Heights University Hospital

All Charges

Charge

Type

Setting

Price

BAG DRAINAGE DEPORT 600ml

Facility

$46.50

Hospital Charge Code	270651482S
Hospital Revenue Code	272
Min. Negotiated Rate	$6.97
Max. Negotiated Rate	$6.97
Rate for Payer: Qualcare PPO/HMO/WC	$6.97

BAG DRAINAGE DEPORT 600ml

Facility

$46.50

Hospital Charge Code	270651482
Hospital Revenue Code	272
Min. Negotiated Rate	$6.97
Max. Negotiated Rate	$6.97
Rate for Payer: Qualcare PPO/HMO/WC	$6.97

BAG DRAINAGE DEPORT 600ml

Facility

$46.50

Hospital Charge Code	270651482N
Hospital Revenue Code	272
Min. Negotiated Rate	$6.97
Max. Negotiated Rate	$6.97
Rate for Payer: Qualcare PPO/HMO/WC	$6.97

BAG DRAINAGE DEPORT 600ml

Facility

$46.50

Hospital Charge Code	270651482N
Hospital Revenue Code	272
Min. Negotiated Rate	$6.04
Max. Negotiated Rate	$23.25
Rate for Payer: Aetna Commercial	$13.95
Rate for Payer: Aetna Medicare Advantage	$13.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.86
Rate for Payer: Cigna Commercial	$23.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.04
Rate for Payer: Oxford Commercial	$23.25
Rate for Payer: Qualcare PPO/HMO/WC	$6.97
Rate for Payer: UnitedHealthcare Commercial	$23.25

BAG DRAINAGE SYS UROL U2-033

Facility

$105.65

Hospital Charge Code	270601247
Hospital Revenue Code	272
Min. Negotiated Rate	$15.85
Max. Negotiated Rate	$15.85
Rate for Payer: Qualcare PPO/HMO/WC	$15.85

BAG DRAINAGE SYS UROL U2-033

Facility

$105.65

Hospital Charge Code	270601247
Hospital Revenue Code	272
Min. Negotiated Rate	$13.73
Max. Negotiated Rate	$52.83
Rate for Payer: Aetna Commercial	$31.70
Rate for Payer: Aetna Medicare Advantage	$31.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.94
Rate for Payer: Cigna Commercial	$52.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.73
Rate for Payer: Oxford Commercial	$52.83
Rate for Payer: Qualcare PPO/HMO/WC	$15.85
Rate for Payer: UnitedHealthcare Commercial	$52.83

BAG DRAINAGE URINARY

Facility

$19.37

Hospital Charge Code	270651484
Hospital Revenue Code	270
Min. Negotiated Rate	$2.52
Max. Negotiated Rate	$9.69
Rate for Payer: Aetna Commercial	$5.81
Rate for Payer: Aetna Medicare Advantage	$5.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.94
Rate for Payer: Cigna Commercial	$9.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.52
Rate for Payer: Oxford Commercial	$9.69
Rate for Payer: Qualcare PPO/HMO/WC	$2.91
Rate for Payer: UnitedHealthcare Commercial	$9.69

BAG DRAINAGE URINARY

Facility

$19.37

Hospital Charge Code	270651484
Hospital Revenue Code	270
Min. Negotiated Rate	$2.91
Max. Negotiated Rate	$2.91
Rate for Payer: Qualcare PPO/HMO/WC	$2.91

BAG DRAIN FOLEY CLODES

Facility

$18.20

Hospital Charge Code	270650242S
Hospital Revenue Code	272
Min. Negotiated Rate	$2.73
Max. Negotiated Rate	$2.73
Rate for Payer: Qualcare PPO/HMO/WC	$2.73

BAG DRAIN FOLEY CLODES

Facility

$18.20

Hospital Charge Code	270650242S
Hospital Revenue Code	272
Min. Negotiated Rate	$2.37
Max. Negotiated Rate	$9.10
Rate for Payer: Aetna Commercial	$5.46
Rate for Payer: Aetna Medicare Advantage	$5.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.64
Rate for Payer: Cigna Commercial	$9.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.37
Rate for Payer: Oxford Commercial	$9.10
Rate for Payer: Qualcare PPO/HMO/WC	$2.73
Rate for Payer: UnitedHealthcare Commercial	$9.10

BAG DRAIN FOLEY CLOSED

Facility

$18.73

Hospital Charge Code	270650242
Hospital Revenue Code	272
Min. Negotiated Rate	$2.43
Max. Negotiated Rate	$9.37
Rate for Payer: Aetna Commercial	$5.62
Rate for Payer: Aetna Medicare Advantage	$5.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.78
Rate for Payer: Cigna Commercial	$9.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.43
Rate for Payer: Oxford Commercial	$9.37
Rate for Payer: Qualcare PPO/HMO/WC	$2.81
Rate for Payer: UnitedHealthcare Commercial	$9.37

BAG DRAIN FOLEY CLOSED

Facility

$18.73

Hospital Charge Code	270650242
Hospital Revenue Code	272
Min. Negotiated Rate	$2.81
Max. Negotiated Rate	$2.81
Rate for Payer: Qualcare PPO/HMO/WC	$2.81

BAG DRAIN URO FLOW

Facility

$390.00

Hospital Charge Code	270660057A
Hospital Revenue Code	270
Min. Negotiated Rate	$50.70
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$117.00
Rate for Payer: Aetna Medicare Advantage	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.45
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$195.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$195.00

BAG DRAIN URO FLOW

Facility

$390.00

Hospital Charge Code	270660057A
Hospital Revenue Code	270
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

BAG DS ALVEOLAR SAMPLE

Facility

$124.85

Hospital Charge Code	270600615
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

BAG DS ALVEOLAR SAMPLE

Facility

$124.85

Hospital Charge Code	270600615
Hospital Revenue Code	270
Min. Negotiated Rate	$18.73
Max. Negotiated Rate	$18.73
Rate for Payer: Qualcare PPO/HMO/WC	$18.73

BAG EMESIS PLASTIC

Facility

$506.50

Hospital Charge Code	270651485
Hospital Revenue Code	272
Min. Negotiated Rate	$65.84
Max. Negotiated Rate	$253.25
Rate for Payer: Aetna Commercial	$151.95
Rate for Payer: Aetna Medicare Advantage	$151.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$129.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$129.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$129.16
Rate for Payer: Cigna Commercial	$253.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.84
Rate for Payer: Oxford Commercial	$253.25
Rate for Payer: Qualcare PPO/HMO/WC	$75.97
Rate for Payer: UnitedHealthcare Commercial	$253.25

BAG EMESIS PLASTIC

Facility

$506.50

Hospital Charge Code	270651485
Hospital Revenue Code	272
Min. Negotiated Rate	$75.97
Max. Negotiated Rate	$75.97
Rate for Payer: Qualcare PPO/HMO/WC	$75.97

BAG ENDOCATCH 5MM

Facility

$350.00

Hospital Charge Code	270678678
Hospital Revenue Code	272
Min. Negotiated Rate	$52.50
Max. Negotiated Rate	$52.50
Rate for Payer: Qualcare PPO/HMO/WC	$52.50

BAG ENDOCATCH 5MM

Facility

$350.00

Hospital Charge Code	270678678
Hospital Revenue Code	272
Min. Negotiated Rate	$45.50
Max. Negotiated Rate	$175.00
Rate for Payer: Aetna Commercial	$105.00
Rate for Payer: Aetna Medicare Advantage	$105.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.25
Rate for Payer: Cigna Commercial	$175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.50
Rate for Payer: Oxford Commercial	$175.00
Rate for Payer: Qualcare PPO/HMO/WC	$52.50
Rate for Payer: UnitedHealthcare Commercial	$175.00

BAG ENDOPOUCH RETRIEVER SPEC

Facility

$1,251.32

Hospital Charge Code	270661398
Hospital Revenue Code	272
Min. Negotiated Rate	$187.70
Max. Negotiated Rate	$187.70
Rate for Payer: Qualcare PPO/HMO/WC	$187.70

BAG ENDOPOUCH RETRIEVER SPEC

Facility

$1,251.32

Hospital Charge Code	270661398
Hospital Revenue Code	272
Min. Negotiated Rate	$162.67
Max. Negotiated Rate	$625.66
Rate for Payer: Aetna Commercial	$375.40
Rate for Payer: Aetna Medicare Advantage	$375.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$319.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$319.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$319.09
Rate for Payer: Cigna Commercial	$625.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.67
Rate for Payer: Oxford Commercial	$625.66
Rate for Payer: Qualcare PPO/HMO/WC	$187.70
Rate for Payer: UnitedHealthcare Commercial	$625.66

BAG EXACTA EVA 500ml

Facility

$33.47

Hospital Charge Code	270642968
Hospital Revenue Code	270
Min. Negotiated Rate	$5.02
Max. Negotiated Rate	$5.02
Rate for Payer: Qualcare PPO/HMO/WC	$5.02

BAG EXACTA EVA 500ml

Facility

$33.47

Hospital Charge Code	270642968
Hospital Revenue Code	270
Min. Negotiated Rate	$4.35
Max. Negotiated Rate	$16.73
Rate for Payer: Aetna Commercial	$10.04
Rate for Payer: Aetna Medicare Advantage	$10.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.53
Rate for Payer: Cigna Commercial	$16.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.35
Rate for Payer: Oxford Commercial	$16.73
Rate for Payer: Qualcare PPO/HMO/WC	$5.02
Rate for Payer: UnitedHealthcare Commercial	$16.73

BAG FECAL INCONTINENCE

Facility

$54.40

Hospital Charge Code	270628252
Hospital Revenue Code	270
Min. Negotiated Rate	$8.16
Max. Negotiated Rate	$8.16
Rate for Payer: Qualcare PPO/HMO/WC	$8.16

Know your out-of-pocket cost for care.

All Charges