Heights University Hospital

All Charges

Charge

Type

Setting

Price

GRAFT MCVL DBL VELR HMSHLD

Facility

$1,994.00

Hospital Charge Code	1603984
Hospital Revenue Code	278
Min. Negotiated Rate	$299.10
Max. Negotiated Rate	$997.00
Rate for Payer: Aetna Commercial	$598.20
Rate for Payer: Aetna Medicare Advantage	$598.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$508.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$508.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$398.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$508.47
Rate for Payer: Cigna Commercial	$997.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$482.55
Rate for Payer: Qualcare PPO/HMO/WC	$299.10

GRAFT MCVL DBL VELR ST 20MM***

Facility

$1,994.00

Hospital Charge Code	1604214
Hospital Revenue Code	278
Min. Negotiated Rate	$299.10
Max. Negotiated Rate	$482.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$398.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$482.55
Rate for Payer: Qualcare PPO/HMO/WC	$299.10

GRAFT MCVL DBL VELR ST 20MM***

Facility

$1,994.00

Hospital Charge Code	1604214
Hospital Revenue Code	278
Min. Negotiated Rate	$299.10
Max. Negotiated Rate	$997.00
Rate for Payer: Aetna Commercial	$598.20
Rate for Payer: Aetna Medicare Advantage	$598.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$508.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$508.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$398.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$508.47
Rate for Payer: Cigna Commercial	$997.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$482.55
Rate for Payer: Qualcare PPO/HMO/WC	$299.10

GRAFT MCVL DBL VELR ST 22MM***

Facility

$1,994.00

Hospital Charge Code	1604107
Hospital Revenue Code	278
Min. Negotiated Rate	$299.10
Max. Negotiated Rate	$482.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$398.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$482.55
Rate for Payer: Qualcare PPO/HMO/WC	$299.10

GRAFT MCVL DBL VELR ST 22MM***

Facility

$1,994.00

Hospital Charge Code	1604107
Hospital Revenue Code	278
Min. Negotiated Rate	$299.10
Max. Negotiated Rate	$997.00
Rate for Payer: Aetna Commercial	$598.20
Rate for Payer: Aetna Medicare Advantage	$598.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$508.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$508.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$398.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$508.47
Rate for Payer: Cigna Commercial	$997.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$482.55
Rate for Payer: Qualcare PPO/HMO/WC	$299.10

GRAFT MCVL DBL VELR ST 24MM***

Facility

$1,794.00

Hospital Charge Code	1604164
Hospital Revenue Code	278
Min. Negotiated Rate	$269.10
Max. Negotiated Rate	$434.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$358.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$434.15
Rate for Payer: Qualcare PPO/HMO/WC	$269.10

GRAFT MCVL DBL VELR ST 24MM***

Facility

$1,794.00

Hospital Charge Code	1604164
Hospital Revenue Code	278
Min. Negotiated Rate	$269.10
Max. Negotiated Rate	$897.00
Rate for Payer: Aetna Commercial	$538.20
Rate for Payer: Aetna Medicare Advantage	$538.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$457.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$457.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$358.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$457.47
Rate for Payer: Cigna Commercial	$897.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$434.15
Rate for Payer: Qualcare PPO/HMO/WC	$269.10

GRAFT MCVL DBL VELR ST8/60CM**

Facility

$1,944.00

Hospital Charge Code	1604131
Hospital Revenue Code	278
Min. Negotiated Rate	$291.60
Max. Negotiated Rate	$470.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$388.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$470.45
Rate for Payer: Qualcare PPO/HMO/WC	$291.60

GRAFT MCVL DBL VELR ST8/60CM**

Facility

$1,944.00

Hospital Charge Code	1604131
Hospital Revenue Code	278
Min. Negotiated Rate	$291.60
Max. Negotiated Rate	$972.00
Rate for Payer: Aetna Commercial	$583.20
Rate for Payer: Aetna Medicare Advantage	$583.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$495.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$495.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$388.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$495.72
Rate for Payer: Cigna Commercial	$972.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$470.45
Rate for Payer: Qualcare PPO/HMO/WC	$291.60

GRAFT MCVL DBL VLR BIF20/10**

Facility

$3,015.00

Hospital Charge Code	1604206
Hospital Revenue Code	278
Min. Negotiated Rate	$452.25
Max. Negotiated Rate	$1,507.50
Rate for Payer: Aetna Commercial	$904.50
Rate for Payer: Aetna Medicare Advantage	$904.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$768.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$768.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$603.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$768.83
Rate for Payer: Cigna Commercial	$1,507.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$729.63
Rate for Payer: Qualcare PPO/HMO/WC	$452.25

GRAFT MCVL DBL VLR BIF20/10**

Facility

$3,015.00

Hospital Charge Code	1604206
Hospital Revenue Code	278
Min. Negotiated Rate	$452.25
Max. Negotiated Rate	$729.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$603.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$729.63
Rate for Payer: Qualcare PPO/HMO/WC	$452.25

GRAFT MCVL ST 10MM/60CM*****

Facility

$1,335.00

Hospital Charge Code	270601143
Hospital Revenue Code	278
Min. Negotiated Rate	$200.25
Max. Negotiated Rate	$323.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$267.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$323.07
Rate for Payer: Qualcare PPO/HMO/WC	$200.25

GRAFT MCVL ST 10MM/60CM*****

Facility

$1,335.00

Hospital Charge Code	270601143
Hospital Revenue Code	278
Min. Negotiated Rate	$200.25
Max. Negotiated Rate	$667.50
Rate for Payer: Aetna Commercial	$400.50
Rate for Payer: Aetna Medicare Advantage	$400.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$340.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$340.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$267.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$340.43
Rate for Payer: Cigna Commercial	$667.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$323.07
Rate for Payer: Qualcare PPO/HMO/WC	$200.25

GRAFT MCVL ST 16MM 30CM

Facility

$3,412.85

Hospital Charge Code	270601129
Hospital Revenue Code	278
Min. Negotiated Rate	$511.93
Max. Negotiated Rate	$825.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$682.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$825.91
Rate for Payer: Qualcare PPO/HMO/WC	$511.93

GRAFT MCVL ST 16MM 30CM

Facility

$3,412.85

Hospital Charge Code	270601129
Hospital Revenue Code	278
Min. Negotiated Rate	$511.93
Max. Negotiated Rate	$1,706.42
Rate for Payer: Aetna Commercial	$1,023.86
Rate for Payer: Aetna Medicare Advantage	$1,023.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$870.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$870.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$682.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$870.28
Rate for Payer: Cigna Commercial	$1,706.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$825.91
Rate for Payer: Qualcare PPO/HMO/WC	$511.93

GRAFT MCVL ST 18MM/30CM

Facility

$3,412.85

Hospital Charge Code	270601125
Hospital Revenue Code	278
Min. Negotiated Rate	$511.93
Max. Negotiated Rate	$1,706.42
Rate for Payer: Aetna Commercial	$1,023.86
Rate for Payer: Aetna Medicare Advantage	$1,023.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$870.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$870.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$682.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$870.28
Rate for Payer: Cigna Commercial	$1,706.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$825.91
Rate for Payer: Qualcare PPO/HMO/WC	$511.93

GRAFT MCVL ST 18MM/30CM

Facility

$3,412.85

Hospital Charge Code	270601125
Hospital Revenue Code	278
Min. Negotiated Rate	$511.93
Max. Negotiated Rate	$825.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$682.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$825.91
Rate for Payer: Qualcare PPO/HMO/WC	$511.93

GRAFT MCVL ST 20MM/30CM

Facility

$3,412.85

Hospital Charge Code	270601118
Hospital Revenue Code	278
Min. Negotiated Rate	$511.93
Max. Negotiated Rate	$825.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$682.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$825.91
Rate for Payer: Qualcare PPO/HMO/WC	$511.93

GRAFT MCVL ST 20MM/30CM

Facility

$3,412.85

Hospital Charge Code	270601118
Hospital Revenue Code	278
Min. Negotiated Rate	$511.93
Max. Negotiated Rate	$1,706.42
Rate for Payer: Aetna Commercial	$1,023.86
Rate for Payer: Aetna Medicare Advantage	$1,023.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$870.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$870.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$682.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$870.28
Rate for Payer: Cigna Commercial	$1,706.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$825.91
Rate for Payer: Qualcare PPO/HMO/WC	$511.93

GRAFT MCVL ST 22MM/30CM

Facility

$3,412.85

Hospital Charge Code	270601147
Hospital Revenue Code	278
Min. Negotiated Rate	$511.93
Max. Negotiated Rate	$825.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$682.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$825.91
Rate for Payer: Qualcare PPO/HMO/WC	$511.93

GRAFT MCVL ST 22MM/30CM

Facility

$3,412.85

Hospital Charge Code	270601147
Hospital Revenue Code	278
Min. Negotiated Rate	$511.93
Max. Negotiated Rate	$1,706.42
Rate for Payer: Aetna Commercial	$1,023.86
Rate for Payer: Aetna Medicare Advantage	$1,023.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$870.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$870.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$682.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$870.28
Rate for Payer: Cigna Commercial	$1,706.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$825.91
Rate for Payer: Qualcare PPO/HMO/WC	$511.93

GRAFT MCVL ST 24MM/30CM

Facility

$3,259.25

Hospital Charge Code	270601144
Hospital Revenue Code	278
Min. Negotiated Rate	$488.89
Max. Negotiated Rate	$1,629.62
Rate for Payer: Aetna Commercial	$977.77
Rate for Payer: Aetna Medicare Advantage	$977.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$831.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$831.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$651.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$831.11
Rate for Payer: Cigna Commercial	$1,629.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$788.74
Rate for Payer: Qualcare PPO/HMO/WC	$488.89

GRAFT MCVL ST 24MM/30CM

Facility

$3,259.25

Hospital Charge Code	270601144
Hospital Revenue Code	278
Min. Negotiated Rate	$488.89
Max. Negotiated Rate	$788.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$651.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$788.74
Rate for Payer: Qualcare PPO/HMO/WC	$488.89

GRAFT MDX BIF 14/7 8CM 085147

Facility

$4,868.85

Hospital Charge Code	270601136
Hospital Revenue Code	278
Min. Negotiated Rate	$730.33
Max. Negotiated Rate	$2,434.43
Rate for Payer: Aetna Commercial	$1,460.65
Rate for Payer: Aetna Medicare Advantage	$1,460.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,241.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,241.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$973.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,241.56
Rate for Payer: Cigna Commercial	$2,434.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,178.26
Rate for Payer: Qualcare PPO/HMO/WC	$730.33

GRAFT MDX BIF 14/7 8CM 085147

Facility

$4,868.85

Hospital Charge Code	270601136
Hospital Revenue Code	278
Min. Negotiated Rate	$730.33
Max. Negotiated Rate	$1,178.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$973.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,178.26
Rate for Payer: Qualcare PPO/HMO/WC	$730.33

Know your out-of-pocket cost for care.

All Charges