Heights University Hospital

All Charges

Charge

Type

Setting

Price

COBALT, SERUM/PLASMA

Facility

$150.95

Service Code	HCPCS 83018
Hospital Charge Code	39900090
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	$19.62
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.64
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, SERUM/PLASMA

Facility

$150.95

Service Code	HCPCS 83018
Hospital Charge Code	39900090
Hospital Revenue Code	301
Min. Negotiated Rate	$22.64
Max. Negotiated Rate	$22.64
Rate for Payer: Qualcare PPO/HMO/WC	$22.64

COBAN 4 ROLL STER 1584S

Facility

$10.50

Hospital Charge Code	270600350
Hospital Revenue Code	272
Min. Negotiated Rate	$1.57
Max. Negotiated Rate	$1.57
Rate for Payer: Qualcare PPO/HMO/WC	$1.57

COBAN 4 ROLL STER 1584S

Facility

$10.50

Hospital Charge Code	270600350
Hospital Revenue Code	272
Min. Negotiated Rate	$1.36
Max. Negotiated Rate	$5.25
Rate for Payer: Aetna Commercial	$3.15
Rate for Payer: Aetna Medicare Advantage	$3.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.68
Rate for Payer: Cigna Commercial	$5.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.36
Rate for Payer: Oxford Commercial	$5.25
Rate for Payer: Qualcare PPO/HMO/WC	$1.57
Rate for Payer: UnitedHealthcare Commercial	$5.25

COBAN MULTICOLOR 3 1583A

Facility

$22.45

Hospital Charge Code	270600367
Hospital Revenue Code	270
Min. Negotiated Rate	$3.37
Max. Negotiated Rate	$3.37
Rate for Payer: Qualcare PPO/HMO/WC	$3.37

COBAN MULTICOLOR 3 1583A

Facility

$22.45

Hospital Charge Code	270600367
Hospital Revenue Code	270
Min. Negotiated Rate	$2.92
Max. Negotiated Rate	$11.22
Rate for Payer: Aetna Commercial	$6.74
Rate for Payer: Aetna Medicare Advantage	$6.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.72
Rate for Payer: Cigna Commercial	$11.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.92
Rate for Payer: Oxford Commercial	$11.22
Rate for Payer: Qualcare PPO/HMO/WC	$3.37
Rate for Payer: UnitedHealthcare Commercial	$11.22

COBAN NEON UNSTER 1583N

Facility

$32.00

Hospital Charge Code	270600366
Hospital Revenue Code	270
Min. Negotiated Rate	$4.80
Max. Negotiated Rate	$4.80
Rate for Payer: Qualcare PPO/HMO/WC	$4.80

COBAN NEON UNSTER 1583N

Facility

$32.00

Hospital Charge Code	270600366
Hospital Revenue Code	270
Min. Negotiated Rate	$4.16
Max. Negotiated Rate	$16.00
Rate for Payer: Aetna Commercial	$9.60
Rate for Payer: Aetna Medicare Advantage	$9.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.16
Rate for Payer: Cigna Commercial	$16.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.16
Rate for Payer: Oxford Commercial	$16.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.80
Rate for Payer: UnitedHealthcare Commercial	$16.00

COBAN SELF ADHERE WRAP RAINBOW

Facility

$5.83

Hospital Charge Code	270657861
Hospital Revenue Code	270
Min. Negotiated Rate	$0.87
Max. Negotiated Rate	$0.87
Rate for Payer: Qualcare PPO/HMO/WC	$0.87

COBAN SELF ADHERE WRAP RAINBOW

Facility

$5.83

Hospital Charge Code	270657861
Hospital Revenue Code	270
Min. Negotiated Rate	$0.76
Max. Negotiated Rate	$2.92
Rate for Payer: Aetna Commercial	$1.75
Rate for Payer: Aetna Medicare Advantage	$1.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.49
Rate for Payer: Cigna Commercial	$2.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.76
Rate for Payer: Oxford Commercial	$2.92
Rate for Payer: Qualcare PPO/HMO/WC	$0.87
Rate for Payer: UnitedHealthcare Commercial	$2.92

COBAN WRAP SELF ADEHERENT 1

Facility

$2.23

Hospital Charge Code	270651845
Hospital Revenue Code	270
Min. Negotiated Rate	$0.29
Max. Negotiated Rate	$1.11
Rate for Payer: Aetna Commercial	$0.67
Rate for Payer: Aetna Medicare Advantage	$0.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.57
Rate for Payer: Cigna Commercial	$1.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.29
Rate for Payer: Oxford Commercial	$1.11
Rate for Payer: Qualcare PPO/HMO/WC	$0.33
Rate for Payer: UnitedHealthcare Commercial	$1.11

COBAN WRAP SELF ADEHERENT 1

Facility

$2.23

Hospital Charge Code	270651845
Hospital Revenue Code	270
Min. Negotiated Rate	$0.33
Max. Negotiated Rate	$0.33
Rate for Payer: Qualcare PPO/HMO/WC	$0.33

COBLATION HALO WAND

Facility

$1,786.10

Hospital Charge Code	270698007
Hospital Revenue Code	272
Min. Negotiated Rate	$232.19
Max. Negotiated Rate	$893.05
Rate for Payer: Aetna Commercial	$535.83
Rate for Payer: Aetna Medicare Advantage	$535.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$455.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$455.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$455.46
Rate for Payer: Cigna Commercial	$893.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.19
Rate for Payer: Oxford Commercial	$893.05
Rate for Payer: Qualcare PPO/HMO/WC	$267.92
Rate for Payer: UnitedHealthcare Commercial	$893.05

COBLATION HALO WAND

Facility

$1,786.10

Hospital Charge Code	270698007
Hospital Revenue Code	272
Min. Negotiated Rate	$267.92
Max. Negotiated Rate	$267.92
Rate for Payer: Qualcare PPO/HMO/WC	$267.92

COBLATOR II

Facility

$7,500.00

Hospital Charge Code	270655384
Hospital Revenue Code	270
Min. Negotiated Rate	$975.00
Max. Negotiated Rate	$3,750.00
Rate for Payer: Aetna Commercial	$2,250.00
Rate for Payer: Aetna Medicare Advantage	$2,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,912.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,912.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,912.50
Rate for Payer: Cigna Commercial	$3,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$975.00
Rate for Payer: Oxford Commercial	$3,750.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,125.00
Rate for Payer: UnitedHealthcare Commercial	$3,750.00

COBLATOR II

Facility

$7,500.00

Hospital Charge Code	270655384
Hospital Revenue Code	270
Min. Negotiated Rate	$1,125.00
Max. Negotiated Rate	$1,125.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,125.00

COBRA GLUIDE CATH 5FR 65cm C1

Facility

$1,266.25

Service Code	HCPCS C1887
Hospital Charge Code	270651872S
Hospital Revenue Code	278
Min. Negotiated Rate	$189.94
Max. Negotiated Rate	$633.12
Rate for Payer: Aetna Commercial	$379.88
Rate for Payer: Aetna Medicare Advantage	$379.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$322.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$322.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$253.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$322.89
Rate for Payer: Cigna Commercial	$633.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$306.43
Rate for Payer: Qualcare PPO/HMO/WC	$189.94

COBRA GLUIDE CATH 5FR 65cm C1

Facility

$71.50

Service Code	HCPCS C1887
Hospital Charge Code	270651872N
Hospital Revenue Code	278
Min. Negotiated Rate	$10.72
Max. Negotiated Rate	$35.75
Rate for Payer: Aetna Commercial	$21.45
Rate for Payer: Aetna Medicare Advantage	$21.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.23
Rate for Payer: Cigna Commercial	$35.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.30
Rate for Payer: Qualcare PPO/HMO/WC	$10.72

COBRA GLUIDE CATH 5FR 65cm C1

Facility

$71.50

Service Code	HCPCS C1887
Hospital Charge Code	270651872N
Hospital Revenue Code	278
Min. Negotiated Rate	$10.72
Max. Negotiated Rate	$17.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.30
Rate for Payer: Qualcare PPO/HMO/WC	$10.72

COBRA GLUIDE CATH 5FR 65cm C1

Facility

$1,266.25

Service Code	HCPCS C1887
Hospital Charge Code	270651872S
Hospital Revenue Code	278
Min. Negotiated Rate	$189.94
Max. Negotiated Rate	$306.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$253.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$306.43
Rate for Payer: Qualcare PPO/HMO/WC	$189.94

COBRA GLUIDE CATH 5FR 65cm C1

Facility

$1,266.25

Service Code	HCPCS C1887
Hospital Charge Code	270651872
Hospital Revenue Code	278
Min. Negotiated Rate	$189.94
Max. Negotiated Rate	$633.12
Rate for Payer: Aetna Commercial	$379.88
Rate for Payer: Aetna Medicare Advantage	$379.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$322.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$322.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$253.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$322.89
Rate for Payer: Cigna Commercial	$633.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$306.43
Rate for Payer: Qualcare PPO/HMO/WC	$189.94

COBRA GLUIDE CATH 5FR 65cm C1

Facility

$1,266.25

Service Code	HCPCS C1887
Hospital Charge Code	270651872
Hospital Revenue Code	278
Min. Negotiated Rate	$189.94
Max. Negotiated Rate	$306.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$253.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$306.43
Rate for Payer: Qualcare PPO/HMO/WC	$189.94

COCAINE

Facility

$314.00

Service Code	HCPCS 80353
Hospital Charge Code	38472209
Hospital Revenue Code	301
Min. Negotiated Rate	$40.82
Max. Negotiated Rate	$157.00
Rate for Payer: Aetna Commercial	$94.20
Rate for Payer: Aetna Medicare Advantage	$94.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80.07
Rate for Payer: Cigna Commercial	$157.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.82
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$47.10
Rate for Payer: UnitedHealthcare Commercial	$114.00

COCAINE

Facility

$314.00

Service Code	HCPCS 80353
Hospital Charge Code	38472209
Hospital Revenue Code	301
Min. Negotiated Rate	$47.10
Max. Negotiated Rate	$47.10
Rate for Payer: Qualcare PPO/HMO/WC	$47.10

COCAINE 10%/4ML

Facility

$122.00

Hospital Charge Code	60632722
Hospital Revenue Code	250
Min. Negotiated Rate	$18.30
Max. Negotiated Rate	$18.30
Rate for Payer: Qualcare PPO/HMO/WC	$18.30

Know your out-of-pocket cost for care.

All Charges