Heights University Hospital

All Charges

Charge

Type

Setting

Price

INTRODUCER PINNACLE 7FR 25 CM

Facility

$125.90

Service Code	HCPCS C1894
Hospital Charge Code	270643052S
Hospital Revenue Code	278
Min. Negotiated Rate	$18.89
Max. Negotiated Rate	$62.95
Rate for Payer: Aetna Commercial	$37.77
Rate for Payer: Aetna Medicare Advantage	$37.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.10
Rate for Payer: Cigna Commercial	$62.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.47
Rate for Payer: Qualcare PPO/HMO/WC	$18.89

INTRODUCER PINNACLE 7FR 25 CM

Facility

$125.90

Service Code	HCPCS C1894
Hospital Charge Code	270643052N
Hospital Revenue Code	278
Min. Negotiated Rate	$18.89
Max. Negotiated Rate	$30.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.47
Rate for Payer: Qualcare PPO/HMO/WC	$18.89

INTRODUCER PINNACLE 7FR 25 CM

Facility

$125.90

Service Code	HCPCS C1894
Hospital Charge Code	270643052N
Hospital Revenue Code	278
Min. Negotiated Rate	$18.89
Max. Negotiated Rate	$62.95
Rate for Payer: Aetna Commercial	$37.77
Rate for Payer: Aetna Medicare Advantage	$37.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.10
Rate for Payer: Cigna Commercial	$62.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.47
Rate for Payer: Qualcare PPO/HMO/WC	$18.89

INTRODUCER PINNACLE 7FR 25 CM

Facility

$125.90

Service Code	HCPCS C1894
Hospital Charge Code	270643052S
Hospital Revenue Code	278
Min. Negotiated Rate	$18.89
Max. Negotiated Rate	$30.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.47
Rate for Payer: Qualcare PPO/HMO/WC	$18.89

INTRODUCER PINNACLE 8F 25 CM

Facility

$1,294.00

Service Code	HCPCS C1894
Hospital Charge Code	270684952
Hospital Revenue Code	278
Min. Negotiated Rate	$194.10
Max. Negotiated Rate	$313.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$258.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$313.15
Rate for Payer: Qualcare PPO/HMO/WC	$194.10

INTRODUCER PINNACLE 8F 25 CM

Facility

$1,294.00

Service Code	HCPCS C1894
Hospital Charge Code	270684952N
Hospital Revenue Code	278
Min. Negotiated Rate	$194.10
Max. Negotiated Rate	$647.00
Rate for Payer: Aetna Commercial	$388.20
Rate for Payer: Aetna Medicare Advantage	$388.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$329.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$329.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$258.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$329.97
Rate for Payer: Cigna Commercial	$647.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$313.15
Rate for Payer: Qualcare PPO/HMO/WC	$194.10

INTRODUCER PINNACLE 8F 25 CM

Facility

$1,294.00

Service Code	HCPCS C1894
Hospital Charge Code	270684952
Hospital Revenue Code	278
Min. Negotiated Rate	$194.10
Max. Negotiated Rate	$647.00
Rate for Payer: Aetna Commercial	$388.20
Rate for Payer: Aetna Medicare Advantage	$388.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$329.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$329.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$258.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$329.97
Rate for Payer: Cigna Commercial	$647.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$313.15
Rate for Payer: Qualcare PPO/HMO/WC	$194.10

INTRODUCER PINNACLE 8F 25 CM

Facility

$1,294.00

Service Code	HCPCS C1894
Hospital Charge Code	270684952N
Hospital Revenue Code	278
Min. Negotiated Rate	$194.10
Max. Negotiated Rate	$313.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$258.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$313.15
Rate for Payer: Qualcare PPO/HMO/WC	$194.10

INTRODUCER PINNACLE 9FR 25CM

Facility

$172.50

Hospital Charge Code	270658305
Hospital Revenue Code	278
Min. Negotiated Rate	$25.88
Max. Negotiated Rate	$41.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.74
Rate for Payer: Qualcare PPO/HMO/WC	$25.88

INTRODUCER PINNACLE 9FR 25CM

Facility

$172.50

Hospital Charge Code	270658305
Hospital Revenue Code	278
Min. Negotiated Rate	$25.88
Max. Negotiated Rate	$86.25
Rate for Payer: Aetna Commercial	$51.75
Rate for Payer: Aetna Medicare Advantage	$51.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.99
Rate for Payer: Cigna Commercial	$86.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.74
Rate for Payer: Qualcare PPO/HMO/WC	$25.88

INTRODUCER PINNACLE 9FRX 10 CM

Facility

$56.65

Service Code	HCPCS C1894
Hospital Charge Code	270683728
Hospital Revenue Code	278
Min. Negotiated Rate	$8.50
Max. Negotiated Rate	$28.32
Rate for Payer: Aetna Commercial	$17.00
Rate for Payer: Aetna Medicare Advantage	$17.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.45
Rate for Payer: Cigna Commercial	$28.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.71
Rate for Payer: Qualcare PPO/HMO/WC	$8.50

INTRODUCER PINNACLE 9FRX 10 CM

Facility

$56.65

Service Code	HCPCS C1894
Hospital Charge Code	270683728
Hospital Revenue Code	278
Min. Negotiated Rate	$8.50
Max. Negotiated Rate	$13.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.71
Rate for Payer: Qualcare PPO/HMO/WC	$8.50

INTRODUCER PORTED 15x70CM

Facility

$34.00

Hospital Charge Code	270683633
Hospital Revenue Code	272
Min. Negotiated Rate	$5.10
Max. Negotiated Rate	$5.10
Rate for Payer: Qualcare PPO/HMO/WC	$5.10

INTRODUCER PORTED 15x70CM

Facility

$34.00

Hospital Charge Code	270683633
Hospital Revenue Code	272
Min. Negotiated Rate	$4.42
Max. Negotiated Rate	$17.00
Rate for Payer: Aetna Commercial	$10.20
Rate for Payer: Aetna Medicare Advantage	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.67
Rate for Payer: Cigna Commercial	$17.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.42
Rate for Payer: Oxford Commercial	$17.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.10
Rate for Payer: UnitedHealthcare Commercial	$17.00

INTRODUCER PRELUDE SHEATH

Facility

$142.00

Hospital Charge Code	270658209
Hospital Revenue Code	278
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$34.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.36
Rate for Payer: Qualcare PPO/HMO/WC	$21.30

INTRODUCER PRELUDE SHEATH

Facility

$142.00

Hospital Charge Code	270658209
Hospital Revenue Code	278
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$71.00
Rate for Payer: Aetna Commercial	$42.60
Rate for Payer: Aetna Medicare Advantage	$42.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.21
Rate for Payer: Cigna Commercial	$71.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.36
Rate for Payer: Qualcare PPO/HMO/WC	$21.30

INTRODUCER PRELUDE SHEATH 5F

Facility

$823.75

Hospital Charge Code	270705689
Hospital Revenue Code	279
Min. Negotiated Rate	$123.56
Max. Negotiated Rate	$123.56
Rate for Payer: Qualcare PPO/HMO/WC	$123.56

INTRODUCER PRELUDE SHEATH 5F

Facility

$823.75

Hospital Charge Code	270705689
Hospital Revenue Code	279
Min. Negotiated Rate	$107.09
Max. Negotiated Rate	$411.88
Rate for Payer: Aetna Commercial	$247.12
Rate for Payer: Aetna Medicare Advantage	$247.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$210.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$210.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$210.06
Rate for Payer: Cigna Commercial	$411.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.09
Rate for Payer: Oxford Commercial	$411.88
Rate for Payer: Qualcare PPO/HMO/WC	$123.56
Rate for Payer: UnitedHealthcare Commercial	$411.88

INTRODUCER PRELUDE SHEATH 5FR

Facility

$145.00

Hospital Charge Code	270658196
Hospital Revenue Code	272
Min. Negotiated Rate	$18.85
Max. Negotiated Rate	$72.50
Rate for Payer: Aetna Commercial	$43.50
Rate for Payer: Aetna Medicare Advantage	$43.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.98
Rate for Payer: Cigna Commercial	$72.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.85
Rate for Payer: Oxford Commercial	$72.50
Rate for Payer: Qualcare PPO/HMO/WC	$21.75
Rate for Payer: UnitedHealthcare Commercial	$72.50

INTRODUCER PRELUDE SHEATH 5FR

Facility

$145.00

Hospital Charge Code	270658196
Hospital Revenue Code	272
Min. Negotiated Rate	$21.75
Max. Negotiated Rate	$21.75
Rate for Payer: Qualcare PPO/HMO/WC	$21.75

INTRODUCER PRE SHEATH 6F 11x35

Facility

$725.00

Hospital Charge Code	270658199
Hospital Revenue Code	279
Min. Negotiated Rate	$108.75
Max. Negotiated Rate	$108.75
Rate for Payer: Qualcare PPO/HMO/WC	$108.75

INTRODUCER PRE SHEATH 6F 11x35

Facility

$725.00

Hospital Charge Code	270658199
Hospital Revenue Code	279
Min. Negotiated Rate	$94.25
Max. Negotiated Rate	$362.50
Rate for Payer: Aetna Commercial	$217.50
Rate for Payer: Aetna Medicare Advantage	$217.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$184.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$184.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$184.88
Rate for Payer: Cigna Commercial	$362.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.25
Rate for Payer: Oxford Commercial	$362.50
Rate for Payer: Qualcare PPO/HMO/WC	$108.75
Rate for Payer: UnitedHealthcare Commercial	$362.50

INTRODUCER PRO SHEATH 5FR

Facility

$37.35

Service Code	HCPCS C1766
Hospital Charge Code	270658194
Hospital Revenue Code	278
Min. Negotiated Rate	$5.60
Max. Negotiated Rate	$9.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.04
Rate for Payer: Qualcare PPO/HMO/WC	$5.60

INTRODUCER PRO SHEATH 5FR

Facility

$37.35

Service Code	HCPCS C1766
Hospital Charge Code	270658194
Hospital Revenue Code	278
Min. Negotiated Rate	$5.60
Max. Negotiated Rate	$18.68
Rate for Payer: Aetna Commercial	$11.21
Rate for Payer: Aetna Medicare Advantage	$11.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.52
Rate for Payer: Cigna Commercial	$18.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.04
Rate for Payer: Qualcare PPO/HMO/WC	$5.60

INTRODUCER PRO SHEATH 6FR 11CM

Facility

$239.25

Hospital Charge Code	270658198
Hospital Revenue Code	279
Min. Negotiated Rate	$31.10
Max. Negotiated Rate	$119.62
Rate for Payer: Aetna Commercial	$71.78
Rate for Payer: Aetna Medicare Advantage	$71.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.01
Rate for Payer: Cigna Commercial	$119.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.10
Rate for Payer: Oxford Commercial	$119.62
Rate for Payer: Qualcare PPO/HMO/WC	$35.89
Rate for Payer: UnitedHealthcare Commercial	$119.62

Know your out-of-pocket cost for care.

All Charges