Heights University Hospital

All Charges

Charge

Type

Setting

Price

INTRODUCER AIRGUARD 15 FR X 13

Facility

$470.40

Hospital Charge Code	270683300
Hospital Revenue Code	272
Min. Negotiated Rate	$70.56
Max. Negotiated Rate	$70.56
Rate for Payer: Qualcare PPO/HMO/WC	$70.56

INTRODUCER AVANTI 7FR 504607V

Facility

$52.15

Hospital Charge Code	270632887
Hospital Revenue Code	272
Min. Negotiated Rate	$7.82
Max. Negotiated Rate	$7.82
Rate for Payer: Qualcare PPO/HMO/WC	$7.82

INTRODUCER AVANTI 7FR 504607V

Facility

$52.15

Hospital Charge Code	270632887
Hospital Revenue Code	272
Min. Negotiated Rate	$6.78
Max. Negotiated Rate	$26.07
Rate for Payer: Aetna Commercial	$15.64
Rate for Payer: Aetna Medicare Advantage	$15.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.30
Rate for Payer: Cigna Commercial	$26.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.78
Rate for Payer: Oxford Commercial	$26.07
Rate for Payer: Qualcare PPO/HMO/WC	$7.82
Rate for Payer: UnitedHealthcare Commercial	$26.07

INTRODUCER BALKIN 6FR 239085

Facility

$197.65

Hospital Charge Code	270629611
Hospital Revenue Code	270
Min. Negotiated Rate	$25.69
Max. Negotiated Rate	$98.83
Rate for Payer: Aetna Commercial	$59.30
Rate for Payer: Aetna Medicare Advantage	$59.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.40
Rate for Payer: Cigna Commercial	$98.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.69
Rate for Payer: Oxford Commercial	$98.83
Rate for Payer: Qualcare PPO/HMO/WC	$29.65
Rate for Payer: UnitedHealthcare Commercial	$98.83

INTRODUCER BALKIN 6FR 239085

Facility

$197.65

Hospital Charge Code	270629611
Hospital Revenue Code	270
Min. Negotiated Rate	$29.65
Max. Negotiated Rate	$29.65
Rate for Payer: Qualcare PPO/HMO/WC	$29.65

INTRODUCER BALKIN CHEK-FLO 6FR

Facility

$375.00

Service Code	HCPCS C1892
Hospital Charge Code	270629378
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

INTRODUCER BALKIN CHEK-FLO 6FR

Facility

$375.00

Service Code	HCPCS C1892
Hospital Charge Code	270629378
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

INTRODUCER BALKIN CHEK-FLO 7FR

Facility

$251.50

Service Code	HCPCS C1892
Hospital Charge Code	270626900
Hospital Revenue Code	278
Min. Negotiated Rate	$37.73
Max. Negotiated Rate	$60.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.86
Rate for Payer: Qualcare PPO/HMO/WC	$37.73

INTRODUCER BALKIN CHEK-FLO 7FR

Facility

$251.50

Service Code	HCPCS C1892
Hospital Charge Code	270626900
Hospital Revenue Code	278
Min. Negotiated Rate	$37.73
Max. Negotiated Rate	$125.75
Rate for Payer: Aetna Commercial	$75.45
Rate for Payer: Aetna Medicare Advantage	$75.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$64.13
Rate for Payer: Cigna Commercial	$125.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.86
Rate for Payer: Qualcare PPO/HMO/WC	$37.73

INTRODUCER BALKIN CHEK-FLO 8FR

Facility

$251.50

Hospital Charge Code	270624721
Hospital Revenue Code	272
Min. Negotiated Rate	$37.73
Max. Negotiated Rate	$37.73
Rate for Payer: Qualcare PPO/HMO/WC	$37.73

INTRODUCER BALKIN CHEK-FLO 8FR

Facility

$251.50

Hospital Charge Code	270624721
Hospital Revenue Code	272
Min. Negotiated Rate	$32.70
Max. Negotiated Rate	$125.75
Rate for Payer: Aetna Commercial	$75.45
Rate for Payer: Aetna Medicare Advantage	$75.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$64.13
Rate for Payer: Cigna Commercial	$125.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.70
Rate for Payer: Oxford Commercial	$125.75
Rate for Payer: Qualcare PPO/HMO/WC	$37.73
Rate for Payer: UnitedHealthcare Commercial	$125.75

INTRODUCER CATH 4F 10CM SS

Facility

$275.00

Service Code	HCPCS C1894
Hospital Charge Code	270699119
Hospital Revenue Code	272
Min. Negotiated Rate	$41.25
Max. Negotiated Rate	$41.25
Rate for Payer: Qualcare PPO/HMO/WC	$41.25

INTRODUCER CATH 4F 10CM SS

Facility

$275.00

Service Code	HCPCS C1894
Hospital Charge Code	270699119
Hospital Revenue Code	272
Min. Negotiated Rate	$35.75
Max. Negotiated Rate	$137.50
Rate for Payer: Aetna Commercial	$82.50
Rate for Payer: Aetna Medicare Advantage	$82.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.12
Rate for Payer: Cigna Commercial	$137.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.75
Rate for Payer: Oxford Commercial	$137.50
Rate for Payer: Qualcare PPO/HMO/WC	$41.25
Rate for Payer: UnitedHealthcare Commercial	$137.50

INTRODUCER CATHETER 7FR 13CM

Facility

$292.50

Hospital Charge Code	270647006
Hospital Revenue Code	272
Min. Negotiated Rate	$38.02
Max. Negotiated Rate	$146.25
Rate for Payer: Aetna Commercial	$87.75
Rate for Payer: Aetna Medicare Advantage	$87.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.59
Rate for Payer: Cigna Commercial	$146.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.02
Rate for Payer: Oxford Commercial	$146.25
Rate for Payer: Qualcare PPO/HMO/WC	$43.88
Rate for Payer: UnitedHealthcare Commercial	$146.25

INTRODUCER CATHETER 7FR 13CM

Facility

$292.50

Hospital Charge Code	270647006
Hospital Revenue Code	272
Min. Negotiated Rate	$43.88
Max. Negotiated Rate	$43.88
Rate for Payer: Qualcare PPO/HMO/WC	$43.88

INTRODUCER CATH STER SGU 6999

Facility

$4.75

Hospital Charge Code	270616776
Hospital Revenue Code	272
Min. Negotiated Rate	$0.71
Max. Negotiated Rate	$0.71
Rate for Payer: Qualcare PPO/HMO/WC	$0.71

INTRODUCER CATH STER SGU 6999

Facility

$4.75

Hospital Charge Code	270616776
Hospital Revenue Code	272
Min. Negotiated Rate	$0.62
Max. Negotiated Rate	$2.38
Rate for Payer: Aetna Commercial	$1.43
Rate for Payer: Aetna Medicare Advantage	$1.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.21
Rate for Payer: Cigna Commercial	$2.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.62
Rate for Payer: Oxford Commercial	$2.38
Rate for Payer: Qualcare PPO/HMO/WC	$0.71
Rate for Payer: UnitedHealthcare Commercial	$2.38

INTRODUCER CATH SUPR 16F AC851

Facility

$121.65

Hospital Charge Code	270612992
Hospital Revenue Code	272
Min. Negotiated Rate	$15.81
Max. Negotiated Rate	$60.83
Rate for Payer: Aetna Commercial	$36.49
Rate for Payer: Aetna Medicare Advantage	$36.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.02
Rate for Payer: Cigna Commercial	$60.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.81
Rate for Payer: Oxford Commercial	$60.83
Rate for Payer: Qualcare PPO/HMO/WC	$18.25
Rate for Payer: UnitedHealthcare Commercial	$60.83

INTRODUCER CATH SUPR 16F AC851

Facility

$121.65

Hospital Charge Code	270612992
Hospital Revenue Code	272
Min. Negotiated Rate	$18.25
Max. Negotiated Rate	$18.25
Rate for Payer: Qualcare PPO/HMO/WC	$18.25

INTRODUCER CHECK-FLO 16FR

Facility

$595.15

Hospital Charge Code	270622441
Hospital Revenue Code	272
Min. Negotiated Rate	$77.37
Max. Negotiated Rate	$297.57
Rate for Payer: Aetna Commercial	$178.54
Rate for Payer: Aetna Medicare Advantage	$178.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.76
Rate for Payer: Cigna Commercial	$297.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.37
Rate for Payer: Oxford Commercial	$297.57
Rate for Payer: Qualcare PPO/HMO/WC	$89.27
Rate for Payer: UnitedHealthcare Commercial	$297.57

INTRODUCER CHECK-FLO 16FR

Facility

$595.15

Hospital Charge Code	270622441
Hospital Revenue Code	272
Min. Negotiated Rate	$89.27
Max. Negotiated Rate	$89.27
Rate for Payer: Qualcare PPO/HMO/WC	$89.27

INTRODUCER CHECK-FLO 16FR 30cm

Facility

$635.00

Hospital Charge Code	270621635
Hospital Revenue Code	270
Min. Negotiated Rate	$95.25
Max. Negotiated Rate	$95.25
Rate for Payer: Qualcare PPO/HMO/WC	$95.25

INTRODUCER CHECK-FLO 16FR 30cm

Facility

$635.00

Hospital Charge Code	270621635
Hospital Revenue Code	270
Min. Negotiated Rate	$82.55
Max. Negotiated Rate	$317.50
Rate for Payer: Aetna Commercial	$190.50
Rate for Payer: Aetna Medicare Advantage	$190.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$161.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$161.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$161.93
Rate for Payer: Cigna Commercial	$317.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.55
Rate for Payer: Oxford Commercial	$317.50
Rate for Payer: Qualcare PPO/HMO/WC	$95.25
Rate for Payer: UnitedHealthcare Commercial	$317.50

INTRODUCER CHECK-FLO 18.0

Facility

$635.00

Hospital Charge Code	270629600
Hospital Revenue Code	272
Min. Negotiated Rate	$95.25
Max. Negotiated Rate	$95.25
Rate for Payer: Qualcare PPO/HMO/WC	$95.25

INTRODUCER CHECK-FLO 18.0

Facility

$635.00

Hospital Charge Code	270629600
Hospital Revenue Code	272
Min. Negotiated Rate	$82.55
Max. Negotiated Rate	$317.50
Rate for Payer: Aetna Commercial	$190.50
Rate for Payer: Aetna Medicare Advantage	$190.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$161.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$161.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$161.93
Rate for Payer: Cigna Commercial	$317.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.55
Rate for Payer: Oxford Commercial	$317.50
Rate for Payer: Qualcare PPO/HMO/WC	$95.25
Rate for Payer: UnitedHealthcare Commercial	$317.50

Know your out-of-pocket cost for care.

All Charges