Heights University Hospital

All Charges

Charge

Type

Setting

Price

PROBE SERF 90-S SUPER279351300

Facility

$845.10

Hospital Charge Code	270641986
Hospital Revenue Code	272
Min. Negotiated Rate	$109.86
Max. Negotiated Rate	$422.55
Rate for Payer: Aetna Commercial	$253.53
Rate for Payer: Aetna Medicare Advantage	$253.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$215.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$215.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$215.50
Rate for Payer: Cigna Commercial	$422.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$109.86
Rate for Payer: Oxford Commercial	$422.55
Rate for Payer: Qualcare PPO/HMO/WC	$126.77
Rate for Payer: UnitedHealthcare Commercial	$422.55

PROBE SERF 90-S SUPER279351300

Facility

$845.10

Hospital Charge Code	270641986
Hospital Revenue Code	272
Min. Negotiated Rate	$126.77
Max. Negotiated Rate	$126.77
Rate for Payer: Qualcare PPO/HMO/WC	$126.77

PROBE SERF 90 W/SUCT 278510500

Facility

$813.65

Hospital Charge Code	270629736
Hospital Revenue Code	272
Min. Negotiated Rate	$105.77
Max. Negotiated Rate	$406.82
Rate for Payer: Aetna Commercial	$244.09
Rate for Payer: Aetna Medicare Advantage	$244.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$207.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$207.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$207.48
Rate for Payer: Cigna Commercial	$406.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.77
Rate for Payer: Oxford Commercial	$406.82
Rate for Payer: Qualcare PPO/HMO/WC	$122.05
Rate for Payer: UnitedHealthcare Commercial	$406.82

PROBE SERF 90 W/SUCT 278510500

Facility

$813.65

Hospital Charge Code	270629736
Hospital Revenue Code	272
Min. Negotiated Rate	$122.05
Max. Negotiated Rate	$122.05
Rate for Payer: Qualcare PPO/HMO/WC	$122.05

PROBE SERFAS ENERGY ARD 2.5MM

Facility

$688.95

Hospital Charge Code	270683176
Hospital Revenue Code	272
Min. Negotiated Rate	$89.56
Max. Negotiated Rate	$344.48
Rate for Payer: Aetna Commercial	$206.69
Rate for Payer: Aetna Medicare Advantage	$206.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$175.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$175.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$175.68
Rate for Payer: Cigna Commercial	$344.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.56
Rate for Payer: Oxford Commercial	$344.48
Rate for Payer: Qualcare PPO/HMO/WC	$103.34
Rate for Payer: UnitedHealthcare Commercial	$344.48

PROBE SERFAS ENERGY ARD 2.5MM

Facility

$688.95

Hospital Charge Code	270683176
Hospital Revenue Code	272
Min. Negotiated Rate	$103.34
Max. Negotiated Rate	$103.34
Rate for Payer: Qualcare PPO/HMO/WC	$103.34

PROBE SERF CONTR 3.5 278530350

Facility

$736.65

Hospital Charge Code	270622134
Hospital Revenue Code	272
Min. Negotiated Rate	$95.76
Max. Negotiated Rate	$368.32
Rate for Payer: Aetna Commercial	$221.00
Rate for Payer: Aetna Medicare Advantage	$221.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$187.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$187.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$187.85
Rate for Payer: Cigna Commercial	$368.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$95.76
Rate for Payer: Oxford Commercial	$368.32
Rate for Payer: Qualcare PPO/HMO/WC	$110.50
Rate for Payer: UnitedHealthcare Commercial	$368.32

PROBE SERF CONTR 3.5 278530350

Facility

$736.65

Hospital Charge Code	270622134
Hospital Revenue Code	272
Min. Negotiated Rate	$110.50
Max. Negotiated Rate	$110.50
Rate for Payer: Qualcare PPO/HMO/WC	$110.50

PROBE SERPAS 50S SWEEP XL

Facility

$1,206.80

Hospital Charge Code	270685909
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 SERPAS 50S SWEEP XL

Facility

$1,206.80

Hospital Charge Code	270685909
Hospital Revenue Code	272
Min. Negotiated Rate	$181.02
Max. Negotiated Rate	$181.02
Rate for Payer: Qualcare PPO/HMO/WC	$181.02

PROBE SMALL 30 DEGREE ASSY

Facility

$1,875.50

Hospital Charge Code	270689120
Hospital Revenue Code	272
Min. Negotiated Rate	$243.81
Max. Negotiated Rate	$937.75
Rate for Payer: Aetna Commercial	$562.65
Rate for Payer: Aetna Medicare Advantage	$562.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$478.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$478.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$478.25
Rate for Payer: Cigna Commercial	$937.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$243.81
Rate for Payer: Oxford Commercial	$937.75
Rate for Payer: Qualcare PPO/HMO/WC	$281.32
Rate for Payer: UnitedHealthcare Commercial	$937.75

PROBE SMALL 30 DEGREE ASSY

Facility

$1,875.50

Hospital Charge Code	270689120
Hospital Revenue Code	272
Min. Negotiated Rate	$281.32
Max. Negotiated Rate	$281.32
Rate for Payer: Qualcare PPO/HMO/WC	$281.32

PROBE SPO2 REUSABLE

Facility

$912.50

Hospital Charge Code	270668475
Hospital Revenue Code	272
Min. Negotiated Rate	$118.62
Max. Negotiated Rate	$456.25
Rate for Payer: Aetna Commercial	$273.75
Rate for Payer: Aetna Medicare Advantage	$273.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$232.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$232.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$232.69
Rate for Payer: Cigna Commercial	$456.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.62
Rate for Payer: Oxford Commercial	$456.25
Rate for Payer: Qualcare PPO/HMO/WC	$136.88
Rate for Payer: UnitedHealthcare Commercial	$456.25

PROBE SPO2 REUSABLE

Facility

$912.50

Hospital Charge Code	270668475
Hospital Revenue Code	272
Min. Negotiated Rate	$136.88
Max. Negotiated Rate	$136.88
Rate for Payer: Qualcare PPO/HMO/WC	$136.88

PROBE STRAIGHT ASSY SM JOINT

Facility

$1,875.50

Hospital Charge Code	270689118
Hospital Revenue Code	272
Min. Negotiated Rate	$281.32
Max. Negotiated Rate	$281.32
Rate for Payer: Qualcare PPO/HMO/WC	$281.32

PROBE STRAIGHT ASSY SM JOINT

Facility

$1,875.50

Hospital Charge Code	270689118
Hospital Revenue Code	272
Min. Negotiated Rate	$243.81
Max. Negotiated Rate	$937.75
Rate for Payer: Aetna Commercial	$562.65
Rate for Payer: Aetna Medicare Advantage	$562.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$478.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$478.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$478.25
Rate for Payer: Cigna Commercial	$937.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$243.81
Rate for Payer: Oxford Commercial	$937.75
Rate for Payer: Qualcare PPO/HMO/WC	$281.32
Rate for Payer: UnitedHealthcare Commercial	$937.75

PROBE STRYK 90 DEG 278-500-350

Facility

$750.00

Hospital Charge Code	270620233
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

PROBE STRYK 90 DEG 278-500-350

Facility

$750.00

Hospital Charge Code	270620233
Hospital Revenue Code	272
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$225.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.50
Rate for Payer: Oxford Commercial	$375.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Commercial	$375.00

PROBE STRYK SERFO 278-520-350

Facility

$1,035.25

Hospital Charge Code	270620098
Hospital Revenue Code	272
Min. Negotiated Rate	$155.29
Max. Negotiated Rate	$155.29
Rate for Payer: Qualcare PPO/HMO/WC	$155.29

PROBE STRYK SERFO 278-520-350

Facility

$1,035.25

Hospital Charge Code	270620098
Hospital Revenue Code	272
Min. Negotiated Rate	$134.58
Max. Negotiated Rate	$517.62
Rate for Payer: Aetna Commercial	$310.57
Rate for Payer: Aetna Medicare Advantage	$310.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$263.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$263.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$263.99
Rate for Payer: Cigna Commercial	$517.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$134.58
Rate for Payer: Oxford Commercial	$517.62
Rate for Payer: Qualcare PPO/HMO/WC	$155.29
Rate for Payer: UnitedHealthcare Commercial	$517.62

PROBE TEMPERATURE AIR LIFE***

Facility

$8.00

Hospital Charge Code	9501123
Hospital Revenue Code	279
Min. Negotiated Rate	$1.20
Max. Negotiated Rate	$1.20
Rate for Payer: Qualcare PPO/HMO/WC	$1.20

PROBE TEMPERATURE AIR LIFE***

Facility

$8.00

Hospital Charge Code	9501123
Hospital Revenue Code	279
Min. Negotiated Rate	$1.04
Max. Negotiated Rate	$4.00
Rate for Payer: Aetna Commercial	$2.40
Rate for Payer: Aetna Medicare Advantage	$2.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.04
Rate for Payer: Cigna Commercial	$4.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.04
Rate for Payer: Oxford Commercial	$4.00
Rate for Payer: Qualcare PPO/HMO/WC	$1.20
Rate for Payer: UnitedHealthcare Commercial	$4.00

PROBE TEMP HYPOTHERM DISP

Facility

$113.65

Hospital Charge Code	270600068
Hospital Revenue Code	272
Min. Negotiated Rate	$14.77
Max. Negotiated Rate	$56.83
Rate for Payer: Aetna Commercial	$34.09
Rate for Payer: Aetna Medicare Advantage	$34.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.98
Rate for Payer: Cigna Commercial	$56.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.77
Rate for Payer: Oxford Commercial	$56.83
Rate for Payer: Qualcare PPO/HMO/WC	$17.05
Rate for Payer: UnitedHealthcare Commercial	$56.83

PROBE TEMP HYPOTHERM DISP

Facility

$113.65

Hospital Charge Code	270600068
Hospital Revenue Code	272
Min. Negotiated Rate	$17.05
Max. Negotiated Rate	$17.05
Rate for Payer: Qualcare PPO/HMO/WC	$17.05

PROBE THERMOMETER F/PRO200

Facility

$933.50

Hospital Charge Code	270647235
Hospital Revenue Code	271
Min. Negotiated Rate	$140.03
Max. Negotiated Rate	$140.03
Rate for Payer: Qualcare PPO/HMO/WC	$140.03

Know your out-of-pocket cost for care.

All Charges