Heights University Hospital

All Charges

Charge

Type

Setting

Price

BALLOON CATH OTW 4x120MM 150CM

Facility

$1,866.90

Hospital Charge Code	270674896
Hospital Revenue Code	278
Min. Negotiated Rate	$280.04
Max. Negotiated Rate	$451.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$373.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$451.79
Rate for Payer: Qualcare PPO/HMO/WC	$280.04

BALLOON CATH OTW 5x220MM

Facility

$1,770.00

Service Code	HCPCS C1725
Hospital Charge Code	270672789
Hospital Revenue Code	278
Min. Negotiated Rate	$265.50
Max. Negotiated Rate	$885.00
Rate for Payer: Aetna Commercial	$531.00
Rate for Payer: Aetna Medicare Advantage	$531.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$451.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$451.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$354.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$451.35
Rate for Payer: Cigna Commercial	$885.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$428.34
Rate for Payer: Qualcare PPO/HMO/WC	$265.50

BALLOON CATH OTW 5x220MM

Facility

$1,770.00

Service Code	HCPCS C1725
Hospital Charge Code	270672789
Hospital Revenue Code	278
Min. Negotiated Rate	$265.50
Max. Negotiated Rate	$428.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$354.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$428.34
Rate for Payer: Qualcare PPO/HMO/WC	$265.50

BALLOON CATH OTW 6x220MM 150CM

Facility

$1,770.00

Hospital Charge Code	270676073
Hospital Revenue Code	278
Min. Negotiated Rate	$265.50
Max. Negotiated Rate	$885.00
Rate for Payer: Aetna Commercial	$531.00
Rate for Payer: Aetna Medicare Advantage	$531.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$451.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$451.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$354.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$451.35
Rate for Payer: Cigna Commercial	$885.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$428.34
Rate for Payer: Qualcare PPO/HMO/WC	$265.50

BALLOON CATH OTW 6x220MM 150CM

Facility

$1,770.00

Hospital Charge Code	270676073
Hospital Revenue Code	278
Min. Negotiated Rate	$265.50
Max. Negotiated Rate	$428.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$354.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$428.34
Rate for Payer: Qualcare PPO/HMO/WC	$265.50

BALLOON CATH SDS 5FR 4x2 135cm

Facility

$1,080.00

Hospital Charge Code	270635772
Hospital Revenue Code	272
Min. Negotiated Rate	$140.40
Max. Negotiated Rate	$540.00
Rate for Payer: Aetna Commercial	$324.00
Rate for Payer: Aetna Medicare Advantage	$324.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$275.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$275.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$275.40
Rate for Payer: Cigna Commercial	$540.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$140.40
Rate for Payer: Oxford Commercial	$540.00
Rate for Payer: Qualcare PPO/HMO/WC	$162.00
Rate for Payer: UnitedHealthcare Commercial	$540.00

BALLOON CATH SDS 5FR 4x2 135cm

Facility

$1,080.00

Hospital Charge Code	270635772
Hospital Revenue Code	272
Min. Negotiated Rate	$162.00
Max. Negotiated Rate	$162.00
Rate for Payer: Qualcare PPO/HMO/WC	$162.00

BALLOON CATH SDS 5FR 4x4 135cm

Facility

$857.50

Service Code	HCPCS C1725
Hospital Charge Code	270637377
Hospital Revenue Code	278
Min. Negotiated Rate	$128.62
Max. Negotiated Rate	$207.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.51
Rate for Payer: Qualcare PPO/HMO/WC	$128.62

BALLOON CATH SDS 5FR 4x4 135cm

Facility

$857.50

Service Code	HCPCS C1725
Hospital Charge Code	270637377
Hospital Revenue Code	278
Min. Negotiated Rate	$128.62
Max. Negotiated Rate	$428.75
Rate for Payer: Aetna Commercial	$257.25
Rate for Payer: Aetna Medicare Advantage	$257.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$218.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$218.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$218.66
Rate for Payer: Cigna Commercial	$428.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.51
Rate for Payer: Qualcare PPO/HMO/WC	$128.62

BALLOON CATH SDS 5FR 4x4 135cm

Facility

$1,080.00

Hospital Charge Code	270637377V
Hospital Revenue Code	278
Min. Negotiated Rate	$162.00
Max. Negotiated Rate	$540.00
Rate for Payer: Aetna Commercial	$324.00
Rate for Payer: Aetna Medicare Advantage	$324.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$275.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$275.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$216.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$275.40
Rate for Payer: Cigna Commercial	$540.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$261.36
Rate for Payer: Qualcare PPO/HMO/WC	$162.00

BALLOON CATH SDS 5FR 4x4 135cm

Facility

$1,080.00

Hospital Charge Code	270637377V
Hospital Revenue Code	278
Min. Negotiated Rate	$162.00
Max. Negotiated Rate	$261.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$216.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$261.36
Rate for Payer: Qualcare PPO/HMO/WC	$162.00

BALLOON CATH SDS 5FR 5x2 135cm

Facility

$1,080.00

Hospital Charge Code	270637557
Hospital Revenue Code	272
Min. Negotiated Rate	$162.00
Max. Negotiated Rate	$162.00
Rate for Payer: Qualcare PPO/HMO/WC	$162.00

BALLOON CATH SDS 5FR 5x2 135cm

Facility

$1,080.00

Hospital Charge Code	270637557
Hospital Revenue Code	272
Min. Negotiated Rate	$140.40
Max. Negotiated Rate	$540.00
Rate for Payer: Aetna Commercial	$324.00
Rate for Payer: Aetna Medicare Advantage	$324.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$275.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$275.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$275.40
Rate for Payer: Cigna Commercial	$540.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$140.40
Rate for Payer: Oxford Commercial	$540.00
Rate for Payer: Qualcare PPO/HMO/WC	$162.00
Rate for Payer: UnitedHealthcare Commercial	$540.00

BALLOON CATH SDS 5FR 6x2 135cm

Facility

$1,080.00

Hospital Charge Code	270634525
Hospital Revenue Code	272
Min. Negotiated Rate	$162.00
Max. Negotiated Rate	$162.00
Rate for Payer: Qualcare PPO/HMO/WC	$162.00

BALLOON CATH SDS 5FR 6x2 135cm

Facility

$1,080.00

Hospital Charge Code	270634525
Hospital Revenue Code	272
Min. Negotiated Rate	$140.40
Max. Negotiated Rate	$540.00
Rate for Payer: Aetna Commercial	$324.00
Rate for Payer: Aetna Medicare Advantage	$324.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$275.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$275.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$275.40
Rate for Payer: Cigna Commercial	$540.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$140.40
Rate for Payer: Oxford Commercial	$540.00
Rate for Payer: Qualcare PPO/HMO/WC	$162.00
Rate for Payer: UnitedHealthcare Commercial	$540.00

BALLOON CATH SDS 5FR 6x4 135cm

Facility

$857.50

Hospital Charge Code	270635574
Hospital Revenue Code	272
Min. Negotiated Rate	$128.62
Max. Negotiated Rate	$128.62
Rate for Payer: Qualcare PPO/HMO/WC	$128.62

BALLOON CATH SDS 5FR 6x4 135cm

Facility

$857.50

Hospital Charge Code	270635574
Hospital Revenue Code	272
Min. Negotiated Rate	$111.47
Max. Negotiated Rate	$428.75
Rate for Payer: Aetna Commercial	$257.25
Rate for Payer: Aetna Medicare Advantage	$257.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$218.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$218.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$218.66
Rate for Payer: Cigna Commercial	$428.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.47
Rate for Payer: Oxford Commercial	$428.75
Rate for Payer: Qualcare PPO/HMO/WC	$128.62
Rate for Payer: UnitedHealthcare Commercial	$428.75

BALLOON CATH SDS 5FR 7x2 75cm

Facility

$1,020.00

Hospital Charge Code	270637951
Hospital Revenue Code	272
Min. Negotiated Rate	$153.00
Max. Negotiated Rate	$153.00
Rate for Payer: Qualcare PPO/HMO/WC	$153.00

BALLOON CATH SDS 5FR 7x2 75cm

Facility

$1,020.00

Hospital Charge Code	270637951
Hospital Revenue Code	272
Min. Negotiated Rate	$132.60
Max. Negotiated Rate	$510.00
Rate for Payer: Aetna Commercial	$306.00
Rate for Payer: Aetna Medicare Advantage	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$260.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$260.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$260.10
Rate for Payer: Cigna Commercial	$510.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$132.60
Rate for Payer: Oxford Commercial	$510.00
Rate for Payer: Qualcare PPO/HMO/WC	$153.00
Rate for Payer: UnitedHealthcare Commercial	$510.00

BALLOON CATH SDS 5FR 7x4 135cm

Facility

$857.50

Hospital Charge Code	270635773
Hospital Revenue Code	278
Min. Negotiated Rate	$128.62
Max. Negotiated Rate	$428.75
Rate for Payer: Aetna Commercial	$257.25
Rate for Payer: Aetna Medicare Advantage	$257.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$218.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$218.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$218.66
Rate for Payer: Cigna Commercial	$428.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.51
Rate for Payer: Qualcare PPO/HMO/WC	$128.62

BALLOON CATH SDS 5FR 7x4 135cm

Facility

$857.50

Hospital Charge Code	270635773
Hospital Revenue Code	278
Min. Negotiated Rate	$128.62
Max. Negotiated Rate	$207.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.51
Rate for Payer: Qualcare PPO/HMO/WC	$128.62

BALLOON CATH SDS 6FR 8x4 135cm

Facility

$1,080.00

Hospital Charge Code	270635774
Hospital Revenue Code	272
Min. Negotiated Rate	$162.00
Max. Negotiated Rate	$162.00
Rate for Payer: Qualcare PPO/HMO/WC	$162.00

BALLOON CATH SDS 6FR 8x4 135cm

Facility

$1,080.00

Hospital Charge Code	270635774
Hospital Revenue Code	272
Min. Negotiated Rate	$140.40
Max. Negotiated Rate	$540.00
Rate for Payer: Aetna Commercial	$324.00
Rate for Payer: Aetna Medicare Advantage	$324.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$275.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$275.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$275.40
Rate for Payer: Cigna Commercial	$540.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$140.40
Rate for Payer: Oxford Commercial	$540.00
Rate for Payer: Qualcare PPO/HMO/WC	$162.00
Rate for Payer: UnitedHealthcare Commercial	$540.00

BALLOON CATH SDS 7FR 8x6 75cm

Facility

$857.50

Hospital Charge Code	270639322
Hospital Revenue Code	278
Min. Negotiated Rate	$128.62
Max. Negotiated Rate	$428.75
Rate for Payer: Aetna Commercial	$257.25
Rate for Payer: Aetna Medicare Advantage	$257.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$218.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$218.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$218.66
Rate for Payer: Cigna Commercial	$428.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.51
Rate for Payer: Qualcare PPO/HMO/WC	$128.62

BALLOON CATH SDS 7FR 8x6 75cm

Facility

$857.50

Hospital Charge Code	270639322
Hospital Revenue Code	278
Min. Negotiated Rate	$128.62
Max. Negotiated Rate	$207.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.51
Rate for Payer: Qualcare PPO/HMO/WC	$128.62

Know your out-of-pocket cost for care.

All Charges