Heights University Hospital

All Charges

Charge

Type

Setting

Price

BAG PRESSURE INFUSOR 3000ML DI

Facility

$66.63

Hospital Charge Code	270684583
Hospital Revenue Code	272
Min. Negotiated Rate	$8.66
Max. Negotiated Rate	$33.31
Rate for Payer: Aetna Commercial	$19.99
Rate for Payer: Aetna Medicare Advantage	$19.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.99
Rate for Payer: Cigna Commercial	$33.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.66
Rate for Payer: Oxford Commercial	$33.31
Rate for Payer: Qualcare PPO/HMO/WC	$9.99
Rate for Payer: UnitedHealthcare Commercial	$33.31

BAG REINFUSION BAXTER 4R2014

Facility

$30.00

Hospital Charge Code	270637706
Hospital Revenue Code	272
Min. Negotiated Rate	$3.90
Max. Negotiated Rate	$15.00
Rate for Payer: Aetna Commercial	$9.00
Rate for Payer: Aetna Medicare Advantage	$9.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.65
Rate for Payer: Cigna Commercial	$15.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.90
Rate for Payer: Oxford Commercial	$15.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.50
Rate for Payer: UnitedHealthcare Commercial	$15.00

BAG REINFUSION BAXTER 4R2014

Facility

$30.00

Hospital Charge Code	270637706
Hospital Revenue Code	272
Min. Negotiated Rate	$4.50
Max. Negotiated Rate	$4.50
Rate for Payer: Qualcare PPO/HMO/WC	$4.50

BAG REINFUSION SORIN

Facility

$96.25

Hospital Charge Code	270657569
Hospital Revenue Code	272
Min. Negotiated Rate	$14.44
Max. Negotiated Rate	$14.44
Rate for Payer: Qualcare PPO/HMO/WC	$14.44

BAG REINFUSION SORIN

Facility

$96.25

Hospital Charge Code	270657569
Hospital Revenue Code	272
Min. Negotiated Rate	$12.51
Max. Negotiated Rate	$48.12
Rate for Payer: Aetna Commercial	$28.88
Rate for Payer: Aetna Medicare Advantage	$28.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.54
Rate for Payer: Cigna Commercial	$48.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.51
Rate for Payer: Oxford Commercial	$48.12
Rate for Payer: Qualcare PPO/HMO/WC	$14.44
Rate for Payer: UnitedHealthcare Commercial	$48.12

BAG RESERVOIR NONCONDUC

Facility

$119.25

Hospital Charge Code	270600864
Hospital Revenue Code	272
Min. Negotiated Rate	$15.50
Max. Negotiated Rate	$59.62
Rate for Payer: Aetna Commercial	$35.77
Rate for Payer: Aetna Medicare Advantage	$35.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.41
Rate for Payer: Cigna Commercial	$59.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.50
Rate for Payer: Oxford Commercial	$59.62
Rate for Payer: Qualcare PPO/HMO/WC	$17.89
Rate for Payer: UnitedHealthcare Commercial	$59.62

BAG RESERVOIR NONCONDUC

Facility

$119.25

Hospital Charge Code	270600864
Hospital Revenue Code	272
Min. Negotiated Rate	$17.89
Max. Negotiated Rate	$17.89
Rate for Payer: Qualcare PPO/HMO/WC	$17.89

BAG RESUSCITATOR ADULT 5877

Facility

$43.91

Hospital Charge Code	270200045
Hospital Revenue Code	272
Min. Negotiated Rate	$6.59
Max. Negotiated Rate	$6.59
Rate for Payer: Qualcare PPO/HMO/WC	$6.59

BAG RESUSCITATOR ADULT 5877

Facility

$43.91

Hospital Charge Code	270200045
Hospital Revenue Code	272
Min. Negotiated Rate	$5.71
Max. Negotiated Rate	$21.95
Rate for Payer: Aetna Commercial	$13.17
Rate for Payer: Aetna Medicare Advantage	$13.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.20
Rate for Payer: Cigna Commercial	$21.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.71
Rate for Payer: Oxford Commercial	$21.95
Rate for Payer: Qualcare PPO/HMO/WC	$6.59
Rate for Payer: UnitedHealthcare Commercial	$21.95

BAG RESUSCITATOR MASK ADULT

Facility

$44.99

Hospital Charge Code	270643477
Hospital Revenue Code	270
Min. Negotiated Rate	$5.85
Max. Negotiated Rate	$22.50
Rate for Payer: Aetna Commercial	$13.50
Rate for Payer: Aetna Medicare Advantage	$13.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.47
Rate for Payer: Cigna Commercial	$22.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.85
Rate for Payer: Oxford Commercial	$22.50
Rate for Payer: Qualcare PPO/HMO/WC	$6.75
Rate for Payer: UnitedHealthcare Commercial	$22.50

BAG RESUSCITATOR MASK ADULT

Facility

$44.99

Hospital Charge Code	270643477
Hospital Revenue Code	270
Min. Negotiated Rate	$6.75
Max. Negotiated Rate	$6.75
Rate for Payer: Qualcare PPO/HMO/WC	$6.75

BAG RESUSCITATOR NEONATE

Facility

$141.65

Hospital Charge Code	270200096
Hospital Revenue Code	272
Min. Negotiated Rate	$21.25
Max. Negotiated Rate	$21.25
Rate for Payer: Qualcare PPO/HMO/WC	$21.25

BAG RESUSCITATOR NEONATE

Facility

$141.65

Hospital Charge Code	270200096
Hospital Revenue Code	272
Min. Negotiated Rate	$18.41
Max. Negotiated Rate	$70.83
Rate for Payer: Aetna Commercial	$42.49
Rate for Payer: Aetna Medicare Advantage	$42.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.12
Rate for Payer: Cigna Commercial	$70.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.41
Rate for Payer: Oxford Commercial	$70.83
Rate for Payer: Qualcare PPO/HMO/WC	$21.25
Rate for Payer: UnitedHealthcare Commercial	$70.83

BAG RESUSCITATOR PEDIATRIC

Facility

$50.89

Hospital Charge Code	270600613
Hospital Revenue Code	272
Min. Negotiated Rate	$7.63
Max. Negotiated Rate	$7.63
Rate for Payer: Qualcare PPO/HMO/WC	$7.63

BAG RESUSCITATOR PEDIATRIC

Facility

$50.89

Hospital Charge Code	270600613
Hospital Revenue Code	272
Min. Negotiated Rate	$6.62
Max. Negotiated Rate	$25.45
Rate for Payer: Aetna Commercial	$15.27
Rate for Payer: Aetna Medicare Advantage	$15.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.98
Rate for Payer: Cigna Commercial	$25.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.62
Rate for Payer: Oxford Commercial	$25.45
Rate for Payer: Qualcare PPO/HMO/WC	$7.63
Rate for Payer: UnitedHealthcare Commercial	$25.45

BAG RETRIEVAL 10 INZII CD001

Facility

$331.00

Hospital Charge Code	270642076
Hospital Revenue Code	272
Min. Negotiated Rate	$49.65
Max. Negotiated Rate	$49.65
Rate for Payer: Qualcare PPO/HMO/WC	$49.65

BAG RETRIEVAL 10 INZII CD001

Facility

$331.00

Hospital Charge Code	270642076
Hospital Revenue Code	272
Min. Negotiated Rate	$43.03
Max. Negotiated Rate	$165.50
Rate for Payer: Aetna Commercial	$99.30
Rate for Payer: Aetna Medicare Advantage	$99.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.41
Rate for Payer: Cigna Commercial	$165.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.03
Rate for Payer: Oxford Commercial	$165.50
Rate for Payer: Qualcare PPO/HMO/WC	$49.65
Rate for Payer: UnitedHealthcare Commercial	$165.50

BAG RETRIEVER ENDOPUCH

Facility

$453.28

Hospital Charge Code	270658501
Hospital Revenue Code	272
Min. Negotiated Rate	$67.99
Max. Negotiated Rate	$67.99
Rate for Payer: Qualcare PPO/HMO/WC	$67.99

BAG RETRIEVER ENDOPUCH

Facility

$453.28

Hospital Charge Code	270658501
Hospital Revenue Code	272
Min. Negotiated Rate	$58.93
Max. Negotiated Rate	$226.64
Rate for Payer: Aetna Commercial	$135.98
Rate for Payer: Aetna Medicare Advantage	$135.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$115.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$115.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$115.59
Rate for Payer: Cigna Commercial	$226.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.93
Rate for Payer: Oxford Commercial	$226.64
Rate for Payer: Qualcare PPO/HMO/WC	$67.99
Rate for Payer: UnitedHealthcare Commercial	$226.64

BAGS *******

Facility

$9.00

Hospital Charge Code	7000375
Hospital Revenue Code	279
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$1.35
Rate for Payer: Qualcare PPO/HMO/WC	$1.35

BAGS *******

Facility

$9.00

Hospital Charge Code	7000375
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 SORIN REINFUSION

Facility

$35.00

Hospital Charge Code	270626578
Hospital Revenue Code	270
Min. Negotiated Rate	$4.55
Max. Negotiated Rate	$17.50
Rate for Payer: Aetna Commercial	$10.50
Rate for Payer: Aetna Medicare Advantage	$10.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.93
Rate for Payer: Cigna Commercial	$17.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.55
Rate for Payer: Oxford Commercial	$17.50
Rate for Payer: Qualcare PPO/HMO/WC	$5.25
Rate for Payer: UnitedHealthcare Commercial	$17.50

BAG SORIN REINFUSION

Facility

$35.00

Hospital Charge Code	270626578
Hospital Revenue Code	270
Min. Negotiated Rate	$5.25
Max. Negotiated Rate	$5.25
Rate for Payer: Qualcare PPO/HMO/WC	$5.25

BAG SPECIMEN RETRIEVAL

Facility

$100.00

Hospital Charge Code	270608384
Hospital Revenue Code	272
Min. Negotiated Rate	$13.00
Max. Negotiated Rate	$50.00
Rate for Payer: Aetna Commercial	$30.00
Rate for Payer: Aetna Medicare Advantage	$30.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.50
Rate for Payer: Cigna Commercial	$50.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.00
Rate for Payer: Oxford Commercial	$50.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.00
Rate for Payer: UnitedHealthcare Commercial	$50.00

BAG SPECIMEN RETRIEVAL

Facility

$100.00

Hospital Charge Code	270608384
Hospital Revenue Code	272
Min. Negotiated Rate	$15.00
Max. Negotiated Rate	$15.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.00

Know your out-of-pocket cost for care.

All Charges