Heights University Hospital

All Charges

Charge

Type

Setting

Price

KIT AMZ DISPOSABLE

Facility

$2,495.00

Hospital Charge Code	270669795
Hospital Revenue Code	272
Min. Negotiated Rate	$324.35
Max. Negotiated Rate	$1,247.50
Rate for Payer: Aetna Commercial	$748.50
Rate for Payer: Aetna Medicare Advantage	$748.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$636.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$636.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$636.23
Rate for Payer: Cigna Commercial	$1,247.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.35
Rate for Payer: Oxford Commercial	$1,247.50
Rate for Payer: Qualcare PPO/HMO/WC	$374.25
Rate for Payer: UnitedHealthcare Commercial	$1,247.50

KIT AMZ DISPOSABLE

Facility

$2,495.00

Hospital Charge Code	270669795
Hospital Revenue Code	272
Min. Negotiated Rate	$374.25
Max. Negotiated Rate	$374.25
Rate for Payer: Qualcare PPO/HMO/WC	$374.25

KIT ANESTH CIR PEDS DYNJAP4003

Facility

$16.35

Hospital Charge Code	270639059
Hospital Revenue Code	272
Min. Negotiated Rate	$2.13
Max. Negotiated Rate	$8.18
Rate for Payer: Aetna Commercial	$4.91
Rate for Payer: Aetna Medicare Advantage	$4.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.17
Rate for Payer: Cigna Commercial	$8.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.13
Rate for Payer: Oxford Commercial	$8.18
Rate for Payer: Qualcare PPO/HMO/WC	$2.45
Rate for Payer: UnitedHealthcare Commercial	$8.18

KIT ANESTH CIR PEDS DYNJAP4003

Facility

$16.35

Hospital Charge Code	270639059
Hospital Revenue Code	272
Min. Negotiated Rate	$2.45
Max. Negotiated Rate	$2.45
Rate for Payer: Qualcare PPO/HMO/WC	$2.45

KIT ANESTHESIA CIRCUIT PEDIAT-

Facility

$31.90

Hospital Charge Code	270637628
Hospital Revenue Code	272
Min. Negotiated Rate	$4.15
Max. Negotiated Rate	$15.95
Rate for Payer: Aetna Commercial	$9.57
Rate for Payer: Aetna Medicare Advantage	$9.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.13
Rate for Payer: Cigna Commercial	$15.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.15
Rate for Payer: Oxford Commercial	$15.95
Rate for Payer: Qualcare PPO/HMO/WC	$4.79
Rate for Payer: UnitedHealthcare Commercial	$15.95

KIT ANESTHESIA CIRCUIT PEDIAT-

Facility

$31.90

Hospital Charge Code	270637628
Hospital Revenue Code	272
Min. Negotiated Rate	$4.79
Max. Negotiated Rate	$4.79
Rate for Payer: Qualcare PPO/HMO/WC	$4.79

KIT ANESTHESIA CIRCUIT W/MASK

Facility

$29.84

Hospital Charge Code	270070051
Hospital Revenue Code	270
Min. Negotiated Rate	$3.88
Max. Negotiated Rate	$14.92
Rate for Payer: Aetna Commercial	$8.95
Rate for Payer: Aetna Medicare Advantage	$8.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.61
Rate for Payer: Cigna Commercial	$14.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.88
Rate for Payer: Oxford Commercial	$14.92
Rate for Payer: Qualcare PPO/HMO/WC	$4.48
Rate for Payer: UnitedHealthcare Commercial	$14.92

KIT ANESTHESIA CIRCUIT W/MASK

Facility

$29.84

Hospital Charge Code	270070051
Hospital Revenue Code	270
Min. Negotiated Rate	$4.48
Max. Negotiated Rate	$4.48
Rate for Payer: Qualcare PPO/HMO/WC	$4.48

KIT ANGEL BLOOD ACCESS

Facility

$375.00

Hospital Charge Code	270676776
Hospital Revenue Code	272
Min. Negotiated Rate	$48.75
Max. Negotiated Rate	$187.50
Rate for Payer: Aetna Commercial	$112.50
Rate for Payer: Aetna Medicare Advantage	$112.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.62
Rate for Payer: Cigna Commercial	$187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.75
Rate for Payer: Oxford Commercial	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$56.25
Rate for Payer: UnitedHealthcare Commercial	$187.50

KIT ANGEL BLOOD ACCESS

Facility

$375.00

Hospital Charge Code	270676776
Hospital Revenue Code	272
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$56.25
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

KIT ANGEL BMC

Facility

$4,900.00

Hospital Charge Code	270676777
Hospital Revenue Code	272
Min. Negotiated Rate	$637.00
Max. Negotiated Rate	$2,450.00
Rate for Payer: Aetna Commercial	$1,470.00
Rate for Payer: Aetna Medicare Advantage	$1,470.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,249.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,249.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,249.50
Rate for Payer: Cigna Commercial	$2,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$637.00
Rate for Payer: Oxford Commercial	$2,450.00
Rate for Payer: Qualcare PPO/HMO/WC	$735.00
Rate for Payer: UnitedHealthcare Commercial	$2,450.00

KIT ANGEL BMC

Facility

$4,900.00

Hospital Charge Code	270676777
Hospital Revenue Code	272
Min. Negotiated Rate	$735.00
Max. Negotiated Rate	$735.00
Rate for Payer: Qualcare PPO/HMO/WC	$735.00

KIT ANGIO 25 MG GREEN IC

Facility

$2,518.00

Hospital Charge Code	270658433
Hospital Revenue Code	272
Min. Negotiated Rate	$377.70
Max. Negotiated Rate	$377.70
Rate for Payer: Qualcare PPO/HMO/WC	$377.70

KIT ANGIO 25 MG GREEN IC

Facility

$2,518.00

Hospital Charge Code	270658433
Hospital Revenue Code	272
Min. Negotiated Rate	$327.34
Max. Negotiated Rate	$1,259.00
Rate for Payer: Aetna Commercial	$755.40
Rate for Payer: Aetna Medicare Advantage	$755.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$642.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$642.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$642.09
Rate for Payer: Cigna Commercial	$1,259.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$327.34
Rate for Payer: Oxford Commercial	$1,259.00
Rate for Payer: Qualcare PPO/HMO/WC	$377.70
Rate for Payer: UnitedHealthcare Commercial	$1,259.00

KIT ANTISEPTIC CHG SKIN/NASAL

Facility

$108.90

Hospital Charge Code	270676889
Hospital Revenue Code	272
Min. Negotiated Rate	$14.16
Max. Negotiated Rate	$54.45
Rate for Payer: Aetna Commercial	$32.67
Rate for Payer: Aetna Medicare Advantage	$32.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.77
Rate for Payer: Cigna Commercial	$54.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.16
Rate for Payer: Oxford Commercial	$54.45
Rate for Payer: Qualcare PPO/HMO/WC	$16.34
Rate for Payer: UnitedHealthcare Commercial	$54.45

KIT ANTISEPTIC CHG SKIN/NASAL

Facility

$108.90

Hospital Charge Code	270676889
Hospital Revenue Code	272
Min. Negotiated Rate	$16.34
Max. Negotiated Rate	$16.34
Rate for Payer: Qualcare PPO/HMO/WC	$16.34

KIT APC

Facility

$3,451.25

Hospital Charge Code	270605358
Hospital Revenue Code	272
Min. Negotiated Rate	$517.69
Max. Negotiated Rate	$517.69
Rate for Payer: Qualcare PPO/HMO/WC	$517.69

KIT APC

Facility

$3,451.25

Hospital Charge Code	270605358
Hospital Revenue Code	272
Min. Negotiated Rate	$448.66
Max. Negotiated Rate	$1,725.62
Rate for Payer: Aetna Commercial	$1,035.38
Rate for Payer: Aetna Medicare Advantage	$1,035.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$880.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$880.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$880.07
Rate for Payer: Cigna Commercial	$1,725.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$448.66
Rate for Payer: Oxford Commercial	$1,725.62
Rate for Payer: Qualcare PPO/HMO/WC	$517.69
Rate for Payer: UnitedHealthcare Commercial	$1,725.62

KIT APHERESIS CLOSE SYS 4R2230

Facility

$1,429.65

Hospital Charge Code	270600828
Hospital Revenue Code	270
Min. Negotiated Rate	$214.45
Max. Negotiated Rate	$214.45
Rate for Payer: Qualcare PPO/HMO/WC	$214.45

KIT APHERESIS CLOSE SYS 4R2230

Facility

$1,429.65

Hospital Charge Code	270600828
Hospital Revenue Code	270
Min. Negotiated Rate	$185.85
Max. Negotiated Rate	$714.83
Rate for Payer: Aetna Commercial	$428.89
Rate for Payer: Aetna Medicare Advantage	$428.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$364.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$364.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$364.56
Rate for Payer: Cigna Commercial	$714.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$185.85
Rate for Payer: Oxford Commercial	$714.83
Rate for Payer: Qualcare PPO/HMO/WC	$214.45
Rate for Payer: UnitedHealthcare Commercial	$714.83

KIT APPLICATOR 800-0250

Facility

$175.00

Hospital Charge Code	270638792
Hospital Revenue Code	272
Min. Negotiated Rate	$22.75
Max. Negotiated Rate	$87.50
Rate for Payer: Aetna Commercial	$52.50
Rate for Payer: Aetna Medicare Advantage	$52.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.62
Rate for Payer: Cigna Commercial	$87.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.75
Rate for Payer: Oxford Commercial	$87.50
Rate for Payer: Qualcare PPO/HMO/WC	$26.25
Rate for Payer: UnitedHealthcare Commercial	$87.50

KIT APPLICATOR 800-0250

Facility

$175.00

Hospital Charge Code	270638792
Hospital Revenue Code	272
Min. Negotiated Rate	$26.25
Max. Negotiated Rate	$26.25
Rate for Payer: Qualcare PPO/HMO/WC	$26.25

KIT AQUAPAK 650ml STERILE H20

Facility

$7.60

Hospital Charge Code	270634580
Hospital Revenue Code	270
Min. Negotiated Rate	$1.14
Max. Negotiated Rate	$1.14
Rate for Payer: Qualcare PPO/HMO/WC	$1.14

KIT AQUAPAK 650ml STERILE H20

Facility

$7.60

Hospital Charge Code	270634580
Hospital Revenue Code	270
Min. Negotiated Rate	$0.99
Max. Negotiated Rate	$3.80
Rate for Payer: Aetna Commercial	$2.28
Rate for Payer: Aetna Medicare Advantage	$2.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.94
Rate for Payer: Cigna Commercial	$3.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.99
Rate for Payer: Oxford Commercial	$3.80
Rate for Payer: Qualcare PPO/HMO/WC	$1.14
Rate for Payer: UnitedHealthcare Commercial	$3.80

KIT ARROW MULTI-LUMEN CVC ****

Facility

$160.00

Hospital Charge Code	8002594
Hospital Revenue Code	279
Min. Negotiated Rate	$24.00
Max. Negotiated Rate	$24.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.00

Know your out-of-pocket cost for care.

All Charges