Heights University Hospital

All Charges

Charge

Type

Setting

Price

STENT GENESIS 9X39 80CM

Facility

$6,975.00

Hospital Charge Code	270624624
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 GENESIS 9X39 80CM

Facility

$6,975.00

Hospital Charge Code	270624624
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 GENESIS 9x39m PG3990BPS

Facility

$7,142.45

Hospital Charge Code	270625624
Hospital Revenue Code	278
Min. Negotiated Rate	$1,071.37
Max. Negotiated Rate	$1,728.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,428.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,728.47
Rate for Payer: Qualcare PPO/HMO/WC	$1,071.37

STENT GENESIS 9x39m PG3990BPS

Facility

$7,142.45

Hospital Charge Code	270625624V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,071.37
Max. Negotiated Rate	$1,728.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,428.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,728.47
Rate for Payer: Qualcare PPO/HMO/WC	$1,071.37

STENT GENESIS 9x39m PG3990BPS

Facility

$7,142.45

Hospital Charge Code	270625624
Hospital Revenue Code	278
Min. Negotiated Rate	$1,071.37
Max. Negotiated Rate	$3,571.22
Rate for Payer: Aetna Commercial	$2,142.74
Rate for Payer: Aetna Medicare Advantage	$2,142.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,821.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,821.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,428.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,821.32
Rate for Payer: Cigna Commercial	$3,571.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,728.47
Rate for Payer: Qualcare PPO/HMO/WC	$1,071.37

STENT GENESIS 9x39m PG3990BPS

Facility

$7,142.45

Hospital Charge Code	270625624V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,071.37
Max. Negotiated Rate	$3,571.22
Rate for Payer: Aetna Commercial	$2,142.74
Rate for Payer: Aetna Medicare Advantage	$2,142.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,821.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,821.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,428.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,821.32
Rate for Payer: Cigna Commercial	$3,571.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,728.47
Rate for Payer: Qualcare PPO/HMO/WC	$1,071.37

STENT GENESIS/AVIATR 5x15 80cm

Facility

$7,375.00

Hospital Charge Code	270635535
Hospital Revenue Code	278
Min. Negotiated Rate	$1,106.25
Max. Negotiated Rate	$3,687.50
Rate for Payer: Aetna Commercial	$2,212.50
Rate for Payer: Aetna Medicare Advantage	$2,212.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,880.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,880.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,475.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,880.62
Rate for Payer: Cigna Commercial	$3,687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,784.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,106.25

STENT GENESIS/AVIATR 5x15 80cm

Facility

$7,375.00

Hospital Charge Code	270635535
Hospital Revenue Code	278
Min. Negotiated Rate	$1,106.25
Max. Negotiated Rate	$1,784.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,784.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,106.25

STENT GENESIS/AVIATR 7X18 80CM

Facility

$7,375.00

Hospital Charge Code	270631414C
Hospital Revenue Code	278
Min. Negotiated Rate	$1,106.25
Max. Negotiated Rate	$3,687.50
Rate for Payer: Aetna Commercial	$2,212.50
Rate for Payer: Aetna Medicare Advantage	$2,212.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,880.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,880.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,475.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,880.62
Rate for Payer: Cigna Commercial	$3,687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,784.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,106.25

STENT GENESIS/AVIATR 7X18 80CM

Facility

$7,375.00

Hospital Charge Code	270631414C
Hospital Revenue Code	278
Min. Negotiated Rate	$1,106.25
Max. Negotiated Rate	$1,784.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,784.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,106.25

STENT GENISIS CRD PG2990BPS

Facility

$6,944.00

Hospital Charge Code	270625965V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,041.60
Max. Negotiated Rate	$1,680.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,388.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,680.45
Rate for Payer: Qualcare PPO/HMO/WC	$1,041.60

STENT GENISIS CRD PG2990BPS

Facility

$6,944.00

Hospital Charge Code	270625965
Hospital Revenue Code	278
Min. Negotiated Rate	$1,041.60
Max. Negotiated Rate	$3,472.00
Rate for Payer: Aetna Commercial	$2,083.20
Rate for Payer: Aetna Medicare Advantage	$2,083.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,770.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,770.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,388.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,770.72
Rate for Payer: Cigna Commercial	$3,472.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,680.45
Rate for Payer: Qualcare PPO/HMO/WC	$1,041.60

STENT GENISIS CRD PG2990BPS

Facility

$6,944.00

Hospital Charge Code	270625965V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,041.60
Max. Negotiated Rate	$3,472.00
Rate for Payer: Aetna Commercial	$2,083.20
Rate for Payer: Aetna Medicare Advantage	$2,083.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,770.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,770.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,388.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,770.72
Rate for Payer: Cigna Commercial	$3,472.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,680.45
Rate for Payer: Qualcare PPO/HMO/WC	$1,041.60

STENT GENISIS CRD PG2990BPS

Facility

$6,944.00

Hospital Charge Code	270625965
Hospital Revenue Code	278
Min. Negotiated Rate	$1,041.60
Max. Negotiated Rate	$1,680.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,388.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,680.45
Rate for Payer: Qualcare PPO/HMO/WC	$1,041.60

STENT GENSIS BILIARY PG1560BSS

Facility

$6,944.00

Hospital Charge Code	270625650V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,041.60
Max. Negotiated Rate	$3,472.00
Rate for Payer: Aetna Commercial	$2,083.20
Rate for Payer: Aetna Medicare Advantage	$2,083.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,770.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,770.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,388.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,770.72
Rate for Payer: Cigna Commercial	$3,472.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,680.45
Rate for Payer: Qualcare PPO/HMO/WC	$1,041.60

STENT GENSIS BILIARY PG1560BSS

Facility

$6,944.00

Hospital Charge Code	270625650
Hospital Revenue Code	278
Min. Negotiated Rate	$1,041.60
Max. Negotiated Rate	$1,680.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,388.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,680.45
Rate for Payer: Qualcare PPO/HMO/WC	$1,041.60

STENT GENSIS BILIARY PG1560BSS

Facility

$6,944.00

Hospital Charge Code	270625650V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,041.60
Max. Negotiated Rate	$1,680.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,388.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,680.45
Rate for Payer: Qualcare PPO/HMO/WC	$1,041.60

STENT GENSIS BILIARY PG1560BSS

Facility

$6,944.00

Hospital Charge Code	270625650
Hospital Revenue Code	278
Min. Negotiated Rate	$1,041.60
Max. Negotiated Rate	$3,472.00
Rate for Payer: Aetna Commercial	$2,083.20
Rate for Payer: Aetna Medicare Advantage	$2,083.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,770.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,770.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,388.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,770.72
Rate for Payer: Cigna Commercial	$3,472.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,680.45
Rate for Payer: Qualcare PPO/HMO/WC	$1,041.60

STENT GLIDEX 8FR 26CM

Facility

$618.00

Hospital Charge Code	270665950
Hospital Revenue Code	278
Min. Negotiated Rate	$92.70
Max. Negotiated Rate	$309.00
Rate for Payer: Aetna Commercial	$185.40
Rate for Payer: Aetna Medicare Advantage	$185.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$157.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$157.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$157.59
Rate for Payer: Cigna Commercial	$309.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$149.56
Rate for Payer: Qualcare PPO/HMO/WC	$92.70

STENT GLIDEX 8FR 26CM

Facility

$618.00

Hospital Charge Code	270665950
Hospital Revenue Code	278
Min. Negotiated Rate	$92.70
Max. Negotiated Rate	$149.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$149.56
Rate for Payer: Qualcare PPO/HMO/WC	$92.70

STENT GNEN PANCRTIC 5x5 GEPD55

Facility

$567.75

Hospital Charge Code	270632939
Hospital Revenue Code	278
Min. Negotiated Rate	$85.16
Max. Negotiated Rate	$137.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.40
Rate for Payer: Qualcare PPO/HMO/WC	$85.16

STENT GNEN PANCRTIC 5x5 GEPD55

Facility

$567.75

Hospital Charge Code	270632939
Hospital Revenue Code	278
Min. Negotiated Rate	$85.16
Max. Negotiated Rate	$283.88
Rate for Payer: Aetna Commercial	$170.32
Rate for Payer: Aetna Medicare Advantage	$170.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.78
Rate for Payer: Cigna Commercial	$283.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.40
Rate for Payer: Qualcare PPO/HMO/WC	$85.16

STENT GORE TEX GRAFT 6MMX 30MM

Facility

$1,785.00

Service Code	HCPCS C1768
Hospital Charge Code	270688611
Hospital Revenue Code	278
Min. Negotiated Rate	$267.75
Max. Negotiated Rate	$431.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$357.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$431.97
Rate for Payer: Qualcare PPO/HMO/WC	$267.75

STENT GORE TEX GRAFT 6MMX 30MM

Facility

$1,785.00

Service Code	HCPCS C1768
Hospital Charge Code	270688611
Hospital Revenue Code	278
Min. Negotiated Rate	$267.75
Max. Negotiated Rate	$892.50
Rate for Payer: Aetna Commercial	$535.50
Rate for Payer: Aetna Medicare Advantage	$535.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$455.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$455.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$357.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$455.18
Rate for Payer: Cigna Commercial	$892.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$431.97
Rate for Payer: Qualcare PPO/HMO/WC	$267.75

STENT GPS 12MMx40MM, 80CM

Facility

$4,500.00

Service Code	HCPCS C1876
Hospital Charge Code	270636998S
Hospital Revenue Code	278
Min. Negotiated Rate	$675.00
Max. Negotiated Rate	$1,089.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,089.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00

Know your out-of-pocket cost for care.

All Charges