Heights University Hospital

All Charges

Charge

Type

Setting

Price

PROBE APC ERBE 2.3/6MM

Facility

$1,595.25

Hospital Charge Code	270607682
Hospital Revenue Code	272
Min. Negotiated Rate	$207.38
Max. Negotiated Rate	$797.62
Rate for Payer: Aetna Commercial	$478.57
Rate for Payer: Aetna Medicare Advantage	$478.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$406.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$406.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$406.79
Rate for Payer: Cigna Commercial	$797.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.38
Rate for Payer: Oxford Commercial	$797.62
Rate for Payer: Qualcare PPO/HMO/WC	$239.29
Rate for Payer: UnitedHealthcare Commercial	$797.62

PROBE APC ERBE 32/7MM

Facility

$1,449.65

Hospital Charge Code	270607681
Hospital Revenue Code	272
Min. Negotiated Rate	$217.45
Max. Negotiated Rate	$217.45
Rate for Payer: Qualcare PPO/HMO/WC	$217.45

PROBE APC ERBE 32/7MM

Facility

$1,449.65

Hospital Charge Code	270607681
Hospital Revenue Code	272
Min. Negotiated Rate	$188.45
Max. Negotiated Rate	$724.83
Rate for Payer: Aetna Commercial	$434.89
Rate for Payer: Aetna Medicare Advantage	$434.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$369.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$369.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$369.66
Rate for Payer: Cigna Commercial	$724.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$188.45
Rate for Payer: Oxford Commercial	$724.83
Rate for Payer: Qualcare PPO/HMO/WC	$217.45
Rate for Payer: UnitedHealthcare Commercial	$724.83

PROBE ARDVARK 2.5 278-545-250

Facility

$813.50

Hospital Charge Code	270635274
Hospital Revenue Code	272
Min. Negotiated Rate	$105.75
Max. Negotiated Rate	$406.75
Rate for Payer: Aetna Commercial	$244.05
Rate for Payer: Aetna Medicare Advantage	$244.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$207.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$207.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$207.44
Rate for Payer: Cigna Commercial	$406.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.75
Rate for Payer: Oxford Commercial	$406.75
Rate for Payer: Qualcare PPO/HMO/WC	$122.03
Rate for Payer: UnitedHealthcare Commercial	$406.75

PROBE ARDVARK 2.5 278-545-250

Facility

$813.50

Hospital Charge Code	270635274
Hospital Revenue Code	272
Min. Negotiated Rate	$122.03
Max. Negotiated Rate	$122.03
Rate for Payer: Qualcare PPO/HMO/WC	$122.03

PROBE BALL TIP STIM 200MM

Facility

$2,700.00

Hospital Charge Code	270694861
Hospital Revenue Code	272
Min. Negotiated Rate	$351.00
Max. Negotiated Rate	$1,350.00
Rate for Payer: Aetna Commercial	$810.00
Rate for Payer: Aetna Medicare Advantage	$810.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$688.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$688.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$688.50
Rate for Payer: Cigna Commercial	$1,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$351.00
Rate for Payer: Oxford Commercial	$1,350.00
Rate for Payer: Qualcare PPO/HMO/WC	$405.00
Rate for Payer: UnitedHealthcare Commercial	$1,350.00

PROBE BALL TIP STIM 200MM

Facility

$2,700.00

Hospital Charge Code	270694861
Hospital Revenue Code	272
Min. Negotiated Rate	$405.00
Max. Negotiated Rate	$405.00
Rate for Payer: Qualcare PPO/HMO/WC	$405.00

PROBE BI CAP****

Facility

$1,140.00

Hospital Charge Code	2300800
Hospital Revenue Code	279
Min. Negotiated Rate	$148.20
Max. Negotiated Rate	$570.00
Rate for Payer: Aetna Commercial	$342.00
Rate for Payer: Aetna Medicare Advantage	$342.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$290.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$290.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$290.70
Rate for Payer: Cigna Commercial	$570.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.20
Rate for Payer: Oxford Commercial	$570.00
Rate for Payer: Qualcare PPO/HMO/WC	$171.00
Rate for Payer: UnitedHealthcare Commercial	$570.00

PROBE BI CAP****

Facility

$1,140.00

Hospital Charge Code	2300800
Hospital Revenue Code	279
Min. Negotiated Rate	$171.00
Max. Negotiated Rate	$171.00
Rate for Payer: Qualcare PPO/HMO/WC	$171.00

PROBE BICAP***

Facility

$924.00

Hospital Charge Code	2300630
Hospital Revenue Code	279
Min. Negotiated Rate	$120.12
Max. Negotiated Rate	$462.00
Rate for Payer: Aetna Commercial	$277.20
Rate for Payer: Aetna Medicare Advantage	$277.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$235.62
Rate for Payer: Cigna Commercial	$462.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.12
Rate for Payer: Oxford Commercial	$462.00
Rate for Payer: Qualcare PPO/HMO/WC	$138.60
Rate for Payer: UnitedHealthcare Commercial	$462.00

PROBE BICAP***

Facility

$924.00

Hospital Charge Code	2300630
Hospital Revenue Code	279
Min. Negotiated Rate	$138.60
Max. Negotiated Rate	$138.60
Rate for Payer: Qualcare PPO/HMO/WC	$138.60

PROBE BILIARY 1.9FR375CM

Facility

$2,145.00

Hospital Charge Code	270675509
Hospital Revenue Code	272
Min. Negotiated Rate	$321.75
Max. Negotiated Rate	$321.75
Rate for Payer: Qualcare PPO/HMO/WC	$321.75

PROBE BILIARY 1.9FR375CM

Facility

$2,145.00

Hospital Charge Code	270675509
Hospital Revenue Code	272
Min. Negotiated Rate	$278.85
Max. Negotiated Rate	$1,072.50
Rate for Payer: Aetna Commercial	$643.50
Rate for Payer: Aetna Medicare Advantage	$643.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$546.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$546.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$546.98
Rate for Payer: Cigna Commercial	$1,072.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$278.85
Rate for Payer: Oxford Commercial	$1,072.50
Rate for Payer: Qualcare PPO/HMO/WC	$321.75
Rate for Payer: UnitedHealthcare Commercial	$1,072.50

PROBE BIPOLAR 10FR 000398

Facility

$1,149.65

Hospital Charge Code	270611259
Hospital Revenue Code	272
Min. Negotiated Rate	$149.45
Max. Negotiated Rate	$574.83
Rate for Payer: Aetna Commercial	$344.89
Rate for Payer: Aetna Medicare Advantage	$344.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$293.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$293.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$293.16
Rate for Payer: Cigna Commercial	$574.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$149.45
Rate for Payer: Oxford Commercial	$574.83
Rate for Payer: Qualcare PPO/HMO/WC	$172.45
Rate for Payer: UnitedHealthcare Commercial	$574.83

PROBE BIPOLAR 10FR 000398

Facility

$1,149.65

Hospital Charge Code	270611259
Hospital Revenue Code	272
Min. Negotiated Rate	$172.45
Max. Negotiated Rate	$172.45
Rate for Payer: Qualcare PPO/HMO/WC	$172.45

PROBE BIPOLAR 7F

Facility

$1,149.65

Hospital Charge Code	270607095
Hospital Revenue Code	272
Min. Negotiated Rate	$149.45
Max. Negotiated Rate	$574.83
Rate for Payer: Aetna Commercial	$344.89
Rate for Payer: Aetna Medicare Advantage	$344.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$293.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$293.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$293.16
Rate for Payer: Cigna Commercial	$574.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$149.45
Rate for Payer: Oxford Commercial	$574.83
Rate for Payer: Qualcare PPO/HMO/WC	$172.45
Rate for Payer: UnitedHealthcare Commercial	$574.83

PROBE BIPOLAR 7F

Facility

$1,149.65

Hospital Charge Code	270607095
Hospital Revenue Code	272
Min. Negotiated Rate	$172.45
Max. Negotiated Rate	$172.45
Rate for Payer: Qualcare PPO/HMO/WC	$172.45

PROBE COVER 503-0116

Facility

$635.25

Hospital Charge Code	270609431
Hospital Revenue Code	272
Min. Negotiated Rate	$95.29
Max. Negotiated Rate	$95.29
Rate for Payer: Qualcare PPO/HMO/WC	$95.29

PROBE COVER 503-0116

Facility

$635.25

Hospital Charge Code	270609431
Hospital Revenue Code	272
Min. Negotiated Rate	$82.58
Max. Negotiated Rate	$317.62
Rate for Payer: Aetna Commercial	$190.57
Rate for Payer: Aetna Medicare Advantage	$190.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$161.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$161.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$161.99
Rate for Payer: Cigna Commercial	$317.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.58
Rate for Payer: Oxford Commercial	$317.62
Rate for Payer: Qualcare PPO/HMO/WC	$95.29
Rate for Payer: UnitedHealthcare Commercial	$317.62

PROBE COVERS FOR ULTRASOUND

Facility

$13.65

Hospital Charge Code	1810068
Hospital Revenue Code	272
Min. Negotiated Rate	$2.05
Max. Negotiated Rate	$2.05
Rate for Payer: Qualcare PPO/HMO/WC	$2.05

PROBE COVERS FOR ULTRASOUND

Facility

$13.65

Hospital Charge Code	1810068
Hospital Revenue Code	272
Min. Negotiated Rate	$1.77
Max. Negotiated Rate	$6.83
Rate for Payer: Aetna Commercial	$4.09
Rate for Payer: Aetna Medicare Advantage	$4.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.48
Rate for Payer: Cigna Commercial	$6.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.77
Rate for Payer: Oxford Commercial	$6.83
Rate for Payer: Qualcare PPO/HMO/WC	$2.05
Rate for Payer: UnitedHealthcare Commercial	$6.83

PROBECOVER U/S TRANSDUCER

Facility

$13.65

Hospital Charge Code	270601242
Hospital Revenue Code	272
Min. Negotiated Rate	$1.77
Max. Negotiated Rate	$6.83
Rate for Payer: Aetna Commercial	$4.09
Rate for Payer: Aetna Medicare Advantage	$4.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.48
Rate for Payer: Cigna Commercial	$6.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.77
Rate for Payer: Oxford Commercial	$6.83
Rate for Payer: Qualcare PPO/HMO/WC	$2.05
Rate for Payer: UnitedHealthcare Commercial	$6.83

PROBECOVER U/S TRANSDUCER

Facility

$13.65

Hospital Charge Code	270601242
Hospital Revenue Code	272
Min. Negotiated Rate	$2.05
Max. Negotiated Rate	$2.05
Rate for Payer: Qualcare PPO/HMO/WC	$2.05

PROBE COVER W/21G NEEDLE GUIDE

Facility

$90.00

Hospital Charge Code	270664040
Hospital Revenue Code	272
Min. Negotiated Rate	$13.50
Max. Negotiated Rate	$13.50
Rate for Payer: Qualcare PPO/HMO/WC	$13.50

PROBE COVER W/21G NEEDLE GUIDE

Facility

$90.00

Hospital Charge Code	270664040
Hospital Revenue Code	272
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: Oxford Commercial	$45.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.50
Rate for Payer: UnitedHealthcare Commercial	$45.00

Know your out-of-pocket cost for care.

All Charges