Heights University Hospital

All Charges

Charge

Type

Setting

Price

TORPEDO CURVE HL 4.2 X 19CM

Facility

$505.00

Hospital Charge Code	270687987
Hospital Revenue Code	272
Min. Negotiated Rate	$65.65
Max. Negotiated Rate	$252.50
Rate for Payer: Aetna Commercial	$151.50
Rate for Payer: Aetna Medicare Advantage	$151.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$128.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$128.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$128.78
Rate for Payer: Cigna Commercial	$252.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.65
Rate for Payer: Oxford Commercial	$252.50
Rate for Payer: Qualcare PPO/HMO/WC	$75.75
Rate for Payer: UnitedHealthcare Commercial	$252.50

TORPEDO SHAVER 3.5

Facility

$505.00

Hospital Charge Code	270687616
Hospital Revenue Code	272
Min. Negotiated Rate	$75.75
Max. Negotiated Rate	$75.75
Rate for Payer: Qualcare PPO/HMO/WC	$75.75

TORPEDO SHAVER 3.5

Facility

$505.00

Hospital Charge Code	270687616
Hospital Revenue Code	272
Min. Negotiated Rate	$65.65
Max. Negotiated Rate	$252.50
Rate for Payer: Aetna Commercial	$151.50
Rate for Payer: Aetna Medicare Advantage	$151.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$128.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$128.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$128.78
Rate for Payer: Cigna Commercial	$252.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.65
Rate for Payer: Oxford Commercial	$252.50
Rate for Payer: Qualcare PPO/HMO/WC	$75.75
Rate for Payer: UnitedHealthcare Commercial	$252.50

TORPEDO SHAVER 4.0

Facility

$505.00

Hospital Charge Code	270682019
Hospital Revenue Code	272
Min. Negotiated Rate	$65.65
Max. Negotiated Rate	$252.50
Rate for Payer: Aetna Commercial	$151.50
Rate for Payer: Aetna Medicare Advantage	$151.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$128.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$128.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$128.78
Rate for Payer: Cigna Commercial	$252.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.65
Rate for Payer: Oxford Commercial	$252.50
Rate for Payer: Qualcare PPO/HMO/WC	$75.75
Rate for Payer: UnitedHealthcare Commercial	$252.50

TORPEDO SHAVER 4.0

Facility

$505.00

Hospital Charge Code	270682019
Hospital Revenue Code	272
Min. Negotiated Rate	$75.75
Max. Negotiated Rate	$75.75
Rate for Payer: Qualcare PPO/HMO/WC	$75.75

TORQUE CATHETER 5FR,H1H TIP

Facility

$156.00

Hospital Charge Code	270332315
Hospital Revenue Code	272
Min. Negotiated Rate	$20.28
Max. Negotiated Rate	$78.00
Rate for Payer: Aetna Commercial	$46.80
Rate for Payer: Aetna Medicare Advantage	$46.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.78
Rate for Payer: Cigna Commercial	$78.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.28
Rate for Payer: Oxford Commercial	$78.00
Rate for Payer: Qualcare PPO/HMO/WC	$23.40
Rate for Payer: UnitedHealthcare Commercial	$78.00

TORQUE CATHETER 5FR,H1H TIP

Facility

$156.00

Hospital Charge Code	270332315
Hospital Revenue Code	272
Min. Negotiated Rate	$23.40
Max. Negotiated Rate	$23.40
Rate for Payer: Qualcare PPO/HMO/WC	$23.40

TORQUE DEVICE RADIFOCUS

Facility

$253.25

Service Code	HCPCS C1760
Hospital Charge Code	270623569S
Hospital Revenue Code	278
Min. Negotiated Rate	$37.99
Max. Negotiated Rate	$126.62
Rate for Payer: Aetna Commercial	$75.97
Rate for Payer: Aetna Medicare Advantage	$75.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$64.58
Rate for Payer: Cigna Commercial	$126.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.29
Rate for Payer: Qualcare PPO/HMO/WC	$37.99

TORQUE DEVICE RADIFOCUS

Facility

$195.00

Service Code	HCPCS C1760
Hospital Charge Code	270623569
Hospital Revenue Code	278
Min. Negotiated Rate	$29.25
Max. Negotiated Rate	$47.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.19
Rate for Payer: Qualcare PPO/HMO/WC	$29.25

TORQUE DEVICE RADIFOCUS

Facility

$39.90

Hospital Charge Code	2709002566
Hospital Revenue Code	272
Min. Negotiated Rate	$5.99
Max. Negotiated Rate	$5.99
Rate for Payer: Qualcare PPO/HMO/WC	$5.99

TORQUE DEVICE RADIFOCUS

Facility

$7.98

Service Code	HCPCS C1760
Hospital Charge Code	270623569N
Hospital Revenue Code	278
Min. Negotiated Rate	$1.20
Max. Negotiated Rate	$3.99
Rate for Payer: Aetna Commercial	$2.39
Rate for Payer: Aetna Medicare Advantage	$2.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.03
Rate for Payer: Cigna Commercial	$3.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.93
Rate for Payer: Qualcare PPO/HMO/WC	$1.20

TORQUE DEVICE RADIFOCUS

Facility

$7.98

Service Code	HCPCS C1760
Hospital Charge Code	270623569N
Hospital Revenue Code	278
Min. Negotiated Rate	$1.20
Max. Negotiated Rate	$1.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.93
Rate for Payer: Qualcare PPO/HMO/WC	$1.20

TORQUE DEVICE RADIFOCUS

Facility

$39.90

Hospital Charge Code	2709002566
Hospital Revenue Code	272
Min. Negotiated Rate	$5.19
Max. Negotiated Rate	$19.95
Rate for Payer: Aetna Commercial	$11.97
Rate for Payer: Aetna Medicare Advantage	$11.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.17
Rate for Payer: Cigna Commercial	$19.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.19
Rate for Payer: Oxford Commercial	$19.95
Rate for Payer: Qualcare PPO/HMO/WC	$5.99
Rate for Payer: UnitedHealthcare Commercial	$19.95

TORQUE DEVICE RADIFOCUS

Facility

$195.00

Service Code	HCPCS C1760
Hospital Charge Code	270623569
Hospital Revenue Code	278
Min. Negotiated Rate	$29.25
Max. Negotiated Rate	$97.50
Rate for Payer: Aetna Commercial	$58.50
Rate for Payer: Aetna Medicare Advantage	$58.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.73
Rate for Payer: Cigna Commercial	$97.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.19
Rate for Payer: Qualcare PPO/HMO/WC	$29.25

TORQUE DEVICE RADIFOCUS

Facility

$253.25

Service Code	HCPCS C1760
Hospital Charge Code	270623569S
Hospital Revenue Code	278
Min. Negotiated Rate	$37.99
Max. Negotiated Rate	$61.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.29
Rate for Payer: Qualcare PPO/HMO/WC	$37.99

TORQUE DRIVER LIMITING MSP

Facility

$1,400.00

Hospital Charge Code	270694090
Hospital Revenue Code	270
Min. Negotiated Rate	$210.00
Max. Negotiated Rate	$210.00
Rate for Payer: Qualcare PPO/HMO/WC	$210.00

TORQUE DRIVER LIMITING MSP

Facility

$1,400.00

Hospital Charge Code	270694090
Hospital Revenue Code	270
Min. Negotiated Rate	$182.00
Max. Negotiated Rate	$700.00
Rate for Payer: Aetna Commercial	$420.00
Rate for Payer: Aetna Medicare Advantage	$420.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$357.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$357.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$357.00
Rate for Payer: Cigna Commercial	$700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.00
Rate for Payer: Oxford Commercial	$700.00
Rate for Payer: Qualcare PPO/HMO/WC	$210.00
Rate for Payer: UnitedHealthcare Commercial	$700.00

TORQUE GUIDE WIRE DEVICE

Facility

$18.30

Service Code	HCPCS C1769
Hospital Charge Code	270654971
Hospital Revenue Code	278
Min. Negotiated Rate	$2.75
Max. Negotiated Rate	$9.15
Rate for Payer: Aetna Commercial	$5.49
Rate for Payer: Aetna Medicare Advantage	$5.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.67
Rate for Payer: Cigna Commercial	$9.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.43
Rate for Payer: Qualcare PPO/HMO/WC	$2.75

TORQUE GUIDE WIRE DEVICE

Facility

$22.50

Service Code	HCPCS C1769
Hospital Charge Code	270654971N
Hospital Revenue Code	278
Min. Negotiated Rate	$3.38
Max. Negotiated Rate	$11.25
Rate for Payer: Aetna Commercial	$6.75
Rate for Payer: Aetna Medicare Advantage	$6.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.74
Rate for Payer: Cigna Commercial	$11.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.45
Rate for Payer: Qualcare PPO/HMO/WC	$3.38

TORQUE GUIDE WIRE DEVICE

Facility

$18.30

Service Code	HCPCS C1769
Hospital Charge Code	270654971
Hospital Revenue Code	278
Min. Negotiated Rate	$2.75
Max. Negotiated Rate	$4.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.43
Rate for Payer: Qualcare PPO/HMO/WC	$2.75

TORQUE GUIDE WIRE DEVICE

Facility

$18.30

Service Code	HCPCS C1769
Hospital Charge Code	270654971S
Hospital Revenue Code	278
Min. Negotiated Rate	$2.75
Max. Negotiated Rate	$9.15
Rate for Payer: Aetna Commercial	$5.49
Rate for Payer: Aetna Medicare Advantage	$5.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.67
Rate for Payer: Cigna Commercial	$9.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.43
Rate for Payer: Qualcare PPO/HMO/WC	$2.75

TORQUE GUIDE WIRE DEVICE

Facility

$22.50

Service Code	HCPCS C1769
Hospital Charge Code	270654971N
Hospital Revenue Code	278
Min. Negotiated Rate	$3.38
Max. Negotiated Rate	$5.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.45
Rate for Payer: Qualcare PPO/HMO/WC	$3.38

TORQUE GUIDE WIRE DEVICE

Facility

$18.30

Service Code	HCPCS C1769
Hospital Charge Code	270654971S
Hospital Revenue Code	278
Min. Negotiated Rate	$2.75
Max. Negotiated Rate	$4.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.43
Rate for Payer: Qualcare PPO/HMO/WC	$2.75

TORQUE LIMITING ATTACH 1.5NM

Facility

$8,139.00

Hospital Charge Code	270671056
Hospital Revenue Code	272
Min. Negotiated Rate	$1,058.07
Max. Negotiated Rate	$4,069.50
Rate for Payer: Aetna Commercial	$2,441.70
Rate for Payer: Aetna Medicare Advantage	$2,441.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,075.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,075.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,075.45
Rate for Payer: Cigna Commercial	$4,069.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,058.07
Rate for Payer: Oxford Commercial	$4,069.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,220.85
Rate for Payer: UnitedHealthcare Commercial	$4,069.50

TORQUE LIMITING ATTACH 1.5NM

Facility

$8,139.00

Hospital Charge Code	270671056
Hospital Revenue Code	272
Min. Negotiated Rate	$1,220.85
Max. Negotiated Rate	$1,220.85
Rate for Payer: Qualcare PPO/HMO/WC	$1,220.85

Know your out-of-pocket cost for care.

All Charges