Heights University Hospital

All Charges

Charge

Type

Setting

Price

STENT MT ILIAC WSRP 7 71-136

Facility

$5,165.60

Hospital Charge Code	270623270V
Hospital Revenue Code	278
Min. Negotiated Rate	$774.84
Max. Negotiated Rate	$2,582.80
Rate for Payer: Aetna Commercial	$1,549.68
Rate for Payer: Aetna Medicare Advantage	$1,549.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,317.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,317.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,033.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,317.23
Rate for Payer: Cigna Commercial	$2,582.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,250.08
Rate for Payer: Qualcare PPO/HMO/WC	$774.84

STENT MT NIR UNMOUNT 19 60-908

Facility

$4,557.65

Hospital Charge Code	270623268
Hospital Revenue Code	278
Min. Negotiated Rate	$683.65
Max. Negotiated Rate	$2,278.82
Rate for Payer: Aetna Commercial	$1,367.30
Rate for Payer: Aetna Medicare Advantage	$1,367.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,162.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,162.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$911.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,162.20
Rate for Payer: Cigna Commercial	$2,278.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,102.95
Rate for Payer: Qualcare PPO/HMO/WC	$683.65

STENT MT NIR UNMOUNT 19 60-908

Facility

$4,557.65

Hospital Charge Code	270623268
Hospital Revenue Code	278
Min. Negotiated Rate	$683.65
Max. Negotiated Rate	$1,102.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$911.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,102.95
Rate for Payer: Qualcare PPO/HMO/WC	$683.65

STENT MT SYMPH 14 40 60-364

Facility

$5,596.80

Hospital Charge Code	270626881V
Hospital Revenue Code	278
Min. Negotiated Rate	$839.52
Max. Negotiated Rate	$2,798.40
Rate for Payer: Aetna Commercial	$1,679.04
Rate for Payer: Aetna Medicare Advantage	$1,679.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,427.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,427.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,119.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,427.18
Rate for Payer: Cigna Commercial	$2,798.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,354.43
Rate for Payer: Qualcare PPO/HMO/WC	$839.52

STENT MT SYMPH 14 40 60-364

Facility

$5,596.80

Hospital Charge Code	270626881V
Hospital Revenue Code	278
Min. Negotiated Rate	$839.52
Max. Negotiated Rate	$1,354.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,119.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,354.43
Rate for Payer: Qualcare PPO/HMO/WC	$839.52

STENT MT SYMPH 14 40 60-364

Facility

$5,550.45

Hospital Charge Code	270626881
Hospital Revenue Code	278
Min. Negotiated Rate	$832.57
Max. Negotiated Rate	$2,775.22
Rate for Payer: Aetna Commercial	$1,665.13
Rate for Payer: Aetna Medicare Advantage	$1,665.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,415.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,415.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,110.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,415.36
Rate for Payer: Cigna Commercial	$2,775.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,343.21
Rate for Payer: Qualcare PPO/HMO/WC	$832.57

STENT MT SYMPH 14 40 60-364

Facility

$5,550.45

Hospital Charge Code	270626881
Hospital Revenue Code	278
Min. Negotiated Rate	$832.57
Max. Negotiated Rate	$1,343.21
Rate for Payer: Qualcare PPO/HMO/WC	$832.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,110.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,343.21

STENT MT URET8F 24CM 24-551

Facility

$734.45

Hospital Charge Code	270623954V
Hospital Revenue Code	278
Min. Negotiated Rate	$110.17
Max. Negotiated Rate	$177.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$146.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$177.74
Rate for Payer: Qualcare PPO/HMO/WC	$110.17

STENT MT URET8F 24CM 24-551

Facility

$734.45

Hospital Charge Code	270623954V
Hospital Revenue Code	278
Min. Negotiated Rate	$110.17
Max. Negotiated Rate	$367.23
Rate for Payer: Aetna Commercial	$220.34
Rate for Payer: Aetna Medicare Advantage	$220.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$187.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$187.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$146.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$187.28
Rate for Payer: Cigna Commercial	$367.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$177.74
Rate for Payer: Qualcare PPO/HMO/WC	$110.17

STENT MT UST/7-4/5/75 14-436

Facility

$1,296.85

Hospital Charge Code	270623796
Hospital Revenue Code	278
Min. Negotiated Rate	$194.53
Max. Negotiated Rate	$313.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$259.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$313.84
Rate for Payer: Qualcare PPO/HMO/WC	$194.53

STENT MT UST/7-4/5/75 14-436

Facility

$1,296.85

Hospital Charge Code	270623796
Hospital Revenue Code	278
Min. Negotiated Rate	$194.53
Max. Negotiated Rate	$648.42
Rate for Payer: Aetna Commercial	$389.06
Rate for Payer: Aetna Medicare Advantage	$389.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$330.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$330.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$259.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$330.70
Rate for Payer: Cigna Commercial	$648.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$313.84
Rate for Payer: Qualcare PPO/HMO/WC	$194.53

STENT MT WALL 10 42 75 71-134

Facility

$5,148.00

Hospital Charge Code	270627351V
Hospital Revenue Code	278
Min. Negotiated Rate	$772.20
Max. Negotiated Rate	$1,245.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,029.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,245.82
Rate for Payer: Qualcare PPO/HMO/WC	$772.20

STENT MT WALL 10 42 75 71-134

Facility

$5,148.00

Hospital Charge Code	270627351V
Hospital Revenue Code	278
Min. Negotiated Rate	$772.20
Max. Negotiated Rate	$2,574.00
Rate for Payer: Aetna Commercial	$1,544.40
Rate for Payer: Aetna Medicare Advantage	$1,544.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,312.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,312.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,029.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,312.74
Rate for Payer: Cigna Commercial	$2,574.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,245.82
Rate for Payer: Qualcare PPO/HMO/WC	$772.20

STENT MT WALL 80 60 75 71-128

Facility

$5,148.00

Hospital Charge Code	270627332V
Hospital Revenue Code	278
Min. Negotiated Rate	$772.20
Max. Negotiated Rate	$2,574.00
Rate for Payer: Aetna Commercial	$1,544.40
Rate for Payer: Aetna Medicare Advantage	$1,544.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,312.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,312.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,029.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,312.74
Rate for Payer: Cigna Commercial	$2,574.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,245.82
Rate for Payer: Qualcare PPO/HMO/WC	$772.20

STENT MT WALL 80 60 75 71-128

Facility

$5,148.00

Hospital Charge Code	270627332V
Hospital Revenue Code	278
Min. Negotiated Rate	$772.20
Max. Negotiated Rate	$1,245.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,029.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,245.82
Rate for Payer: Qualcare PPO/HMO/WC	$772.20

STENT MT WS 10F 18 40 40411

Facility

$5,712.85

Hospital Charge Code	270626884
Hospital Revenue Code	278
Min. Negotiated Rate	$856.93
Max. Negotiated Rate	$1,382.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,142.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,382.51
Rate for Payer: Qualcare PPO/HMO/WC	$856.93

STENT MT WS 10F 18 40 40411

Facility

$5,712.85

Hospital Charge Code	270626884
Hospital Revenue Code	278
Min. Negotiated Rate	$856.93
Max. Negotiated Rate	$2,856.43
Rate for Payer: Aetna Commercial	$1,713.86
Rate for Payer: Aetna Medicare Advantage	$1,713.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,456.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,456.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,142.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,456.78
Rate for Payer: Cigna Commercial	$2,856.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,382.51
Rate for Payer: Qualcare PPO/HMO/WC	$856.93

STENT MT WS 9F 12 90 40213

Facility

$8,823.20

Hospital Charge Code	270627567V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,323.48
Max. Negotiated Rate	$4,411.60
Rate for Payer: Aetna Commercial	$2,646.96
Rate for Payer: Aetna Medicare Advantage	$2,646.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,249.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,249.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,764.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,249.92
Rate for Payer: Cigna Commercial	$4,411.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,135.21
Rate for Payer: Qualcare PPO/HMO/WC	$1,323.48

STENT MT WS 9F 12 90 40213

Facility

$8,823.20

Hospital Charge Code	270627567V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,323.48
Max. Negotiated Rate	$2,135.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,764.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,135.21
Rate for Payer: Qualcare PPO/HMO/WC	$1,323.48

STENT MULI-LINK MINI 2.0X12MM

Facility

$4,875.00

Hospital Charge Code	270643599C
Hospital Revenue Code	278
Min. Negotiated Rate	$731.25
Max. Negotiated Rate	$1,179.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$975.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,179.75
Rate for Payer: Qualcare PPO/HMO/WC	$731.25

STENT MULI-LINK MINI 2.0X12MM

Facility

$4,875.00

Hospital Charge Code	270643599C
Hospital Revenue Code	278
Min. Negotiated Rate	$731.25
Max. Negotiated Rate	$2,437.50
Rate for Payer: Aetna Commercial	$1,462.50
Rate for Payer: Aetna Medicare Advantage	$1,462.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,243.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,243.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$975.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,243.12
Rate for Payer: Cigna Commercial	$2,437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,179.75
Rate for Payer: Qualcare PPO/HMO/WC	$731.25

STENT MUL MIN 2.0x23 100782123

Facility

$4,875.00

Hospital Charge Code	270643361V
Hospital Revenue Code	278
Min. Negotiated Rate	$731.25
Max. Negotiated Rate	$1,179.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$975.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,179.75
Rate for Payer: Qualcare PPO/HMO/WC	$731.25

STENT MUL MIN 2.0x23 100782123

Facility

$4,875.00

Hospital Charge Code	270643361V
Hospital Revenue Code	278
Min. Negotiated Rate	$731.25
Max. Negotiated Rate	$2,437.50
Rate for Payer: Aetna Commercial	$1,462.50
Rate for Payer: Aetna Medicare Advantage	$1,462.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,243.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,243.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$975.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,243.12
Rate for Payer: Cigna Commercial	$2,437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,179.75
Rate for Payer: Qualcare PPO/HMO/WC	$731.25

STENT MUL MIN 2.0X23 100782123

Facility

$4,875.00

Hospital Charge Code	270643361C
Hospital Revenue Code	278
Min. Negotiated Rate	$731.25
Max. Negotiated Rate	$2,437.50
Rate for Payer: Aetna Commercial	$1,462.50
Rate for Payer: Aetna Medicare Advantage	$1,462.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,243.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,243.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$975.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,243.12
Rate for Payer: Cigna Commercial	$2,437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,179.75
Rate for Payer: Qualcare PPO/HMO/WC	$731.25

STENT MUL MIN 2.0X23 100782123

Facility

$4,875.00

Hospital Charge Code	270643361C
Hospital Revenue Code	278
Min. Negotiated Rate	$731.25
Max. Negotiated Rate	$1,179.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$975.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,179.75
Rate for Payer: Qualcare PPO/HMO/WC	$731.25

Know your out-of-pocket cost for care.

All Charges