Heights University Hospital

All Charges

Charge

Type

Setting

Price

BALLOON AVIATOR 4225040X

Facility

$2,281.65

Hospital Charge Code	270633610
Hospital Revenue Code	278
Min. Negotiated Rate	$342.25
Max. Negotiated Rate	$1,140.83
Rate for Payer: Aetna Commercial	$684.50
Rate for Payer: Aetna Medicare Advantage	$684.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$581.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$581.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$456.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$581.82
Rate for Payer: Cigna Commercial	$1,140.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$552.16
Rate for Payer: Qualcare PPO/HMO/WC	$342.25

BALLOON AVIATOR 4225040X

Facility

$2,281.65

Hospital Charge Code	270633610
Hospital Revenue Code	278
Min. Negotiated Rate	$342.25
Max. Negotiated Rate	$552.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$456.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$552.16
Rate for Payer: Qualcare PPO/HMO/WC	$342.25

BALLOON AVIATOR 4226040X

Facility

$2,281.65

Hospital Charge Code	270633611
Hospital Revenue Code	278
Min. Negotiated Rate	$342.25
Max. Negotiated Rate	$1,140.83
Rate for Payer: Aetna Commercial	$684.50
Rate for Payer: Aetna Medicare Advantage	$684.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$581.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$581.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$456.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$581.82
Rate for Payer: Cigna Commercial	$1,140.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$552.16
Rate for Payer: Qualcare PPO/HMO/WC	$342.25

BALLOON AVIATOR 4226040X

Facility

$2,281.65

Hospital Charge Code	270633611
Hospital Revenue Code	278
Min. Negotiated Rate	$342.25
Max. Negotiated Rate	$552.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$456.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$552.16
Rate for Payer: Qualcare PPO/HMO/WC	$342.25

BALLOON AVIATOR 6x40 142cm

Facility

$2,300.00

Hospital Charge Code	270639776
Hospital Revenue Code	272
Min. Negotiated Rate	$345.00
Max. Negotiated Rate	$345.00
Rate for Payer: Qualcare PPO/HMO/WC	$345.00

BALLOON AVIATOR 6x40 142cm

Facility

$2,300.00

Hospital Charge Code	270639776
Hospital Revenue Code	272
Min. Negotiated Rate	$299.00
Max. Negotiated Rate	$1,150.00
Rate for Payer: Aetna Commercial	$690.00
Rate for Payer: Aetna Medicare Advantage	$690.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$586.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$586.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$586.50
Rate for Payer: Cigna Commercial	$1,150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$299.00
Rate for Payer: Oxford Commercial	$1,150.00
Rate for Payer: Qualcare PPO/HMO/WC	$345.00
Rate for Payer: UnitedHealthcare Commercial	$1,150.00

BALLOON BILIARY 4MM/4CM 6752

Facility

$2,863.25

Hospital Charge Code	270606232
Hospital Revenue Code	272
Min. Negotiated Rate	$372.22
Max. Negotiated Rate	$1,431.62
Rate for Payer: Aetna Commercial	$858.98
Rate for Payer: Aetna Medicare Advantage	$858.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$730.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$730.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$730.13
Rate for Payer: Cigna Commercial	$1,431.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$372.22
Rate for Payer: Oxford Commercial	$1,431.62
Rate for Payer: Qualcare PPO/HMO/WC	$429.49
Rate for Payer: UnitedHealthcare Commercial	$1,431.62

BALLOON BILIARY 4MM/4CM 6752

Facility

$2,863.25

Hospital Charge Code	270606232
Hospital Revenue Code	272
Min. Negotiated Rate	$429.49
Max. Negotiated Rate	$429.49
Rate for Payer: Qualcare PPO/HMO/WC	$429.49

BALLOON BILIARY 5MM/4CM 6756

Facility

$2,860.85

Hospital Charge Code	270606234
Hospital Revenue Code	272
Min. Negotiated Rate	$371.91
Max. Negotiated Rate	$1,430.42
Rate for Payer: Aetna Commercial	$858.25
Rate for Payer: Aetna Medicare Advantage	$858.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$729.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$729.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$729.52
Rate for Payer: Cigna Commercial	$1,430.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$371.91
Rate for Payer: Oxford Commercial	$1,430.42
Rate for Payer: Qualcare PPO/HMO/WC	$429.13
Rate for Payer: UnitedHealthcare Commercial	$1,430.42

BALLOON BILIARY 5MM/4CM 6756

Facility

$2,860.85

Hospital Charge Code	270606234
Hospital Revenue Code	272
Min. Negotiated Rate	$429.13
Max. Negotiated Rate	$429.13
Rate for Payer: Qualcare PPO/HMO/WC	$429.13

BALLOON BILIARY 6MM/4CM 6754

Facility

$2,863.25

Hospital Charge Code	270606233
Hospital Revenue Code	272
Min. Negotiated Rate	$372.22
Max. Negotiated Rate	$1,431.62
Rate for Payer: Aetna Commercial	$858.98
Rate for Payer: Aetna Medicare Advantage	$858.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$730.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$730.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$730.13
Rate for Payer: Cigna Commercial	$1,431.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$372.22
Rate for Payer: Oxford Commercial	$1,431.62
Rate for Payer: Qualcare PPO/HMO/WC	$429.49
Rate for Payer: UnitedHealthcare Commercial	$1,431.62

BALLOON BILIARY 6MM/4CM 6754

Facility

$2,863.25

Hospital Charge Code	270606233
Hospital Revenue Code	272
Min. Negotiated Rate	$429.49
Max. Negotiated Rate	$429.49
Rate for Payer: Qualcare PPO/HMO/WC	$429.49

BALLOON BLUEMAX 10x4x75cm

Facility

$950.60

Hospital Charge Code	270623294
Hospital Revenue Code	278
Min. Negotiated Rate	$142.59
Max. Negotiated Rate	$475.30
Rate for Payer: Aetna Commercial	$285.18
Rate for Payer: Aetna Medicare Advantage	$285.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.40
Rate for Payer: Cigna Commercial	$475.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$230.05
Rate for Payer: Qualcare PPO/HMO/WC	$142.59

BALLOON BLUEMAX 10x4x75cm

Facility

$950.60

Hospital Charge Code	270623294
Hospital Revenue Code	278
Min. Negotiated Rate	$142.59
Max. Negotiated Rate	$230.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$230.05
Rate for Payer: Qualcare PPO/HMO/WC	$142.59

BALLOON CATH ADMI 18 4x150x130

Facility

$8,550.00

Hospital Charge Code	270705324
Hospital Revenue Code	279
Min. Negotiated Rate	$1,111.50
Max. Negotiated Rate	$4,275.00
Rate for Payer: Aetna Commercial	$2,565.00
Rate for Payer: Aetna Medicare Advantage	$2,565.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,180.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,180.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,180.25
Rate for Payer: Cigna Commercial	$4,275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,111.50
Rate for Payer: Oxford Commercial	$4,275.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,282.50
Rate for Payer: UnitedHealthcare Commercial	$4,275.00

BALLOON CATH ADMI 18 4x150x130

Facility

$8,550.00

Hospital Charge Code	270705324
Hospital Revenue Code	279
Min. Negotiated Rate	$1,282.50
Max. Negotiated Rate	$1,282.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,282.50

BALLOON CATH ADMI 18 5x150x130

Facility

$8,550.00

Hospital Charge Code	270705325
Hospital Revenue Code	279
Min. Negotiated Rate	$1,282.50
Max. Negotiated Rate	$1,282.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,282.50

BALLOON CATH ADMI 18 5x150x130

Facility

$8,550.00

Hospital Charge Code	270705325
Hospital Revenue Code	279
Min. Negotiated Rate	$1,111.50
Max. Negotiated Rate	$4,275.00
Rate for Payer: Aetna Commercial	$2,565.00
Rate for Payer: Aetna Medicare Advantage	$2,565.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,180.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,180.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,180.25
Rate for Payer: Cigna Commercial	$4,275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,111.50
Rate for Payer: Oxford Commercial	$4,275.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,282.50
Rate for Payer: UnitedHealthcare Commercial	$4,275.00

BALLOON CATH ADMI 18 5x60x130

Facility

$7,050.00

Hospital Charge Code	270705315
Hospital Revenue Code	279
Min. Negotiated Rate	$1,057.50
Max. Negotiated Rate	$1,057.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,057.50

BALLOON CATH ADMI 18 5x60x130

Facility

$7,050.00

Hospital Charge Code	270705315
Hospital Revenue Code	279
Min. Negotiated Rate	$916.50
Max. Negotiated Rate	$3,525.00
Rate for Payer: Aetna Commercial	$2,115.00
Rate for Payer: Aetna Medicare Advantage	$2,115.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,797.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,797.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,797.75
Rate for Payer: Cigna Commercial	$3,525.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$916.50
Rate for Payer: Oxford Commercial	$3,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,057.50
Rate for Payer: UnitedHealthcare Commercial	$3,525.00

BALLOON CATH ADMI 18 7x60x130

Facility

$7,050.00

Hospital Charge Code	270705327
Hospital Revenue Code	279
Min. Negotiated Rate	$916.50
Max. Negotiated Rate	$3,525.00
Rate for Payer: Aetna Commercial	$2,115.00
Rate for Payer: Aetna Medicare Advantage	$2,115.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,797.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,797.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,797.75
Rate for Payer: Cigna Commercial	$3,525.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$916.50
Rate for Payer: Oxford Commercial	$3,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,057.50
Rate for Payer: UnitedHealthcare Commercial	$3,525.00

BALLOON CATH ADMI 18 7x60x130

Facility

$7,050.00

Hospital Charge Code	270705323
Hospital Revenue Code	279
Min. Negotiated Rate	$916.50
Max. Negotiated Rate	$3,525.00
Rate for Payer: Aetna Commercial	$2,115.00
Rate for Payer: Aetna Medicare Advantage	$2,115.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,797.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,797.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,797.75
Rate for Payer: Cigna Commercial	$3,525.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$916.50
Rate for Payer: Oxford Commercial	$3,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,057.50
Rate for Payer: UnitedHealthcare Commercial	$3,525.00

BALLOON CATH ADMI 18 7x60x130

Facility

$7,050.00

Hospital Charge Code	270705327
Hospital Revenue Code	279
Min. Negotiated Rate	$1,057.50
Max. Negotiated Rate	$1,057.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,057.50

BALLOON CATH ADMI 18 7x60x130

Facility

$7,050.00

Hospital Charge Code	270705323
Hospital Revenue Code	279
Min. Negotiated Rate	$1,057.50
Max. Negotiated Rate	$1,057.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,057.50

BALLOON CATH AORTIC OCCLUSION

Facility

$2,225.00

Hospital Charge Code	270679692
Hospital Revenue Code	278
Min. Negotiated Rate	$333.75
Max. Negotiated Rate	$538.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$445.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$538.45
Rate for Payer: Qualcare PPO/HMO/WC	$333.75

Know your out-of-pocket cost for care.

All Charges