Heights University Hospital

All Charges

Charge

Type

Setting

Price

INTRODUCER RAABE 7FR 90cm

Facility

$287.00

Service Code	HCPCS C1892
Hospital Charge Code	270629609
Hospital Revenue Code	278
Min. Negotiated Rate	$43.05
Max. Negotiated Rate	$69.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$57.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.45
Rate for Payer: Qualcare PPO/HMO/WC	$43.05

INTRODUCER RAABE 7FR 90cm

Facility

$287.00

Service Code	HCPCS C1892
Hospital Charge Code	270629609
Hospital Revenue Code	278
Min. Negotiated Rate	$43.05
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) NJ Health	$57.40
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	$69.45
Rate for Payer: Qualcare PPO/HMO/WC	$43.05

INTRODUCER RAABE 7FR 90CM

Facility

$356.25

Hospital Charge Code	270629609C
Hospital Revenue Code	272
Min. Negotiated Rate	$46.31
Max. Negotiated Rate	$178.12
Rate for Payer: Aetna Commercial	$106.88
Rate for Payer: Aetna Medicare Advantage	$106.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$90.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$90.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$90.84
Rate for Payer: Cigna Commercial	$178.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.31
Rate for Payer: Oxford Commercial	$178.12
Rate for Payer: Qualcare PPO/HMO/WC	$53.44
Rate for Payer: UnitedHealthcare Commercial	$178.12

INTRODUCER RAABE 7FR 90CM

Facility

$356.25

Hospital Charge Code	270629609C
Hospital Revenue Code	272
Min. Negotiated Rate	$53.44
Max. Negotiated Rate	$53.44
Rate for Payer: Qualcare PPO/HMO/WC	$53.44

INTRODUCER RAABE 8FR 55cm

Facility

$220.50

Service Code	HCPCS C1894
Hospital Charge Code	270632469
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 8FR 55cm

Facility

$220.50

Service Code	HCPCS C1894
Hospital Charge Code	270632469
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 8FR 70cm

Facility

$287.00

Service Code	HCPCS C1892
Hospital Charge Code	270635952
Hospital Revenue Code	278
Min. Negotiated Rate	$43.05
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) NJ Health	$57.40
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	$69.45
Rate for Payer: Qualcare PPO/HMO/WC	$43.05

INTRODUCER RAABE 8FR 70cm

Facility

$287.00

Service Code	HCPCS C1892
Hospital Charge Code	270635952
Hospital Revenue Code	278
Min. Negotiated Rate	$43.05
Max. Negotiated Rate	$69.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$57.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.45
Rate for Payer: Qualcare PPO/HMO/WC	$43.05

INTRODUCER RAABE 9FR 55cm

Facility

$325.00

Service Code	HCPCS C1894
Hospital Charge Code	270670723C
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 9FR 55cm

Facility

$325.00

Service Code	HCPCS C1894
Hospital Charge Code	270670723C
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 9FR 55cm

Facility

$325.00

Hospital Charge Code	270670723
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 9FR 55cm

Facility

$325.00

Hospital Charge Code	270670723
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 SERTERA 14 GA

Facility

$97.00

Service Code	HCPCS A4649
Hospital Charge Code	270697943
Hospital Revenue Code	272
Min. Negotiated Rate	$14.55
Max. Negotiated Rate	$14.55
Rate for Payer: Qualcare PPO/HMO/WC	$14.55

INTRODUCER SERTERA 14 GA

Facility

$97.00

Service Code	HCPCS A4649
Hospital Charge Code	270697943
Hospital Revenue Code	272
Min. Negotiated Rate	$12.61
Max. Negotiated Rate	$48.50
Rate for Payer: Aetna Commercial	$29.10
Rate for Payer: Aetna Medicare Advantage	$29.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.73
Rate for Payer: Cigna Commercial	$48.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.61
Rate for Payer: Oxford Commercial	$48.50
Rate for Payer: Qualcare PPO/HMO/WC	$14.55
Rate for Payer: UnitedHealthcare Commercial	$48.50

INTRODUCER SHEATH, 10 CM

Facility

$187.00

Service Code	HCPCS C1894
Hospital Charge Code	4800860
Hospital Revenue Code	278
Min. Negotiated Rate	$28.05
Max. Negotiated Rate	$45.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.25
Rate for Payer: Qualcare PPO/HMO/WC	$28.05

INTRODUCER SHEATH, 10 CM

Facility

$187.00

Service Code	HCPCS C1894
Hospital Charge Code	4800860
Hospital Revenue Code	278
Min. Negotiated Rate	$28.05
Max. Negotiated Rate	$93.50
Rate for Payer: Aetna Commercial	$56.10
Rate for Payer: Aetna Medicare Advantage	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.69
Rate for Payer: Cigna Commercial	$93.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.25
Rate for Payer: Qualcare PPO/HMO/WC	$28.05

INTRODUCER SHEATH 11CM 6FR

Facility

$371.00

Hospital Charge Code	270701577
Hospital Revenue Code	272
Min. Negotiated Rate	$48.23
Max. Negotiated Rate	$185.50
Rate for Payer: Aetna Commercial	$111.30
Rate for Payer: Aetna Medicare Advantage	$111.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.61
Rate for Payer: Cigna Commercial	$185.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.23
Rate for Payer: Oxford Commercial	$185.50
Rate for Payer: Qualcare PPO/HMO/WC	$55.65
Rate for Payer: UnitedHealthcare Commercial	$185.50

INTRODUCER SHEATH 11CM 6FR

Facility

$371.00

Hospital Charge Code	270701577
Hospital Revenue Code	272
Min. Negotiated Rate	$55.65
Max. Negotiated Rate	$55.65
Rate for Payer: Qualcare PPO/HMO/WC	$55.65

INTRODUCER SHEATH 14FR 11CM

Facility

$51.73

Service Code	HCPCS C1894
Hospital Charge Code	270660038
Hospital Revenue Code	278
Min. Negotiated Rate	$7.76
Max. Negotiated Rate	$12.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.52
Rate for Payer: Qualcare PPO/HMO/WC	$7.76

INTRODUCER SHEATH 14FR 11CM

Facility

$51.73

Service Code	HCPCS C1894
Hospital Charge Code	270660038
Hospital Revenue Code	278
Min. Negotiated Rate	$7.76
Max. Negotiated Rate	$25.86
Rate for Payer: Aetna Commercial	$15.52
Rate for Payer: Aetna Medicare Advantage	$15.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.19
Rate for Payer: Cigna Commercial	$25.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.52
Rate for Payer: Qualcare PPO/HMO/WC	$7.76

INTRODUCER SHEATH 6FR 11CM

Facility

$57.25

Service Code	HCPCS C1894
Hospital Charge Code	270624176
Hospital Revenue Code	278
Min. Negotiated Rate	$8.59
Max. Negotiated Rate	$28.62
Rate for Payer: Aetna Commercial	$17.18
Rate for Payer: Aetna Medicare Advantage	$17.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.60
Rate for Payer: Cigna Commercial	$28.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.85
Rate for Payer: Qualcare PPO/HMO/WC	$8.59

INTRODUCER SHEATH 6FR 11CM

Facility

$57.25

Service Code	HCPCS C1894
Hospital Charge Code	270624176
Hospital Revenue Code	278
Min. Negotiated Rate	$8.59
Max. Negotiated Rate	$13.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.85
Rate for Payer: Qualcare PPO/HMO/WC	$8.59

INTRODUCER SHEATH 6FR R/O 6CM

Facility

$1,287.50

Service Code	HCPCS C1894
Hospital Charge Code	270653781N
Hospital Revenue Code	278
Min. Negotiated Rate	$193.12
Max. Negotiated Rate	$643.75
Rate for Payer: Aetna Commercial	$386.25
Rate for Payer: Aetna Medicare Advantage	$386.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$328.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$328.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$257.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$328.31
Rate for Payer: Cigna Commercial	$643.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$311.57
Rate for Payer: Qualcare PPO/HMO/WC	$193.12

INTRODUCER SHEATH 6FR R/O 6CM

Facility

$1,287.50

Service Code	HCPCS C1894
Hospital Charge Code	270653781N
Hospital Revenue Code	278
Min. Negotiated Rate	$193.12
Max. Negotiated Rate	$311.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$257.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$311.57
Rate for Payer: Qualcare PPO/HMO/WC	$193.12

INTRODUCER SHEATH 6FR R/O 6CM

Facility

$1,287.50

Service Code	HCPCS C1894
Hospital Charge Code	270653781S
Hospital Revenue Code	278
Min. Negotiated Rate	$193.12
Max. Negotiated Rate	$311.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$257.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$311.57
Rate for Payer: Qualcare PPO/HMO/WC	$193.12

Know your out-of-pocket cost for care.

All Charges