Heights University Hospital

All Charges

Charge

Type

Setting

Price

ELECTROCARDIOGRAM

Facility

$2,050.00

Service Code	HCPCS 93005
Hospital Charge Code	5300017
Hospital Revenue Code	730
Min. Negotiated Rate	$307.50
Max. Negotiated Rate	$307.50
Rate for Payer: Qualcare PPO/HMO/WC	$307.50

ELECTROCAUTERY OPHTHAL WECK***

Facility

$34.00

Hospital Charge Code	1600774
Hospital Revenue Code	272
Min. Negotiated Rate	$5.10
Max. Negotiated Rate	$5.10
Rate for Payer: Qualcare PPO/HMO/WC	$5.10

ELECTROCAUTERY OPHTHAL WECK***

Facility

$34.00

Hospital Charge Code	1600774
Hospital Revenue Code	272
Min. Negotiated Rate	$4.42
Max. Negotiated Rate	$17.00
Rate for Payer: Aetna Commercial	$10.20
Rate for Payer: Aetna Medicare Advantage	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.67
Rate for Payer: Cigna Commercial	$17.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.42
Rate for Payer: Oxford Commercial	$17.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.10
Rate for Payer: UnitedHealthcare Commercial	$17.00

ELECTROCAUTERY VALLEY LAB ****

Facility

$131.00

Hospital Charge Code	1601202
Hospital Revenue Code	272
Min. Negotiated Rate	$19.65
Max. Negotiated Rate	$19.65
Rate for Payer: Qualcare PPO/HMO/WC	$19.65

ELECTROCAUTERY VALLEY LAB ****

Facility

$131.00

Hospital Charge Code	1601202
Hospital Revenue Code	272
Min. Negotiated Rate	$17.03
Max. Negotiated Rate	$65.50
Rate for Payer: Aetna Commercial	$39.30
Rate for Payer: Aetna Medicare Advantage	$39.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.41
Rate for Payer: Cigna Commercial	$65.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.03
Rate for Payer: Oxford Commercial	$65.50
Rate for Payer: Qualcare PPO/HMO/WC	$19.65
Rate for Payer: UnitedHealthcare Commercial	$65.50

ELECTRODE adlt zll fnctin mlti

Facility

$18.65

Hospital Charge Code	270649729
Hospital Revenue Code	271
Min. Negotiated Rate	$2.42
Max. Negotiated Rate	$9.32
Rate for Payer: Aetna Commercial	$5.59
Rate for Payer: Aetna Medicare Advantage	$5.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.76
Rate for Payer: Cigna Commercial	$9.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.42
Rate for Payer: Oxford Commercial	$9.32
Rate for Payer: Qualcare PPO/HMO/WC	$2.80
Rate for Payer: UnitedHealthcare Commercial	$9.32

ELECTRODE adlt zll fnctin mlti

Facility

$18.65

Hospital Charge Code	270649729
Hospital Revenue Code	271
Min. Negotiated Rate	$2.80
Max. Negotiated Rate	$2.80
Rate for Payer: Qualcare PPO/HMO/WC	$2.80

ELECTRODE ADULT MASIMO

Facility

$890.40

Hospital Charge Code	270650433
Hospital Revenue Code	272
Min. Negotiated Rate	$115.75
Max. Negotiated Rate	$445.20
Rate for Payer: Aetna Commercial	$267.12
Rate for Payer: Aetna Medicare Advantage	$267.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$227.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$227.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$227.05
Rate for Payer: Cigna Commercial	$445.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$115.75
Rate for Payer: Oxford Commercial	$445.20
Rate for Payer: Qualcare PPO/HMO/WC	$133.56
Rate for Payer: UnitedHealthcare Commercial	$445.20

ELECTRODE ADULT MASIMO

Facility

$890.40

Hospital Charge Code	270650433
Hospital Revenue Code	272
Min. Negotiated Rate	$133.56
Max. Negotiated Rate	$133.56
Rate for Payer: Qualcare PPO/HMO/WC	$133.56

ELECTRODE ADULT MONITORING

Facility

$19.16

Hospital Charge Code	270649192
Hospital Revenue Code	272
Min. Negotiated Rate	$2.87
Max. Negotiated Rate	$2.87
Rate for Payer: Qualcare PPO/HMO/WC	$2.87

ELECTRODE ADULT MONITORING

Facility

$19.16

Hospital Charge Code	270649192
Hospital Revenue Code	272
Min. Negotiated Rate	$2.49
Max. Negotiated Rate	$9.58
Rate for Payer: Aetna Commercial	$5.75
Rate for Payer: Aetna Medicare Advantage	$5.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.89
Rate for Payer: Cigna Commercial	$9.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.49
Rate for Payer: Oxford Commercial	$9.58
Rate for Payer: Qualcare PPO/HMO/WC	$2.87
Rate for Payer: UnitedHealthcare Commercial	$9.58

ELECTRODE AXS DISP LS211

Facility

$967.09

Hospital Charge Code	270623965
Hospital Revenue Code	272
Min. Negotiated Rate	$125.72
Max. Negotiated Rate	$483.55
Rate for Payer: Aetna Commercial	$290.13
Rate for Payer: Aetna Medicare Advantage	$290.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$246.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$246.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$246.61
Rate for Payer: Cigna Commercial	$483.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.72
Rate for Payer: Oxford Commercial	$483.55
Rate for Payer: Qualcare PPO/HMO/WC	$145.06
Rate for Payer: UnitedHealthcare Commercial	$483.55

ELECTRODE AXS DISP LS211

Facility

$967.09

Hospital Charge Code	270623965
Hospital Revenue Code	272
Min. Negotiated Rate	$145.06
Max. Negotiated Rate	$145.06
Rate for Payer: Qualcare PPO/HMO/WC	$145.06

ELECTRODE BALEND 3F 110 11770T

Facility

$153.75

Hospital Charge Code	270617947
Hospital Revenue Code	272
Min. Negotiated Rate	$23.06
Max. Negotiated Rate	$23.06
Rate for Payer: Qualcare PPO/HMO/WC	$23.06

ELECTRODE BALEND 3F 110 11770T

Facility

$153.75

Hospital Charge Code	270617947
Hospital Revenue Code	272
Min. Negotiated Rate	$19.99
Max. Negotiated Rate	$76.88
Rate for Payer: Aetna Commercial	$46.12
Rate for Payer: Aetna Medicare Advantage	$46.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.21
Rate for Payer: Cigna Commercial	$76.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.99
Rate for Payer: Oxford Commercial	$76.88
Rate for Payer: Qualcare PPO/HMO/WC	$23.06
Rate for Payer: UnitedHealthcare Commercial	$76.88

ELECTRODE BALL TIP

Facility

$409.50

Hospital Charge Code	270658547
Hospital Revenue Code	270
Min. Negotiated Rate	$61.42
Max. Negotiated Rate	$61.42
Rate for Payer: Qualcare PPO/HMO/WC	$61.42

ELECTRODE BALL TIP

Facility

$409.50

Hospital Charge Code	270658547
Hospital Revenue Code	270
Min. Negotiated Rate	$53.23
Max. Negotiated Rate	$204.75
Rate for Payer: Aetna Commercial	$122.85
Rate for Payer: Aetna Medicare Advantage	$122.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$104.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$104.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$104.42
Rate for Payer: Cigna Commercial	$204.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.23
Rate for Payer: Oxford Commercial	$204.75
Rate for Payer: Qualcare PPO/HMO/WC	$61.42
Rate for Payer: UnitedHealthcare Commercial	$204.75

ELECTRODE BALL TIP 0.5cm

Facility

$5.69

Hospital Charge Code	270651086
Hospital Revenue Code	272
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$0.85
Rate for Payer: Qualcare PPO/HMO/WC	$0.85

ELECTRODE BALL TIP 0.5cm

Facility

$5.69

Hospital Charge Code	270651086
Hospital Revenue Code	272
Min. Negotiated Rate	$0.74
Max. Negotiated Rate	$2.85
Rate for Payer: Aetna Commercial	$1.71
Rate for Payer: Aetna Medicare Advantage	$1.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.45
Rate for Payer: Cigna Commercial	$2.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.74
Rate for Payer: Oxford Commercial	$2.85
Rate for Payer: Qualcare PPO/HMO/WC	$0.85
Rate for Payer: UnitedHealthcare Commercial	$2.85

ELECTRODE BALL TIP 3/16 E1550

Facility

$60.00

Hospital Charge Code	270600398
Hospital Revenue Code	272
Min. Negotiated Rate	$9.00
Max. Negotiated Rate	$9.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00

ELECTRODE BALL TIP 3/16 E1550

Facility

$60.00

Hospital Charge Code	270600398
Hospital Revenue Code	272
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$30.00
Rate for Payer: Aetna Commercial	$18.00
Rate for Payer: Aetna Medicare Advantage	$18.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.30
Rate for Payer: Cigna Commercial	$30.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.80
Rate for Payer: Oxford Commercial	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00
Rate for Payer: UnitedHealthcare Commercial	$30.00

ELECTRODE BALL TIP FULGURATING

Facility

$525.00

Hospital Charge Code	270610288
Hospital Revenue Code	272
Min. Negotiated Rate	$78.75
Max. Negotiated Rate	$78.75
Rate for Payer: Qualcare PPO/HMO/WC	$78.75

ELECTRODE BALL TIP FULGURATING

Facility

$525.00

Hospital Charge Code	270610288
Hospital Revenue Code	272
Min. Negotiated Rate	$68.25
Max. Negotiated Rate	$262.50
Rate for Payer: Aetna Commercial	$157.50
Rate for Payer: Aetna Medicare Advantage	$157.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.88
Rate for Payer: Cigna Commercial	$262.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$68.25
Rate for Payer: Oxford Commercial	$262.50
Rate for Payer: Qualcare PPO/HMO/WC	$78.75
Rate for Payer: UnitedHealthcare Commercial	$262.50

ELECTRODE BIPOLAR PACING 6FR

Facility

$840.42

Hospital Charge Code	270650139
Hospital Revenue Code	272
Min. Negotiated Rate	$109.25
Max. Negotiated Rate	$420.21
Rate for Payer: Aetna Commercial	$252.13
Rate for Payer: Aetna Medicare Advantage	$252.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$214.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$214.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$214.31
Rate for Payer: Cigna Commercial	$420.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$109.25
Rate for Payer: Oxford Commercial	$420.21
Rate for Payer: Qualcare PPO/HMO/WC	$126.06
Rate for Payer: UnitedHealthcare Commercial	$420.21

ELECTRODE BIPOLAR PACING 6FR

Facility

$840.42

Hospital Charge Code	270650139
Hospital Revenue Code	272
Min. Negotiated Rate	$126.06
Max. Negotiated Rate	$126.06
Rate for Payer: Qualcare PPO/HMO/WC	$126.06

Know your out-of-pocket cost for care.

All Charges