Heights University Hospital

All Charges

Charge

Type

Setting

Price

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

BAG FENWALL TRANSFER #4R2014**

Facility

$9.00

Hospital Charge Code	8002545
Hospital Revenue Code	279
Min. Negotiated Rate	$1.17
Max. Negotiated Rate	$4.50
Rate for Payer: Aetna Commercial	$2.70
Rate for Payer: Aetna Medicare Advantage	$2.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.29
Rate for Payer: Cigna Commercial	$4.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.17
Rate for Payer: Oxford Commercial	$4.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.35
Rate for Payer: UnitedHealthcare Commercial	$4.50

BAG FENWALL TRANSFER #4R2014**

Facility

$9.00

Hospital Charge Code	8002545
Hospital Revenue Code	279
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$1.35
Rate for Payer: Qualcare PPO/HMO/WC	$1.35

BAG FENWALL TRANSFER #73232***

Facility

$21.00

Hospital Charge Code	8002537
Hospital Revenue Code	279
Min. Negotiated Rate	$3.15
Max. Negotiated Rate	$3.15
Rate for Payer: Qualcare PPO/HMO/WC	$3.15

BAG FENWALL TRANSFER #73232***

Facility

$21.00

Hospital Charge Code	8002537
Hospital Revenue Code	279
Min. Negotiated Rate	$2.73
Max. Negotiated Rate	$10.50
Rate for Payer: Aetna Commercial	$6.30
Rate for Payer: Aetna Medicare Advantage	$6.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.36
Rate for Payer: Cigna Commercial	$10.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.73
Rate for Payer: Oxford Commercial	$10.50
Rate for Payer: Qualcare PPO/HMO/WC	$3.15
Rate for Payer: UnitedHealthcare Commercial	$10.50

BAG FISTULA BEDSIDE DRAINAGE

Facility

$76.87

Hospital Charge Code	270650467
Hospital Revenue Code	270
Min. Negotiated Rate	$9.99
Max. Negotiated Rate	$38.44
Rate for Payer: Aetna Commercial	$23.06
Rate for Payer: Aetna Medicare Advantage	$23.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.60
Rate for Payer: Cigna Commercial	$38.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.99
Rate for Payer: Oxford Commercial	$38.44
Rate for Payer: Qualcare PPO/HMO/WC	$11.53
Rate for Payer: UnitedHealthcare Commercial	$38.44

BAG FISTULA BEDSIDE DRAINAGE

Facility

$76.87

Hospital Charge Code	270650467
Hospital Revenue Code	270
Min. Negotiated Rate	$11.53
Max. Negotiated Rate	$11.53
Rate for Payer: Qualcare PPO/HMO/WC	$11.53

BAG FLATUS

Facility

$16.85

Hospital Charge Code	270300110
Hospital Revenue Code	270
Min. Negotiated Rate	$2.19
Max. Negotiated Rate	$8.43
Rate for Payer: Aetna Commercial	$5.05
Rate for Payer: Aetna Medicare Advantage	$5.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.30
Rate for Payer: Cigna Commercial	$8.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.19
Rate for Payer: Oxford Commercial	$8.43
Rate for Payer: Qualcare PPO/HMO/WC	$2.53
Rate for Payer: UnitedHealthcare Commercial	$8.43

BAG FLATUS

Facility

$16.85

Hospital Charge Code	270300110
Hospital Revenue Code	270
Min. Negotiated Rate	$2.53
Max. Negotiated Rate	$2.53
Rate for Payer: Qualcare PPO/HMO/WC	$2.53

BAG FLEXI SEAL 1638411108

Facility

$26.00

Hospital Charge Code	270663374
Hospital Revenue Code	272
Min. Negotiated Rate	$3.90
Max. Negotiated Rate	$3.90
Rate for Payer: Qualcare PPO/HMO/WC	$3.90

BAG FLEXI SEAL 1638411108

Facility

$26.00

Hospital Charge Code	270663374
Hospital Revenue Code	272
Min. Negotiated Rate	$3.38
Max. Negotiated Rate	$13.00
Rate for Payer: Aetna Commercial	$7.80
Rate for Payer: Aetna Medicare Advantage	$7.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.63
Rate for Payer: Cigna Commercial	$13.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.38
Rate for Payer: Oxford Commercial	$13.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.90
Rate for Payer: UnitedHealthcare Commercial	$13.00

BAG FLUID COLLECTION

Facility

$105.00

Hospital Charge Code	270676561
Hospital Revenue Code	272
Min. Negotiated Rate	$15.75
Max. Negotiated Rate	$15.75
Rate for Payer: Qualcare PPO/HMO/WC	$15.75

BAG FLUID COLLECTION

Facility

$105.00

Hospital Charge Code	270676561
Hospital Revenue Code	272
Min. Negotiated Rate	$13.65
Max. Negotiated Rate	$52.50
Rate for Payer: Aetna Commercial	$31.50
Rate for Payer: Aetna Medicare Advantage	$31.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.77
Rate for Payer: Cigna Commercial	$52.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.65
Rate for Payer: Oxford Commercial	$52.50
Rate for Payer: Qualcare PPO/HMO/WC	$15.75
Rate for Payer: UnitedHealthcare Commercial	$52.50

BAG HOT OR COLD

Facility

$5.60

Hospital Charge Code	270651490
Hospital Revenue Code	270
Min. Negotiated Rate	$0.84
Max. Negotiated Rate	$0.84
Rate for Payer: Qualcare PPO/HMO/WC	$0.84

BAG HOT OR COLD

Facility

$5.60

Hospital Charge Code	270651490
Hospital Revenue Code	270
Min. Negotiated Rate	$0.73
Max. Negotiated Rate	$2.80
Rate for Payer: Aetna Commercial	$1.68
Rate for Payer: Aetna Medicare Advantage	$1.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.43
Rate for Payer: Cigna Commercial	$2.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.73
Rate for Payer: Oxford Commercial	$2.80
Rate for Payer: Qualcare PPO/HMO/WC	$0.84
Rate for Payer: UnitedHealthcare Commercial	$2.80

BAG HOT WATER DISP***

Facility

$15.00

Hospital Charge Code	8003030
Hospital Revenue Code	279
Min. Negotiated Rate	$2.25
Max. Negotiated Rate	$2.25
Rate for Payer: Qualcare PPO/HMO/WC	$2.25

BAG HOT WATER DISP***

Facility

$15.00

Hospital Charge Code	8003030
Hospital Revenue Code	279
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$7.50
Rate for Payer: Aetna Commercial	$4.50
Rate for Payer: Aetna Medicare Advantage	$4.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.83
Rate for Payer: Cigna Commercial	$7.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.95
Rate for Payer: Oxford Commercial	$7.50
Rate for Payer: Qualcare PPO/HMO/WC	$2.25
Rate for Payer: UnitedHealthcare Commercial	$7.50

BAG INFANT CPR LF CUSHION MASK

Facility

$50.37

Hospital Charge Code	270650480
Hospital Revenue Code	270
Min. Negotiated Rate	$6.55
Max. Negotiated Rate	$25.18
Rate for Payer: Aetna Commercial	$15.11
Rate for Payer: Aetna Medicare Advantage	$15.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.84
Rate for Payer: Cigna Commercial	$25.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.55
Rate for Payer: Oxford Commercial	$25.18
Rate for Payer: Qualcare PPO/HMO/WC	$7.56
Rate for Payer: UnitedHealthcare Commercial	$25.18

BAG INFANT CPR LF CUSHION MASK

Facility

$50.37

Hospital Charge Code	270650480
Hospital Revenue Code	270
Min. Negotiated Rate	$7.56
Max. Negotiated Rate	$7.56
Rate for Payer: Qualcare PPO/HMO/WC	$7.56

BAG KANGAROO****

Facility

$70.00

Hospital Charge Code	8000804
Hospital Revenue Code	279
Min. Negotiated Rate	$9.10
Max. Negotiated Rate	$35.00
Rate for Payer: Aetna Commercial	$21.00
Rate for Payer: Aetna Medicare Advantage	$21.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.85
Rate for Payer: Cigna Commercial	$35.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.10
Rate for Payer: Oxford Commercial	$35.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.50
Rate for Payer: UnitedHealthcare Commercial	$35.00

BAG KANGAROO****

Facility

$70.00

Hospital Charge Code	8000804
Hospital Revenue Code	279
Min. Negotiated Rate	$10.50
Max. Negotiated Rate	$10.50
Rate for Payer: Qualcare PPO/HMO/WC	$10.50

BAG LAPSAC 5 X 8

Facility

$243.10

Hospital Charge Code	270667480
Hospital Revenue Code	270
Min. Negotiated Rate	$36.47
Max. Negotiated Rate	$36.47
Rate for Payer: Qualcare PPO/HMO/WC	$36.47

BAG LAPSAC 5 X 8

Facility

$243.10

Hospital Charge Code	270667480
Hospital Revenue Code	270
Min. Negotiated Rate	$31.60
Max. Negotiated Rate	$121.55
Rate for Payer: Aetna Commercial	$72.93
Rate for Payer: Aetna Medicare Advantage	$72.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.99
Rate for Payer: Cigna Commercial	$121.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.60
Rate for Payer: Oxford Commercial	$121.55
Rate for Payer: Qualcare PPO/HMO/WC	$36.47
Rate for Payer: UnitedHealthcare Commercial	$121.55

BAG LAPSAC 8 X 10

Facility

$242.10

Hospital Charge Code	270667481
Hospital Revenue Code	270
Min. Negotiated Rate	$31.47
Max. Negotiated Rate	$121.05
Rate for Payer: Aetna Commercial	$72.63
Rate for Payer: Aetna Medicare Advantage	$72.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.74
Rate for Payer: Cigna Commercial	$121.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.47
Rate for Payer: Oxford Commercial	$121.05
Rate for Payer: Qualcare PPO/HMO/WC	$36.31
Rate for Payer: UnitedHealthcare Commercial	$121.05

BAG LAPSAC 8 X 10

Facility

$242.10

Hospital Charge Code	270667481
Hospital Revenue Code	270
Min. Negotiated Rate	$36.31
Max. Negotiated Rate	$36.31
Rate for Payer: Qualcare PPO/HMO/WC	$36.31

Know your out-of-pocket cost for care.

All Charges