Heights University Hospital

All Charges

Charge

Type

Setting

Price

STM POR 16mX160m INTEG X170316

Facility

$19,755.75

Hospital Charge Code	270636137
Hospital Revenue Code	278
Min. Negotiated Rate	$2,963.36
Max. Negotiated Rate	$9,877.88
Rate for Payer: Aetna Commercial	$5,926.73
Rate for Payer: Aetna Medicare Advantage	$5,926.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,037.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,037.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,951.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,037.72
Rate for Payer: Cigna Commercial	$9,877.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,780.89
Rate for Payer: Qualcare PPO/HMO/WC	$2,963.36

STN PN THD TIP .125X2.5IN 2PK

Facility

$1,110.00

Service Code	HCPCS C1713
Hospital Charge Code	270679751
Hospital Revenue Code	278
Min. Negotiated Rate	$166.50
Max. Negotiated Rate	$268.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$222.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$268.62
Rate for Payer: Qualcare PPO/HMO/WC	$166.50

STN PN THD TIP .125X2.5IN 2PK

Facility

$1,110.00

Service Code	HCPCS C1713
Hospital Charge Code	270679751
Hospital Revenue Code	278
Min. Negotiated Rate	$166.50
Max. Negotiated Rate	$555.00
Rate for Payer: Aetna Commercial	$333.00
Rate for Payer: Aetna Medicare Advantage	$333.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$283.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$283.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$222.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$283.05
Rate for Payer: Cigna Commercial	$555.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$268.62
Rate for Payer: Qualcare PPO/HMO/WC	$166.50

STNT GRFT AFX BA25-70/120-30

Facility

$57,900.00

Hospital Charge Code	270660506C
Hospital Revenue Code	278
Min. Negotiated Rate	$8,685.00
Max. Negotiated Rate	$28,950.00
Rate for Payer: Aetna Commercial	$17,370.00
Rate for Payer: Aetna Medicare Advantage	$17,370.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,764.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,764.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11,580.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14,764.50
Rate for Payer: Cigna Commercial	$28,950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14,011.80
Rate for Payer: Qualcare PPO/HMO/WC	$8,685.00

STNT GRFT AFX BA25-70/120-30

Facility

$57,900.00

Hospital Charge Code	270660506C
Hospital Revenue Code	278
Min. Negotiated Rate	$8,685.00
Max. Negotiated Rate	$14,011.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11,580.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14,011.80
Rate for Payer: Qualcare PPO/HMO/WC	$8,685.00

STNT HRCLK6.5X15X80 1011501-15

Facility

$5,250.00

Service Code	HCPCS C1876
Hospital Charge Code	270646394C
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

STNT HRCLK6.5X15X80 1011501-15

Facility

$5,250.00

Service Code	HCPCS C1876
Hospital Charge Code	270646394C
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

STNT HRCULNK PLS 1008020-15

Facility

$4,750.00

Hospital Charge Code	280644282V
Hospital Revenue Code	278
Min. Negotiated Rate	$712.50
Max. Negotiated Rate	$2,375.00
Rate for Payer: Aetna Commercial	$1,425.00
Rate for Payer: Aetna Medicare Advantage	$1,425.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$950.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,211.25
Rate for Payer: Cigna Commercial	$2,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,149.50
Rate for Payer: Qualcare PPO/HMO/WC	$712.50

STNT HRCULNK PLS 1008020-15

Facility

$4,750.00

Hospital Charge Code	280644282V
Hospital Revenue Code	278
Min. Negotiated Rate	$712.50
Max. Negotiated Rate	$1,149.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,149.50
Rate for Payer: Qualcare PPO/HMO/WC	$712.50

STNT VIABAHN 5X5 120 VBJ050502

Facility

$14,710.00

Hospital Charge Code	270648634C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,206.50
Max. Negotiated Rate	$7,355.00
Rate for Payer: Aetna Commercial	$4,413.00
Rate for Payer: Aetna Medicare Advantage	$4,413.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,751.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,751.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,942.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,751.05
Rate for Payer: Cigna Commercial	$7,355.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,559.82
Rate for Payer: Qualcare PPO/HMO/WC	$2,206.50

STNT VIABAHN 5X5 120 VBJ050502

Facility

$14,710.00

Hospital Charge Code	270648634C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,206.50
Max. Negotiated Rate	$3,559.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,942.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,559.82
Rate for Payer: Qualcare PPO/HMO/WC	$2,206.50

STNT VIABHN 5X10 120 VBJ051002

Facility

$16,760.00

Hospital Charge Code	270648635C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,514.00
Max. Negotiated Rate	$4,055.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,352.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,055.92
Rate for Payer: Qualcare PPO/HMO/WC	$2,514.00

STNT VIABHN 5X10 120 VBJ051002

Facility

$16,760.00

Hospital Charge Code	270648635C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,514.00
Max. Negotiated Rate	$8,380.00
Rate for Payer: Aetna Commercial	$5,028.00
Rate for Payer: Aetna Medicare Advantage	$5,028.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,273.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,273.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,352.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,273.80
Rate for Payer: Cigna Commercial	$8,380.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,055.92
Rate for Payer: Qualcare PPO/HMO/WC	$2,514.00

STNT VIABHN 6X10X120 VBJ061002

Facility

$19,270.00

Service Code	HCPCS C1876
Hospital Charge Code	270648638C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,890.50
Max. Negotiated Rate	$4,663.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,854.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,663.34
Rate for Payer: Qualcare PPO/HMO/WC	$2,890.50

STNT VIABHN 6X10X120 VBJ061002

Facility

$19,270.00

Service Code	HCPCS C1876
Hospital Charge Code	270648638C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,890.50
Max. Negotiated Rate	$9,635.00
Rate for Payer: Aetna Commercial	$5,781.00
Rate for Payer: Aetna Medicare Advantage	$5,781.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,913.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,913.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,854.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,913.85
Rate for Payer: Cigna Commercial	$9,635.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,663.34
Rate for Payer: Qualcare PPO/HMO/WC	$2,890.50

STNT VIABHN 6X5X120 VBJ060502

Facility

$17,615.00

Service Code	HCPCS C1876
Hospital Charge Code	270648637C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,642.25
Max. Negotiated Rate	$4,262.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,523.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,262.83
Rate for Payer: Qualcare PPO/HMO/WC	$2,642.25

STNT VIABHN 6X5X120 VBJ060502

Facility

$14,710.00

Service Code	HCPCS C1876
Hospital Charge Code	270648637N
Hospital Revenue Code	278
Min. Negotiated Rate	$2,206.50
Max. Negotiated Rate	$7,355.00
Rate for Payer: Aetna Commercial	$4,413.00
Rate for Payer: Aetna Medicare Advantage	$4,413.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,751.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,751.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,942.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,751.05
Rate for Payer: Cigna Commercial	$7,355.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,559.82
Rate for Payer: Qualcare PPO/HMO/WC	$2,206.50

STNT VIABHN 6X5X120 VBJ060502

Facility

$14,710.00

Service Code	HCPCS C1876
Hospital Charge Code	270648637N
Hospital Revenue Code	278
Min. Negotiated Rate	$2,206.50
Max. Negotiated Rate	$3,559.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,942.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,559.82
Rate for Payer: Qualcare PPO/HMO/WC	$2,206.50

STNT VIABHN 6X5X120 VBJ060502

Facility

$17,615.00

Service Code	HCPCS C1876
Hospital Charge Code	270648637C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,642.25
Max. Negotiated Rate	$8,807.50
Rate for Payer: Aetna Commercial	$5,284.50
Rate for Payer: Aetna Medicare Advantage	$5,284.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,491.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,491.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,523.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,491.82
Rate for Payer: Cigna Commercial	$8,807.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,262.83
Rate for Payer: Qualcare PPO/HMO/WC	$2,642.25

STNT VIABHN 7X10X120 VBJ071002

Facility

$18,350.00

Service Code	HCPCS C1876
Hospital Charge Code	270647585
Hospital Revenue Code	278
Min. Negotiated Rate	$2,752.50
Max. Negotiated Rate	$9,175.00
Rate for Payer: Aetna Commercial	$5,505.00
Rate for Payer: Aetna Medicare Advantage	$5,505.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,679.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,679.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,670.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,679.25
Rate for Payer: Cigna Commercial	$9,175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,440.70
Rate for Payer: Qualcare PPO/HMO/WC	$2,752.50

STNT VIABHN 7X10X120 VBJ071002

Facility

$18,350.00

Service Code	HCPCS C1876
Hospital Charge Code	270647585
Hospital Revenue Code	278
Min. Negotiated Rate	$2,752.50
Max. Negotiated Rate	$4,440.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,670.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,440.70
Rate for Payer: Qualcare PPO/HMO/WC	$2,752.50

STNT VIABHN 7X10X120 VBJ071002

Facility

$16,350.00

Service Code	HCPCS C1876
Hospital Charge Code	270647585N
Hospital Revenue Code	278
Min. Negotiated Rate	$2,452.50
Max. Negotiated Rate	$3,956.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,270.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,956.70
Rate for Payer: Qualcare PPO/HMO/WC	$2,452.50

STNT VIABHN 7X10X120 VBJ071002

Facility

$16,350.00

Service Code	HCPCS C1876
Hospital Charge Code	270647585N
Hospital Revenue Code	278
Min. Negotiated Rate	$2,452.50
Max. Negotiated Rate	$8,175.00
Rate for Payer: Aetna Commercial	$4,905.00
Rate for Payer: Aetna Medicare Advantage	$4,905.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,169.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,169.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,270.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,169.25
Rate for Payer: Cigna Commercial	$8,175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,956.70
Rate for Payer: Qualcare PPO/HMO/WC	$2,452.50

STNT VIA BHN 7X5X120 VBJ071502

Facility

$19,950.00

Service Code	HCPCS C1876
Hospital Charge Code	270648641C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,992.50
Max. Negotiated Rate	$9,975.00
Rate for Payer: Aetna Commercial	$5,985.00
Rate for Payer: Aetna Medicare Advantage	$5,985.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,087.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,087.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,990.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,087.25
Rate for Payer: Cigna Commercial	$9,975.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,827.90
Rate for Payer: Qualcare PPO/HMO/WC	$2,992.50

STNT VIA BHN 7X5X120 VBJ071502

Facility

$19,950.00

Service Code	HCPCS C1876
Hospital Charge Code	270648641C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,992.50
Max. Negotiated Rate	$4,827.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,990.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,827.90
Rate for Payer: Qualcare PPO/HMO/WC	$2,992.50

Know your out-of-pocket cost for care.

All Charges