Heights University Hospital

All Charges

Charge

Type

Setting

Price

KOGENATE FS (FACTOR 8) 100 IU/

Facility

$8.91

Service Code	HCPCS J7192
Hospital Charge Code	606394263
Hospital Revenue Code	636
Min. Negotiated Rate	$1.34
Max. Negotiated Rate	$2.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.16
Rate for Payer: Qualcare PPO/HMO/WC	$1.34

KOH PREP

Facility

$33.65

Service Code	HCPCS 87220
Hospital Charge Code	3000205
Hospital Revenue Code	309
Min. Negotiated Rate	$5.05
Max. Negotiated Rate	$5.05
Rate for Payer: Qualcare PPO/HMO/WC	$5.05

KOH PREP

Facility

$33.65

Service Code	HCPCS 87220
Hospital Charge Code	3000205
Hospital Revenue Code	309
Min. Negotiated Rate	$2.13
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$13.83
Rate for Payer: Aetna Medicare Advantage	$4.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.65
Rate for Payer: Cigna Commercial	$4.27
Rate for Payer: Cigna Medicare Advantage	$2.13
Rate for Payer: Clover Medicare Advantage	$4.06
Rate for Payer: EmblemHealth Commercial	$12.81
Rate for Payer: Humana Medicare Advantage	$4.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.37
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.05
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.27
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$4.53
Rate for Payer: Wellcare Medicare Advantage	$4.27

KOH PREP***

Facility

$12.00

Hospital Charge Code	3010204
Hospital Revenue Code	306
Min. Negotiated Rate	$1.80
Max. Negotiated Rate	$1.80
Rate for Payer: Qualcare PPO/HMO/WC	$1.80

KOH PREP***

Facility

$12.00

Hospital Charge Code	3010204
Hospital Revenue Code	306
Min. Negotiated Rate	$1.56
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$3.60
Rate for Payer: Aetna Medicare Advantage	$3.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.06
Rate for Payer: Cigna Commercial	$6.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.56
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$1.80
Rate for Payer: UnitedHealthcare Commercial	$114.00

KOMPREX ORANGE FOAM SM KIDNEY

Facility

$9.75

Hospital Charge Code	270636433
Hospital Revenue Code	271
Min. Negotiated Rate	$1.46
Max. Negotiated Rate	$1.46
Rate for Payer: Qualcare PPO/HMO/WC	$1.46

KOMPREX ORANGE FOAM SM KIDNEY

Facility

$9.75

Hospital Charge Code	270636433
Hospital Revenue Code	271
Min. Negotiated Rate	$1.27
Max. Negotiated Rate	$4.88
Rate for Payer: Aetna Commercial	$2.92
Rate for Payer: Aetna Medicare Advantage	$2.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.49
Rate for Payer: Cigna Commercial	$4.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.27
Rate for Payer: Oxford Commercial	$4.88
Rate for Payer: Qualcare PPO/HMO/WC	$1.46
Rate for Payer: UnitedHealthcare Commercial	$4.88

KONAKION/1MG/0.5ML

Facility

$3.00

Hospital Charge Code	60633252
Hospital Revenue Code	250
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$1.50
Rate for Payer: Aetna Commercial	$0.90
Rate for Payer: Aetna Medicare Advantage	$0.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.77
Rate for Payer: Cigna Commercial	$1.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.39
Rate for Payer: Oxford Commercial	$1.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.45
Rate for Payer: UnitedHealthcare Commercial	$1.50

KONAKION/1MG/0.5ML

Facility

$3.00

Hospital Charge Code	60633252
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

KPHOPAK EXPRESS TRAY FIRST FRA

Facility

$15,203.70

Service Code	HCPCS C1889
Hospital Charge Code	270703704
Hospital Revenue Code	278
Min. Negotiated Rate	$2,280.55
Max. Negotiated Rate	$3,679.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,040.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,679.30
Rate for Payer: Qualcare PPO/HMO/WC	$2,280.55

KPHOPAK EXPRESS TRAY FIRST FRA

Facility

$15,203.70

Service Code	HCPCS C1889
Hospital Charge Code	270703704
Hospital Revenue Code	278
Min. Negotiated Rate	$2,280.55
Max. Negotiated Rate	$7,601.85
Rate for Payer: Aetna Commercial	$4,561.11
Rate for Payer: Aetna Medicare Advantage	$4,561.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,876.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,876.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,040.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,876.94
Rate for Payer: Cigna Commercial	$7,601.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,679.30
Rate for Payer: Qualcare PPO/HMO/WC	$2,280.55

K+ PHOS INJ/3MM/ML/15ML

Facility

$3.00

Hospital Charge Code	60634292
Hospital Revenue Code	250
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$1.50
Rate for Payer: Aetna Commercial	$0.90
Rate for Payer: Aetna Medicare Advantage	$0.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.77
Rate for Payer: Cigna Commercial	$1.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.39
Rate for Payer: Oxford Commercial	$1.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.45
Rate for Payer: UnitedHealthcare Commercial	$1.50

K+ PHOS INJ/3MM/ML/15ML

Facility

$3.00

Hospital Charge Code	60634292
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

K+ PHOS INJ/3MM/ML/5ML

Facility

$3.00

Hospital Charge Code	60634291
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

K+ PHOS INJ/3MM/ML/5ML

Facility

$3.00

Hospital Charge Code	60634291
Hospital Revenue Code	250
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$1.50
Rate for Payer: Aetna Commercial	$0.90
Rate for Payer: Aetna Medicare Advantage	$0.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.77
Rate for Payer: Cigna Commercial	$1.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.39
Rate for Payer: Oxford Commercial	$1.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.45
Rate for Payer: UnitedHealthcare Commercial	$1.50

KREULOCK COMPRESSION SCREW

Facility

$1,519.25

Service Code	HCPCS C1713
Hospital Charge Code	270704868
Hospital Revenue Code	278
Min. Negotiated Rate	$227.89
Max. Negotiated Rate	$759.62
Rate for Payer: Aetna Commercial	$455.77
Rate for Payer: Aetna Medicare Advantage	$455.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$387.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$387.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$387.41
Rate for Payer: Cigna Commercial	$759.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.66
Rate for Payer: Qualcare PPO/HMO/WC	$227.89

KREULOCK COMPRESSION SCREW

Facility

$1,519.25

Service Code	HCPCS C1713
Hospital Charge Code	270704869
Hospital Revenue Code	278
Min. Negotiated Rate	$227.89
Max. Negotiated Rate	$759.62
Rate for Payer: Aetna Commercial	$455.77
Rate for Payer: Aetna Medicare Advantage	$455.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$387.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$387.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$387.41
Rate for Payer: Cigna Commercial	$759.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.66
Rate for Payer: Qualcare PPO/HMO/WC	$227.89

KREULOCK COMPRESSION SCREW

Facility

$1,519.25

Service Code	HCPCS C1713
Hospital Charge Code	270704869
Hospital Revenue Code	278
Min. Negotiated Rate	$227.89
Max. Negotiated Rate	$367.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.66
Rate for Payer: Qualcare PPO/HMO/WC	$227.89

KREULOCK COMPRESSION SCREW

Facility

$1,519.25

Service Code	HCPCS C1713
Hospital Charge Code	270704870
Hospital Revenue Code	278
Min. Negotiated Rate	$227.89
Max. Negotiated Rate	$759.62
Rate for Payer: Aetna Commercial	$455.77
Rate for Payer: Aetna Medicare Advantage	$455.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$387.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$387.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$387.41
Rate for Payer: Cigna Commercial	$759.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.66
Rate for Payer: Qualcare PPO/HMO/WC	$227.89

KREULOCK COMPRESSION SCREW

Facility

$1,519.25

Service Code	HCPCS C1713
Hospital Charge Code	270704867
Hospital Revenue Code	278
Min. Negotiated Rate	$227.89
Max. Negotiated Rate	$367.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.66
Rate for Payer: Qualcare PPO/HMO/WC	$227.89

KREULOCK COMPRESSION SCREW

Facility

$1,519.25

Service Code	HCPCS C1713
Hospital Charge Code	270704867
Hospital Revenue Code	278
Min. Negotiated Rate	$227.89
Max. Negotiated Rate	$759.62
Rate for Payer: Aetna Commercial	$455.77
Rate for Payer: Aetna Medicare Advantage	$455.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$387.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$387.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$387.41
Rate for Payer: Cigna Commercial	$759.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.66
Rate for Payer: Qualcare PPO/HMO/WC	$227.89

KREULOCK COMPRESSION SCREW

Facility

$1,519.25

Service Code	HCPCS C1713
Hospital Charge Code	270704868
Hospital Revenue Code	278
Min. Negotiated Rate	$227.89
Max. Negotiated Rate	$367.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.66
Rate for Payer: Qualcare PPO/HMO/WC	$227.89

KREULOCK COMPRESSION SCREW

Facility

$1,519.25

Service Code	HCPCS C1713
Hospital Charge Code	270704870
Hospital Revenue Code	278
Min. Negotiated Rate	$227.89
Max. Negotiated Rate	$367.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.66
Rate for Payer: Qualcare PPO/HMO/WC	$227.89

KREU LOCK SCREW 2.7X16MM

Facility

$1,520.30

Service Code	HCPCS C1713
Hospital Charge Code	270699398
Hospital Revenue Code	278
Min. Negotiated Rate	$228.04
Max. Negotiated Rate	$367.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$304.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.91
Rate for Payer: Qualcare PPO/HMO/WC	$228.04

KREU LOCK SCREW 2.7X16MM

Facility

$1,520.30

Service Code	HCPCS C1713
Hospital Charge Code	270699398
Hospital Revenue Code	278
Min. Negotiated Rate	$228.04
Max. Negotiated Rate	$760.15
Rate for Payer: Aetna Commercial	$456.09
Rate for Payer: Aetna Medicare Advantage	$456.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$387.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$387.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$304.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$387.68
Rate for Payer: Cigna Commercial	$760.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.91
Rate for Payer: Qualcare PPO/HMO/WC	$228.04

Know your out-of-pocket cost for care.

All Charges