Heights University Hospital

All Charges

Charge

Type

Setting

Price

SHEATH 6 FR NEURON 90 MP

Facility

$2,475.00

Service Code	HCPCS C1894
Hospital Charge Code	270685063
Hospital Revenue Code	278
Min. Negotiated Rate	$371.25
Max. Negotiated Rate	$1,237.50
Rate for Payer: Aetna Commercial	$742.50
Rate for Payer: Aetna Medicare Advantage	$742.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$631.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$631.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$631.12
Rate for Payer: Cigna Commercial	$1,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$598.95
Rate for Payer: Qualcare PPO/HMO/WC	$371.25

SHEATH 6 FR NEURON 90 STR

Facility

$2,475.00

Service Code	HCPCS C1894
Hospital Charge Code	270685062
Hospital Revenue Code	278
Min. Negotiated Rate	$371.25
Max. Negotiated Rate	$598.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$598.95
Rate for Payer: Qualcare PPO/HMO/WC	$371.25

SHEATH 6 FR NEURON 90 STR

Facility

$2,475.00

Service Code	HCPCS C1894
Hospital Charge Code	270685062
Hospital Revenue Code	278
Min. Negotiated Rate	$371.25
Max. Negotiated Rate	$1,237.50
Rate for Payer: Aetna Commercial	$742.50
Rate for Payer: Aetna Medicare Advantage	$742.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$631.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$631.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$631.12
Rate for Payer: Cigna Commercial	$1,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$598.95
Rate for Payer: Qualcare PPO/HMO/WC	$371.25

SHEATH 7F SAFE HLS1007M

Facility

$325.00

Hospital Charge Code	270637703
Hospital Revenue Code	272
Min. Negotiated Rate	$42.25
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) PPO	$82.88
Rate for Payer: Cigna Commercial	$162.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.25
Rate for Payer: Oxford Commercial	$162.50
Rate for Payer: Qualcare PPO/HMO/WC	$48.75
Rate for Payer: UnitedHealthcare Commercial	$162.50

SHEATH 7F SAFE HLS1007M

Facility

$325.00

Hospital Charge Code	270637703
Hospital Revenue Code	272
Min. Negotiated Rate	$48.75
Max. Negotiated Rate	$48.75
Rate for Payer: Qualcare PPO/HMO/WC	$48.75

SHEATH 9F SAFE HLD1009M

Facility

$325.00

Hospital Charge Code	270637702
Hospital Revenue Code	272
Min. Negotiated Rate	$48.75
Max. Negotiated Rate	$48.75
Rate for Payer: Qualcare PPO/HMO/WC	$48.75

SHEATH 9F SAFE HLD1009M

Facility

$325.00

Hospital Charge Code	270637702
Hospital Revenue Code	272
Min. Negotiated Rate	$42.25
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) PPO	$82.88
Rate for Payer: Cigna Commercial	$162.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.25
Rate for Payer: Oxford Commercial	$162.50
Rate for Payer: Qualcare PPO/HMO/WC	$48.75
Rate for Payer: UnitedHealthcare Commercial	$162.50

SHEATH AFX INTRODUCER

Facility

$1,675.00

Hospital Charge Code	270646238O
Hospital Revenue Code	272
Min. Negotiated Rate	$217.75
Max. Negotiated Rate	$837.50
Rate for Payer: Aetna Commercial	$502.50
Rate for Payer: Aetna Medicare Advantage	$502.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$427.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$427.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$427.12
Rate for Payer: Cigna Commercial	$837.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.75
Rate for Payer: Oxford Commercial	$837.50
Rate for Payer: Qualcare PPO/HMO/WC	$251.25
Rate for Payer: UnitedHealthcare Commercial	$837.50

SHEATH AFX INTRODUCER

Facility

$1,675.00

Hospital Charge Code	270646238
Hospital Revenue Code	272
Min. Negotiated Rate	$217.75
Max. Negotiated Rate	$837.50
Rate for Payer: Aetna Commercial	$502.50
Rate for Payer: Aetna Medicare Advantage	$502.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$427.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$427.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$427.12
Rate for Payer: Cigna Commercial	$837.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.75
Rate for Payer: Oxford Commercial	$837.50
Rate for Payer: Qualcare PPO/HMO/WC	$251.25
Rate for Payer: UnitedHealthcare Commercial	$837.50

SHEATH AFX INTRODUCER

Facility

$1,675.00

Hospital Charge Code	270646238O
Hospital Revenue Code	272
Min. Negotiated Rate	$251.25
Max. Negotiated Rate	$251.25
Rate for Payer: Qualcare PPO/HMO/WC	$251.25

SHEATH AFX INTRODUCER

Facility

$1,675.00

Hospital Charge Code	270646238
Hospital Revenue Code	272
Min. Negotiated Rate	$251.25
Max. Negotiated Rate	$251.25
Rate for Payer: Qualcare PPO/HMO/WC	$251.25

SHEATH AM URET 12/14F B7016

Facility

$445.65

Hospital Charge Code	270626146
Hospital Revenue Code	272
Min. Negotiated Rate	$66.85
Max. Negotiated Rate	$66.85
Rate for Payer: Qualcare PPO/HMO/WC	$66.85

SHEATH AM URET 12/14F B7016

Facility

$445.65

Hospital Charge Code	270626146
Hospital Revenue Code	272
Min. Negotiated Rate	$57.93
Max. Negotiated Rate	$222.82
Rate for Payer: Aetna Commercial	$133.69
Rate for Payer: Aetna Medicare Advantage	$133.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$113.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$113.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$113.64
Rate for Payer: Cigna Commercial	$222.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.93
Rate for Payer: Oxford Commercial	$222.82
Rate for Payer: Qualcare PPO/HMO/WC	$66.85
Rate for Payer: UnitedHealthcare Commercial	$222.82

SHEATH ANSEL 7FR 45CM

Facility

$375.00

Service Code	HCPCS C1894
Hospital Charge Code	270677225N
Hospital Revenue Code	278
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$187.50
Rate for Payer: Aetna Commercial	$112.50
Rate for Payer: Aetna Medicare Advantage	$112.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.62
Rate for Payer: Cigna Commercial	$187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.75
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

SHEATH ANSEL 7FR 45CM

Facility

$251.50

Service Code	HCPCS C1894
Hospital Charge Code	270677225
Hospital Revenue Code	278
Min. Negotiated Rate	$37.73
Max. Negotiated Rate	$60.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.86
Rate for Payer: Qualcare PPO/HMO/WC	$37.73

SHEATH ANSEL 7FR 45CM

Facility

$375.00

Service Code	HCPCS C1894
Hospital Charge Code	270677225N
Hospital Revenue Code	278
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$90.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.75
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

SHEATH ANSEL 7FR 45CM

Facility

$251.50

Service Code	HCPCS C1894
Hospital Charge Code	270677225
Hospital Revenue Code	278
Min. Negotiated Rate	$37.73
Max. Negotiated Rate	$125.75
Rate for Payer: Aetna Commercial	$75.45
Rate for Payer: Aetna Medicare Advantage	$75.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$64.13
Rate for Payer: Cigna Commercial	$125.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.86
Rate for Payer: Qualcare PPO/HMO/WC	$37.73

SHEATH ANSEL HI FLX 6FR 55CM

Facility

$320.00

Service Code	HCPCS C1894
Hospital Charge Code	270675906
Hospital Revenue Code	278
Min. Negotiated Rate	$48.00
Max. Negotiated Rate	$77.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$64.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.44
Rate for Payer: Qualcare PPO/HMO/WC	$48.00

SHEATH ANSEL HI FLX 6FR 55CM

Facility

$320.00

Service Code	HCPCS C1894
Hospital Charge Code	270675906S
Hospital Revenue Code	278
Min. Negotiated Rate	$48.00
Max. Negotiated Rate	$160.00
Rate for Payer: Aetna Commercial	$96.00
Rate for Payer: Aetna Medicare Advantage	$96.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$64.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.60
Rate for Payer: Cigna Commercial	$160.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.44
Rate for Payer: Qualcare PPO/HMO/WC	$48.00

SHEATH ANSEL HI FLX 6FR 55CM

Facility

$320.00

Service Code	HCPCS C1894
Hospital Charge Code	270675906S
Hospital Revenue Code	278
Min. Negotiated Rate	$48.00
Max. Negotiated Rate	$77.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$64.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.44
Rate for Payer: Qualcare PPO/HMO/WC	$48.00

SHEATH ANSEL HI FLX 6FR 55CM

Facility

$320.00

Service Code	HCPCS C1894
Hospital Charge Code	270675906
Hospital Revenue Code	278
Min. Negotiated Rate	$48.00
Max. Negotiated Rate	$160.00
Rate for Payer: Aetna Commercial	$96.00
Rate for Payer: Aetna Medicare Advantage	$96.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$64.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.60
Rate for Payer: Cigna Commercial	$160.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.44
Rate for Payer: Qualcare PPO/HMO/WC	$48.00

SHEATH ANSEL HI FLX 7FR 55CM

Facility

$320.00

Service Code	HCPCS C1894
Hospital Charge Code	270675907
Hospital Revenue Code	278
Min. Negotiated Rate	$48.00
Max. Negotiated Rate	$77.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$64.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.44
Rate for Payer: Qualcare PPO/HMO/WC	$48.00

SHEATH ANSEL HI FLX 7FR 55CM

Facility

$320.00

Service Code	HCPCS C1894
Hospital Charge Code	270675907S
Hospital Revenue Code	278
Min. Negotiated Rate	$48.00
Max. Negotiated Rate	$160.00
Rate for Payer: Aetna Commercial	$96.00
Rate for Payer: Aetna Medicare Advantage	$96.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$64.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.60
Rate for Payer: Cigna Commercial	$160.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.44
Rate for Payer: Qualcare PPO/HMO/WC	$48.00

SHEATH ANSEL HI FLX 7FR 55CM

Facility

$320.00

Service Code	HCPCS C1894
Hospital Charge Code	270675907S
Hospital Revenue Code	278
Min. Negotiated Rate	$48.00
Max. Negotiated Rate	$77.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$64.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.44
Rate for Payer: Qualcare PPO/HMO/WC	$48.00

SHEATH ANSEL HI FLX 7FR 55CM

Facility

$320.00

Service Code	HCPCS C1894
Hospital Charge Code	270675907
Hospital Revenue Code	278
Min. Negotiated Rate	$48.00
Max. Negotiated Rate	$160.00
Rate for Payer: Aetna Commercial	$96.00
Rate for Payer: Aetna Medicare Advantage	$96.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$64.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.60
Rate for Payer: Cigna Commercial	$160.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.44
Rate for Payer: Qualcare PPO/HMO/WC	$48.00

Know your out-of-pocket cost for care.

All Charges