Heights University Hospital

All Charges

Charge

Type

Setting

Price

STENT PRECISE BILI 6x40 N640SB

Facility

$9,672.00

Hospital Charge Code	270626426
Hospital Revenue Code	278
Min. Negotiated Rate	$1,450.80
Max. Negotiated Rate	$4,836.00
Rate for Payer: Aetna Commercial	$2,901.60
Rate for Payer: Aetna Medicare Advantage	$2,901.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,466.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,466.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,934.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,466.36
Rate for Payer: Cigna Commercial	$4,836.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,340.62
Rate for Payer: Qualcare PPO/HMO/WC	$1,450.80

STENT PRECISE BILI 6x40 N640SB

Facility

$9,750.00

Hospital Charge Code	270626426V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,462.50
Max. Negotiated Rate	$2,359.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,359.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,462.50

STENT PRECISE BILI 6x40 N640SB

Facility

$9,672.00

Hospital Charge Code	270626426
Hospital Revenue Code	278
Min. Negotiated Rate	$1,450.80
Max. Negotiated Rate	$2,340.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,934.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,340.62
Rate for Payer: Qualcare PPO/HMO/WC	$1,450.80

STENT PRECISE BILI 6x40 N640SB

Facility

$9,750.00

Hospital Charge Code	270626426V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,462.50
Max. Negotiated Rate	$4,875.00
Rate for Payer: Aetna Commercial	$2,925.00
Rate for Payer: Aetna Medicare Advantage	$2,925.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,486.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,486.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,950.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,486.25
Rate for Payer: Cigna Commercial	$4,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,359.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,462.50

STENT PRECISE PRO RX 7X40 MM 1

Facility

$10,590.00

Service Code	HCPCS C1876
Hospital Charge Code	270689712
Hospital Revenue Code	278
Min. Negotiated Rate	$1,588.50
Max. Negotiated Rate	$5,295.00
Rate for Payer: Aetna Commercial	$3,177.00
Rate for Payer: Aetna Medicare Advantage	$3,177.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,700.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,700.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,118.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,700.45
Rate for Payer: Cigna Commercial	$5,295.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,562.78
Rate for Payer: Qualcare PPO/HMO/WC	$1,588.50

STENT PRECISE PRO RX 7X40 MM 1

Facility

$10,590.00

Service Code	HCPCS C1876
Hospital Charge Code	270689712
Hospital Revenue Code	278
Min. Negotiated Rate	$1,588.50
Max. Negotiated Rate	$2,562.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,118.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,562.78
Rate for Payer: Qualcare PPO/HMO/WC	$1,588.50

STENT PRECISE PRO RX 8X40 MM 1

Facility

$10,590.00

Service Code	HCPCS C1876
Hospital Charge Code	270689711
Hospital Revenue Code	278
Min. Negotiated Rate	$1,588.50
Max. Negotiated Rate	$2,562.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,118.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,562.78
Rate for Payer: Qualcare PPO/HMO/WC	$1,588.50

STENT PRECISE PRO RX 8X40 MM 1

Facility

$10,590.00

Service Code	HCPCS C1876
Hospital Charge Code	270689711
Hospital Revenue Code	278
Min. Negotiated Rate	$1,588.50
Max. Negotiated Rate	$5,295.00
Rate for Payer: Aetna Commercial	$3,177.00
Rate for Payer: Aetna Medicare Advantage	$3,177.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,700.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,700.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,118.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,700.45
Rate for Payer: Cigna Commercial	$5,295.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,562.78
Rate for Payer: Qualcare PPO/HMO/WC	$1,588.50

STENT PRECISE RX 5x40 6FR

Facility

$10,725.00

Hospital Charge Code	270638606
Hospital Revenue Code	278
Min. Negotiated Rate	$1,608.75
Max. Negotiated Rate	$5,362.50
Rate for Payer: Aetna Commercial	$3,217.50
Rate for Payer: Aetna Medicare Advantage	$3,217.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,734.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,734.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,145.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,734.88
Rate for Payer: Cigna Commercial	$5,362.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,595.45
Rate for Payer: Qualcare PPO/HMO/WC	$1,608.75

STENT PRECISE RX 5x40 6FR

Facility

$10,725.00

Hospital Charge Code	270638606
Hospital Revenue Code	278
Min. Negotiated Rate	$1,608.75
Max. Negotiated Rate	$2,595.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,145.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,595.45
Rate for Payer: Qualcare PPO/HMO/WC	$1,608.75

STENT PRECISE RX 6 MM x 40 MM

Facility

$8,825.00

Service Code	HCPCS C1876
Hospital Charge Code	270683811N
Hospital Revenue Code	272
Min. Negotiated Rate	$1,323.75
Max. Negotiated Rate	$1,323.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,323.75

STENT PRECISE RX 6 MM x 40 MM

Facility

$8,825.00

Service Code	HCPCS C1876
Hospital Charge Code	270683811N
Hospital Revenue Code	272
Min. Negotiated Rate	$1,147.25
Max. Negotiated Rate	$4,412.50
Rate for Payer: Aetna Commercial	$2,647.50
Rate for Payer: Aetna Medicare Advantage	$2,647.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,250.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,250.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,250.38
Rate for Payer: Cigna Commercial	$4,412.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,147.25
Rate for Payer: Oxford Commercial	$4,412.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,323.75
Rate for Payer: UnitedHealthcare Commercial	$4,412.50

STENT PRECISE RX 6 MM x 40 MM

Facility

$8,825.00

Service Code	HCPCS C1876
Hospital Charge Code	270683811
Hospital Revenue Code	272
Min. Negotiated Rate	$1,323.75
Max. Negotiated Rate	$1,323.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,323.75

STENT PRECISE RX 6 MM x 40 MM

Facility

$8,825.00

Service Code	HCPCS C1876
Hospital Charge Code	270683811
Hospital Revenue Code	272
Min. Negotiated Rate	$1,147.25
Max. Negotiated Rate	$4,412.50
Rate for Payer: Aetna Commercial	$2,647.50
Rate for Payer: Aetna Medicare Advantage	$2,647.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,250.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,250.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,250.38
Rate for Payer: Cigna Commercial	$4,412.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,147.25
Rate for Payer: Oxford Commercial	$4,412.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,323.75
Rate for Payer: UnitedHealthcare Commercial	$4,412.50

STENT PRECSE BILI 7x40m N740SB

Facility

$9,672.00

Hospital Charge Code	270628403
Hospital Revenue Code	278
Min. Negotiated Rate	$1,450.80
Max. Negotiated Rate	$4,836.00
Rate for Payer: Aetna Commercial	$2,901.60
Rate for Payer: Aetna Medicare Advantage	$2,901.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,466.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,466.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,934.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,466.36
Rate for Payer: Cigna Commercial	$4,836.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,340.62
Rate for Payer: Qualcare PPO/HMO/WC	$1,450.80

STENT PRECSE BILI 7x40m N740SB

Facility

$9,750.00

Hospital Charge Code	270628403V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,462.50
Max. Negotiated Rate	$4,875.00
Rate for Payer: Aetna Commercial	$2,925.00
Rate for Payer: Aetna Medicare Advantage	$2,925.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,486.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,486.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,950.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,486.25
Rate for Payer: Cigna Commercial	$4,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,359.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,462.50

STENT PRECSE BILI 7x40m N740SB

Facility

$9,750.00

Hospital Charge Code	270628403V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,462.50
Max. Negotiated Rate	$2,359.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,359.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,462.50

STENT PRECSE BILI 7x40m N740SB

Facility

$9,672.00

Hospital Charge Code	270628403
Hospital Revenue Code	278
Min. Negotiated Rate	$1,450.80
Max. Negotiated Rate	$2,340.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,934.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,340.62
Rate for Payer: Qualcare PPO/HMO/WC	$1,450.80

STENT PRECSE RX 6x30 P06030RXB

Facility

$10,639.25

Service Code	HCPCS C1876
Hospital Charge Code	270631755
Hospital Revenue Code	278
Min. Negotiated Rate	$1,595.89
Max. Negotiated Rate	$5,319.62
Rate for Payer: Aetna Commercial	$3,191.78
Rate for Payer: Aetna Medicare Advantage	$3,191.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,713.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,713.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,127.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,713.01
Rate for Payer: Cigna Commercial	$5,319.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,574.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,595.89

STENT PRECSE RX 6x30 P06030RXB

Facility

$10,639.25

Service Code	HCPCS C1876
Hospital Charge Code	270631755
Hospital Revenue Code	278
Min. Negotiated Rate	$1,595.89
Max. Negotiated Rate	$2,574.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,127.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,574.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,595.89

STENT PRECSE RX 6x40 P06040RXB

Facility

$10,639.25

Hospital Charge Code	270631756
Hospital Revenue Code	278
Min. Negotiated Rate	$1,595.89
Max. Negotiated Rate	$5,319.62
Rate for Payer: Aetna Commercial	$3,191.78
Rate for Payer: Aetna Medicare Advantage	$3,191.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,713.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,713.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,127.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,713.01
Rate for Payer: Cigna Commercial	$5,319.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,574.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,595.89

STENT PRECSE RX 6x40 P06040RXB

Facility

$10,639.25

Hospital Charge Code	270631756
Hospital Revenue Code	278
Min. Negotiated Rate	$1,595.89
Max. Negotiated Rate	$2,574.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,127.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,574.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,595.89

STENT PRECSE RX 7x30 P07030RX3

Facility

$10,725.00

Hospital Charge Code	270631757V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,608.75
Max. Negotiated Rate	$5,362.50
Rate for Payer: Aetna Commercial	$3,217.50
Rate for Payer: Aetna Medicare Advantage	$3,217.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,734.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,734.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,145.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,734.88
Rate for Payer: Cigna Commercial	$5,362.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,595.45
Rate for Payer: Qualcare PPO/HMO/WC	$1,608.75

STENT PRECSE RX 7x30 P07030RX3

Facility

$10,725.00

Hospital Charge Code	270631757V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,608.75
Max. Negotiated Rate	$2,595.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,145.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,595.45
Rate for Payer: Qualcare PPO/HMO/WC	$1,608.75

STENT PRECSE RX 7x30 P07030RX3

Facility

$10,639.25

Hospital Charge Code	270631757
Hospital Revenue Code	278
Min. Negotiated Rate	$1,595.89
Max. Negotiated Rate	$2,574.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,127.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,574.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,595.89

Know your out-of-pocket cost for care.

All Charges