Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

INTRODUCER PRO SHEATH 6FR 11CM

Facility

IP

$239.25

Hospital Charge Code	270658198
Hospital Revenue Code	279
Min. Negotiated Rate	$35.89
Max. Negotiated Rate	$35.89
Rate for Payer: Qualcare PPO/HMO/WC	$35.89

INTRODUCER PRO SHEATH 6FR 11CM

Facility

OP

$50.00

Service Code	HCPCS C1887
Hospital Charge Code	270658198N
Hospital Revenue Code	278
Min. Negotiated Rate	$7.50
Max. Negotiated Rate	$25.00
Rate for Payer: Aetna Commercial	$15.00
Rate for Payer: Aetna Medicare Advantage	$15.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.75
Rate for Payer: Cigna Commercial	$25.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.10
Rate for Payer: Qualcare PPO/HMO/WC	$7.50

INTRODUCER PRO SHEATH 6FR 11CM

Facility

IP

$50.00

Service Code	HCPCS C1887
Hospital Charge Code	270658198N
Hospital Revenue Code	278
Min. Negotiated Rate	$7.50
Max. Negotiated Rate	$12.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.10
Rate for Payer: Qualcare PPO/HMO/WC	$7.50

INTRODUCER PRO SHEATH 7F 35X50

Facility

IP

$37.35

Service Code	HCPCS C1766
Hospital Charge Code	270658201
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 7F 35X50

Facility

OP

$37.35

Service Code	HCPCS C1766
Hospital Charge Code	270658201
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 8FR 11CM

Facility

IP

$37.25

Service Code	HCPCS C1766
Hospital Charge Code	270658206S
Hospital Revenue Code	278
Min. Negotiated Rate	$5.59
Max. Negotiated Rate	$9.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.01
Rate for Payer: Qualcare PPO/HMO/WC	$5.59

INTRODUCER PRO SHEATH 8FR 11CM

Facility

OP

$37.25

Service Code	HCPCS C1766
Hospital Charge Code	270658206
Hospital Revenue Code	278
Min. Negotiated Rate	$5.59
Max. Negotiated Rate	$18.62
Rate for Payer: Aetna Commercial	$11.18
Rate for Payer: Aetna Medicare Advantage	$11.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.50
Rate for Payer: Cigna Commercial	$18.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.01
Rate for Payer: Qualcare PPO/HMO/WC	$5.59

INTRODUCER PRO SHEATH 8FR 11CM

Facility

OP

$37.25

Service Code	HCPCS C1766
Hospital Charge Code	270658206N
Hospital Revenue Code	278
Min. Negotiated Rate	$5.59
Max. Negotiated Rate	$18.62
Rate for Payer: Aetna Commercial	$11.18
Rate for Payer: Aetna Medicare Advantage	$11.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.50
Rate for Payer: Cigna Commercial	$18.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.01
Rate for Payer: Qualcare PPO/HMO/WC	$5.59

INTRODUCER PRO SHEATH 8FR 11CM

Facility

IP

$37.25

Service Code	HCPCS C1766
Hospital Charge Code	270658206
Hospital Revenue Code	278
Min. Negotiated Rate	$5.59
Max. Negotiated Rate	$9.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.01
Rate for Payer: Qualcare PPO/HMO/WC	$5.59

INTRODUCER PRO SHEATH 8FR 11CM

Facility

IP

$37.25

Service Code	HCPCS C1766
Hospital Charge Code	270658206N
Hospital Revenue Code	278
Min. Negotiated Rate	$5.59
Max. Negotiated Rate	$9.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.01
Rate for Payer: Qualcare PPO/HMO/WC	$5.59

INTRODUCER PRO SHEATH 8FR 11CM

Facility

OP

$37.25

Service Code	HCPCS C1766
Hospital Charge Code	270658206S
Hospital Revenue Code	278
Min. Negotiated Rate	$5.59
Max. Negotiated Rate	$18.62
Rate for Payer: Aetna Commercial	$11.18
Rate for Payer: Aetna Medicare Advantage	$11.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.50
Rate for Payer: Cigna Commercial	$18.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.01
Rate for Payer: Qualcare PPO/HMO/WC	$5.59

INTRODUCER RAABE 6FR 55cm

Facility

OP

$220.50

Service Code	HCPCS C1892
Hospital Charge Code	270629608
Hospital Revenue Code	278
Min. Negotiated Rate	$33.08
Max. Negotiated Rate	$110.25
Rate for Payer: Aetna Commercial	$66.15
Rate for Payer: Aetna Medicare Advantage	$66.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.23
Rate for Payer: Cigna Commercial	$110.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.36
Rate for Payer: Qualcare PPO/HMO/WC	$33.08

INTRODUCER RAABE 6FR 55cm

Facility

IP

$220.50

Service Code	HCPCS C1892
Hospital Charge Code	270629608
Hospital Revenue Code	278
Min. Negotiated Rate	$33.08
Max. Negotiated Rate	$53.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.36
Rate for Payer: Qualcare PPO/HMO/WC	$33.08

INTRODUCER RAABE 6FR 70cm

Facility

IP

$220.50

Service Code	HCPCS C1892
Hospital Charge Code	270637614
Hospital Revenue Code	278
Min. Negotiated Rate	$33.08
Max. Negotiated Rate	$53.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.36
Rate for Payer: Qualcare PPO/HMO/WC	$33.08

INTRODUCER RAABE 6FR 70cm

Facility

OP

$220.50

Service Code	HCPCS C1892
Hospital Charge Code	270637614
Hospital Revenue Code	278
Min. Negotiated Rate	$33.08
Max. Negotiated Rate	$110.25
Rate for Payer: Aetna Commercial	$66.15
Rate for Payer: Aetna Medicare Advantage	$66.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.23
Rate for Payer: Cigna Commercial	$110.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.36
Rate for Payer: Qualcare PPO/HMO/WC	$33.08

INTRODUCER RAABE 6FR 70CM

Facility

OP

$277.50

Hospital Charge Code	270637614C
Hospital Revenue Code	272
Min. Negotiated Rate	$36.08
Max. Negotiated Rate	$138.75
Rate for Payer: Aetna Commercial	$83.25
Rate for Payer: Aetna Medicare Advantage	$83.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.76
Rate for Payer: Cigna Commercial	$138.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.08
Rate for Payer: Oxford Commercial	$138.75
Rate for Payer: Qualcare PPO/HMO/WC	$41.62
Rate for Payer: UnitedHealthcare Commercial	$138.75

INTRODUCER RAABE 6FR 70CM

Facility

IP

$277.50

Hospital Charge Code	270637614C
Hospital Revenue Code	272
Min. Negotiated Rate	$41.62
Max. Negotiated Rate	$41.62
Rate for Payer: Qualcare PPO/HMO/WC	$41.62

INTRODUCER RAABE 6FR 90cm

Facility

OP

$375.00

Hospital Charge Code	270629607
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 RAABE 6FR 90cm

Facility

IP

$375.00

Hospital Charge Code	270629607
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 RAABE 6FR90CM G1226

Facility

OP

$287.00

Hospital Charge Code	270629607C
Hospital Revenue Code	272
Min. Negotiated Rate	$37.31
Max. Negotiated Rate	$143.50
Rate for Payer: Aetna Commercial	$86.10
Rate for Payer: Aetna Medicare Advantage	$86.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$73.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$73.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$73.19
Rate for Payer: Cigna Commercial	$143.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.31
Rate for Payer: Oxford Commercial	$143.50
Rate for Payer: Qualcare PPO/HMO/WC	$43.05
Rate for Payer: UnitedHealthcare Commercial	$143.50

INTRODUCER RAABE 6FR90CM G1226

Facility

IP

$287.00

Hospital Charge Code	270629607C
Hospital Revenue Code	272
Min. Negotiated Rate	$43.05
Max. Negotiated Rate	$43.05
Rate for Payer: Qualcare PPO/HMO/WC	$43.05

INTRODUCER RAABE 7FR 55cm

Facility

OP

$325.00

Service Code	HCPCS C1892
Hospital Charge Code	270629610
Hospital Revenue Code	278
Min. Negotiated Rate	$48.75
Max. Negotiated Rate	$162.50
Rate for Payer: Aetna Commercial	$97.50
Rate for Payer: Aetna Medicare Advantage	$97.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$65.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.88
Rate for Payer: Cigna Commercial	$162.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.65
Rate for Payer: Qualcare PPO/HMO/WC	$48.75

INTRODUCER RAABE 7FR 55cm

Facility

IP

$325.00

Service Code	HCPCS C1892
Hospital Charge Code	270629610
Hospital Revenue Code	278
Min. Negotiated Rate	$48.75
Max. Negotiated Rate	$78.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$65.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.65
Rate for Payer: Qualcare PPO/HMO/WC	$48.75

INTRODUCER RAABE 7FR 70cm

Facility

IP

$375.00

Hospital Charge Code	270636699
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 RAABE 7FR 70cm

Facility

OP

$375.00

Hospital Charge Code	270636699
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