Heights University Hospital

All Charges

Charge

Type

Setting

Price

HEMOVAC WOUND TUBING ******

Facility

$89.00

Hospital Charge Code	1600527
Hospital Revenue Code	272
Min. Negotiated Rate	$13.35
Max. Negotiated Rate	$13.35
Rate for Payer: Qualcare PPO/HMO/WC	$13.35

HEMOVAC WOUND TUBING ******

Facility

$89.00

Hospital Charge Code	1600527
Hospital Revenue Code	272
Min. Negotiated Rate	$11.57
Max. Negotiated Rate	$44.50
Rate for Payer: Aetna Commercial	$26.70
Rate for Payer: Aetna Medicare Advantage	$26.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.70
Rate for Payer: Cigna Commercial	$44.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.57
Rate for Payer: Oxford Commercial	$44.50
Rate for Payer: Qualcare PPO/HMO/WC	$13.35
Rate for Payer: UnitedHealthcare Commercial	$44.50

HEMO WET FIELD ERASER 18G

Facility

$62.00

Hospital Charge Code	270332253
Hospital Revenue Code	272
Min. Negotiated Rate	$8.06
Max. Negotiated Rate	$31.00
Rate for Payer: Aetna Commercial	$18.60
Rate for Payer: Aetna Medicare Advantage	$18.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.81
Rate for Payer: Cigna Commercial	$31.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.06
Rate for Payer: Oxford Commercial	$31.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.30
Rate for Payer: UnitedHealthcare Commercial	$31.00

HEMO WET FIELD ERASER 18G

Facility

$62.00

Hospital Charge Code	270332253
Hospital Revenue Code	272
Min. Negotiated Rate	$9.30
Max. Negotiated Rate	$9.30
Rate for Payer: Qualcare PPO/HMO/WC	$9.30

HENSELAE M

Facility

$70.65

Service Code	HCPCS 86611
Hospital Charge Code	3035072C
Hospital Revenue Code	300
Min. Negotiated Rate	$10.60
Max. Negotiated Rate	$10.60
Rate for Payer: Qualcare PPO/HMO/WC	$10.60

HENSELAE M

Facility

$70.65

Service Code	HCPCS 86611
Hospital Charge Code	3035072C
Hospital Revenue Code	300
Min. Negotiated Rate	$5.09
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$32.98
Rate for Payer: Aetna Medicare Advantage	$10.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.30
Rate for Payer: Cigna Commercial	$10.18
Rate for Payer: Cigna Medicare Advantage	$5.09
Rate for Payer: Clover Medicare Advantage	$9.67
Rate for Payer: EmblemHealth Commercial	$30.54
Rate for Payer: Humana Medicare Advantage	$10.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.18
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.60
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$10.18
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$10.79
Rate for Payer: Wellcare Medicare Advantage	$10.18

HEP A ANTIBODY

Facility

$410.00

Service Code	HCPCS 86709
Hospital Charge Code	38479444
Hospital Revenue Code	302
Min. Negotiated Rate	$5.63
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$36.48
Rate for Payer: Aetna Medicare Advantage	$11.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.26
Rate for Payer: Cigna Commercial	$11.26
Rate for Payer: Cigna Medicare Advantage	$5.63
Rate for Payer: Clover Medicare Advantage	$10.70
Rate for Payer: EmblemHealth Commercial	$33.78
Rate for Payer: Humana Medicare Advantage	$11.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.30
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$61.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.26
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$11.94
Rate for Payer: Wellcare Medicare Advantage	$11.26

HEP A ANTIBODY

Facility

$410.00

Service Code	HCPCS 86709
Hospital Charge Code	38479444
Hospital Revenue Code	302
Min. Negotiated Rate	$61.50
Max. Negotiated Rate	$61.50
Rate for Payer: Qualcare PPO/HMO/WC	$61.50

HEPALITE ISO=GUARD W/OUT PORT

Facility

$13.50

Hospital Charge Code	27064557
Hospital Revenue Code	272
Min. Negotiated Rate	$1.75
Max. Negotiated Rate	$6.75
Rate for Payer: Aetna Commercial	$4.05
Rate for Payer: Aetna Medicare Advantage	$4.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.44
Rate for Payer: Cigna Commercial	$6.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.75
Rate for Payer: Oxford Commercial	$6.75
Rate for Payer: Qualcare PPO/HMO/WC	$2.02
Rate for Payer: UnitedHealthcare Commercial	$6.75

HEPALITE ISO=GUARD W/OUT PORT

Facility

$13.50

Hospital Charge Code	270645557
Hospital Revenue Code	272
Min. Negotiated Rate	$1.75
Max. Negotiated Rate	$6.75
Rate for Payer: Aetna Commercial	$4.05
Rate for Payer: Aetna Medicare Advantage	$4.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.44
Rate for Payer: Cigna Commercial	$6.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.75
Rate for Payer: Oxford Commercial	$6.75
Rate for Payer: Qualcare PPO/HMO/WC	$2.02
Rate for Payer: UnitedHealthcare Commercial	$6.75

HEPALITE ISO=GUARD W/OUT PORT

Facility

$13.50

Hospital Charge Code	270645557
Hospital Revenue Code	272
Min. Negotiated Rate	$2.02
Max. Negotiated Rate	$2.02
Rate for Payer: Qualcare PPO/HMO/WC	$2.02

HEPALITE ISO=GUARD W/OUT PORT

Facility

$13.50

Hospital Charge Code	27064557
Hospital Revenue Code	272
Min. Negotiated Rate	$2.02
Max. Negotiated Rate	$2.02
Rate for Payer: Qualcare PPO/HMO/WC	$2.02

HEP A PEDS

Facility

$50.00

Service Code	HCPCS 90633
Hospital Charge Code	83652597
Hospital Revenue Code	636
Min. Negotiated Rate	$7.50
Max. Negotiated Rate	$47.08
Rate for Payer: Aetna Commercial	$15.00
Rate for Payer: Aetna Medicare Advantage	$15.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.75
Rate for Payer: Cigna Commercial	$25.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.10
Rate for Payer: Qualcare PPO/HMO/WC	$7.50

HEP A PEDS

Facility

$50.00

Service Code	HCPCS 90633
Hospital Charge Code	83652597
Hospital Revenue Code	636
Min. Negotiated Rate	$7.50
Max. Negotiated Rate	$12.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.10
Rate for Payer: Qualcare PPO/HMO/WC	$7.50

HEPARIN 1000U/ML INJ 10ML DIAL

Facility

$60.90

Service Code	HCPCS J1644
Hospital Charge Code	60627509
Hospital Revenue Code	636
Min. Negotiated Rate	$0.22
Max. Negotiated Rate	$18.27
Rate for Payer: Aetna Commercial	$18.27
Rate for Payer: Aetna Medicare Advantage	$18.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.53
Rate for Payer: Cigna Commercial	$0.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.74
Rate for Payer: Qualcare PPO/HMO/WC	$9.13

HEPARIN 1000U/ML INJ 10ML DIAL

Facility

$60.90

Service Code	HCPCS J1644
Hospital Charge Code	60627509
Hospital Revenue Code	636
Min. Negotiated Rate	$9.13
Max. Negotiated Rate	$14.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.74
Rate for Payer: Qualcare PPO/HMO/WC	$9.13

HEPARIN 1,000 UNITS/500 ML NS

Facility

$32.23

Service Code	HCPCS J1644
Hospital Charge Code	60627508
Hospital Revenue Code	636
Min. Negotiated Rate	$4.83
Max. Negotiated Rate	$7.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.80
Rate for Payer: Qualcare PPO/HMO/WC	$4.83

HEPARIN 1,000 UNITS/500 ML NS

Facility

$32.23

Service Code	HCPCS J1644
Hospital Charge Code	60627508
Hospital Revenue Code	636
Min. Negotiated Rate	$0.22
Max. Negotiated Rate	$9.67
Rate for Payer: Aetna Commercial	$9.67
Rate for Payer: Aetna Medicare Advantage	$9.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.22
Rate for Payer: Cigna Commercial	$0.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.80
Rate for Payer: Qualcare PPO/HMO/WC	$4.83

HEPARIN 100UNITS/500ML NS

Facility

$465.10

Hospital Charge Code	60635870
Hospital Revenue Code	636
Min. Negotiated Rate	$69.77
Max. Negotiated Rate	$112.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$112.55
Rate for Payer: Qualcare PPO/HMO/WC	$69.77

HEPARIN 100UNITS/500ML NS

Facility

$465.10

Hospital Charge Code	60635870
Hospital Revenue Code	636
Min. Negotiated Rate	$69.77
Max. Negotiated Rate	$232.55
Rate for Payer: Aetna Commercial	$139.53
Rate for Payer: Aetna Medicare Advantage	$139.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$118.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$118.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$118.60
Rate for Payer: Cigna Commercial	$232.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$112.55
Rate for Payer: Qualcare PPO/HMO/WC	$69.77

HEPARIN 100 UNITS/ML INJ

Facility

$45.36

Service Code	NDC 409128031
Hospital Charge Code	60627507
Hospital Revenue Code	250
Min. Negotiated Rate	$5.90
Max. Negotiated Rate	$22.68
Rate for Payer: Aetna Commercial	$13.61
Rate for Payer: Aetna Medicare Advantage	$13.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.57
Rate for Payer: Cigna Commercial	$22.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.90
Rate for Payer: Oxford Commercial	$22.68
Rate for Payer: Qualcare PPO/HMO/WC	$6.80
Rate for Payer: UnitedHealthcare Commercial	$22.68

HEPARIN 100 UNITS/ML INJ

Facility

$45.36

Service Code	NDC 409128031
Hospital Charge Code	60627507
Hospital Revenue Code	250
Min. Negotiated Rate	$6.80
Max. Negotiated Rate	$6.80
Rate for Payer: Qualcare PPO/HMO/WC	$6.80

HEPARIN 10 UNITS/ML (5 ML)

Facility

$1.70

Hospital Charge Code	60630233
Hospital Revenue Code	636
Min. Negotiated Rate	$0.26
Max. Negotiated Rate	$0.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.41
Rate for Payer: Qualcare PPO/HMO/WC	$0.26

HEPARIN 10 UNITS/ML (5 ML)

Facility

$1.70

Hospital Charge Code	60630233
Hospital Revenue Code	636
Min. Negotiated Rate	$0.26
Max. Negotiated Rate	$0.85
Rate for Payer: Aetna Commercial	$0.51
Rate for Payer: Aetna Medicare Advantage	$0.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.43
Rate for Payer: Cigna Commercial	$0.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.41
Rate for Payer: Qualcare PPO/HMO/WC	$0.26

HEPARIN 10 UNITS/ML INJ

Facility

$4.85

Hospital Charge Code	60628920
Hospital Revenue Code	636
Min. Negotiated Rate	$0.73
Max. Negotiated Rate	$1.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.17
Rate for Payer: Qualcare PPO/HMO/WC	$0.73

Know your out-of-pocket cost for care.

All Charges