Heights University Hospital

All Charges

Charge

Type

Setting

Price

PROBE FIAP ST 2 3X6 9 20132214

Facility

$1,068.25

Hospital Charge Code	270638542
Hospital Revenue Code	272
Min. Negotiated Rate	$138.87
Max. Negotiated Rate	$534.12
Rate for Payer: Aetna Commercial	$320.48
Rate for Payer: Aetna Medicare Advantage	$320.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$272.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$272.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$272.40
Rate for Payer: Cigna Commercial	$534.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$138.87
Rate for Payer: Oxford Commercial	$534.12
Rate for Payer: Qualcare PPO/HMO/WC	$160.24
Rate for Payer: UnitedHealthcare Commercial	$534.12

PROBE FIAP ST 2 3X6 9 20132214

Facility

$1,068.25

Hospital Charge Code	270638542
Hospital Revenue Code	272
Min. Negotiated Rate	$160.24
Max. Negotiated Rate	$160.24
Rate for Payer: Qualcare PPO/HMO/WC	$160.24

PROBE FOGARTY BILIARY BALLOON

Facility

$272.60

Hospital Charge Code	270650735
Hospital Revenue Code	271
Min. Negotiated Rate	$40.89
Max. Negotiated Rate	$40.89
Rate for Payer: Qualcare PPO/HMO/WC	$40.89

PROBE FOGARTY BILIARY BALLOON

Facility

$272.60

Hospital Charge Code	270650735
Hospital Revenue Code	271
Min. Negotiated Rate	$35.44
Max. Negotiated Rate	$136.30
Rate for Payer: Aetna Commercial	$81.78
Rate for Payer: Aetna Medicare Advantage	$81.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$69.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$69.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$69.51
Rate for Payer: Cigna Commercial	$136.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.44
Rate for Payer: Oxford Commercial	$136.30
Rate for Payer: Qualcare PPO/HMO/WC	$40.89
Rate for Payer: UnitedHealthcare Commercial	$136.30

PROBE GOLD 10fr

Facility

$720.00

Hospital Charge Code	270644319
Hospital Revenue Code	272
Min. Negotiated Rate	$108.00
Max. Negotiated Rate	$108.00
Rate for Payer: Qualcare PPO/HMO/WC	$108.00

PROBE GOLD 10fr

Facility

$720.00

Hospital Charge Code	270644319
Hospital Revenue Code	272
Min. Negotiated Rate	$93.60
Max. Negotiated Rate	$360.00
Rate for Payer: Aetna Commercial	$216.00
Rate for Payer: Aetna Medicare Advantage	$216.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$183.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$183.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$183.60
Rate for Payer: Cigna Commercial	$360.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.60
Rate for Payer: Oxford Commercial	$360.00
Rate for Payer: Qualcare PPO/HMO/WC	$108.00
Rate for Payer: UnitedHealthcare Commercial	$360.00

PROBE GOLD 7FR

Facility

$621.55

Hospital Charge Code	270603144
Hospital Revenue Code	272
Min. Negotiated Rate	$80.80
Max. Negotiated Rate	$310.77
Rate for Payer: Aetna Commercial	$186.47
Rate for Payer: Aetna Medicare Advantage	$186.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.50
Rate for Payer: Cigna Commercial	$310.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.80
Rate for Payer: Oxford Commercial	$310.77
Rate for Payer: Qualcare PPO/HMO/WC	$93.23
Rate for Payer: UnitedHealthcare Commercial	$310.77

PROBE GOLD 7FR

Facility

$621.55

Hospital Charge Code	270603144
Hospital Revenue Code	272
Min. Negotiated Rate	$93.23
Max. Negotiated Rate	$93.23
Rate for Payer: Qualcare PPO/HMO/WC	$93.23

PROBE GOLD 7FR 10

Facility

$3,024.00

Hospital Charge Code	270603909
Hospital Revenue Code	272
Min. Negotiated Rate	$453.60
Max. Negotiated Rate	$453.60
Rate for Payer: Qualcare PPO/HMO/WC	$453.60

PROBE GOLD 7FR 10

Facility

$3,024.00

Hospital Charge Code	270603909
Hospital Revenue Code	272
Min. Negotiated Rate	$393.12
Max. Negotiated Rate	$1,512.00
Rate for Payer: Aetna Commercial	$907.20
Rate for Payer: Aetna Medicare Advantage	$907.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$771.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$771.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$771.12
Rate for Payer: Cigna Commercial	$1,512.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$393.12
Rate for Payer: Oxford Commercial	$1,512.00
Rate for Payer: Qualcare PPO/HMO/WC	$453.60
Rate for Payer: UnitedHealthcare Commercial	$1,512.00

PROBE GOLD 7FR 12

Facility

$3,024.00

Hospital Charge Code	270603910
Hospital Revenue Code	272
Min. Negotiated Rate	$453.60
Max. Negotiated Rate	$453.60
Rate for Payer: Qualcare PPO/HMO/WC	$453.60

PROBE GOLD 7FR 12

Facility

$3,024.00

Hospital Charge Code	270603910
Hospital Revenue Code	272
Min. Negotiated Rate	$393.12
Max. Negotiated Rate	$1,512.00
Rate for Payer: Aetna Commercial	$907.20
Rate for Payer: Aetna Medicare Advantage	$907.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$771.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$771.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$771.12
Rate for Payer: Cigna Commercial	$1,512.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$393.12
Rate for Payer: Oxford Commercial	$1,512.00
Rate for Payer: Qualcare PPO/HMO/WC	$453.60
Rate for Payer: UnitedHealthcare Commercial	$1,512.00

PROBE GOLD 7FR 13

Facility

$3,024.00

Hospital Charge Code	270603911
Hospital Revenue Code	272
Min. Negotiated Rate	$453.60
Max. Negotiated Rate	$453.60
Rate for Payer: Qualcare PPO/HMO/WC	$453.60

PROBE GOLD 7FR 13

Facility

$3,024.00

Hospital Charge Code	270603911
Hospital Revenue Code	272
Min. Negotiated Rate	$393.12
Max. Negotiated Rate	$1,512.00
Rate for Payer: Aetna Commercial	$907.20
Rate for Payer: Aetna Medicare Advantage	$907.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$771.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$771.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$771.12
Rate for Payer: Cigna Commercial	$1,512.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$393.12
Rate for Payer: Oxford Commercial	$1,512.00
Rate for Payer: Qualcare PPO/HMO/WC	$453.60
Rate for Payer: UnitedHealthcare Commercial	$1,512.00

PROBE HEMOSTASIS 7FR

Facility

$1,724.85

Hospital Charge Code	270607096
Hospital Revenue Code	272
Min. Negotiated Rate	$224.23
Max. Negotiated Rate	$862.42
Rate for Payer: Aetna Commercial	$517.46
Rate for Payer: Aetna Medicare Advantage	$517.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$439.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$439.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$439.84
Rate for Payer: Cigna Commercial	$862.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$224.23
Rate for Payer: Oxford Commercial	$862.42
Rate for Payer: Qualcare PPO/HMO/WC	$258.73
Rate for Payer: UnitedHealthcare Commercial	$862.42

PROBE HEMOSTASIS 7FR

Facility

$1,724.85

Hospital Charge Code	270607096
Hospital Revenue Code	272
Min. Negotiated Rate	$258.73
Max. Negotiated Rate	$258.73
Rate for Payer: Qualcare PPO/HMO/WC	$258.73

PROBE HIP WAND SERFAS XL 90-S-

Facility

$1,206.80

Hospital Charge Code	270683008
Hospital Revenue Code	272
Min. Negotiated Rate	$181.02
Max. Negotiated Rate	$181.02
Rate for Payer: Qualcare PPO/HMO/WC	$181.02

PROBE HIP WAND SERFAS XL 90-S-

Facility

$1,206.80

Hospital Charge Code	270683008
Hospital Revenue Code	272
Min. Negotiated Rate	$156.88
Max. Negotiated Rate	$603.40
Rate for Payer: Aetna Commercial	$362.04
Rate for Payer: Aetna Medicare Advantage	$362.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$307.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$307.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$307.73
Rate for Payer: Cigna Commercial	$603.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$156.88
Rate for Payer: Oxford Commercial	$603.40
Rate for Payer: Qualcare PPO/HMO/WC	$181.02
Rate for Payer: UnitedHealthcare Commercial	$603.40

PROBE HYPOTERM DISP

Facility

$156.85

Hospital Charge Code	270600064
Hospital Revenue Code	272
Min. Negotiated Rate	$20.39
Max. Negotiated Rate	$78.42
Rate for Payer: Aetna Commercial	$47.05
Rate for Payer: Aetna Medicare Advantage	$47.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.00
Rate for Payer: Cigna Commercial	$78.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.39
Rate for Payer: Oxford Commercial	$78.42
Rate for Payer: Qualcare PPO/HMO/WC	$23.53
Rate for Payer: UnitedHealthcare Commercial	$78.42

PROBE HYPOTERM DISP

Facility

$156.85

Hospital Charge Code	270600064
Hospital Revenue Code	272
Min. Negotiated Rate	$23.53
Max. Negotiated Rate	$23.53
Rate for Payer: Qualcare PPO/HMO/WC	$23.53

PROBE INCUTEMP I 503-0110

Facility

$63.25

Hospital Charge Code	270609430
Hospital Revenue Code	272
Min. Negotiated Rate	$8.22
Max. Negotiated Rate	$31.62
Rate for Payer: Aetna Commercial	$18.98
Rate for Payer: Aetna Medicare Advantage	$18.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.13
Rate for Payer: Cigna Commercial	$31.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.22
Rate for Payer: Oxford Commercial	$31.62
Rate for Payer: Qualcare PPO/HMO/WC	$9.49
Rate for Payer: UnitedHealthcare Commercial	$31.62

PROBE INCUTEMP I 503-0110

Facility

$63.25

Hospital Charge Code	270609430
Hospital Revenue Code	272
Min. Negotiated Rate	$9.49
Max. Negotiated Rate	$9.49
Rate for Payer: Qualcare PPO/HMO/WC	$9.49

PROBE INCUTEMP II 503-0111

Facility

$32.00

Hospital Charge Code	270609682
Hospital Revenue Code	272
Min. Negotiated Rate	$4.16
Max. Negotiated Rate	$16.00
Rate for Payer: Aetna Commercial	$9.60
Rate for Payer: Aetna Medicare Advantage	$9.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.16
Rate for Payer: Cigna Commercial	$16.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.16
Rate for Payer: Oxford Commercial	$16.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.80
Rate for Payer: UnitedHealthcare Commercial	$16.00

PROBE INCUTEMP II 503-0111

Facility

$32.00

Hospital Charge Code	270609682
Hospital Revenue Code	272
Min. Negotiated Rate	$4.80
Max. Negotiated Rate	$4.80
Rate for Payer: Qualcare PPO/HMO/WC	$4.80

PROBE INCUTEMP III 503-0112

Facility

$29.65

Hospital Charge Code	270609683
Hospital Revenue Code	272
Min. Negotiated Rate	$3.85
Max. Negotiated Rate	$14.82
Rate for Payer: Aetna Commercial	$8.89
Rate for Payer: Aetna Medicare Advantage	$8.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.56
Rate for Payer: Cigna Commercial	$14.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.85
Rate for Payer: Oxford Commercial	$14.82
Rate for Payer: Qualcare PPO/HMO/WC	$4.45
Rate for Payer: UnitedHealthcare Commercial	$14.82

Know your out-of-pocket cost for care.

All Charges