Heights University Hospital

All Charges

Charge

Type

Setting

Price

SHEATH MT INTRODC PIN 8F 15954

Facility

$1,965.65

Hospital Charge Code	270623266
Hospital Revenue Code	278
Min. Negotiated Rate	$294.85
Max. Negotiated Rate	$982.83
Rate for Payer: Aetna Commercial	$589.70
Rate for Payer: Aetna Medicare Advantage	$589.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$501.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$501.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$393.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$501.24
Rate for Payer: Cigna Commercial	$982.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$475.69
Rate for Payer: Qualcare PPO/HMO/WC	$294.85

SHEATH MT INTRODC PIN 8F 15954

Facility

$1,965.65

Hospital Charge Code	270623266
Hospital Revenue Code	278
Min. Negotiated Rate	$294.85
Max. Negotiated Rate	$475.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$393.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$475.69
Rate for Payer: Qualcare PPO/HMO/WC	$294.85

SHEATH MT PINN 6x25 15-965

Facility

$182.45

Hospital Charge Code	270628466
Hospital Revenue Code	278
Min. Negotiated Rate	$27.37
Max. Negotiated Rate	$44.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.15
Rate for Payer: Qualcare PPO/HMO/WC	$27.37

SHEATH MT PINN 6x25 15-965

Facility

$182.45

Hospital Charge Code	270628466
Hospital Revenue Code	278
Min. Negotiated Rate	$27.37
Max. Negotiated Rate	$91.22
Rate for Payer: Aetna Commercial	$54.73
Rate for Payer: Aetna Medicare Advantage	$54.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.52
Rate for Payer: Cigna Commercial	$91.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.15
Rate for Payer: Qualcare PPO/HMO/WC	$27.37

SHEATH PEEL AWAY 5FR

Facility

$500.00

Hospital Charge Code	270669565
Hospital Revenue Code	278
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$121.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

SHEATH PEEL AWAY 5FR

Facility

$500.00

Hospital Charge Code	270669565
Hospital Revenue Code	278
Min. Negotiated Rate	$75.00
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) NJ Health	$100.00
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	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

SHEATH PEEL AWAY 7FR

Facility

$500.00

Hospital Charge Code	270669566
Hospital Revenue Code	278
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$121.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

SHEATH PEEL AWAY 7FR

Facility

$500.00

Hospital Charge Code	270669566
Hospital Revenue Code	278
Min. Negotiated Rate	$75.00
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) NJ Health	$100.00
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	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

SHEATH PEEL AWAY 8FR

Facility

$500.00

Hospital Charge Code	270669567
Hospital Revenue Code	278
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$121.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

SHEATH PEEL AWAY 8FR

Facility

$500.00

Hospital Charge Code	270669567
Hospital Revenue Code	278
Min. Negotiated Rate	$75.00
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) NJ Health	$100.00
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	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

SHEATH PIN 9Fx10CM NGW 15-725

Facility

$60.25

Hospital Charge Code	270628418
Hospital Revenue Code	278
Min. Negotiated Rate	$9.04
Max. Negotiated Rate	$30.12
Rate for Payer: Aetna Commercial	$18.07
Rate for Payer: Aetna Medicare Advantage	$18.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.36
Rate for Payer: Cigna Commercial	$30.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.58
Rate for Payer: Qualcare PPO/HMO/WC	$9.04

SHEATH PIN 9Fx10CM NGW 15-725

Facility

$60.25

Hospital Charge Code	270628418
Hospital Revenue Code	278
Min. Negotiated Rate	$9.04
Max. Negotiated Rate	$14.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.58
Rate for Payer: Qualcare PPO/HMO/WC	$9.04

SHEATH PINCLE 7FR 45CM RSR04

Facility

$522.50

Service Code	HCPCS C1887
Hospital Charge Code	270642216C
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 PINCLE 7FR 45CM RSR04

Facility

$522.50

Service Code	HCPCS C1887
Hospital Charge Code	270642216C
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 PINNACLE 10FR 10CM

Facility

$51.73

Service Code	HCPCS C2629
Hospital Charge Code	270625051
Hospital Revenue Code	278
Min. Negotiated Rate	$7.76
Max. Negotiated Rate	$12.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.52
Rate for Payer: Qualcare PPO/HMO/WC	$7.76

SHEATH PINNACLE 10FR 10CM

Facility

$51.73

Service Code	HCPCS C2629
Hospital Charge Code	270625051
Hospital Revenue Code	278
Min. Negotiated Rate	$7.76
Max. Negotiated Rate	$25.86
Rate for Payer: Aetna Commercial	$15.52
Rate for Payer: Aetna Medicare Advantage	$15.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.19
Rate for Payer: Cigna Commercial	$25.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.52
Rate for Payer: Qualcare PPO/HMO/WC	$7.76

SHEATH PINNACLE 11FR 10cm .035

Facility

$51.73

Service Code	HCPCS C1894
Hospital Charge Code	270627343
Hospital Revenue Code	278
Min. Negotiated Rate	$7.76
Max. Negotiated Rate	$25.86
Rate for Payer: Aetna Commercial	$15.52
Rate for Payer: Aetna Medicare Advantage	$15.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.19
Rate for Payer: Cigna Commercial	$25.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.52
Rate for Payer: Qualcare PPO/HMO/WC	$7.76

SHEATH PINNACLE 11FR 10cm .035

Facility

$51.73

Service Code	HCPCS C1894
Hospital Charge Code	270627343
Hospital Revenue Code	278
Min. Negotiated Rate	$7.76
Max. Negotiated Rate	$12.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.52
Rate for Payer: Qualcare PPO/HMO/WC	$7.76

SHEATH PINNACLE 4F 10cm 15-720

Facility

$88.15

Hospital Charge Code	270630132
Hospital Revenue Code	278
Min. Negotiated Rate	$13.22
Max. Negotiated Rate	$44.08
Rate for Payer: Aetna Commercial	$26.45
Rate for Payer: Aetna Medicare Advantage	$26.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.48
Rate for Payer: Cigna Commercial	$44.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.33
Rate for Payer: Qualcare PPO/HMO/WC	$13.22

SHEATH PINNACLE 4F 10cm 15-720

Facility

$88.15

Hospital Charge Code	270630132
Hospital Revenue Code	278
Min. Negotiated Rate	$13.22
Max. Negotiated Rate	$21.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.33
Rate for Payer: Qualcare PPO/HMO/WC	$13.22

SHEATH PINNACLE 4FR 2.5cm

Facility

$700.00

Hospital Charge Code	270705455
Hospital Revenue Code	279
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$105.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

SHEATH PINNACLE 4FR 2.5cm

Facility

$700.00

Hospital Charge Code	270705455
Hospital Revenue Code	279
Min. Negotiated Rate	$91.00
Max. Negotiated Rate	$350.00
Rate for Payer: Aetna Commercial	$210.00
Rate for Payer: Aetna Medicare Advantage	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.50
Rate for Payer: Cigna Commercial	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.00
Rate for Payer: Oxford Commercial	$350.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00
Rate for Payer: UnitedHealthcare Commercial	$350.00

SHEATH PINNACLE 5 FR

Facility

$522.50

Service Code	HCPCS C1894
Hospital Charge Code	270664722
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 PINNACLE 5 FR

Facility

$522.50

Service Code	HCPCS C1894
Hospital Charge Code	270664722
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 PINNACLE 5FR 10CM .035

Facility

$700.00

Hospital Charge Code	270689904
Hospital Revenue Code	272
Min. Negotiated Rate	$91.00
Max. Negotiated Rate	$350.00
Rate for Payer: Aetna Commercial	$210.00
Rate for Payer: Aetna Medicare Advantage	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.50
Rate for Payer: Cigna Commercial	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.00
Rate for Payer: Oxford Commercial	$350.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00
Rate for Payer: UnitedHealthcare Commercial	$350.00

Know your out-of-pocket cost for care.

All Charges