Heights University Hospital

All Charges

Charge

Type

Setting

Price

ELECTRODE EKG RESTING

Facility

$5.40

Hospital Charge Code	270658816
Hospital Revenue Code	270
Min. Negotiated Rate	$0.81
Max. Negotiated Rate	$0.81
Rate for Payer: Qualcare PPO/HMO/WC	$0.81

ELECTRODEEMGNDLNEUROL28G38MM

Facility

$28.30

Hospital Charge Code	270698240
Hospital Revenue Code	272
Min. Negotiated Rate	$4.25
Max. Negotiated Rate	$4.25
Rate for Payer: Qualcare PPO/HMO/WC	$4.25

ELECTRODEEMGNDLNEUROL28G38MM

Facility

$28.30

Hospital Charge Code	270698240
Hospital Revenue Code	272
Min. Negotiated Rate	$3.68
Max. Negotiated Rate	$14.15
Rate for Payer: Aetna Commercial	$8.49
Rate for Payer: Aetna Medicare Advantage	$8.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.22
Rate for Payer: Cigna Commercial	$14.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.68
Rate for Payer: Oxford Commercial	$14.15
Rate for Payer: Qualcare PPO/HMO/WC	$4.25
Rate for Payer: UnitedHealthcare Commercial	$14.15

ELECTRODE END EFFECT ST 225303

Facility

$1,035.25

Hospital Charge Code	270619100
Hospital Revenue Code	272
Min. Negotiated Rate	$155.29
Max. Negotiated Rate	$155.29
Rate for Payer: Qualcare PPO/HMO/WC	$155.29

ELECTRODE END EFFECT ST 225303

Facility

$1,035.25

Hospital Charge Code	270619100
Hospital Revenue Code	272
Min. Negotiated Rate	$134.58
Max. Negotiated Rate	$517.62
Rate for Payer: Aetna Commercial	$310.57
Rate for Payer: Aetna Medicare Advantage	$310.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$263.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$263.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$263.99
Rate for Payer: Cigna Commercial	$517.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$134.58
Rate for Payer: Oxford Commercial	$517.62
Rate for Payer: Qualcare PPO/HMO/WC	$155.29
Rate for Payer: UnitedHealthcare Commercial	$517.62

ELECTRODE EXT BLADE MODIFIED

Facility

$23.43

Hospital Charge Code	270646996
Hospital Revenue Code	270
Min. Negotiated Rate	$3.51
Max. Negotiated Rate	$3.51
Rate for Payer: Qualcare PPO/HMO/WC	$3.51

ELECTRODE EXT BLADE MODIFIED

Facility

$23.43

Hospital Charge Code	270646996
Hospital Revenue Code	270
Min. Negotiated Rate	$3.05
Max. Negotiated Rate	$11.71
Rate for Payer: Aetna Commercial	$7.03
Rate for Payer: Aetna Medicare Advantage	$7.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.97
Rate for Payer: Cigna Commercial	$11.71
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.05
Rate for Payer: Oxford Commercial	$11.71
Rate for Payer: Qualcare PPO/HMO/WC	$3.51
Rate for Payer: UnitedHealthcare Commercial	$11.71

ELECTRODE EXTENSION

Facility

$383.00

Hospital Charge Code	270331398
Hospital Revenue Code	272
Min. Negotiated Rate	$57.45
Max. Negotiated Rate	$57.45
Rate for Payer: Qualcare PPO/HMO/WC	$57.45

ELECTRODE EXTENSION

Facility

$383.00

Hospital Charge Code	270331398
Hospital Revenue Code	272
Min. Negotiated Rate	$49.79
Max. Negotiated Rate	$191.50
Rate for Payer: Aetna Commercial	$114.90
Rate for Payer: Aetna Medicare Advantage	$114.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.67
Rate for Payer: Cigna Commercial	$191.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.79
Rate for Payer: Oxford Commercial	$191.50
Rate for Payer: Qualcare PPO/HMO/WC	$57.45
Rate for Payer: UnitedHealthcare Commercial	$191.50

ELECTRODE E-Z CLEAN L SHAPE

Facility

$283.25

Hospital Charge Code	270665152
Hospital Revenue Code	270
Min. Negotiated Rate	$36.82
Max. Negotiated Rate	$141.62
Rate for Payer: Qualcare PPO/HMO/WC	$42.49
Rate for Payer: Aetna Commercial	$84.97
Rate for Payer: Aetna Medicare Advantage	$84.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$72.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$72.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$72.23
Rate for Payer: Cigna Commercial	$141.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.82
Rate for Payer: Oxford Commercial	$141.62
Rate for Payer: UnitedHealthcare Commercial	$141.62

ELECTRODE E-Z CLEAN L SHAPE

Facility

$283.25

Hospital Charge Code	270665152
Hospital Revenue Code	270
Min. Negotiated Rate	$42.49
Max. Negotiated Rate	$42.49
Rate for Payer: Qualcare PPO/HMO/WC	$42.49

ELECTRODE FETAL SPIRAL

Facility

$39.25

Hospital Charge Code	270600584
Hospital Revenue Code	272
Min. Negotiated Rate	$5.10
Max. Negotiated Rate	$19.62
Rate for Payer: Aetna Commercial	$11.78
Rate for Payer: Aetna Medicare Advantage	$11.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.01
Rate for Payer: Cigna Commercial	$19.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.10
Rate for Payer: Oxford Commercial	$19.62
Rate for Payer: Qualcare PPO/HMO/WC	$5.89
Rate for Payer: UnitedHealthcare Commercial	$19.62

ELECTRODE FETAL SPIRAL

Facility

$39.25

Hospital Charge Code	270600584
Hospital Revenue Code	272
Min. Negotiated Rate	$5.89
Max. Negotiated Rate	$5.89
Rate for Payer: Qualcare PPO/HMO/WC	$5.89

ELECTRODE FETAL SPIRAL****

Facility

$12.00

Hospital Charge Code	1801075
Hospital Revenue Code	272
Min. Negotiated Rate	$1.56
Max. Negotiated Rate	$6.00
Rate for Payer: Aetna Commercial	$3.60
Rate for Payer: Aetna Medicare Advantage	$3.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.06
Rate for Payer: Cigna Commercial	$6.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.56
Rate for Payer: Oxford Commercial	$6.00
Rate for Payer: Qualcare PPO/HMO/WC	$1.80
Rate for Payer: UnitedHealthcare Commercial	$6.00

ELECTRODE FETAL SPIRAL****

Facility

$12.00

Hospital Charge Code	1801075
Hospital Revenue Code	272
Min. Negotiated Rate	$1.80
Max. Negotiated Rate	$1.80
Rate for Payer: Qualcare PPO/HMO/WC	$1.80

ELECTRODE FLAT L HOOK 36 MM

Facility

$15.88

Hospital Charge Code	270692387
Hospital Revenue Code	272
Min. Negotiated Rate	$2.06
Max. Negotiated Rate	$7.94
Rate for Payer: Aetna Commercial	$4.76
Rate for Payer: Aetna Medicare Advantage	$4.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.05
Rate for Payer: Cigna Commercial	$7.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.06
Rate for Payer: Oxford Commercial	$7.94
Rate for Payer: Qualcare PPO/HMO/WC	$2.38
Rate for Payer: UnitedHealthcare Commercial	$7.94

ELECTRODE FLAT L HOOK 36 MM

Facility

$15.88

Hospital Charge Code	270692387
Hospital Revenue Code	272
Min. Negotiated Rate	$2.38
Max. Negotiated Rate	$2.38
Rate for Payer: Qualcare PPO/HMO/WC	$2.38

ELECTRODE FSE SNGL SCALP FETAL

Facility

$16.97

Hospital Charge Code	270651787
Hospital Revenue Code	272
Min. Negotiated Rate	$2.55
Max. Negotiated Rate	$2.55
Rate for Payer: Qualcare PPO/HMO/WC	$2.55

ELECTRODE FSE SNGL SCALP FETAL

Facility

$16.97

Hospital Charge Code	270651787
Hospital Revenue Code	272
Min. Negotiated Rate	$2.21
Max. Negotiated Rate	$8.48
Rate for Payer: Aetna Commercial	$5.09
Rate for Payer: Aetna Medicare Advantage	$5.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.33
Rate for Payer: Cigna Commercial	$8.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.21
Rate for Payer: Oxford Commercial	$8.48
Rate for Payer: Qualcare PPO/HMO/WC	$2.55
Rate for Payer: UnitedHealthcare Commercial	$8.48

ELECTRODE GYR RETURN 7201001

Facility

$49.65

Hospital Charge Code	270628503
Hospital Revenue Code	272
Min. Negotiated Rate	$7.45
Max. Negotiated Rate	$7.45
Rate for Payer: Qualcare PPO/HMO/WC	$7.45

ELECTRODE GYR RETURN 7201001

Facility

$49.65

Hospital Charge Code	270628503
Hospital Revenue Code	272
Min. Negotiated Rate	$6.45
Max. Negotiated Rate	$24.82
Rate for Payer: Aetna Commercial	$14.89
Rate for Payer: Aetna Medicare Advantage	$14.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.66
Rate for Payer: Cigna Commercial	$24.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.45
Rate for Payer: Oxford Commercial	$24.82
Rate for Payer: Qualcare PPO/HMO/WC	$7.45
Rate for Payer: UnitedHealthcare Commercial	$24.82

ELECTRODE LAP L-HOOK 2.4 M M

Facility

$207.31

Hospital Charge Code	270666025
Hospital Revenue Code	270
Min. Negotiated Rate	$31.10
Max. Negotiated Rate	$31.10
Rate for Payer: Qualcare PPO/HMO/WC	$31.10

ELECTRODE LAP L-HOOK 2.4 M M

Facility

$207.31

Hospital Charge Code	270666025
Hospital Revenue Code	270
Min. Negotiated Rate	$26.95
Max. Negotiated Rate	$103.66
Rate for Payer: Aetna Commercial	$62.19
Rate for Payer: Aetna Medicare Advantage	$62.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.86
Rate for Payer: Cigna Commercial	$103.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.95
Rate for Payer: Oxford Commercial	$103.66
Rate for Payer: Qualcare PPO/HMO/WC	$31.10
Rate for Payer: UnitedHealthcare Commercial	$103.66

ELECTRODE LARYNX STIM KIT

Facility

$400.00

Hospital Charge Code	270697495
Hospital Revenue Code	272
Min. Negotiated Rate	$52.00
Max. Negotiated Rate	$200.00
Rate for Payer: Aetna Commercial	$120.00
Rate for Payer: Aetna Medicare Advantage	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$102.00
Rate for Payer: Cigna Commercial	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.00
Rate for Payer: Oxford Commercial	$200.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.00
Rate for Payer: UnitedHealthcare Commercial	$200.00

ELECTRODE LARYNX STIM KIT

Facility

$400.00

Hospital Charge Code	270697495
Hospital Revenue Code	272
Min. Negotiated Rate	$60.00
Max. Negotiated Rate	$60.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.00

Know your out-of-pocket cost for care.

All Charges