Heights University Hospital

All Charges

Charge

Type

Setting

Price

STIF GLIDWIR ANG 035 5FR 150CM

Facility

$220.00

Hospital Charge Code	270678968
Hospital Revenue Code	272
Min. Negotiated Rate	$33.00
Max. Negotiated Rate	$33.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.00

STIF GLIDWIR ANG 035 5FR 150CM

Facility

$220.00

Hospital Charge Code	270678968
Hospital Revenue Code	272
Min. Negotiated Rate	$28.60
Max. Negotiated Rate	$110.00
Rate for Payer: Aetna Commercial	$66.00
Rate for Payer: Aetna Medicare Advantage	$66.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.10
Rate for Payer: Cigna Commercial	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.60
Rate for Payer: Oxford Commercial	$110.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.00
Rate for Payer: UnitedHealthcare Commercial	$110.00

STIM BONE GROW SHOULD 5212091A

Facility

$19,750.00

Hospital Charge Code	270637813
Hospital Revenue Code	272
Min. Negotiated Rate	$2,962.50
Max. Negotiated Rate	$2,962.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,962.50

STIM BONE GROW SHOULD 5212091A

Facility

$19,750.00

Hospital Charge Code	270637813
Hospital Revenue Code	272
Min. Negotiated Rate	$2,567.50
Max. Negotiated Rate	$9,875.00
Rate for Payer: Aetna Commercial	$5,925.00
Rate for Payer: Aetna Medicare Advantage	$5,925.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,036.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,036.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,036.25
Rate for Payer: Cigna Commercial	$9,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,567.50
Rate for Payer: Oxford Commercial	$9,875.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,962.50
Rate for Payer: UnitedHealthcare Commercial	$9,875.00

STIM BONE GRW OSTEOG 10-1320M

Facility

$27,180.85

Hospital Charge Code	270636730
Hospital Revenue Code	272
Min. Negotiated Rate	$4,077.13
Max. Negotiated Rate	$4,077.13
Rate for Payer: Qualcare PPO/HMO/WC	$4,077.13

STIM BONE GRW OSTEOG 10-1320M

Facility

$27,180.85

Hospital Charge Code	270636730
Hospital Revenue Code	272
Min. Negotiated Rate	$3,533.51
Max. Negotiated Rate	$13,590.42
Rate for Payer: Aetna Commercial	$8,154.26
Rate for Payer: Aetna Medicare Advantage	$8,154.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,931.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,931.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,931.12
Rate for Payer: Cigna Commercial	$13,590.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,533.51
Rate for Payer: Oxford Commercial	$13,590.42
Rate for Payer: Qualcare PPO/HMO/WC	$4,077.13
Rate for Payer: UnitedHealthcare Commercial	$13,590.42

STIMULATION GROUND CABLE

Facility

$38.30

Hospital Charge Code	270702025
Hospital Revenue Code	278
Min. Negotiated Rate	$5.75
Max. Negotiated Rate	$9.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.27
Rate for Payer: Qualcare PPO/HMO/WC	$5.75

STIMULATION GROUND CABLE

Facility

$38.30

Hospital Charge Code	270702025
Hospital Revenue Code	278
Min. Negotiated Rate	$5.75
Max. Negotiated Rate	$19.15
Rate for Payer: Aetna Commercial	$11.49
Rate for Payer: Aetna Medicare Advantage	$11.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.77
Rate for Payer: Cigna Commercial	$19.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.27
Rate for Payer: Qualcare PPO/HMO/WC	$5.75

STIMULATOR

Facility

$6,950.00

Hospital Charge Code	270657323
Hospital Revenue Code	278
Min. Negotiated Rate	$1,042.50
Max. Negotiated Rate	$3,475.00
Rate for Payer: Aetna Commercial	$2,085.00
Rate for Payer: Aetna Medicare Advantage	$2,085.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,772.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,772.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,390.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,772.25
Rate for Payer: Cigna Commercial	$3,475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,681.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,042.50

STIMULATOR

Facility

$6,950.00

Hospital Charge Code	270657323
Hospital Revenue Code	278
Min. Negotiated Rate	$1,042.50
Max. Negotiated Rate	$1,681.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,390.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,681.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,042.50

STIMULATOR BATTERY SURESCAN

Facility

$98,750.00

Service Code	HCPCS C1820
Hospital Charge Code	270682037
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

STIMULATOR BATTERY SURESCAN

Facility

$98,750.00

Service Code	HCPCS C1820
Hospital Charge Code	270682037N
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

STIMULATOR BATTERY SURESCAN

Facility

$98,750.00

Service Code	HCPCS C1820
Hospital Charge Code	270682037N
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

STIMULATOR BATTERY SURESCAN

Facility

$98,750.00

Service Code	HCPCS C1820
Hospital Charge Code	270682037
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

STIMULATOR B G EBI BHS2001

Facility

$19,592.00

Hospital Charge Code	270635999
Hospital Revenue Code	272
Min. Negotiated Rate	$2,938.80
Max. Negotiated Rate	$2,938.80
Rate for Payer: Qualcare PPO/HMO/WC	$2,938.80

STIMULATOR B G EBI BHS2001

Facility

$19,592.00

Hospital Charge Code	270635999
Hospital Revenue Code	272
Min. Negotiated Rate	$2,546.96
Max. Negotiated Rate	$9,796.00
Rate for Payer: Aetna Commercial	$5,877.60
Rate for Payer: Aetna Medicare Advantage	$5,877.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,995.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,995.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,995.96
Rate for Payer: Cigna Commercial	$9,796.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,546.96
Rate for Payer: Oxford Commercial	$9,796.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,938.80
Rate for Payer: UnitedHealthcare Commercial	$9,796.00

STIMULATOR BONE 3303

Facility

$14,975.00

Hospital Charge Code	270647215
Hospital Revenue Code	272
Min. Negotiated Rate	$2,246.25
Max. Negotiated Rate	$2,246.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,246.25

STIMULATOR BONE 3303

Facility

$14,975.00

Hospital Charge Code	270647215
Hospital Revenue Code	272
Min. Negotiated Rate	$1,946.75
Max. Negotiated Rate	$7,487.50
Rate for Payer: Aetna Commercial	$4,492.50
Rate for Payer: Aetna Medicare Advantage	$4,492.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,818.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,818.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,818.62
Rate for Payer: Cigna Commercial	$7,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,946.75
Rate for Payer: Oxford Commercial	$7,487.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,246.25
Rate for Payer: UnitedHealthcare Commercial	$7,487.50

STIMULATOR BONE EXTERNAL

Facility

$14,975.00

Hospital Charge Code	270647911
Hospital Revenue Code	272
Min. Negotiated Rate	$2,246.25
Max. Negotiated Rate	$2,246.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,246.25

STIMULATOR BONE EXTERNAL

Facility

$14,975.00

Hospital Charge Code	270647911
Hospital Revenue Code	272
Min. Negotiated Rate	$1,946.75
Max. Negotiated Rate	$7,487.50
Rate for Payer: Aetna Commercial	$4,492.50
Rate for Payer: Aetna Medicare Advantage	$4,492.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,818.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,818.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,818.62
Rate for Payer: Cigna Commercial	$7,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,946.75
Rate for Payer: Oxford Commercial	$7,487.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,246.25
Rate for Payer: UnitedHealthcare Commercial	$7,487.50

STIMULATOR BONE GROWTH

Facility

$14,750.00

Service Code	HCPCS E0749
Hospital Charge Code	270678589
Hospital Revenue Code	278
Min. Negotiated Rate	$2,212.50
Max. Negotiated Rate	$7,375.00
Rate for Payer: Aetna Commercial	$4,425.00
Rate for Payer: Aetna Medicare Advantage	$4,425.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,761.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,761.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,950.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,761.25
Rate for Payer: Cigna Commercial	$7,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,569.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,212.50

STIMULATOR BONE GROWTH

Facility

$14,750.00

Service Code	HCPCS E0749
Hospital Charge Code	270678589
Hospital Revenue Code	278
Min. Negotiated Rate	$2,212.50
Max. Negotiated Rate	$3,569.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,569.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,212.50

STIMULATOR BONE GRW 20S 101320

Facility

$27,400.00

Hospital Charge Code	270637786
Hospital Revenue Code	272
Min. Negotiated Rate	$4,110.00
Max. Negotiated Rate	$4,110.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,110.00

STIMULATOR BONE GRW 20S 101320

Facility

$27,400.00

Hospital Charge Code	270637786
Hospital Revenue Code	272
Min. Negotiated Rate	$3,562.00
Max. Negotiated Rate	$13,700.00
Rate for Payer: Aetna Commercial	$8,220.00
Rate for Payer: Aetna Medicare Advantage	$8,220.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,987.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,987.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,987.00
Rate for Payer: Cigna Commercial	$13,700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,562.00
Rate for Payer: Oxford Commercial	$13,700.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,110.00
Rate for Payer: UnitedHealthcare Commercial	$13,700.00

STIMULATOR NERVE STIMUPLEX

Facility

$4,908.85

Hospital Charge Code	270645499
Hospital Revenue Code	272
Min. Negotiated Rate	$736.33
Max. Negotiated Rate	$736.33
Rate for Payer: Qualcare PPO/HMO/WC	$736.33

Know your out-of-pocket cost for care.

All Charges