Heights University Hospital

All Charges

Charge

Type

Setting

Price

PERQ PLMT BILE DUCT STENT(S)

Facility

$24,264.20

Service Code	HCPCS 47538
Hospital Charge Code	2011569
Hospital Revenue Code	361
Min. Negotiated Rate	$3,639.63
Max. Negotiated Rate	$3,639.63
Rate for Payer: Qualcare PPO/HMO/WC	$3,639.63

PERQ PLMT BILE DUCT STENT(S)

Facility

$24,264.20

Service Code	HCPCS 47540
Hospital Charge Code	366847540
Hospital Revenue Code	361
Min. Negotiated Rate	$3,639.63
Max. Negotiated Rate	$3,639.63
Rate for Payer: Qualcare PPO/HMO/WC	$3,639.63

PERQ PLMT BILE DUCT STENT(S)

Facility

$26,912.85

Service Code	HCPCS 47539
Hospital Charge Code	321047539
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$14,396.79
Rate for Payer: Aetna Commercial	$8,073.85
Rate for Payer: Aetna Medicare Advantage	$8,073.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,862.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,862.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,862.78
Rate for Payer: Cigna Commercial	$14,396.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,498.67
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,036.93
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

PERQ PLMT BILE DUCT STENT(S)

Facility

$26,912.85

Service Code	HCPCS 47540
Hospital Charge Code	321047540
Hospital Revenue Code	361
Min. Negotiated Rate	$4,036.93
Max. Negotiated Rate	$4,036.93
Rate for Payer: Qualcare PPO/HMO/WC	$4,036.93

PERQ PLMT BILE DUCT STENT(S)

Facility

$24,264.20

Service Code	HCPCS 47538
Hospital Charge Code	7411567
Hospital Revenue Code	361
Min. Negotiated Rate	$3,639.63
Max. Negotiated Rate	$3,639.63
Rate for Payer: Qualcare PPO/HMO/WC	$3,639.63

PERQ PLMT BILE DUCT STENT(S)

Facility

$26,912.85

Service Code	HCPCS 47539
Hospital Charge Code	321047539
Hospital Revenue Code	361
Min. Negotiated Rate	$4,036.93
Max. Negotiated Rate	$4,036.93
Rate for Payer: Qualcare PPO/HMO/WC	$4,036.93

PERQ PLMT BILE DUCT STENT(S)

Facility

$26,912.85

Service Code	HCPCS 47540
Hospital Charge Code	2600234
Hospital Revenue Code	361
Min. Negotiated Rate	$4,036.93
Max. Negotiated Rate	$4,036.93
Rate for Payer: Qualcare PPO/HMO/WC	$4,036.93

PERQ PLMT BILE DUCT STENT(S)

Facility

$26,912.85

Service Code	HCPCS 47538
Hospital Charge Code	2600232
Hospital Revenue Code	361
Min. Negotiated Rate	$4,036.93
Max. Negotiated Rate	$4,036.93
Rate for Payer: Qualcare PPO/HMO/WC	$4,036.93

PERQ PLMT BILE DUCT STENT(S)

Facility

$24,264.20

Service Code	HCPCS 47539
Hospital Charge Code	2011570
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$14,396.79
Rate for Payer: Aetna Commercial	$7,279.26
Rate for Payer: Aetna Medicare Advantage	$7,279.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,187.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,187.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,187.37
Rate for Payer: Cigna Commercial	$14,396.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,154.35
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,639.63
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

PERQ PLMT BILE DUCT STENT(S)

Facility

$24,264.20

Service Code	HCPCS 47539
Hospital Charge Code	411047539
Hospital Revenue Code	361
Min. Negotiated Rate	$3,639.63
Max. Negotiated Rate	$3,639.63
Rate for Payer: Qualcare PPO/HMO/WC	$3,639.63

PERQ PLMT BILE DUCT STENT(S)

Facility

$24,264.20

Service Code	HCPCS 47538
Hospital Charge Code	2011569
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$14,396.79
Rate for Payer: Aetna Commercial	$7,279.26
Rate for Payer: Aetna Medicare Advantage	$7,279.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,187.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,187.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,187.37
Rate for Payer: Cigna Commercial	$14,396.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,154.35
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,639.63
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

PERQ PLMT BILE DUCT STENT(S)

Facility

$26,912.85

Service Code	HCPCS 47540
Hospital Charge Code	321047540
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$14,396.79
Rate for Payer: Aetna Commercial	$8,073.85
Rate for Payer: Aetna Medicare Advantage	$8,073.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,862.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,862.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,862.78
Rate for Payer: Cigna Commercial	$14,396.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,498.67
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,036.93
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

PERQ PLMT BILE DUCT STENT(S)

Facility

$24,264.20

Service Code	HCPCS 47539
Hospital Charge Code	366847539
Hospital Revenue Code	361
Min. Negotiated Rate	$3,639.63
Max. Negotiated Rate	$3,639.63
Rate for Payer: Qualcare PPO/HMO/WC	$3,639.63

PERQ PLMT BILE DUCT STENT(S)

Facility

$26,912.85

Service Code	HCPCS 47539
Hospital Charge Code	2600233
Hospital Revenue Code	361
Min. Negotiated Rate	$4,036.93
Max. Negotiated Rate	$4,036.93
Rate for Payer: Qualcare PPO/HMO/WC	$4,036.93

PERQ PLMT BILE DUCT STENT(S)

Facility

$26,912.85

Service Code	HCPCS 47538
Hospital Charge Code	2600232
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$14,396.79
Rate for Payer: Aetna Commercial	$8,073.85
Rate for Payer: Aetna Medicare Advantage	$8,073.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,862.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,862.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,862.78
Rate for Payer: Cigna Commercial	$14,396.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,498.67
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,036.93
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

PERQ PLMT BILE DUCT STENT(S)

Facility

$24,264.20

Service Code	HCPCS 47540
Hospital Charge Code	366847540
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$14,396.79
Rate for Payer: Aetna Commercial	$7,279.26
Rate for Payer: Aetna Medicare Advantage	$7,279.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,187.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,187.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,187.37
Rate for Payer: Cigna Commercial	$14,396.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,154.35
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,639.63
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

PERQ PLMT BILE DUCT STENT(S)

Facility

$24,264.20

Service Code	HCPCS 47540
Hospital Charge Code	411047540
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$14,396.79
Rate for Payer: Aetna Commercial	$7,279.26
Rate for Payer: Aetna Medicare Advantage	$7,279.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,187.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,187.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,187.37
Rate for Payer: Cigna Commercial	$14,396.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,154.35
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,639.63
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

PERQ PLMT BILE DUCT STENT(S)

Facility

$24,264.20

Service Code	HCPCS 47538
Hospital Charge Code	7411567
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$14,396.79
Rate for Payer: Aetna Commercial	$7,279.26
Rate for Payer: Aetna Medicare Advantage	$7,279.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,187.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,187.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,187.37
Rate for Payer: Cigna Commercial	$14,396.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,154.35
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,639.63
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

PERQ PLMT BILE DUCT STENT(S)

Facility

$26,912.85

Service Code	HCPCS 47539
Hospital Charge Code	2600233
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$14,396.79
Rate for Payer: Aetna Commercial	$8,073.85
Rate for Payer: Aetna Medicare Advantage	$8,073.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,862.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,862.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,862.78
Rate for Payer: Cigna Commercial	$14,396.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,498.67
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,036.93
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

PERQ PLMT BILE DUCT STENT(S)

Facility

$24,264.20

Service Code	HCPCS 47538
Hospital Charge Code	366847538
Hospital Revenue Code	361
Min. Negotiated Rate	$3,639.63
Max. Negotiated Rate	$3,639.63
Rate for Payer: Qualcare PPO/HMO/WC	$3,639.63

PERQ PLMT BILE DUCT STENT(S)

Facility

$24,264.20

Service Code	HCPCS 47540
Hospital Charge Code	2011571
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$14,396.79
Rate for Payer: Aetna Commercial	$7,279.26
Rate for Payer: Aetna Medicare Advantage	$7,279.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,187.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,187.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,187.37
Rate for Payer: Cigna Commercial	$14,396.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,154.35
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,639.63
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

PERQ PLMT BILE DUCT STENT(S)

Facility

$24,264.20

Service Code	HCPCS 47539
Hospital Charge Code	411047539
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$14,396.79
Rate for Payer: Aetna Commercial	$7,279.26
Rate for Payer: Aetna Medicare Advantage	$7,279.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,187.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,187.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,187.37
Rate for Payer: Cigna Commercial	$14,396.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,154.35
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,639.63
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

PERQ PLMT BILE DUCT STENT(S)

Facility

$24,264.20

Service Code	HCPCS 47540
Hospital Charge Code	2011571
Hospital Revenue Code	361
Min. Negotiated Rate	$3,639.63
Max. Negotiated Rate	$3,639.63
Rate for Payer: Qualcare PPO/HMO/WC	$3,639.63

PERQ PLMT BILE DUCT STENT(S)

Facility

$26,912.85

Service Code	HCPCS 47540
Hospital Charge Code	2600234
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$14,396.79
Rate for Payer: Aetna Commercial	$8,073.85
Rate for Payer: Aetna Medicare Advantage	$8,073.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,862.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,862.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,862.78
Rate for Payer: Cigna Commercial	$14,396.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,498.67
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,036.93
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

PERQ PLMT BILE DUCT STENT(S)

Facility

$26,912.85

Service Code	HCPCS 47538
Hospital Charge Code	321047538
Hospital Revenue Code	361
Min. Negotiated Rate	$4,036.93
Max. Negotiated Rate	$4,036.93
Rate for Payer: Qualcare PPO/HMO/WC	$4,036.93

Know your out-of-pocket cost for care.

All Charges