Heights University Hospital

All Charges

Charge

Type

Setting

Price

WIRE MCV GUIDE .028 620106

Facility

$136.85

Hospital Charge Code	270601270
Hospital Revenue Code	278
Min. Negotiated Rate	$20.53
Max. Negotiated Rate	$68.42
Rate for Payer: Aetna Commercial	$41.05
Rate for Payer: Aetna Medicare Advantage	$41.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.90
Rate for Payer: Cigna Commercial	$68.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.12
Rate for Payer: Qualcare PPO/HMO/WC	$20.53

WIRE MCV GUIDE .028 620106

Facility

$136.85

Hospital Charge Code	270601270
Hospital Revenue Code	278
Min. Negotiated Rate	$20.53
Max. Negotiated Rate	$33.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.12
Rate for Payer: Qualcare PPO/HMO/WC	$20.53

WIRE MCV GUIDE .035 620120

Facility

$100.85

Hospital Charge Code	270614930
Hospital Revenue Code	278
Min. Negotiated Rate	$15.13
Max. Negotiated Rate	$50.42
Rate for Payer: Aetna Commercial	$30.25
Rate for Payer: Aetna Medicare Advantage	$30.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.72
Rate for Payer: Cigna Commercial	$50.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.41
Rate for Payer: Qualcare PPO/HMO/WC	$15.13

WIRE MCV GUIDE .035 620120

Facility

$100.85

Hospital Charge Code	270614930
Hospital Revenue Code	278
Min. Negotiated Rate	$15.13
Max. Negotiated Rate	$24.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.41
Rate for Payer: Qualcare PPO/HMO/WC	$15.13

WIRE MCV GUIDE FXTIP .038 5170

Facility

$494.45

Hospital Charge Code	270600934
Hospital Revenue Code	278
Min. Negotiated Rate	$74.17
Max. Negotiated Rate	$247.22
Rate for Payer: Aetna Commercial	$148.34
Rate for Payer: Aetna Medicare Advantage	$148.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$98.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.08
Rate for Payer: Cigna Commercial	$247.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.66
Rate for Payer: Qualcare PPO/HMO/WC	$74.17

WIRE MCV GUIDE FXTIP .038 5170

Facility

$494.45

Hospital Charge Code	270600934
Hospital Revenue Code	278
Min. Negotiated Rate	$74.17
Max. Negotiated Rate	$119.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$98.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.66
Rate for Payer: Qualcare PPO/HMO/WC	$74.17

WIRE MCV GUIDE JAG .025 5656

Facility

$657.50

Service Code	HCPCS C1769
Hospital Charge Code	270608080
Hospital Revenue Code	278
Min. Negotiated Rate	$98.62
Max. Negotiated Rate	$328.75
Rate for Payer: Aetna Commercial	$197.25
Rate for Payer: Aetna Medicare Advantage	$197.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$167.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$167.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$131.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$167.66
Rate for Payer: Cigna Commercial	$328.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.12
Rate for Payer: Qualcare PPO/HMO/WC	$98.62

WIRE MCV GUIDE JAG .025 5656

Facility

$657.50

Service Code	HCPCS C1769
Hospital Charge Code	270608080
Hospital Revenue Code	278
Min. Negotiated Rate	$98.62
Max. Negotiated Rate	$159.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$131.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.12
Rate for Payer: Qualcare PPO/HMO/WC	$98.62

WIRE MCV GUIDE MVI 5009

Facility

$1,208.85

Hospital Charge Code	270611112
Hospital Revenue Code	278
Min. Negotiated Rate	$181.33
Max. Negotiated Rate	$292.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$241.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$292.54
Rate for Payer: Qualcare PPO/HMO/WC	$181.33

WIRE MCV GUIDE MVI 5009

Facility

$1,208.85

Hospital Charge Code	270611112
Hospital Revenue Code	278
Min. Negotiated Rate	$181.33
Max. Negotiated Rate	$604.42
Rate for Payer: Aetna Commercial	$362.65
Rate for Payer: Aetna Medicare Advantage	$362.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$308.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$308.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$241.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$308.26
Rate for Payer: Cigna Commercial	$604.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$292.54
Rate for Payer: Qualcare PPO/HMO/WC	$181.33

WIRE MCV GUIDE TFL .025 620107

Facility

$124.85

Hospital Charge Code	270601264
Hospital Revenue Code	278
Min. Negotiated Rate	$18.73
Max. Negotiated Rate	$62.42
Rate for Payer: Aetna Commercial	$37.45
Rate for Payer: Aetna Medicare Advantage	$37.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.84
Rate for Payer: Cigna Commercial	$62.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.21
Rate for Payer: Qualcare PPO/HMO/WC	$18.73

WIRE MCV GUIDE TFL .025 620107

Facility

$124.85

Hospital Charge Code	270601264
Hospital Revenue Code	278
Min. Negotiated Rate	$18.73
Max. Negotiated Rate	$30.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.21
Rate for Payer: Qualcare PPO/HMO/WC	$18.73

WIRE MCV GUIDE TFL .038 620100

Facility

$65.00

Hospital Charge Code	270601257
Hospital Revenue Code	272
Min. Negotiated Rate	$8.45
Max. Negotiated Rate	$32.50
Rate for Payer: Aetna Commercial	$19.50
Rate for Payer: Aetna Medicare Advantage	$19.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.57
Rate for Payer: Cigna Commercial	$32.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.45
Rate for Payer: Oxford Commercial	$32.50
Rate for Payer: Qualcare PPO/HMO/WC	$9.75
Rate for Payer: UnitedHealthcare Commercial	$32.50

WIRE MCV GUIDE TFL .038 620100

Facility

$65.00

Hospital Charge Code	270601257
Hospital Revenue Code	272
Min. Negotiated Rate	$9.75
Max. Negotiated Rate	$9.75
Rate for Payer: Qualcare PPO/HMO/WC	$9.75

WIRE MCV ZEBRA 450CM 5156

Facility

$1,021.65

Hospital Charge Code	270604740
Hospital Revenue Code	278
Min. Negotiated Rate	$153.25
Max. Negotiated Rate	$247.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$204.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.24
Rate for Payer: Qualcare PPO/HMO/WC	$153.25

WIRE MCV ZEBRA 450CM 5156

Facility

$1,021.65

Hospital Charge Code	270604740
Hospital Revenue Code	278
Min. Negotiated Rate	$153.25
Max. Negotiated Rate	$510.82
Rate for Payer: Aetna Commercial	$306.50
Rate for Payer: Aetna Medicare Advantage	$306.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$260.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$260.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$204.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$260.52
Rate for Payer: Cigna Commercial	$510.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.24
Rate for Payer: Qualcare PPO/HMO/WC	$153.25

WIRE MCV ZEBRA 450CM 5157

Facility

$1,021.65

Hospital Charge Code	270604745
Hospital Revenue Code	278
Min. Negotiated Rate	$153.25
Max. Negotiated Rate	$510.82
Rate for Payer: Aetna Commercial	$306.50
Rate for Payer: Aetna Medicare Advantage	$306.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$260.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$260.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$204.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$260.52
Rate for Payer: Cigna Commercial	$510.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.24
Rate for Payer: Qualcare PPO/HMO/WC	$153.25

WIRE MCV ZEBRA 450CM 5157

Facility

$1,021.65

Hospital Charge Code	270604745
Hospital Revenue Code	278
Min. Negotiated Rate	$153.25
Max. Negotiated Rate	$247.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$204.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.24
Rate for Payer: Qualcare PPO/HMO/WC	$153.25

WIRE MCV ZEBRA 450CM 5168

Facility

$500.00

Service Code	HCPCS C1769
Hospital Charge Code	270604746
Hospital Revenue Code	278
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$150.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

WIRE MCV ZEBRA 450CM 5168

Facility

$500.00

Service Code	HCPCS C1769
Hospital Charge Code	270604746
Hospital Revenue Code	278
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$121.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

WIRE MCV ZEBRA 450CM 5169

Facility

$1,021.65

Hospital Charge Code	270604747
Hospital Revenue Code	278
Min. Negotiated Rate	$153.25
Max. Negotiated Rate	$247.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$204.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.24
Rate for Payer: Qualcare PPO/HMO/WC	$153.25

WIRE MCV ZEBRA 450CM 5169

Facility

$1,021.65

Hospital Charge Code	270604747
Hospital Revenue Code	278
Min. Negotiated Rate	$153.25
Max. Negotiated Rate	$510.82
Rate for Payer: Aetna Commercial	$306.50
Rate for Payer: Aetna Medicare Advantage	$306.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$260.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$260.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$204.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$260.52
Rate for Payer: Cigna Commercial	$510.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.24
Rate for Payer: Qualcare PPO/HMO/WC	$153.25

WIRE NCT GUIDE ENDBRONC 083029

Facility

$53.80

Hospital Charge Code	270600831
Hospital Revenue Code	270
Min. Negotiated Rate	$8.07
Max. Negotiated Rate	$8.07
Rate for Payer: Qualcare PPO/HMO/WC	$8.07

WIRE NCT GUIDE ENDBRONC 083029

Facility

$53.80

Hospital Charge Code	270600831
Hospital Revenue Code	270
Min. Negotiated Rate	$6.99
Max. Negotiated Rate	$26.90
Rate for Payer: Aetna Commercial	$16.14
Rate for Payer: Aetna Medicare Advantage	$16.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.72
Rate for Payer: Cigna Commercial	$26.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.99
Rate for Payer: Oxford Commercial	$26.90
Rate for Payer: Qualcare PPO/HMO/WC	$8.07
Rate for Payer: UnitedHealthcare Commercial	$26.90

WIRE NITIROL 1.0mm 234-030-027

Facility

$128.85

Hospital Charge Code	270626965
Hospital Revenue Code	278
Min. Negotiated Rate	$19.33
Max. Negotiated Rate	$31.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.18
Rate for Payer: Qualcare PPO/HMO/WC	$19.33

Know your out-of-pocket cost for care.

All Charges