Heights University Hospital

All Charges

Charge

Type

Setting

Price

ELECTRODE QUICK PACE PACE*****

Facility

$200.00

Hospital Charge Code	8003212
Hospital Revenue Code	279
Min. Negotiated Rate	$26.00
Max. Negotiated Rate	$100.00
Rate for Payer: Aetna Commercial	$60.00
Rate for Payer: Aetna Medicare Advantage	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.00
Rate for Payer: Cigna Commercial	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.00
Rate for Payer: Oxford Commercial	$100.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00
Rate for Payer: UnitedHealthcare Commercial	$100.00

ELECTRODE QUICK-PACE PACE*****

Facility

$183.00

Hospital Charge Code	8009979
Hospital Revenue Code	279
Min. Negotiated Rate	$27.45
Max. Negotiated Rate	$27.45
Rate for Payer: Qualcare PPO/HMO/WC	$27.45

ELECTRODE QUICK-PACE PACE*****

Facility

$183.00

Hospital Charge Code	8009979
Hospital Revenue Code	279
Min. Negotiated Rate	$23.79
Max. Negotiated Rate	$91.50
Rate for Payer: Aetna Commercial	$54.90
Rate for Payer: Aetna Medicare Advantage	$54.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.66
Rate for Payer: Cigna Commercial	$91.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.79
Rate for Payer: Oxford Commercial	$91.50
Rate for Payer: Qualcare PPO/HMO/WC	$27.45
Rate for Payer: UnitedHealthcare Commercial	$91.50

ELECTRODE QUICK-PACE PEDIATRIC

Facility

$195.80

Hospital Charge Code	270613039
Hospital Revenue Code	271
Min. Negotiated Rate	$29.37
Max. Negotiated Rate	$29.37
Rate for Payer: Qualcare PPO/HMO/WC	$29.37

ELECTRODE QUICK-PACE PEDIATRIC

Facility

$195.80

Hospital Charge Code	270613039
Hospital Revenue Code	271
Min. Negotiated Rate	$25.45
Max. Negotiated Rate	$97.90
Rate for Payer: Aetna Commercial	$58.74
Rate for Payer: Aetna Medicare Advantage	$58.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.93
Rate for Payer: Cigna Commercial	$97.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.45
Rate for Payer: Oxford Commercial	$97.90
Rate for Payer: Qualcare PPO/HMO/WC	$29.37
Rate for Payer: UnitedHealthcare Commercial	$97.90

ELECTRODE QUIK-COMBO PEDIATRIC

Facility

$119.45

Hospital Charge Code	270641046
Hospital Revenue Code	272
Min. Negotiated Rate	$15.53
Max. Negotiated Rate	$59.73
Rate for Payer: Aetna Commercial	$35.84
Rate for Payer: Aetna Medicare Advantage	$35.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.46
Rate for Payer: Cigna Commercial	$59.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.53
Rate for Payer: Oxford Commercial	$59.73
Rate for Payer: Qualcare PPO/HMO/WC	$17.92
Rate for Payer: UnitedHealthcare Commercial	$59.73

ELECTRODE QUIK-COMBO PEDIATRIC

Facility

$119.45

Hospital Charge Code	270641046
Hospital Revenue Code	272
Min. Negotiated Rate	$17.92
Max. Negotiated Rate	$17.92
Rate for Payer: Qualcare PPO/HMO/WC	$17.92

ELECTRODE RADIOFREQUENCY CURVE

Facility

$55.60

Hospital Charge Code	270657281
Hospital Revenue Code	272
Min. Negotiated Rate	$7.23
Max. Negotiated Rate	$27.80
Rate for Payer: Aetna Commercial	$16.68
Rate for Payer: Aetna Medicare Advantage	$16.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.18
Rate for Payer: Cigna Commercial	$27.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.23
Rate for Payer: Oxford Commercial	$27.80
Rate for Payer: Qualcare PPO/HMO/WC	$8.34
Rate for Payer: UnitedHealthcare Commercial	$27.80

ELECTRODE RADIOFREQUENCY CURVE

Facility

$55.60

Hospital Charge Code	270657281
Hospital Revenue Code	272
Min. Negotiated Rate	$8.34
Max. Negotiated Rate	$8.34
Rate for Payer: Qualcare PPO/HMO/WC	$8.34

ELECTRODE RBALL 27F LG 27050MK

Facility

$409.25

Hospital Charge Code	270601219
Hospital Revenue Code	272
Min. Negotiated Rate	$61.39
Max. Negotiated Rate	$61.39
Rate for Payer: Qualcare PPO/HMO/WC	$61.39

ELECTRODE RBALL 27F LG 27050MK

Facility

$409.25

Hospital Charge Code	270601219
Hospital Revenue Code	272
Min. Negotiated Rate	$53.20
Max. Negotiated Rate	$204.62
Rate for Payer: Aetna Commercial	$122.78
Rate for Payer: Aetna Medicare Advantage	$122.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$104.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$104.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$104.36
Rate for Payer: Cigna Commercial	$204.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.20
Rate for Payer: Oxford Commercial	$204.62
Rate for Payer: Qualcare PPO/HMO/WC	$61.39
Rate for Payer: UnitedHealthcare Commercial	$204.62

ELECTRODE RED DOT PEDIATRIC

Facility

$144.00

Hospital Charge Code	270610520
Hospital Revenue Code	272
Min. Negotiated Rate	$18.72
Max. Negotiated Rate	$72.00
Rate for Payer: Aetna Commercial	$43.20
Rate for Payer: Aetna Medicare Advantage	$43.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.72
Rate for Payer: Cigna Commercial	$72.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.72
Rate for Payer: Oxford Commercial	$72.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.60
Rate for Payer: UnitedHealthcare Commercial	$72.00

ELECTRODE RED DOT PEDIATRIC

Facility

$144.00

Hospital Charge Code	270610520
Hospital Revenue Code	272
Min. Negotiated Rate	$21.60
Max. Negotiated Rate	$21.60
Rate for Payer: Qualcare PPO/HMO/WC	$21.60

ELECTRODE RED RADIO 4509002570

Facility

$1.25

Hospital Charge Code	270626905
Hospital Revenue Code	270
Min. Negotiated Rate	$0.19
Max. Negotiated Rate	$0.19
Rate for Payer: Qualcare PPO/HMO/WC	$0.19

ELECTRODE RED RADIO 4509002570

Facility

$1.25

Hospital Charge Code	270626905
Hospital Revenue Code	270
Min. Negotiated Rate	$0.16
Max. Negotiated Rate	$0.63
Rate for Payer: Aetna Commercial	$0.38
Rate for Payer: Aetna Medicare Advantage	$0.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.32
Rate for Payer: Cigna Commercial	$0.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.16
Rate for Payer: Oxford Commercial	$0.63
Rate for Payer: Qualcare PPO/HMO/WC	$0.19
Rate for Payer: UnitedHealthcare Commercial	$0.63

ELECTRODE RESECTASCOPE LOOP

Facility

$247.50

Hospital Charge Code	270618275
Hospital Revenue Code	272
Min. Negotiated Rate	$32.17
Max. Negotiated Rate	$123.75
Rate for Payer: Aetna Commercial	$74.25
Rate for Payer: Aetna Medicare Advantage	$74.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.11
Rate for Payer: Cigna Commercial	$123.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.17
Rate for Payer: Oxford Commercial	$123.75
Rate for Payer: Qualcare PPO/HMO/WC	$37.12
Rate for Payer: UnitedHealthcare Commercial	$123.75

ELECTRODE RESECTASCOPE LOOP

Facility

$247.50

Hospital Charge Code	270618275
Hospital Revenue Code	272
Min. Negotiated Rate	$37.12
Max. Negotiated Rate	$37.12
Rate for Payer: Qualcare PPO/HMO/WC	$37.12

ELECTRODE RETURN 400-2100

Facility

$50.00

Hospital Charge Code	270638372
Hospital Revenue Code	270
Min. Negotiated Rate	$6.50
Max. Negotiated Rate	$25.00
Rate for Payer: Aetna Commercial	$15.00
Rate for Payer: Aetna Medicare Advantage	$15.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.75
Rate for Payer: Cigna Commercial	$25.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.50
Rate for Payer: Oxford Commercial	$25.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.50
Rate for Payer: UnitedHealthcare Commercial	$25.00

ELECTRODE RETURN 400-2100

Facility

$50.00

Hospital Charge Code	270638372
Hospital Revenue Code	270
Min. Negotiated Rate	$7.50
Max. Negotiated Rate	$7.50
Rate for Payer: Qualcare PPO/HMO/WC	$7.50

ELECTRODE ROLLER BALL

Facility

$499.17

Hospital Charge Code	270655414
Hospital Revenue Code	271
Min. Negotiated Rate	$74.88
Max. Negotiated Rate	$74.88
Rate for Payer: Qualcare PPO/HMO/WC	$74.88

ELECTRODE ROLLER BALL

Facility

$499.17

Hospital Charge Code	270655414
Hospital Revenue Code	271
Min. Negotiated Rate	$64.89
Max. Negotiated Rate	$249.59
Rate for Payer: Aetna Commercial	$149.75
Rate for Payer: Aetna Medicare Advantage	$149.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.29
Rate for Payer: Cigna Commercial	$249.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.89
Rate for Payer: Oxford Commercial	$249.59
Rate for Payer: Qualcare PPO/HMO/WC	$74.88
Rate for Payer: UnitedHealthcare Commercial	$249.59

ELECTRODE ROLLERBALL SM N24CH

Facility

$1,209.65

Hospital Charge Code	270601220
Hospital Revenue Code	272
Min. Negotiated Rate	$157.25
Max. Negotiated Rate	$604.83
Rate for Payer: Aetna Commercial	$362.89
Rate for Payer: Aetna Medicare Advantage	$362.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$308.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$308.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$308.46
Rate for Payer: Cigna Commercial	$604.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.25
Rate for Payer: Oxford Commercial	$604.83
Rate for Payer: Qualcare PPO/HMO/WC	$181.45
Rate for Payer: UnitedHealthcare Commercial	$604.83

ELECTRODE ROLLERBALL SM N24CH

Facility

$1,209.65

Hospital Charge Code	270601220
Hospital Revenue Code	272
Min. Negotiated Rate	$181.45
Max. Negotiated Rate	$181.45
Rate for Payer: Qualcare PPO/HMO/WC	$181.45

ELECTRODE S50 VAPR

Facility

$1,180.00

Hospital Charge Code	270657366
Hospital Revenue Code	270
Min. Negotiated Rate	$153.40
Max. Negotiated Rate	$590.00
Rate for Payer: Aetna Commercial	$354.00
Rate for Payer: Aetna Medicare Advantage	$354.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$300.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$300.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$300.90
Rate for Payer: Cigna Commercial	$590.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$153.40
Rate for Payer: Oxford Commercial	$590.00
Rate for Payer: Qualcare PPO/HMO/WC	$177.00
Rate for Payer: UnitedHealthcare Commercial	$590.00

ELECTRODE S50 VAPR

Facility

$1,180.00

Hospital Charge Code	270657366
Hospital Revenue Code	270
Min. Negotiated Rate	$177.00
Max. Negotiated Rate	$177.00
Rate for Payer: Qualcare PPO/HMO/WC	$177.00

Know your out-of-pocket cost for care.

All Charges