Heights University Hospital

All Charges

Charge

Type

Setting

Price

AIRWAY NASOPHAYNGEAL 20FR

Facility

$44.40

Hospital Charge Code	270676988
Hospital Revenue Code	272
Min. Negotiated Rate	$6.66
Max. Negotiated Rate	$6.66
Rate for Payer: Qualcare PPO/HMO/WC	$6.66

AIRWAY NASOPHAYNGEAL 22FR

Facility

$44.40

Hospital Charge Code	270676989
Hospital Revenue Code	272
Min. Negotiated Rate	$6.66
Max. Negotiated Rate	$6.66
Rate for Payer: Qualcare PPO/HMO/WC	$6.66

AIRWAY NASOPHAYNGEAL 22FR

Facility

$44.40

Hospital Charge Code	270676989
Hospital Revenue Code	272
Min. Negotiated Rate	$5.77
Max. Negotiated Rate	$22.20
Rate for Payer: Aetna Commercial	$13.32
Rate for Payer: Aetna Medicare Advantage	$13.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.32
Rate for Payer: Cigna Commercial	$22.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.77
Rate for Payer: Oxford Commercial	$22.20
Rate for Payer: Qualcare PPO/HMO/WC	$6.66
Rate for Payer: UnitedHealthcare Commercial	$22.20

AIRWAY NASOPHAYNGEAL 24FR

Facility

$44.40

Hospital Charge Code	270676990
Hospital Revenue Code	272
Min. Negotiated Rate	$6.66
Max. Negotiated Rate	$6.66
Rate for Payer: Qualcare PPO/HMO/WC	$6.66

AIRWAY NASOPHAYNGEAL 24FR

Facility

$44.40

Hospital Charge Code	270676990
Hospital Revenue Code	272
Min. Negotiated Rate	$5.77
Max. Negotiated Rate	$22.20
Rate for Payer: Aetna Commercial	$13.32
Rate for Payer: Aetna Medicare Advantage	$13.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.32
Rate for Payer: Cigna Commercial	$22.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.77
Rate for Payer: Oxford Commercial	$22.20
Rate for Payer: Qualcare PPO/HMO/WC	$6.66
Rate for Payer: UnitedHealthcare Commercial	$22.20

AIRWAY PORTEX DISP 10.0cm

Facility

$1.36

Hospital Charge Code	270650239
Hospital Revenue Code	272
Min. Negotiated Rate	$0.18
Max. Negotiated Rate	$0.68
Rate for Payer: Aetna Commercial	$0.41
Rate for Payer: Aetna Medicare Advantage	$0.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.35
Rate for Payer: Cigna Commercial	$0.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.18
Rate for Payer: Oxford Commercial	$0.68
Rate for Payer: Qualcare PPO/HMO/WC	$0.20
Rate for Payer: UnitedHealthcare Commercial	$0.68

AIRWAY PORTEX DISP 10.0cm

Facility

$1.36

Hospital Charge Code	270650239
Hospital Revenue Code	272
Min. Negotiated Rate	$0.20
Max. Negotiated Rate	$0.20
Rate for Payer: Qualcare PPO/HMO/WC	$0.20

AIRWAY PORTEX DISP 11.0cm

Facility

$5.70

Hospital Charge Code	270650492
Hospital Revenue Code	272
Min. Negotiated Rate	$0.86
Max. Negotiated Rate	$0.86
Rate for Payer: Qualcare PPO/HMO/WC	$0.86

AIRWAY PORTEX DISP 11.0cm

Facility

$5.70

Hospital Charge Code	270650492
Hospital Revenue Code	272
Min. Negotiated Rate	$0.74
Max. Negotiated Rate	$2.85
Rate for Payer: Aetna Commercial	$1.71
Rate for Payer: Aetna Medicare Advantage	$1.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.45
Rate for Payer: Cigna Commercial	$2.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.74
Rate for Payer: Oxford Commercial	$2.85
Rate for Payer: Qualcare PPO/HMO/WC	$0.86
Rate for Payer: UnitedHealthcare Commercial	$2.85

AIRWAY PORTEX DISP. 5.0CM

Facility

$1.26

Hospital Charge Code	270650489
Hospital Revenue Code	272
Min. Negotiated Rate	$0.19
Max. Negotiated Rate	$0.19
Rate for Payer: Qualcare PPO/HMO/WC	$0.19

AIRWAY PORTEX DISP. 5.0CM

Facility

$1.26

Hospital Charge Code	270650489
Hospital Revenue Code	272
Min. Negotiated Rate	$0.16
Max. Negotiated Rate	$0.63
Rate for Payer: Aetna Commercial	$0.38
Rate for Payer: Aetna Medicare Advantage	$0.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.32
Rate for Payer: Cigna Commercial	$0.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.16
Rate for Payer: Oxford Commercial	$0.63
Rate for Payer: Qualcare PPO/HMO/WC	$0.19
Rate for Payer: UnitedHealthcare Commercial	$0.63

AIRWAY PORTEX DISP 7.0cm

Facility

$1.36

Hospital Charge Code	270650491
Hospital Revenue Code	272
Min. Negotiated Rate	$0.20
Max. Negotiated Rate	$0.20
Rate for Payer: Qualcare PPO/HMO/WC	$0.20

AIRWAY PORTEX DISP 7.0cm

Facility

$1.36

Hospital Charge Code	270650491
Hospital Revenue Code	272
Min. Negotiated Rate	$0.18
Max. Negotiated Rate	$0.68
Rate for Payer: Aetna Commercial	$0.41
Rate for Payer: Aetna Medicare Advantage	$0.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.35
Rate for Payer: Cigna Commercial	$0.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.18
Rate for Payer: Oxford Commercial	$0.68
Rate for Payer: Qualcare PPO/HMO/WC	$0.20
Rate for Payer: UnitedHealthcare Commercial	$0.68

AIRWAY PORTEX DISP 8.0cm

Facility

$1.36

Hospital Charge Code	270650237
Hospital Revenue Code	272
Min. Negotiated Rate	$0.18
Max. Negotiated Rate	$0.68
Rate for Payer: Aetna Commercial	$0.41
Rate for Payer: Aetna Medicare Advantage	$0.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.35
Rate for Payer: Cigna Commercial	$0.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.18
Rate for Payer: Oxford Commercial	$0.68
Rate for Payer: Qualcare PPO/HMO/WC	$0.20
Rate for Payer: UnitedHealthcare Commercial	$0.68

AIRWAY PORTEX DISP 8.0cm

Facility

$1.36

Hospital Charge Code	270650237
Hospital Revenue Code	272
Min. Negotiated Rate	$0.20
Max. Negotiated Rate	$0.20
Rate for Payer: Qualcare PPO/HMO/WC	$0.20

AIRWAY PORTEX DISP 9.0cm

Facility

$1.36

Hospital Charge Code	270650238
Hospital Revenue Code	272
Min. Negotiated Rate	$0.20
Max. Negotiated Rate	$0.20
Rate for Payer: Qualcare PPO/HMO/WC	$0.20

AIRWAY PORTEX DISP 9.0cm

Facility

$1.36

Hospital Charge Code	270650238
Hospital Revenue Code	272
Min. Negotiated Rate	$0.18
Max. Negotiated Rate	$0.68
Rate for Payer: Aetna Commercial	$0.41
Rate for Payer: Aetna Medicare Advantage	$0.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.35
Rate for Payer: Cigna Commercial	$0.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.18
Rate for Payer: Oxford Commercial	$0.68
Rate for Payer: Qualcare PPO/HMO/WC	$0.20
Rate for Payer: UnitedHealthcare Commercial	$0.68

AIRWAY QUICKTRACH PEDIATRIC

Facility

$690.00

Hospital Charge Code	270680639
Hospital Revenue Code	272
Min. Negotiated Rate	$89.70
Max. Negotiated Rate	$345.00
Rate for Payer: Aetna Commercial	$207.00
Rate for Payer: Aetna Medicare Advantage	$207.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$175.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$175.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$175.95
Rate for Payer: Cigna Commercial	$345.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.70
Rate for Payer: Oxford Commercial	$345.00
Rate for Payer: Qualcare PPO/HMO/WC	$103.50
Rate for Payer: UnitedHealthcare Commercial	$345.00

AIRWAY QUICKTRACH PEDIATRIC

Facility

$690.00

Hospital Charge Code	270680639
Hospital Revenue Code	272
Min. Negotiated Rate	$103.50
Max. Negotiated Rate	$103.50
Rate for Payer: Qualcare PPO/HMO/WC	$103.50

AISENA SINUS TARSI

Facility

$8,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270702083
Hospital Revenue Code	278
Min. Negotiated Rate	$1,256.25
Max. Negotiated Rate	$2,026.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,675.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,026.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,256.25

AISENA SINUS TARSI

Facility

$8,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270702083
Hospital Revenue Code	278
Min. Negotiated Rate	$1,256.25
Max. Negotiated Rate	$4,187.50
Rate for Payer: Aetna Commercial	$2,512.50
Rate for Payer: Aetna Medicare Advantage	$2,512.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,135.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,135.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,135.62
Rate for Payer: Cigna Commercial	$4,187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,026.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,256.25

AKINATOR BLADE

Facility

$4,645.00

Hospital Charge Code	270704036
Hospital Revenue Code	272
Min. Negotiated Rate	$696.75
Max. Negotiated Rate	$696.75
Rate for Payer: Qualcare PPO/HMO/WC	$696.75

AKINATOR BLADE

Facility

$4,645.00

Hospital Charge Code	270704036
Hospital Revenue Code	272
Min. Negotiated Rate	$603.85
Max. Negotiated Rate	$2,322.50
Rate for Payer: Aetna Commercial	$1,393.50
Rate for Payer: Aetna Medicare Advantage	$1,393.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,184.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,184.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,184.47
Rate for Payer: Cigna Commercial	$2,322.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$603.85
Rate for Payer: Oxford Commercial	$2,322.50
Rate for Payer: Qualcare PPO/HMO/WC	$696.75
Rate for Payer: UnitedHealthcare Commercial	$2,322.50

AKWATEARS OINTMENT 3.5 GM

Facility

$58.56

Service Code	NDC 17478006235
Hospital Charge Code	606350963
Hospital Revenue Code	250
Min. Negotiated Rate	$8.78
Max. Negotiated Rate	$8.78
Rate for Payer: Qualcare PPO/HMO/WC	$8.78

AKWATEARS OINTMENT 3.5 GM

Facility

$58.56

Service Code	NDC 17478006235
Hospital Charge Code	606350963
Hospital Revenue Code	250
Min. Negotiated Rate	$7.61
Max. Negotiated Rate	$29.28
Rate for Payer: Aetna Commercial	$17.57
Rate for Payer: Aetna Medicare Advantage	$17.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.93
Rate for Payer: Cigna Commercial	$29.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.61
Rate for Payer: Oxford Commercial	$29.28
Rate for Payer: Qualcare PPO/HMO/WC	$8.78
Rate for Payer: UnitedHealthcare Commercial	$29.28

Know your out-of-pocket cost for care.

All Charges