Heights University Hospital

All Charges

Charge

Type

Setting

Price

STIMULATOR NERVE STIMUPLEX

Facility

$4,908.85

Hospital Charge Code	270645499
Hospital Revenue Code	272
Min. Negotiated Rate	$638.15
Max. Negotiated Rate	$2,454.43
Rate for Payer: Aetna Commercial	$1,472.65
Rate for Payer: Aetna Medicare Advantage	$1,472.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,251.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,251.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,251.76
Rate for Payer: Cigna Commercial	$2,454.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$638.15
Rate for Payer: Oxford Commercial	$2,454.43
Rate for Payer: Qualcare PPO/HMO/WC	$736.33
Rate for Payer: UnitedHealthcare Commercial	$2,454.43

STIMULATOR OSTEOGEN 10-1325M

Facility

$25,172.00

Hospital Charge Code	270619641
Hospital Revenue Code	272
Min. Negotiated Rate	$3,272.36
Max. Negotiated Rate	$12,586.00
Rate for Payer: Aetna Commercial	$7,551.60
Rate for Payer: Aetna Medicare Advantage	$7,551.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,418.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,418.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,418.86
Rate for Payer: Cigna Commercial	$12,586.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,272.36
Rate for Payer: Oxford Commercial	$12,586.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,775.80
Rate for Payer: UnitedHealthcare Commercial	$12,586.00

STIMULATOR OSTEOGEN 10-1325M

Facility

$25,172.00

Hospital Charge Code	270619641
Hospital Revenue Code	272
Min. Negotiated Rate	$3,775.80
Max. Negotiated Rate	$3,775.80
Rate for Payer: Qualcare PPO/HMO/WC	$3,775.80

STIMULATOR OSTGEN IMPL 101340M

Facility

$24,552.00

Hospital Charge Code	270631342
Hospital Revenue Code	272
Min. Negotiated Rate	$3,682.80
Max. Negotiated Rate	$3,682.80
Rate for Payer: Qualcare PPO/HMO/WC	$3,682.80

STIMULATOR OSTGEN IMPL 101340M

Facility

$24,552.00

Hospital Charge Code	270631342
Hospital Revenue Code	272
Min. Negotiated Rate	$3,191.76
Max. Negotiated Rate	$12,276.00
Rate for Payer: Aetna Commercial	$7,365.60
Rate for Payer: Aetna Medicare Advantage	$7,365.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,260.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,260.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,260.76
Rate for Payer: Cigna Commercial	$12,276.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,191.76
Rate for Payer: Oxford Commercial	$12,276.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,682.80
Rate for Payer: UnitedHealthcare Commercial	$12,276.00

STIMULATOR PULSTRONII NERVE

Facility

$275.50

Hospital Charge Code	270660318
Hospital Revenue Code	270
Min. Negotiated Rate	$35.81
Max. Negotiated Rate	$137.75
Rate for Payer: Aetna Commercial	$82.65
Rate for Payer: Aetna Medicare Advantage	$82.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.25
Rate for Payer: Cigna Commercial	$137.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.81
Rate for Payer: Oxford Commercial	$137.75
Rate for Payer: Qualcare PPO/HMO/WC	$41.33
Rate for Payer: UnitedHealthcare Commercial	$137.75

STIMULATOR PULSTRONII NERVE

Facility

$275.50

Hospital Charge Code	270660318
Hospital Revenue Code	270
Min. Negotiated Rate	$41.33
Max. Negotiated Rate	$41.33
Rate for Payer: Qualcare PPO/HMO/WC	$41.33

STIMULATOR SPINAL

Facility

$38,430.00

Service Code	HCPCS C1767
Hospital Charge Code	270665833
Hospital Revenue Code	278
Min. Negotiated Rate	$5,764.50
Max. Negotiated Rate	$9,300.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,686.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,300.06
Rate for Payer: Qualcare PPO/HMO/WC	$5,764.50

STIMULATOR SPINAL

Facility

$38,430.00

Service Code	HCPCS C1767
Hospital Charge Code	270665833
Hospital Revenue Code	278
Min. Negotiated Rate	$5,764.50
Max. Negotiated Rate	$19,215.00
Rate for Payer: Aetna Commercial	$11,529.00
Rate for Payer: Aetna Medicare Advantage	$11,529.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,799.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,799.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,686.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,799.65
Rate for Payer: Cigna Commercial	$19,215.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,300.06
Rate for Payer: Qualcare PPO/HMO/WC	$5,764.50

STIMULATOR SPINAL FUSN 101385W

Facility

$10,617.65

Hospital Charge Code	270607674
Hospital Revenue Code	278
Min. Negotiated Rate	$1,592.65
Max. Negotiated Rate	$5,308.82
Rate for Payer: Aetna Commercial	$3,185.30
Rate for Payer: Aetna Medicare Advantage	$3,185.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,707.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,707.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,123.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,707.50
Rate for Payer: Cigna Commercial	$5,308.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,569.47
Rate for Payer: Qualcare PPO/HMO/WC	$1,592.65

STIMULATOR SPINAL FUSN 101385W

Facility

$10,617.65

Hospital Charge Code	270607674
Hospital Revenue Code	278
Min. Negotiated Rate	$1,592.65
Max. Negotiated Rate	$2,569.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,123.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,569.47
Rate for Payer: Qualcare PPO/HMO/WC	$1,592.65

STIMULATOR SPNAL IMPT 10-1385M

Facility

$23,312.00

Hospital Charge Code	270628786
Hospital Revenue Code	272
Min. Negotiated Rate	$3,496.80
Max. Negotiated Rate	$3,496.80
Rate for Payer: Qualcare PPO/HMO/WC	$3,496.80

STIMULATOR SPNAL IMPT 10-1385M

Facility

$23,312.00

Hospital Charge Code	270628786
Hospital Revenue Code	272
Min. Negotiated Rate	$3,030.56
Max. Negotiated Rate	$11,656.00
Rate for Payer: Aetna Commercial	$6,993.60
Rate for Payer: Aetna Medicare Advantage	$6,993.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,944.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,944.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,944.56
Rate for Payer: Cigna Commercial	$11,656.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,030.56
Rate for Payer: Oxford Commercial	$11,656.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,496.80
Rate for Payer: UnitedHealthcare Commercial	$11,656.00

STIMULATOR TEST TS8R

Facility

$1,736.00

Hospital Charge Code	270633799
Hospital Revenue Code	272
Min. Negotiated Rate	$225.68
Max. Negotiated Rate	$868.00
Rate for Payer: Aetna Commercial	$520.80
Rate for Payer: Aetna Medicare Advantage	$520.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$442.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$442.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$442.68
Rate for Payer: Cigna Commercial	$868.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.68
Rate for Payer: Oxford Commercial	$868.00
Rate for Payer: Qualcare PPO/HMO/WC	$260.40
Rate for Payer: UnitedHealthcare Commercial	$868.00

STIMULATOR TEST TS8R

Facility

$1,736.00

Hospital Charge Code	270633799
Hospital Revenue Code	272
Min. Negotiated Rate	$260.40
Max. Negotiated Rate	$260.40
Rate for Payer: Qualcare PPO/HMO/WC	$260.40

STIMULATOR VARI-STIM

Facility

$292.00

Hospital Charge Code	270600307
Hospital Revenue Code	272
Min. Negotiated Rate	$37.96
Max. Negotiated Rate	$146.00
Rate for Payer: Aetna Commercial	$87.60
Rate for Payer: Aetna Medicare Advantage	$87.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.46
Rate for Payer: Cigna Commercial	$146.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.96
Rate for Payer: Oxford Commercial	$146.00
Rate for Payer: Qualcare PPO/HMO/WC	$43.80
Rate for Payer: UnitedHealthcare Commercial	$146.00

STIMULATOR VARI-STIM

Facility

$292.00

Hospital Charge Code	270600307
Hospital Revenue Code	272
Min. Negotiated Rate	$43.80
Max. Negotiated Rate	$43.80
Rate for Payer: Qualcare PPO/HMO/WC	$43.80

STIMUL BN GROWTH OSTEOG 40M

Facility

$57,700.00

Service Code	HCPCS E0749
Hospital Charge Code	270693961
Hospital Revenue Code	278
Min. Negotiated Rate	$8,655.00
Max. Negotiated Rate	$28,850.00
Rate for Payer: Aetna Commercial	$17,310.00
Rate for Payer: Aetna Medicare Advantage	$17,310.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,713.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,713.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11,540.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14,713.50
Rate for Payer: Cigna Commercial	$28,850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13,963.40
Rate for Payer: Qualcare PPO/HMO/WC	$8,655.00

STIMUL BN GROWTH OSTEOG 40M

Facility

$57,700.00

Service Code	HCPCS E0749
Hospital Charge Code	270693961
Hospital Revenue Code	278
Min. Negotiated Rate	$8,655.00
Max. Negotiated Rate	$13,963.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11,540.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13,963.40
Rate for Payer: Qualcare PPO/HMO/WC	$8,655.00

STIMUPLEX A 22Gx2

Facility

$580.18

Hospital Charge Code	270655697
Hospital Revenue Code	271
Min. Negotiated Rate	$87.03
Max. Negotiated Rate	$87.03
Rate for Payer: Qualcare PPO/HMO/WC	$87.03

STIMUPLEX A 22Gx2

Facility

$580.18

Hospital Charge Code	270655697
Hospital Revenue Code	271
Min. Negotiated Rate	$75.42
Max. Negotiated Rate	$290.09
Rate for Payer: Aetna Commercial	$174.05
Rate for Payer: Aetna Medicare Advantage	$174.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$147.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$147.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$147.95
Rate for Payer: Cigna Commercial	$290.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.42
Rate for Payer: Oxford Commercial	$290.09
Rate for Payer: Qualcare PPO/HMO/WC	$87.03
Rate for Payer: UnitedHealthcare Commercial	$290.09

STITCH PK ULTAFIX RC 10170A

Facility

$868.00

Hospital Charge Code	270633956
Hospital Revenue Code	272
Min. Negotiated Rate	$112.84
Max. Negotiated Rate	$434.00
Rate for Payer: Aetna Commercial	$260.40
Rate for Payer: Aetna Medicare Advantage	$260.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$221.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$221.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$221.34
Rate for Payer: Cigna Commercial	$434.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$112.84
Rate for Payer: Oxford Commercial	$434.00
Rate for Payer: Qualcare PPO/HMO/WC	$130.20
Rate for Payer: UnitedHealthcare Commercial	$434.00

STITCH PK ULTAFIX RC 10170A

Facility

$868.00

Hospital Charge Code	270633956
Hospital Revenue Code	272
Min. Negotiated Rate	$130.20
Max. Negotiated Rate	$130.20
Rate for Payer: Qualcare PPO/HMO/WC	$130.20

STITCH PK ULTRAFIX 2.9 10215A

Facility

$768.85

Hospital Charge Code	270633955
Hospital Revenue Code	272
Min. Negotiated Rate	$99.95
Max. Negotiated Rate	$384.43
Rate for Payer: Aetna Commercial	$230.66
Rate for Payer: Aetna Medicare Advantage	$230.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$196.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$196.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$196.06
Rate for Payer: Cigna Commercial	$384.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.95
Rate for Payer: Oxford Commercial	$384.43
Rate for Payer: Qualcare PPO/HMO/WC	$115.33
Rate for Payer: UnitedHealthcare Commercial	$384.43

STITCH PK ULTRAFIX 2.9 10215A

Facility

$768.85

Hospital Charge Code	270633955
Hospital Revenue Code	272
Min. Negotiated Rate	$115.33
Max. Negotiated Rate	$115.33
Rate for Payer: Qualcare PPO/HMO/WC	$115.33

Know your out-of-pocket cost for care.

All Charges