Heights University Hospital

All Charges

Charge

Type

Setting

Price

INTRODUCER MEDT 10.5FR 6210-SI

Facility

$612.00

Hospital Charge Code	270607572
Hospital Revenue Code	272
Min. Negotiated Rate	$91.80
Max. Negotiated Rate	$91.80
Rate for Payer: Qualcare PPO/HMO/WC	$91.80

INTRODUCER MEDT 10.5FR 6210-SI

Facility

$612.00

Hospital Charge Code	270607572
Hospital Revenue Code	272
Min. Negotiated Rate	$79.56
Max. Negotiated Rate	$306.00
Rate for Payer: Aetna Commercial	$183.60
Rate for Payer: Aetna Medicare Advantage	$183.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$156.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$156.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$156.06
Rate for Payer: Cigna Commercial	$306.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.56
Rate for Payer: Oxford Commercial	$306.00
Rate for Payer: Qualcare PPO/HMO/WC	$91.80
Rate for Payer: UnitedHealthcare Commercial	$306.00

INTRODUCER MEDT 7FR 6207-S1

Facility

$296.00

Hospital Charge Code	270611063
Hospital Revenue Code	272
Min. Negotiated Rate	$38.48
Max. Negotiated Rate	$148.00
Rate for Payer: Aetna Commercial	$88.80
Rate for Payer: Aetna Medicare Advantage	$88.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$75.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$75.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$75.48
Rate for Payer: Cigna Commercial	$148.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.48
Rate for Payer: Oxford Commercial	$148.00
Rate for Payer: Qualcare PPO/HMO/WC	$44.40
Rate for Payer: UnitedHealthcare Commercial	$148.00

INTRODUCER MEDT 7FR 6207-S1

Facility

$296.00

Hospital Charge Code	270611063
Hospital Revenue Code	272
Min. Negotiated Rate	$44.40
Max. Negotiated Rate	$44.40
Rate for Payer: Qualcare PPO/HMO/WC	$44.40

INTRODUCER MEDT 9FR 6209-S1

Facility

$272.85

Hospital Charge Code	270605468
Hospital Revenue Code	272
Min. Negotiated Rate	$35.47
Max. Negotiated Rate	$136.43
Rate for Payer: Aetna Commercial	$81.86
Rate for Payer: Aetna Medicare Advantage	$81.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$69.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$69.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$69.58
Rate for Payer: Cigna Commercial	$136.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.47
Rate for Payer: Oxford Commercial	$136.43
Rate for Payer: Qualcare PPO/HMO/WC	$40.93
Rate for Payer: UnitedHealthcare Commercial	$136.43

INTRODUCER MEDT 9FR 6209-S1

Facility

$272.85

Hospital Charge Code	270605468
Hospital Revenue Code	272
Min. Negotiated Rate	$40.93
Max. Negotiated Rate	$40.93
Rate for Payer: Qualcare PPO/HMO/WC	$40.93

INTRODUCER OPTISEAL 8FR 13CM

Facility

$292.50

Hospital Charge Code	270677417
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 OPTISEAL 8FR 13CM

Facility

$292.50

Hospital Charge Code	270677417
Hospital Revenue Code	272
Min. Negotiated Rate	$43.88
Max. Negotiated Rate	$43.88
Rate for Payer: Qualcare PPO/HMO/WC	$43.88

INTRODUCER PEEL AWAY 11FR

Facility

$300.00

Hospital Charge Code	270657082
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$150.00
Rate for Payer: Aetna Commercial	$90.00
Rate for Payer: Aetna Medicare Advantage	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

INTRODUCER PEEL AWAY 11FR

Facility

$300.00

Hospital Charge Code	270657082
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$72.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

INTRODUCER PEEL-AWAY 20FR

Facility

$246.95

Hospital Charge Code	270677522
Hospital Revenue Code	278
Min. Negotiated Rate	$37.04
Max. Negotiated Rate	$123.47
Rate for Payer: Aetna Commercial	$74.08
Rate for Payer: Aetna Medicare Advantage	$74.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.97
Rate for Payer: Cigna Commercial	$123.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.76
Rate for Payer: Qualcare PPO/HMO/WC	$37.04

INTRODUCER PEEL-AWAY 20FR

Facility

$246.95

Hospital Charge Code	270677522
Hospital Revenue Code	278
Min. Negotiated Rate	$37.04
Max. Negotiated Rate	$59.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.76
Rate for Payer: Qualcare PPO/HMO/WC	$37.04

INTRODUCER PEEL AWAY SET

Facility

$291.25

Hospital Charge Code	270655673
Hospital Revenue Code	271
Min. Negotiated Rate	$43.69
Max. Negotiated Rate	$43.69
Rate for Payer: Qualcare PPO/HMO/WC	$43.69

INTRODUCER PEEL AWAY SET

Facility

$291.25

Hospital Charge Code	270655673
Hospital Revenue Code	271
Min. Negotiated Rate	$37.86
Max. Negotiated Rate	$145.62
Rate for Payer: Aetna Commercial	$87.38
Rate for Payer: Aetna Medicare Advantage	$87.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.27
Rate for Payer: Cigna Commercial	$145.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.86
Rate for Payer: Oxford Commercial	$145.62
Rate for Payer: Qualcare PPO/HMO/WC	$43.69
Rate for Payer: UnitedHealthcare Commercial	$145.62

INTRODUCER PERC 7fr 6207

Facility

$261.25

Hospital Charge Code	270640436
Hospital Revenue Code	272
Min. Negotiated Rate	$33.96
Max. Negotiated Rate	$130.62
Rate for Payer: Aetna Commercial	$78.38
Rate for Payer: Aetna Medicare Advantage	$78.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.62
Rate for Payer: Cigna Commercial	$130.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.96
Rate for Payer: Oxford Commercial	$130.62
Rate for Payer: Qualcare PPO/HMO/WC	$39.19
Rate for Payer: UnitedHealthcare Commercial	$130.62

INTRODUCER PERC 7fr 6207

Facility

$261.25

Hospital Charge Code	270640436
Hospital Revenue Code	272
Min. Negotiated Rate	$39.19
Max. Negotiated Rate	$39.19
Rate for Payer: Qualcare PPO/HMO/WC	$39.19

INTRODUCER PERC 9fr 6209

Facility

$261.25

Hospital Charge Code	270640435
Hospital Revenue Code	272
Min. Negotiated Rate	$33.96
Max. Negotiated Rate	$130.62
Rate for Payer: Aetna Commercial	$78.38
Rate for Payer: Aetna Medicare Advantage	$78.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.62
Rate for Payer: Cigna Commercial	$130.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.96
Rate for Payer: Oxford Commercial	$130.62
Rate for Payer: Qualcare PPO/HMO/WC	$39.19
Rate for Payer: UnitedHealthcare Commercial	$130.62

INTRODUCER PERC 9fr 6209

Facility

$261.25

Hospital Charge Code	270640435
Hospital Revenue Code	272
Min. Negotiated Rate	$39.19
Max. Negotiated Rate	$39.19
Rate for Payer: Qualcare PPO/HMO/WC	$39.19

INTRODUCER PERCU LEAD 11FR

Facility

$225.00

Hospital Charge Code	270657500
Hospital Revenue Code	272
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$33.75
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

INTRODUCER PERCU LEAD 11FR

Facility

$225.00

Hospital Charge Code	270656110
Hospital Revenue Code	271
Min. Negotiated Rate	$29.25
Max. Negotiated Rate	$112.50
Rate for Payer: Aetna Commercial	$67.50
Rate for Payer: Aetna Medicare Advantage	$67.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.38
Rate for Payer: Cigna Commercial	$112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.25
Rate for Payer: Oxford Commercial	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$33.75
Rate for Payer: UnitedHealthcare Commercial	$112.50

INTRODUCER PERCU LEAD 11FR

Facility

$225.00

Hospital Charge Code	270657500
Hospital Revenue Code	272
Min. Negotiated Rate	$29.25
Max. Negotiated Rate	$112.50
Rate for Payer: Aetna Commercial	$67.50
Rate for Payer: Aetna Medicare Advantage	$67.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.38
Rate for Payer: Cigna Commercial	$112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.25
Rate for Payer: Oxford Commercial	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$33.75
Rate for Payer: UnitedHealthcare Commercial	$112.50

INTRODUCER PERCU LEAD 11FR

Facility

$225.00

Hospital Charge Code	270656110
Hospital Revenue Code	271
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$33.75
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

INTRODUCER PERFORMA 14FR 30CM

Facility

$355.20

Service Code	HCPCS C1887
Hospital Charge Code	270677245
Hospital Revenue Code	278
Min. Negotiated Rate	$53.28
Max. Negotiated Rate	$177.60
Rate for Payer: Aetna Commercial	$106.56
Rate for Payer: Aetna Medicare Advantage	$106.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$90.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$90.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$90.58
Rate for Payer: Cigna Commercial	$177.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.96
Rate for Payer: Qualcare PPO/HMO/WC	$53.28

INTRODUCER PERFORMA 14FR 30CM

Facility

$355.20

Service Code	HCPCS C1887
Hospital Charge Code	270677245
Hospital Revenue Code	278
Min. Negotiated Rate	$53.28
Max. Negotiated Rate	$85.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.96
Rate for Payer: Qualcare PPO/HMO/WC	$53.28

INTRODUCER PINN 6F 25CM RSS605

Facility

$118.75

Service Code	HCPCS C1894
Hospital Charge Code	270643051C
Hospital Revenue Code	278
Min. Negotiated Rate	$17.81
Max. Negotiated Rate	$28.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.74
Rate for Payer: Qualcare PPO/HMO/WC	$17.81

Know your out-of-pocket cost for care.

All Charges