Heights University Hospital

All Charges

Charge

Type

Setting

Price

SNARE ATRIEVE 18-30MM 7FR CATH

Facility

$1,375.00

Hospital Charge Code	270678019
Hospital Revenue Code	272
Min. Negotiated Rate	$178.75
Max. Negotiated Rate	$687.50
Rate for Payer: Aetna Commercial	$412.50
Rate for Payer: Aetna Medicare Advantage	$412.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$350.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$350.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$350.62
Rate for Payer: Cigna Commercial	$687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$178.75
Rate for Payer: Oxford Commercial	$687.50
Rate for Payer: Qualcare PPO/HMO/WC	$206.25
Rate for Payer: UnitedHealthcare Commercial	$687.50

SNARE ATRIEVE 18-30MM 7FR CATH

Facility

$1,375.00

Hospital Charge Code	270678019
Hospital Revenue Code	272
Min. Negotiated Rate	$206.25
Max. Negotiated Rate	$206.25
Rate for Payer: Qualcare PPO/HMO/WC	$206.25

SNARE ATRIEVE 27-45MM 7FR CATH

Facility

$1,425.00

Hospital Charge Code	270678020
Hospital Revenue Code	272
Min. Negotiated Rate	$213.75
Max. Negotiated Rate	$213.75
Rate for Payer: Qualcare PPO/HMO/WC	$213.75

SNARE ATRIEVE 27-45MM 7FR CATH

Facility

$1,425.00

Hospital Charge Code	270678020
Hospital Revenue Code	272
Min. Negotiated Rate	$185.25
Max. Negotiated Rate	$712.50
Rate for Payer: Aetna Commercial	$427.50
Rate for Payer: Aetna Medicare Advantage	$427.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$363.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$363.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$363.38
Rate for Payer: Cigna Commercial	$712.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$185.25
Rate for Payer: Oxford Commercial	$712.50
Rate for Payer: Qualcare PPO/HMO/WC	$213.75
Rate for Payer: UnitedHealthcare Commercial	$712.50

SNARE ATRIEVE 4-8MM 3.2FR CATH

Facility

$2,875.00

Hospital Charge Code	270678017
Hospital Revenue Code	272
Min. Negotiated Rate	$373.75
Max. Negotiated Rate	$1,437.50
Rate for Payer: Aetna Commercial	$862.50
Rate for Payer: Aetna Medicare Advantage	$862.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$733.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$733.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$733.12
Rate for Payer: Cigna Commercial	$1,437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$373.75
Rate for Payer: Oxford Commercial	$1,437.50
Rate for Payer: Qualcare PPO/HMO/WC	$431.25
Rate for Payer: UnitedHealthcare Commercial	$1,437.50

SNARE ATRIEVE 4-8MM 3.2FR CATH

Facility

$2,875.00

Hospital Charge Code	270678017
Hospital Revenue Code	272
Min. Negotiated Rate	$431.25
Max. Negotiated Rate	$431.25
Rate for Payer: Qualcare PPO/HMO/WC	$431.25

SNARE CAPTIVATOR 25MM RD 2.8CM

Facility

$75.80

Hospital Charge Code	270679272
Hospital Revenue Code	272
Min. Negotiated Rate	$9.85
Max. Negotiated Rate	$37.90
Rate for Payer: Aetna Commercial	$22.74
Rate for Payer: Aetna Medicare Advantage	$22.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.33
Rate for Payer: Cigna Commercial	$37.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.85
Rate for Payer: Oxford Commercial	$37.90
Rate for Payer: Qualcare PPO/HMO/WC	$11.37
Rate for Payer: UnitedHealthcare Commercial	$37.90

SNARE CAPTIVATOR 25MM RD 2.8CM

Facility

$75.80

Hospital Charge Code	270679272
Hospital Revenue Code	272
Min. Negotiated Rate	$11.37
Max. Negotiated Rate	$11.37
Rate for Payer: Qualcare PPO/HMO/WC	$11.37

SNARE CFLEX MIC OVL OLY 624240

Facility

$43.43

Hospital Charge Code	270643592
Hospital Revenue Code	272
Min. Negotiated Rate	$5.65
Max. Negotiated Rate	$21.71
Rate for Payer: Aetna Commercial	$13.03
Rate for Payer: Aetna Medicare Advantage	$13.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.07
Rate for Payer: Cigna Commercial	$21.71
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.65
Rate for Payer: Oxford Commercial	$21.71
Rate for Payer: Qualcare PPO/HMO/WC	$6.51
Rate for Payer: UnitedHealthcare Commercial	$21.71

SNARE CFLEX MIC OVL OLY 624240

Facility

$43.43

Hospital Charge Code	270643592
Hospital Revenue Code	272
Min. Negotiated Rate	$6.51
Max. Negotiated Rate	$6.51
Rate for Payer: Qualcare PPO/HMO/WC	$6.51

SNARE CFLX STD OVAL OLY 624040

Facility

$43.32

Hospital Charge Code	270643591
Hospital Revenue Code	272
Min. Negotiated Rate	$5.63
Max. Negotiated Rate	$21.66
Rate for Payer: Aetna Commercial	$13.00
Rate for Payer: Aetna Medicare Advantage	$13.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.05
Rate for Payer: Cigna Commercial	$21.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.63
Rate for Payer: Oxford Commercial	$21.66
Rate for Payer: Qualcare PPO/HMO/WC	$6.50
Rate for Payer: UnitedHealthcare Commercial	$21.66

SNARE CFLX STD OVAL OLY 624040

Facility

$43.32

Hospital Charge Code	270643591
Hospital Revenue Code	272
Min. Negotiated Rate	$6.50
Max. Negotiated Rate	$6.50
Rate for Payer: Qualcare PPO/HMO/WC	$6.50

SNARE COLD CAPTIVATOR

Facility

$85.00

Hospital Charge Code	270687105
Hospital Revenue Code	272
Min. Negotiated Rate	$11.05
Max. Negotiated Rate	$42.50
Rate for Payer: Aetna Commercial	$25.50
Rate for Payer: Aetna Medicare Advantage	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.68
Rate for Payer: Cigna Commercial	$42.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.05
Rate for Payer: Oxford Commercial	$42.50
Rate for Payer: Qualcare PPO/HMO/WC	$12.75
Rate for Payer: UnitedHealthcare Commercial	$42.50

SNARE COLD CAPTIVATOR

Facility

$85.00

Hospital Charge Code	270687105
Hospital Revenue Code	272
Min. Negotiated Rate	$12.75
Max. Negotiated Rate	$12.75
Rate for Payer: Qualcare PPO/HMO/WC	$12.75

SNARE DISPOSABLE ELECT SURG

Facility

$44.00

Hospital Charge Code	270334802
Hospital Revenue Code	272
Min. Negotiated Rate	$6.60
Max. Negotiated Rate	$6.60
Rate for Payer: Qualcare PPO/HMO/WC	$6.60

SNARE DISPOSABLE ELECT SURG

Facility

$44.00

Hospital Charge Code	270334802
Hospital Revenue Code	272
Min. Negotiated Rate	$5.72
Max. Negotiated Rate	$22.00
Rate for Payer: Aetna Commercial	$13.20
Rate for Payer: Aetna Medicare Advantage	$13.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.22
Rate for Payer: Cigna Commercial	$22.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.72
Rate for Payer: Oxford Commercial	$22.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.60
Rate for Payer: UnitedHealthcare Commercial	$22.00

SNARE ELECTROSURG 2.0mm

Facility

$1,981.80

Hospital Charge Code	270678681
Hospital Revenue Code	272
Min. Negotiated Rate	$257.63
Max. Negotiated Rate	$990.90
Rate for Payer: Aetna Commercial	$594.54
Rate for Payer: Aetna Medicare Advantage	$594.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$505.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$505.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$505.36
Rate for Payer: Cigna Commercial	$990.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$257.63
Rate for Payer: Oxford Commercial	$990.90
Rate for Payer: Qualcare PPO/HMO/WC	$297.27
Rate for Payer: UnitedHealthcare Commercial	$990.90

SNARE ELECTROSURG 2.0mm

Facility

$1,981.80

Hospital Charge Code	270678681
Hospital Revenue Code	272
Min. Negotiated Rate	$297.27
Max. Negotiated Rate	$297.27
Rate for Payer: Qualcare PPO/HMO/WC	$297.27

SNARE EN SYSTEM 6FR 6-10MM

Facility

$1,750.00

Hospital Charge Code	270658276N
Hospital Revenue Code	272
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$262.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

SNARE EN SYSTEM 6FR 6-10MM

Facility

$1,750.00

Hospital Charge Code	270658276N
Hospital Revenue Code	272
Min. Negotiated Rate	$227.50
Max. Negotiated Rate	$875.00
Rate for Payer: Aetna Commercial	$525.00
Rate for Payer: Aetna Medicare Advantage	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.25
Rate for Payer: Cigna Commercial	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$227.50
Rate for Payer: Oxford Commercial	$875.00
Rate for Payer: Qualcare PPO/HMO/WC	$262.50
Rate for Payer: UnitedHealthcare Commercial	$875.00

SNARE EN SYSTEM 6FR 6-10MM

Facility

$1,648.00

Hospital Charge Code	270658276
Hospital Revenue Code	272
Min. Negotiated Rate	$214.24
Max. Negotiated Rate	$824.00
Rate for Payer: Aetna Commercial	$494.40
Rate for Payer: Aetna Medicare Advantage	$494.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$420.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$420.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$420.24
Rate for Payer: Cigna Commercial	$824.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.24
Rate for Payer: Oxford Commercial	$824.00
Rate for Payer: Qualcare PPO/HMO/WC	$247.20
Rate for Payer: UnitedHealthcare Commercial	$824.00

SNARE EN SYSTEM 6FR 6-10MM

Facility

$1,648.00

Hospital Charge Code	270658276
Hospital Revenue Code	272
Min. Negotiated Rate	$247.20
Max. Negotiated Rate	$247.20
Rate for Payer: Qualcare PPO/HMO/WC	$247.20

SNARE EN SYSTEM 6FR 9-15MM

Facility

$1,648.00

Hospital Charge Code	270658292
Hospital Revenue Code	272
Min. Negotiated Rate	$214.24
Max. Negotiated Rate	$824.00
Rate for Payer: Aetna Commercial	$494.40
Rate for Payer: Aetna Medicare Advantage	$494.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$420.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$420.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$420.24
Rate for Payer: Cigna Commercial	$824.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.24
Rate for Payer: Oxford Commercial	$824.00
Rate for Payer: Qualcare PPO/HMO/WC	$247.20
Rate for Payer: UnitedHealthcare Commercial	$824.00

SNARE EN SYSTEM 6FR 9-15MM

Facility

$1,750.00

Hospital Charge Code	270658292N
Hospital Revenue Code	272
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$262.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

SNARE EN SYSTEM 6FR 9-15MM

Facility

$1,648.00

Hospital Charge Code	270658292
Hospital Revenue Code	272
Min. Negotiated Rate	$247.20
Max. Negotiated Rate	$247.20
Rate for Payer: Qualcare PPO/HMO/WC	$247.20

Know your out-of-pocket cost for care.

All Charges