Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

INTRODUCER ACCUSTICK J-TIP.038

Facility

OP

$475.00

Service Code	HCPCS C1894
Hospital Charge Code	270601332
Hospital Revenue Code	278
Min. Negotiated Rate	$13.49
Max. Negotiated Rate	$237.50
Rate for Payer: Aetna Commercial	$180.50
Rate for Payer: Aetna Medicare Advantage	$142.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$121.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$121.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$95.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$121.12
Rate for Payer: Cigna Commercial	$237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.95
Rate for Payer: Qualcare PPO/HMO/WC	$71.25
Rate for Payer: UnitedHealthcare Community & State	$15.01
Rate for Payer: Wellpoint Medicaid Managed Care	$13.49

INTRODUCER ACCUSTICK J-TIP.038

Facility

IP

$466.25

Service Code	HCPCS C1894
Hospital Charge Code	270601332N
Hospital Revenue Code	278
Min. Negotiated Rate	$69.94
Max. Negotiated Rate	$112.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$93.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$112.83
Rate for Payer: Qualcare PPO/HMO/WC	$69.94

INTRODUCER ACCUSTICK J-TIP.038

Facility

OP

$418.50

Service Code	HCPCS C1894
Hospital Charge Code	270601332S
Hospital Revenue Code	278
Min. Negotiated Rate	$11.89
Max. Negotiated Rate	$209.25
Rate for Payer: Aetna Commercial	$159.03
Rate for Payer: Aetna Medicare Advantage	$125.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$106.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$106.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$83.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$106.72
Rate for Payer: Cigna Commercial	$209.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.28
Rate for Payer: Qualcare PPO/HMO/WC	$62.77
Rate for Payer: UnitedHealthcare Community & State	$13.22
Rate for Payer: Wellpoint Medicaid Managed Care	$11.89

INTRODUCER ACCUSTICK J-TIP.038

Facility

IP

$418.50

Service Code	HCPCS C1894
Hospital Charge Code	270601332S
Hospital Revenue Code	278
Min. Negotiated Rate	$62.77
Max. Negotiated Rate	$101.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$83.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.28
Rate for Payer: Qualcare PPO/HMO/WC	$62.77

INTRODUCER ACCUSTICK J-TIP.038

Facility

IP

$475.00

Service Code	HCPCS C1894
Hospital Charge Code	270601332
Hospital Revenue Code	278
Min. Negotiated Rate	$71.25
Max. Negotiated Rate	$114.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$95.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.95
Rate for Payer: Qualcare PPO/HMO/WC	$71.25

INTRODUCER ACCUSTICK J-TIP.038

Facility

OP

$466.25

Service Code	HCPCS C1894
Hospital Charge Code	270601332N
Hospital Revenue Code	278
Min. Negotiated Rate	$13.24
Max. Negotiated Rate	$233.12
Rate for Payer: Aetna Commercial	$177.18
Rate for Payer: Aetna Medicare Advantage	$139.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$118.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$118.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$93.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$118.89
Rate for Payer: Cigna Commercial	$233.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$112.83
Rate for Payer: Qualcare PPO/HMO/WC	$69.94
Rate for Payer: UnitedHealthcare Community & State	$14.73
Rate for Payer: Wellpoint Medicaid Managed Care	$13.24

INTRODUCER AIRGUARD 15 FR X 13

Facility

IP

$470.40

Hospital Charge Code	270683300
Hospital Revenue Code	272
Min. Negotiated Rate	$70.56
Max. Negotiated Rate	$70.56
Rate for Payer: Qualcare PPO/HMO/WC	$70.56

INTRODUCER AIRGUARD 15 FR X 13

Facility

OP

$470.40

Hospital Charge Code	270683300
Hospital Revenue Code	272
Min. Negotiated Rate	$13.36
Max. Negotiated Rate	$235.20
Rate for Payer: Aetna Commercial	$178.75
Rate for Payer: Aetna Medicare Advantage	$141.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.95
Rate for Payer: Cigna Commercial	$235.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.30
Rate for Payer: Oxford Commercial	$94.08
Rate for Payer: Qualcare PPO/HMO/WC	$70.56
Rate for Payer: UnitedHealthcare Commercial	$94.08
Rate for Payer: UnitedHealthcare Community & State	$14.86
Rate for Payer: Wellpoint Medicaid Managed Care	$13.36

INTRODUCER BALKIN CHEK-FLO 6FR

Facility

OP

$375.00

Service Code	HCPCS C1892
Hospital Charge Code	270629378
Hospital Revenue Code	278
Min. Negotiated Rate	$10.65
Max. Negotiated Rate	$187.50
Rate for Payer: Aetna Commercial	$142.50
Rate for Payer: Aetna Medicare Advantage	$112.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.62
Rate for Payer: Cigna Commercial	$187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.75
Rate for Payer: Qualcare PPO/HMO/WC	$56.25
Rate for Payer: UnitedHealthcare Community & State	$11.85
Rate for Payer: Wellpoint Medicaid Managed Care	$10.65

INTRODUCER BALKIN CHEK-FLO 6FR

Facility

IP

$375.00

Service Code	HCPCS C1892
Hospital Charge Code	270629378
Hospital Revenue Code	278
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$90.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.75
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

INTRODUCER BALKIN CHEK-FLO 7FR

Facility

OP

$251.50

Service Code	HCPCS C1892
Hospital Charge Code	270626900
Hospital Revenue Code	278
Min. Negotiated Rate	$7.14
Max. Negotiated Rate	$125.75
Rate for Payer: Aetna Commercial	$95.57
Rate for Payer: Aetna Medicare Advantage	$75.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$64.13
Rate for Payer: Cigna Commercial	$125.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.86
Rate for Payer: Qualcare PPO/HMO/WC	$37.73
Rate for Payer: UnitedHealthcare Community & State	$7.95
Rate for Payer: Wellpoint Medicaid Managed Care	$7.14

INTRODUCER BALKIN CHEK-FLO 7FR

Facility

IP

$251.50

Service Code	HCPCS C1892
Hospital Charge Code	270626900
Hospital Revenue Code	278
Min. Negotiated Rate	$37.73
Max. Negotiated Rate	$60.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.86
Rate for Payer: Qualcare PPO/HMO/WC	$37.73

INTRODUCER BALKIN CHEK-FLO 8FR

Facility

IP

$251.50

Hospital Charge Code	270624721
Hospital Revenue Code	272
Min. Negotiated Rate	$37.73
Max. Negotiated Rate	$37.73
Rate for Payer: Qualcare PPO/HMO/WC	$37.73

INTRODUCER BALKIN CHEK-FLO 8FR

Facility

OP

$251.50

Hospital Charge Code	270624721
Hospital Revenue Code	272
Min. Negotiated Rate	$7.14
Max. Negotiated Rate	$125.75
Rate for Payer: Aetna Commercial	$95.57
Rate for Payer: Aetna Medicare Advantage	$75.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$64.13
Rate for Payer: Cigna Commercial	$125.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.39
Rate for Payer: Oxford Commercial	$50.30
Rate for Payer: Qualcare PPO/HMO/WC	$37.73
Rate for Payer: UnitedHealthcare Commercial	$50.30
Rate for Payer: UnitedHealthcare Community & State	$7.95
Rate for Payer: Wellpoint Medicaid Managed Care	$7.14

INTRODUCER CATH 4F 10CM SS

Facility

IP

$275.00

Service Code	HCPCS C1894
Hospital Charge Code	270699119
Hospital Revenue Code	272
Min. Negotiated Rate	$41.25
Max. Negotiated Rate	$41.25
Rate for Payer: Qualcare PPO/HMO/WC	$41.25

INTRODUCER CATH 4F 10CM SS

Facility

OP

$275.00

Service Code	HCPCS C1894
Hospital Charge Code	270699119
Hospital Revenue Code	272
Min. Negotiated Rate	$7.81
Max. Negotiated Rate	$137.50
Rate for Payer: Aetna Commercial	$104.50
Rate for Payer: Aetna Medicare Advantage	$82.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.12
Rate for Payer: Cigna Commercial	$137.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.50
Rate for Payer: Oxford Commercial	$55.00
Rate for Payer: Qualcare PPO/HMO/WC	$41.25
Rate for Payer: UnitedHealthcare Commercial	$55.00
Rate for Payer: UnitedHealthcare Community & State	$8.69
Rate for Payer: Wellpoint Medicaid Managed Care	$7.81

INTRODUCER CATHETER 7FR 13CM

Facility

OP

$292.50

Hospital Charge Code	270647006
Hospital Revenue Code	272
Min. Negotiated Rate	$8.31
Max. Negotiated Rate	$146.25
Rate for Payer: Aetna Commercial	$111.15
Rate for Payer: Aetna Medicare Advantage	$87.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.59
Rate for Payer: Cigna Commercial	$146.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.05
Rate for Payer: Oxford Commercial	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$43.88
Rate for Payer: UnitedHealthcare Commercial	$58.50
Rate for Payer: UnitedHealthcare Community & State	$9.24
Rate for Payer: Wellpoint Medicaid Managed Care	$8.31

INTRODUCER CATHETER 7FR 13CM

Facility

IP

$292.50

Hospital Charge Code	270647006
Hospital Revenue Code	272
Min. Negotiated Rate	$43.88
Max. Negotiated Rate	$43.88
Rate for Payer: Qualcare PPO/HMO/WC	$43.88

INTRODUCER CHECK-FLO 16FR

Facility

OP

$595.15

Hospital Charge Code	270622441
Hospital Revenue Code	272
Min. Negotiated Rate	$16.90
Max. Negotiated Rate	$297.57
Rate for Payer: Aetna Commercial	$226.16
Rate for Payer: Aetna Medicare Advantage	$178.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.76
Rate for Payer: Cigna Commercial	$297.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$154.74
Rate for Payer: Oxford Commercial	$119.03
Rate for Payer: Qualcare PPO/HMO/WC	$89.27
Rate for Payer: UnitedHealthcare Commercial	$119.03
Rate for Payer: UnitedHealthcare Community & State	$18.81
Rate for Payer: Wellpoint Medicaid Managed Care	$16.90

INTRODUCER CHECK-FLO 16FR

Facility

IP

$595.15

Hospital Charge Code	270622441
Hospital Revenue Code	272
Min. Negotiated Rate	$89.27
Max. Negotiated Rate	$89.27
Rate for Payer: Qualcare PPO/HMO/WC	$89.27

INTRODUCER CHECK-FLO 16FR 30cm

Facility

OP

$635.00

Hospital Charge Code	270621635
Hospital Revenue Code	270
Min. Negotiated Rate	$18.03
Max. Negotiated Rate	$317.50
Rate for Payer: Aetna Commercial	$241.30
Rate for Payer: Aetna Medicare Advantage	$190.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$161.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$161.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$161.93
Rate for Payer: Cigna Commercial	$317.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$165.10
Rate for Payer: Oxford Commercial	$127.00
Rate for Payer: Qualcare PPO/HMO/WC	$95.25
Rate for Payer: UnitedHealthcare Commercial	$127.00
Rate for Payer: UnitedHealthcare Community & State	$20.07
Rate for Payer: Wellpoint Medicaid Managed Care	$18.03

INTRODUCER CHECK-FLO 16FR 30cm

Facility

IP

$635.00

Hospital Charge Code	270621635
Hospital Revenue Code	270
Min. Negotiated Rate	$95.25
Max. Negotiated Rate	$95.25
Rate for Payer: Qualcare PPO/HMO/WC	$95.25

INTRODUCER CHECK-FLO 18.0

Facility

OP

$635.00

Hospital Charge Code	270629600
Hospital Revenue Code	272
Min. Negotiated Rate	$18.03
Max. Negotiated Rate	$317.50
Rate for Payer: Aetna Commercial	$241.30
Rate for Payer: Aetna Medicare Advantage	$190.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$161.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$161.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$161.93
Rate for Payer: Cigna Commercial	$317.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$165.10
Rate for Payer: Oxford Commercial	$127.00
Rate for Payer: Qualcare PPO/HMO/WC	$95.25
Rate for Payer: UnitedHealthcare Commercial	$127.00
Rate for Payer: UnitedHealthcare Community & State	$20.07
Rate for Payer: Wellpoint Medicaid Managed Care	$18.03

INTRODUCER CHECK-FLO 18.0

Facility

IP

$635.00

Hospital Charge Code	270629600
Hospital Revenue Code	272
Min. Negotiated Rate	$95.25
Max. Negotiated Rate	$95.25
Rate for Payer: Qualcare PPO/HMO/WC	$95.25

INTRODUCER COAXIAL 4F 10CM

Facility

IP

$88.85

Hospital Charge Code	270669538
Hospital Revenue Code	272
Min. Negotiated Rate	$13.33
Max. Negotiated Rate	$13.33
Rate for Payer: Qualcare PPO/HMO/WC	$13.33