Heights University Hospital

All Charges

Charge

Type

Setting

Price

INTRODUCER CK 22F 25 261338

Facility

$1,216.85

Hospital Charge Code	270623287
Hospital Revenue Code	272
Min. Negotiated Rate	$158.19
Max. Negotiated Rate	$608.42
Rate for Payer: Aetna Commercial	$365.06
Rate for Payer: Aetna Medicare Advantage	$365.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$310.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$310.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$310.30
Rate for Payer: Cigna Commercial	$608.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$158.19
Rate for Payer: Oxford Commercial	$608.42
Rate for Payer: Qualcare PPO/HMO/WC	$182.53
Rate for Payer: UnitedHealthcare Commercial	$608.42

INTRODUCER CK 22F 25 261338

Facility

$1,216.85

Hospital Charge Code	270623287
Hospital Revenue Code	272
Min. Negotiated Rate	$182.53
Max. Negotiated Rate	$182.53
Rate for Payer: Qualcare PPO/HMO/WC	$182.53

INTRODUCER CK 5F COAX 217243

Facility

$149.65

Hospital Charge Code	270624180
Hospital Revenue Code	278
Min. Negotiated Rate	$22.45
Max. Negotiated Rate	$74.83
Rate for Payer: Aetna Commercial	$44.90
Rate for Payer: Aetna Medicare Advantage	$44.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.16
Rate for Payer: Cigna Commercial	$74.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.22
Rate for Payer: Qualcare PPO/HMO/WC	$22.45

INTRODUCER CK 5F COAX 217243

Facility

$149.65

Hospital Charge Code	270624180
Hospital Revenue Code	278
Min. Negotiated Rate	$22.45
Max. Negotiated Rate	$36.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.22
Rate for Payer: Qualcare PPO/HMO/WC	$22.45

INTRODUCER COAXIAL 4F 10CM

Facility

$88.85

Hospital Charge Code	270669538
Hospital Revenue Code	272
Min. Negotiated Rate	$11.55
Max. Negotiated Rate	$44.42
Rate for Payer: Aetna Commercial	$26.66
Rate for Payer: Aetna Medicare Advantage	$26.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.66
Rate for Payer: Cigna Commercial	$44.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.55
Rate for Payer: Oxford Commercial	$44.42
Rate for Payer: Qualcare PPO/HMO/WC	$13.33
Rate for Payer: UnitedHealthcare Commercial	$44.42

INTRODUCER COAXIAL 4F 10CM

Facility

$88.85

Hospital Charge Code	270669538
Hospital Revenue Code	272
Min. Negotiated Rate	$13.33
Max. Negotiated Rate	$13.33
Rate for Payer: Qualcare PPO/HMO/WC	$13.33

INTRODUCER COAXIAL 4 FR 10CM

Facility

$87.55

Hospital Charge Code	270669538O
Hospital Revenue Code	272
Min. Negotiated Rate	$11.38
Max. Negotiated Rate	$43.77
Rate for Payer: Aetna Commercial	$26.27
Rate for Payer: Aetna Medicare Advantage	$26.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.33
Rate for Payer: Cigna Commercial	$43.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.38
Rate for Payer: Oxford Commercial	$43.77
Rate for Payer: Qualcare PPO/HMO/WC	$13.13
Rate for Payer: UnitedHealthcare Commercial	$43.77

INTRODUCER COAXIAL 4 FR 10CM

Facility

$87.55

Hospital Charge Code	270669538S
Hospital Revenue Code	272
Min. Negotiated Rate	$13.13
Max. Negotiated Rate	$13.13
Rate for Payer: Qualcare PPO/HMO/WC	$13.13

INTRODUCER COAXIAL 4 FR 10CM

Facility

$87.55

Hospital Charge Code	270669538S
Hospital Revenue Code	272
Min. Negotiated Rate	$11.38
Max. Negotiated Rate	$43.77
Rate for Payer: Aetna Commercial	$26.27
Rate for Payer: Aetna Medicare Advantage	$26.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.33
Rate for Payer: Cigna Commercial	$43.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.38
Rate for Payer: Oxford Commercial	$43.77
Rate for Payer: Qualcare PPO/HMO/WC	$13.13
Rate for Payer: UnitedHealthcare Commercial	$43.77

INTRODUCER COAXIAL 4 FR 10CM

Facility

$87.55

Hospital Charge Code	270669538O
Hospital Revenue Code	272
Min. Negotiated Rate	$13.13
Max. Negotiated Rate	$13.13
Rate for Payer: Qualcare PPO/HMO/WC	$13.13

INTRODUCER CRD 11 7F 504-607X

Facility

$39.75

Service Code	HCPCS C1894
Hospital Charge Code	270614820
Hospital Revenue Code	278
Min. Negotiated Rate	$5.96
Max. Negotiated Rate	$9.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.62
Rate for Payer: Qualcare PPO/HMO/WC	$5.96

INTRODUCER CRD 11 7F 504-607X

Facility

$39.75

Service Code	HCPCS C1894
Hospital Charge Code	270614820
Hospital Revenue Code	278
Min. Negotiated Rate	$5.96
Max. Negotiated Rate	$19.88
Rate for Payer: Aetna Commercial	$11.93
Rate for Payer: Aetna Medicare Advantage	$11.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.14
Rate for Payer: Cigna Commercial	$19.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.62
Rate for Payer: Qualcare PPO/HMO/WC	$5.96

INTRODUCER CRD 23 8F 401-823M

Facility

$211.25

Hospital Charge Code	270622620
Hospital Revenue Code	278
Min. Negotiated Rate	$31.69
Max. Negotiated Rate	$51.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$42.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.12
Rate for Payer: Qualcare PPO/HMO/WC	$31.69

INTRODUCER CRD 23 8F 401-823M

Facility

$211.25

Hospital Charge Code	270622620
Hospital Revenue Code	278
Min. Negotiated Rate	$31.69
Max. Negotiated Rate	$105.62
Rate for Payer: Aetna Commercial	$63.38
Rate for Payer: Aetna Medicare Advantage	$63.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$42.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.87
Rate for Payer: Cigna Commercial	$105.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.12
Rate for Payer: Qualcare PPO/HMO/WC	$31.69

INTRODUCER CRD 8F 55 403-8553C

Facility

$645.00

Hospital Charge Code	270626424
Hospital Revenue Code	278
Min. Negotiated Rate	$96.75
Max. Negotiated Rate	$156.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$129.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$156.09
Rate for Payer: Qualcare PPO/HMO/WC	$96.75

INTRODUCER CRD 8F 55 403-8553C

Facility

$645.00

Hospital Charge Code	270626424
Hospital Revenue Code	278
Min. Negotiated Rate	$96.75
Max. Negotiated Rate	$322.50
Rate for Payer: Aetna Commercial	$193.50
Rate for Payer: Aetna Medicare Advantage	$193.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$164.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$164.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$129.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$164.47
Rate for Payer: Cigna Commercial	$322.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$156.09
Rate for Payer: Qualcare PPO/HMO/WC	$96.75

INTRODUCER CRD HEM 5F 504-605X

Facility

$238.75

Hospital Charge Code	270617154
Hospital Revenue Code	279
Min. Negotiated Rate	$35.81
Max. Negotiated Rate	$35.81
Rate for Payer: Qualcare PPO/HMO/WC	$35.81

INTRODUCER CRD HEM 5F 504-605X

Facility

$238.75

Hospital Charge Code	270617154
Hospital Revenue Code	279
Min. Negotiated Rate	$31.04
Max. Negotiated Rate	$119.38
Rate for Payer: Aetna Commercial	$71.62
Rate for Payer: Aetna Medicare Advantage	$71.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.88
Rate for Payer: Cigna Commercial	$119.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.04
Rate for Payer: Oxford Commercial	$119.38
Rate for Payer: Qualcare PPO/HMO/WC	$35.81
Rate for Payer: UnitedHealthcare Commercial	$119.38

INTRODUCER FLEX 14FR ALL PURPO

Facility

$359.45

Hospital Charge Code	2709006115
Hospital Revenue Code	272
Min. Negotiated Rate	$53.92
Max. Negotiated Rate	$53.92
Rate for Payer: Qualcare PPO/HMO/WC	$53.92

INTRODUCER FLEX 14FR ALL PURPO

Facility

$359.45

Hospital Charge Code	2709006115
Hospital Revenue Code	272
Min. Negotiated Rate	$46.73
Max. Negotiated Rate	$179.72
Rate for Payer: Aetna Commercial	$107.83
Rate for Payer: Aetna Medicare Advantage	$107.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.66
Rate for Payer: Cigna Commercial	$179.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.73
Rate for Payer: Oxford Commercial	$179.72
Rate for Payer: Qualcare PPO/HMO/WC	$53.92
Rate for Payer: UnitedHealthcare Commercial	$179.72

INTRODUCER FLEXOR SIDEARM 6FR

Facility

$775.00

Hospital Charge Code	270636222
Hospital Revenue Code	272
Min. Negotiated Rate	$100.75
Max. Negotiated Rate	$387.50
Rate for Payer: Aetna Commercial	$232.50
Rate for Payer: Aetna Medicare Advantage	$232.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.62
Rate for Payer: Cigna Commercial	$387.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.75
Rate for Payer: Oxford Commercial	$387.50
Rate for Payer: Qualcare PPO/HMO/WC	$116.25
Rate for Payer: UnitedHealthcare Commercial	$387.50

INTRODUCER FLEXOR SIDEARM 6FR

Facility

$775.00

Hospital Charge Code	270636222
Hospital Revenue Code	272
Min. Negotiated Rate	$116.25
Max. Negotiated Rate	$116.25
Rate for Payer: Qualcare PPO/HMO/WC	$116.25

INTRODUCER GUIDESHEATH 5FRX10

Facility

$247.50

Hospital Charge Code	2709004260
Hospital Revenue Code	272
Min. Negotiated Rate	$32.17
Max. Negotiated Rate	$123.75
Rate for Payer: Aetna Commercial	$74.25
Rate for Payer: Aetna Medicare Advantage	$74.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.11
Rate for Payer: Cigna Commercial	$123.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.17
Rate for Payer: Oxford Commercial	$123.75
Rate for Payer: Qualcare PPO/HMO/WC	$37.12
Rate for Payer: UnitedHealthcare Commercial	$123.75

INTRODUCER GUIDESHEATH 5FRX10

Facility

$247.50

Hospital Charge Code	2709004260
Hospital Revenue Code	272
Min. Negotiated Rate	$37.12
Max. Negotiated Rate	$37.12
Rate for Payer: Qualcare PPO/HMO/WC	$37.12

INTRODUCER GUIDESHEATH 5FRX25

Facility

$250.00

Hospital Charge Code	2709004266
Hospital Revenue Code	272
Min. Negotiated Rate	$32.50
Max. Negotiated Rate	$125.00
Rate for Payer: Aetna Commercial	$75.00
Rate for Payer: Aetna Medicare Advantage	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.75
Rate for Payer: Cigna Commercial	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.50
Rate for Payer: Oxford Commercial	$125.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.50
Rate for Payer: UnitedHealthcare Commercial	$125.00

Know your out-of-pocket cost for care.

All Charges