Heights University Hospital

All Charges

Charge

Type

Setting

Price

COAL TAR SHAMPOO

Facility

$72.85

Hospital Charge Code	60628440
Hospital Revenue Code	250
Min. Negotiated Rate	$10.93
Max. Negotiated Rate	$10.93
Rate for Payer: Qualcare PPO/HMO/WC	$10.93

COAL TAR SOL 2.5%

Facility

$148.00

Hospital Charge Code	60628439
Hospital Revenue Code	250
Min. Negotiated Rate	$22.20
Max. Negotiated Rate	$22.20
Rate for Payer: Qualcare PPO/HMO/WC	$22.20

COAL TAR SOL 2.5%

Facility

$148.00

Hospital Charge Code	60628439
Hospital Revenue Code	250
Min. Negotiated Rate	$19.24
Max. Negotiated Rate	$74.00
Rate for Payer: Aetna Commercial	$44.40
Rate for Payer: Aetna Medicare Advantage	$44.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.74
Rate for Payer: Cigna Commercial	$74.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.24
Rate for Payer: Oxford Commercial	$74.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.20
Rate for Payer: UnitedHealthcare Commercial	$74.00

COAPTITE INJECTABLE IMPLANT

Facility

$1,675.00

Service Code	HCPCS L8606
Hospital Charge Code	270662270
Hospital Revenue Code	278
Min. Negotiated Rate	$251.25
Max. Negotiated Rate	$405.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$335.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$405.35
Rate for Payer: Qualcare PPO/HMO/WC	$251.25

COAPTITE INJECTABLE IMPLANT

Facility

$1,675.00

Service Code	HCPCS L8606
Hospital Charge Code	270662270
Hospital Revenue Code	278
Min. Negotiated Rate	$157.97
Max. Negotiated Rate	$502.50
Rate for Payer: Aetna Commercial	$502.50
Rate for Payer: Aetna Medicare Advantage	$502.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$427.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$427.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$335.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$427.12
Rate for Payer: Cigna Commercial	$263.29
Rate for Payer: Cigna Medicare Advantage	$157.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$405.35
Rate for Payer: Qualcare PPO/HMO/WC	$251.25

COARTEM TAB 20-120MG

Facility

$34.04

Service Code	NDC 78056845
Hospital Charge Code	606390530
Hospital Revenue Code	250
Min. Negotiated Rate	$4.43
Max. Negotiated Rate	$17.02
Rate for Payer: Aetna Commercial	$10.21
Rate for Payer: Aetna Medicare Advantage	$10.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.68
Rate for Payer: Cigna Commercial	$17.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.43
Rate for Payer: Oxford Commercial	$17.02
Rate for Payer: Qualcare PPO/HMO/WC	$5.11
Rate for Payer: UnitedHealthcare Commercial	$17.02

COARTEM TAB 20-120MG

Facility

$34.04

Service Code	NDC 78056845
Hospital Charge Code	606390530
Hospital Revenue Code	250
Min. Negotiated Rate	$5.11
Max. Negotiated Rate	$5.11
Rate for Payer: Qualcare PPO/HMO/WC	$5.11

COAT BOND 9MMx30MM 11-210064

Facility

$8,785.00

Hospital Charge Code	270661177
Hospital Revenue Code	278
Min. Negotiated Rate	$1,317.75
Max. Negotiated Rate	$4,392.50
Rate for Payer: Aetna Commercial	$2,635.50
Rate for Payer: Aetna Medicare Advantage	$2,635.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,240.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,240.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,757.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,240.18
Rate for Payer: Cigna Commercial	$4,392.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,125.97
Rate for Payer: Qualcare PPO/HMO/WC	$1,317.75

COAT BOND 9MMx30MM 11-210064

Facility

$8,785.00

Hospital Charge Code	270661177
Hospital Revenue Code	278
Min. Negotiated Rate	$1,317.75
Max. Negotiated Rate	$2,125.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,757.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,125.97
Rate for Payer: Qualcare PPO/HMO/WC	$1,317.75

COAT LAB UNISEX WHITE KNEE

Facility

$52.50

Hospital Charge Code	270658868
Hospital Revenue Code	270
Min. Negotiated Rate	$6.83
Max. Negotiated Rate	$26.25
Rate for Payer: Aetna Commercial	$15.75
Rate for Payer: Aetna Medicare Advantage	$15.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.39
Rate for Payer: Cigna Commercial	$26.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.83
Rate for Payer: Oxford Commercial	$26.25
Rate for Payer: Qualcare PPO/HMO/WC	$7.88
Rate for Payer: UnitedHealthcare Commercial	$26.25

COAT LAB UNISEX WHITE KNEE

Facility

$52.50

Hospital Charge Code	270658939
Hospital Revenue Code	270
Min. Negotiated Rate	$7.88
Max. Negotiated Rate	$7.88
Rate for Payer: Qualcare PPO/HMO/WC	$7.88

COAT LAB UNISEX WHITE KNEE

Facility

$52.50

Hospital Charge Code	270658869
Hospital Revenue Code	270
Min. Negotiated Rate	$7.88
Max. Negotiated Rate	$7.88
Rate for Payer: Qualcare PPO/HMO/WC	$7.88

COAT LAB UNISEX WHITE KNEE

Facility

$52.50

Hospital Charge Code	270658939
Hospital Revenue Code	270
Min. Negotiated Rate	$6.83
Max. Negotiated Rate	$26.25
Rate for Payer: Aetna Commercial	$15.75
Rate for Payer: Aetna Medicare Advantage	$15.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.39
Rate for Payer: Cigna Commercial	$26.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.83
Rate for Payer: Oxford Commercial	$26.25
Rate for Payer: Qualcare PPO/HMO/WC	$7.88
Rate for Payer: UnitedHealthcare Commercial	$26.25

COAT LAB UNISEX WHITE KNEE

Facility

$52.50

Hospital Charge Code	270658870
Hospital Revenue Code	270
Min. Negotiated Rate	$7.88
Max. Negotiated Rate	$7.88
Rate for Payer: Qualcare PPO/HMO/WC	$7.88

COAT LAB UNISEX WHITE KNEE

Facility

$52.50

Hospital Charge Code	270658871
Hospital Revenue Code	270
Min. Negotiated Rate	$7.88
Max. Negotiated Rate	$7.88
Rate for Payer: Qualcare PPO/HMO/WC	$7.88

COAT LAB UNISEX WHITE KNEE

Facility

$52.50

Hospital Charge Code	270658870
Hospital Revenue Code	270
Min. Negotiated Rate	$6.83
Max. Negotiated Rate	$26.25
Rate for Payer: Aetna Commercial	$15.75
Rate for Payer: Aetna Medicare Advantage	$15.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.39
Rate for Payer: Cigna Commercial	$26.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.83
Rate for Payer: Oxford Commercial	$26.25
Rate for Payer: Qualcare PPO/HMO/WC	$7.88
Rate for Payer: UnitedHealthcare Commercial	$26.25

COAT LAB UNISEX WHITE KNEE

Facility

$52.50

Hospital Charge Code	270658868
Hospital Revenue Code	270
Min. Negotiated Rate	$7.88
Max. Negotiated Rate	$7.88
Rate for Payer: Qualcare PPO/HMO/WC	$7.88

COAT LAB UNISEX WHITE KNEE

Facility

$52.50

Hospital Charge Code	270658871
Hospital Revenue Code	270
Min. Negotiated Rate	$6.83
Max. Negotiated Rate	$26.25
Rate for Payer: Aetna Commercial	$15.75
Rate for Payer: Aetna Medicare Advantage	$15.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.39
Rate for Payer: Cigna Commercial	$26.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.83
Rate for Payer: Oxford Commercial	$26.25
Rate for Payer: Qualcare PPO/HMO/WC	$7.88
Rate for Payer: UnitedHealthcare Commercial	$26.25

COAT LAB UNISEX WHITE KNEE

Facility

$52.50

Hospital Charge Code	270658869
Hospital Revenue Code	270
Min. Negotiated Rate	$6.83
Max. Negotiated Rate	$26.25
Rate for Payer: Aetna Commercial	$15.75
Rate for Payer: Aetna Medicare Advantage	$15.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.39
Rate for Payer: Cigna Commercial	$26.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.83
Rate for Payer: Oxford Commercial	$26.25
Rate for Payer: Qualcare PPO/HMO/WC	$7.88
Rate for Payer: UnitedHealthcare Commercial	$26.25

COAXIAL INTRO NEEDLE 17G X 6.8

Facility

$70.00

Hospital Charge Code	270CH0110
Hospital Revenue Code	272
Min. Negotiated Rate	$9.10
Max. Negotiated Rate	$35.00
Rate for Payer: Aetna Commercial	$21.00
Rate for Payer: Aetna Medicare Advantage	$21.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.85
Rate for Payer: Cigna Commercial	$35.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.10
Rate for Payer: Oxford Commercial	$35.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.50
Rate for Payer: UnitedHealthcare Commercial	$35.00

COAXIAL INTRO NEEDLE 17G X 6.8

Facility

$70.00

Hospital Charge Code	270CH0110
Hospital Revenue Code	272
Min. Negotiated Rate	$10.50
Max. Negotiated Rate	$10.50
Rate for Payer: Qualcare PPO/HMO/WC	$10.50

COAXIAL INTRO NEEDLE 17Gx6.8cm

Facility

$70.00

Hospital Charge Code	2709003585
Hospital Revenue Code	272
Min. Negotiated Rate	$9.10
Max. Negotiated Rate	$35.00
Rate for Payer: Aetna Commercial	$21.00
Rate for Payer: Aetna Medicare Advantage	$21.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.85
Rate for Payer: Cigna Commercial	$35.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.10
Rate for Payer: Oxford Commercial	$35.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.50
Rate for Payer: UnitedHealthcare Commercial	$35.00

COAXIAL INTRO NEEDLE 17Gx6.8cm

Facility

$70.00

Hospital Charge Code	2709003585
Hospital Revenue Code	272
Min. Negotiated Rate	$10.50
Max. Negotiated Rate	$10.50
Rate for Payer: Qualcare PPO/HMO/WC	$10.50

COBALT

Facility

$152.25

Service Code	HCPCS 83018
Hospital Charge Code	3000363
Hospital Revenue Code	301
Min. Negotiated Rate	$10.98
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$71.15
Rate for Payer: Aetna Medicare Advantage	$21.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80.46
Rate for Payer: Cigna Commercial	$21.96
Rate for Payer: Cigna Medicare Advantage	$10.98
Rate for Payer: Clover Medicare Advantage	$20.86
Rate for Payer: EmblemHealth Commercial	$65.88
Rate for Payer: Humana Medicare Advantage	$22.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.79
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.84
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$21.96
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$23.28
Rate for Payer: Wellcare Medicare Advantage	$21.96

COBALT

Facility

$152.25

Service Code	HCPCS 83018
Hospital Charge Code	3000363
Hospital Revenue Code	301
Min. Negotiated Rate	$22.84
Max. Negotiated Rate	$22.84
Rate for Payer: Qualcare PPO/HMO/WC	$22.84

Know your out-of-pocket cost for care.

All Charges