Heights University Hospital

All Charges

Charge

Type

Setting

Price

MONITORING KIT W/TRANSDUCER IN

Facility

$34.80

Hospital Charge Code	2706000322
Hospital Revenue Code	272
Min. Negotiated Rate	$5.22
Max. Negotiated Rate	$5.22
Rate for Payer: Qualcare PPO/HMO/WC	$5.22

MONITORING KIT W/TRANSDUCER IN

Facility

$34.80

Hospital Charge Code	2706000322
Hospital Revenue Code	272
Min. Negotiated Rate	$4.52
Max. Negotiated Rate	$17.40
Rate for Payer: Aetna Commercial	$10.44
Rate for Payer: Aetna Medicare Advantage	$10.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.87
Rate for Payer: Cigna Commercial	$17.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.52
Rate for Payer: Oxford Commercial	$17.40
Rate for Payer: Qualcare PPO/HMO/WC	$5.22
Rate for Payer: UnitedHealthcare Commercial	$17.40

MONITORING PH-24 HOUR***

Facility

$447.60

Service Code	HCPCS 91033
Hospital Charge Code	2300820
Hospital Revenue Code	759
Min. Negotiated Rate	$67.14
Max. Negotiated Rate	$67.14
Rate for Payer: Qualcare PPO/HMO/WC	$67.14

MONITORING PH-24 HOUR***

Facility

$447.60

Service Code	HCPCS 91033
Hospital Charge Code	2300820
Hospital Revenue Code	759
Min. Negotiated Rate	$58.19
Max. Negotiated Rate	$223.80
Rate for Payer: Aetna Commercial	$134.28
Rate for Payer: Aetna Medicare Advantage	$134.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.14
Rate for Payer: Cigna Commercial	$223.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.19
Rate for Payer: Qualcare PPO/HMO/WC	$67.14

MONITORING PH 24-HR******

Facility

$90.00

Service Code	HCPCS 91032
Hospital Charge Code	1001110
Hospital Revenue Code	759
Min. Negotiated Rate	$11.70
Max. Negotiated Rate	$45.00
Rate for Payer: Aetna Commercial	$27.00
Rate for Payer: Aetna Medicare Advantage	$27.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.95
Rate for Payer: Cigna Commercial	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.70
Rate for Payer: Qualcare PPO/HMO/WC	$13.50

MONITORING PH 24-HR******

Facility

$90.00

Service Code	HCPCS 91032
Hospital Charge Code	1001110
Hospital Revenue Code	759
Min. Negotiated Rate	$13.50
Max. Negotiated Rate	$13.50
Rate for Payer: Qualcare PPO/HMO/WC	$13.50

MONITOR NEURO IN OR/15 MIN

Facility

$1,000.00

Service Code	HCPCS 95940
Hospital Charge Code	1610001
Hospital Revenue Code	920
Min. Negotiated Rate	$28.96
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$300.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$28.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.00
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

MONITOR NEURO IN OR/15 MIN

Facility

$1,000.00

Service Code	HCPCS 95940
Hospital Charge Code	1610001
Hospital Revenue Code	920
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

MONITOR NEURO REMOTE ADDL HR

Facility

$1,250.00

Service Code	HCPCS 95941
Hospital Charge Code	1610003
Hospital Revenue Code	920
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

MONITOR NEURO REMOTE ADDL HR

Facility

$1,250.00

Service Code	HCPCS 95941
Hospital Charge Code	1610003
Hospital Revenue Code	920
Min. Negotiated Rate	$162.50
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$375.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.50
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

MONITOR NEURO REMOTE PER HR

Facility

$1,250.00

Service Code	HCPCS 95941
Hospital Charge Code	1610002
Hospital Revenue Code	920
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

MONITOR NEURO REMOTE PER HR

Facility

$1,250.00

Service Code	HCPCS 95941
Hospital Charge Code	1610002
Hospital Revenue Code	920
Min. Negotiated Rate	$162.50
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$375.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.50
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

MONITOR SPINAL DISC

Facility

$1,049.00

Hospital Charge Code	270646497
Hospital Revenue Code	270
Min. Negotiated Rate	$136.37
Max. Negotiated Rate	$524.50
Rate for Payer: Aetna Commercial	$314.70
Rate for Payer: Aetna Medicare Advantage	$314.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$267.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$267.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$267.50
Rate for Payer: Cigna Commercial	$524.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$136.37
Rate for Payer: Oxford Commercial	$524.50
Rate for Payer: Qualcare PPO/HMO/WC	$157.35
Rate for Payer: UnitedHealthcare Commercial	$524.50

MONITOR SPINAL DISC

Facility

$1,049.00

Hospital Charge Code	270646497
Hospital Revenue Code	270
Min. Negotiated Rate	$157.35
Max. Negotiated Rate	$157.35
Rate for Payer: Qualcare PPO/HMO/WC	$157.35

MONITOR TEMP CRYSTAL LCM-409

Facility

$550.00

Hospital Charge Code	270614339
Hospital Revenue Code	270
Min. Negotiated Rate	$71.50
Max. Negotiated Rate	$275.00
Rate for Payer: Aetna Commercial	$165.00
Rate for Payer: Aetna Medicare Advantage	$165.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.50
Rate for Payer: Oxford Commercial	$275.00
Rate for Payer: Qualcare PPO/HMO/WC	$82.50
Rate for Payer: UnitedHealthcare Commercial	$275.00

MONITOR TEMP CRYSTAL LCM-409

Facility

$550.00

Hospital Charge Code	270614339
Hospital Revenue Code	270
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$82.50
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

MONITOR TEMP TRANSDERM 1150

Facility

$11.25

Hospital Charge Code	270070195
Hospital Revenue Code	272
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$1.69
Rate for Payer: Qualcare PPO/HMO/WC	$1.69

MONITOR TEMP TRANSDERM 1150

Facility

$11.25

Hospital Charge Code	270070195
Hospital Revenue Code	272
Min. Negotiated Rate	$1.46
Max. Negotiated Rate	$5.62
Rate for Payer: Aetna Commercial	$3.38
Rate for Payer: Aetna Medicare Advantage	$3.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.87
Rate for Payer: Cigna Commercial	$5.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.46
Rate for Payer: Oxford Commercial	$5.62
Rate for Payer: Qualcare PPO/HMO/WC	$1.69
Rate for Payer: UnitedHealthcare Commercial	$5.62

MONOCLATE P 955UNITS

Facility

$2,800.00

Hospital Charge Code	60635592
Hospital Revenue Code	636
Min. Negotiated Rate	$420.00
Max. Negotiated Rate	$1,400.00
Rate for Payer: Aetna Commercial	$840.00
Rate for Payer: Aetna Medicare Advantage	$840.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$714.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$714.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$714.00
Rate for Payer: Cigna Commercial	$1,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$677.60
Rate for Payer: Qualcare PPO/HMO/WC	$420.00

MONOCLATE P 955UNITS

Facility

$2,800.00

Hospital Charge Code	60635592
Hospital Revenue Code	636
Min. Negotiated Rate	$420.00
Max. Negotiated Rate	$677.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$677.60
Rate for Payer: Qualcare PPO/HMO/WC	$420.00

MONOCRYL 3-0 SPIRAL SH

Facility

$123.17

Service Code	HCPCS A4649
Hospital Charge Code	270691628
Hospital Revenue Code	272
Min. Negotiated Rate	$16.01
Max. Negotiated Rate	$61.59
Rate for Payer: Aetna Commercial	$36.95
Rate for Payer: Aetna Medicare Advantage	$36.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.41
Rate for Payer: Cigna Commercial	$61.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.01
Rate for Payer: Oxford Commercial	$61.59
Rate for Payer: Qualcare PPO/HMO/WC	$18.48
Rate for Payer: UnitedHealthcare Commercial	$61.59

MONOCRYL 3-0 SPIRAL SH

Facility

$123.17

Service Code	HCPCS A4649
Hospital Charge Code	270691628
Hospital Revenue Code	272
Min. Negotiated Rate	$18.48
Max. Negotiated Rate	$18.48
Rate for Payer: Qualcare PPO/HMO/WC	$18.48

MONOCTANOIN CATH INF 120ML

Facility

$841.00

Hospital Charge Code	6017487
Hospital Revenue Code	250
Min. Negotiated Rate	$126.15
Max. Negotiated Rate	$126.15
Rate for Payer: Qualcare PPO/HMO/WC	$126.15

MONOCTANOIN CATH INF 120ML

Facility

$841.00

Hospital Charge Code	6017487
Hospital Revenue Code	250
Min. Negotiated Rate	$109.33
Max. Negotiated Rate	$420.50
Rate for Payer: Aetna Commercial	$252.30
Rate for Payer: Aetna Medicare Advantage	$252.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$214.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$214.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$214.46
Rate for Payer: Cigna Commercial	$420.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$109.33
Rate for Payer: Oxford Commercial	$420.50
Rate for Payer: Qualcare PPO/HMO/WC	$126.15
Rate for Payer: UnitedHealthcare Commercial	$420.50

MONOLITH 1 MCV 1091

Facility

$2,222.45

Hospital Charge Code	270604775
Hospital Revenue Code	272
Min. Negotiated Rate	$288.92
Max. Negotiated Rate	$1,111.22
Rate for Payer: Aetna Commercial	$666.74
Rate for Payer: Aetna Medicare Advantage	$666.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$566.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$566.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$566.72
Rate for Payer: Cigna Commercial	$1,111.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$288.92
Rate for Payer: Oxford Commercial	$1,111.22
Rate for Payer: Qualcare PPO/HMO/WC	$333.37
Rate for Payer: UnitedHealthcare Commercial	$1,111.22

Know your out-of-pocket cost for care.

All Charges