Heights University Hospital

All Charges

Charge

Type

Setting

Price

SENSOR LNCS ADULT SPO2

Facility

$74.10

Hospital Charge Code	270677745
Hospital Revenue Code	272
Min. Negotiated Rate	$11.12
Max. Negotiated Rate	$11.12
Rate for Payer: Qualcare PPO/HMO/WC	$11.12

SENSOR LNCS ADULT SPO2

Facility

$74.10

Hospital Charge Code	270677745
Hospital Revenue Code	272
Min. Negotiated Rate	$9.63
Max. Negotiated Rate	$37.05
Rate for Payer: Aetna Commercial	$22.23
Rate for Payer: Aetna Medicare Advantage	$22.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.90
Rate for Payer: Cigna Commercial	$37.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.63
Rate for Payer: Oxford Commercial	$37.05
Rate for Payer: Qualcare PPO/HMO/WC	$11.12
Rate for Payer: UnitedHealthcare Commercial	$37.05

SENSOR MASIMO FINGER ADULT

Facility

$86.75

Hospital Charge Code	270623651
Hospital Revenue Code	272
Min. Negotiated Rate	$13.01
Max. Negotiated Rate	$13.01
Rate for Payer: Qualcare PPO/HMO/WC	$13.01

SENSOR MASIMO FINGER ADULT

Facility

$86.75

Hospital Charge Code	270623651
Hospital Revenue Code	272
Min. Negotiated Rate	$11.28
Max. Negotiated Rate	$43.38
Rate for Payer: Aetna Commercial	$26.02
Rate for Payer: Aetna Medicare Advantage	$26.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.12
Rate for Payer: Cigna Commercial	$43.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.28
Rate for Payer: Oxford Commercial	$43.38
Rate for Payer: Qualcare PPO/HMO/WC	$13.01
Rate for Payer: UnitedHealthcare Commercial	$43.38

SENSOR NEONATEAL OXY TIP 116

Facility

$131.25

Hospital Charge Code	270600461
Hospital Revenue Code	272
Min. Negotiated Rate	$17.06
Max. Negotiated Rate	$65.62
Rate for Payer: Aetna Commercial	$39.38
Rate for Payer: Aetna Medicare Advantage	$39.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.47
Rate for Payer: Cigna Commercial	$65.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.06
Rate for Payer: Oxford Commercial	$65.62
Rate for Payer: Qualcare PPO/HMO/WC	$19.69
Rate for Payer: UnitedHealthcare Commercial	$65.62

SENSOR NEONATEAL OXY TIP 116

Facility

$131.25

Hospital Charge Code	270600461
Hospital Revenue Code	272
Min. Negotiated Rate	$19.69
Max. Negotiated Rate	$19.69
Rate for Payer: Qualcare PPO/HMO/WC	$19.69

SENSOR PULSE OX NEONATAL

Facility

$2,317.50

Hospital Charge Code	270665248
Hospital Revenue Code	270
Min. Negotiated Rate	$301.27
Max. Negotiated Rate	$1,158.75
Rate for Payer: Aetna Commercial	$695.25
Rate for Payer: Aetna Medicare Advantage	$695.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$590.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$590.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$590.96
Rate for Payer: Cigna Commercial	$1,158.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$301.27
Rate for Payer: Oxford Commercial	$1,158.75
Rate for Payer: Qualcare PPO/HMO/WC	$347.62
Rate for Payer: UnitedHealthcare Commercial	$1,158.75

SENSOR PULSE OX NEONATAL

Facility

$2,317.50

Hospital Charge Code	270665248
Hospital Revenue Code	270
Min. Negotiated Rate	$347.62
Max. Negotiated Rate	$347.62
Rate for Payer: Qualcare PPO/HMO/WC	$347.62

SENSOR PULSE OX PREMATURE SOFT

Facility

$2,317.50

Hospital Charge Code	270665249
Hospital Revenue Code	270
Min. Negotiated Rate	$347.62
Max. Negotiated Rate	$347.62
Rate for Payer: Qualcare PPO/HMO/WC	$347.62

SENSOR PULSE OX PREMATURE SOFT

Facility

$2,317.50

Hospital Charge Code	270665249
Hospital Revenue Code	270
Min. Negotiated Rate	$301.27
Max. Negotiated Rate	$1,158.75
Rate for Payer: Aetna Commercial	$695.25
Rate for Payer: Aetna Medicare Advantage	$695.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$590.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$590.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$590.96
Rate for Payer: Cigna Commercial	$1,158.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$301.27
Rate for Payer: Oxford Commercial	$1,158.75
Rate for Payer: Qualcare PPO/HMO/WC	$347.62
Rate for Payer: UnitedHealthcare Commercial	$1,158.75

SENSOR RESTORE

Facility

$98,750.00

Service Code	HCPCS C1820
Hospital Charge Code	270665901
Hospital Revenue Code	278
Min. Negotiated Rate	$14,812.50
Max. Negotiated Rate	$23,897.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23,897.50
Rate for Payer: Qualcare PPO/HMO/WC	$14,812.50

SENSOR RESTORE

Facility

$98,750.00

Service Code	HCPCS C1820
Hospital Charge Code	270665901
Hospital Revenue Code	278
Min. Negotiated Rate	$14,812.50
Max. Negotiated Rate	$49,375.00
Rate for Payer: Aetna Commercial	$29,625.00
Rate for Payer: Aetna Medicare Advantage	$29,625.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25,181.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25,181.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25,181.25
Rate for Payer: Cigna Commercial	$49,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23,897.50
Rate for Payer: Qualcare PPO/HMO/WC	$14,812.50

SENSOR SPO2 ADLT 060000004301

Facility

$74.10

Hospital Charge Code	270633546
Hospital Revenue Code	272
Min. Negotiated Rate	$11.12
Max. Negotiated Rate	$11.12
Rate for Payer: Qualcare PPO/HMO/WC	$11.12

SENSOR SPO2 ADLT 060000004301

Facility

$74.10

Hospital Charge Code	270633546
Hospital Revenue Code	272
Min. Negotiated Rate	$9.63
Max. Negotiated Rate	$37.05
Rate for Payer: Aetna Commercial	$22.23
Rate for Payer: Aetna Medicare Advantage	$22.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.90
Rate for Payer: Cigna Commercial	$37.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.63
Rate for Payer: Oxford Commercial	$37.05
Rate for Payer: Qualcare PPO/HMO/WC	$11.12
Rate for Payer: UnitedHealthcare Commercial	$37.05

SENSOR WIRE .035 X 150 MM

Facility

$319.50

Hospital Charge Code	270701464
Hospital Revenue Code	278
Min. Negotiated Rate	$47.92
Max. Negotiated Rate	$159.75
Rate for Payer: Aetna Commercial	$95.85
Rate for Payer: Aetna Medicare Advantage	$95.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.47
Rate for Payer: Cigna Commercial	$159.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.32
Rate for Payer: Qualcare PPO/HMO/WC	$47.92

SENSOR WIRE .035 X 150 MM

Facility

$319.50

Hospital Charge Code	270701464
Hospital Revenue Code	278
Min. Negotiated Rate	$47.92
Max. Negotiated Rate	$77.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.32
Rate for Payer: Qualcare PPO/HMO/WC	$47.92

SENSOR XP FOR ANESTHESIA LOC

Facility

$108.52

Hospital Charge Code	270659139
Hospital Revenue Code	270
Min. Negotiated Rate	$14.11
Max. Negotiated Rate	$54.26
Rate for Payer: Aetna Commercial	$32.56
Rate for Payer: Aetna Medicare Advantage	$32.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.67
Rate for Payer: Cigna Commercial	$54.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.11
Rate for Payer: Oxford Commercial	$54.26
Rate for Payer: Qualcare PPO/HMO/WC	$16.28
Rate for Payer: UnitedHealthcare Commercial	$54.26

SENSOR XP FOR ANESTHESIA LOC

Facility

$108.52

Hospital Charge Code	270659139
Hospital Revenue Code	270
Min. Negotiated Rate	$16.28
Max. Negotiated Rate	$16.28
Rate for Payer: Qualcare PPO/HMO/WC	$16.28

SENSORY MOTOR NEUROPATHY AB I

Facility

$390.00

Service Code	HCPCS 83520
Hospital Charge Code	39990158A
Hospital Revenue Code	301
Min. Negotiated Rate	$8.63
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$55.95
Rate for Payer: Aetna Medicare Advantage	$17.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.28
Rate for Payer: Cigna Commercial	$17.27
Rate for Payer: Cigna Medicare Advantage	$8.63
Rate for Payer: Clover Medicare Advantage	$16.41
Rate for Payer: EmblemHealth Commercial	$51.81
Rate for Payer: Humana Medicare Advantage	$17.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$17.27
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$18.31
Rate for Payer: Wellcare Medicare Advantage	$17.27

SENSORY MOTOR NEUROPATHY AB I

Facility

$390.00

Service Code	HCPCS 83520
Hospital Charge Code	39990158A
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

SENSORY MOTOR NEUROPATHY AB II

Facility

$390.00

Service Code	HCPCS 83520
Hospital Charge Code	39990158B
Hospital Revenue Code	301
Min. Negotiated Rate	$8.63
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$55.95
Rate for Payer: Aetna Medicare Advantage	$17.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.28
Rate for Payer: Cigna Commercial	$17.27
Rate for Payer: Cigna Medicare Advantage	$8.63
Rate for Payer: Clover Medicare Advantage	$16.41
Rate for Payer: EmblemHealth Commercial	$51.81
Rate for Payer: Humana Medicare Advantage	$17.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$17.27
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$18.31
Rate for Payer: Wellcare Medicare Advantage	$17.27

SENSORY MOTOR NEUROPATHY AB II

Facility

$390.00

Service Code	HCPCS 83520
Hospital Charge Code	39990158B
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

SENSORY MOTOR NEUROPATHY ABIII

Facility

$390.00

Service Code	HCPCS 83520
Hospital Charge Code	39990158C
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

SENSORY MOTOR NEUROPATHY ABIII

Facility

$390.00

Service Code	HCPCS 83520
Hospital Charge Code	39990158C
Hospital Revenue Code	301
Min. Negotiated Rate	$8.63
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$55.95
Rate for Payer: Aetna Medicare Advantage	$17.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.28
Rate for Payer: Cigna Commercial	$17.27
Rate for Payer: Cigna Medicare Advantage	$8.63
Rate for Payer: Clover Medicare Advantage	$16.41
Rate for Payer: EmblemHealth Commercial	$51.81
Rate for Payer: Humana Medicare Advantage	$17.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$17.27
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$18.31
Rate for Payer: Wellcare Medicare Advantage	$17.27

SENSORY MOTOR NEUROPATHY AB IV

Facility

$390.00

Service Code	HCPCS 83520
Hospital Charge Code	39990158D
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

Know your out-of-pocket cost for care.

All Charges