Advantage	$960.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$816.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$816.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$816.00
Rate for Payer: Cigna Commercial	$1,600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$416.00
Rate for Payer: Oxford Commercial	$1,600.00
Rate for Payer: Qualcare PPO/HMO/WC	$480.00
Rate for Payer: UnitedHealthcare Commercial	$1,600.00

GUIDESCOPE LOPRO S20

Facility

$260.00

Hospital Charge Code	270683599
Hospital Revenue Code	272
Min. Negotiated Rate	$39.00
Max. Negotiated Rate	$39.00
Rate for Payer: Qualcare PPO/HMO/WC	$39.00

GUIDESCOPE LOPRO S20

Facility

$260.00

Hospital Charge Code	270683599
Hospital Revenue Code	272
Min. Negotiated Rate	$33.80
Max. Negotiated Rate	$130.00
Rate for Payer: Aetna Commercial	$78.00
Rate for Payer: Aetna Medicare Advantage	$78.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.30
Rate for Payer: Cigna Commercial	$130.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.80
Rate for Payer: Oxford Commercial	$130.00
Rate for Payer: Qualcare PPO/HMO/WC	$39.00
Rate for Payer: UnitedHealthcare Commercial	$130.00

GUIDE SDK DRILL 871601

Facility

$2,996.00

Hospital Charge Code	270609815
Hospital Revenue Code	272
Min. Negotiated Rate	$389.48
Max. Negotiated Rate	$1,498.00
Rate for Payer: Aetna Commercial	$898.80
Rate for Payer: Aetna Medicare Advantage	$898.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$763.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$763.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$763.98
Rate for Payer: Cigna Commercial	$1,498.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$389.48
Rate for Payer: Oxford Commercial	$1,498.00
Rate for Payer: Qualcare PPO/HMO/WC	$449.40
Rate for Payer: UnitedHealthcare Commercial	$1,498.00

GUIDE SDK DRILL 871601

Facility

$2,996.00

Hospital Charge Code	270609815
Hospital Revenue Code	272
Min. Negotiated Rate	$449.40
Max. Negotiated Rate	$449.40
Rate for Payer: Qualcare PPO/HMO/WC	$449.40

GUIDE SHEALTH PINNACLE 8FR 90

Facility

$675.75

Service Code	HCPCS C1894
Hospital Charge Code	270686367O
Hospital Revenue Code	278
Min. Negotiated Rate	$101.36
Max. Negotiated Rate	$163.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$135.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$163.53
Rate for Payer: Qualcare PPO/HMO/WC	$101.36

GUIDE SHEALTH PINNACLE 8FR 90

Facility

$675.75

Service Code	HCPCS C1894
Hospital Charge Code	270686367O
Hospital Revenue Code	278
Min. Negotiated Rate	$101.36
Max. Negotiated Rate	$337.88
Rate for Payer: Aetna Commercial	$202.72
Rate for Payer: Aetna Medicare Advantage	$202.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$172.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$172.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$135.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$172.32
Rate for Payer: Cigna Commercial	$337.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$163.53
Rate for Payer: Qualcare PPO/HMO/WC	$101.36

GUIDE SHEALTH PINNACLE 8FR 90

Facility

$675.75

Service Code	HCPCS C1894
Hospital Charge Code	270686367
Hospital Revenue Code	278
Min. Negotiated Rate	$101.36
Max. Negotiated Rate	$337.88
Rate for Payer: Aetna Commercial	$202.72
Rate for Payer: Aetna Medicare Advantage	$202.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$172.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$172.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$135.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$172.32
Rate for Payer: Cigna Commercial	$337.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$163.53
Rate for Payer: Qualcare PPO/HMO/WC	$101.36

GUIDE SHEALTH PINNACLE 8FR 90

Facility

$675.75

Service Code	HCPCS C1894
Hospital Charge Code	270686367
Hospital Revenue Code	278
Min. Negotiated Rate	$101.36
Max. Negotiated Rate	$163.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$135.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$163.53
Rate for Payer: Qualcare PPO/HMO/WC	$101.36

GUIDESHEATH INTRO 6FR X 10

Facility

$280.00

Hospital Charge Code	270666813
Hospital Revenue Code	270
Min. Negotiated Rate	$36.40
Max. Negotiated Rate	$140.00
Rate for Payer: Aetna Commercial	$84.00
Rate for Payer: Aetna Medicare Advantage	$84.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71.40
Rate for Payer: Cigna Commercial	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.40
Rate for Payer: Oxford Commercial	$140.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.00
Rate for Payer: UnitedHealthcare Commercial	$140.00

GUIDESHEATH INTRO 6FR X 10

Facility

$280.00

Hospital Charge Code	270666813
Hospital Revenue Code	270
Min. Negotiated Rate	$42.00
Max. Negotiated Rate	$42.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.00

GUIDE SHEATH PINNACLE 8FR 65

Facility

$614.80

Service Code	HCPCS C1894
Hospital Charge Code	270686366
Hospital Revenue Code	278
Min. Negotiated Rate	$92.22
Max. Negotiated Rate	$307.40
Rate for Payer: Aetna Commercial	$184.44
Rate for Payer: Aetna Medicare Advantage	$184.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$156.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$156.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$122.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$156.77
Rate for Payer: Cigna Commercial	$307.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.78
Rate for Payer: Qualcare PPO/HMO/WC	$92.22

GUIDE SHEATH PINNACLE 8FR 65

Facility

$614.80

Service Code	HCPCS C1894
Hospital Charge Code	270686366
Hospital Revenue Code	278
Min. Negotiated Rate	$92.22
Max. Negotiated Rate	$148.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$122.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.78
Rate for Payer: Qualcare PPO/HMO/WC	$92.22

GUIDE SHEATH PINNACLE 8FR 65

Facility

$614.80

Service Code	HCPCS C1894
Hospital Charge Code	270686366O
Hospital Revenue Code	278
Min. Negotiated Rate	$92.22
Max. Negotiated Rate	$148.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$122.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.78
Rate for Payer: Qualcare PPO/HMO/WC	$92.22

GUIDE SHEATH PINNACLE 8FR 65

Facility

$614.80

Service Code	HCPCS C1894
Hospital Charge Code	270686366O
Hospital Revenue Code	278
Min. Negotiated Rate	$92.22
Max. Negotiated Rate	$307.40
Rate for Payer: Aetna Commercial	$184.44
Rate for Payer: Aetna Medicare Advantage	$184.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$156.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$156.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$122.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$156.77
Rate for Payer: Cigna Commercial	$307.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.78
Rate for Payer: Qualcare PPO/HMO/WC	$92.22

GUIDE SIZING SPEED COMPRESS

Facility

$180.00

Hospital Charge Code	270681554
Hospital Revenue Code	272
Min. Negotiated Rate	$23.40
Max. Negotiated Rate	$90.00
Rate for Payer: Aetna Commercial	$54.00
Rate for Payer: Aetna Medicare Advantage	$54.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.90
Rate for Payer: Cigna Commercial	$90.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.40
Rate for Payer: Oxford Commercial	$90.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00
Rate for Payer: UnitedHealthcare Commercial	$90.00

GUIDE SIZING SPEED COMPRESS

Facility

$180.00

Hospital Charge Code	270681554
Hospital Revenue Code	272
Min. Negotiated Rate	$27.00
Max. Negotiated Rate	$27.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00

GUIDE SUBCLAVIAN **********

Facility

$176.00

Hospital Charge Code	8001828
Hospital Revenue Code	279
Min. Negotiated Rate	$26.40
Max. Negotiated Rate	$26.40
Rate for Payer: Qualcare PPO/HMO/WC	$26.40

GUIDE SUBCLAVIAN **********

Facility

$176.00

Hospital Charge Code	8001828
Hospital Revenue Code	279
Min. Negotiated Rate	$22.88
Max. Negotiated Rate	$88.00
Rate for Payer: Aetna Commercial	$52.80
Rate for Payer: Aetna Medicare Advantage	$52.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.88
Rate for Payer: Cigna Commercial	$88.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.88
Rate for Payer: Oxford Commercial	$88.00
Rate for Payer: Qualcare PPO/HMO/WC	$26.40
Rate for Payer: UnitedHealthcare Commercial	$88.00

GUIDE WIRE

Facility

$719.00

Service Code	HCPCS C1769
Hospital Charge Code	4800920
Hospital Revenue Code	278
Min. Negotiated Rate	$107.85
Max. Negotiated Rate	$174.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$143.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.00
Rate for Payer: Qualcare PPO/HMO/WC	$107.85

GUIDE WIRE

Facility

$125.00

Hospital Charge Code	270675634
Hospital Revenue Code	278
Min. Negotiated Rate	$18.75
Max. Negotiated Rate	$30.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.25
Rate for Payer: Qualcare PPO/HMO/WC	$18.75

GUIDE WIRE

Facility

$1.50

Hospital Charge Code	270655997
Hospital Revenue Code	272
Min. Negotiated Rate	$0.23
Max. Negotiated Rate	$0.23
Rate for Payer: Qualcare PPO/HMO/WC	$0.23

GUIDE WIRE

Facility

$719.00

Service Code	HCPCS C1769
Hospital Charge Code	4800920
Hospital Revenue Code	278
Min. Negotiated Rate	$107.85
Max. Negotiated Rate	$359.50
Rate for Payer: Aetna Commercial	$215.70
Rate for Payer: Aetna Medicare Advantage	$215.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$183.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$183.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$143.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$183.34
Rate for Payer: Cigna Commercial	$359.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.00
Rate for Payer: Qualcare PPO/HMO/WC	$107.85

GUIDE WIRE

Facility

$125.00

Hospital Charge Code	270675634
Hospital Revenue Code	278
Min. Negotiated Rate	$18.75
Max. Negotiated Rate	$62.50
Rate for Payer: Aetna Commercial	$37.50
Rate for Payer: Aetna Medicare Advantage	$37.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.88
Rate for Payer: Cigna Commercial	$62.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.25
Rate for Payer: Qualcare PPO/HMO/WC	$18.75

Know your out-of-pocket cost for care.

All Charges