Heights University Hospital

All Charges

Charge

Type

Setting

Price

DURASEAL 5ML

Facility

$6,284.00

Hospital Charge Code	270663425
Hospital Revenue Code	272
Min. Negotiated Rate	$816.92
Max. Negotiated Rate	$3,142.00
Rate for Payer: Aetna Commercial	$1,885.20
Rate for Payer: Aetna Medicare Advantage	$1,885.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,602.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,602.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,602.42
Rate for Payer: Cigna Commercial	$3,142.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$816.92
Rate for Payer: Oxford Commercial	$3,142.00
Rate for Payer: Qualcare PPO/HMO/WC	$942.60
Rate for Payer: UnitedHealthcare Commercial	$3,142.00

DURASENSOR ADULT OXYGEN

Facility

$1,280.85

Hospital Charge Code	270601168
Hospital Revenue Code	270
Min. Negotiated Rate	$166.51
Max. Negotiated Rate	$640.42
Rate for Payer: Aetna Commercial	$384.25
Rate for Payer: Aetna Medicare Advantage	$384.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$326.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$326.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$326.62
Rate for Payer: Cigna Commercial	$640.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$166.51
Rate for Payer: Oxford Commercial	$640.42
Rate for Payer: Qualcare PPO/HMO/WC	$192.13
Rate for Payer: UnitedHealthcare Commercial	$640.42

DURASENSOR ADULT OXYGEN

Facility

$1,280.85

Hospital Charge Code	270601168
Hospital Revenue Code	270
Min. Negotiated Rate	$192.13
Max. Negotiated Rate	$192.13
Rate for Payer: Qualcare PPO/HMO/WC	$192.13

DUREPAIR REG MATRIX 4X5INCH

Facility

$9,865.00

Service Code	HCPCS C1762
Hospital Charge Code	270660490
Hospital Revenue Code	278
Min. Negotiated Rate	$1,479.75
Max. Negotiated Rate	$2,387.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,973.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,387.33
Rate for Payer: Qualcare PPO/HMO/WC	$1,479.75

DUREPAIR REG MATRIX 4X5INCH

Facility

$9,865.00

Service Code	HCPCS C1762
Hospital Charge Code	270660490
Hospital Revenue Code	278
Min. Negotiated Rate	$1,479.75
Max. Negotiated Rate	$4,932.50
Rate for Payer: Aetna Commercial	$2,959.50
Rate for Payer: Aetna Medicare Advantage	$2,959.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,515.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,515.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,973.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,515.57
Rate for Payer: Cigna Commercial	$4,932.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,387.33
Rate for Payer: Qualcare PPO/HMO/WC	$1,479.75

DURICEF/1GM/TAB

Facility

$28.00

Hospital Charge Code	60632911
Hospital Revenue Code	250
Min. Negotiated Rate	$4.20
Max. Negotiated Rate	$4.20
Rate for Payer: Qualcare PPO/HMO/WC	$4.20

DURICEF/1GM/TAB

Facility

$28.00

Hospital Charge Code	60632911
Hospital Revenue Code	250
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

DURICEF/500MG/CAP

Facility

$13.00

Hospital Charge Code	60632912
Hospital Revenue Code	250
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$6.50
Rate for Payer: Aetna Commercial	$3.90
Rate for Payer: Aetna Medicare Advantage	$3.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.31
Rate for Payer: Cigna Commercial	$6.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.69
Rate for Payer: Oxford Commercial	$6.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.95
Rate for Payer: UnitedHealthcare Commercial	$6.50

DURICEF/500MG/CAP

Facility

$13.00

Hospital Charge Code	60632912
Hospital Revenue Code	250
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$1.95
Rate for Payer: Qualcare PPO/HMO/WC	$1.95

DU TEST

Facility

$66.00

Service Code	HCPCS 86885
Hospital Charge Code	38471088
Hospital Revenue Code	302
Min. Negotiated Rate	$9.90
Max. Negotiated Rate	$9.90
Rate for Payer: Qualcare PPO/HMO/WC	$9.90

DU TEST

Facility

$66.00

Service Code	HCPCS 86885
Hospital Charge Code	38471088
Hospital Revenue Code	302
Min. Negotiated Rate	$2.86
Max. Negotiated Rate	$405.73
Rate for Payer: Aetna Commercial	$18.53
Rate for Payer: Aetna Medicare Advantage	$5.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.96
Rate for Payer: Cigna Commercial	$405.73
Rate for Payer: Cigna Medicare Advantage	$2.86
Rate for Payer: Clover Medicare Advantage	$5.43
Rate for Payer: EmblemHealth Commercial	$17.16
Rate for Payer: Humana Medicare Advantage	$5.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.58
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.90
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.72
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.06
Rate for Payer: Wellcare Medicare Advantage	$5.72

DVD STRYKER

Facility

$59.80

Hospital Charge Code	270657647
Hospital Revenue Code	270
Min. Negotiated Rate	$8.97
Max. Negotiated Rate	$8.97
Rate for Payer: Qualcare PPO/HMO/WC	$8.97

DVD STRYKER

Facility

$59.80

Hospital Charge Code	270657647
Hospital Revenue Code	270
Min. Negotiated Rate	$7.77
Max. Negotiated Rate	$29.90
Rate for Payer: Aetna Commercial	$17.94
Rate for Payer: Aetna Medicare Advantage	$17.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.25
Rate for Payer: Cigna Commercial	$29.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.77
Rate for Payer: Oxford Commercial	$29.90
Rate for Payer: Qualcare PPO/HMO/WC	$8.97
Rate for Payer: UnitedHealthcare Commercial	$29.90

D-VI-SOL (VIT D 400IU/ML) LIQ

Facility

$4.00

Service Code	NDC 87086644
Hospital Charge Code	606390294
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

D-VI-SOL (VIT D 400IU/ML) LIQ

Facility

$4.00

Service Code	NDC 87086644
Hospital Charge Code	606390294
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

DVR ANATOMIC SHORT LEFT

Facility

$5,395.00

Hospital Charge Code	270638001
Hospital Revenue Code	278
Min. Negotiated Rate	$809.25
Max. Negotiated Rate	$1,305.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,079.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,305.59
Rate for Payer: Qualcare PPO/HMO/WC	$809.25

DVR ANATOMIC SHORT LEFT

Facility

$5,395.00

Hospital Charge Code	270638001
Hospital Revenue Code	278
Min. Negotiated Rate	$809.25
Max. Negotiated Rate	$2,697.50
Rate for Payer: Aetna Commercial	$1,618.50
Rate for Payer: Aetna Medicare Advantage	$1,618.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,375.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,375.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,079.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,375.72
Rate for Payer: Cigna Commercial	$2,697.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,305.59
Rate for Payer: Qualcare PPO/HMO/WC	$809.25

DVR LOCK NARROW L

Facility

$7,525.00

Hospital Charge Code	270681160
Hospital Revenue Code	272
Min. Negotiated Rate	$1,128.75
Max. Negotiated Rate	$1,128.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,128.75

DVR LOCK NARROW L

Facility

$7,525.00

Hospital Charge Code	270681160
Hospital Revenue Code	272
Min. Negotiated Rate	$978.25
Max. Negotiated Rate	$3,762.50
Rate for Payer: Aetna Commercial	$2,257.50
Rate for Payer: Aetna Medicare Advantage	$2,257.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,918.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,918.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,918.88
Rate for Payer: Cigna Commercial	$3,762.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$978.25
Rate for Payer: Oxford Commercial	$3,762.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,128.75
Rate for Payer: UnitedHealthcare Commercial	$3,762.50

DVR LOCK NARROW MINI R

Facility

$3,905.00

Hospital Charge Code	270688188
Hospital Revenue Code	272
Min. Negotiated Rate	$507.65
Max. Negotiated Rate	$1,952.50
Rate for Payer: Aetna Commercial	$1,171.50
Rate for Payer: Aetna Medicare Advantage	$1,171.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$995.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$995.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$995.77
Rate for Payer: Cigna Commercial	$1,952.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$507.65
Rate for Payer: Oxford Commercial	$1,952.50
Rate for Payer: Qualcare PPO/HMO/WC	$585.75
Rate for Payer: UnitedHealthcare Commercial	$1,952.50

DVR LOCK NARROW MINI R

Facility

$3,905.00

Hospital Charge Code	270688188
Hospital Revenue Code	272
Min. Negotiated Rate	$585.75
Max. Negotiated Rate	$585.75
Rate for Payer: Qualcare PPO/HMO/WC	$585.75

DXA CT BONE DENSITY AXIAL-GL

Facility

$5,100.00

Service Code	HCPCS 77080
Hospital Charge Code	85000310
Hospital Revenue Code	320
Min. Negotiated Rate	$121.55
Max. Negotiated Rate	$1,530.00
Rate for Payer: Aetna Commercial	$1,530.00
Rate for Payer: Aetna Medicare Advantage	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$121.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$663.00
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

DXA CT BONE DENSITY AXIAL-GL

Facility

$5,100.00

Service Code	HCPCS 77080
Hospital Charge Code	85000310
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

DXA CT BONE DENSITY AXIAL-PC

Facility

$53.45

Service Code	HCPCS 7708026
Hospital Charge Code	85000320
Hospital Revenue Code	320
Min. Negotiated Rate	$6.95
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$16.04
Rate for Payer: Aetna Medicare Advantage	$16.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.63
Rate for Payer: Cigna Commercial	$26.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.95
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$8.02
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

DXA CT BONE DENSITY AXIAL-PC

Facility

$53.45

Service Code	HCPCS 7708026
Hospital Charge Code	85000320
Hospital Revenue Code	320
Min. Negotiated Rate	$8.02
Max. Negotiated Rate	$8.02
Rate for Payer: Qualcare PPO/HMO/WC	$8.02

Know your out-of-pocket cost for care.

All Charges