Heights University Hospital

All Charges

Charge

Type

Setting

Price

COLLECTOR SHARPS 7.5 QTS.

Facility

$28.00

Hospital Charge Code	270331166
Hospital Revenue Code	272
Min. Negotiated Rate	$4.20
Max. Negotiated Rate	$4.20
Rate for Payer: Qualcare PPO/HMO/WC	$4.20

COLLECTOR SHARPS 7.5 QTS.

Facility

$28.00

Hospital Charge Code	270331166
Hospital Revenue Code	272
Min. Negotiated Rate	$3.64
Max. Negotiated Rate	$14.00
Rate for Payer: Aetna Commercial	$8.40
Rate for Payer: Aetna Medicare Advantage	$8.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.14
Rate for Payer: Cigna Commercial	$14.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.64
Rate for Payer: Oxford Commercial	$14.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.20
Rate for Payer: UnitedHealthcare Commercial	$14.00

COLLECTOR URINE MID-STREAM

Facility

$5.83

Hospital Charge Code	270301890
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

COLLECTOR URINE MID-STREAM

Facility

$5.83

Hospital Charge Code	270301890
Hospital Revenue Code	270
Min. Negotiated Rate	$0.87
Max. Negotiated Rate	$0.87
Rate for Payer: Qualcare PPO/HMO/WC	$0.87

COLLET LARGE 3.0- 4.2 MM

Facility

$10,134.30

Hospital Charge Code	270688342
Hospital Revenue Code	272
Min. Negotiated Rate	$1,520.14
Max. Negotiated Rate	$1,520.14
Rate for Payer: Qualcare PPO/HMO/WC	$1,520.14

COLLET LARGE 3.0- 4.2 MM

Facility

$10,134.30

Hospital Charge Code	270688342
Hospital Revenue Code	272
Min. Negotiated Rate	$1,317.46
Max. Negotiated Rate	$5,067.15
Rate for Payer: Aetna Commercial	$3,040.29
Rate for Payer: Aetna Medicare Advantage	$3,040.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,584.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,584.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,584.25
Rate for Payer: Cigna Commercial	$5,067.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,317.46
Rate for Payer: Oxford Commercial	$5,067.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,520.14
Rate for Payer: UnitedHealthcare Commercial	$5,067.15

COLLET REPLACEMENT HANDLE

Facility

$35.00

Hospital Charge Code	270667383
Hospital Revenue Code	270
Min. Negotiated Rate	$5.25
Max. Negotiated Rate	$5.25
Rate for Payer: Qualcare PPO/HMO/WC	$5.25

COLLET REPLACEMENT HANDLE

Facility

$35.00

Hospital Charge Code	270667383
Hospital Revenue Code	270
Min. Negotiated Rate	$4.55
Max. Negotiated Rate	$17.50
Rate for Payer: Aetna Commercial	$10.50
Rate for Payer: Aetna Medicare Advantage	$10.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.93
Rate for Payer: Cigna Commercial	$17.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.55
Rate for Payer: Oxford Commercial	$17.50
Rate for Payer: Qualcare PPO/HMO/WC	$5.25
Rate for Payer: UnitedHealthcare Commercial	$17.50

COLL FEE VENIPUNCTURE

Facility

$26.25

Service Code	HCPCS 36415
Hospital Charge Code	3008605
Hospital Revenue Code	300
Min. Negotiated Rate	$3.94
Max. Negotiated Rate	$3.94
Rate for Payer: Qualcare PPO/HMO/WC	$3.94

COLL FEE VENIPUNCTURE

Facility

$26.25

Service Code	HCPCS 36415
Hospital Charge Code	3008605
Hospital Revenue Code	300
Min. Negotiated Rate	$3.41
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$30.26
Rate for Payer: Aetna Medicare Advantage	$9.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.22
Rate for Payer: Cigna Commercial	$9.34
Rate for Payer: Cigna Medicare Advantage	$4.67
Rate for Payer: Clover Medicare Advantage	$8.87
Rate for Payer: EmblemHealth Commercial	$28.02
Rate for Payer: Humana Medicare Advantage	$9.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.41
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.94
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.34
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$9.90
Rate for Payer: Wellcare Medicare Advantage	$9.34

COLLODION FLEXIBLE LIQ 120ML

Facility

$64.00

Hospital Charge Code	6009526
Hospital Revenue Code	250
Min. Negotiated Rate	$8.32
Max. Negotiated Rate	$32.00
Rate for Payer: Aetna Commercial	$19.20
Rate for Payer: Aetna Medicare Advantage	$19.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.32
Rate for Payer: Cigna Commercial	$32.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.32
Rate for Payer: Oxford Commercial	$32.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.60
Rate for Payer: UnitedHealthcare Commercial	$32.00

COLLODION FLEXIBLE LIQ 120ML

Facility

$64.00

Hospital Charge Code	6009526
Hospital Revenue Code	250
Min. Negotiated Rate	$9.60
Max. Negotiated Rate	$9.60
Rate for Payer: Qualcare PPO/HMO/WC	$9.60

COLLODION SOL

Facility

$37.15

Hospital Charge Code	60628559
Hospital Revenue Code	250
Min. Negotiated Rate	$4.83
Max. Negotiated Rate	$18.57
Rate for Payer: Aetna Commercial	$11.14
Rate for Payer: Aetna Medicare Advantage	$11.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.47
Rate for Payer: Cigna Commercial	$18.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.83
Rate for Payer: Oxford Commercial	$18.57
Rate for Payer: Qualcare PPO/HMO/WC	$5.57
Rate for Payer: UnitedHealthcare Commercial	$18.57

COLLODION SOL

Facility

$37.15

Hospital Charge Code	60628559
Hospital Revenue Code	250
Min. Negotiated Rate	$5.57
Max. Negotiated Rate	$5.57
Rate for Payer: Qualcare PPO/HMO/WC	$5.57

COLLODION SOL 120ML

Facility

$37.15

Hospital Charge Code	60628596
Hospital Revenue Code	250
Min. Negotiated Rate	$4.83
Max. Negotiated Rate	$18.57
Rate for Payer: Aetna Commercial	$11.14
Rate for Payer: Aetna Medicare Advantage	$11.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.47
Rate for Payer: Cigna Commercial	$18.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.83
Rate for Payer: Oxford Commercial	$18.57
Rate for Payer: Qualcare PPO/HMO/WC	$5.57
Rate for Payer: UnitedHealthcare Commercial	$18.57

COLLODION SOL 120ML

Facility

$37.15

Hospital Charge Code	60628596
Hospital Revenue Code	250
Min. Negotiated Rate	$5.57
Max. Negotiated Rate	$5.57
Rate for Payer: Qualcare PPO/HMO/WC	$5.57

COLLOIDAL OATMEAL 100% SKIN PR

Facility

$4.00

Service Code	NDC 8137003662
Hospital Charge Code	6063943191
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

COLLOIDAL OATMEAL 100% SKIN PR

Facility

$4.00

Service Code	NDC 8137003662
Hospital Charge Code	6063943191
Hospital Revenue Code	250
Min. Negotiated Rate	$0.52
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.20
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.52
Rate for Payer: Oxford Commercial	$2.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$2.00

COLLOIDAL OATMEAL BATH THREAT

Facility

$52.85

Hospital Charge Code	60628442
Hospital Revenue Code	250
Min. Negotiated Rate	$6.87
Max. Negotiated Rate	$26.43
Rate for Payer: Aetna Commercial	$15.86
Rate for Payer: Aetna Medicare Advantage	$15.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.48
Rate for Payer: Cigna Commercial	$26.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.87
Rate for Payer: Oxford Commercial	$26.43
Rate for Payer: Qualcare PPO/HMO/WC	$7.93
Rate for Payer: UnitedHealthcare Commercial	$26.43

COLLOIDAL OATMEAL BATH THREAT

Facility

$52.85

Hospital Charge Code	60628442
Hospital Revenue Code	250
Min. Negotiated Rate	$7.93
Max. Negotiated Rate	$7.93
Rate for Payer: Qualcare PPO/HMO/WC	$7.93

COLLOIDAL OATMEAL MIN OIL BATH

Facility

$42.25

Hospital Charge Code	60628443
Hospital Revenue Code	250
Min. Negotiated Rate	$5.49
Max. Negotiated Rate	$21.12
Rate for Payer: Aetna Commercial	$12.68
Rate for Payer: Aetna Medicare Advantage	$12.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.77
Rate for Payer: Cigna Commercial	$21.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.49
Rate for Payer: Oxford Commercial	$21.12
Rate for Payer: Qualcare PPO/HMO/WC	$6.34
Rate for Payer: UnitedHealthcare Commercial	$21.12

COLLOIDAL OATMEAL MIN OIL BATH

Facility

$42.25

Hospital Charge Code	60628443
Hospital Revenue Code	250
Min. Negotiated Rate	$6.34
Max. Negotiated Rate	$6.34
Rate for Payer: Qualcare PPO/HMO/WC	$6.34

COLNSCPY FLX W REM LES HBF/BPC

Facility

$8,751.70

Service Code	HCPCS 45384
Hospital Charge Code	16000747
Hospital Revenue Code	360
Min. Negotiated Rate	$1,312.76
Max. Negotiated Rate	$1,312.76
Rate for Payer: Qualcare PPO/HMO/WC	$1,312.76

COLNSCPY FLX W REM LES HBF/BPC

Facility

$8,751.70

Service Code	HCPCS 45384
Hospital Charge Code	16000747
Hospital Revenue Code	360
Min. Negotiated Rate	$1,137.72
Max. Negotiated Rate	$3,687.00
Rate for Payer: Aetna Commercial	$2,625.51
Rate for Payer: Aetna Medicare Advantage	$2,625.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,231.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,231.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,231.68
Rate for Payer: Cigna Commercial	$2,849.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,137.72
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,312.76
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

COLOGAN SHIELD

Facility

$1,698.65

Hospital Charge Code	270663604
Hospital Revenue Code	270
Min. Negotiated Rate	$254.80
Max. Negotiated Rate	$254.80
Rate for Payer: Qualcare PPO/HMO/WC	$254.80

Know your out-of-pocket cost for care.

All Charges