Heights University Hospital

All Charges

Charge

Type

Setting

Price

SHEATH PINNACLE 9x10x035 15715

Facility

$927.60

Hospital Charge Code	270625050
Hospital Revenue Code	278
Min. Negotiated Rate	$139.14
Max. Negotiated Rate	$224.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$185.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$224.48
Rate for Payer: Qualcare PPO/HMO/WC	$139.14

SHEATH PINNACLE 9x10x035 15715

Facility

$927.60

Hospital Charge Code	270625050
Hospital Revenue Code	278
Min. Negotiated Rate	$139.14
Max. Negotiated Rate	$463.80
Rate for Payer: Aetna Commercial	$278.28
Rate for Payer: Aetna Medicare Advantage	$278.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$236.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$236.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$185.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$236.54
Rate for Payer: Cigna Commercial	$463.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$224.48
Rate for Payer: Qualcare PPO/HMO/WC	$139.14

SHEATH PINNACLE II INTROD 8FX6

Facility

$29.70

Hospital Charge Code	270658246
Hospital Revenue Code	278
Min. Negotiated Rate	$4.46
Max. Negotiated Rate	$14.85
Rate for Payer: Aetna Commercial	$8.91
Rate for Payer: Aetna Medicare Advantage	$8.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.57
Rate for Payer: Cigna Commercial	$14.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.19
Rate for Payer: Qualcare PPO/HMO/WC	$4.46

SHEATH PINNACLE II INTROD 8FX6

Facility

$29.70

Hospital Charge Code	270658246
Hospital Revenue Code	278
Min. Negotiated Rate	$4.46
Max. Negotiated Rate	$7.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.19
Rate for Payer: Qualcare PPO/HMO/WC	$4.46

SHEATH PINNACLE INTRODUCER R/O

Facility

$172.68

Hospital Charge Code	270655407
Hospital Revenue Code	270
Min. Negotiated Rate	$22.45
Max. Negotiated Rate	$86.34
Rate for Payer: Aetna Commercial	$51.80
Rate for Payer: Aetna Medicare Advantage	$51.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.03
Rate for Payer: Cigna Commercial	$86.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.45
Rate for Payer: Oxford Commercial	$86.34
Rate for Payer: Qualcare PPO/HMO/WC	$25.90
Rate for Payer: UnitedHealthcare Commercial	$86.34

SHEATH PINNACLE INTRODUCER R/O

Facility

$172.68

Hospital Charge Code	270655407
Hospital Revenue Code	270
Min. Negotiated Rate	$25.90
Max. Negotiated Rate	$25.90
Rate for Payer: Qualcare PPO/HMO/WC	$25.90

SHEATH PINNACLE R/O 5FR X 6

Facility

$170.00

Hospital Charge Code	270666809
Hospital Revenue Code	270
Min. Negotiated Rate	$25.50
Max. Negotiated Rate	$25.50
Rate for Payer: Qualcare PPO/HMO/WC	$25.50

SHEATH PINNACLE R/O 5FR X 6

Facility

$170.00

Hospital Charge Code	270666809
Hospital Revenue Code	270
Min. Negotiated Rate	$22.10
Max. Negotiated Rate	$85.00
Rate for Payer: Aetna Commercial	$51.00
Rate for Payer: Aetna Medicare Advantage	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.35
Rate for Payer: Cigna Commercial	$85.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.10
Rate for Payer: Oxford Commercial	$85.00
Rate for Payer: Qualcare PPO/HMO/WC	$25.50
Rate for Payer: UnitedHealthcare Commercial	$85.00

SHEATH PINNACLE R/O HI/FLO

Facility

$173.25

Hospital Charge Code	270670033
Hospital Revenue Code	278
Min. Negotiated Rate	$25.99
Max. Negotiated Rate	$86.62
Rate for Payer: Aetna Commercial	$51.98
Rate for Payer: Aetna Medicare Advantage	$51.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.18
Rate for Payer: Cigna Commercial	$86.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.93
Rate for Payer: Qualcare PPO/HMO/WC	$25.99

SHEATH PINNACLE R/O HI/FLO

Facility

$173.25

Hospital Charge Code	270670033
Hospital Revenue Code	278
Min. Negotiated Rate	$25.99
Max. Negotiated Rate	$41.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.93
Rate for Payer: Qualcare PPO/HMO/WC	$25.99

SHEATH PINNACLE R/O II 5FR X10

Facility

$150.00

Hospital Charge Code	270666810
Hospital Revenue Code	270
Min. Negotiated Rate	$22.50
Max. Negotiated Rate	$22.50
Rate for Payer: Qualcare PPO/HMO/WC	$22.50

SHEATH PINNACLE R/O II 5FR X10

Facility

$150.00

Hospital Charge Code	270666810
Hospital Revenue Code	270
Min. Negotiated Rate	$19.50
Max. Negotiated Rate	$75.00
Rate for Payer: Aetna Commercial	$45.00
Rate for Payer: Aetna Medicare Advantage	$45.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.25
Rate for Payer: Cigna Commercial	$75.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.50
Rate for Payer: Oxford Commercial	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.50
Rate for Payer: UnitedHealthcare Commercial	$75.00

SHEATH PINNACLE R/O II 5FRX10

Facility

$159.50

Hospital Charge Code	2709003946
Hospital Revenue Code	272
Min. Negotiated Rate	$20.73
Max. Negotiated Rate	$79.75
Rate for Payer: Aetna Commercial	$47.85
Rate for Payer: Aetna Medicare Advantage	$47.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.67
Rate for Payer: Cigna Commercial	$79.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.73
Rate for Payer: Oxford Commercial	$79.75
Rate for Payer: Qualcare PPO/HMO/WC	$23.93
Rate for Payer: UnitedHealthcare Commercial	$79.75

SHEATH PINNACLE R/O II 5FRX10

Facility

$159.50

Hospital Charge Code	2709003946
Hospital Revenue Code	272
Min. Negotiated Rate	$23.93
Max. Negotiated Rate	$23.93
Rate for Payer: Qualcare PPO/HMO/WC	$23.93

SHEATH PINNACLE R/O II 5FRX6

Facility

$148.50

Hospital Charge Code	2709003939
Hospital Revenue Code	272
Min. Negotiated Rate	$22.27
Max. Negotiated Rate	$22.27
Rate for Payer: Qualcare PPO/HMO/WC	$22.27

SHEATH PINNACLE R/O II 5FRX6

Facility

$148.50

Hospital Charge Code	2709003939
Hospital Revenue Code	272
Min. Negotiated Rate	$19.30
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) PPO	$37.87
Rate for Payer: Cigna Commercial	$74.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.30
Rate for Payer: Oxford Commercial	$74.25
Rate for Payer: Qualcare PPO/HMO/WC	$22.27
Rate for Payer: UnitedHealthcare Commercial	$74.25

SHEATH PINNACLE R/O II 6FRX10

Facility

$159.50

Hospital Charge Code	2709003947
Hospital Revenue Code	272
Min. Negotiated Rate	$23.93
Max. Negotiated Rate	$23.93
Rate for Payer: Qualcare PPO/HMO/WC	$23.93

SHEATH PINNACLE R/O II 6FRX10

Facility

$159.50

Hospital Charge Code	2709003947
Hospital Revenue Code	272
Min. Negotiated Rate	$20.73
Max. Negotiated Rate	$79.75
Rate for Payer: Aetna Commercial	$47.85
Rate for Payer: Aetna Medicare Advantage	$47.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.67
Rate for Payer: Cigna Commercial	$79.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.73
Rate for Payer: Oxford Commercial	$79.75
Rate for Payer: Qualcare PPO/HMO/WC	$23.93
Rate for Payer: UnitedHealthcare Commercial	$79.75

SHEATH PINNACLE R/O II 6FRX25

Facility

$195.55

Hospital Charge Code	2709003952
Hospital Revenue Code	272
Min. Negotiated Rate	$25.42
Max. Negotiated Rate	$97.78
Rate for Payer: Aetna Commercial	$58.66
Rate for Payer: Aetna Medicare Advantage	$58.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.87
Rate for Payer: Cigna Commercial	$97.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.42
Rate for Payer: Oxford Commercial	$97.78
Rate for Payer: Qualcare PPO/HMO/WC	$29.33
Rate for Payer: UnitedHealthcare Commercial	$97.78

SHEATH PINNACLE R/O II 6FRX25

Facility

$195.55

Hospital Charge Code	2709003952
Hospital Revenue Code	272
Min. Negotiated Rate	$29.33
Max. Negotiated Rate	$29.33
Rate for Payer: Qualcare PPO/HMO/WC	$29.33

SHEATH PINNACLE R/O II 6FRX6

Facility

$148.50

Hospital Charge Code	2709003941
Hospital Revenue Code	272
Min. Negotiated Rate	$22.27
Max. Negotiated Rate	$22.27
Rate for Payer: Qualcare PPO/HMO/WC	$22.27

SHEATH PINNACLE R/O II 6FRX6

Facility

$148.50

Hospital Charge Code	2709003941
Hospital Revenue Code	272
Min. Negotiated Rate	$19.30
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) PPO	$37.87
Rate for Payer: Cigna Commercial	$74.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.30
Rate for Payer: Oxford Commercial	$74.25
Rate for Payer: Qualcare PPO/HMO/WC	$22.27
Rate for Payer: UnitedHealthcare Commercial	$74.25

SHEATH PINNACLE R/O II 7FRX6

Facility

$148.50

Hospital Charge Code	2709003942
Hospital Revenue Code	272
Min. Negotiated Rate	$19.30
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) PPO	$37.87
Rate for Payer: Cigna Commercial	$74.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.30
Rate for Payer: Oxford Commercial	$74.25
Rate for Payer: Qualcare PPO/HMO/WC	$22.27
Rate for Payer: UnitedHealthcare Commercial	$74.25

SHEATH PINNACLE R/O II 7FRX6

Facility

$148.50

Hospital Charge Code	2709003942
Hospital Revenue Code	272
Min. Negotiated Rate	$22.27
Max. Negotiated Rate	$22.27
Rate for Payer: Qualcare PPO/HMO/WC	$22.27

SHEATH PINNACLE R/O II 8FRX10

Facility

$159.50

Hospital Charge Code	2709003948
Hospital Revenue Code	272
Min. Negotiated Rate	$23.93
Max. Negotiated Rate	$23.93
Rate for Payer: Qualcare PPO/HMO/WC	$23.93

Know your out-of-pocket cost for care.

All Charges