Heights University Hospital

All Charges

Charge

Type

Setting

Price

STEM AMISTEM P STD SZ 7

Facility

$8,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270694394
Hospital Revenue Code	278
Min. Negotiated Rate	$1,200.00
Max. Negotiated Rate	$1,936.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,936.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,200.00

STEM AMISTEM P STD SZ 7

Facility

$8,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270694394
Hospital Revenue Code	278
Min. Negotiated Rate	$1,200.00
Max. Negotiated Rate	$4,000.00
Rate for Payer: Aetna Commercial	$2,400.00
Rate for Payer: Aetna Medicare Advantage	$2,400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,040.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,040.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,040.00
Rate for Payer: Cigna Commercial	$4,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,936.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,200.00

STEM AML MMA FEM 10.5 MM

Facility

$14,000.00

Hospital Charge Code	270657393
Hospital Revenue Code	278
Min. Negotiated Rate	$2,100.00
Max. Negotiated Rate	$3,388.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,388.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,100.00

STEM AML MMA FEM 10.5 MM

Facility

$14,000.00

Hospital Charge Code	270657393
Hospital Revenue Code	278
Min. Negotiated Rate	$2,100.00
Max. Negotiated Rate	$7,000.00
Rate for Payer: Aetna Commercial	$4,200.00
Rate for Payer: Aetna Medicare Advantage	$4,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,570.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,570.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,570.00
Rate for Payer: Cigna Commercial	$7,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,388.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,100.00

STEM AML MMA FEM 13.5 MM

Facility

$14,775.00

Hospital Charge Code	270657395
Hospital Revenue Code	278
Min. Negotiated Rate	$2,216.25
Max. Negotiated Rate	$7,387.50
Rate for Payer: Aetna Commercial	$4,432.50
Rate for Payer: Aetna Medicare Advantage	$4,432.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,767.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,767.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,955.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,767.62
Rate for Payer: Cigna Commercial	$7,387.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,575.55
Rate for Payer: Qualcare PPO/HMO/WC	$2,216.25

STEM AML MMA FEM 13.5 MM

Facility

$14,775.00

Hospital Charge Code	270657395
Hospital Revenue Code	278
Min. Negotiated Rate	$2,216.25
Max. Negotiated Rate	$3,575.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,955.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,575.55
Rate for Payer: Qualcare PPO/HMO/WC	$2,216.25

STEM AML MMA FEM 15.0 MM

Facility

$14,000.00

Hospital Charge Code	270657396
Hospital Revenue Code	278
Min. Negotiated Rate	$2,100.00
Max. Negotiated Rate	$3,388.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,388.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,100.00

STEM AML MMA FEM 15.0 MM

Facility

$14,000.00

Hospital Charge Code	270657396
Hospital Revenue Code	278
Min. Negotiated Rate	$2,100.00
Max. Negotiated Rate	$7,000.00
Rate for Payer: Aetna Commercial	$4,200.00
Rate for Payer: Aetna Medicare Advantage	$4,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,570.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,570.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,570.00
Rate for Payer: Cigna Commercial	$7,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,388.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,100.00

STEM ARCOS SPL TPR 14X150MM

Facility

$18,660.00

Service Code	HCPCS C1776
Hospital Charge Code	270694538
Hospital Revenue Code	278
Min. Negotiated Rate	$2,799.00
Max. Negotiated Rate	$4,515.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,732.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,515.72
Rate for Payer: Qualcare PPO/HMO/WC	$2,799.00

STEM ARCOS SPL TPR 14X150MM

Facility

$18,660.00

Service Code	HCPCS C1776
Hospital Charge Code	270694538
Hospital Revenue Code	278
Min. Negotiated Rate	$2,799.00
Max. Negotiated Rate	$9,330.00
Rate for Payer: Aetna Commercial	$5,598.00
Rate for Payer: Aetna Medicare Advantage	$5,598.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,758.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,758.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,732.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,758.30
Rate for Payer: Cigna Commercial	$9,330.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,515.72
Rate for Payer: Qualcare PPO/HMO/WC	$2,799.00

STEM ATTUNE SZ 4 CEM POROCOAT

Facility

$7,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270690792
Hospital Revenue Code	278
Min. Negotiated Rate	$1,050.00
Max. Negotiated Rate	$3,500.00
Rate for Payer: Aetna Commercial	$2,100.00
Rate for Payer: Aetna Medicare Advantage	$2,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,785.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,785.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,785.00
Rate for Payer: Cigna Commercial	$3,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,694.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,050.00

STEM ATTUNE SZ 4 CEM POROCOAT

Facility

$7,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270690792
Hospital Revenue Code	278
Min. Negotiated Rate	$1,050.00
Max. Negotiated Rate	$1,694.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,694.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,050.00

STEM AVENIR CMPL HA SZ3

Facility

$14,787.55

Service Code	HCPCS C1776
Hospital Charge Code	270688362
Hospital Revenue Code	278
Min. Negotiated Rate	$2,218.13
Max. Negotiated Rate	$7,393.77
Rate for Payer: Aetna Commercial	$4,436.27
Rate for Payer: Aetna Medicare Advantage	$4,436.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,770.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,770.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,957.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,770.83
Rate for Payer: Cigna Commercial	$7,393.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,578.59
Rate for Payer: Qualcare PPO/HMO/WC	$2,218.13

STEM AVENIR CMPL HA SZ3

Facility

$14,787.55

Service Code	HCPCS C1776
Hospital Charge Code	270688362
Hospital Revenue Code	278
Min. Negotiated Rate	$2,218.13
Max. Negotiated Rate	$3,578.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,957.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,578.59
Rate for Payer: Qualcare PPO/HMO/WC	$2,218.13

STEM BIMETR POR 15x155 X180315

Facility

$21,865.00

Hospital Charge Code	270642279
Hospital Revenue Code	278
Min. Negotiated Rate	$3,279.75
Max. Negotiated Rate	$5,291.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,373.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,291.33
Rate for Payer: Qualcare PPO/HMO/WC	$3,279.75

STEM BIMETR POR 15x155 X180315

Facility

$21,865.00

Hospital Charge Code	270642279
Hospital Revenue Code	278
Min. Negotiated Rate	$3,279.75
Max. Negotiated Rate	$10,932.50
Rate for Payer: Aetna Commercial	$6,559.50
Rate for Payer: Aetna Medicare Advantage	$6,559.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,575.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,575.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,373.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,575.57
Rate for Payer: Cigna Commercial	$10,932.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,291.33
Rate for Payer: Qualcare PPO/HMO/WC	$3,279.75

STEM BMT FEM 10 130 162670

Facility

$19,505.00

Hospital Charge Code	270628128
Hospital Revenue Code	278
Min. Negotiated Rate	$2,925.75
Max. Negotiated Rate	$4,720.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,901.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,720.21
Rate for Payer: Qualcare PPO/HMO/WC	$2,925.75

STEM BMT FEM 10 130 162670

Facility

$19,505.00

Hospital Charge Code	270628128
Hospital Revenue Code	278
Min. Negotiated Rate	$2,925.75
Max. Negotiated Rate	$9,752.50
Rate for Payer: Aetna Commercial	$5,851.50
Rate for Payer: Aetna Medicare Advantage	$5,851.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,973.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,973.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,901.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,973.77
Rate for Payer: Cigna Commercial	$9,752.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,720.21
Rate for Payer: Qualcare PPO/HMO/WC	$2,925.75

STEM BMT FEM 10 130 162671

Facility

$14,440.00

Hospital Charge Code	270622513
Hospital Revenue Code	278
Min. Negotiated Rate	$2,166.00
Max. Negotiated Rate	$7,220.00
Rate for Payer: Aetna Commercial	$4,332.00
Rate for Payer: Aetna Medicare Advantage	$4,332.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,682.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,682.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,888.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,682.20
Rate for Payer: Cigna Commercial	$7,220.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,494.48
Rate for Payer: Qualcare PPO/HMO/WC	$2,166.00

STEM BMT FEM 10 130 162671

Facility

$14,440.00

Hospital Charge Code	270622513
Hospital Revenue Code	278
Min. Negotiated Rate	$2,166.00
Max. Negotiated Rate	$3,494.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,888.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,494.48
Rate for Payer: Qualcare PPO/HMO/WC	$2,166.00

STEM BMT FEM 13MM 162613

Facility

$18,783.60

Service Code	HCPCS C1776
Hospital Charge Code	270606921
Hospital Revenue Code	278
Min. Negotiated Rate	$2,817.54
Max. Negotiated Rate	$4,545.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,756.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,545.63
Rate for Payer: Qualcare PPO/HMO/WC	$2,817.54

STEM BMT FEM 13MM 162613

Facility

$18,783.60

Service Code	HCPCS C1776
Hospital Charge Code	270606921
Hospital Revenue Code	278
Min. Negotiated Rate	$2,817.54
Max. Negotiated Rate	$9,391.80
Rate for Payer: Aetna Commercial	$5,635.08
Rate for Payer: Aetna Medicare Advantage	$5,635.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,789.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,789.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,756.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,789.82
Rate for Payer: Cigna Commercial	$9,391.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,545.63
Rate for Payer: Qualcare PPO/HMO/WC	$2,817.54

STEM BMT FEM 14MM 162674

Facility

$19,505.00

Hospital Charge Code	270612160
Hospital Revenue Code	278
Min. Negotiated Rate	$2,925.75
Max. Negotiated Rate	$9,752.50
Rate for Payer: Aetna Commercial	$5,851.50
Rate for Payer: Aetna Medicare Advantage	$5,851.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,973.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,973.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,901.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,973.77
Rate for Payer: Cigna Commercial	$9,752.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,720.21
Rate for Payer: Qualcare PPO/HMO/WC	$2,925.75

STEM BMT FEM 14MM 162674

Facility

$19,505.00

Hospital Charge Code	270612160
Hospital Revenue Code	278
Min. Negotiated Rate	$2,925.75
Max. Negotiated Rate	$4,720.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,901.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,720.21
Rate for Payer: Qualcare PPO/HMO/WC	$2,925.75

STEM BMT FEM 15MM 162615

Facility

$19,349.00

Hospital Charge Code	270616308
Hospital Revenue Code	278
Min. Negotiated Rate	$2,902.35
Max. Negotiated Rate	$9,674.50
Rate for Payer: Aetna Commercial	$5,804.70
Rate for Payer: Aetna Medicare Advantage	$5,804.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,933.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,933.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,869.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,933.99
Rate for Payer: Cigna Commercial	$9,674.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,682.46
Rate for Payer: Qualcare PPO/HMO/WC	$2,902.35

Know your out-of-pocket cost for care.

All Charges