Heights University Hospital

All Charges

Charge

Type

Setting

Price

CATH BALLN DIAMD 7x4x75c 16483

Facility

$1,080.50

Hospital Charge Code	270618564V
Hospital Revenue Code	278
Min. Negotiated Rate	$162.07
Max. Negotiated Rate	$540.25
Rate for Payer: Aetna Commercial	$324.15
Rate for Payer: Aetna Medicare Advantage	$324.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$275.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$275.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$216.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$275.53
Rate for Payer: Cigna Commercial	$540.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$261.48
Rate for Payer: Qualcare PPO/HMO/WC	$162.07

CATH BALLN DIAMD 7x4x75c 16483

Facility

$1,080.50

Hospital Charge Code	270618564V
Hospital Revenue Code	278
Min. Negotiated Rate	$162.07
Max. Negotiated Rate	$261.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$216.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$261.48
Rate for Payer: Qualcare PPO/HMO/WC	$162.07

CATH BALLN SL 6x4x80 4386040SP

Facility

$1,884.85

Hospital Charge Code	270632137V
Hospital Revenue Code	278
Min. Negotiated Rate	$282.73
Max. Negotiated Rate	$456.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$376.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$456.13
Rate for Payer: Qualcare PPO/HMO/WC	$282.73

CATH BALLN SL 6x4x80 4386040SP

Facility

$1,884.85

Hospital Charge Code	270632137V
Hospital Revenue Code	278
Min. Negotiated Rate	$282.73
Max. Negotiated Rate	$942.42
Rate for Payer: Aetna Commercial	$565.46
Rate for Payer: Aetna Medicare Advantage	$565.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$480.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$480.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$376.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$480.64
Rate for Payer: Cigna Commercial	$942.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$456.13
Rate for Payer: Qualcare PPO/HMO/WC	$282.73

CATH BALLN SL 6x4x80 4386040SP

Facility

$1,884.85

Hospital Charge Code	270632137
Hospital Revenue Code	278
Min. Negotiated Rate	$282.73
Max. Negotiated Rate	$942.42
Rate for Payer: Aetna Commercial	$565.46
Rate for Payer: Aetna Medicare Advantage	$565.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$480.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$480.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$376.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$480.64
Rate for Payer: Cigna Commercial	$942.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$456.13
Rate for Payer: Qualcare PPO/HMO/WC	$282.73

CATH BALLN SL 6x4x80 4386040SP

Facility

$1,884.85

Hospital Charge Code	270632137
Hospital Revenue Code	278
Min. Negotiated Rate	$282.73
Max. Negotiated Rate	$456.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$376.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$456.13
Rate for Payer: Qualcare PPO/HMO/WC	$282.73

CATH BALLN SLALOM 438-8020

Facility

$1,993.65

Hospital Charge Code	270624009
Hospital Revenue Code	272
Min. Negotiated Rate	$259.17
Max. Negotiated Rate	$996.83
Rate for Payer: Aetna Commercial	$598.10
Rate for Payer: Aetna Medicare Advantage	$598.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$508.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$508.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$508.38
Rate for Payer: Cigna Commercial	$996.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.17
Rate for Payer: Oxford Commercial	$996.83
Rate for Payer: Qualcare PPO/HMO/WC	$299.05
Rate for Payer: UnitedHealthcare Commercial	$996.83

CATH BALLN SLALOM 438-8020

Facility

$1,993.65

Hospital Charge Code	270624009
Hospital Revenue Code	272
Min. Negotiated Rate	$299.05
Max. Negotiated Rate	$299.05
Rate for Payer: Qualcare PPO/HMO/WC	$299.05

CATH BALLN SLALOM 6x2 4386020S

Facility

$1,900.00

Hospital Charge Code	270630050V
Hospital Revenue Code	278
Min. Negotiated Rate	$285.00
Max. Negotiated Rate	$459.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$380.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.80
Rate for Payer: Qualcare PPO/HMO/WC	$285.00

CATH BALLN SLALOM 6x2 4386020S

Facility

$1,884.85

Hospital Charge Code	270630050
Hospital Revenue Code	278
Min. Negotiated Rate	$282.73
Max. Negotiated Rate	$942.42
Rate for Payer: Aetna Commercial	$565.46
Rate for Payer: Aetna Medicare Advantage	$565.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$480.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$480.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$376.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$480.64
Rate for Payer: Cigna Commercial	$942.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$456.13
Rate for Payer: Qualcare PPO/HMO/WC	$282.73

CATH BALLN SLALOM 6x2 4386020S

Facility

$1,884.85

Hospital Charge Code	270630050
Hospital Revenue Code	278
Min. Negotiated Rate	$282.73
Max. Negotiated Rate	$456.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$376.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$456.13
Rate for Payer: Qualcare PPO/HMO/WC	$282.73

CATH BALLN SLALOM 6x2 4386020S

Facility

$1,900.00

Hospital Charge Code	270630050V
Hospital Revenue Code	278
Min. Negotiated Rate	$285.00
Max. Negotiated Rate	$950.00
Rate for Payer: Aetna Commercial	$570.00
Rate for Payer: Aetna Medicare Advantage	$570.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$484.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$484.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$380.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$484.50
Rate for Payer: Cigna Commercial	$950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.80
Rate for Payer: Qualcare PPO/HMO/WC	$285.00

CATH BALLN VIVA 4.0x40 1333140

Facility

$1,860.00

Hospital Charge Code	270633627
Hospital Revenue Code	278
Min. Negotiated Rate	$279.00
Max. Negotiated Rate	$450.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$372.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$450.12
Rate for Payer: Qualcare PPO/HMO/WC	$279.00

CATH BALLN VIVA 4.0x40 1333140

Facility

$1,875.00

Hospital Charge Code	270633627V
Hospital Revenue Code	278
Min. Negotiated Rate	$281.25
Max. Negotiated Rate	$453.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$453.75
Rate for Payer: Qualcare PPO/HMO/WC	$281.25

CATH BALLN VIVA 4.0x40 1333140

Facility

$1,875.00

Hospital Charge Code	270633627V
Hospital Revenue Code	278
Min. Negotiated Rate	$281.25
Max. Negotiated Rate	$937.50
Rate for Payer: Aetna Commercial	$562.50
Rate for Payer: Aetna Medicare Advantage	$562.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$478.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$478.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$478.12
Rate for Payer: Cigna Commercial	$937.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$453.75
Rate for Payer: Qualcare PPO/HMO/WC	$281.25

CATH BALLN VIVA 4.0x40 1333140

Facility

$1,860.00

Hospital Charge Code	270633627
Hospital Revenue Code	278
Min. Negotiated Rate	$279.00
Max. Negotiated Rate	$930.00
Rate for Payer: Aetna Commercial	$558.00
Rate for Payer: Aetna Medicare Advantage	$558.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$474.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$474.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$372.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$474.30
Rate for Payer: Cigna Commercial	$930.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$450.12
Rate for Payer: Qualcare PPO/HMO/WC	$279.00

CATHBALLONADMI.XTREME 8/20/130

Facility

$1,000.00

Hospital Charge Code	2709003830
Hospital Revenue Code	272
Min. Negotiated Rate	$130.00
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$300.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.00
Rate for Payer: Oxford Commercial	$500.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00
Rate for Payer: UnitedHealthcare Commercial	$500.00

CATHBALLONADMI.XTREME 8/20/130

Facility

$1,000.00

Hospital Charge Code	2709003830
Hospital Revenue Code	272
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

CATHBALLONADMI.XTREME 8/40/130

Facility

$1,000.00

Hospital Charge Code	2709003832
Hospital Revenue Code	272
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

CATHBALLONADMI.XTREME 8/40/130

Facility

$1,000.00

Hospital Charge Code	2709003832
Hospital Revenue Code	272
Min. Negotiated Rate	$130.00
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$300.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.00
Rate for Payer: Oxford Commercial	$500.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00
Rate for Payer: UnitedHealthcare Commercial	$500.00

CATHBALLONADMI.XTREME 8/60/130

Facility

$1,000.00

Hospital Charge Code	2709003834
Hospital Revenue Code	272
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

CATHBALLONADMI.XTREME 8/60/130

Facility

$1,000.00

Hospital Charge Code	2709003834
Hospital Revenue Code	272
Min. Negotiated Rate	$130.00
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$300.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.00
Rate for Payer: Oxford Commercial	$500.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00
Rate for Payer: UnitedHealthcare Commercial	$500.00

CATHBALLONADMI.XTREME 9/20/130

Facility

$1,000.00

Hospital Charge Code	209003837
Hospital Revenue Code	272
Min. Negotiated Rate	$130.00
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$300.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.00
Rate for Payer: Oxford Commercial	$500.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00
Rate for Payer: UnitedHealthcare Commercial	$500.00

CATHBALLONADMI.XTREME 9/20/130

Facility

$1,000.00

Hospital Charge Code	209003837
Hospital Revenue Code	272
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

CATHBALLONADMI.XTREME 9/40/130

Facility

$1,000.00

Hospital Charge Code	5709003838
Hospital Revenue Code	272
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

Know your out-of-pocket cost for care.

All Charges