Heights University Hospital

All Charges

Charge

Type

Setting

Price

STENT LUMINEXX 12x40 LXM12040

Facility

$8,159.25

Hospital Charge Code	270635338
Hospital Revenue Code	278
Min. Negotiated Rate	$1,223.89
Max. Negotiated Rate	$1,974.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,631.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,974.54
Rate for Payer: Qualcare PPO/HMO/WC	$1,223.89

STENT LUMINEXX 12x40 LXM12040

Facility

$8,159.25

Hospital Charge Code	270635338V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,223.89
Max. Negotiated Rate	$4,079.62
Rate for Payer: Aetna Commercial	$2,447.78
Rate for Payer: Aetna Medicare Advantage	$2,447.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,080.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,080.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,631.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,080.61
Rate for Payer: Cigna Commercial	$4,079.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,974.54
Rate for Payer: Qualcare PPO/HMO/WC	$1,223.89

STENT LUMINEXX 12x40 LXM12040

Facility

$8,159.25

Hospital Charge Code	270635338V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,223.89
Max. Negotiated Rate	$1,974.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,631.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,974.54
Rate for Payer: Qualcare PPO/HMO/WC	$1,223.89

STENT LUMINEXX 8x40 LXM08040

Facility

$7,688.00

Hospital Charge Code	270631050
Hospital Revenue Code	278
Min. Negotiated Rate	$1,153.20
Max. Negotiated Rate	$1,860.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,537.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,860.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,153.20

STENT LUMINEXX 8x40 LXM08040

Facility

$7,688.00

Hospital Charge Code	270631050
Hospital Revenue Code	278
Min. Negotiated Rate	$1,153.20
Max. Negotiated Rate	$3,844.00
Rate for Payer: Aetna Commercial	$2,306.40
Rate for Payer: Aetna Medicare Advantage	$2,306.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,960.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,960.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,537.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,960.44
Rate for Payer: Cigna Commercial	$3,844.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,860.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,153.20

STENT LUXINEXX 8x60 LXL08060

Facility

$7,911.25

Hospital Charge Code	270630609V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,186.69
Max. Negotiated Rate	$3,955.62
Rate for Payer: Aetna Commercial	$2,373.38
Rate for Payer: Aetna Medicare Advantage	$2,373.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,017.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,017.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,582.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,017.37
Rate for Payer: Cigna Commercial	$3,955.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,914.52
Rate for Payer: Qualcare PPO/HMO/WC	$1,186.69

STENT LUXINEXX 8x60 LXL08060

Facility

$7,911.25

Hospital Charge Code	270630609V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,186.69
Max. Negotiated Rate	$1,914.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,582.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,914.52
Rate for Payer: Qualcare PPO/HMO/WC	$1,186.69

STENT LUXINEXX 8x60 LXL08060

Facility

$7,911.25

Hospital Charge Code	270630609
Hospital Revenue Code	278
Min. Negotiated Rate	$1,186.69
Max. Negotiated Rate	$1,914.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,582.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,914.52
Rate for Payer: Qualcare PPO/HMO/WC	$1,186.69

STENT LUXINEXX 8x60 LXL08060

Facility

$7,911.25

Hospital Charge Code	270630609
Hospital Revenue Code	278
Min. Negotiated Rate	$1,186.69
Max. Negotiated Rate	$3,955.62
Rate for Payer: Aetna Commercial	$2,373.38
Rate for Payer: Aetna Medicare Advantage	$2,373.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,017.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,017.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,582.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,017.37
Rate for Payer: Cigna Commercial	$3,955.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,914.52
Rate for Payer: Qualcare PPO/HMO/WC	$1,186.69

STENT MCV BILI 10.0F 10CM 3932

Facility

$760.00

Service Code	HCPCS C2625
Hospital Charge Code	270617759
Hospital Revenue Code	278
Min. Negotiated Rate	$114.00
Max. Negotiated Rate	$183.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$152.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$183.92
Rate for Payer: Qualcare PPO/HMO/WC	$114.00

STENT MCV BILI 10.0F 10CM 3932

Facility

$760.00

Service Code	HCPCS C2625
Hospital Charge Code	270617759
Hospital Revenue Code	278
Min. Negotiated Rate	$114.00
Max. Negotiated Rate	$380.00
Rate for Payer: Aetna Commercial	$228.00
Rate for Payer: Aetna Medicare Advantage	$228.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$193.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$193.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$152.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$193.80
Rate for Payer: Cigna Commercial	$380.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$183.92
Rate for Payer: Qualcare PPO/HMO/WC	$114.00

STENT MCV BILI 10.0F 5CM 3930

Facility

$760.00

Hospital Charge Code	270617760
Hospital Revenue Code	278
Min. Negotiated Rate	$114.00
Max. Negotiated Rate	$183.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$152.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$183.92
Rate for Payer: Qualcare PPO/HMO/WC	$114.00

STENT MCV BILI 10.0F 5CM 3930

Facility

$760.00

Hospital Charge Code	270617760
Hospital Revenue Code	278
Min. Negotiated Rate	$114.00
Max. Negotiated Rate	$380.00
Rate for Payer: Aetna Commercial	$228.00
Rate for Payer: Aetna Medicare Advantage	$228.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$193.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$193.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$152.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$193.80
Rate for Payer: Cigna Commercial	$380.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$183.92
Rate for Payer: Qualcare PPO/HMO/WC	$114.00

STENT MCV BILI 10.0F 7CM 3931

Facility

$760.00

Hospital Charge Code	270617758
Hospital Revenue Code	278
Min. Negotiated Rate	$114.00
Max. Negotiated Rate	$183.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$152.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$183.92
Rate for Payer: Qualcare PPO/HMO/WC	$114.00

STENT MCV BILI 10.0F 7CM 3931

Facility

$760.00

Hospital Charge Code	270617758
Hospital Revenue Code	278
Min. Negotiated Rate	$114.00
Max. Negotiated Rate	$380.00
Rate for Payer: Aetna Commercial	$228.00
Rate for Payer: Aetna Medicare Advantage	$228.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$193.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$193.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$152.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$193.80
Rate for Payer: Cigna Commercial	$380.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$183.92
Rate for Payer: Qualcare PPO/HMO/WC	$114.00

STENT MCV BILI 7.0F 5CM 3920

Facility

$760.00

Hospital Charge Code	270617753
Hospital Revenue Code	278
Min. Negotiated Rate	$114.00
Max. Negotiated Rate	$380.00
Rate for Payer: Aetna Commercial	$228.00
Rate for Payer: Aetna Medicare Advantage	$228.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$193.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$193.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$152.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$193.80
Rate for Payer: Cigna Commercial	$380.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$183.92
Rate for Payer: Qualcare PPO/HMO/WC	$114.00

STENT MCV BILI 7.0F 5CM 3920

Facility

$760.00

Hospital Charge Code	270617753
Hospital Revenue Code	278
Min. Negotiated Rate	$114.00
Max. Negotiated Rate	$183.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$152.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$183.92
Rate for Payer: Qualcare PPO/HMO/WC	$114.00

STENT MCV BILI 7.0F 7CM 3921

Facility

$760.00

Service Code	HCPCS C2625
Hospital Charge Code	270617754
Hospital Revenue Code	278
Min. Negotiated Rate	$114.00
Max. Negotiated Rate	$183.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$152.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$183.92
Rate for Payer: Qualcare PPO/HMO/WC	$114.00

STENT MCV BILI 7.0F 7CM 3921

Facility

$760.00

Service Code	HCPCS C2625
Hospital Charge Code	270617754
Hospital Revenue Code	278
Min. Negotiated Rate	$114.00
Max. Negotiated Rate	$380.00
Rate for Payer: Aetna Commercial	$228.00
Rate for Payer: Aetna Medicare Advantage	$228.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$193.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$193.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$152.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$193.80
Rate for Payer: Cigna Commercial	$380.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$183.92
Rate for Payer: Qualcare PPO/HMO/WC	$114.00

STENT MCV BILI 8.5F 10CM 3927

Facility

$760.00

Hospital Charge Code	270617756
Hospital Revenue Code	278
Min. Negotiated Rate	$114.00
Max. Negotiated Rate	$380.00
Rate for Payer: Aetna Commercial	$228.00
Rate for Payer: Aetna Medicare Advantage	$228.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$193.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$193.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$152.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$193.80
Rate for Payer: Cigna Commercial	$380.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$183.92
Rate for Payer: Qualcare PPO/HMO/WC	$114.00

STENT MCV BILI 8.5F 10CM 3927

Facility

$760.00

Hospital Charge Code	270617756
Hospital Revenue Code	278
Min. Negotiated Rate	$114.00
Max. Negotiated Rate	$183.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$152.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$183.92
Rate for Payer: Qualcare PPO/HMO/WC	$114.00

STENT MCV BILI 8.5F 5CM 3925

Facility

$760.00

Hospital Charge Code	270617757
Hospital Revenue Code	278
Min. Negotiated Rate	$114.00
Max. Negotiated Rate	$380.00
Rate for Payer: Aetna Commercial	$228.00
Rate for Payer: Aetna Medicare Advantage	$228.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$193.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$193.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$152.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$193.80
Rate for Payer: Cigna Commercial	$380.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$183.92
Rate for Payer: Qualcare PPO/HMO/WC	$114.00

STENT MCV BILI 8.5F 5CM 3925

Facility

$760.00

Hospital Charge Code	270617757
Hospital Revenue Code	278
Min. Negotiated Rate	$114.00
Max. Negotiated Rate	$183.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$152.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$183.92
Rate for Payer: Qualcare PPO/HMO/WC	$114.00

STENT MCV BILI 8.5F 7CM 3926

Facility

$760.00

Hospital Charge Code	270617755
Hospital Revenue Code	278
Min. Negotiated Rate	$114.00
Max. Negotiated Rate	$380.00
Rate for Payer: Aetna Commercial	$228.00
Rate for Payer: Aetna Medicare Advantage	$228.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$193.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$193.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$152.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$193.80
Rate for Payer: Cigna Commercial	$380.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$183.92
Rate for Payer: Qualcare PPO/HMO/WC	$114.00

STENT MCV BILI 8.5F 7CM 3926

Facility

$760.00

Hospital Charge Code	270617755
Hospital Revenue Code	278
Min. Negotiated Rate	$114.00
Max. Negotiated Rate	$183.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$152.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$183.92
Rate for Payer: Qualcare PPO/HMO/WC	$114.00

Know your out-of-pocket cost for care.

All Charges