Heights University Hospital

All Charges

Charge

Type

Setting

Price

DRAPE MICROSCOPE DISP

Facility

$90.00

Hospital Charge Code	270658254
Hospital Revenue Code	270
Min. Negotiated Rate	$11.70
Max. Negotiated Rate	$45.00
Rate for Payer: Aetna Commercial	$27.00
Rate for Payer: Aetna Medicare Advantage	$27.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.95
Rate for Payer: Cigna Commercial	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.70
Rate for Payer: Oxford Commercial	$45.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.50
Rate for Payer: UnitedHealthcare Commercial	$45.00

DRAPE MICROSCOPE DISP

Facility

$90.00

Hospital Charge Code	270658254
Hospital Revenue Code	270
Min. Negotiated Rate	$13.50
Max. Negotiated Rate	$13.50
Rate for Payer: Qualcare PPO/HMO/WC	$13.50

DRAPE MICROSCOPE URBAN M1071

Facility

$83.25

Hospital Charge Code	270601772
Hospital Revenue Code	272
Min. Negotiated Rate	$12.49
Max. Negotiated Rate	$12.49
Rate for Payer: Qualcare PPO/HMO/WC	$12.49

DRAPE MICROSCOPE URBAN M1071

Facility

$83.25

Hospital Charge Code	270601772
Hospital Revenue Code	272
Min. Negotiated Rate	$10.82
Max. Negotiated Rate	$41.62
Rate for Payer: Aetna Commercial	$24.98
Rate for Payer: Aetna Medicare Advantage	$24.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.23
Rate for Payer: Cigna Commercial	$41.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.82
Rate for Payer: Oxford Commercial	$41.62
Rate for Payer: Qualcare PPO/HMO/WC	$12.49
Rate for Payer: UnitedHealthcare Commercial	$41.62

DRAPE NEURO IOBAN 6640

Facility

$57.65

Hospital Charge Code	270600326
Hospital Revenue Code	272
Min. Negotiated Rate	$7.49
Max. Negotiated Rate	$28.82
Rate for Payer: Aetna Commercial	$17.30
Rate for Payer: Aetna Medicare Advantage	$17.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.70
Rate for Payer: Cigna Commercial	$28.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.49
Rate for Payer: Oxford Commercial	$28.82
Rate for Payer: Qualcare PPO/HMO/WC	$8.65
Rate for Payer: UnitedHealthcare Commercial	$28.82

DRAPE NEURO IOBAN 6640

Facility

$57.65

Hospital Charge Code	270600326
Hospital Revenue Code	272
Min. Negotiated Rate	$8.65
Max. Negotiated Rate	$8.65
Rate for Payer: Qualcare PPO/HMO/WC	$8.65

DRAPE NEUROLOGICAL W/XL POUCH

Facility

$97.62

Hospital Charge Code	270653749
Hospital Revenue Code	270
Min. Negotiated Rate	$14.64
Max. Negotiated Rate	$14.64
Rate for Payer: Qualcare PPO/HMO/WC	$14.64

DRAPE NEUROLOGICAL W/XL POUCH

Facility

$97.62

Hospital Charge Code	270653749
Hospital Revenue Code	270
Min. Negotiated Rate	$12.69
Max. Negotiated Rate	$48.81
Rate for Payer: Aetna Commercial	$29.29
Rate for Payer: Aetna Medicare Advantage	$29.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.89
Rate for Payer: Cigna Commercial	$48.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.69
Rate for Payer: Oxford Commercial	$48.81
Rate for Payer: Qualcare PPO/HMO/WC	$14.64
Rate for Payer: UnitedHealthcare Commercial	$48.81

DRAPE OPHTHALMIC BASIC 89305

Facility

$37.65

Hospital Charge Code	270614336
Hospital Revenue Code	272
Min. Negotiated Rate	$4.89
Max. Negotiated Rate	$18.82
Rate for Payer: Aetna Commercial	$11.29
Rate for Payer: Aetna Medicare Advantage	$11.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.60
Rate for Payer: Cigna Commercial	$18.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.89
Rate for Payer: Oxford Commercial	$18.82
Rate for Payer: Qualcare PPO/HMO/WC	$5.65
Rate for Payer: UnitedHealthcare Commercial	$18.82

DRAPE OPHTHALMIC BASIC 89305

Facility

$37.65

Hospital Charge Code	270614336
Hospital Revenue Code	272
Min. Negotiated Rate	$5.65
Max. Negotiated Rate	$5.65
Rate for Payer: Qualcare PPO/HMO/WC	$5.65

DRAPE OPMI STER XL 65mm LF

Facility

$536.60

Hospital Charge Code	270655870
Hospital Revenue Code	271
Min. Negotiated Rate	$80.49
Max. Negotiated Rate	$80.49
Rate for Payer: Qualcare PPO/HMO/WC	$80.49

DRAPE OPMI STER XL 65mm LF

Facility

$536.60

Hospital Charge Code	270655870
Hospital Revenue Code	271
Min. Negotiated Rate	$69.76
Max. Negotiated Rate	$268.30
Rate for Payer: Aetna Commercial	$160.98
Rate for Payer: Aetna Medicare Advantage	$160.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.83
Rate for Payer: Cigna Commercial	$268.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.76
Rate for Payer: Oxford Commercial	$268.30
Rate for Payer: Qualcare PPO/HMO/WC	$80.49
Rate for Payer: UnitedHealthcare Commercial	$268.30

DRAPE ORTHOARTS HAND 89272

Facility

$194.45

Hospital Charge Code	270609211
Hospital Revenue Code	272
Min. Negotiated Rate	$29.17
Max. Negotiated Rate	$29.17
Rate for Payer: Qualcare PPO/HMO/WC	$29.17

DRAPE ORTHOARTS HAND 89272

Facility

$194.45

Hospital Charge Code	270609211
Hospital Revenue Code	272
Min. Negotiated Rate	$25.28
Max. Negotiated Rate	$97.22
Rate for Payer: Aetna Commercial	$58.34
Rate for Payer: Aetna Medicare Advantage	$58.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.58
Rate for Payer: Cigna Commercial	$97.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.28
Rate for Payer: Oxford Commercial	$97.22
Rate for Payer: Qualcare PPO/HMO/WC	$29.17
Rate for Payer: UnitedHealthcare Commercial	$97.22

DRAPE ORTHO BAR 9381

Facility

$33.65

Hospital Charge Code	270620432
Hospital Revenue Code	279
Min. Negotiated Rate	$5.05
Max. Negotiated Rate	$5.05
Rate for Payer: Qualcare PPO/HMO/WC	$5.05

DRAPE ORTHO BAR 9381

Facility

$33.65

Hospital Charge Code	270620432
Hospital Revenue Code	279
Min. Negotiated Rate	$4.37
Max. Negotiated Rate	$16.82
Rate for Payer: Aetna Commercial	$10.10
Rate for Payer: Aetna Medicare Advantage	$10.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.58
Rate for Payer: Cigna Commercial	$16.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.37
Rate for Payer: Oxford Commercial	$16.82
Rate for Payer: Qualcare PPO/HMO/WC	$5.05
Rate for Payer: UnitedHealthcare Commercial	$16.82

DRAPE ORTHO SPLIT 89331

Facility

$24.85

Hospital Charge Code	270621255
Hospital Revenue Code	272
Min. Negotiated Rate	$3.23
Max. Negotiated Rate	$12.43
Rate for Payer: Aetna Commercial	$7.46
Rate for Payer: Aetna Medicare Advantage	$7.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.34
Rate for Payer: Cigna Commercial	$12.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.23
Rate for Payer: Oxford Commercial	$12.43
Rate for Payer: Qualcare PPO/HMO/WC	$3.73
Rate for Payer: UnitedHealthcare Commercial	$12.43

DRAPE ORTHO SPLIT 89331

Facility

$24.85

Hospital Charge Code	270621255
Hospital Revenue Code	272
Min. Negotiated Rate	$3.73
Max. Negotiated Rate	$3.73
Rate for Payer: Qualcare PPO/HMO/WC	$3.73

DRAPE PEDIATRIC MAJOR OPTIMA

Facility

$22.10

Hospital Charge Code	270652032
Hospital Revenue Code	270
Min. Negotiated Rate	$3.31
Max. Negotiated Rate	$3.31
Rate for Payer: Qualcare PPO/HMO/WC	$3.31

DRAPE PEDIATRIC MAJOR OPTIMA

Facility

$22.10

Hospital Charge Code	270652032
Hospital Revenue Code	270
Min. Negotiated Rate	$2.87
Max. Negotiated Rate	$11.05
Rate for Payer: Aetna Commercial	$6.63
Rate for Payer: Aetna Medicare Advantage	$6.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.64
Rate for Payer: Cigna Commercial	$11.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.87
Rate for Payer: Oxford Commercial	$11.05
Rate for Payer: Qualcare PPO/HMO/WC	$3.31
Rate for Payer: UnitedHealthcare Commercial	$11.05

DRAPE SHEET HALF 9358

Facility

$12.38

Hospital Charge Code	270649149
Hospital Revenue Code	270
Min. Negotiated Rate	$1.61
Max. Negotiated Rate	$6.19
Rate for Payer: Aetna Commercial	$3.71
Rate for Payer: Aetna Medicare Advantage	$3.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.16
Rate for Payer: Cigna Commercial	$6.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.61
Rate for Payer: Oxford Commercial	$6.19
Rate for Payer: Qualcare PPO/HMO/WC	$1.86
Rate for Payer: UnitedHealthcare Commercial	$6.19

DRAPE SHEET HALF 9358

Facility

$12.38

Hospital Charge Code	270649149
Hospital Revenue Code	270
Min. Negotiated Rate	$1.86
Max. Negotiated Rate	$1.86
Rate for Payer: Qualcare PPO/HMO/WC	$1.86

DRAPES OPMI 65m STERILE 306070

Facility

$69.50

Hospital Charge Code	270634097
Hospital Revenue Code	272
Min. Negotiated Rate	$10.43
Max. Negotiated Rate	$10.43
Rate for Payer: Qualcare PPO/HMO/WC	$10.43

DRAPES OPMI 65m STERILE 306070

Facility

$69.50

Hospital Charge Code	270634097
Hospital Revenue Code	272
Min. Negotiated Rate	$9.04
Max. Negotiated Rate	$34.75
Rate for Payer: Aetna Commercial	$20.85
Rate for Payer: Aetna Medicare Advantage	$20.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.72
Rate for Payer: Cigna Commercial	$34.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.04
Rate for Payer: Oxford Commercial	$34.75
Rate for Payer: Qualcare PPO/HMO/WC	$10.43
Rate for Payer: UnitedHealthcare Commercial	$34.75

DRAPE SRGCL FMRL ANGRPHY 89711

Facility

$33.95

Hospital Charge Code	270648179C
Hospital Revenue Code	272
Min. Negotiated Rate	$4.41
Max. Negotiated Rate	$16.98
Rate for Payer: Aetna Commercial	$10.19
Rate for Payer: Aetna Medicare Advantage	$10.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.66
Rate for Payer: Cigna Commercial	$16.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.41
Rate for Payer: Oxford Commercial	$16.98
Rate for Payer: Qualcare PPO/HMO/WC	$5.09
Rate for Payer: UnitedHealthcare Commercial	$16.98

Know your out-of-pocket cost for care.

All Charges