Heights University Hospital

All Charges

Charge

Type

Setting

Price

ENDOPRO EXCLR 14x10 PXC141000

Facility

$17,955.00

Hospital Charge Code	270638318V
Hospital Revenue Code	278
Min. Negotiated Rate	$2,693.25
Max. Negotiated Rate	$4,345.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,591.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,345.11
Rate for Payer: Qualcare PPO/HMO/WC	$2,693.25

ENDOPRO EXCLR 23x14 PXT231414

Facility

$38,895.00

Hospital Charge Code	270638317V
Hospital Revenue Code	278
Min. Negotiated Rate	$5,834.25
Max. Negotiated Rate	$19,447.50
Rate for Payer: Aetna Commercial	$11,668.50
Rate for Payer: Aetna Medicare Advantage	$11,668.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,918.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,918.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,779.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,918.23
Rate for Payer: Cigna Commercial	$19,447.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,412.59
Rate for Payer: Qualcare PPO/HMO/WC	$5,834.25

ENDOPRO EXCLR 23x14 PXT231414

Facility

$38,895.00

Hospital Charge Code	270638317V
Hospital Revenue Code	278
Min. Negotiated Rate	$5,834.25
Max. Negotiated Rate	$9,412.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,779.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,412.59
Rate for Payer: Qualcare PPO/HMO/WC	$5,834.25

ENDOPROS EXCL 12X18 PXC181000

Facility

$16,845.00

Hospital Charge Code	270637949V
Hospital Revenue Code	278
Min. Negotiated Rate	$2,526.75
Max. Negotiated Rate	$4,076.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,369.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,076.49
Rate for Payer: Qualcare PPO/HMO/WC	$2,526.75

ENDOPROS EXCL 12X18 PXC181000

Facility

$16,845.00

Hospital Charge Code	270637949V
Hospital Revenue Code	278
Min. Negotiated Rate	$2,526.75
Max. Negotiated Rate	$8,422.50
Rate for Payer: Aetna Commercial	$5,053.50
Rate for Payer: Aetna Medicare Advantage	$5,053.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,295.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,295.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,369.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,295.48
Rate for Payer: Cigna Commercial	$8,422.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,076.49
Rate for Payer: Qualcare PPO/HMO/WC	$2,526.75

ENDOPROS EXCL 12X18 PXT261218

Facility

$38,895.00

Hospital Charge Code	270637948V
Hospital Revenue Code	278
Min. Negotiated Rate	$5,834.25
Max. Negotiated Rate	$9,412.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,779.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,412.59
Rate for Payer: Qualcare PPO/HMO/WC	$5,834.25

ENDOPROS EXCL 12X18 PXT261218

Facility

$38,895.00

Hospital Charge Code	270637948V
Hospital Revenue Code	278
Min. Negotiated Rate	$5,834.25
Max. Negotiated Rate	$19,447.50
Rate for Payer: Aetna Commercial	$11,668.50
Rate for Payer: Aetna Medicare Advantage	$11,668.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,918.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,918.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,779.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,918.23
Rate for Payer: Cigna Commercial	$19,447.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,412.59
Rate for Payer: Qualcare PPO/HMO/WC	$5,834.25

ENDOPROS EXCLU 12x7 PXL161207

Facility

$13,225.00

Hospital Charge Code	270637685V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,983.75
Max. Negotiated Rate	$6,612.50
Rate for Payer: Aetna Commercial	$3,967.50
Rate for Payer: Aetna Medicare Advantage	$3,967.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,372.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,372.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,645.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,372.38
Rate for Payer: Cigna Commercial	$6,612.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,200.45
Rate for Payer: Qualcare PPO/HMO/WC	$1,983.75

ENDOPROS EXCLU 12x7 PXL161207

Facility

$13,225.00

Hospital Charge Code	270637685V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,983.75
Max. Negotiated Rate	$3,200.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,645.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,200.45
Rate for Payer: Qualcare PPO/HMO/WC	$1,983.75

ENDOPROS EXCLU 12x7 PXL161207

Facility

$11,810.00

Hospital Charge Code	270637685
Hospital Revenue Code	278
Min. Negotiated Rate	$1,771.50
Max. Negotiated Rate	$2,858.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,362.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,858.02
Rate for Payer: Qualcare PPO/HMO/WC	$1,771.50

ENDOPROS EXCLU 12x7 PXL161207

Facility

$11,810.00

Hospital Charge Code	270637685
Hospital Revenue Code	278
Min. Negotiated Rate	$1,771.50
Max. Negotiated Rate	$5,905.00
Rate for Payer: Aetna Commercial	$3,543.00
Rate for Payer: Aetna Medicare Advantage	$3,543.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,011.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,011.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,362.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,011.55
Rate for Payer: Cigna Commercial	$5,905.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,858.02
Rate for Payer: Qualcare PPO/HMO/WC	$1,771.50

ENDOPROS EXCLU 14x12 PXC141200

Facility

$16,845.00

Hospital Charge Code	270637684
Hospital Revenue Code	278
Min. Negotiated Rate	$2,526.75
Max. Negotiated Rate	$4,076.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,369.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,076.49
Rate for Payer: Qualcare PPO/HMO/WC	$2,526.75

ENDOPROS EXCLU 14x12 PXC141200

Facility

$17,955.00

Hospital Charge Code	270637684V
Hospital Revenue Code	278
Min. Negotiated Rate	$2,693.25
Max. Negotiated Rate	$8,977.50
Rate for Payer: Aetna Commercial	$5,386.50
Rate for Payer: Aetna Medicare Advantage	$5,386.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,578.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,578.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,591.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,578.52
Rate for Payer: Cigna Commercial	$8,977.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,345.11
Rate for Payer: Qualcare PPO/HMO/WC	$2,693.25

ENDOPROS EXCLU 14x12 PXC141200

Facility

$17,955.00

Hospital Charge Code	270637684V
Hospital Revenue Code	278
Min. Negotiated Rate	$2,693.25
Max. Negotiated Rate	$4,345.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,591.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,345.11
Rate for Payer: Qualcare PPO/HMO/WC	$2,693.25

ENDOPROS EXCLU 14x12 PXC141200

Facility

$16,845.00

Hospital Charge Code	270637684
Hospital Revenue Code	278
Min. Negotiated Rate	$2,526.75
Max. Negotiated Rate	$8,422.50
Rate for Payer: Aetna Commercial	$5,053.50
Rate for Payer: Aetna Medicare Advantage	$5,053.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,295.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,295.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,369.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,295.48
Rate for Payer: Cigna Commercial	$8,422.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,076.49
Rate for Payer: Qualcare PPO/HMO/WC	$2,526.75

ENDOPROS EXCLU 26x14 PXT261414

Facility

$36,490.00

Hospital Charge Code	270637683V
Hospital Revenue Code	278
Min. Negotiated Rate	$5,473.50
Max. Negotiated Rate	$18,245.00
Rate for Payer: Aetna Commercial	$10,947.00
Rate for Payer: Aetna Medicare Advantage	$10,947.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,304.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,304.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,298.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,304.95
Rate for Payer: Cigna Commercial	$18,245.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,830.58
Rate for Payer: Qualcare PPO/HMO/WC	$5,473.50

ENDOPROS EXCLU 26x14 PXT261414

Facility

$36,490.00

Hospital Charge Code	270637683
Hospital Revenue Code	278
Min. Negotiated Rate	$5,473.50
Max. Negotiated Rate	$18,245.00
Rate for Payer: Aetna Commercial	$10,947.00
Rate for Payer: Aetna Medicare Advantage	$10,947.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,304.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,304.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,298.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,304.95
Rate for Payer: Cigna Commercial	$18,245.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,830.58
Rate for Payer: Qualcare PPO/HMO/WC	$5,473.50

ENDOPROS EXCLU 26x14 PXT261414

Facility

$36,490.00

Hospital Charge Code	270637683V
Hospital Revenue Code	278
Min. Negotiated Rate	$5,473.50
Max. Negotiated Rate	$8,830.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,298.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,830.58
Rate for Payer: Qualcare PPO/HMO/WC	$5,473.50

ENDOPROS EXCLU 26x14 PXT261414

Facility

$36,490.00

Hospital Charge Code	270637683
Hospital Revenue Code	278
Min. Negotiated Rate	$5,473.50
Max. Negotiated Rate	$8,830.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,298.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,830.58
Rate for Payer: Qualcare PPO/HMO/WC	$5,473.50

ENDOPROS EXCLUD14x7cmPXL161407

Facility

$12,585.00

Hospital Charge Code	270635769
Hospital Revenue Code	278
Min. Negotiated Rate	$1,887.75
Max. Negotiated Rate	$6,292.50
Rate for Payer: Aetna Commercial	$3,775.50
Rate for Payer: Aetna Medicare Advantage	$3,775.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,209.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,209.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,517.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,209.18
Rate for Payer: Cigna Commercial	$6,292.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,045.57
Rate for Payer: Qualcare PPO/HMO/WC	$1,887.75

ENDOPROS EXCLUD14x7cmPXL161407

Facility

$12,585.00

Hospital Charge Code	270635769
Hospital Revenue Code	278
Min. Negotiated Rate	$1,887.75
Max. Negotiated Rate	$3,045.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,517.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,045.57
Rate for Payer: Qualcare PPO/HMO/WC	$1,887.75

ENDOPROSTHESIS AORTIC 23X30

Facility

$12,585.00

Hospital Charge Code	270640081
Hospital Revenue Code	278
Min. Negotiated Rate	$1,887.75
Max. Negotiated Rate	$3,045.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,517.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,045.57
Rate for Payer: Qualcare PPO/HMO/WC	$1,887.75

ENDOPROSTHESIS AORTIC 23X30

Facility

$12,585.00

Hospital Charge Code	270640081
Hospital Revenue Code	278
Min. Negotiated Rate	$1,887.75
Max. Negotiated Rate	$6,292.50
Rate for Payer: Aetna Commercial	$3,775.50
Rate for Payer: Aetna Medicare Advantage	$3,775.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,209.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,209.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,517.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,209.18
Rate for Payer: Cigna Commercial	$6,292.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,045.57
Rate for Payer: Qualcare PPO/HMO/WC	$1,887.75

ENDOPROSTHESIS AORTIC 26X30

Facility

$12,585.00

Hospital Charge Code	270639872
Hospital Revenue Code	278
Min. Negotiated Rate	$1,887.75
Max. Negotiated Rate	$6,292.50
Rate for Payer: Aetna Commercial	$3,775.50
Rate for Payer: Aetna Medicare Advantage	$3,775.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,209.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,209.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,517.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,209.18
Rate for Payer: Cigna Commercial	$6,292.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,045.57
Rate for Payer: Qualcare PPO/HMO/WC	$1,887.75

ENDOPROSTHESIS AORTIC 26X30

Facility

$12,585.00

Hospital Charge Code	270639872
Hospital Revenue Code	278
Min. Negotiated Rate	$1,887.75
Max. Negotiated Rate	$3,045.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,517.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,045.57
Rate for Payer: Qualcare PPO/HMO/WC	$1,887.75

Know your out-of-pocket cost for care.

All Charges