Heights University Hospital

All Charges

Charge

Type

Setting

Price

HUMIDIFIER RM

Facility

$141.65

Hospital Charge Code	8000895
Hospital Revenue Code	270
Min. Negotiated Rate	$21.25
Max. Negotiated Rate	$21.25
Rate for Payer: Qualcare PPO/HMO/WC	$21.25

HUMIDIFIER TYPE 1 HYDROSCOPIC

Facility

$15.30

Hospital Charge Code	270633734
Hospital Revenue Code	270
Min. Negotiated Rate	$2.29
Max. Negotiated Rate	$2.29
Rate for Payer: Qualcare PPO/HMO/WC	$2.29

HUMIDIFIER TYPE 1 HYDROSCOPIC

Facility

$15.30

Hospital Charge Code	270633734
Hospital Revenue Code	270
Min. Negotiated Rate	$1.99
Max. Negotiated Rate	$7.65
Rate for Payer: Aetna Commercial	$4.59
Rate for Payer: Aetna Medicare Advantage	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.90
Rate for Payer: Cigna Commercial	$7.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.99
Rate for Payer: Oxford Commercial	$7.65
Rate for Payer: Qualcare PPO/HMO/WC	$2.29
Rate for Payer: UnitedHealthcare Commercial	$7.65

HUMIDIF OXYG 500ml L.FRE M0352

Facility

$7.50

Hospital Charge Code	270639700
Hospital Revenue Code	270
Min. Negotiated Rate	$0.98
Max. Negotiated Rate	$3.75
Rate for Payer: Aetna Commercial	$2.25
Rate for Payer: Aetna Medicare Advantage	$2.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.91
Rate for Payer: Cigna Commercial	$3.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.98
Rate for Payer: Oxford Commercial	$3.75
Rate for Payer: Qualcare PPO/HMO/WC	$1.12
Rate for Payer: UnitedHealthcare Commercial	$3.75

HUMIDIF OXYG 500ml L.FRE M0352

Facility

$7.50

Hospital Charge Code	270639700
Hospital Revenue Code	270
Min. Negotiated Rate	$1.12
Max. Negotiated Rate	$1.12
Rate for Payer: Qualcare PPO/HMO/WC	$1.12

HUM METAPHYS CMNTLS 135A 7 DEG

Facility

$4,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270686874
Hospital Revenue Code	278
Min. Negotiated Rate	$600.00
Max. Negotiated Rate	$2,000.00
Rate for Payer: Aetna Commercial	$1,200.00
Rate for Payer: Aetna Medicare Advantage	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,020.00
Rate for Payer: Cigna Commercial	$2,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$968.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00

HUM METAPHYS CMNTLS 135A 7 DEG

Facility

$4,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270686874
Hospital Revenue Code	278
Min. Negotiated Rate	$600.00
Max. Negotiated Rate	$968.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$968.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00

HUM STEM TA6V 12 CEMENTLESS

Facility

$15,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270692129
Hospital Revenue Code	278
Min. Negotiated Rate	$2,325.00
Max. Negotiated Rate	$3,751.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,751.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,325.00

HUM STEM TA6V 12 CEMENTLESS

Facility

$15,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270692129
Hospital Revenue Code	278
Min. Negotiated Rate	$2,325.00
Max. Negotiated Rate	$7,750.00
Rate for Payer: Aetna Commercial	$4,650.00
Rate for Payer: Aetna Medicare Advantage	$4,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,952.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,952.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,952.50
Rate for Payer: Cigna Commercial	$7,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,751.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,325.00

HUM SYSTEM T2 PROX 08X260MM

Facility

$13,075.00

Hospital Charge Code	270648814
Hospital Revenue Code	278
Min. Negotiated Rate	$1,961.25
Max. Negotiated Rate	$3,164.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,615.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,164.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,961.25

HUM SYSTEM T2 PROX 08X260MM

Facility

$13,075.00

Hospital Charge Code	270648814
Hospital Revenue Code	278
Min. Negotiated Rate	$1,961.25
Max. Negotiated Rate	$6,537.50
Rate for Payer: Cigna Commercial	$6,537.50
Rate for Payer: Aetna Commercial	$3,922.50
Rate for Payer: Aetna Medicare Advantage	$3,922.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,334.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,334.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,615.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,334.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,164.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,961.25

HUMULIN 70/30/100U/1ML

Facility

$39.00

Hospital Charge Code	60633099
Hospital Revenue Code	250
Min. Negotiated Rate	$5.07
Max. Negotiated Rate	$19.50
Rate for Payer: Aetna Commercial	$11.70
Rate for Payer: Aetna Medicare Advantage	$11.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.95
Rate for Payer: Cigna Commercial	$19.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.07
Rate for Payer: Oxford Commercial	$19.50
Rate for Payer: Qualcare PPO/HMO/WC	$5.85
Rate for Payer: UnitedHealthcare Commercial	$19.50

HUMULIN 70/30/100U/1ML

Facility

$39.00

Hospital Charge Code	60633099
Hospital Revenue Code	250
Min. Negotiated Rate	$5.85
Max. Negotiated Rate	$5.85
Rate for Payer: Qualcare PPO/HMO/WC	$5.85

HUMULIN L INSULIN

Facility

$41.00

Hospital Charge Code	60634522
Hospital Revenue Code	250
Min. Negotiated Rate	$5.33
Max. Negotiated Rate	$20.50
Rate for Payer: Aetna Commercial	$12.30
Rate for Payer: Aetna Medicare Advantage	$12.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.46
Rate for Payer: Cigna Commercial	$20.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.33
Rate for Payer: Oxford Commercial	$20.50
Rate for Payer: Qualcare PPO/HMO/WC	$6.15
Rate for Payer: UnitedHealthcare Commercial	$20.50

HUMULIN L INSULIN

Facility

$41.00

Hospital Charge Code	60634522
Hospital Revenue Code	250
Min. Negotiated Rate	$6.15
Max. Negotiated Rate	$6.15
Rate for Payer: Qualcare PPO/HMO/WC	$6.15

HUMULIN N/100U/1ML

Facility

$39.00

Hospital Charge Code	60633096
Hospital Revenue Code	250
Min. Negotiated Rate	$5.85
Max. Negotiated Rate	$5.85
Rate for Payer: Qualcare PPO/HMO/WC	$5.85

HUMULIN N/100U/1ML

Facility

$39.00

Hospital Charge Code	60633096
Hospital Revenue Code	250
Min. Negotiated Rate	$5.07
Max. Negotiated Rate	$19.50
Rate for Payer: Aetna Commercial	$11.70
Rate for Payer: Aetna Medicare Advantage	$11.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.95
Rate for Payer: Cigna Commercial	$19.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.07
Rate for Payer: Oxford Commercial	$19.50
Rate for Payer: Qualcare PPO/HMO/WC	$5.85
Rate for Payer: UnitedHealthcare Commercial	$19.50

HUMULIN R/100U/1ML

Facility

$43.00

Hospital Charge Code	60633097
Hospital Revenue Code	250
Min. Negotiated Rate	$5.59
Max. Negotiated Rate	$21.50
Rate for Payer: Aetna Commercial	$12.90
Rate for Payer: Aetna Medicare Advantage	$12.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.96
Rate for Payer: Cigna Commercial	$21.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.59
Rate for Payer: Oxford Commercial	$21.50
Rate for Payer: Qualcare PPO/HMO/WC	$6.45
Rate for Payer: UnitedHealthcare Commercial	$21.50

HUMULIN R/100U/1ML

Facility

$43.00

Hospital Charge Code	60633097
Hospital Revenue Code	250
Min. Negotiated Rate	$6.45
Max. Negotiated Rate	$6.45
Rate for Payer: Qualcare PPO/HMO/WC	$6.45

HUMULIN R 100U/ML 10ML VIAL

Facility

$267.65

Hospital Charge Code	606390570
Hospital Revenue Code	250
Min. Negotiated Rate	$40.15
Max. Negotiated Rate	$40.15
Rate for Payer: Qualcare PPO/HMO/WC	$40.15

HUMULIN R 100U/ML 10ML VIAL

Facility

$267.65

Hospital Charge Code	606390570
Hospital Revenue Code	250
Min. Negotiated Rate	$34.79
Max. Negotiated Rate	$133.82
Rate for Payer: Aetna Commercial	$80.30
Rate for Payer: Aetna Medicare Advantage	$80.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.25
Rate for Payer: Cigna Commercial	$133.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.79
Rate for Payer: Oxford Commercial	$133.82
Rate for Payer: Qualcare PPO/HMO/WC	$40.15
Rate for Payer: UnitedHealthcare Commercial	$133.82

HUMULIN R (U100)

Facility

$80.65

Hospital Charge Code	6008338
Hospital Revenue Code	250
Min. Negotiated Rate	$10.48
Max. Negotiated Rate	$40.33
Rate for Payer: Aetna Commercial	$24.20
Rate for Payer: Aetna Medicare Advantage	$24.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.57
Rate for Payer: Cigna Commercial	$40.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.48
Rate for Payer: Oxford Commercial	$40.33
Rate for Payer: Qualcare PPO/HMO/WC	$12.10
Rate for Payer: UnitedHealthcare Commercial	$40.33

HUMULIN R (U100)

Facility

$80.65

Hospital Charge Code	6008338
Hospital Revenue Code	250
Min. Negotiated Rate	$12.10
Max. Negotiated Rate	$12.10
Rate for Payer: Qualcare PPO/HMO/WC	$12.10

HUMULIN U HI-610 ULTRALEN

Facility

$89.00

Hospital Charge Code	60633098
Hospital Revenue Code	250
Min. Negotiated Rate	$13.35
Max. Negotiated Rate	$13.35
Rate for Payer: Qualcare PPO/HMO/WC	$13.35

HUMULIN U HI-610 ULTRALEN

Facility

$89.00

Hospital Charge Code	60633098
Hospital Revenue Code	250
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

Know your out-of-pocket cost for care.

All Charges