Heights University Hospital

All Charges

Charge

Type

Setting

Price

INTRODUCER GUIDESHEATH 5FRX25

Facility

$250.00

Hospital Charge Code	2709004266
Hospital Revenue Code	272
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$37.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

INTRODUCER GUIDESHEATH 6FRX10

Facility

$247.50

Hospital Charge Code	2709004261
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 6FRX10

Facility

$247.50

Hospital Charge Code	2709004261
Hospital Revenue Code	272
Min. Negotiated Rate	$37.12
Max. Negotiated Rate	$37.12
Rate for Payer: Qualcare PPO/HMO/WC	$37.12

INTRODUCER KIT MIC JTJ18 98436

Facility

$997.50

Hospital Charge Code	270672028N
Hospital Revenue Code	272
Min. Negotiated Rate	$129.68
Max. Negotiated Rate	$498.75
Rate for Payer: Aetna Commercial	$299.25
Rate for Payer: Aetna Medicare Advantage	$299.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$254.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$254.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$254.36
Rate for Payer: Cigna Commercial	$498.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.68
Rate for Payer: Oxford Commercial	$498.75
Rate for Payer: Qualcare PPO/HMO/WC	$149.62
Rate for Payer: UnitedHealthcare Commercial	$498.75

INTRODUCER KIT MIC JTJ18 98436

Facility

$996.85

Hospital Charge Code	270672028S
Hospital Revenue Code	272
Min. Negotiated Rate	$149.53
Max. Negotiated Rate	$149.53
Rate for Payer: Qualcare PPO/HMO/WC	$149.53

INTRODUCER KIT MIC JTJ18 98436

Facility

$996.85

Hospital Charge Code	270672028
Hospital Revenue Code	272
Min. Negotiated Rate	$129.59
Max. Negotiated Rate	$498.43
Rate for Payer: Aetna Commercial	$299.06
Rate for Payer: Aetna Medicare Advantage	$299.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$254.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$254.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$254.20
Rate for Payer: Cigna Commercial	$498.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.59
Rate for Payer: Oxford Commercial	$498.43
Rate for Payer: Qualcare PPO/HMO/WC	$149.53
Rate for Payer: UnitedHealthcare Commercial	$498.43

INTRODUCER KIT MIC JTJ18 98436

Facility

$996.85

Hospital Charge Code	270672028S
Hospital Revenue Code	272
Min. Negotiated Rate	$129.59
Max. Negotiated Rate	$498.43
Rate for Payer: Aetna Commercial	$299.06
Rate for Payer: Aetna Medicare Advantage	$299.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$254.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$254.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$254.20
Rate for Payer: Cigna Commercial	$498.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.59
Rate for Payer: Oxford Commercial	$498.43
Rate for Payer: Qualcare PPO/HMO/WC	$149.53
Rate for Payer: UnitedHealthcare Commercial	$498.43

INTRODUCER KIT MIC JTJ18 98436

Facility

$996.85

Hospital Charge Code	270672028
Hospital Revenue Code	272
Min. Negotiated Rate	$149.53
Max. Negotiated Rate	$149.53
Rate for Payer: Qualcare PPO/HMO/WC	$149.53

INTRODUCER KIT MIC JTJ18 98436

Facility

$997.50

Hospital Charge Code	270672028N
Hospital Revenue Code	272
Min. Negotiated Rate	$149.62
Max. Negotiated Rate	$149.62
Rate for Payer: Qualcare PPO/HMO/WC	$149.62

INTRODUCER KIT MIC-KEY G-18

Facility

$973.10

Hospital Charge Code	270677676
Hospital Revenue Code	272
Min. Negotiated Rate	$126.50
Max. Negotiated Rate	$486.55
Rate for Payer: Aetna Commercial	$291.93
Rate for Payer: Aetna Medicare Advantage	$291.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.14
Rate for Payer: Cigna Commercial	$486.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.50
Rate for Payer: Oxford Commercial	$486.55
Rate for Payer: Qualcare PPO/HMO/WC	$145.97
Rate for Payer: UnitedHealthcare Commercial	$486.55

INTRODUCER KIT MIC-KEY G-18

Facility

$973.10

Hospital Charge Code	270677676
Hospital Revenue Code	272
Min. Negotiated Rate	$145.97
Max. Negotiated Rate	$145.97
Rate for Payer: Qualcare PPO/HMO/WC	$145.97

INTRODUCER KIT MIG-KEY G-18

Facility

$973.10

Hospital Charge Code	270677676N
Hospital Revenue Code	272
Min. Negotiated Rate	$126.50
Max. Negotiated Rate	$486.55
Rate for Payer: Aetna Commercial	$291.93
Rate for Payer: Aetna Medicare Advantage	$291.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.14
Rate for Payer: Cigna Commercial	$486.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.50
Rate for Payer: Oxford Commercial	$486.55
Rate for Payer: Qualcare PPO/HMO/WC	$145.97
Rate for Payer: UnitedHealthcare Commercial	$486.55

INTRODUCER KIT MIG-KEY G-18

Facility

$973.10

Hospital Charge Code	270677676S
Hospital Revenue Code	272
Min. Negotiated Rate	$145.97
Max. Negotiated Rate	$145.97
Rate for Payer: Qualcare PPO/HMO/WC	$145.97

INTRODUCER KIT MIG-KEY G-18

Facility

$973.10

Hospital Charge Code	270677676S
Hospital Revenue Code	272
Min. Negotiated Rate	$126.50
Max. Negotiated Rate	$486.55
Rate for Payer: Aetna Commercial	$291.93
Rate for Payer: Aetna Medicare Advantage	$291.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.14
Rate for Payer: Cigna Commercial	$486.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.50
Rate for Payer: Oxford Commercial	$486.55
Rate for Payer: Qualcare PPO/HMO/WC	$145.97
Rate for Payer: UnitedHealthcare Commercial	$486.55

INTRODUCER KIT MIG-KEY G-18

Facility

$973.10

Hospital Charge Code	270677676N
Hospital Revenue Code	272
Min. Negotiated Rate	$145.97
Max. Negotiated Rate	$145.97
Rate for Payer: Qualcare PPO/HMO/WC	$145.97

INTRODUCER KIT PERCUTANEOUS

Facility

$450.00

Hospital Charge Code	270660590
Hospital Revenue Code	270
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$225.00
Rate for Payer: Aetna Commercial	$135.00
Rate for Payer: Aetna Medicare Advantage	$135.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.75
Rate for Payer: Cigna Commercial	$225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.50
Rate for Payer: Oxford Commercial	$225.00
Rate for Payer: Qualcare PPO/HMO/WC	$67.50
Rate for Payer: UnitedHealthcare Commercial	$225.00

INTRODUCER KIT PERCUTANEOUS

Facility

$450.00

Hospital Charge Code	270660590
Hospital Revenue Code	270
Min. Negotiated Rate	$67.50
Max. Negotiated Rate	$67.50
Rate for Payer: Qualcare PPO/HMO/WC	$67.50

INTRODUCER KPN OSTEO FLUT A101

Facility

$1,853.65

Hospital Charge Code	270629340
Hospital Revenue Code	272
Min. Negotiated Rate	$278.05
Max. Negotiated Rate	$278.05
Rate for Payer: Qualcare PPO/HMO/WC	$278.05

INTRODUCER KPN OSTEO FLUT A101

Facility

$1,853.65

Hospital Charge Code	270629340
Hospital Revenue Code	272
Min. Negotiated Rate	$240.97
Max. Negotiated Rate	$926.83
Rate for Payer: Aetna Commercial	$556.10
Rate for Payer: Aetna Medicare Advantage	$556.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$472.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$472.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$472.68
Rate for Payer: Cigna Commercial	$926.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$240.97
Rate for Payer: Oxford Commercial	$926.83
Rate for Payer: Qualcare PPO/HMO/WC	$278.05
Rate for Payer: UnitedHealthcare Commercial	$926.83

INTRODUCER LEAD 10 & 12 FR****

Facility

$113.00

Hospital Charge Code	1600618
Hospital Revenue Code	272
Min. Negotiated Rate	$16.95
Max. Negotiated Rate	$16.95
Rate for Payer: Qualcare PPO/HMO/WC	$16.95

INTRODUCER LEAD 10 & 12 FR****

Facility

$113.00

Hospital Charge Code	1600618
Hospital Revenue Code	272
Min. Negotiated Rate	$14.69
Max. Negotiated Rate	$56.50
Rate for Payer: Aetna Commercial	$33.90
Rate for Payer: Aetna Medicare Advantage	$33.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.82
Rate for Payer: Cigna Commercial	$56.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.69
Rate for Payer: Oxford Commercial	$56.50
Rate for Payer: Qualcare PPO/HMO/WC	$16.95
Rate for Payer: UnitedHealthcare Commercial	$56.50

INTRODUCER MANDREL 5FR

Facility

$84.75

Hospital Charge Code	270676663N
Hospital Revenue Code	272
Min. Negotiated Rate	$12.71
Max. Negotiated Rate	$12.71
Rate for Payer: Qualcare PPO/HMO/WC	$12.71

INTRODUCER MANDREL 5FR

Facility

$84.75

Hospital Charge Code	270676663N
Hospital Revenue Code	272
Min. Negotiated Rate	$11.02
Max. Negotiated Rate	$42.38
Rate for Payer: Aetna Commercial	$25.43
Rate for Payer: Aetna Medicare Advantage	$25.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.61
Rate for Payer: Cigna Commercial	$42.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.02
Rate for Payer: Oxford Commercial	$42.38
Rate for Payer: Qualcare PPO/HMO/WC	$12.71
Rate for Payer: UnitedHealthcare Commercial	$42.38

INTRODUCER MANDREL 5FR

Facility

$84.75

Hospital Charge Code	270676663
Hospital Revenue Code	272
Min. Negotiated Rate	$11.02
Max. Negotiated Rate	$42.38
Rate for Payer: Aetna Commercial	$25.43
Rate for Payer: Aetna Medicare Advantage	$25.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.61
Rate for Payer: Cigna Commercial	$42.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.02
Rate for Payer: Oxford Commercial	$42.38
Rate for Payer: Qualcare PPO/HMO/WC	$12.71
Rate for Payer: UnitedHealthcare Commercial	$42.38

INTRODUCER MANDREL 5FR

Facility

$84.75

Hospital Charge Code	270676663
Hospital Revenue Code	272
Min. Negotiated Rate	$12.71
Max. Negotiated Rate	$12.71
Rate for Payer: Qualcare PPO/HMO/WC	$12.71

Know your out-of-pocket cost for care.

All Charges