Heights University Hospital

All Charges

Charge

Type

Setting

Price

BAG ASPIRA DRAINAGE 4992301

Facility

$161.90

Hospital Charge Code	270649130
Hospital Revenue Code	272
Min. Negotiated Rate	$21.05
Max. Negotiated Rate	$80.95
Rate for Payer: Aetna Commercial	$48.57
Rate for Payer: Aetna Medicare Advantage	$48.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.28
Rate for Payer: Cigna Commercial	$80.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.05
Rate for Payer: Oxford Commercial	$80.95
Rate for Payer: Qualcare PPO/HMO/WC	$24.29
Rate for Payer: UnitedHealthcare Commercial	$80.95

BAG ASPIRA DRAINAGE 4992301

Facility

$161.90

Hospital Charge Code	270649130
Hospital Revenue Code	272
Min. Negotiated Rate	$24.29
Max. Negotiated Rate	$24.29
Rate for Payer: Qualcare PPO/HMO/WC	$24.29

BAG BAND CIRCLR 127cm 2226010H

Facility

$12.08

Hospital Charge Code	270628461
Hospital Revenue Code	272
Min. Negotiated Rate	$1.81
Max. Negotiated Rate	$1.81
Rate for Payer: Qualcare PPO/HMO/WC	$1.81

BAG BAND CIRCLR 127cm 2226010H

Facility

$12.08

Hospital Charge Code	270628461
Hospital Revenue Code	272
Min. Negotiated Rate	$1.57
Max. Negotiated Rate	$6.04
Rate for Payer: Aetna Commercial	$3.62
Rate for Payer: Aetna Medicare Advantage	$3.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.08
Rate for Payer: Cigna Commercial	$6.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.57
Rate for Payer: Oxford Commercial	$6.04
Rate for Payer: Qualcare PPO/HMO/WC	$1.81
Rate for Payer: UnitedHealthcare Commercial	$6.04

BAG BANDED CIRCULAR 127cm

Facility

$9.50

Hospital Charge Code	270637194
Hospital Revenue Code	272
Min. Negotiated Rate	$1.24
Max. Negotiated Rate	$4.75
Rate for Payer: Aetna Commercial	$2.85
Rate for Payer: Aetna Medicare Advantage	$2.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.42
Rate for Payer: Cigna Commercial	$4.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.24
Rate for Payer: Oxford Commercial	$4.75
Rate for Payer: Qualcare PPO/HMO/WC	$1.43
Rate for Payer: UnitedHealthcare Commercial	$4.75

BAG BANDED CIRCULAR 127cm

Facility

$9.50

Hospital Charge Code	270637194
Hospital Revenue Code	272
Min. Negotiated Rate	$1.43
Max. Negotiated Rate	$1.43
Rate for Payer: Qualcare PPO/HMO/WC	$1.43

BAG BECKER DRAINAGE EDMS

Facility

$216.00

Hospital Charge Code	270670473
Hospital Revenue Code	272
Min. Negotiated Rate	$32.40
Max. Negotiated Rate	$32.40
Rate for Payer: Qualcare PPO/HMO/WC	$32.40

BAG BECKER DRAINAGE EDMS

Facility

$216.00

Hospital Charge Code	270670473
Hospital Revenue Code	272
Min. Negotiated Rate	$28.08
Max. Negotiated Rate	$108.00
Rate for Payer: Aetna Commercial	$64.80
Rate for Payer: Aetna Medicare Advantage	$64.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55.08
Rate for Payer: Cigna Commercial	$108.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.08
Rate for Payer: Oxford Commercial	$108.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.40
Rate for Payer: UnitedHealthcare Commercial	$108.00

BAG BE DBL CONTRAST

Facility

$70.82

Hospital Charge Code	270608810
Hospital Revenue Code	270
Min. Negotiated Rate	$9.21
Max. Negotiated Rate	$35.41
Rate for Payer: Aetna Commercial	$21.25
Rate for Payer: Aetna Medicare Advantage	$21.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.06
Rate for Payer: Cigna Commercial	$35.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.21
Rate for Payer: Oxford Commercial	$35.41
Rate for Payer: Qualcare PPO/HMO/WC	$10.62
Rate for Payer: UnitedHealthcare Commercial	$35.41

BAG BE DBL CONTRAST

Facility

$70.82

Hospital Charge Code	270608810
Hospital Revenue Code	270
Min. Negotiated Rate	$10.62
Max. Negotiated Rate	$10.62
Rate for Payer: Qualcare PPO/HMO/WC	$10.62

BAG BELT F/INFUSOR PUMP

Facility

$48.60

Hospital Charge Code	270638220
Hospital Revenue Code	270
Min. Negotiated Rate	$7.29
Max. Negotiated Rate	$7.29
Rate for Payer: Qualcare PPO/HMO/WC	$7.29

BAG BELT F/INFUSOR PUMP

Facility

$48.60

Hospital Charge Code	270638220
Hospital Revenue Code	270
Min. Negotiated Rate	$6.32
Max. Negotiated Rate	$24.30
Rate for Payer: Aetna Commercial	$14.58
Rate for Payer: Aetna Medicare Advantage	$14.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.39
Rate for Payer: Cigna Commercial	$24.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.32
Rate for Payer: Oxford Commercial	$24.30
Rate for Payer: Qualcare PPO/HMO/WC	$7.29
Rate for Payer: UnitedHealthcare Commercial	$24.30

BAG BILE

Facility

$28.24

Hospital Charge Code	270300090
Hospital Revenue Code	270
Min. Negotiated Rate	$4.24
Max. Negotiated Rate	$4.24
Rate for Payer: Qualcare PPO/HMO/WC	$4.24

BAG BILE

Facility

$28.24

Hospital Charge Code	270300090
Hospital Revenue Code	270
Min. Negotiated Rate	$3.67
Max. Negotiated Rate	$14.12
Rate for Payer: Aetna Commercial	$8.47
Rate for Payer: Aetna Medicare Advantage	$8.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.20
Rate for Payer: Cigna Commercial	$14.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.67
Rate for Payer: Oxford Commercial	$14.12
Rate for Payer: Qualcare PPO/HMO/WC	$4.24
Rate for Payer: UnitedHealthcare Commercial	$14.12

BAG BILE****

Facility

$34.00

Hospital Charge Code	8000135
Hospital Revenue Code	279
Min. Negotiated Rate	$4.42
Max. Negotiated Rate	$17.00
Rate for Payer: Aetna Commercial	$10.20
Rate for Payer: Aetna Medicare Advantage	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.67
Rate for Payer: Cigna Commercial	$17.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.42
Rate for Payer: Oxford Commercial	$17.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.10
Rate for Payer: UnitedHealthcare Commercial	$17.00

BAG BILE****

Facility

$34.00

Hospital Charge Code	8000135
Hospital Revenue Code	279
Min. Negotiated Rate	$5.10
Max. Negotiated Rate	$5.10
Rate for Payer: Qualcare PPO/HMO/WC	$5.10

BAG BIOHAZARD SPECIMEN 6x9

Facility

$0.16

Hospital Charge Code	270650404
Hospital Revenue Code	270
Min. Negotiated Rate	$0.02
Max. Negotiated Rate	$0.08
Rate for Payer: Aetna Commercial	$0.05
Rate for Payer: Aetna Medicare Advantage	$0.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.04
Rate for Payer: Cigna Commercial	$0.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.02
Rate for Payer: Oxford Commercial	$0.08
Rate for Payer: Qualcare PPO/HMO/WC	$0.02
Rate for Payer: UnitedHealthcare Commercial	$0.08

BAG BIOHAZARD SPECIMEN 6x9

Facility

$0.16

Hospital Charge Code	270650404
Hospital Revenue Code	270
Min. Negotiated Rate	$0.02
Max. Negotiated Rate	$0.02
Rate for Payer: Qualcare PPO/HMO/WC	$0.02

BAG BIOHAZARD STAT SPEC 6x9

Facility

$0.17

Hospital Charge Code	270650405
Hospital Revenue Code	270
Min. Negotiated Rate	$0.03
Max. Negotiated Rate	$0.03
Rate for Payer: Qualcare PPO/HMO/WC	$0.03

BAG BIOHAZARD STAT SPEC 6x9

Facility

$0.17

Hospital Charge Code	270650405
Hospital Revenue Code	270
Min. Negotiated Rate	$0.02
Max. Negotiated Rate	$0.09
Rate for Payer: Aetna Commercial	$0.05
Rate for Payer: Aetna Medicare Advantage	$0.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.04
Rate for Payer: Cigna Commercial	$0.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.02
Rate for Payer: Oxford Commercial	$0.09
Rate for Payer: Qualcare PPO/HMO/WC	$0.03
Rate for Payer: UnitedHealthcare Commercial	$0.09

BAG BLOOD COLLECTION TERUMO

Facility

$43.25

Hospital Charge Code	270603461
Hospital Revenue Code	272
Min. Negotiated Rate	$5.62
Max. Negotiated Rate	$21.62
Rate for Payer: Aetna Commercial	$12.97
Rate for Payer: Aetna Medicare Advantage	$12.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.03
Rate for Payer: Cigna Commercial	$21.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.62
Rate for Payer: Oxford Commercial	$21.62
Rate for Payer: Qualcare PPO/HMO/WC	$6.49
Rate for Payer: UnitedHealthcare Commercial	$21.62

BAG BLOOD COLLECTION TERUMO

Facility

$43.25

Hospital Charge Code	270603461
Hospital Revenue Code	272
Min. Negotiated Rate	$6.49
Max. Negotiated Rate	$6.49
Rate for Payer: Qualcare PPO/HMO/WC	$6.49

BAG BONGORT MAXI****

Facility

$245.00

Hospital Charge Code	8001323
Hospital Revenue Code	279
Min. Negotiated Rate	$36.75
Max. Negotiated Rate	$36.75
Rate for Payer: Qualcare PPO/HMO/WC	$36.75

BAG BONGORT MAXI****

Facility

$245.00

Hospital Charge Code	8001323
Hospital Revenue Code	279
Min. Negotiated Rate	$31.85
Max. Negotiated Rate	$122.50
Rate for Payer: Aetna Commercial	$73.50
Rate for Payer: Aetna Medicare Advantage	$73.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.48
Rate for Payer: Cigna Commercial	$122.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.85
Rate for Payer: Oxford Commercial	$122.50
Rate for Payer: Qualcare PPO/HMO/WC	$36.75
Rate for Payer: UnitedHealthcare Commercial	$122.50

BAG BONGORT PEDS****

Facility

$165.00

Hospital Charge Code	8001307
Hospital Revenue Code	279
Min. Negotiated Rate	$24.75
Max. Negotiated Rate	$24.75
Rate for Payer: Qualcare PPO/HMO/WC	$24.75

Know your out-of-pocket cost for care.

All Charges