Heights University Hospital

All Charges

Charge

Type

Setting

Price

STENT EXCLUDER AAA32MM 4.5CM

Facility

$16,675.00

Hospital Charge Code	270682802
Hospital Revenue Code	278
Min. Negotiated Rate	$2,501.25
Max. Negotiated Rate	$8,337.50
Rate for Payer: Aetna Commercial	$5,002.50
Rate for Payer: Aetna Medicare Advantage	$5,002.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,252.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,252.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,335.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,252.12
Rate for Payer: Cigna Commercial	$8,337.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,035.35
Rate for Payer: Qualcare PPO/HMO/WC	$2,501.25

STENT EXP 2 2.5X20 350502025

Facility

$4,375.00

Hospital Charge Code	270639376
Hospital Revenue Code	278
Min. Negotiated Rate	$656.25
Max. Negotiated Rate	$2,187.50
Rate for Payer: Aetna Commercial	$1,312.50
Rate for Payer: Aetna Medicare Advantage	$1,312.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,115.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,115.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,115.62
Rate for Payer: Cigna Commercial	$2,187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,058.75
Rate for Payer: Qualcare PPO/HMO/WC	$656.25

STENT EXP 2 2.5X20 350502025

Facility

$4,375.00

Hospital Charge Code	270639376
Hospital Revenue Code	278
Min. Negotiated Rate	$656.25
Max. Negotiated Rate	$1,058.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,058.75
Rate for Payer: Qualcare PPO/HMO/WC	$656.25

STENT EXP MONO 2.5X8 350500825

Facility

$4,375.00

Hospital Charge Code	270638558C
Hospital Revenue Code	278
Min. Negotiated Rate	$656.25
Max. Negotiated Rate	$1,058.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,058.75
Rate for Payer: Qualcare PPO/HMO/WC	$656.25

STENT EXP MONO 2.5X8 350500825

Facility

$4,375.00

Hospital Charge Code	270638558C
Hospital Revenue Code	278
Min. Negotiated Rate	$656.25
Max. Negotiated Rate	$2,187.50
Rate for Payer: Aetna Commercial	$1,312.50
Rate for Payer: Aetna Medicare Advantage	$1,312.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,115.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,115.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,115.62
Rate for Payer: Cigna Commercial	$2,187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,058.75
Rate for Payer: Qualcare PPO/HMO/WC	$656.25

STENT EXPR 2 2.5X12M35050-1225

Facility

$4,375.00

Hospital Charge Code	270642469C
Hospital Revenue Code	278
Min. Negotiated Rate	$656.25
Max. Negotiated Rate	$1,058.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,058.75
Rate for Payer: Qualcare PPO/HMO/WC	$656.25

STENT EXPR 2 2.5X12M35050-1225

Facility

$4,375.00

Hospital Charge Code	270642469C
Hospital Revenue Code	278
Min. Negotiated Rate	$656.25
Max. Negotiated Rate	$2,187.50
Rate for Payer: Aetna Commercial	$1,312.50
Rate for Payer: Aetna Medicare Advantage	$1,312.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,115.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,115.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,115.62
Rate for Payer: Cigna Commercial	$2,187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,058.75
Rate for Payer: Qualcare PPO/HMO/WC	$656.25

STENT EXPR 2 2.5X16 350501625

Facility

$4,375.00

Hospital Charge Code	270638811C
Hospital Revenue Code	278
Min. Negotiated Rate	$656.25
Max. Negotiated Rate	$1,058.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,058.75
Rate for Payer: Qualcare PPO/HMO/WC	$656.25

STENT EXPR 2 2.5X16 350501625

Facility

$4,375.00

Hospital Charge Code	270638811C
Hospital Revenue Code	278
Min. Negotiated Rate	$656.25
Max. Negotiated Rate	$2,187.50
Rate for Payer: Aetna Commercial	$1,312.50
Rate for Payer: Aetna Medicare Advantage	$1,312.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,115.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,115.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,115.62
Rate for Payer: Cigna Commercial	$2,187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,058.75
Rate for Payer: Qualcare PPO/HMO/WC	$656.25

STENT EXPR 2 2.5X8 350500825

Facility

$4,375.00

Hospital Charge Code	270638812
Hospital Revenue Code	278
Min. Negotiated Rate	$656.25
Max. Negotiated Rate	$1,058.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,058.75
Rate for Payer: Qualcare PPO/HMO/WC	$656.25

STENT EXPR 2 2.5X8 350500825

Facility

$4,375.00

Hospital Charge Code	270638812
Hospital Revenue Code	278
Min. Negotiated Rate	$656.25
Max. Negotiated Rate	$2,187.50
Rate for Payer: Aetna Commercial	$1,312.50
Rate for Payer: Aetna Medicare Advantage	$1,312.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,115.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,115.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,115.62
Rate for Payer: Cigna Commercial	$2,187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,058.75
Rate for Payer: Qualcare PPO/HMO/WC	$656.25

STENT EXPRE 5x15x90 3791151590

Facility

$6,975.00

Hospital Charge Code	270633192V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,046.25
Max. Negotiated Rate	$1,687.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,687.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,046.25

STENT EXPRE 5x15x90 3791151590

Facility

$6,975.00

Hospital Charge Code	270633192V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,046.25
Max. Negotiated Rate	$3,487.50
Rate for Payer: Aetna Commercial	$2,092.50
Rate for Payer: Aetna Medicare Advantage	$2,092.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,778.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,778.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,395.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,778.62
Rate for Payer: Cigna Commercial	$3,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,687.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,046.25

STENT EXPRESS 10x37 3804610407

Facility

$6,919.25

Hospital Charge Code	270632830V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,037.89
Max. Negotiated Rate	$1,674.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,383.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,674.46
Rate for Payer: Qualcare PPO/HMO/WC	$1,037.89

STENT EXPRESS 10x37 3804610407

Facility

$6,919.25

Hospital Charge Code	270632830V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,037.89
Max. Negotiated Rate	$3,459.62
Rate for Payer: Aetna Commercial	$2,075.78
Rate for Payer: Aetna Medicare Advantage	$2,075.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,764.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,764.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,383.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,764.41
Rate for Payer: Cigna Commercial	$3,459.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,674.46
Rate for Payer: Qualcare PPO/HMO/WC	$1,037.89

STENT EXPRESS 10x37 75cm

Facility

$5,942.30

Hospital Charge Code	270632830
Hospital Revenue Code	278
Min. Negotiated Rate	$891.35
Max. Negotiated Rate	$2,971.15
Rate for Payer: Aetna Commercial	$1,782.69
Rate for Payer: Aetna Medicare Advantage	$1,782.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,515.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,515.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,188.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,515.29
Rate for Payer: Cigna Commercial	$2,971.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,438.04
Rate for Payer: Qualcare PPO/HMO/WC	$891.35

STENT EXPRESS 10x37 75cm

Facility

$5,942.30

Hospital Charge Code	270632830
Hospital Revenue Code	278
Min. Negotiated Rate	$891.35
Max. Negotiated Rate	$1,438.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,188.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,438.04
Rate for Payer: Qualcare PPO/HMO/WC	$891.35

STENT EXPRESS 2 2.5x16mm

Facility

$4,375.00

Hospital Charge Code	270638811
Hospital Revenue Code	278
Min. Negotiated Rate	$656.25
Max. Negotiated Rate	$1,058.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,058.75
Rate for Payer: Qualcare PPO/HMO/WC	$656.25

STENT EXPRESS 2 2.5x16mm

Facility

$4,375.00

Hospital Charge Code	270638811
Hospital Revenue Code	278
Min. Negotiated Rate	$656.25
Max. Negotiated Rate	$2,187.50
Rate for Payer: Aetna Commercial	$1,312.50
Rate for Payer: Aetna Medicare Advantage	$1,312.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,115.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,115.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,115.62
Rate for Payer: Cigna Commercial	$2,187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,058.75
Rate for Payer: Qualcare PPO/HMO/WC	$656.25

STENT EXPRESS 4x15 150cm

Facility

$5,942.30

Hospital Charge Code	270644094
Hospital Revenue Code	278
Min. Negotiated Rate	$891.35
Max. Negotiated Rate	$1,438.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,188.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,438.04
Rate for Payer: Qualcare PPO/HMO/WC	$891.35

STENT EXPRESS 4x15 150cm

Facility

$5,942.30

Hospital Charge Code	270644094
Hospital Revenue Code	278
Min. Negotiated Rate	$891.35
Max. Negotiated Rate	$2,971.15
Rate for Payer: Aetna Commercial	$1,782.69
Rate for Payer: Aetna Medicare Advantage	$1,782.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,515.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,515.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,188.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,515.29
Rate for Payer: Cigna Commercial	$2,971.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,438.04
Rate for Payer: Qualcare PPO/HMO/WC	$891.35

STENT EXPRESS 5x15 150cm

Facility

$5,942.30

Hospital Charge Code	270634526
Hospital Revenue Code	278
Min. Negotiated Rate	$891.35
Max. Negotiated Rate	$2,971.15
Rate for Payer: Aetna Commercial	$1,782.69
Rate for Payer: Aetna Medicare Advantage	$1,782.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,515.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,515.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,188.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,515.29
Rate for Payer: Cigna Commercial	$2,971.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,438.04
Rate for Payer: Qualcare PPO/HMO/WC	$891.35

STENT EXPRESS 5x15 150cm

Facility

$5,942.30

Hospital Charge Code	270634526
Hospital Revenue Code	278
Min. Negotiated Rate	$891.35
Max. Negotiated Rate	$1,438.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,188.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,438.04
Rate for Payer: Qualcare PPO/HMO/WC	$891.35

STENT EXPRESS 5x15 90cm

Facility

$5,942.30

Hospital Charge Code	270633192
Hospital Revenue Code	278
Min. Negotiated Rate	$891.35
Max. Negotiated Rate	$2,971.15
Rate for Payer: Aetna Commercial	$1,782.69
Rate for Payer: Aetna Medicare Advantage	$1,782.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,515.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,515.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,188.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,515.29
Rate for Payer: Cigna Commercial	$2,971.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,438.04
Rate for Payer: Qualcare PPO/HMO/WC	$891.35

STENT EXPRESS 5x15 90cm

Facility

$5,942.30

Hospital Charge Code	270633192
Hospital Revenue Code	278
Min. Negotiated Rate	$891.35
Max. Negotiated Rate	$1,438.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,188.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,438.04
Rate for Payer: Qualcare PPO/HMO/WC	$891.35

Know your out-of-pocket cost for care.

All Charges