Heights University Hospital

All Charges

Charge

Type

Setting

Price

MITOXANTRONE INJ 30MG

Facility

$3,836.20

Hospital Charge Code	6017149
Hospital Revenue Code	636
Min. Negotiated Rate	$575.43
Max. Negotiated Rate	$928.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$928.36
Rate for Payer: Qualcare PPO/HMO/WC	$575.43

MITOXANTRONE INJ 30MG

Facility

$3,836.20

Hospital Charge Code	6017149
Hospital Revenue Code	636
Min. Negotiated Rate	$575.43
Max. Negotiated Rate	$1,918.10
Rate for Payer: Qualcare PPO/HMO/WC	$575.43
Rate for Payer: Aetna Commercial	$1,150.86
Rate for Payer: Aetna Medicare Advantage	$1,150.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$978.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$978.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$978.23
Rate for Payer: Cigna Commercial	$1,918.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$928.36

MITTEN FINGER & HAND PADDED

Facility

$83.55

Hospital Charge Code	270652202
Hospital Revenue Code	271
Min. Negotiated Rate	$12.53
Max. Negotiated Rate	$12.53
Rate for Payer: Qualcare PPO/HMO/WC	$12.53

MITTEN FINGER & HAND PADDED

Facility

$83.55

Hospital Charge Code	270652202
Hospital Revenue Code	271
Min. Negotiated Rate	$10.86
Max. Negotiated Rate	$41.77
Rate for Payer: Aetna Commercial	$25.07
Rate for Payer: Aetna Medicare Advantage	$25.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.31
Rate for Payer: Cigna Commercial	$41.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.86
Rate for Payer: Oxford Commercial	$41.77
Rate for Payer: Qualcare PPO/HMO/WC	$12.53
Rate for Payer: UnitedHealthcare Commercial	$41.77

MITT LOOK EASY

Facility

$52.11

Hospital Charge Code	270649615
Hospital Revenue Code	272
Min. Negotiated Rate	$6.77
Max. Negotiated Rate	$26.05
Rate for Payer: Aetna Commercial	$15.63
Rate for Payer: Aetna Medicare Advantage	$15.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.29
Rate for Payer: Cigna Commercial	$26.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.77
Rate for Payer: Oxford Commercial	$26.05
Rate for Payer: Qualcare PPO/HMO/WC	$7.82
Rate for Payer: UnitedHealthcare Commercial	$26.05

MITT LOOK EASY

Facility

$52.11

Hospital Charge Code	270649615
Hospital Revenue Code	272
Min. Negotiated Rate	$7.82
Max. Negotiated Rate	$7.82
Rate for Payer: Qualcare PPO/HMO/WC	$7.82

MITTS FINGER CNTRL POSEY 2816

Facility

$124.85

Hospital Charge Code	270613229
Hospital Revenue Code	270
Min. Negotiated Rate	$16.23
Max. Negotiated Rate	$62.42
Rate for Payer: Aetna Commercial	$37.45
Rate for Payer: Aetna Medicare Advantage	$37.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.84
Rate for Payer: Cigna Commercial	$62.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.23
Rate for Payer: Oxford Commercial	$62.42
Rate for Payer: Qualcare PPO/HMO/WC	$18.73
Rate for Payer: UnitedHealthcare Commercial	$62.42

MITTS FINGER CNTRL POSEY 2816

Facility

$124.85

Hospital Charge Code	270613229
Hospital Revenue Code	270
Min. Negotiated Rate	$18.73
Max. Negotiated Rate	$18.73
Rate for Payer: Qualcare PPO/HMO/WC	$18.73

MITTS HAND CONTROL LG

Facility

$72.53

Hospital Charge Code	270301260
Hospital Revenue Code	270
Min. Negotiated Rate	$10.88
Max. Negotiated Rate	$10.88
Rate for Payer: Qualcare PPO/HMO/WC	$10.88

MITTS HAND CONTROL LG

Facility

$72.53

Hospital Charge Code	270301260
Hospital Revenue Code	270
Min. Negotiated Rate	$9.43
Max. Negotiated Rate	$36.27
Rate for Payer: Aetna Commercial	$21.76
Rate for Payer: Aetna Medicare Advantage	$21.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.50
Rate for Payer: Cigna Commercial	$36.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.43
Rate for Payer: Oxford Commercial	$36.27
Rate for Payer: Qualcare PPO/HMO/WC	$10.88
Rate for Payer: UnitedHealthcare Commercial	$36.27

MITY VAC

Facility

$408.85

Hospital Charge Code	1800226
Hospital Revenue Code	270
Min. Negotiated Rate	$53.15
Max. Negotiated Rate	$204.43
Rate for Payer: Aetna Commercial	$122.66
Rate for Payer: Aetna Medicare Advantage	$122.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$104.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$104.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$104.26
Rate for Payer: Cigna Commercial	$204.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.15
Rate for Payer: Oxford Commercial	$204.43
Rate for Payer: Qualcare PPO/HMO/WC	$61.33
Rate for Payer: UnitedHealthcare Commercial	$204.43

MITY VAC

Facility

$408.85

Hospital Charge Code	1800226
Hospital Revenue Code	270
Min. Negotiated Rate	$61.33
Max. Negotiated Rate	$61.33
Rate for Payer: Qualcare PPO/HMO/WC	$61.33

MITY VAC I BELL 10018

Facility

$118.60

Hospital Charge Code	270628624
Hospital Revenue Code	272
Min. Negotiated Rate	$17.79
Max. Negotiated Rate	$17.79
Rate for Payer: Qualcare PPO/HMO/WC	$17.79

MITY VAC I BELL 10018

Facility

$118.60

Hospital Charge Code	270628624
Hospital Revenue Code	272
Min. Negotiated Rate	$15.42
Max. Negotiated Rate	$59.30
Rate for Payer: Aetna Commercial	$35.58
Rate for Payer: Aetna Medicare Advantage	$35.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.24
Rate for Payer: Cigna Commercial	$59.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.42
Rate for Payer: Oxford Commercial	$59.30
Rate for Payer: Qualcare PPO/HMO/WC	$17.79
Rate for Payer: UnitedHealthcare Commercial	$59.30

MITY-VAC VACUUM DEL KIT

Facility

$161.65

Hospital Charge Code	270604798
Hospital Revenue Code	270
Min. Negotiated Rate	$21.01
Max. Negotiated Rate	$80.83
Rate for Payer: Aetna Commercial	$48.49
Rate for Payer: Aetna Medicare Advantage	$48.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.22
Rate for Payer: Cigna Commercial	$80.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.01
Rate for Payer: Oxford Commercial	$80.83
Rate for Payer: Qualcare PPO/HMO/WC	$24.25
Rate for Payer: UnitedHealthcare Commercial	$80.83

MITY-VAC VACUUM DEL KIT

Facility

$161.65

Hospital Charge Code	270604798
Hospital Revenue Code	270
Min. Negotiated Rate	$24.25
Max. Negotiated Rate	$24.25
Rate for Payer: Qualcare PPO/HMO/WC	$24.25

MIVACRON INJ

Facility

$60.00

Hospital Charge Code	60634808
Hospital Revenue Code	250
Min. Negotiated Rate	$9.00
Max. Negotiated Rate	$9.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00

MIVACRON INJ

Facility

$60.00

Hospital Charge Code	60634808
Hospital Revenue Code	250
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$30.00
Rate for Payer: Aetna Commercial	$18.00
Rate for Payer: Aetna Medicare Advantage	$18.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.30
Rate for Payer: Cigna Commercial	$30.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.80
Rate for Payer: Oxford Commercial	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00
Rate for Payer: UnitedHealthcare Commercial	$30.00

MIVACURIUM 2 MG/ML INJ

Facility

$536.00

Hospital Charge Code	60627488
Hospital Revenue Code	250
Min. Negotiated Rate	$69.68
Max. Negotiated Rate	$268.00
Rate for Payer: Aetna Commercial	$160.80
Rate for Payer: Aetna Medicare Advantage	$160.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.68
Rate for Payer: Cigna Commercial	$268.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.68
Rate for Payer: Oxford Commercial	$268.00
Rate for Payer: Qualcare PPO/HMO/WC	$80.40
Rate for Payer: UnitedHealthcare Commercial	$268.00

MIVACURIUM 2 MG/ML INJ

Facility

$536.00

Hospital Charge Code	60627488
Hospital Revenue Code	250
Min. Negotiated Rate	$80.40
Max. Negotiated Rate	$80.40
Rate for Payer: Qualcare PPO/HMO/WC	$80.40

MIVACURIUM INJ 10M/5ML

Facility

$70.40

Hospital Charge Code	6017602
Hospital Revenue Code	250
Min. Negotiated Rate	$9.15
Max. Negotiated Rate	$35.20
Rate for Payer: Aetna Commercial	$21.12
Rate for Payer: Aetna Medicare Advantage	$21.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.95
Rate for Payer: Cigna Commercial	$35.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.15
Rate for Payer: Oxford Commercial	$35.20
Rate for Payer: Qualcare PPO/HMO/WC	$10.56
Rate for Payer: UnitedHealthcare Commercial	$35.20

MIVACURIUM INJ 10M/5ML

Facility

$70.40

Hospital Charge Code	6017602
Hospital Revenue Code	250
Min. Negotiated Rate	$10.56
Max. Negotiated Rate	$10.56
Rate for Payer: Qualcare PPO/HMO/WC	$10.56

MIVRACON 10MG INJ

Facility

$95.00

Hospital Charge Code	60635146
Hospital Revenue Code	250
Min. Negotiated Rate	$12.35
Max. Negotiated Rate	$47.50
Rate for Payer: Aetna Commercial	$28.50
Rate for Payer: Aetna Medicare Advantage	$28.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.23
Rate for Payer: Cigna Commercial	$47.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.35
Rate for Payer: Oxford Commercial	$47.50
Rate for Payer: Qualcare PPO/HMO/WC	$14.25
Rate for Payer: UnitedHealthcare Commercial	$47.50

MIVRACON 10MG INJ

Facility

$95.00

Hospital Charge Code	60635146
Hospital Revenue Code	250
Min. Negotiated Rate	$14.25
Max. Negotiated Rate	$14.25
Rate for Payer: Qualcare PPO/HMO/WC	$14.25

MIXER KYPHON

Facility

$352.00

Hospital Charge Code	270636044N
Hospital Revenue Code	272
Min. Negotiated Rate	$52.80
Max. Negotiated Rate	$52.80
Rate for Payer: Qualcare PPO/HMO/WC	$52.80

Know your out-of-pocket cost for care.

All Charges