Heights University Hospital

All Charges

Charge

Type

Setting

Price

BAG SPECI TRNSPRT 6X9 2.0MIL

Facility

$379.80

Hospital Charge Code	270663192
Hospital Revenue Code	270
Min. Negotiated Rate	$49.37
Max. Negotiated Rate	$189.90
Rate for Payer: Aetna Commercial	$113.94
Rate for Payer: Aetna Medicare Advantage	$113.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$96.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$96.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$96.85
Rate for Payer: Cigna Commercial	$189.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.37
Rate for Payer: Oxford Commercial	$189.90
Rate for Payer: Qualcare PPO/HMO/WC	$56.97
Rate for Payer: UnitedHealthcare Commercial	$189.90

BAG SPECI TRNSPRT 6X9 2.0MIL

Facility

$379.80

Hospital Charge Code	270663192
Hospital Revenue Code	270
Min. Negotiated Rate	$56.97
Max. Negotiated Rate	$56.97
Rate for Payer: Qualcare PPO/HMO/WC	$56.97

BAG STOOL MNGT SYST DIGNICARE

Facility

$61.53

Hospital Charge Code	270650192
Hospital Revenue Code	270
Min. Negotiated Rate	$8.00
Max. Negotiated Rate	$30.77
Rate for Payer: Aetna Commercial	$18.46
Rate for Payer: Aetna Medicare Advantage	$18.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.69
Rate for Payer: Cigna Commercial	$30.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.00
Rate for Payer: Oxford Commercial	$30.77
Rate for Payer: Qualcare PPO/HMO/WC	$9.23
Rate for Payer: UnitedHealthcare Commercial	$30.77

BAG STOOL MNGT SYST DIGNICARE

Facility

$61.53

Hospital Charge Code	270650192
Hospital Revenue Code	270
Min. Negotiated Rate	$9.23
Max. Negotiated Rate	$9.23
Rate for Payer: Qualcare PPO/HMO/WC	$9.23

BAG SURGICAL REMOTE ALCON

Facility

$62.15

Hospital Charge Code	270600237
Hospital Revenue Code	270
Min. Negotiated Rate	$9.32
Max. Negotiated Rate	$9.32
Rate for Payer: Qualcare PPO/HMO/WC	$9.32

BAG SURGICAL REMOTE ALCON

Facility

$62.15

Hospital Charge Code	270600237
Hospital Revenue Code	270
Min. Negotiated Rate	$8.08
Max. Negotiated Rate	$31.07
Rate for Payer: Aetna Commercial	$18.64
Rate for Payer: Aetna Medicare Advantage	$18.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.85
Rate for Payer: Cigna Commercial	$31.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.08
Rate for Payer: Oxford Commercial	$31.07
Rate for Payer: Qualcare PPO/HMO/WC	$9.32
Rate for Payer: UnitedHealthcare Commercial	$31.07

BAG THERAPEUTIC COLLECT***

Facility

$135.00

Hospital Charge Code	270600824
Hospital Revenue Code	270
Min. Negotiated Rate	$17.55
Max. Negotiated Rate	$67.50
Rate for Payer: Aetna Commercial	$40.50
Rate for Payer: Aetna Medicare Advantage	$40.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.42
Rate for Payer: Cigna Commercial	$67.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.55
Rate for Payer: Oxford Commercial	$67.50
Rate for Payer: Qualcare PPO/HMO/WC	$20.25
Rate for Payer: UnitedHealthcare Commercial	$67.50

BAG THERAPEUTIC COLLECT***

Facility

$135.00

Hospital Charge Code	270600824
Hospital Revenue Code	270
Min. Negotiated Rate	$20.25
Max. Negotiated Rate	$20.25
Rate for Payer: Qualcare PPO/HMO/WC	$20.25

BAG URINARY DRAINAGE ******

Facility

$9.00

Hospital Charge Code	8000754
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 URINARY DRAINAGE ******

Facility

$9.00

Hospital Charge Code	8000754
Hospital Revenue Code	279
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$1.35
Rate for Payer: Qualcare PPO/HMO/WC	$1.35

BAG URINARY LEG

Facility

$5.17

Service Code	HCPCS A4358
Hospital Charge Code	270300145
Hospital Revenue Code	272
Min. Negotiated Rate	$0.78
Max. Negotiated Rate	$0.78
Rate for Payer: Qualcare PPO/HMO/WC	$0.78

BAG URINARY LEG

Facility

$5.02

Hospital Charge Code	270300145S
Hospital Revenue Code	272
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$2.51
Rate for Payer: Aetna Commercial	$1.51
Rate for Payer: Aetna Medicare Advantage	$1.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.28
Rate for Payer: Cigna Commercial	$2.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.65
Rate for Payer: Oxford Commercial	$2.51
Rate for Payer: Qualcare PPO/HMO/WC	$0.75
Rate for Payer: UnitedHealthcare Commercial	$2.51

BAG URINARY LEG

Facility

$5.17

Service Code	HCPCS A4358
Hospital Charge Code	270300145
Hospital Revenue Code	272
Min. Negotiated Rate	$0.67
Max. Negotiated Rate	$9.46
Rate for Payer: Aetna Commercial	$1.55
Rate for Payer: Aetna Medicare Advantage	$1.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.32
Rate for Payer: Cigna Commercial	$9.46
Rate for Payer: Cigna Medicare Advantage	$5.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.67
Rate for Payer: Oxford Commercial	$2.58
Rate for Payer: Qualcare PPO/HMO/WC	$0.78
Rate for Payer: UnitedHealthcare Commercial	$2.58

BAG URINARY LEG

Facility

$5.02

Hospital Charge Code	270300145S
Hospital Revenue Code	272
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

BAG URINARY LEG***

Facility

$30.00

Hospital Charge Code	8001018
Hospital Revenue Code	279
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 URINARY LEG***

Facility

$30.00

Hospital Charge Code	8001018
Hospital Revenue Code	279
Min. Negotiated Rate	$4.50
Max. Negotiated Rate	$4.50
Rate for Payer: Qualcare PPO/HMO/WC	$4.50

BAG URINARY LEG****

Facility

$81.00

Hospital Charge Code	8001059
Hospital Revenue Code	279
Min. Negotiated Rate	$10.53
Max. Negotiated Rate	$40.50
Rate for Payer: Aetna Commercial	$24.30
Rate for Payer: Aetna Medicare Advantage	$24.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.66
Rate for Payer: Cigna Commercial	$40.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.53
Rate for Payer: Oxford Commercial	$40.50
Rate for Payer: Qualcare PPO/HMO/WC	$12.15
Rate for Payer: UnitedHealthcare Commercial	$40.50

BAG URINARY LEG****

Facility

$81.00

Hospital Charge Code	8001059
Hospital Revenue Code	279
Min. Negotiated Rate	$12.15
Max. Negotiated Rate	$12.15
Rate for Payer: Qualcare PPO/HMO/WC	$12.15

BAG URINARY LEG LG

Facility

$22.45

Hospital Charge Code	270610798
Hospital Revenue Code	272
Min. Negotiated Rate	$3.37
Max. Negotiated Rate	$3.37
Rate for Payer: Qualcare PPO/HMO/WC	$3.37

BAG URINARY LEG LG

Facility

$22.45

Hospital Charge Code	270610798
Hospital Revenue Code	272
Min. Negotiated Rate	$2.92
Max. Negotiated Rate	$11.22
Rate for Payer: Aetna Commercial	$6.74
Rate for Payer: Aetna Medicare Advantage	$6.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.72
Rate for Payer: Cigna Commercial	$11.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.92
Rate for Payer: Oxford Commercial	$11.22
Rate for Payer: Qualcare PPO/HMO/WC	$3.37
Rate for Payer: UnitedHealthcare Commercial	$11.22

BAG URINARY PED *******

Facility

$30.00

Hospital Charge Code	8001265
Hospital Revenue Code	272
Min. Negotiated Rate	$4.50
Max. Negotiated Rate	$4.50
Rate for Payer: Qualcare PPO/HMO/WC	$4.50

BAG URINARY PED *******

Facility

$30.00

Hospital Charge Code	8001265
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 URINARY REG

Facility

$18.55

Hospital Charge Code	270300148
Hospital Revenue Code	272
Min. Negotiated Rate	$2.41
Max. Negotiated Rate	$9.28
Rate for Payer: Aetna Commercial	$5.57
Rate for Payer: Aetna Medicare Advantage	$5.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.73
Rate for Payer: Cigna Commercial	$9.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.41
Rate for Payer: Oxford Commercial	$9.28
Rate for Payer: Qualcare PPO/HMO/WC	$2.78
Rate for Payer: UnitedHealthcare Commercial	$9.28

BAG URINARY REG

Facility

$18.55

Hospital Charge Code	270300148
Hospital Revenue Code	272
Min. Negotiated Rate	$2.78
Max. Negotiated Rate	$2.78
Rate for Payer: Qualcare PPO/HMO/WC	$2.78

BAG URINARY URIMETER

Facility

$38.45

Hospital Charge Code	270300147
Hospital Revenue Code	272
Min. Negotiated Rate	$5.77
Max. Negotiated Rate	$5.77
Rate for Payer: Qualcare PPO/HMO/WC	$5.77

Know your out-of-pocket cost for care.

All Charges