Heights University Hospital

All Charges

Charge

Type

Setting

Price

SHEATHGUIDPIN6FR90X15X5 CROSS

Facility

$550.00

Hospital Charge Code	2709006535
Hospital Revenue Code	272
Min. Negotiated Rate	$71.50
Max. Negotiated Rate	$275.00
Rate for Payer: Aetna Commercial	$165.00
Rate for Payer: Aetna Medicare Advantage	$165.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.50
Rate for Payer: Oxford Commercial	$275.00
Rate for Payer: Qualcare PPO/HMO/WC	$82.50
Rate for Payer: UnitedHealthcare Commercial	$275.00

SHEATHGUIDPIN7FR45X35X2 CROSS

Facility

$450.00

Hospital Charge Code	2709006536
Hospital Revenue Code	272
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$225.00
Rate for Payer: Aetna Commercial	$135.00
Rate for Payer: Aetna Medicare Advantage	$135.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.75
Rate for Payer: Cigna Commercial	$225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.50
Rate for Payer: Oxford Commercial	$225.00
Rate for Payer: Qualcare PPO/HMO/WC	$67.50
Rate for Payer: UnitedHealthcare Commercial	$225.00

SHEATHGUIDPIN7FR45X35X2 CROSS

Facility

$450.00

Hospital Charge Code	2709006536
Hospital Revenue Code	272
Min. Negotiated Rate	$67.50
Max. Negotiated Rate	$67.50
Rate for Payer: Qualcare PPO/HMO/WC	$67.50

SHEATHGUIDPIN7FR65X35X2.5 CROS

Facility

$500.00

Hospital Charge Code	2709006537
Hospital Revenue Code	272
Min. Negotiated Rate	$65.00
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$150.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.00
Rate for Payer: Oxford Commercial	$250.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Commercial	$250.00

SHEATHGUIDPIN7FR65X35X2.5 CROS

Facility

$500.00

Hospital Charge Code	2709006537
Hospital Revenue Code	272
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

SHEATHGUIDPIN7FR90X15X5 CROSS

Facility

$550.00

Hospital Charge Code	2709006538
Hospital Revenue Code	272
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$82.50
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

SHEATHGUIDPIN7FR90X15X5 CROSS

Facility

$550.00

Hospital Charge Code	2709006538
Hospital Revenue Code	272
Min. Negotiated Rate	$71.50
Max. Negotiated Rate	$275.00
Rate for Payer: Aetna Commercial	$165.00
Rate for Payer: Aetna Medicare Advantage	$165.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.50
Rate for Payer: Oxford Commercial	$275.00
Rate for Payer: Qualcare PPO/HMO/WC	$82.50
Rate for Payer: UnitedHealthcare Commercial	$275.00

SHEATH GUID PINN 7 F 45X35X2

Facility

$522.50

Service Code	HCPCS C1766
Hospital Charge Code	270658257
Hospital Revenue Code	278
Min. Negotiated Rate	$78.38
Max. Negotiated Rate	$126.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.44
Rate for Payer: Qualcare PPO/HMO/WC	$78.38

SHEATH GUID PINN 7 F 45X35X2

Facility

$522.50

Service Code	HCPCS C1766
Hospital Charge Code	270658257
Hospital Revenue Code	278
Min. Negotiated Rate	$78.38
Max. Negotiated Rate	$261.25
Rate for Payer: Aetna Commercial	$156.75
Rate for Payer: Aetna Medicare Advantage	$156.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.24
Rate for Payer: Cigna Commercial	$261.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.44
Rate for Payer: Qualcare PPO/HMO/WC	$78.38

SHEATH GUID PINN 7 F 45X35X2

Facility

$522.50

Service Code	HCPCS C1766
Hospital Charge Code	270658257S
Hospital Revenue Code	278
Min. Negotiated Rate	$78.38
Max. Negotiated Rate	$261.25
Rate for Payer: Aetna Commercial	$156.75
Rate for Payer: Aetna Medicare Advantage	$156.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.24
Rate for Payer: Cigna Commercial	$261.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.44
Rate for Payer: Qualcare PPO/HMO/WC	$78.38

SHEATH GUID PINN 7 F 45X35X2

Facility

$522.50

Service Code	HCPCS C1766
Hospital Charge Code	270658257S
Hospital Revenue Code	278
Min. Negotiated Rate	$78.38
Max. Negotiated Rate	$126.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.44
Rate for Payer: Qualcare PPO/HMO/WC	$78.38

SHEATH GUID PINN 7 F 45X35X2

Facility

$450.00

Service Code	HCPCS C1766
Hospital Charge Code	270658257N
Hospital Revenue Code	278
Min. Negotiated Rate	$67.50
Max. Negotiated Rate	$108.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.90
Rate for Payer: Qualcare PPO/HMO/WC	$67.50

SHEATH GUID PINN 7 F 45X35X2

Facility

$450.00

Service Code	HCPCS C1766
Hospital Charge Code	270658257N
Hospital Revenue Code	278
Min. Negotiated Rate	$67.50
Max. Negotiated Rate	$225.00
Rate for Payer: Aetna Commercial	$135.00
Rate for Payer: Aetna Medicare Advantage	$135.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.75
Rate for Payer: Cigna Commercial	$225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.90
Rate for Payer: Qualcare PPO/HMO/WC	$67.50

SHEATH GUID PINNAC 6 FR RSC05

Facility

$792.50

Hospital Charge Code	270658261
Hospital Revenue Code	278
Min. Negotiated Rate	$118.88
Max. Negotiated Rate	$396.25
Rate for Payer: Aetna Commercial	$237.75
Rate for Payer: Aetna Medicare Advantage	$237.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$202.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$202.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$202.09
Rate for Payer: Cigna Commercial	$396.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.78
Rate for Payer: Qualcare PPO/HMO/WC	$118.88

SHEATH GUID PINNAC 6 FR RSC05

Facility

$637.50

Service Code	HCPCS C1766
Hospital Charge Code	270658261S
Hospital Revenue Code	278
Min. Negotiated Rate	$95.62
Max. Negotiated Rate	$154.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$127.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$154.28
Rate for Payer: Qualcare PPO/HMO/WC	$95.62

SHEATH GUID PINNAC 6 FR RSC05

Facility

$550.00

Service Code	HCPCS C1766
Hospital Charge Code	270658261N
Hospital Revenue Code	278
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$275.00
Rate for Payer: Aetna Commercial	$165.00
Rate for Payer: Aetna Medicare Advantage	$165.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

SHEATH GUID PINNAC 6 FR RSC05

Facility

$550.00

Service Code	HCPCS C1766
Hospital Charge Code	270658261N
Hospital Revenue Code	278
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$133.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

SHEATH GUID PINNAC 6 FR RSC05

Facility

$792.50

Hospital Charge Code	270658261
Hospital Revenue Code	278
Min. Negotiated Rate	$118.88
Max. Negotiated Rate	$191.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.78
Rate for Payer: Qualcare PPO/HMO/WC	$118.88

SHEATH GUID PINNAC 6 FR RSC05

Facility

$637.50

Service Code	HCPCS C1766
Hospital Charge Code	270658261S
Hospital Revenue Code	278
Min. Negotiated Rate	$95.62
Max. Negotiated Rate	$318.75
Rate for Payer: Aetna Commercial	$191.25
Rate for Payer: Aetna Medicare Advantage	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$162.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$162.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$162.56
Rate for Payer: Cigna Commercial	$318.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$154.28
Rate for Payer: Qualcare PPO/HMO/WC	$95.62

SHEATH GUID PISHNN6 FR 45X35X2

Facility

$450.00

Hospital Charge Code	270658263N
Hospital Revenue Code	272
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$225.00
Rate for Payer: Aetna Commercial	$135.00
Rate for Payer: Aetna Medicare Advantage	$135.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.75
Rate for Payer: Cigna Commercial	$225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.50
Rate for Payer: Oxford Commercial	$225.00
Rate for Payer: Qualcare PPO/HMO/WC	$67.50
Rate for Payer: UnitedHealthcare Commercial	$225.00

SHEATH GUID PISHNN6 FR 45X35X2

Facility

$522.50

Hospital Charge Code	270658263
Hospital Revenue Code	272
Min. Negotiated Rate	$67.92
Max. Negotiated Rate	$261.25
Rate for Payer: Aetna Commercial	$156.75
Rate for Payer: Aetna Medicare Advantage	$156.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.24
Rate for Payer: Cigna Commercial	$261.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.92
Rate for Payer: Oxford Commercial	$261.25
Rate for Payer: Qualcare PPO/HMO/WC	$78.38
Rate for Payer: UnitedHealthcare Commercial	$261.25

SHEATH GUID PISHNN6 FR 45X35X2

Facility

$522.50

Hospital Charge Code	270658263S
Hospital Revenue Code	272
Min. Negotiated Rate	$78.38
Max. Negotiated Rate	$78.38
Rate for Payer: Qualcare PPO/HMO/WC	$78.38

SHEATH GUID PISHNN6 FR 45X35X2

Facility

$522.50

Hospital Charge Code	270658263
Hospital Revenue Code	272
Min. Negotiated Rate	$78.38
Max. Negotiated Rate	$78.38
Rate for Payer: Qualcare PPO/HMO/WC	$78.38

SHEATH GUID PISHNN6 FR 45X35X2

Facility

$522.50

Hospital Charge Code	270658263S
Hospital Revenue Code	272
Min. Negotiated Rate	$67.92
Max. Negotiated Rate	$261.25
Rate for Payer: Aetna Commercial	$156.75
Rate for Payer: Aetna Medicare Advantage	$156.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.24
Rate for Payer: Cigna Commercial	$261.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.92
Rate for Payer: Oxford Commercial	$261.25
Rate for Payer: Qualcare PPO/HMO/WC	$78.38
Rate for Payer: UnitedHealthcare Commercial	$261.25

SHEATH GUID PISHNN6 FR 45X35X2

Facility

$450.00

Hospital Charge Code	270658263N
Hospital Revenue Code	272
Min. Negotiated Rate	$67.50
Max. Negotiated Rate	$67.50
Rate for Payer: Qualcare PPO/HMO/WC	$67.50

Know your out-of-pocket cost for care.

All Charges