Heights University Hospital

All Charges

Charge

Type

Setting

Price

ST TAX EXPR 3.5x32m 38968-3235

Facility

$13,625.00

Hospital Charge Code	270637213
Hospital Revenue Code	278
Min. Negotiated Rate	$2,043.75
Max. Negotiated Rate	$6,812.50
Rate for Payer: Aetna Commercial	$4,087.50
Rate for Payer: Aetna Medicare Advantage	$4,087.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,474.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,474.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,725.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,474.38
Rate for Payer: Cigna Commercial	$6,812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,297.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,043.75

ST TAX EXPR 3.5x32m 38968-3235

Facility

$13,625.00

Hospital Charge Code	270637213C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,043.75
Max. Negotiated Rate	$6,812.50
Rate for Payer: Aetna Commercial	$4,087.50
Rate for Payer: Aetna Medicare Advantage	$4,087.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,474.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,474.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,725.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,474.38
Rate for Payer: Cigna Commercial	$6,812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,297.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,043.75

STT PROTGE EVRFLX 6FR 8/80/120

Facility

$6,975.00

Hospital Charge Code	270657560
Hospital Revenue Code	278
Min. Negotiated Rate	$1,046.25
Max. Negotiated Rate	$1,687.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,687.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,046.25

STT PROTGE EVRFLX 6FR 8/80/120

Facility

$6,975.00

Hospital Charge Code	270657560
Hospital Revenue Code	278
Min. Negotiated Rate	$1,046.25
Max. Negotiated Rate	$3,487.50
Rate for Payer: Aetna Commercial	$2,092.50
Rate for Payer: Aetna Medicare Advantage	$2,092.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,778.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,778.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,395.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,778.62
Rate for Payer: Cigna Commercial	$3,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,687.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,046.25

STT PRTGE EVRFLX 6FR 8/100/120

Facility

$7,975.00

Hospital Charge Code	270657564
Hospital Revenue Code	278
Min. Negotiated Rate	$1,196.25
Max. Negotiated Rate	$3,987.50
Rate for Payer: Aetna Commercial	$2,392.50
Rate for Payer: Aetna Medicare Advantage	$2,392.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,033.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,033.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,595.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,033.62
Rate for Payer: Cigna Commercial	$3,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,929.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,196.25

STT PRTGE EVRFLX 6FR 8/100/120

Facility

$7,975.00

Hospital Charge Code	270657564
Hospital Revenue Code	278
Min. Negotiated Rate	$1,196.25
Max. Negotiated Rate	$1,929.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,595.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,929.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,196.25

ST TX SPEECH LANG VOICE

Facility

$418.00

Service Code	HCPCS 92507GN
Hospital Charge Code	74204011
Hospital Revenue Code	440
Min. Negotiated Rate	$62.70
Max. Negotiated Rate	$62.70
Rate for Payer: Qualcare PPO/HMO/WC	$62.70

ST TX SPEECH LANG VOICE

Facility

$418.00

Service Code	HCPCS 92507GN
Hospital Charge Code	74204011
Hospital Revenue Code	440
Min. Negotiated Rate	$54.34
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$125.40
Rate for Payer: Aetna Medicare Advantage	$125.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$106.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$106.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$106.59
Rate for Payer: Cigna Commercial	$209.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.34
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$62.70
Rate for Payer: UnitedHealthcare Commercial	$686.00

STUARTNATAL 1+1/TAB

Facility

$4.00

Service Code	NDC 904531360
Hospital Charge Code	60633924
Hospital Revenue Code	250
Min. Negotiated Rate	$0.52
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.20
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.52
Rate for Payer: Oxford Commercial	$2.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$2.00

STUARTNATAL 1+1/TAB

Facility

$4.00

Service Code	NDC 904531360
Hospital Charge Code	60633924
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

STUNT MEDIUM STANDARD SYSTEM

Facility

$1,975.00

Hospital Charge Code	270655418
Hospital Revenue Code	278
Min. Negotiated Rate	$296.25
Max. Negotiated Rate	$477.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$477.95
Rate for Payer: Qualcare PPO/HMO/WC	$296.25

STUNT MEDIUM STANDARD SYSTEM

Facility

$1,975.00

Hospital Charge Code	270655418
Hospital Revenue Code	278
Min. Negotiated Rate	$296.25
Max. Negotiated Rate	$987.50
Rate for Payer: Aetna Commercial	$592.50
Rate for Payer: Aetna Medicare Advantage	$592.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$395.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$503.62
Rate for Payer: Cigna Commercial	$987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$477.95
Rate for Payer: Qualcare PPO/HMO/WC	$296.25

STURE PASSER KNEE SCORPION

Facility

$14,995.00

Hospital Charge Code	270682510
Hospital Revenue Code	272
Min. Negotiated Rate	$1,949.35
Max. Negotiated Rate	$7,497.50
Rate for Payer: Aetna Commercial	$4,498.50
Rate for Payer: Aetna Medicare Advantage	$4,498.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,823.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,823.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,823.72
Rate for Payer: Cigna Commercial	$7,497.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,949.35
Rate for Payer: Oxford Commercial	$7,497.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,249.25
Rate for Payer: UnitedHealthcare Commercial	$7,497.50

STURE PASSER KNEE SCORPION

Facility

$14,995.00

Hospital Charge Code	270682510
Hospital Revenue Code	272
Min. Negotiated Rate	$2,249.25
Max. Negotiated Rate	$2,249.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,249.25

ST USE OF SPEECH DEVI SVC

Facility

$299.00

Service Code	HCPCS 92609GN
Hospital Charge Code	74204025
Hospital Revenue Code	440
Min. Negotiated Rate	$38.87
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$89.70
Rate for Payer: Aetna Medicare Advantage	$89.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.25
Rate for Payer: Cigna Commercial	$149.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.87
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$44.85
Rate for Payer: UnitedHealthcare Commercial	$686.00

ST USE OF SPEECH DEVI SVC

Facility

$299.00

Service Code	HCPCS 92609GN
Hospital Charge Code	74204025
Hospital Revenue Code	440
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$44.85
Rate for Payer: Qualcare PPO/HMO/WC	$44.85

ST VIABAHN10mm5cm75cm VB100501

Facility

$11,685.00

Hospital Charge Code	270634781V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,752.75
Max. Negotiated Rate	$2,827.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,337.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,827.77
Rate for Payer: Qualcare PPO/HMO/WC	$1,752.75

ST VIABAHN10mm5cm75cm VB100501

Facility

$10,168.00

Hospital Charge Code	270634781
Hospital Revenue Code	278
Min. Negotiated Rate	$1,525.20
Max. Negotiated Rate	$5,084.00
Rate for Payer: Aetna Commercial	$3,050.40
Rate for Payer: Aetna Medicare Advantage	$3,050.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,592.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,592.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,033.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,592.84
Rate for Payer: Cigna Commercial	$5,084.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,460.66
Rate for Payer: Qualcare PPO/HMO/WC	$1,525.20

ST VIABAHN10mm5cm75cm VB100501

Facility

$11,685.00

Hospital Charge Code	270634781V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,752.75
Max. Negotiated Rate	$5,842.50
Rate for Payer: Aetna Commercial	$3,505.50
Rate for Payer: Aetna Medicare Advantage	$3,505.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,979.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,979.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,337.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,979.68
Rate for Payer: Cigna Commercial	$5,842.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,827.77
Rate for Payer: Qualcare PPO/HMO/WC	$1,752.75

ST VIABAHN10mm5cm75cm VB100501

Facility

$10,168.00

Hospital Charge Code	270634781
Hospital Revenue Code	278
Min. Negotiated Rate	$1,525.20
Max. Negotiated Rate	$2,460.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,033.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,460.66
Rate for Payer: Qualcare PPO/HMO/WC	$1,525.20

ST VIABAHN8mm10cm75cmVBB081001

Facility

$12,648.00

Hospital Charge Code	270633718
Hospital Revenue Code	278
Min. Negotiated Rate	$1,897.20
Max. Negotiated Rate	$6,324.00
Rate for Payer: Aetna Commercial	$3,794.40
Rate for Payer: Aetna Medicare Advantage	$3,794.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,225.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,225.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,529.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,225.24
Rate for Payer: Cigna Commercial	$6,324.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,060.82
Rate for Payer: Qualcare PPO/HMO/WC	$1,897.20

ST VIABAHN8mm10cm75cmVBB081001

Facility

$12,648.00

Hospital Charge Code	270633718
Hospital Revenue Code	278
Min. Negotiated Rate	$1,897.20
Max. Negotiated Rate	$3,060.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,529.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,060.82
Rate for Payer: Qualcare PPO/HMO/WC	$1,897.20

ST VIABAHN8mm10cm75cmVBB081001

Facility

$12,648.00

Hospital Charge Code	270633718V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,897.20
Max. Negotiated Rate	$6,324.00
Rate for Payer: Aetna Commercial	$3,794.40
Rate for Payer: Aetna Medicare Advantage	$3,794.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,225.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,225.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,529.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,225.24
Rate for Payer: Cigna Commercial	$6,324.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,060.82
Rate for Payer: Qualcare PPO/HMO/WC	$1,897.20

ST VIABAHN8mm10cm75cmVBB081001

Facility

$12,648.00

Hospital Charge Code	270633718V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,897.20
Max. Negotiated Rate	$3,060.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,529.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,060.82
Rate for Payer: Qualcare PPO/HMO/WC	$1,897.20

STYLET 2 COIL

Facility

$3,190.00

Hospital Charge Code	270703108
Hospital Revenue Code	278
Min. Negotiated Rate	$478.50
Max. Negotiated Rate	$1,595.00
Rate for Payer: Aetna Commercial	$957.00
Rate for Payer: Aetna Medicare Advantage	$957.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$813.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$813.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$638.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$813.45
Rate for Payer: Cigna Commercial	$1,595.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$771.98
Rate for Payer: Qualcare PPO/HMO/WC	$478.50

Know your out-of-pocket cost for care.

All Charges