Heights University Hospital

All Charges

Charge

Type

Setting

Price

SHEATH INTRODUCER 7FR 10CM.035

Facility

$700.00

Hospital Charge Code	270689906
Hospital Revenue Code	272
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$105.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

SHEATH INTRODUCER 8FR

Facility

$215.30

Hospital Charge Code	270658584
Hospital Revenue Code	270
Min. Negotiated Rate	$32.30
Max. Negotiated Rate	$32.30
Rate for Payer: Qualcare PPO/HMO/WC	$32.30

SHEATH INTRODUCER 8FR

Facility

$215.30

Hospital Charge Code	270658584
Hospital Revenue Code	270
Min. Negotiated Rate	$27.99
Max. Negotiated Rate	$107.65
Rate for Payer: Aetna Commercial	$64.59
Rate for Payer: Aetna Medicare Advantage	$64.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.90
Rate for Payer: Cigna Commercial	$107.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.99
Rate for Payer: Oxford Commercial	$107.65
Rate for Payer: Qualcare PPO/HMO/WC	$32.30
Rate for Payer: UnitedHealthcare Commercial	$107.65

SHEATH INTRODUCER PINNACLE

Facility

$54.35

Hospital Charge Code	270672897
Hospital Revenue Code	272
Min. Negotiated Rate	$7.07
Max. Negotiated Rate	$27.18
Rate for Payer: Aetna Commercial	$16.30
Rate for Payer: Aetna Medicare Advantage	$16.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.86
Rate for Payer: Cigna Commercial	$27.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.07
Rate for Payer: Oxford Commercial	$27.18
Rate for Payer: Qualcare PPO/HMO/WC	$8.15
Rate for Payer: UnitedHealthcare Commercial	$27.18

SHEATH INTRODUCER PINNACLE

Facility

$54.35

Hospital Charge Code	270672897
Hospital Revenue Code	272
Min. Negotiated Rate	$8.15
Max. Negotiated Rate	$8.15
Rate for Payer: Qualcare PPO/HMO/WC	$8.15

SHEATH INTRODUCER PINNACLE

Facility

$101.75

Hospital Charge Code	270672897N
Hospital Revenue Code	272
Min. Negotiated Rate	$13.23
Max. Negotiated Rate	$50.88
Rate for Payer: Aetna Commercial	$30.52
Rate for Payer: Aetna Medicare Advantage	$30.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.95
Rate for Payer: Cigna Commercial	$50.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.23
Rate for Payer: Oxford Commercial	$50.88
Rate for Payer: Qualcare PPO/HMO/WC	$15.26
Rate for Payer: UnitedHealthcare Commercial	$50.88

SHEATH INTRODUCER PINNACLE

Facility

$101.75

Hospital Charge Code	270672897N
Hospital Revenue Code	272
Min. Negotiated Rate	$15.26
Max. Negotiated Rate	$15.26
Rate for Payer: Qualcare PPO/HMO/WC	$15.26

SHEATH INTRO PIN 10C NGW 15964

Facility

$153.40

Hospital Charge Code	270628013
Hospital Revenue Code	278
Min. Negotiated Rate	$23.01
Max. Negotiated Rate	$37.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.12
Rate for Payer: Qualcare PPO/HMO/WC	$23.01

SHEATH INTRO PIN 10C NGW 15964

Facility

$153.40

Hospital Charge Code	270628013
Hospital Revenue Code	278
Min. Negotiated Rate	$23.01
Max. Negotiated Rate	$76.70
Rate for Payer: Aetna Commercial	$46.02
Rate for Payer: Aetna Medicare Advantage	$46.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.12
Rate for Payer: Cigna Commercial	$76.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.12
Rate for Payer: Qualcare PPO/HMO/WC	$23.01

SHEATH INTRO PINNL 4X6 RSB401

Facility

$148.50

Hospital Charge Code	270658255
Hospital Revenue Code	278
Min. Negotiated Rate	$22.27
Max. Negotiated Rate	$35.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.94
Rate for Payer: Qualcare PPO/HMO/WC	$22.27

SHEATH INTRO PINNL 4X6 RSB401

Facility

$148.50

Hospital Charge Code	270658255
Hospital Revenue Code	278
Min. Negotiated Rate	$22.27
Max. Negotiated Rate	$74.25
Rate for Payer: Aetna Commercial	$44.55
Rate for Payer: Aetna Medicare Advantage	$44.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.87
Rate for Payer: Cigna Commercial	$74.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.94
Rate for Payer: Qualcare PPO/HMO/WC	$22.27

SHEATH INTRO RAABE 9F70CM

Facility

$287.00

Service Code	HCPCS C1894
Hospital Charge Code	270658314C
Hospital Revenue Code	272
Min. Negotiated Rate	$43.05
Max. Negotiated Rate	$43.05
Rate for Payer: Qualcare PPO/HMO/WC	$43.05

SHEATH INTRO RAABE 9F70CM

Facility

$287.00

Service Code	HCPCS C1894
Hospital Charge Code	270658314C
Hospital Revenue Code	272
Min. Negotiated Rate	$37.31
Max. Negotiated Rate	$143.50
Rate for Payer: Aetna Commercial	$86.10
Rate for Payer: Aetna Medicare Advantage	$86.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$73.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$73.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$73.19
Rate for Payer: Cigna Commercial	$143.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.31
Rate for Payer: Oxford Commercial	$143.50
Rate for Payer: Qualcare PPO/HMO/WC	$43.05
Rate for Payer: UnitedHealthcare Commercial	$143.50

SHEATH MC INTRODC 16F MCVSI16S

Facility

$153.65

Hospital Charge Code	270619950
Hospital Revenue Code	278
Min. Negotiated Rate	$23.05
Max. Negotiated Rate	$76.83
Rate for Payer: Aetna Commercial	$46.09
Rate for Payer: Aetna Medicare Advantage	$46.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.18
Rate for Payer: Cigna Commercial	$76.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.18
Rate for Payer: Qualcare PPO/HMO/WC	$23.05

SHEATH MC INTRODC 16F MCVSI16S

Facility

$153.65

Hospital Charge Code	270619950
Hospital Revenue Code	278
Min. Negotiated Rate	$23.05
Max. Negotiated Rate	$37.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.18
Rate for Payer: Qualcare PPO/HMO/WC	$23.05

SHEATH MC INTRODC 18F MCVSI18S

Facility

$923.25

Hospital Charge Code	270601156
Hospital Revenue Code	278
Min. Negotiated Rate	$138.49
Max. Negotiated Rate	$461.62
Rate for Payer: Aetna Commercial	$276.98
Rate for Payer: Aetna Medicare Advantage	$276.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$235.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$235.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$184.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$235.43
Rate for Payer: Cigna Commercial	$461.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$223.43
Rate for Payer: Qualcare PPO/HMO/WC	$138.49

SHEATH MC INTRODC 18F MCVSI18S

Facility

$923.25

Hospital Charge Code	270601156
Hospital Revenue Code	278
Min. Negotiated Rate	$138.49
Max. Negotiated Rate	$223.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$184.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$223.43
Rate for Payer: Qualcare PPO/HMO/WC	$138.49

SHEATH MCV DILATOR 8/10 260120

Facility

$407.90

Hospital Charge Code	270616468
Hospital Revenue Code	272
Min. Negotiated Rate	$53.03
Max. Negotiated Rate	$203.95
Rate for Payer: Aetna Commercial	$122.37
Rate for Payer: Aetna Medicare Advantage	$122.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$104.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$104.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$104.01
Rate for Payer: Cigna Commercial	$203.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.03
Rate for Payer: Oxford Commercial	$203.95
Rate for Payer: Qualcare PPO/HMO/WC	$61.19
Rate for Payer: UnitedHealthcare Commercial	$203.95

SHEATH MCV DILATOR 8/10 260120

Facility

$407.90

Hospital Charge Code	270616468
Hospital Revenue Code	272
Min. Negotiated Rate	$61.19
Max. Negotiated Rate	$61.19
Rate for Payer: Qualcare PPO/HMO/WC	$61.19

SHEATH MITEK SUCTN 3.5 225402

Facility

$116.85

Hospital Charge Code	270619104
Hospital Revenue Code	272
Min. Negotiated Rate	$15.19
Max. Negotiated Rate	$58.42
Rate for Payer: Aetna Commercial	$35.05
Rate for Payer: Aetna Medicare Advantage	$35.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.80
Rate for Payer: Cigna Commercial	$58.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.19
Rate for Payer: Oxford Commercial	$58.42
Rate for Payer: Qualcare PPO/HMO/WC	$17.53
Rate for Payer: UnitedHealthcare Commercial	$58.42

SHEATH MITEK SUCTN 3.5 225402

Facility

$116.85

Hospital Charge Code	270619104
Hospital Revenue Code	272
Min. Negotiated Rate	$17.53
Max. Negotiated Rate	$17.53
Rate for Payer: Qualcare PPO/HMO/WC	$17.53

SHEATH MT INTRODC 7F 15-713

Facility

$145.65

Hospital Charge Code	270618566
Hospital Revenue Code	278
Min. Negotiated Rate	$21.85
Max. Negotiated Rate	$72.83
Rate for Payer: Aetna Commercial	$43.70
Rate for Payer: Aetna Medicare Advantage	$43.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.14
Rate for Payer: Cigna Commercial	$72.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.25
Rate for Payer: Qualcare PPO/HMO/WC	$21.85

SHEATH MT INTRODC 7F 15-713

Facility

$145.65

Hospital Charge Code	270618566
Hospital Revenue Code	278
Min. Negotiated Rate	$21.85
Max. Negotiated Rate	$35.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.25
Rate for Payer: Qualcare PPO/HMO/WC	$21.85

SHEATH MT INTRODC PIN 7F156610

Facility

$136.85

Hospital Charge Code	270605532
Hospital Revenue Code	278
Min. Negotiated Rate	$20.53
Max. Negotiated Rate	$68.42
Rate for Payer: Aetna Commercial	$41.05
Rate for Payer: Aetna Medicare Advantage	$41.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.90
Rate for Payer: Cigna Commercial	$68.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.12
Rate for Payer: Qualcare PPO/HMO/WC	$20.53

SHEATH MT INTRODC PIN 7F156610

Facility

$136.85

Hospital Charge Code	270605532
Hospital Revenue Code	278
Min. Negotiated Rate	$20.53
Max. Negotiated Rate	$33.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.12
Rate for Payer: Qualcare PPO/HMO/WC	$20.53

Know your out-of-pocket cost for care.

All Charges