Heights University Hospital

All Charges

Charge

Type

Setting

Price

STENT COMPLETE SE SC8150L

Facility

$6,750.00

Hospital Charge Code	270CH0122
Hospital Revenue Code	278
Min. Negotiated Rate	$1,012.50
Max. Negotiated Rate	$1,633.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,633.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50

STENT COMPLETE SE SHORT SC840

Facility

$6,250.00

Hospital Charge Code	270CH0124
Hospital Revenue Code	278
Min. Negotiated Rate	$937.50
Max. Negotiated Rate	$1,512.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,512.50
Rate for Payer: Qualcare PPO/HMO/WC	$937.50

STENT COMPLETE SE SHORT SC840

Facility

$6,250.00

Hospital Charge Code	270CH0124
Hospital Revenue Code	278
Min. Negotiated Rate	$937.50
Max. Negotiated Rate	$3,125.00
Rate for Payer: Aetna Commercial	$1,875.00
Rate for Payer: Aetna Medicare Advantage	$1,875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,593.75
Rate for Payer: Cigna Commercial	$3,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,512.50
Rate for Payer: Qualcare PPO/HMO/WC	$937.50

STENT COMP SE LON SC640LV

Facility

$6,250.00

Hospital Charge Code	2709006903
Hospital Revenue Code	272
Min. Negotiated Rate	$937.50
Max. Negotiated Rate	$937.50
Rate for Payer: Qualcare PPO/HMO/WC	$937.50

STENT COMP SE LON SC640LV

Facility

$6,250.00

Hospital Charge Code	2709006903
Hospital Revenue Code	272
Min. Negotiated Rate	$812.50
Max. Negotiated Rate	$3,125.00
Rate for Payer: Aetna Commercial	$1,875.00
Rate for Payer: Aetna Medicare Advantage	$1,875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,593.75
Rate for Payer: Cigna Commercial	$3,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$812.50
Rate for Payer: Oxford Commercial	$3,125.00
Rate for Payer: Qualcare PPO/HMO/WC	$937.50
Rate for Payer: UnitedHealthcare Commercial	$3,125.00

STENT CONFX 7x100x135 CFX07100

Facility

$10,143.25

Hospital Charge Code	270635342V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,521.49
Max. Negotiated Rate	$2,454.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,028.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,454.67
Rate for Payer: Qualcare PPO/HMO/WC	$1,521.49

STENT CONFX 7x100x135 CFX07100

Facility

$10,143.25

Hospital Charge Code	270635342V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,521.49
Max. Negotiated Rate	$5,071.62
Rate for Payer: Aetna Commercial	$3,042.97
Rate for Payer: Aetna Medicare Advantage	$3,042.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,586.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,586.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,028.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,586.53
Rate for Payer: Cigna Commercial	$5,071.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,454.67
Rate for Payer: Qualcare PPO/HMO/WC	$1,521.49

STENT CONFX 7x100x135 CFX07100

Facility

$10,143.25

Hospital Charge Code	270635342
Hospital Revenue Code	278
Min. Negotiated Rate	$1,521.49
Max. Negotiated Rate	$5,071.62
Rate for Payer: Aetna Commercial	$3,042.97
Rate for Payer: Aetna Medicare Advantage	$3,042.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,586.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,586.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,028.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,586.53
Rate for Payer: Cigna Commercial	$5,071.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,454.67
Rate for Payer: Qualcare PPO/HMO/WC	$1,521.49

STENT CONFX 7x100x135 CFX07100

Facility

$10,143.25

Hospital Charge Code	270635342
Hospital Revenue Code	278
Min. Negotiated Rate	$1,521.49
Max. Negotiated Rate	$2,454.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,028.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,454.67
Rate for Payer: Qualcare PPO/HMO/WC	$1,521.49

STENT CONFX 7x120x135 CFX07120

Facility

$11,383.25

Hospital Charge Code	270635341
Hospital Revenue Code	278
Min. Negotiated Rate	$1,707.49
Max. Negotiated Rate	$2,754.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,276.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,754.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,707.49

STENT CONFX 7x120x135 CFX07120

Facility

$11,383.25

Hospital Charge Code	270635341V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,707.49
Max. Negotiated Rate	$5,691.62
Rate for Payer: Aetna Commercial	$3,414.97
Rate for Payer: Aetna Medicare Advantage	$3,414.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,902.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,902.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,276.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,902.73
Rate for Payer: Cigna Commercial	$5,691.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,754.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,707.49

STENT CONFX 7x120x135 CFX07120

Facility

$11,383.25

Hospital Charge Code	270635341V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,707.49
Max. Negotiated Rate	$2,754.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,276.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,754.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,707.49

STENT CONFX 7x120x135 CFX07120

Facility

$11,383.25

Hospital Charge Code	270635341
Hospital Revenue Code	278
Min. Negotiated Rate	$1,707.49
Max. Negotiated Rate	$5,691.62
Rate for Payer: Aetna Commercial	$3,414.97
Rate for Payer: Aetna Medicare Advantage	$3,414.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,902.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,902.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,276.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,902.73
Rate for Payer: Cigna Commercial	$5,691.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,754.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,707.49

STENT CONTOUR 6FR 22-30CM

Facility

$1,019.70

Service Code	HCPCS C2617
Hospital Charge Code	270625398
Hospital Revenue Code	278
Min. Negotiated Rate	$152.96
Max. Negotiated Rate	$246.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$203.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$246.77
Rate for Payer: Qualcare PPO/HMO/WC	$152.96

STENT CONTOUR 6FR 22-30CM

Facility

$1,019.70

Service Code	HCPCS C2617
Hospital Charge Code	270625398
Hospital Revenue Code	278
Min. Negotiated Rate	$152.96
Max. Negotiated Rate	$509.85
Rate for Payer: Aetna Commercial	$305.91
Rate for Payer: Aetna Medicare Advantage	$305.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$260.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$260.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$203.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$260.02
Rate for Payer: Cigna Commercial	$509.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$246.77
Rate for Payer: Qualcare PPO/HMO/WC	$152.96

STENT CONTOUR VL 7FR 22CMx30CM

Facility

$1,468.35

Service Code	HCPCS C2617
Hospital Charge Code	270660535
Hospital Revenue Code	278
Min. Negotiated Rate	$220.25
Max. Negotiated Rate	$734.17
Rate for Payer: Aetna Commercial	$440.50
Rate for Payer: Aetna Medicare Advantage	$440.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$374.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$374.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$293.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$374.43
Rate for Payer: Cigna Commercial	$734.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$355.34
Rate for Payer: Qualcare PPO/HMO/WC	$220.25

STENT CONTOUR VL 7FR 22CMx30CM

Facility

$1,468.35

Service Code	HCPCS C2617
Hospital Charge Code	270660535
Hospital Revenue Code	278
Min. Negotiated Rate	$220.25
Max. Negotiated Rate	$355.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$293.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$355.34
Rate for Payer: Qualcare PPO/HMO/WC	$220.25

STENT CONTOUR VL 7FRSTENT CONT

Facility

$935.50

Hospital Charge Code	270652858
Hospital Revenue Code	278
Min. Negotiated Rate	$140.32
Max. Negotiated Rate	$467.75
Rate for Payer: Aetna Commercial	$280.65
Rate for Payer: Aetna Medicare Advantage	$280.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$238.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$238.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$187.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$238.55
Rate for Payer: Cigna Commercial	$467.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.39
Rate for Payer: Qualcare PPO/HMO/WC	$140.32

STENT CONTOUR VL 7FRSTENT CONT

Facility

$935.50

Hospital Charge Code	270652858
Hospital Revenue Code	278
Min. Negotiated Rate	$140.32
Max. Negotiated Rate	$226.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$187.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.39
Rate for Payer: Qualcare PPO/HMO/WC	$140.32

STENT COPE 10.2X 24CM NEPHROUR

Facility

$624.45

Service Code	HCPCS C2625
Hospital Charge Code	270679759
Hospital Revenue Code	278
Min. Negotiated Rate	$93.67
Max. Negotiated Rate	$151.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.12
Rate for Payer: Qualcare PPO/HMO/WC	$93.67

STENT COPE 10.2X 24CM NEPHROUR

Facility

$624.45

Service Code	HCPCS C2625
Hospital Charge Code	270679759
Hospital Revenue Code	278
Min. Negotiated Rate	$93.67
Max. Negotiated Rate	$312.23
Rate for Payer: Aetna Commercial	$187.34
Rate for Payer: Aetna Medicare Advantage	$187.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.23
Rate for Payer: Cigna Commercial	$312.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.12
Rate for Payer: Qualcare PPO/HMO/WC	$93.67

STENT CRD BILI 10 40 N1040ABR

Facility

$7,836.85

Hospital Charge Code	270623882
Hospital Revenue Code	278
Min. Negotiated Rate	$1,175.53
Max. Negotiated Rate	$1,896.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,567.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,896.52
Rate for Payer: Qualcare PPO/HMO/WC	$1,175.53

STENT CRD BILI 10 40 N1040ABR

Facility

$7,836.85

Hospital Charge Code	270623882
Hospital Revenue Code	278
Min. Negotiated Rate	$1,175.53
Max. Negotiated Rate	$3,918.43
Rate for Payer: Aetna Commercial	$2,351.05
Rate for Payer: Aetna Medicare Advantage	$2,351.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,998.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,998.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,567.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,998.40
Rate for Payer: Cigna Commercial	$3,918.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,896.52
Rate for Payer: Qualcare PPO/HMO/WC	$1,175.53

STENT CRD BILI 12 40 N1240AB

Facility

$7,836.85

Hospital Charge Code	270623883
Hospital Revenue Code	278
Min. Negotiated Rate	$1,175.53
Max. Negotiated Rate	$1,896.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,567.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,896.52
Rate for Payer: Qualcare PPO/HMO/WC	$1,175.53

STENT CRD BILI 12 40 N1240AB

Facility

$7,836.85

Hospital Charge Code	270623883
Hospital Revenue Code	278
Min. Negotiated Rate	$1,175.53
Max. Negotiated Rate	$3,918.43
Rate for Payer: Aetna Commercial	$2,351.05
Rate for Payer: Aetna Medicare Advantage	$2,351.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,998.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,998.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,567.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,998.40
Rate for Payer: Cigna Commercial	$3,918.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,896.52
Rate for Payer: Qualcare PPO/HMO/WC	$1,175.53

Know your out-of-pocket cost for care.

All Charges