Heights University Hospital

All Charges

Charge

Type

Setting

Price

SHEATH PINNACLE 5FR 10CM .035

Facility

$700.00

Hospital Charge Code	270689904
Hospital Revenue Code	272
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$105.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

SHEATH PINNACLE 5FR 25cm 15730

Facility

$164.35

Hospital Charge Code	270628362
Hospital Revenue Code	278
Min. Negotiated Rate	$24.65
Max. Negotiated Rate	$39.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$32.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.77
Rate for Payer: Qualcare PPO/HMO/WC	$24.65

SHEATH PINNACLE 5FR 25cm 15730

Facility

$164.35

Hospital Charge Code	270628362
Hospital Revenue Code	278
Min. Negotiated Rate	$24.65
Max. Negotiated Rate	$82.17
Rate for Payer: Aetna Commercial	$49.30
Rate for Payer: Aetna Medicare Advantage	$49.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$32.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.91
Rate for Payer: Cigna Commercial	$82.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.77
Rate for Payer: Qualcare PPO/HMO/WC	$24.65

SHEATH PINNACLE 6FR 10CM .035

Facility

$700.00

Hospital Charge Code	270689905
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

SHEATH PINNACLE 6FR 10CM .035

Facility

$700.00

Hospital Charge Code	270689905
Hospital Revenue Code	272
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$105.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

SHEATH PINNACLE 6FR 10CM .038

Facility

$650.00

Service Code	HCPCS C1893
Hospital Charge Code	270642942
Hospital Revenue Code	278
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$325.00
Rate for Payer: Aetna Commercial	$195.00
Rate for Payer: Aetna Medicare Advantage	$195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$165.75
Rate for Payer: Cigna Commercial	$325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.30
Rate for Payer: Qualcare PPO/HMO/WC	$97.50

SHEATH PINNACLE 6FR 10CM .038

Facility

$650.00

Service Code	HCPCS C1893
Hospital Charge Code	270642942
Hospital Revenue Code	278
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$157.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.30
Rate for Payer: Qualcare PPO/HMO/WC	$97.50

SHEATH PINNACLE 6FR 25CM

Facility

$1,525.00

Service Code	HCPCS C1894
Hospital Charge Code	270643051
Hospital Revenue Code	278
Min. Negotiated Rate	$228.75
Max. Negotiated Rate	$762.50
Rate for Payer: Aetna Commercial	$457.50
Rate for Payer: Aetna Medicare Advantage	$457.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$388.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$388.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$305.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$388.88
Rate for Payer: Cigna Commercial	$762.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$369.05
Rate for Payer: Qualcare PPO/HMO/WC	$228.75

SHEATH PINNACLE 6FR 25CM

Facility

$1,525.00

Service Code	HCPCS C1894
Hospital Charge Code	270643051
Hospital Revenue Code	278
Min. Negotiated Rate	$228.75
Max. Negotiated Rate	$369.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$305.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$369.05
Rate for Payer: Qualcare PPO/HMO/WC	$228.75

SHEATH PINNACLE 6FR 45cm

Facility

$650.00

Hospital Charge Code	270642214
Hospital Revenue Code	279
Min. Negotiated Rate	$84.50
Max. Negotiated Rate	$325.00
Rate for Payer: Aetna Commercial	$195.00
Rate for Payer: Aetna Medicare Advantage	$195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$165.75
Rate for Payer: Cigna Commercial	$325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.50
Rate for Payer: Oxford Commercial	$325.00
Rate for Payer: Qualcare PPO/HMO/WC	$97.50
Rate for Payer: UnitedHealthcare Commercial	$325.00

SHEATH PINNACLE 6FR 45cm

Facility

$650.00

Hospital Charge Code	270642214
Hospital Revenue Code	279
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$97.50
Rate for Payer: Qualcare PPO/HMO/WC	$97.50

SHEATH PINNACLE 6FR 45cm RSR01

Facility

$543.25

Hospital Charge Code	270672214C
Hospital Revenue Code	278
Min. Negotiated Rate	$81.49
Max. Negotiated Rate	$271.62
Rate for Payer: Aetna Commercial	$162.97
Rate for Payer: Aetna Medicare Advantage	$162.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$138.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$138.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$138.53
Rate for Payer: Cigna Commercial	$271.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.47
Rate for Payer: Qualcare PPO/HMO/WC	$81.49

SHEATH PINNACLE 6FR 45cm RSR01

Facility

$543.25

Hospital Charge Code	270672214C
Hospital Revenue Code	278
Min. Negotiated Rate	$81.49
Max. Negotiated Rate	$131.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.47
Rate for Payer: Qualcare PPO/HMO/WC	$81.49

SHEATH PINNACLE 6FR 45cm RXR01

Facility

$155.00

Service Code	HCPCS C1887
Hospital Charge Code	270642214C
Hospital Revenue Code	278
Min. Negotiated Rate	$23.25
Max. Negotiated Rate	$77.50
Rate for Payer: Aetna Commercial	$46.50
Rate for Payer: Aetna Medicare Advantage	$46.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.52
Rate for Payer: Cigna Commercial	$77.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.51
Rate for Payer: Qualcare PPO/HMO/WC	$23.25

SHEATH PINNACLE 6FR 45cm RXR01

Facility

$155.00

Service Code	HCPCS C1887
Hospital Charge Code	270642214C
Hospital Revenue Code	278
Min. Negotiated Rate	$23.25
Max. Negotiated Rate	$37.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.51
Rate for Payer: Qualcare PPO/HMO/WC	$23.25

SHEATH PINNACLE 6FR 65CM RSP01

Facility

$585.65

Service Code	HCPCS C1887
Hospital Charge Code	270642215N
Hospital Revenue Code	278
Min. Negotiated Rate	$87.85
Max. Negotiated Rate	$292.82
Rate for Payer: Aetna Commercial	$175.69
Rate for Payer: Aetna Medicare Advantage	$175.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$149.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$149.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$117.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$149.34
Rate for Payer: Cigna Commercial	$292.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.73
Rate for Payer: Qualcare PPO/HMO/WC	$87.85

SHEATH PINNACLE 6FR 65CM RSP01

Facility

$580.00

Service Code	HCPCS C1887
Hospital Charge Code	270642215C
Hospital Revenue Code	278
Min. Negotiated Rate	$87.00
Max. Negotiated Rate	$140.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$140.36
Rate for Payer: Qualcare PPO/HMO/WC	$87.00

SHEATH PINNACLE 6FR 65CM RSP01

Facility

$580.00

Service Code	HCPCS C1887
Hospital Charge Code	270642215C
Hospital Revenue Code	278
Min. Negotiated Rate	$87.00
Max. Negotiated Rate	$290.00
Rate for Payer: Aetna Commercial	$174.00
Rate for Payer: Aetna Medicare Advantage	$174.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$147.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$147.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$147.90
Rate for Payer: Cigna Commercial	$290.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$140.36
Rate for Payer: Qualcare PPO/HMO/WC	$87.00

SHEATH PINNACLE 6FR 65CM RSP01

Facility

$585.65

Service Code	HCPCS C1887
Hospital Charge Code	270642215N
Hospital Revenue Code	278
Min. Negotiated Rate	$87.85
Max. Negotiated Rate	$141.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$117.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.73
Rate for Payer: Qualcare PPO/HMO/WC	$87.85

SHEATH PINNACLE 7FR

Facility

$48.76

Service Code	HCPCS C1894
Hospital Charge Code	270653587
Hospital Revenue Code	278
Min. Negotiated Rate	$7.31
Max. Negotiated Rate	$11.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.80
Rate for Payer: Qualcare PPO/HMO/WC	$7.31

SHEATH PINNACLE 7FR

Facility

$48.76

Service Code	HCPCS C1894
Hospital Charge Code	270653587
Hospital Revenue Code	278
Min. Negotiated Rate	$7.31
Max. Negotiated Rate	$24.38
Rate for Payer: Aetna Commercial	$14.63
Rate for Payer: Aetna Medicare Advantage	$14.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.43
Rate for Payer: Cigna Commercial	$24.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.80
Rate for Payer: Qualcare PPO/HMO/WC	$7.31

SHEATH PINNACLE 7FR 45CM

Facility

$427.50

Service Code	HCPCS C1894
Hospital Charge Code	270652537
Hospital Revenue Code	278
Min. Negotiated Rate	$64.12
Max. Negotiated Rate	$213.75
Rate for Payer: Aetna Commercial	$128.25
Rate for Payer: Aetna Medicare Advantage	$128.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$85.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.01
Rate for Payer: Cigna Commercial	$213.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$103.45
Rate for Payer: Qualcare PPO/HMO/WC	$64.12

SHEATH PINNACLE 7FR 45CM

Facility

$427.50

Service Code	HCPCS C1894
Hospital Charge Code	270652537
Hospital Revenue Code	278
Min. Negotiated Rate	$64.12
Max. Negotiated Rate	$103.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$85.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$103.45
Rate for Payer: Qualcare PPO/HMO/WC	$64.12

SHEATH PINNACLE 8FR 10CM .035

Facility

$700.00

Hospital Charge Code	270705456
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 8FR 10CM .035

Facility

$700.00

Hospital Charge Code	270705456
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

Know your out-of-pocket cost for care.

All Charges