Heights University Hospital

All Charges

Charge

Type

Setting

Price

PROBE PRASS NERVE STIMULATOR

Facility

$930.00

Hospital Charge Code	270657321
Hospital Revenue Code	272
Min. Negotiated Rate	$139.50
Max. Negotiated Rate	$139.50
Rate for Payer: Qualcare PPO/HMO/WC	$139.50

PROBE PRASS STIMULATR 8225101E

Facility

$450.00

Hospital Charge Code	270639301
Hospital Revenue Code	270
Min. Negotiated Rate	$67.50
Max. Negotiated Rate	$67.50
Rate for Payer: Qualcare PPO/HMO/WC	$67.50

PROBE PRASS STIMULATR 8225101E

Facility

$450.00

Hospital Charge Code	270639301
Hospital Revenue Code	270
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$225.00
Rate for Payer: Aetna Commercial	$135.00
Rate for Payer: Aetna Medicare Advantage	$135.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.75
Rate for Payer: Cigna Commercial	$225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.50
Rate for Payer: Oxford Commercial	$225.00
Rate for Payer: Qualcare PPO/HMO/WC	$67.50
Rate for Payer: UnitedHealthcare Commercial	$225.00

PROBE RECTAL ADULT DISPOSABLES

Facility

$27.50

Hospital Charge Code	270665987
Hospital Revenue Code	270
Min. Negotiated Rate	$4.12
Max. Negotiated Rate	$4.12
Rate for Payer: Qualcare PPO/HMO/WC	$4.12

PROBE RECTAL ADULT DISPOSABLES

Facility

$27.50

Hospital Charge Code	270665987
Hospital Revenue Code	270
Min. Negotiated Rate	$3.58
Max. Negotiated Rate	$13.75
Rate for Payer: Aetna Commercial	$8.25
Rate for Payer: Aetna Medicare Advantage	$8.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.01
Rate for Payer: Cigna Commercial	$13.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.58
Rate for Payer: Oxford Commercial	$13.75
Rate for Payer: Qualcare PPO/HMO/WC	$4.12
Rate for Payer: UnitedHealthcare Commercial	$13.75

PROBE RECTAL PT ADULT REUSABLE

Facility

$315.00

Hospital Charge Code	270665986
Hospital Revenue Code	270
Min. Negotiated Rate	$47.25
Max. Negotiated Rate	$47.25
Rate for Payer: Qualcare PPO/HMO/WC	$47.25

PROBE RECTAL PT ADULT REUSABLE

Facility

$315.00

Hospital Charge Code	270665986
Hospital Revenue Code	270
Min. Negotiated Rate	$40.95
Max. Negotiated Rate	$157.50
Rate for Payer: Aetna Commercial	$94.50
Rate for Payer: Aetna Medicare Advantage	$94.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80.33
Rate for Payer: Cigna Commercial	$157.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.95
Rate for Payer: Oxford Commercial	$157.50
Rate for Payer: Qualcare PPO/HMO/WC	$47.25
Rate for Payer: UnitedHealthcare Commercial	$157.50

PROBE RESUABLE ADAPTER

Facility

$107.50

Hospital Charge Code	270669533
Hospital Revenue Code	272
Min. Negotiated Rate	$16.12
Max. Negotiated Rate	$16.12
Rate for Payer: Qualcare PPO/HMO/WC	$16.12

PROBE RESUABLE ADAPTER

Facility

$107.50

Hospital Charge Code	270669533
Hospital Revenue Code	272
Min. Negotiated Rate	$13.97
Max. Negotiated Rate	$53.75
Rate for Payer: Aetna Commercial	$32.25
Rate for Payer: Aetna Medicare Advantage	$32.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.41
Rate for Payer: Cigna Commercial	$53.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.97
Rate for Payer: Oxford Commercial	$53.75
Rate for Payer: Qualcare PPO/HMO/WC	$16.12
Rate for Payer: UnitedHealthcare Commercial	$53.75

PROBE RF2 SERFAS AARDVARK

Facility

$828.75

Hospital Charge Code	270640815
Hospital Revenue Code	272
Min. Negotiated Rate	$107.74
Max. Negotiated Rate	$414.38
Rate for Payer: Aetna Commercial	$248.62
Rate for Payer: Aetna Medicare Advantage	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$211.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$211.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$211.33
Rate for Payer: Cigna Commercial	$414.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.74
Rate for Payer: Oxford Commercial	$414.38
Rate for Payer: Qualcare PPO/HMO/WC	$124.31
Rate for Payer: UnitedHealthcare Commercial	$414.38

PROBE RF2 SERFAS AARDVARK

Facility

$828.75

Hospital Charge Code	270640815
Hospital Revenue Code	272
Min. Negotiated Rate	$124.31
Max. Negotiated Rate	$124.31
Rate for Payer: Qualcare PPO/HMO/WC	$124.31

PROBE RF2 SERFAS HOOK279650501

Facility

$828.75

Hospital Charge Code	270640814
Hospital Revenue Code	272
Min. Negotiated Rate	$107.74
Max. Negotiated Rate	$414.38
Rate for Payer: Aetna Commercial	$248.62
Rate for Payer: Aetna Medicare Advantage	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$211.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$211.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$211.33
Rate for Payer: Cigna Commercial	$414.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.74
Rate for Payer: Oxford Commercial	$414.38
Rate for Payer: Qualcare PPO/HMO/WC	$124.31
Rate for Payer: UnitedHealthcare Commercial	$414.38

PROBE RF2 SERFAS HOOK279650501

Facility

$828.75

Hospital Charge Code	270640814
Hospital Revenue Code	272
Min. Negotiated Rate	$124.31
Max. Negotiated Rate	$124.31
Rate for Payer: Qualcare PPO/HMO/WC	$124.31

PROBE RF ABLATION DUAL 10MM

Facility

$21,075.00

Hospital Charge Code	270686421
Hospital Revenue Code	272
Min. Negotiated Rate	$3,161.25
Max. Negotiated Rate	$3,161.25
Rate for Payer: Qualcare PPO/HMO/WC	$3,161.25

PROBE RF ABLATION DUAL 10MM

Facility

$21,075.00

Hospital Charge Code	270686421O
Hospital Revenue Code	272
Min. Negotiated Rate	$2,739.75
Max. Negotiated Rate	$10,537.50
Rate for Payer: Aetna Commercial	$6,322.50
Rate for Payer: Aetna Medicare Advantage	$6,322.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,374.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,374.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,374.12
Rate for Payer: Cigna Commercial	$10,537.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,739.75
Rate for Payer: Oxford Commercial	$10,537.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,161.25
Rate for Payer: UnitedHealthcare Commercial	$10,537.50

PROBE RF ABLATION DUAL 10MM

Facility

$21,075.00

Hospital Charge Code	270686421O
Hospital Revenue Code	272
Min. Negotiated Rate	$3,161.25
Max. Negotiated Rate	$3,161.25
Rate for Payer: Qualcare PPO/HMO/WC	$3,161.25

PROBE RF ABLATION DUAL 10MM

Facility

$21,075.00

Hospital Charge Code	270686421
Hospital Revenue Code	272
Min. Negotiated Rate	$2,739.75
Max. Negotiated Rate	$10,537.50
Rate for Payer: Aetna Commercial	$6,322.50
Rate for Payer: Aetna Medicare Advantage	$6,322.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,374.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,374.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,374.12
Rate for Payer: Cigna Commercial	$10,537.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,739.75
Rate for Payer: Oxford Commercial	$10,537.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,161.25
Rate for Payer: UnitedHealthcare Commercial	$10,537.50

PROBE RF ABLATION SINGLE 7MM

Facility

$14,575.00

Hospital Charge Code	270683887
Hospital Revenue Code	272
Min. Negotiated Rate	$1,894.75
Max. Negotiated Rate	$7,287.50
Rate for Payer: Aetna Commercial	$4,372.50
Rate for Payer: Aetna Medicare Advantage	$4,372.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,716.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,716.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,716.62
Rate for Payer: Cigna Commercial	$7,287.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,894.75
Rate for Payer: Oxford Commercial	$7,287.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,186.25
Rate for Payer: UnitedHealthcare Commercial	$7,287.50

PROBE RF ABLATION SINGLE 7MM

Facility

$14,575.00

Hospital Charge Code	270683887O
Hospital Revenue Code	272
Min. Negotiated Rate	$1,894.75
Max. Negotiated Rate	$7,287.50
Rate for Payer: Aetna Commercial	$4,372.50
Rate for Payer: Aetna Medicare Advantage	$4,372.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,716.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,716.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,716.62
Rate for Payer: Cigna Commercial	$7,287.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,894.75
Rate for Payer: Oxford Commercial	$7,287.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,186.25
Rate for Payer: UnitedHealthcare Commercial	$7,287.50

PROBE RF ABLATION SINGLE 7MM

Facility

$14,575.00

Hospital Charge Code	270683887
Hospital Revenue Code	272
Min. Negotiated Rate	$2,186.25
Max. Negotiated Rate	$2,186.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,186.25

PROBE RF ABLATION SINGLE 7MM

Facility

$14,575.00

Hospital Charge Code	270683887O
Hospital Revenue Code	272
Min. Negotiated Rate	$2,186.25
Max. Negotiated Rate	$2,186.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,186.25

PROBE SAFEOP STIM. BALL TIP

Facility

$4,468.75

Hospital Charge Code	270698068
Hospital Revenue Code	272
Min. Negotiated Rate	$670.31
Max. Negotiated Rate	$670.31
Rate for Payer: Qualcare PPO/HMO/WC	$670.31

PROBE SAFEOP STIM. BALL TIP

Facility

$4,468.75

Hospital Charge Code	270698068
Hospital Revenue Code	272
Min. Negotiated Rate	$580.94
Max. Negotiated Rate	$2,234.38
Rate for Payer: Aetna Commercial	$1,340.62
Rate for Payer: Aetna Medicare Advantage	$1,340.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,139.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,139.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,139.53
Rate for Payer: Cigna Commercial	$2,234.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$580.94
Rate for Payer: Oxford Commercial	$2,234.38
Rate for Payer: Qualcare PPO/HMO/WC	$670.31
Rate for Payer: UnitedHealthcare Commercial	$2,234.38

PROBE SERAFS 50-S SUPER

Facility

$640.60

Hospital Charge Code	270677430
Hospital Revenue Code	272
Min. Negotiated Rate	$83.28
Max. Negotiated Rate	$320.30
Rate for Payer: Aetna Commercial	$192.18
Rate for Payer: Aetna Medicare Advantage	$192.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$163.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$163.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$163.35
Rate for Payer: Cigna Commercial	$320.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.28
Rate for Payer: Oxford Commercial	$320.30
Rate for Payer: Qualcare PPO/HMO/WC	$96.09
Rate for Payer: UnitedHealthcare Commercial	$320.30

PROBE SERAFS 50-S SUPER

Facility

$640.60

Hospital Charge Code	270677430
Hospital Revenue Code	272
Min. Negotiated Rate	$96.09
Max. Negotiated Rate	$96.09
Rate for Payer: Qualcare PPO/HMO/WC	$96.09

Know your out-of-pocket cost for care.

All Charges