Heights University Hospital

All Charges

Charge

Type

Setting

Price

STENT SELFEX 8x40 75 NT358401D

Facility

$8,375.00

Hospital Charge Code	270637052V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,256.25
Max. Negotiated Rate	$4,187.50
Rate for Payer: Aetna Commercial	$2,512.50
Rate for Payer: Aetna Medicare Advantage	$2,512.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,135.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,135.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,135.62
Rate for Payer: Cigna Commercial	$4,187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,026.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,256.25

STENT SELFEX 8x40 75 NT358401D

Facility

$8,375.00

Hospital Charge Code	270637052V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,256.25
Max. Negotiated Rate	$2,026.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,675.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,026.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,256.25

STENT SENTINOL 6x60 135c

Facility

$7,415.25

Hospital Charge Code	270635244
Hospital Revenue Code	278
Min. Negotiated Rate	$1,112.29
Max. Negotiated Rate	$3,707.62
Rate for Payer: Aetna Commercial	$2,224.57
Rate for Payer: Aetna Medicare Advantage	$2,224.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,890.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,890.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,483.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,890.89
Rate for Payer: Cigna Commercial	$3,707.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,794.49
Rate for Payer: Qualcare PPO/HMO/WC	$1,112.29

STENT SENTINOL 6x60 135c

Facility

$7,475.00

Hospital Charge Code	270635244V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,121.25
Max. Negotiated Rate	$3,737.50
Rate for Payer: Aetna Commercial	$2,242.50
Rate for Payer: Aetna Medicare Advantage	$2,242.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,906.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,906.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,906.12
Rate for Payer: Cigna Commercial	$3,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,808.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,121.25

STENT SENTINOL 6x60 135c

Facility

$7,415.25

Hospital Charge Code	270635244
Hospital Revenue Code	278
Min. Negotiated Rate	$1,112.29
Max. Negotiated Rate	$1,794.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,483.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,794.49
Rate for Payer: Qualcare PPO/HMO/WC	$1,112.29

STENT SENTINOL 6x60 135c

Facility

$7,475.00

Hospital Charge Code	270635244V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,121.25
Max. Negotiated Rate	$1,808.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,808.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,121.25

STENT SENTINOL 7x59 135cM

Facility

$7,415.25

Hospital Charge Code	270636396
Hospital Revenue Code	278
Min. Negotiated Rate	$1,112.29
Max. Negotiated Rate	$3,707.62
Rate for Payer: Aetna Commercial	$2,224.57
Rate for Payer: Aetna Medicare Advantage	$2,224.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,890.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,890.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,483.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,890.89
Rate for Payer: Cigna Commercial	$3,707.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,794.49
Rate for Payer: Qualcare PPO/HMO/WC	$1,112.29

STENT SENTINOL 7x59 135cM

Facility

$7,475.00

Hospital Charge Code	270636396V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,121.25
Max. Negotiated Rate	$3,737.50
Rate for Payer: Aetna Commercial	$2,242.50
Rate for Payer: Aetna Medicare Advantage	$2,242.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,906.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,906.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,906.12
Rate for Payer: Cigna Commercial	$3,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,808.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,121.25

STENT SENTINOL 7x59 135cM

Facility

$7,475.00

Hospital Charge Code	270636396V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,121.25
Max. Negotiated Rate	$1,808.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,808.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,121.25

STENT SENTINOL 7x59 135cM

Facility

$7,415.25

Hospital Charge Code	270636396
Hospital Revenue Code	278
Min. Negotiated Rate	$1,112.29
Max. Negotiated Rate	$1,794.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,483.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,794.49
Rate for Payer: Qualcare PPO/HMO/WC	$1,112.29

STENT SENTINOL 7X78m

Facility

$7,475.00

Hospital Charge Code	270635573V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,121.25
Max. Negotiated Rate	$1,808.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,808.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,121.25

STENT SENTINOL 7X78m

Facility

$7,475.00

Hospital Charge Code	270635573V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,121.25
Max. Negotiated Rate	$3,737.50
Rate for Payer: Aetna Commercial	$2,242.50
Rate for Payer: Aetna Medicare Advantage	$2,242.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,906.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,906.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,906.12
Rate for Payer: Cigna Commercial	$3,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,808.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,121.25

STENT SENTINOL 7X78m

Facility

$7,415.25

Hospital Charge Code	270635573
Hospital Revenue Code	278
Min. Negotiated Rate	$1,112.29
Max. Negotiated Rate	$3,707.62
Rate for Payer: Aetna Commercial	$2,224.57
Rate for Payer: Aetna Medicare Advantage	$2,224.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,890.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,890.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,483.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,890.89
Rate for Payer: Cigna Commercial	$3,707.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,794.49
Rate for Payer: Qualcare PPO/HMO/WC	$1,112.29

STENT SENTINOL 7X78m

Facility

$7,415.25

Hospital Charge Code	270635573
Hospital Revenue Code	278
Min. Negotiated Rate	$1,112.29
Max. Negotiated Rate	$1,794.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,483.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,794.49
Rate for Payer: Qualcare PPO/HMO/WC	$1,112.29

STENT SENTINOL 8x60 135cm

Facility

$7,475.00

Hospital Charge Code	270636397V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,121.25
Max. Negotiated Rate	$1,808.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,808.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,121.25

STENT SENTINOL 8x60 135cm

Facility

$7,475.00

Hospital Charge Code	270636397V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,121.25
Max. Negotiated Rate	$3,737.50
Rate for Payer: Aetna Commercial	$2,242.50
Rate for Payer: Aetna Medicare Advantage	$2,242.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,906.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,906.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,906.12
Rate for Payer: Cigna Commercial	$3,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,808.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,121.25

STENT SENTINOL 8x60 135cm

Facility

$7,415.25

Hospital Charge Code	270636397
Hospital Revenue Code	278
Min. Negotiated Rate	$1,112.29
Max. Negotiated Rate	$3,707.62
Rate for Payer: Aetna Commercial	$2,224.57
Rate for Payer: Aetna Medicare Advantage	$2,224.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,890.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,890.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,483.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,890.89
Rate for Payer: Cigna Commercial	$3,707.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,794.49
Rate for Payer: Qualcare PPO/HMO/WC	$1,112.29

STENT SENTINOL 8x60 135cm

Facility

$7,415.25

Hospital Charge Code	270636397
Hospital Revenue Code	278
Min. Negotiated Rate	$1,112.29
Max. Negotiated Rate	$1,794.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,483.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,794.49
Rate for Payer: Qualcare PPO/HMO/WC	$1,112.29

STENT SINGLE PIGTAIL 5FR 5 CM

Facility

$850.00

Service Code	HCPCS C2625
Hospital Charge Code	270679127
Hospital Revenue Code	278
Min. Negotiated Rate	$127.50
Max. Negotiated Rate	$425.00
Rate for Payer: Aetna Commercial	$255.00
Rate for Payer: Aetna Medicare Advantage	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$170.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$216.75
Rate for Payer: Cigna Commercial	$425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$205.70
Rate for Payer: Qualcare PPO/HMO/WC	$127.50

STENT SINGLE PIGTAIL 5FR 5 CM

Facility

$850.00

Service Code	HCPCS C2625
Hospital Charge Code	270679127
Hospital Revenue Code	278
Min. Negotiated Rate	$127.50
Max. Negotiated Rate	$205.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$205.70
Rate for Payer: Qualcare PPO/HMO/WC	$127.50

STENT SINGLE PIGTAIL 5FR 7CM

Facility

$850.00

Service Code	HCPCS C2625
Hospital Charge Code	270679124
Hospital Revenue Code	278
Min. Negotiated Rate	$127.50
Max. Negotiated Rate	$425.00
Rate for Payer: Aetna Commercial	$255.00
Rate for Payer: Aetna Medicare Advantage	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$170.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$216.75
Rate for Payer: Cigna Commercial	$425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$205.70
Rate for Payer: Qualcare PPO/HMO/WC	$127.50

STENT SINGLE PIGTAIL 5FR 7CM

Facility

$850.00

Service Code	HCPCS C2625
Hospital Charge Code	270679124
Hospital Revenue Code	278
Min. Negotiated Rate	$127.50
Max. Negotiated Rate	$205.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$205.70
Rate for Payer: Qualcare PPO/HMO/WC	$127.50

STENT SLF 10x60x120 NT3510602D

Facility

$8,375.00

Hospital Charge Code	270637053V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,256.25
Max. Negotiated Rate	$4,187.50
Rate for Payer: Aetna Commercial	$2,512.50
Rate for Payer: Aetna Medicare Advantage	$2,512.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,135.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,135.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,135.62
Rate for Payer: Cigna Commercial	$4,187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,026.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,256.25

STENT SLF 10x60x120 NT3510602D

Facility

$8,375.00

Hospital Charge Code	270637053
Hospital Revenue Code	278
Min. Negotiated Rate	$1,256.25
Max. Negotiated Rate	$2,026.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,675.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,026.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,256.25

STENT SLF 10x60x120 NT3510602D

Facility

$8,375.00

Hospital Charge Code	270637053V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,256.25
Max. Negotiated Rate	$2,026.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,675.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,026.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,256.25

Know your out-of-pocket cost for care.

All Charges