Heights University Hospital

All Charges

Charge

Type

Setting

Price

PROGRAMMER PT VANTA NEUROSTIM

Facility

$5,225.00

Service Code	HCPCS L8681
Hospital Charge Code	270699097
Hospital Revenue Code	271
Min. Negotiated Rate	$679.25
Max. Negotiated Rate	$2,612.50
Rate for Payer: Aetna Commercial	$1,567.50
Rate for Payer: Aetna Medicare Advantage	$1,567.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,332.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,332.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,332.38
Rate for Payer: Cigna Commercial	$1,760.95
Rate for Payer: Cigna Medicare Advantage	$1,056.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$679.25
Rate for Payer: Oxford Commercial	$2,612.50
Rate for Payer: Qualcare PPO/HMO/WC	$783.75
Rate for Payer: UnitedHealthcare Commercial	$2,612.50

PROGRAMMER PT VANTA NEUROSTIM

Facility

$5,225.00

Service Code	HCPCS L8681
Hospital Charge Code	270699097
Hospital Revenue Code	271
Min. Negotiated Rate	$783.75
Max. Negotiated Rate	$783.75
Rate for Payer: Qualcare PPO/HMO/WC	$783.75

PROGRAMSENZANEUROSTIMREMOTEKIT

Facility

$5,000.00

Service Code	HCPCS L8681
Hospital Charge Code	270693286
Hospital Revenue Code	278
Min. Negotiated Rate	$750.00
Max. Negotiated Rate	$1,760.95
Rate for Payer: Aetna Commercial	$1,500.00
Rate for Payer: Aetna Medicare Advantage	$1,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,275.00
Rate for Payer: Cigna Commercial	$1,760.95
Rate for Payer: Cigna Medicare Advantage	$1,056.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,210.00
Rate for Payer: Qualcare PPO/HMO/WC	$750.00

PROGRAMSENZANEUROSTIMREMOTEKIT

Facility

$5,000.00

Service Code	HCPCS L8681
Hospital Charge Code	270693286
Hospital Revenue Code	278
Min. Negotiated Rate	$750.00
Max. Negotiated Rate	$1,210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,210.00
Rate for Payer: Qualcare PPO/HMO/WC	$750.00

PROGREAST MICROCATH 2.4F 130CM

Facility

$1,884.30

Service Code	HCPCS C1887
Hospital Charge Code	270696122
Hospital Revenue Code	278
Min. Negotiated Rate	$282.64
Max. Negotiated Rate	$456.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$376.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$456.00
Rate for Payer: Qualcare PPO/HMO/WC	$282.64

PROGREAST MICROCATH 2.4F 130CM

Facility

$1,884.30

Service Code	HCPCS C1887
Hospital Charge Code	270696122
Hospital Revenue Code	278
Min. Negotiated Rate	$282.64
Max. Negotiated Rate	$942.15
Rate for Payer: Aetna Commercial	$565.29
Rate for Payer: Aetna Medicare Advantage	$565.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$480.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$480.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$376.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$480.50
Rate for Payer: Cigna Commercial	$942.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$456.00
Rate for Payer: Qualcare PPO/HMO/WC	$282.64

PROGREAT MICROCATHETER 150 CM

Facility

$1,952.50

Hospital Charge Code	270679429
Hospital Revenue Code	272
Min. Negotiated Rate	$292.88
Max. Negotiated Rate	$292.88
Rate for Payer: Qualcare PPO/HMO/WC	$292.88

PROGREAT MICROCATHETER 150 CM

Facility

$1,952.50

Hospital Charge Code	270679429
Hospital Revenue Code	272
Min. Negotiated Rate	$253.82
Max. Negotiated Rate	$976.25
Rate for Payer: Aetna Commercial	$585.75
Rate for Payer: Aetna Medicare Advantage	$585.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$497.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$497.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$497.89
Rate for Payer: Cigna Commercial	$976.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$253.82
Rate for Payer: Oxford Commercial	$976.25
Rate for Payer: Qualcare PPO/HMO/WC	$292.88
Rate for Payer: UnitedHealthcare Commercial	$976.25

PROGREAT MICROCATHETER 2.8 FR

Facility

$1,650.00

Hospital Charge Code	270682539
Hospital Revenue Code	272
Min. Negotiated Rate	$247.50
Max. Negotiated Rate	$247.50
Rate for Payer: Qualcare PPO/HMO/WC	$247.50

PROGREAT MICROCATHETER 2.8 FR

Facility

$1,650.00

Hospital Charge Code	270682539
Hospital Revenue Code	272
Min. Negotiated Rate	$214.50
Max. Negotiated Rate	$825.00
Rate for Payer: Aetna Commercial	$495.00
Rate for Payer: Aetna Medicare Advantage	$495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$420.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$420.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$420.75
Rate for Payer: Cigna Commercial	$825.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.50
Rate for Payer: Oxford Commercial	$825.00
Rate for Payer: Qualcare PPO/HMO/WC	$247.50
Rate for Payer: UnitedHealthcare Commercial	$825.00

PROGRESSIVE RIGHT CORONARY 5FR

Facility

$40.00

Hospital Charge Code	2707400217
Hospital Revenue Code	272
Min. Negotiated Rate	$5.20
Max. Negotiated Rate	$20.00
Rate for Payer: Aetna Commercial	$12.00
Rate for Payer: Aetna Medicare Advantage	$12.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.20
Rate for Payer: Cigna Commercial	$20.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.20
Rate for Payer: Oxford Commercial	$20.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.00
Rate for Payer: UnitedHealthcare Commercial	$20.00

PROGRESSIVE RIGHT CORONARY 5FR

Facility

$37.35

Service Code	HCPCS C1887
Hospital Charge Code	270658175
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

PROGRESSIVE RIGHT CORONARY 5FR

Facility

$37.35

Service Code	HCPCS C1887
Hospital Charge Code	270658175
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

PROGRESSIVE RIGHT CORONARY 5FR

Facility

$37.35

Service Code	HCPCS C1887
Hospital Charge Code	270658175N
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

PROGRESSIVE RIGHT CORONARY 5FR

Facility

$37.35

Service Code	HCPCS C1887
Hospital Charge Code	270658175N
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

PROGRESSIVE RIGHT CORONARY 5FR

Facility

$37.35

Service Code	HCPCS C1887
Hospital Charge Code	270658175S
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

PROGRESSIVE RIGHT CORONARY 5FR

Facility

$37.35

Service Code	HCPCS C1887
Hospital Charge Code	270658175S
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

PROGRESSIVE RIGHT CORONARY 5FR

Facility

$40.00

Hospital Charge Code	2707400217
Hospital Revenue Code	272
Min. Negotiated Rate	$6.00
Max. Negotiated Rate	$6.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.00

PROGRESSIVE RIGHT CORONARY 6F

Facility

$40.00

Service Code	HCPCS C1887
Hospital Charge Code	270658056N
Hospital Revenue Code	278
Min. Negotiated Rate	$6.00
Max. Negotiated Rate	$20.00
Rate for Payer: Aetna Commercial	$12.00
Rate for Payer: Aetna Medicare Advantage	$12.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.20
Rate for Payer: Cigna Commercial	$20.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.68
Rate for Payer: Qualcare PPO/HMO/WC	$6.00

PROGRESSIVE RIGHT CORONARY 6F

Facility

$37.90

Service Code	HCPCS C1887
Hospital Charge Code	270658056S
Hospital Revenue Code	278
Min. Negotiated Rate	$5.68
Max. Negotiated Rate	$9.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.17
Rate for Payer: Qualcare PPO/HMO/WC	$5.68

PROGRESSIVE RIGHT CORONARY 6F

Facility

$37.90

Service Code	HCPCS C1887
Hospital Charge Code	270658056
Hospital Revenue Code	278
Min. Negotiated Rate	$5.68
Max. Negotiated Rate	$18.95
Rate for Payer: Aetna Commercial	$11.37
Rate for Payer: Aetna Medicare Advantage	$11.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.66
Rate for Payer: Cigna Commercial	$18.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.17
Rate for Payer: Qualcare PPO/HMO/WC	$5.68

PROGRESSIVE RIGHT CORONARY 6F

Facility

$37.90

Service Code	HCPCS C1887
Hospital Charge Code	270658056
Hospital Revenue Code	278
Min. Negotiated Rate	$5.68
Max. Negotiated Rate	$9.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.17
Rate for Payer: Qualcare PPO/HMO/WC	$5.68

PROGRESSIVE RIGHT CORONARY 6F

Facility

$40.00

Service Code	HCPCS C1887
Hospital Charge Code	270658056N
Hospital Revenue Code	278
Min. Negotiated Rate	$6.00
Max. Negotiated Rate	$9.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.68
Rate for Payer: Qualcare PPO/HMO/WC	$6.00

PROGRESSIVE RIGHT CORONARY 6F

Facility

$37.90

Service Code	HCPCS C1887
Hospital Charge Code	270658056S
Hospital Revenue Code	278
Min. Negotiated Rate	$5.68
Max. Negotiated Rate	$18.95
Rate for Payer: Aetna Commercial	$11.37
Rate for Payer: Aetna Medicare Advantage	$11.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.66
Rate for Payer: Cigna Commercial	$18.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.17
Rate for Payer: Qualcare PPO/HMO/WC	$5.68

PROGRESSIVE RT CORONARY 6F

Facility

$40.00

Hospital Charge Code	2709000323
Hospital Revenue Code	272
Min. Negotiated Rate	$5.20
Max. Negotiated Rate	$20.00
Rate for Payer: Aetna Commercial	$12.00
Rate for Payer: Aetna Medicare Advantage	$12.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.20
Rate for Payer: Cigna Commercial	$20.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.20
Rate for Payer: Oxford Commercial	$20.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.00
Rate for Payer: UnitedHealthcare Commercial	$20.00

Know your out-of-pocket cost for care.

All Charges