Heights University Hospital

All Charges

Charge

Type

Setting

Price

STENT CYPHR RX 2 5X23 CXS23250

Facility

$13,625.00

Hospital Charge Code	270636963C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,043.75
Max. Negotiated Rate	$6,812.50
Rate for Payer: Aetna Commercial	$4,087.50
Rate for Payer: Aetna Medicare Advantage	$4,087.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,474.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,474.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,725.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,474.38
Rate for Payer: Cigna Commercial	$6,812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,297.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,043.75

STENT CYPHR RX 2 5X23 CXS23250

Facility

$13,625.00

Hospital Charge Code	270636963C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,043.75
Max. Negotiated Rate	$3,297.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,297.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,043.75

STENT CYPHR RX 2.5x28 CXS28250

Facility

$13,625.00

Hospital Charge Code	270637719
Hospital Revenue Code	278
Min. Negotiated Rate	$2,043.75
Max. Negotiated Rate	$6,812.50
Rate for Payer: Aetna Commercial	$4,087.50
Rate for Payer: Aetna Medicare Advantage	$4,087.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,474.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,474.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,725.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,474.38
Rate for Payer: Cigna Commercial	$6,812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,297.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,043.75

STENT CYPHR RX 2.5x28 CXS28250

Facility

$13,625.00

Hospital Charge Code	270637719
Hospital Revenue Code	278
Min. Negotiated Rate	$2,043.75
Max. Negotiated Rate	$3,297.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,297.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,043.75

STENT CYPHR RX 2 5X28 CXS28250

Facility

$13,625.00

Hospital Charge Code	270637719C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,043.75
Max. Negotiated Rate	$3,297.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,297.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,043.75

STENT CYPHR RX 2 5X28 CXS28250

Facility

$13,625.00

Hospital Charge Code	270637719C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,043.75
Max. Negotiated Rate	$6,812.50
Rate for Payer: Aetna Commercial	$4,087.50
Rate for Payer: Aetna Medicare Advantage	$4,087.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,474.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,474.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,725.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,474.38
Rate for Payer: Cigna Commercial	$6,812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,297.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,043.75

STENT CYPHR RX 2.5X8 CXS08250

Facility

$13,625.00

Hospital Charge Code	270637330
Hospital Revenue Code	278
Min. Negotiated Rate	$2,043.75
Max. Negotiated Rate	$6,812.50
Rate for Payer: Aetna Commercial	$4,087.50
Rate for Payer: Aetna Medicare Advantage	$4,087.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,474.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,474.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,725.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,474.38
Rate for Payer: Cigna Commercial	$6,812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,297.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,043.75

STENT CYPHR RX 2.5X8 CXS08250

Facility

$13,625.00

Hospital Charge Code	270637330
Hospital Revenue Code	278
Min. Negotiated Rate	$2,043.75
Max. Negotiated Rate	$3,297.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,297.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,043.75

STENT CYPHR RX 3 0X13 CXS13300

Facility

$13,625.00

Hospital Charge Code	270637113
Hospital Revenue Code	278
Min. Negotiated Rate	$2,043.75
Max. Negotiated Rate	$3,297.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,297.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,043.75

STENT CYPHR RX 3 0X13 CXS13300

Facility

$13,625.00

Hospital Charge Code	270637113C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,043.75
Max. Negotiated Rate	$6,812.50
Rate for Payer: Aetna Commercial	$4,087.50
Rate for Payer: Aetna Medicare Advantage	$4,087.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,474.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,474.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,725.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,474.38
Rate for Payer: Cigna Commercial	$6,812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,297.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,043.75

STENT CYPHR RX 3 0X13 CXS13300

Facility

$13,625.00

Hospital Charge Code	270637113
Hospital Revenue Code	278
Min. Negotiated Rate	$2,043.75
Max. Negotiated Rate	$6,812.50
Rate for Payer: Aetna Commercial	$4,087.50
Rate for Payer: Aetna Medicare Advantage	$4,087.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,474.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,474.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,725.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,474.38
Rate for Payer: Cigna Commercial	$6,812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,297.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,043.75

STENT CYPHR RX 3 0X13 CXS13300

Facility

$13,625.00

Hospital Charge Code	270637113C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,043.75
Max. Negotiated Rate	$3,297.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,297.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,043.75

STENT CYPHR RX 3 0x18 CXS18300

Facility

$15,847.25

Hospital Charge Code	270636670C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,377.09
Max. Negotiated Rate	$7,923.62
Rate for Payer: Aetna Commercial	$4,754.18
Rate for Payer: Aetna Medicare Advantage	$4,754.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,041.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,041.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,169.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,041.05
Rate for Payer: Cigna Commercial	$7,923.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,835.03
Rate for Payer: Qualcare PPO/HMO/WC	$2,377.09

STENT CYPHR RX 3 0x18 CXS18300

Facility

$15,847.25

Hospital Charge Code	270636670C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,377.09
Max. Negotiated Rate	$3,835.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,169.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,835.03
Rate for Payer: Qualcare PPO/HMO/WC	$2,377.09

STENT CYPHR RX 3 0X18 CXS18300

Facility

$15,847.25

Hospital Charge Code	270636670
Hospital Revenue Code	278
Min. Negotiated Rate	$2,377.09
Max. Negotiated Rate	$3,835.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,169.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,835.03
Rate for Payer: Qualcare PPO/HMO/WC	$2,377.09

STENT CYPHR RX 3 0X18 CXS18300

Facility

$15,847.25

Hospital Charge Code	270636670
Hospital Revenue Code	278
Min. Negotiated Rate	$2,377.09
Max. Negotiated Rate	$7,923.62
Rate for Payer: Aetna Commercial	$4,754.18
Rate for Payer: Aetna Medicare Advantage	$4,754.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,041.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,041.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,169.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,041.05
Rate for Payer: Cigna Commercial	$7,923.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,835.03
Rate for Payer: Qualcare PPO/HMO/WC	$2,377.09

STENT CYPHR RX 3 0X18 CXS23300

Facility

$15,847.25

Hospital Charge Code	270636606
Hospital Revenue Code	278
Min. Negotiated Rate	$2,377.09
Max. Negotiated Rate	$3,835.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,169.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,835.03
Rate for Payer: Qualcare PPO/HMO/WC	$2,377.09

STENT CYPHR RX 3 0X18 CXS23300

Facility

$15,847.25

Hospital Charge Code	270636606
Hospital Revenue Code	278
Min. Negotiated Rate	$2,377.09
Max. Negotiated Rate	$7,923.62
Rate for Payer: Aetna Commercial	$4,754.18
Rate for Payer: Aetna Medicare Advantage	$4,754.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,041.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,041.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,169.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,041.05
Rate for Payer: Cigna Commercial	$7,923.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,835.03
Rate for Payer: Qualcare PPO/HMO/WC	$2,377.09

STENT CYPHR RX 3 0x23 CXS23300

Facility

$15,847.25

Hospital Charge Code	270636606C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,377.09
Max. Negotiated Rate	$7,923.62
Rate for Payer: Aetna Commercial	$4,754.18
Rate for Payer: Aetna Medicare Advantage	$4,754.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,041.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,041.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,169.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,041.05
Rate for Payer: Cigna Commercial	$7,923.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,835.03
Rate for Payer: Qualcare PPO/HMO/WC	$2,377.09

STENT CYPHR RX 3 0x23 CXS23300

Facility

$15,847.25

Hospital Charge Code	270636606C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,377.09
Max. Negotiated Rate	$3,835.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,169.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,835.03
Rate for Payer: Qualcare PPO/HMO/WC	$2,377.09

STENT CYPHR RX 3 0X28 CXS28300

Facility

$13,625.00

Hospital Charge Code	270637779C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,043.75
Max. Negotiated Rate	$6,812.50
Rate for Payer: Aetna Commercial	$4,087.50
Rate for Payer: Aetna Medicare Advantage	$4,087.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,474.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,474.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,725.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,474.38
Rate for Payer: Cigna Commercial	$6,812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,297.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,043.75

STENT CYPHR RX 3 0X28 CXS28300

Facility

$13,625.00

Hospital Charge Code	270637779C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,043.75
Max. Negotiated Rate	$3,297.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,297.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,043.75

STENT CYPHR RX 3 0x33 CXS33300

Facility

$13,635.00

Hospital Charge Code	270637337V
Hospital Revenue Code	278
Min. Negotiated Rate	$2,045.25
Max. Negotiated Rate	$6,817.50
Rate for Payer: Aetna Commercial	$4,090.50
Rate for Payer: Aetna Medicare Advantage	$4,090.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,476.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,476.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,727.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,476.93
Rate for Payer: Cigna Commercial	$6,817.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,299.67
Rate for Payer: Qualcare PPO/HMO/WC	$2,045.25

STENT CYPHR RX 3 0x33 CXS33300

Facility

$13,635.00

Hospital Charge Code	270637337V
Hospital Revenue Code	278
Min. Negotiated Rate	$2,045.25
Max. Negotiated Rate	$3,299.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,727.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,299.67
Rate for Payer: Qualcare PPO/HMO/WC	$2,045.25

STENT CYPHR RX 3 0X33 CXS33300

Facility

$13,635.00

Hospital Charge Code	270637337
Hospital Revenue Code	278
Min. Negotiated Rate	$2,045.25
Max. Negotiated Rate	$3,299.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,727.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,299.67
Rate for Payer: Qualcare PPO/HMO/WC	$2,045.25

Know your out-of-pocket cost for care.

All Charges