Heights University Hospital

All Charges

Charge

Type

Setting

Price

BALLOON CRD 4198030S

Facility

$1,237.65

Hospital Charge Code	270625962
Hospital Revenue Code	272
Min. Negotiated Rate	$160.89
Max. Negotiated Rate	$618.83
Rate for Payer: Aetna Commercial	$371.30
Rate for Payer: Aetna Medicare Advantage	$371.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$315.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$315.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$315.60
Rate for Payer: Cigna Commercial	$618.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.89
Rate for Payer: Oxford Commercial	$618.83
Rate for Payer: Qualcare PPO/HMO/WC	$185.65
Rate for Payer: UnitedHealthcare Commercial	$618.83

BALLOON CRD OPTA 6 4 80 6040S

Facility

$1,180.00

Hospital Charge Code	270622876
Hospital Revenue Code	272
Min. Negotiated Rate	$153.40
Max. Negotiated Rate	$590.00
Rate for Payer: Aetna Commercial	$354.00
Rate for Payer: Aetna Medicare Advantage	$354.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$300.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$300.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$300.90
Rate for Payer: Cigna Commercial	$590.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$153.40
Rate for Payer: Oxford Commercial	$590.00
Rate for Payer: Qualcare PPO/HMO/WC	$177.00
Rate for Payer: UnitedHealthcare Commercial	$590.00

BALLOON CRD OPTA 6 4 80 6040S

Facility

$1,180.00

Hospital Charge Code	270622876
Hospital Revenue Code	272
Min. Negotiated Rate	$177.00
Max. Negotiated Rate	$177.00
Rate for Payer: Qualcare PPO/HMO/WC	$177.00

BALLOON CRD OPTA 7 4 80 7040S

Facility

$1,180.00

Hospital Charge Code	270622877
Hospital Revenue Code	272
Min. Negotiated Rate	$153.40
Max. Negotiated Rate	$590.00
Rate for Payer: Aetna Commercial	$354.00
Rate for Payer: Aetna Medicare Advantage	$354.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$300.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$300.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$300.90
Rate for Payer: Cigna Commercial	$590.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$153.40
Rate for Payer: Oxford Commercial	$590.00
Rate for Payer: Qualcare PPO/HMO/WC	$177.00
Rate for Payer: UnitedHealthcare Commercial	$590.00

BALLOON CRD OPTA 7 4 80 7040S

Facility

$1,180.00

Hospital Charge Code	270622877
Hospital Revenue Code	272
Min. Negotiated Rate	$177.00
Max. Negotiated Rate	$177.00
Rate for Payer: Qualcare PPO/HMO/WC	$177.00

BALLOON CRE 6MM 7-8MM

Facility

$1,075.00

Hospital Charge Code	270672230
Hospital Revenue Code	278
Min. Negotiated Rate	$161.25
Max. Negotiated Rate	$537.50
Rate for Payer: Aetna Commercial	$322.50
Rate for Payer: Aetna Medicare Advantage	$322.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$274.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$274.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$215.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$274.12
Rate for Payer: Cigna Commercial	$537.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.15
Rate for Payer: Qualcare PPO/HMO/WC	$161.25

BALLOON CRE 6MM 7-8MM

Facility

$1,075.00

Hospital Charge Code	270672230
Hospital Revenue Code	278
Min. Negotiated Rate	$161.25
Max. Negotiated Rate	$260.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$215.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.15
Rate for Payer: Qualcare PPO/HMO/WC	$161.25

BALLOON CRE FIXED WIRE 15-18mm

Facility

$942.00

Service Code	HCPCS C1726
Hospital Charge Code	270619881
Hospital Revenue Code	278
Min. Negotiated Rate	$141.30
Max. Negotiated Rate	$471.00
Rate for Payer: Aetna Commercial	$282.60
Rate for Payer: Aetna Medicare Advantage	$282.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$240.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$240.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$188.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$240.21
Rate for Payer: Cigna Commercial	$471.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$227.96
Rate for Payer: Qualcare PPO/HMO/WC	$141.30

BALLOON CRE FIXED WIRE 15-18mm

Facility

$942.00

Service Code	HCPCS C1726
Hospital Charge Code	270619881
Hospital Revenue Code	278
Min. Negotiated Rate	$141.30
Max. Negotiated Rate	$227.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$188.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$227.96
Rate for Payer: Qualcare PPO/HMO/WC	$141.30

BALLOON CRE FIXED WIRE 6-8

Facility

$936.70

Hospital Charge Code	270654301
Hospital Revenue Code	272
Min. Negotiated Rate	$140.50
Max. Negotiated Rate	$140.50
Rate for Payer: Qualcare PPO/HMO/WC	$140.50

BALLOON CRE FIXED WIRE 6-8

Facility

$936.70

Hospital Charge Code	270654301
Hospital Revenue Code	272
Min. Negotiated Rate	$121.77
Max. Negotiated Rate	$468.35
Rate for Payer: Aetna Commercial	$281.01
Rate for Payer: Aetna Medicare Advantage	$281.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$238.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$238.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$238.86
Rate for Payer: Cigna Commercial	$468.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.77
Rate for Payer: Oxford Commercial	$468.35
Rate for Payer: Qualcare PPO/HMO/WC	$140.50
Rate for Payer: UnitedHealthcare Commercial	$468.35

BALLOON CRE FIX WIRE 8-10

Facility

$939.05

Hospital Charge Code	270653652
Hospital Revenue Code	270
Min. Negotiated Rate	$140.86
Max. Negotiated Rate	$140.86
Rate for Payer: Qualcare PPO/HMO/WC	$140.86

BALLOON CRE FIX WIRE 8-10

Facility

$939.05

Hospital Charge Code	270653652
Hospital Revenue Code	270
Min. Negotiated Rate	$122.08
Max. Negotiated Rate	$469.52
Rate for Payer: Aetna Commercial	$281.71
Rate for Payer: Aetna Medicare Advantage	$281.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$239.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$239.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$239.46
Rate for Payer: Cigna Commercial	$469.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.08
Rate for Payer: Oxford Commercial	$469.52
Rate for Payer: Qualcare PPO/HMO/WC	$140.86
Rate for Payer: UnitedHealthcare Commercial	$469.52

BALLOON CRE PULM 10-12MM

Facility

$1,538.20

Hospital Charge Code	270677585
Hospital Revenue Code	278
Min. Negotiated Rate	$230.73
Max. Negotiated Rate	$372.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$307.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$372.24
Rate for Payer: Qualcare PPO/HMO/WC	$230.73

BALLOON CRE PULM 10-12MM

Facility

$1,538.20

Hospital Charge Code	270677585
Hospital Revenue Code	278
Min. Negotiated Rate	$230.73
Max. Negotiated Rate	$769.10
Rate for Payer: Aetna Commercial	$461.46
Rate for Payer: Aetna Medicare Advantage	$461.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$392.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$392.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$307.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$392.24
Rate for Payer: Cigna Commercial	$769.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$372.24
Rate for Payer: Qualcare PPO/HMO/WC	$230.73

BALLOON CRE PULM 8-10MM

Facility

$1,538.20

Hospital Charge Code	270677584
Hospital Revenue Code	278
Min. Negotiated Rate	$230.73
Max. Negotiated Rate	$372.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$307.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$372.24
Rate for Payer: Qualcare PPO/HMO/WC	$230.73

BALLOON CRE PULM 8-10MM

Facility

$1,538.20

Hospital Charge Code	270677584
Hospital Revenue Code	278
Min. Negotiated Rate	$230.73
Max. Negotiated Rate	$769.10
Rate for Payer: Aetna Commercial	$461.46
Rate for Payer: Aetna Medicare Advantage	$461.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$392.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$392.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$307.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$392.24
Rate for Payer: Cigna Commercial	$769.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$372.24
Rate for Payer: Qualcare PPO/HMO/WC	$230.73

BALLOON CRE RX 3cm 10-11-12

Facility

$1,475.00

Service Code	HCPCS C1726
Hospital Charge Code	270683531
Hospital Revenue Code	278
Min. Negotiated Rate	$221.25
Max. Negotiated Rate	$356.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$295.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.95
Rate for Payer: Qualcare PPO/HMO/WC	$221.25

BALLOON CRE RX 3cm 10-11-12

Facility

$1,475.00

Service Code	HCPCS C1726
Hospital Charge Code	270683531
Hospital Revenue Code	278
Min. Negotiated Rate	$221.25
Max. Negotiated Rate	$737.50
Rate for Payer: Aetna Commercial	$442.50
Rate for Payer: Aetna Medicare Advantage	$442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$295.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$376.12
Rate for Payer: Cigna Commercial	$737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.95
Rate for Payer: Qualcare PPO/HMO/WC	$221.25

BALLOON CRE RX 3cm 12-13.5-15

Facility

$1,395.00

Hospital Charge Code	270704195
Hospital Revenue Code	279
Min. Negotiated Rate	$209.25
Max. Negotiated Rate	$209.25
Rate for Payer: Qualcare PPO/HMO/WC	$209.25

BALLOON CRE RX 3cm 12-13.5-15

Facility

$1,395.00

Hospital Charge Code	270704195
Hospital Revenue Code	279
Min. Negotiated Rate	$181.35
Max. Negotiated Rate	$697.50
Rate for Payer: Aetna Commercial	$418.50
Rate for Payer: Aetna Medicare Advantage	$418.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$355.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$355.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$355.73
Rate for Payer: Cigna Commercial	$697.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.35
Rate for Payer: Oxford Commercial	$697.50
Rate for Payer: Qualcare PPO/HMO/WC	$209.25
Rate for Payer: UnitedHealthcare Commercial	$697.50

BALLOON CRE RX 3cm 8-9-10

Facility

$1,475.00

Service Code	HCPCS C1726
Hospital Charge Code	270683530
Hospital Revenue Code	278
Min. Negotiated Rate	$221.25
Max. Negotiated Rate	$356.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$295.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.95
Rate for Payer: Qualcare PPO/HMO/WC	$221.25

BALLOON CRE RX 3cm 8-9-10

Facility

$1,475.00

Service Code	HCPCS C1726
Hospital Charge Code	270683530
Hospital Revenue Code	278
Min. Negotiated Rate	$221.25
Max. Negotiated Rate	$737.50
Rate for Payer: Aetna Commercial	$442.50
Rate for Payer: Aetna Medicare Advantage	$442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$295.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$376.12
Rate for Payer: Cigna Commercial	$737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.95
Rate for Payer: Qualcare PPO/HMO/WC	$221.25

BALLOONCRE WG 10-12mm 240cm

Facility

$1,070.00

Hospital Charge Code	270664035
Hospital Revenue Code	272
Min. Negotiated Rate	$139.10
Max. Negotiated Rate	$535.00
Rate for Payer: Aetna Commercial	$321.00
Rate for Payer: Aetna Medicare Advantage	$321.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$272.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$272.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$272.85
Rate for Payer: Cigna Commercial	$535.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.10
Rate for Payer: Oxford Commercial	$535.00
Rate for Payer: Qualcare PPO/HMO/WC	$160.50
Rate for Payer: UnitedHealthcare Commercial	$535.00

BALLOONCRE WG 10-12mm 240cm

Facility

$1,070.00

Hospital Charge Code	270664035
Hospital Revenue Code	272
Min. Negotiated Rate	$160.50
Max. Negotiated Rate	$160.50
Rate for Payer: Qualcare PPO/HMO/WC	$160.50

Know your out-of-pocket cost for care.

All Charges