Heights University Hospital

All Charges

Charge

Type

Setting

Price

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	$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 SMART 6X40 6FR C06040SL

Facility

$8,225.00

Hospital Charge Code	270638422V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,233.75
Max. Negotiated Rate	$1,990.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,645.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,990.45
Rate for Payer: Qualcare PPO/HMO/WC	$1,233.75

STENT SMART 6X40 6FR C06040SL

Facility

$8,225.00

Hospital Charge Code	270638422V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,233.75
Max. Negotiated Rate	$4,112.50
Rate for Payer: Aetna Commercial	$2,467.50
Rate for Payer: Aetna Medicare Advantage	$2,467.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,097.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,097.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,645.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,097.38
Rate for Payer: Cigna Commercial	$4,112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,990.45
Rate for Payer: Qualcare PPO/HMO/WC	$1,233.75

STENT - SMART STENT #N840BBR

Facility

$5,815.00

Hospital Charge Code	5100515
Hospital Revenue Code	278
Min. Negotiated Rate	$872.25
Max. Negotiated Rate	$1,407.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,163.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,407.23
Rate for Payer: Qualcare PPO/HMO/WC	$872.25

STENT - SMART STENT #N840BBR

Facility

$5,815.00

Hospital Charge Code	5100515
Hospital Revenue Code	278
Min. Negotiated Rate	$872.25
Max. Negotiated Rate	$2,907.50
Rate for Payer: Aetna Commercial	$1,744.50
Rate for Payer: Aetna Medicare Advantage	$1,744.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,482.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,482.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,163.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,482.83
Rate for Payer: Cigna Commercial	$2,907.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,407.23
Rate for Payer: Qualcare PPO/HMO/WC	$872.25

STENT SM BILIRY 10X60 N1060ABR

Facility

$7,624.00

Hospital Charge Code	270626107
Hospital Revenue Code	272
Min. Negotiated Rate	$991.12
Max. Negotiated Rate	$3,812.00
Rate for Payer: Aetna Commercial	$2,287.20
Rate for Payer: Aetna Medicare Advantage	$2,287.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,944.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,944.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,944.12
Rate for Payer: Cigna Commercial	$3,812.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$991.12
Rate for Payer: Oxford Commercial	$3,812.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,143.60
Rate for Payer: UnitedHealthcare Commercial	$3,812.00

STENT SM BILIRY 10X60 N1060ABR

Facility

$7,624.00

Hospital Charge Code	270626107
Hospital Revenue Code	272
Min. Negotiated Rate	$1,143.60
Max. Negotiated Rate	$1,143.60
Rate for Payer: Qualcare PPO/HMO/WC	$1,143.60

STENT SMRT BILI 10x20 C10020SB

Facility

$7,365.65

Hospital Charge Code	270630175
Hospital Revenue Code	278
Min. Negotiated Rate	$1,104.85
Max. Negotiated Rate	$3,682.82
Rate for Payer: Aetna Commercial	$2,209.70
Rate for Payer: Aetna Medicare Advantage	$2,209.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,878.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,878.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,473.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,878.24
Rate for Payer: Cigna Commercial	$3,682.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,782.49
Rate for Payer: Qualcare PPO/HMO/WC	$1,104.85

STENT SMRT BILI 10x20 C10020SB

Facility

$7,365.65

Hospital Charge Code	270630175
Hospital Revenue Code	278
Min. Negotiated Rate	$1,104.85
Max. Negotiated Rate	$1,782.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,473.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,782.49
Rate for Payer: Qualcare PPO/HMO/WC	$1,104.85

STENT SMRT BILI 10x20 C10020SB

Facility

$7,425.00

Hospital Charge Code	270630175V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,113.75
Max. Negotiated Rate	$1,796.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,485.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,796.85
Rate for Payer: Qualcare PPO/HMO/WC	$1,113.75

STENT SMRT BILI 10x20 C10020SB

Facility

$7,425.00

Hospital Charge Code	270630175V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,113.75
Max. Negotiated Rate	$3,712.50
Rate for Payer: Aetna Commercial	$2,227.50
Rate for Payer: Aetna Medicare Advantage	$2,227.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,893.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,893.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,485.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,893.38
Rate for Payer: Cigna Commercial	$3,712.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,796.85
Rate for Payer: Qualcare PPO/HMO/WC	$1,113.75

STENT SMRT BILI 12x60 N1260AB

Facility

$7,638.45

Hospital Charge Code	270629405V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,145.77
Max. Negotiated Rate	$1,848.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,527.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,848.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,145.77

STENT SMRT BILI 12x60 N1260AB

Facility

$7,638.45

Hospital Charge Code	270629405V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,145.77
Max. Negotiated Rate	$3,819.22
Rate for Payer: Aetna Commercial	$2,291.53
Rate for Payer: Aetna Medicare Advantage	$2,291.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,947.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,947.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,527.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,947.80
Rate for Payer: Cigna Commercial	$3,819.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,848.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,145.77

STENT SMRT BILI 12x60 N1260AB

Facility

$7,638.45

Hospital Charge Code	270629405
Hospital Revenue Code	278
Min. Negotiated Rate	$1,145.77
Max. Negotiated Rate	$1,848.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,527.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,848.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,145.77

STENT SMRT BILI 12x60 N1260AB

Facility

$7,638.45

Hospital Charge Code	270629405
Hospital Revenue Code	278
Min. Negotiated Rate	$1,145.77
Max. Negotiated Rate	$3,819.22
Rate for Payer: Aetna Commercial	$2,291.53
Rate for Payer: Aetna Medicare Advantage	$2,291.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,947.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,947.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,527.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,947.80
Rate for Payer: Cigna Commercial	$3,819.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,848.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,145.77

STENT SMT BIL 8x60 6F 8060SB

Facility

$8,225.00

Hospital Charge Code	270629647V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,233.75
Max. Negotiated Rate	$1,990.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,645.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,990.45
Rate for Payer: Qualcare PPO/HMO/WC	$1,233.75

STENT SMT BIL 8x60 6F 8060SB

Facility

$8,159.25

Hospital Charge Code	270629647
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 SMT BIL 8x60 6F 8060SB

Facility

$8,225.00

Hospital Charge Code	270629647V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,233.75
Max. Negotiated Rate	$4,112.50
Rate for Payer: Aetna Commercial	$2,467.50
Rate for Payer: Aetna Medicare Advantage	$2,467.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,097.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,097.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,645.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,097.38
Rate for Payer: Cigna Commercial	$4,112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,990.45
Rate for Payer: Qualcare PPO/HMO/WC	$1,233.75

STENT SMT BIL 8x60 6F 8060SB

Facility

$8,159.25

Hospital Charge Code	270629647
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

STENTS ORSIRO 2.75/9

Facility

$2,250.00

Service Code	HCPCS C1874
Hospital Charge Code	270700911S
Hospital Revenue Code	278
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$1,125.00
Rate for Payer: Aetna Commercial	$675.00
Rate for Payer: Aetna Medicare Advantage	$675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$573.75
Rate for Payer: Cigna Commercial	$1,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$544.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

STENTS ORSIRO 2.75/9

Facility

$2,250.00

Service Code	HCPCS C1874
Hospital Charge Code	270700911S
Hospital Revenue Code	278
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$544.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$544.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

STENTS ORSIRO 2.75/9

Facility

$2,250.00

Service Code	HCPCS C1874
Hospital Charge Code	270700911
Hospital Revenue Code	278
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$544.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$544.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

STENTS ORSIRO 2.75/9

Facility

$2,250.00

Service Code	HCPCS C1874
Hospital Charge Code	270700911
Hospital Revenue Code	278
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$1,125.00
Rate for Payer: Aetna Commercial	$675.00
Rate for Payer: Aetna Medicare Advantage	$675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$573.75
Rate for Payer: Cigna Commercial	$1,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$544.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

STENT SPUR 3.0 x 65x 135

Facility

$19,975.00

Hospital Charge Code	270705364
Hospital Revenue Code	279
Min. Negotiated Rate	$2,596.75
Max. Negotiated Rate	$9,987.50
Rate for Payer: Aetna Commercial	$5,992.50
Rate for Payer: Aetna Medicare Advantage	$5,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,093.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,093.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,093.62
Rate for Payer: Cigna Commercial	$9,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,596.75
Rate for Payer: Oxford Commercial	$9,987.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,996.25
Rate for Payer: UnitedHealthcare Commercial	$9,987.50

STENT SPUR 3.0 x 65x 135

Facility

$19,975.00

Hospital Charge Code	270705364
Hospital Revenue Code	279
Min. Negotiated Rate	$2,996.25
Max. Negotiated Rate	$2,996.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,996.25

Know your out-of-pocket cost for care.

All Charges