Heights University Hospital

All Charges

Charge

Type

Setting

Price

SHEATH PINNACLE R/O II 8FRX10

Facility

$159.50

Hospital Charge Code	2709003948
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 8FRX6

Facility

$148.50

Hospital Charge Code	2709003943
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 8FRX6

Facility

$148.50

Hospital Charge Code	2709003943
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 9FRX10

Facility

$159.50

Hospital Charge Code	2709003949
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 9FRX10

Facility

$159.50

Hospital Charge Code	2709003949
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 9FRX6

Facility

$148.50

Hospital Charge Code	2709003944
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 9FRX6

Facility

$148.50

Hospital Charge Code	2709003944
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 INTRO

Facility

$121.50

Service Code	HCPCS C1894
Hospital Charge Code	270653781
Hospital Revenue Code	278
Min. Negotiated Rate	$18.23
Max. Negotiated Rate	$60.75
Rate for Payer: Aetna Commercial	$36.45
Rate for Payer: Aetna Medicare Advantage	$36.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.98
Rate for Payer: Cigna Commercial	$60.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.40
Rate for Payer: Qualcare PPO/HMO/WC	$18.23

SHEATH PINNACLE R/O II INTRO

Facility

$121.50

Service Code	HCPCS C1894
Hospital Charge Code	270653781
Hospital Revenue Code	278
Min. Negotiated Rate	$18.23
Max. Negotiated Rate	$29.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.40
Rate for Payer: Qualcare PPO/HMO/WC	$18.23

SHEATH PINNACLE R/O II INTRO 5

Facility

$86.55

Hospital Charge Code	270666811
Hospital Revenue Code	270
Min. Negotiated Rate	$11.25
Max. Negotiated Rate	$43.27
Rate for Payer: Aetna Commercial	$25.96
Rate for Payer: Aetna Medicare Advantage	$25.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.07
Rate for Payer: Cigna Commercial	$43.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.25
Rate for Payer: Oxford Commercial	$43.27
Rate for Payer: Qualcare PPO/HMO/WC	$12.98
Rate for Payer: UnitedHealthcare Commercial	$43.27

SHEATH PINNACLE R/O II INTRO 5

Facility

$86.55

Hospital Charge Code	270666811
Hospital Revenue Code	270
Min. Negotiated Rate	$12.98
Max. Negotiated Rate	$12.98
Rate for Payer: Qualcare PPO/HMO/WC	$12.98

SHEATH PINNACLE R/O II INTROD

Facility

$1,150.00

Hospital Charge Code	270653921N
Hospital Revenue Code	271
Min. Negotiated Rate	$149.50
Max. Negotiated Rate	$575.00
Rate for Payer: Aetna Commercial	$345.00
Rate for Payer: Aetna Medicare Advantage	$345.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$293.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$293.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$293.25
Rate for Payer: Cigna Commercial	$575.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$149.50
Rate for Payer: Oxford Commercial	$575.00
Rate for Payer: Qualcare PPO/HMO/WC	$172.50
Rate for Payer: UnitedHealthcare Commercial	$575.00

SHEATH PINNACLE R/O II INTROD

Facility

$166.00

Hospital Charge Code	270653921S
Hospital Revenue Code	271
Min. Negotiated Rate	$21.58
Max. Negotiated Rate	$83.00
Rate for Payer: Aetna Commercial	$49.80
Rate for Payer: Aetna Medicare Advantage	$49.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.33
Rate for Payer: Cigna Commercial	$83.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.58
Rate for Payer: Oxford Commercial	$83.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.90
Rate for Payer: UnitedHealthcare Commercial	$83.00

SHEATH PINNACLE R/O II INTROD

Facility

$1,150.00

Hospital Charge Code	270653921N
Hospital Revenue Code	271
Min. Negotiated Rate	$172.50
Max. Negotiated Rate	$172.50
Rate for Payer: Qualcare PPO/HMO/WC	$172.50

SHEATH PINNACLE R/O II INTROD

Facility

$166.00

Hospital Charge Code	270653921
Hospital Revenue Code	271
Min. Negotiated Rate	$24.90
Max. Negotiated Rate	$24.90
Rate for Payer: Qualcare PPO/HMO/WC	$24.90

SHEATH PINNACLE R/O II INTROD

Facility

$166.00

Hospital Charge Code	270653921S
Hospital Revenue Code	271
Min. Negotiated Rate	$24.90
Max. Negotiated Rate	$24.90
Rate for Payer: Qualcare PPO/HMO/WC	$24.90

SHEATH PINNACLE R/O II INTROD

Facility

$166.00

Hospital Charge Code	270653921
Hospital Revenue Code	271
Min. Negotiated Rate	$21.58
Max. Negotiated Rate	$83.00
Rate for Payer: Aetna Commercial	$49.80
Rate for Payer: Aetna Medicare Advantage	$49.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.33
Rate for Payer: Cigna Commercial	$83.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.58
Rate for Payer: Oxford Commercial	$83.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.90
Rate for Payer: UnitedHealthcare Commercial	$83.00

SHEATH PINNACLE R/O II INTRODU

Facility

$159.50

Hospital Charge Code	2709002584
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 INTRODU

Facility

$159.50

Hospital Charge Code	2709002584
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 RO intro 8fx10

Facility

$31.90

Hospital Charge Code	270658251
Hospital Revenue Code	278
Min. Negotiated Rate	$4.79
Max. Negotiated Rate	$7.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.72
Rate for Payer: Qualcare PPO/HMO/WC	$4.79

Sheath Pinnacle RO intro 8fx10

Facility

$31.90

Hospital Charge Code	270658251
Hospital Revenue Code	278
Min. Negotiated Rate	$4.79
Max. Negotiated Rate	$15.95
Rate for Payer: Aetna Commercial	$9.57
Rate for Payer: Aetna Medicare Advantage	$9.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.13
Rate for Payer: Cigna Commercial	$15.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.72
Rate for Payer: Qualcare PPO/HMO/WC	$4.79

Sheath Pinnacle RO intro 9fx10

Facility

$31.90

Hospital Charge Code	270658245
Hospital Revenue Code	278
Min. Negotiated Rate	$4.79
Max. Negotiated Rate	$15.95
Rate for Payer: Aetna Commercial	$9.57
Rate for Payer: Aetna Medicare Advantage	$9.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.13
Rate for Payer: Cigna Commercial	$15.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.72
Rate for Payer: Qualcare PPO/HMO/WC	$4.79

Sheath Pinnacle RO intro 9fx10

Facility

$31.90

Hospital Charge Code	270658245
Hospital Revenue Code	278
Min. Negotiated Rate	$4.79
Max. Negotiated Rate	$7.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.72
Rate for Payer: Qualcare PPO/HMO/WC	$4.79

SHEATH PINNACLE SUPR 10FR 11cm

Facility

$48.76

Service Code	HCPCS C1894
Hospital Charge Code	270628419
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 SUPR 10FR 11cm

Facility

$48.76

Service Code	HCPCS C1894
Hospital Charge Code	270628419
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

Know your out-of-pocket cost for care.

All Charges