Heights University Hospital

All Charges

Charge

Type

Setting

Price

GUIDEWIRE FIXEDCORE .035 180cm

Facility

$71.25

Hospital Charge Code	270640146
Hospital Revenue Code	278
Min. Negotiated Rate	$10.69
Max. Negotiated Rate	$17.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.24
Rate for Payer: Qualcare PPO/HMO/WC	$10.69

GUIDE WIRE FIXED CORE .035X

Facility

$132.00

Hospital Charge Code	270331525
Hospital Revenue Code	278
Min. Negotiated Rate	$19.80
Max. Negotiated Rate	$31.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.94
Rate for Payer: Qualcare PPO/HMO/WC	$19.80

GUIDE WIRE FIXED CORE .035X

Facility

$132.00

Hospital Charge Code	270331525
Hospital Revenue Code	278
Min. Negotiated Rate	$19.80
Max. Negotiated Rate	$66.00
Rate for Payer: Aetna Commercial	$39.60
Rate for Payer: Aetna Medicare Advantage	$39.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.66
Rate for Payer: Cigna Commercial	$66.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.94
Rate for Payer: Qualcare PPO/HMO/WC	$19.80

GUIDEWIRE FIXO 0.9X70MM

Facility

$455.00

Service Code	HCPCS C1713
Hospital Charge Code	270699952
Hospital Revenue Code	278
Min. Negotiated Rate	$68.25
Max. Negotiated Rate	$110.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.11
Rate for Payer: Qualcare PPO/HMO/WC	$68.25

GUIDEWIRE FIXO 0.9X70MM

Facility

$455.00

Service Code	HCPCS C1713
Hospital Charge Code	270699952
Hospital Revenue Code	278
Min. Negotiated Rate	$68.25
Max. Negotiated Rate	$227.50
Rate for Payer: Aetna Commercial	$136.50
Rate for Payer: Aetna Medicare Advantage	$136.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$116.03
Rate for Payer: Cigna Commercial	$227.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.11
Rate for Payer: Qualcare PPO/HMO/WC	$68.25

GUIDEWIRE FLOPPY 14x300 22359M

Facility

$375.00

Service Code	HCPCS C1769
Hospital Charge Code	270632557
Hospital Revenue Code	278
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$187.50
Rate for Payer: Aetna Commercial	$112.50
Rate for Payer: Aetna Medicare Advantage	$112.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.62
Rate for Payer: Cigna Commercial	$187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.75
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

GUIDEWIRE FLOPPY 14x300 22359M

Facility

$375.00

Service Code	HCPCS C1769
Hospital Charge Code	270632557
Hospital Revenue Code	278
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$90.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.75
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

GUIDEWIRE FLOPPY 300 595MEY014

Facility

$414.80

Hospital Charge Code	270637325C
Hospital Revenue Code	278
Min. Negotiated Rate	$62.22
Max. Negotiated Rate	$100.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$82.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.38
Rate for Payer: Qualcare PPO/HMO/WC	$62.22

GUIDEWIRE FLOPPY 300 595MEY014

Facility

$414.80

Hospital Charge Code	270637325C
Hospital Revenue Code	278
Min. Negotiated Rate	$62.22
Max. Negotiated Rate	$207.40
Rate for Payer: Aetna Commercial	$124.44
Rate for Payer: Aetna Medicare Advantage	$124.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$82.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$105.77
Rate for Payer: Cigna Commercial	$207.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.38
Rate for Payer: Qualcare PPO/HMO/WC	$62.22

GUIDEWIRE GLIDE 46-152*****

Facility

$218.00

Hospital Charge Code	270624017
Hospital Revenue Code	272
Min. Negotiated Rate	$32.70
Max. Negotiated Rate	$32.70
Rate for Payer: Qualcare PPO/HMO/WC	$32.70

GUIDEWIRE GLIDE 46-152*****

Facility

$218.00

Hospital Charge Code	270624017
Hospital Revenue Code	272
Min. Negotiated Rate	$28.34
Max. Negotiated Rate	$109.00
Rate for Payer: Aetna Commercial	$65.40
Rate for Payer: Aetna Medicare Advantage	$65.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55.59
Rate for Payer: Cigna Commercial	$109.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.34
Rate for Payer: Oxford Commercial	$109.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.70
Rate for Payer: UnitedHealthcare Commercial	$109.00

GUIDEWIRE GLIDE 46-308****

Facility

$185.00

Hospital Charge Code	270624018
Hospital Revenue Code	272
Min. Negotiated Rate	$27.75
Max. Negotiated Rate	$27.75
Rate for Payer: Qualcare PPO/HMO/WC	$27.75

GUIDEWIRE GLIDE 46-308****

Facility

$185.00

Hospital Charge Code	270624018
Hospital Revenue Code	272
Min. Negotiated Rate	$24.05
Max. Negotiated Rate	$92.50
Rate for Payer: Aetna Commercial	$55.50
Rate for Payer: Aetna Medicare Advantage	$55.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.17
Rate for Payer: Cigna Commercial	$92.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.05
Rate for Payer: Oxford Commercial	$92.50
Rate for Payer: Qualcare PPO/HMO/WC	$27.75
Rate for Payer: UnitedHealthcare Commercial	$92.50

GUIDEWIRE GOLD ANL 018X5 46244

Facility

$657.15

Hospital Charge Code	270634523
Hospital Revenue Code	278
Min. Negotiated Rate	$98.57
Max. Negotiated Rate	$328.57
Rate for Payer: Aetna Commercial	$197.15
Rate for Payer: Aetna Medicare Advantage	$197.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$167.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$167.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$131.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$167.57
Rate for Payer: Cigna Commercial	$328.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.03
Rate for Payer: Qualcare PPO/HMO/WC	$98.57

GUIDEWIRE GOLD ANL 018X5 46244

Facility

$657.15

Hospital Charge Code	270634523
Hospital Revenue Code	278
Min. Negotiated Rate	$98.57
Max. Negotiated Rate	$159.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$131.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.03
Rate for Payer: Qualcare PPO/HMO/WC	$98.57

GUIDE WIRE HBS-G-WIRE

Facility

$70.00

Hospital Charge Code	270636599
Hospital Revenue Code	272
Min. Negotiated Rate	$10.50
Max. Negotiated Rate	$10.50
Rate for Payer: Qualcare PPO/HMO/WC	$10.50

GUIDE WIRE HBS-G-WIRE

Facility

$70.00

Hospital Charge Code	270636599
Hospital Revenue Code	272
Min. Negotiated Rate	$9.10
Max. Negotiated Rate	$35.00
Rate for Payer: Aetna Commercial	$21.00
Rate for Payer: Aetna Medicare Advantage	$21.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.85
Rate for Payer: Cigna Commercial	$35.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.10
Rate for Payer: Oxford Commercial	$35.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.50
Rate for Payer: UnitedHealthcare Commercial	$35.00

GUIDEWIRE HEPARIN COATED 145CM

Facility

$61.70

Hospital Charge Code	270637378C
Hospital Revenue Code	278
Min. Negotiated Rate	$9.26
Max. Negotiated Rate	$14.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.93
Rate for Payer: Qualcare PPO/HMO/WC	$9.26

GUIDEWIRE HEPARIN COATED 145CM

Facility

$61.70

Hospital Charge Code	270637378C
Hospital Revenue Code	278
Min. Negotiated Rate	$9.26
Max. Negotiated Rate	$30.85
Rate for Payer: Aetna Commercial	$18.51
Rate for Payer: Aetna Medicare Advantage	$18.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.73
Rate for Payer: Cigna Commercial	$30.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.93
Rate for Payer: Qualcare PPO/HMO/WC	$9.26

GUIDEWIRE H FLP 014x190 22339M

Facility

$375.00

Service Code	HCPCS C1769
Hospital Charge Code	270632556
Hospital Revenue Code	278
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$90.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.75
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

GUIDEWIRE H FLP 014x190 22339M

Facility

$375.00

Service Code	HCPCS C1769
Hospital Charge Code	270632556
Hospital Revenue Code	278
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$187.50
Rate for Payer: Aetna Commercial	$112.50
Rate for Payer: Aetna Medicare Advantage	$112.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.62
Rate for Payer: Cigna Commercial	$187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.75
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

GUIDEWIRE HIQUE COMD ES 208175

Facility

$650.00

Service Code	HCPCS C1769
Hospital Charge Code	270659350
Hospital Revenue Code	278
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$157.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.30
Rate for Payer: Qualcare PPO/HMO/WC	$97.50

GUIDEWIRE HIQUE COMD ES 208175

Facility

$900.00

Service Code	HCPCS C1769
Hospital Charge Code	270659350N
Hospital Revenue Code	278
Min. Negotiated Rate	$135.00
Max. Negotiated Rate	$217.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$180.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.80
Rate for Payer: Qualcare PPO/HMO/WC	$135.00

GUIDEWIRE HIQUE COMD ES 208175

Facility

$650.00

Service Code	HCPCS C1769
Hospital Charge Code	270659350S
Hospital Revenue Code	278
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$157.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.30
Rate for Payer: Qualcare PPO/HMO/WC	$97.50

GUIDEWIRE HIQUE COMD ES 208175

Facility

$900.00

Service Code	HCPCS C1769
Hospital Charge Code	270659350N
Hospital Revenue Code	278
Min. Negotiated Rate	$135.00
Max. Negotiated Rate	$450.00
Rate for Payer: Aetna Commercial	$270.00
Rate for Payer: Aetna Medicare Advantage	$270.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$229.50
Rate for Payer: Cigna Commercial	$450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.80
Rate for Payer: Qualcare PPO/HMO/WC	$135.00

Know your out-of-pocket cost for care.

All Charges