Heights University Hospital

All Charges

Charge

Type

Setting

Price

STENT WAVEMAX 9x28x75 1455001

Facility

$4,960.00

Hospital Charge Code	270634995V
Hospital Revenue Code	278
Min. Negotiated Rate	$744.00
Max. Negotiated Rate	$1,200.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$992.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,200.32
Rate for Payer: Qualcare PPO/HMO/WC	$744.00

STENT WAVEMAX 9x28x75 1455001

Facility

$4,960.00

Hospital Charge Code	270634995
Hospital Revenue Code	278
Min. Negotiated Rate	$744.00
Max. Negotiated Rate	$1,200.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$992.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,200.32
Rate for Payer: Qualcare PPO/HMO/WC	$744.00

STENT WSRP 10x20 6FR 75 71132

Facility

$5,151.95

Hospital Charge Code	270633054V
Hospital Revenue Code	278
Min. Negotiated Rate	$772.79
Max. Negotiated Rate	$1,246.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,030.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,246.77
Rate for Payer: Qualcare PPO/HMO/WC	$772.79

STENT WSRP 10x20 6FR 75 71132

Facility

$5,151.95

Hospital Charge Code	270633054V
Hospital Revenue Code	278
Min. Negotiated Rate	$772.79
Max. Negotiated Rate	$2,575.97
Rate for Payer: Aetna Commercial	$1,545.59
Rate for Payer: Aetna Medicare Advantage	$1,545.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,313.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,313.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,030.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,313.75
Rate for Payer: Cigna Commercial	$2,575.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,246.77
Rate for Payer: Qualcare PPO/HMO/WC	$772.79

STENT WSRP 6FR 10x20 75cm

Facility

$5,250.00

Hospital Charge Code	270633054
Hospital Revenue Code	278
Min. Negotiated Rate	$787.50
Max. Negotiated Rate	$1,270.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: Qualcare PPO/HMO/WC	$787.50

STENT WSRP 6FR 10x20 75cm

Facility

$5,250.00

Hospital Charge Code	270633054
Hospital Revenue Code	278
Min. Negotiated Rate	$787.50
Max. Negotiated Rate	$2,625.00
Rate for Payer: Aetna Commercial	$1,575.00
Rate for Payer: Aetna Medicare Advantage	$1,575.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,338.75
Rate for Payer: Cigna Commercial	$2,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: Qualcare PPO/HMO/WC	$787.50

STENT WSRP 6FR 10x49 75cm

Facility

$5,250.00

Hospital Charge Code	270640708
Hospital Revenue Code	278
Min. Negotiated Rate	$787.50
Max. Negotiated Rate	$1,270.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: Qualcare PPO/HMO/WC	$787.50

STENT WSRP 6FR 10x49 75cm

Facility

$5,250.00

Hospital Charge Code	270640708
Hospital Revenue Code	278
Min. Negotiated Rate	$787.50
Max. Negotiated Rate	$2,625.00
Rate for Payer: Aetna Commercial	$1,575.00
Rate for Payer: Aetna Medicare Advantage	$1,575.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,338.75
Rate for Payer: Cigna Commercial	$2,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: Qualcare PPO/HMO/WC	$787.50

STENT WSRP 6FR 10X49 75CM

Facility

$5,401.15

Hospital Charge Code	270640708C
Hospital Revenue Code	278
Min. Negotiated Rate	$810.17
Max. Negotiated Rate	$2,700.57
Rate for Payer: Aetna Commercial	$1,620.35
Rate for Payer: Aetna Medicare Advantage	$1,620.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,377.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,377.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,080.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,377.29
Rate for Payer: Cigna Commercial	$2,700.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,307.08
Rate for Payer: Qualcare PPO/HMO/WC	$810.17

STENT WSRP 6FR 10X49 75CM

Facility

$5,401.15

Hospital Charge Code	270640708C
Hospital Revenue Code	278
Min. Negotiated Rate	$810.17
Max. Negotiated Rate	$1,307.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,080.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,307.08
Rate for Payer: Qualcare PPO/HMO/WC	$810.17

STENT WSRP 6FR 8x20 75cm

Facility

$5,250.00

Hospital Charge Code	270633141
Hospital Revenue Code	278
Min. Negotiated Rate	$787.50
Max. Negotiated Rate	$1,270.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: Qualcare PPO/HMO/WC	$787.50

STENT WSRP 6FR 8x20 75cm

Facility

$5,250.00

Hospital Charge Code	270633141
Hospital Revenue Code	278
Min. Negotiated Rate	$787.50
Max. Negotiated Rate	$2,625.00
Rate for Payer: Aetna Commercial	$1,575.00
Rate for Payer: Aetna Medicare Advantage	$1,575.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,338.75
Rate for Payer: Cigna Commercial	$2,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: Qualcare PPO/HMO/WC	$787.50

STENT WSRP 6FR 8x38 75cm

Facility

$5,250.00

Hospital Charge Code	270643005
Hospital Revenue Code	278
Min. Negotiated Rate	$787.50
Max. Negotiated Rate	$1,270.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: Qualcare PPO/HMO/WC	$787.50

STENT WSRP 6FR 8x38 75cm

Facility

$5,250.00

Hospital Charge Code	270643005
Hospital Revenue Code	278
Min. Negotiated Rate	$787.50
Max. Negotiated Rate	$2,625.00
Rate for Payer: Aetna Commercial	$1,575.00
Rate for Payer: Aetna Medicare Advantage	$1,575.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,338.75
Rate for Payer: Cigna Commercial	$2,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: Qualcare PPO/HMO/WC	$787.50

STENT WSRP 6FR 8x40 75cm

Facility

$5,250.00

Hospital Charge Code	270626876
Hospital Revenue Code	278
Min. Negotiated Rate	$787.50
Max. Negotiated Rate	$1,270.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: Qualcare PPO/HMO/WC	$787.50

STENT WSRP 6FR 8x40 75cm

Facility

$5,250.00

Hospital Charge Code	270626876
Hospital Revenue Code	278
Min. Negotiated Rate	$787.50
Max. Negotiated Rate	$2,625.00
Rate for Payer: Aetna Commercial	$1,575.00
Rate for Payer: Aetna Medicare Advantage	$1,575.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,338.75
Rate for Payer: Cigna Commercial	$2,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: Qualcare PPO/HMO/WC	$787.50

STENT WSRP 6FR 8x47 75cm

Facility

$5,250.00

Hospital Charge Code	270623271
Hospital Revenue Code	278
Min. Negotiated Rate	$787.50
Max. Negotiated Rate	$2,625.00
Rate for Payer: Aetna Commercial	$1,575.00
Rate for Payer: Aetna Medicare Advantage	$1,575.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,338.75
Rate for Payer: Cigna Commercial	$2,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: Qualcare PPO/HMO/WC	$787.50

STENT WSRP 6FR 8x47 75cm

Facility

$5,250.00

Hospital Charge Code	270623271
Hospital Revenue Code	278
Min. Negotiated Rate	$787.50
Max. Negotiated Rate	$1,270.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: Qualcare PPO/HMO/WC	$787.50

STENT WSRP 6FR 8x60 75cm

Facility

$5,250.00

Hospital Charge Code	270627332
Hospital Revenue Code	278
Min. Negotiated Rate	$787.50
Max. Negotiated Rate	$1,270.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: Qualcare PPO/HMO/WC	$787.50

STENT WSRP 6FR 8x60 75cm

Facility

$5,250.00

Hospital Charge Code	270627332
Hospital Revenue Code	278
Min. Negotiated Rate	$787.50
Max. Negotiated Rate	$2,625.00
Rate for Payer: Aetna Commercial	$1,575.00
Rate for Payer: Aetna Medicare Advantage	$1,575.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,338.75
Rate for Payer: Cigna Commercial	$2,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: Qualcare PPO/HMO/WC	$787.50

STENT WSRP 7FR 10x42 75cm

Facility

$5,250.00

Hospital Charge Code	270627351
Hospital Revenue Code	278
Min. Negotiated Rate	$787.50
Max. Negotiated Rate	$1,270.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: Qualcare PPO/HMO/WC	$787.50

STENT WSRP 7FR 10x42 75cm

Facility

$5,250.00

Hospital Charge Code	270627351
Hospital Revenue Code	278
Min. Negotiated Rate	$787.50
Max. Negotiated Rate	$2,625.00
Rate for Payer: Aetna Commercial	$1,575.00
Rate for Payer: Aetna Medicare Advantage	$1,575.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,338.75
Rate for Payer: Cigna Commercial	$2,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: Qualcare PPO/HMO/WC	$787.50

STENT WSRP 7FR 10x68 75cm

Facility

$5,250.00

Hospital Charge Code	270623270
Hospital Revenue Code	278
Min. Negotiated Rate	$787.50
Max. Negotiated Rate	$1,270.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: Qualcare PPO/HMO/WC	$787.50

STENT WSRP 7FR 10x68 75cm

Facility

$5,250.00

Hospital Charge Code	270623270
Hospital Revenue Code	278
Min. Negotiated Rate	$787.50
Max. Negotiated Rate	$2,625.00
Rate for Payer: Aetna Commercial	$1,575.00
Rate for Payer: Aetna Medicare Advantage	$1,575.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,338.75
Rate for Payer: Cigna Commercial	$2,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: Qualcare PPO/HMO/WC	$787.50

STENT WSRP 8x20 6FR 75cm 71124

Facility

$5,535.45

Hospital Charge Code	270633141V
Hospital Revenue Code	278
Min. Negotiated Rate	$830.32
Max. Negotiated Rate	$1,339.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,107.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,339.58
Rate for Payer: Qualcare PPO/HMO/WC	$830.32

Know your out-of-pocket cost for care.

All Charges