Heights University Hospital

All Charges

Charge

Type

Setting

Price

PROBE ELECTROHYDRAUL 7.0F

Facility

$1,437.50

Hospital Charge Code	270600291
Hospital Revenue Code	272
Min. Negotiated Rate	$215.62
Max. Negotiated Rate	$215.62
Rate for Payer: Qualcare PPO/HMO/WC	$215.62

PROBE ELECTROHYDRAULIC LITHO-

Facility

$3,250.00

Hospital Charge Code	270658471
Hospital Revenue Code	272
Min. Negotiated Rate	$487.50
Max. Negotiated Rate	$487.50
Rate for Payer: Qualcare PPO/HMO/WC	$487.50

PROBE ELECTROHYDRAULIC LITHO-

Facility

$3,250.00

Hospital Charge Code	270658471
Hospital Revenue Code	272
Min. Negotiated Rate	$422.50
Max. Negotiated Rate	$1,625.00
Rate for Payer: Aetna Commercial	$975.00
Rate for Payer: Aetna Medicare Advantage	$975.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$828.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$828.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$828.75
Rate for Payer: Cigna Commercial	$1,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$422.50
Rate for Payer: Oxford Commercial	$1,625.00
Rate for Payer: Qualcare PPO/HMO/WC	$487.50
Rate for Payer: UnitedHealthcare Commercial	$1,625.00

PROBE ELECTRO SPATULA TIP 5 MM

Facility

$1,279.30

Hospital Charge Code	270683002
Hospital Revenue Code	272
Min. Negotiated Rate	$191.90
Max. Negotiated Rate	$191.90
Rate for Payer: Qualcare PPO/HMO/WC	$191.90

PROBE ELECTRO SPATULA TIP 5 MM

Facility

$1,279.30

Hospital Charge Code	270683002
Hospital Revenue Code	272
Min. Negotiated Rate	$166.31
Max. Negotiated Rate	$639.65
Rate for Payer: Aetna Commercial	$383.79
Rate for Payer: Aetna Medicare Advantage	$383.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$326.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$326.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$326.22
Rate for Payer: Cigna Commercial	$639.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$166.31
Rate for Payer: Oxford Commercial	$639.65
Rate for Payer: Qualcare PPO/HMO/WC	$191.90
Rate for Payer: UnitedHealthcare Commercial	$639.65

PROBE ERBE SIDE FIRE 20132148

Facility

$1,025.00

Hospital Charge Code	270625515
Hospital Revenue Code	272
Min. Negotiated Rate	$133.25
Max. Negotiated Rate	$512.50
Rate for Payer: Aetna Commercial	$307.50
Rate for Payer: Aetna Medicare Advantage	$307.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$261.38
Rate for Payer: Cigna Commercial	$512.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: Oxford Commercial	$512.50
Rate for Payer: Qualcare PPO/HMO/WC	$153.75
Rate for Payer: UnitedHealthcare Commercial	$512.50

PROBE ERBE SIDE FIRE 20132148

Facility

$1,025.00

Hospital Charge Code	270625515
Hospital Revenue Code	272
Min. Negotiated Rate	$153.75
Max. Negotiated Rate	$153.75
Rate for Payer: Qualcare PPO/HMO/WC	$153.75

PROBE ESOPHAGEAL W/TEMP.

Facility

$18.90

Hospital Charge Code	270684723
Hospital Revenue Code	272
Min. Negotiated Rate	$2.46
Max. Negotiated Rate	$9.45
Rate for Payer: Aetna Commercial	$5.67
Rate for Payer: Aetna Medicare Advantage	$5.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.82
Rate for Payer: Cigna Commercial	$9.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.46
Rate for Payer: Oxford Commercial	$9.45
Rate for Payer: Qualcare PPO/HMO/WC	$2.83
Rate for Payer: UnitedHealthcare Commercial	$9.45

PROBE ESOPHAGEAL W/TEMP.

Facility

$18.90

Hospital Charge Code	270684723
Hospital Revenue Code	272
Min. Negotiated Rate	$2.83
Max. Negotiated Rate	$2.83
Rate for Payer: Qualcare PPO/HMO/WC	$2.83

PROBE EVIVA 9G PETITE

Facility

$1,161.88

Hospital Charge Code	270675349N
Hospital Revenue Code	272
Min. Negotiated Rate	$151.04
Max. Negotiated Rate	$580.94
Rate for Payer: Aetna Commercial	$348.56
Rate for Payer: Aetna Medicare Advantage	$348.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$296.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$296.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$296.28
Rate for Payer: Cigna Commercial	$580.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.04
Rate for Payer: Oxford Commercial	$580.94
Rate for Payer: Qualcare PPO/HMO/WC	$174.28
Rate for Payer: UnitedHealthcare Commercial	$580.94

PROBE EVIVA 9G PETITE

Facility

$1,161.88

Hospital Charge Code	270675349
Hospital Revenue Code	272
Min. Negotiated Rate	$174.28
Max. Negotiated Rate	$174.28
Rate for Payer: Qualcare PPO/HMO/WC	$174.28

PROBE EVIVA 9G PETITE

Facility

$1,161.88

Hospital Charge Code	270675349N
Hospital Revenue Code	272
Min. Negotiated Rate	$174.28
Max. Negotiated Rate	$174.28
Rate for Payer: Qualcare PPO/HMO/WC	$174.28

PROBE EVIVA 9G PETITE

Facility

$1,161.88

Hospital Charge Code	675349
Hospital Revenue Code	272
Min. Negotiated Rate	$151.04
Max. Negotiated Rate	$580.94
Rate for Payer: Aetna Commercial	$348.56
Rate for Payer: Aetna Medicare Advantage	$348.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$296.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$296.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$296.28
Rate for Payer: Cigna Commercial	$580.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.04
Rate for Payer: Oxford Commercial	$580.94
Rate for Payer: Qualcare PPO/HMO/WC	$174.28
Rate for Payer: UnitedHealthcare Commercial	$580.94

PROBE EVIVA 9G PETITE

Facility

$1,161.88

Hospital Charge Code	270675349
Hospital Revenue Code	272
Min. Negotiated Rate	$151.04
Max. Negotiated Rate	$580.94
Rate for Payer: Aetna Commercial	$348.56
Rate for Payer: Aetna Medicare Advantage	$348.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$296.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$296.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$296.28
Rate for Payer: Cigna Commercial	$580.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.04
Rate for Payer: Oxford Commercial	$580.94
Rate for Payer: Qualcare PPO/HMO/WC	$174.28
Rate for Payer: UnitedHealthcare Commercial	$580.94

PROBE EVIVA 9G PETITE

Facility

$1,161.88

Hospital Charge Code	675349
Hospital Revenue Code	272
Min. Negotiated Rate	$174.28
Max. Negotiated Rate	$174.28
Rate for Payer: Qualcare PPO/HMO/WC	$174.28

PROBE EVIVA 9G STD

Facility

$1,333.75

Hospital Charge Code	270642614
Hospital Revenue Code	272
Min. Negotiated Rate	$200.06
Max. Negotiated Rate	$200.06
Rate for Payer: Qualcare PPO/HMO/WC	$200.06

PROBE EVIVA 9G STD

Facility

$1,333.75

Hospital Charge Code	270642614
Hospital Revenue Code	272
Min. Negotiated Rate	$173.39
Max. Negotiated Rate	$666.88
Rate for Payer: Aetna Commercial	$400.12
Rate for Payer: Aetna Medicare Advantage	$400.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$340.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$340.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$340.11
Rate for Payer: Cigna Commercial	$666.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.39
Rate for Payer: Oxford Commercial	$666.88
Rate for Payer: Qualcare PPO/HMO/WC	$200.06
Rate for Payer: UnitedHealthcare Commercial	$666.88

PROBE EVIVA 9G STD

Facility

$1,161.88

Hospital Charge Code	270642614N
Hospital Revenue Code	272
Min. Negotiated Rate	$174.28
Max. Negotiated Rate	$174.28
Rate for Payer: Qualcare PPO/HMO/WC	$174.28

PROBE EVIVA 9G STD

Facility

$1,161.88

Hospital Charge Code	270642614N
Hospital Revenue Code	272
Min. Negotiated Rate	$151.04
Max. Negotiated Rate	$580.94
Rate for Payer: Aetna Commercial	$348.56
Rate for Payer: Aetna Medicare Advantage	$348.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$296.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$296.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$296.28
Rate for Payer: Cigna Commercial	$580.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.04
Rate for Payer: Oxford Commercial	$580.94
Rate for Payer: Qualcare PPO/HMO/WC	$174.28
Rate for Payer: UnitedHealthcare Commercial	$580.94

PROBE EVIVA 9G STD

Facility

$1,333.75

Hospital Charge Code	270642614R
Hospital Revenue Code	272
Min. Negotiated Rate	$173.39
Max. Negotiated Rate	$666.88
Rate for Payer: Aetna Commercial	$400.12
Rate for Payer: Aetna Medicare Advantage	$400.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$340.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$340.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$340.11
Rate for Payer: Cigna Commercial	$666.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.39
Rate for Payer: Oxford Commercial	$666.88
Rate for Payer: Qualcare PPO/HMO/WC	$200.06
Rate for Payer: UnitedHealthcare Commercial	$666.88

PROBE EVIVA 9G STD

Facility

$1,333.75

Hospital Charge Code	270642614R
Hospital Revenue Code	272
Min. Negotiated Rate	$200.06
Max. Negotiated Rate	$200.06
Rate for Payer: Qualcare PPO/HMO/WC	$200.06

PROBE FIAPC CIR 2.3MM 20132218

Facility

$1,124.75

Hospital Charge Code	270638543
Hospital Revenue Code	272
Min. Negotiated Rate	$168.71
Max. Negotiated Rate	$168.71
Rate for Payer: Qualcare PPO/HMO/WC	$168.71

PROBE FIAPC CIR 2.3MM 20132218

Facility

$1,124.75

Hospital Charge Code	270638543
Hospital Revenue Code	272
Min. Negotiated Rate	$146.22
Max. Negotiated Rate	$562.38
Rate for Payer: Aetna Commercial	$337.43
Rate for Payer: Aetna Medicare Advantage	$337.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.81
Rate for Payer: Cigna Commercial	$562.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.22
Rate for Payer: Oxford Commercial	$562.38
Rate for Payer: Qualcare PPO/HMO/WC	$168.71
Rate for Payer: UnitedHealthcare Commercial	$562.38

PROBE FIAPC STR 2.3MM 9FT

Facility

$1,229.75

Hospital Charge Code	270677696
Hospital Revenue Code	272
Min. Negotiated Rate	$184.46
Max. Negotiated Rate	$184.46
Rate for Payer: Qualcare PPO/HMO/WC	$184.46

PROBE FIAPC STR 2.3MM 9FT

Facility

$1,229.75

Hospital Charge Code	270677696
Hospital Revenue Code	272
Min. Negotiated Rate	$159.87
Max. Negotiated Rate	$614.88
Rate for Payer: Aetna Commercial	$368.93
Rate for Payer: Aetna Medicare Advantage	$368.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$313.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$313.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$313.59
Rate for Payer: Cigna Commercial	$614.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.87
Rate for Payer: Oxford Commercial	$614.88
Rate for Payer: Qualcare PPO/HMO/WC	$184.46
Rate for Payer: UnitedHealthcare Commercial	$614.88

Know your out-of-pocket cost for care.

All Charges