Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

SHEATH INTROD PINA 6X25 RSB603

Facility

OP

$195.50

Service Code	HCPCS C1766
Hospital Charge Code	270658253N
Hospital Revenue Code	278
Min. Negotiated Rate	$5.55
Max. Negotiated Rate	$97.75
Rate for Payer: Aetna Commercial	$74.29
Rate for Payer: Aetna Medicare Advantage	$58.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.85
Rate for Payer: Cigna Commercial	$97.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.31
Rate for Payer: Qualcare PPO/HMO/WC	$29.32
Rate for Payer: UnitedHealthcare Community & State	$6.18
Rate for Payer: Wellpoint Medicaid Managed Care	$5.55

SHEATH INTROD PINA 6X25 RSB603

Facility

IP

$166.00

Service Code	HCPCS C1766
Hospital Charge Code	270658253
Hospital Revenue Code	278
Min. Negotiated Rate	$24.90
Max. Negotiated Rate	$40.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$33.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.17
Rate for Payer: Qualcare PPO/HMO/WC	$24.90

SHEATH INTROD PINA 6X25 RSB603

Facility

OP

$166.00

Service Code	HCPCS C1766
Hospital Charge Code	270658253S
Hospital Revenue Code	278
Min. Negotiated Rate	$4.71
Max. Negotiated Rate	$83.00
Rate for Payer: Aetna Commercial	$63.08
Rate for Payer: Aetna Medicare Advantage	$49.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$33.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.33
Rate for Payer: Cigna Commercial	$83.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.17
Rate for Payer: Qualcare PPO/HMO/WC	$24.90
Rate for Payer: UnitedHealthcare Community & State	$5.25
Rate for Payer: Wellpoint Medicaid Managed Care	$4.71

SHEATH INTROD PINA 6X25 RSB603

Facility

IP

$195.50

Service Code	HCPCS C1766
Hospital Charge Code	270658253N
Hospital Revenue Code	278
Min. Negotiated Rate	$29.32
Max. Negotiated Rate	$47.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.31
Rate for Payer: Qualcare PPO/HMO/WC	$29.32

SHEATH INTROD PINA 6X25 RSB603

Facility

IP

$166.00

Service Code	HCPCS C1766
Hospital Charge Code	270658253S
Hospital Revenue Code	278
Min. Negotiated Rate	$24.90
Max. Negotiated Rate	$40.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$33.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.17
Rate for Payer: Qualcare PPO/HMO/WC	$24.90

SHEATH INTROD PINA 6X25 RSB603

Facility

OP

$166.00

Service Code	HCPCS C1766
Hospital Charge Code	270658253
Hospital Revenue Code	278
Min. Negotiated Rate	$4.71
Max. Negotiated Rate	$83.00
Rate for Payer: Aetna Commercial	$63.08
Rate for Payer: Aetna Medicare Advantage	$49.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$33.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.33
Rate for Payer: Cigna Commercial	$83.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.17
Rate for Payer: Qualcare PPO/HMO/WC	$24.90
Rate for Payer: UnitedHealthcare Community & State	$5.25
Rate for Payer: Wellpoint Medicaid Managed Care	$4.71

SHEATH INTRODUCER 4 FR 10CM

Facility

IP

$51.73

Service Code	HCPCS C1894
Hospital Charge Code	270652526
Hospital Revenue Code	278
Min. Negotiated Rate	$7.76
Max. Negotiated Rate	$12.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.52
Rate for Payer: Qualcare PPO/HMO/WC	$7.76

SHEATH INTRODUCER 4 FR 10CM

Facility

OP

$51.73

Service Code	HCPCS C1894
Hospital Charge Code	270652526
Hospital Revenue Code	278
Min. Negotiated Rate	$1.47
Max. Negotiated Rate	$25.86
Rate for Payer: Aetna Commercial	$19.66
Rate for Payer: Aetna Medicare Advantage	$15.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.19
Rate for Payer: Cigna Commercial	$25.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.52
Rate for Payer: Qualcare PPO/HMO/WC	$7.76
Rate for Payer: UnitedHealthcare Community & State	$1.63
Rate for Payer: Wellpoint Medicaid Managed Care	$1.47

SHEATH INTRODUCER 5FR .018

Facility

OP

$154.50

Service Code	HCPCS C1894
Hospital Charge Code	270650595
Hospital Revenue Code	278
Min. Negotiated Rate	$4.39
Max. Negotiated Rate	$77.25
Rate for Payer: Aetna Commercial	$58.71
Rate for Payer: Aetna Medicare Advantage	$46.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.40
Rate for Payer: Cigna Commercial	$77.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.39
Rate for Payer: Qualcare PPO/HMO/WC	$23.18
Rate for Payer: UnitedHealthcare Community & State	$4.88
Rate for Payer: Wellpoint Medicaid Managed Care	$4.39

SHEATH INTRODUCER 5FR .018

Facility

IP

$154.50

Service Code	HCPCS C1894
Hospital Charge Code	270650595
Hospital Revenue Code	278
Min. Negotiated Rate	$23.18
Max. Negotiated Rate	$37.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.39
Rate for Payer: Qualcare PPO/HMO/WC	$23.18

SHEATH INTRODUCER 6FR .018

Facility

OP

$154.50

Service Code	HCPCS C1894
Hospital Charge Code	270669990
Hospital Revenue Code	278
Min. Negotiated Rate	$4.39
Max. Negotiated Rate	$77.25
Rate for Payer: Aetna Commercial	$58.71
Rate for Payer: Aetna Medicare Advantage	$46.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.40
Rate for Payer: Cigna Commercial	$77.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.39
Rate for Payer: Qualcare PPO/HMO/WC	$23.18
Rate for Payer: UnitedHealthcare Community & State	$4.88
Rate for Payer: Wellpoint Medicaid Managed Care	$4.39

SHEATH INTRODUCER 6FR .018

Facility

IP

$154.50

Service Code	HCPCS C1894
Hospital Charge Code	270669990
Hospital Revenue Code	278
Min. Negotiated Rate	$23.18
Max. Negotiated Rate	$37.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.39
Rate for Payer: Qualcare PPO/HMO/WC	$23.18

SHEATH INTRODUCER 7FR 10CM.035

Facility

IP

$700.00

Hospital Charge Code	270689906
Hospital Revenue Code	272
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$105.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

SHEATH INTRODUCER 7FR 10CM.035

Facility

OP

$700.00

Hospital Charge Code	270689906
Hospital Revenue Code	272
Min. Negotiated Rate	$19.88
Max. Negotiated Rate	$350.00
Rate for Payer: Aetna Commercial	$266.00
Rate for Payer: Aetna Medicare Advantage	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.50
Rate for Payer: Cigna Commercial	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.00
Rate for Payer: Oxford Commercial	$140.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00
Rate for Payer: UnitedHealthcare Commercial	$140.00
Rate for Payer: UnitedHealthcare Community & State	$22.12
Rate for Payer: Wellpoint Medicaid Managed Care	$19.88

SHEATH INTRODUCER 8FR

Facility

OP

$215.30

Hospital Charge Code	270658584
Hospital Revenue Code	270
Min. Negotiated Rate	$6.11
Max. Negotiated Rate	$107.65
Rate for Payer: Aetna Commercial	$81.81
Rate for Payer: Aetna Medicare Advantage	$64.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.90
Rate for Payer: Cigna Commercial	$107.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.98
Rate for Payer: Oxford Commercial	$43.06
Rate for Payer: Qualcare PPO/HMO/WC	$32.30
Rate for Payer: UnitedHealthcare Commercial	$43.06
Rate for Payer: UnitedHealthcare Community & State	$6.80
Rate for Payer: Wellpoint Medicaid Managed Care	$6.11

SHEATH INTRODUCER 8FR

Facility

IP

$215.30

Hospital Charge Code	270658584
Hospital Revenue Code	270
Min. Negotiated Rate	$32.30
Max. Negotiated Rate	$32.30
Rate for Payer: Qualcare PPO/HMO/WC	$32.30

SHEATH INTRODUCER PINNACLE

Facility

OP

$54.35

Hospital Charge Code	270672897
Hospital Revenue Code	272
Min. Negotiated Rate	$1.54
Max. Negotiated Rate	$27.18
Rate for Payer: Aetna Commercial	$20.65
Rate for Payer: Aetna Medicare Advantage	$16.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.86
Rate for Payer: Cigna Commercial	$27.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.13
Rate for Payer: Oxford Commercial	$10.87
Rate for Payer: Qualcare PPO/HMO/WC	$8.15
Rate for Payer: UnitedHealthcare Commercial	$10.87
Rate for Payer: UnitedHealthcare Community & State	$1.72
Rate for Payer: Wellpoint Medicaid Managed Care	$1.54

SHEATH INTRODUCER PINNACLE

Facility

IP

$101.75

Hospital Charge Code	270672897N
Hospital Revenue Code	272
Min. Negotiated Rate	$15.26
Max. Negotiated Rate	$15.26
Rate for Payer: Qualcare PPO/HMO/WC	$15.26

SHEATH INTRODUCER PINNACLE

Facility

OP

$101.75

Hospital Charge Code	270672897N
Hospital Revenue Code	272
Min. Negotiated Rate	$2.89
Max. Negotiated Rate	$50.88
Rate for Payer: Aetna Commercial	$38.66
Rate for Payer: Aetna Medicare Advantage	$30.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.95
Rate for Payer: Cigna Commercial	$50.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.45
Rate for Payer: Oxford Commercial	$20.35
Rate for Payer: Qualcare PPO/HMO/WC	$15.26
Rate for Payer: UnitedHealthcare Commercial	$20.35
Rate for Payer: UnitedHealthcare Community & State	$3.22
Rate for Payer: Wellpoint Medicaid Managed Care	$2.89

SHEATH INTRODUCER PINNACLE

Facility

IP

$54.35

Hospital Charge Code	270672897
Hospital Revenue Code	272
Min. Negotiated Rate	$8.15
Max. Negotiated Rate	$8.15
Rate for Payer: Qualcare PPO/HMO/WC	$8.15

SHEATH INTRO RAABE 9F70CM

Facility

OP

$287.00

Service Code	HCPCS C1894
Hospital Charge Code	270658314C
Hospital Revenue Code	272
Min. Negotiated Rate	$8.15
Max. Negotiated Rate	$143.50
Rate for Payer: Aetna Commercial	$109.06
Rate for Payer: Aetna Medicare Advantage	$86.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$73.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$73.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$73.19
Rate for Payer: Cigna Commercial	$143.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.62
Rate for Payer: Oxford Commercial	$57.40
Rate for Payer: Qualcare PPO/HMO/WC	$43.05
Rate for Payer: UnitedHealthcare Commercial	$57.40
Rate for Payer: UnitedHealthcare Community & State	$9.07
Rate for Payer: Wellpoint Medicaid Managed Care	$8.15

SHEATH INTRO RAABE 9F70CM

Facility

IP

$287.00

Service Code	HCPCS C1894
Hospital Charge Code	270658314C
Hospital Revenue Code	272
Min. Negotiated Rate	$43.05
Max. Negotiated Rate	$43.05
Rate for Payer: Qualcare PPO/HMO/WC	$43.05

SHEATH MCV DILATOR 8/10 260120

Facility

OP

$407.90

Hospital Charge Code	270616468
Hospital Revenue Code	272
Min. Negotiated Rate	$11.58
Max. Negotiated Rate	$203.95
Rate for Payer: Aetna Commercial	$155.00
Rate for Payer: Aetna Medicare Advantage	$122.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$104.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$104.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$104.01
Rate for Payer: Cigna Commercial	$203.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$106.05
Rate for Payer: Oxford Commercial	$81.58
Rate for Payer: Qualcare PPO/HMO/WC	$61.19
Rate for Payer: UnitedHealthcare Commercial	$81.58
Rate for Payer: UnitedHealthcare Community & State	$12.89
Rate for Payer: Wellpoint Medicaid Managed Care	$11.58

SHEATH MCV DILATOR 8/10 260120

Facility

IP

$407.90

Hospital Charge Code	270616468
Hospital Revenue Code	272
Min. Negotiated Rate	$61.19
Max. Negotiated Rate	$61.19
Rate for Payer: Qualcare PPO/HMO/WC	$61.19

SHEATH PEEL AWAY 5FR

Facility

OP

$500.00

Hospital Charge Code	270669565
Hospital Revenue Code	278
Min. Negotiated Rate	$14.20
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$190.00
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
Rate for Payer: UnitedHealthcare Community & State	$15.80
Rate for Payer: Wellpoint Medicaid Managed Care	$14.20