Heights University Hospital

All Charges

Charge

Type

Setting

Price

PACK WET SKIN SCRUB

Facility

$27.03

Hospital Charge Code	270654174
Hospital Revenue Code	272
Min. Negotiated Rate	$4.05
Max. Negotiated Rate	$4.05
Rate for Payer: Qualcare PPO/HMO/WC	$4.05

PACK WET SKIN SCRUB

Facility

$27.03

Hospital Charge Code	270654174
Hospital Revenue Code	272
Min. Negotiated Rate	$3.51
Max. Negotiated Rate	$13.52
Rate for Payer: Aetna Commercial	$8.11
Rate for Payer: Aetna Medicare Advantage	$8.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.89
Rate for Payer: Cigna Commercial	$13.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.51
Rate for Payer: Oxford Commercial	$13.52
Rate for Payer: Qualcare PPO/HMO/WC	$4.05
Rate for Payer: UnitedHealthcare Commercial	$13.52

PACLITAXEL 30 MG/5ML

Facility

$785.00

Hospital Charge Code	60634897
Hospital Revenue Code	636
Min. Negotiated Rate	$117.75
Max. Negotiated Rate	$189.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$189.97
Rate for Payer: Qualcare PPO/HMO/WC	$117.75

PACLITAXEL 30 MG/5ML

Facility

$785.00

Hospital Charge Code	60634897
Hospital Revenue Code	636
Min. Negotiated Rate	$117.75
Max. Negotiated Rate	$392.50
Rate for Payer: Aetna Commercial	$235.50
Rate for Payer: Aetna Medicare Advantage	$235.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$200.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$200.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$200.18
Rate for Payer: Cigna Commercial	$392.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$189.97
Rate for Payer: Qualcare PPO/HMO/WC	$117.75

PACU GLUCOSE CAPILLARY STICK

Facility

$20.85

Service Code	HCPCS 82948
Hospital Charge Code	1500101
Hospital Revenue Code	301
Min. Negotiated Rate	$2.52
Max. Negotiated Rate	$114.00
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: Aetna Commercial	$16.33
Rate for Payer: Aetna Medicare Advantage	$5.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.47
Rate for Payer: Cigna Commercial	$5.04
Rate for Payer: Cigna Medicare Advantage	$2.52
Rate for Payer: Clover Medicare Advantage	$4.79
Rate for Payer: EmblemHealth Commercial	$15.12
Rate for Payer: Humana Medicare Advantage	$5.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.71
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.13
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.04
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.34
Rate for Payer: Wellcare Medicare Advantage	$5.04

PACU GLUCOSE CAPILLARY STICK

Facility

$20.85

Service Code	HCPCS 82948
Hospital Charge Code	1500101
Hospital Revenue Code	301
Min. Negotiated Rate	$3.13
Max. Negotiated Rate	$3.13
Rate for Payer: Qualcare PPO/HMO/WC	$3.13

PACU VENIPUNCTURE

Facility

$26.25

Service Code	HCPCS 36415
Hospital Charge Code	1500102
Hospital Revenue Code	300
Min. Negotiated Rate	$3.94
Max. Negotiated Rate	$3.94
Rate for Payer: Qualcare PPO/HMO/WC	$3.94

PACU VENIPUNCTURE

Facility

$26.25

Service Code	HCPCS 36415
Hospital Charge Code	1500102
Hospital Revenue Code	300
Min. Negotiated Rate	$3.41
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$30.26
Rate for Payer: Aetna Medicare Advantage	$9.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.22
Rate for Payer: Cigna Commercial	$9.34
Rate for Payer: Cigna Medicare Advantage	$4.67
Rate for Payer: Clover Medicare Advantage	$8.87
Rate for Payer: EmblemHealth Commercial	$28.02
Rate for Payer: Humana Medicare Advantage	$9.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.41
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.94
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.34
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$9.90
Rate for Payer: Wellcare Medicare Advantage	$9.34

PAD***

Facility

$44.00

Hospital Charge Code	8002982
Hospital Revenue Code	279
Min. Negotiated Rate	$6.60
Max. Negotiated Rate	$6.60
Rate for Payer: Qualcare PPO/HMO/WC	$6.60

PAD***

Facility

$44.00

Hospital Charge Code	8002982
Hospital Revenue Code	279
Min. Negotiated Rate	$5.72
Max. Negotiated Rate	$22.00
Rate for Payer: Aetna Commercial	$13.20
Rate for Payer: Aetna Medicare Advantage	$13.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.22
Rate for Payer: Cigna Commercial	$22.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.72
Rate for Payer: Oxford Commercial	$22.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.60
Rate for Payer: UnitedHealthcare Commercial	$22.00

PAD ABD COMBINE 5x9 STER

Facility

$1.39

Hospital Charge Code	270649187
Hospital Revenue Code	272
Min. Negotiated Rate	$0.18
Max. Negotiated Rate	$0.70
Rate for Payer: Aetna Commercial	$0.42
Rate for Payer: Aetna Medicare Advantage	$0.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.35
Rate for Payer: Cigna Commercial	$0.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.18
Rate for Payer: Oxford Commercial	$0.70
Rate for Payer: Qualcare PPO/HMO/WC	$0.21
Rate for Payer: UnitedHealthcare Commercial	$0.70

PAD ABD COMBINE 5x9 STER

Facility

$1.39

Hospital Charge Code	270649187
Hospital Revenue Code	272
Min. Negotiated Rate	$0.21
Max. Negotiated Rate	$0.21
Rate for Payer: Qualcare PPO/HMO/WC	$0.21

PAD ABD COMBINE 7.5x8 STER

Facility

$0.72

Hospital Charge Code	270649188
Hospital Revenue Code	272
Min. Negotiated Rate	$0.09
Max. Negotiated Rate	$0.36
Rate for Payer: Aetna Commercial	$0.22
Rate for Payer: Aetna Medicare Advantage	$0.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.18
Rate for Payer: Cigna Commercial	$0.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.09
Rate for Payer: Oxford Commercial	$0.36
Rate for Payer: Qualcare PPO/HMO/WC	$0.11
Rate for Payer: UnitedHealthcare Commercial	$0.36

PAD ABD COMBINE 7.5x8 STER

Facility

$0.72

Hospital Charge Code	270649188
Hospital Revenue Code	272
Min. Negotiated Rate	$0.11
Max. Negotiated Rate	$0.11
Rate for Payer: Qualcare PPO/HMO/WC	$0.11

PAD ADHESIVE HEAD TRACKER

Facility

$25.80

Hospital Charge Code	270663280
Hospital Revenue Code	270
Min. Negotiated Rate	$3.35
Max. Negotiated Rate	$12.90
Rate for Payer: Aetna Commercial	$7.74
Rate for Payer: Aetna Medicare Advantage	$7.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.58
Rate for Payer: Cigna Commercial	$12.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.35
Rate for Payer: Oxford Commercial	$12.90
Rate for Payer: Qualcare PPO/HMO/WC	$3.87
Rate for Payer: UnitedHealthcare Commercial	$12.90

PAD ADHESIVE HEAD TRACKER

Facility

$25.80

Hospital Charge Code	270663280
Hospital Revenue Code	270
Min. Negotiated Rate	$3.87
Max. Negotiated Rate	$3.87
Rate for Payer: Qualcare PPO/HMO/WC	$3.87

PAD A ELECTRODE DEFIBRILLATOR

Facility

$1,579.00

Service Code	HCPCS C1713
Hospital Charge Code	270655641
Hospital Revenue Code	278
Min. Negotiated Rate	$236.85
Max. Negotiated Rate	$789.50
Rate for Payer: Aetna Commercial	$473.70
Rate for Payer: Aetna Medicare Advantage	$473.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$402.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$402.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$315.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$402.64
Rate for Payer: Cigna Commercial	$789.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$382.12
Rate for Payer: Qualcare PPO/HMO/WC	$236.85

PAD A ELECTRODE DEFIBRILLATOR

Facility

$1,579.00

Service Code	HCPCS C1713
Hospital Charge Code	270655641
Hospital Revenue Code	278
Min. Negotiated Rate	$236.85
Max. Negotiated Rate	$382.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$315.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$382.12
Rate for Payer: Qualcare PPO/HMO/WC	$236.85

PAD AIR MATTRESS

Facility

$136.44

Hospital Charge Code	270301310
Hospital Revenue Code	270
Min. Negotiated Rate	$17.74
Max. Negotiated Rate	$68.22
Rate for Payer: Aetna Commercial	$40.93
Rate for Payer: Aetna Medicare Advantage	$40.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.79
Rate for Payer: Cigna Commercial	$68.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.74
Rate for Payer: Oxford Commercial	$68.22
Rate for Payer: Qualcare PPO/HMO/WC	$20.47
Rate for Payer: UnitedHealthcare Commercial	$68.22

PAD AIR MATTRESS

Facility

$136.44

Hospital Charge Code	270301310
Hospital Revenue Code	270
Min. Negotiated Rate	$20.47
Max. Negotiated Rate	$20.47
Rate for Payer: Qualcare PPO/HMO/WC	$20.47

PAD AIR MATTRESS***

Facility

$161.00

Hospital Charge Code	8002909
Hospital Revenue Code	279
Min. Negotiated Rate	$20.93
Max. Negotiated Rate	$80.50
Rate for Payer: Aetna Commercial	$48.30
Rate for Payer: Aetna Medicare Advantage	$48.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.05
Rate for Payer: Cigna Commercial	$80.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.93
Rate for Payer: Oxford Commercial	$80.50
Rate for Payer: Qualcare PPO/HMO/WC	$24.15
Rate for Payer: UnitedHealthcare Commercial	$80.50

PAD AIR MATTRESS***

Facility

$161.00

Hospital Charge Code	8002909
Hospital Revenue Code	279
Min. Negotiated Rate	$24.15
Max. Negotiated Rate	$24.15
Rate for Payer: Qualcare PPO/HMO/WC	$24.15

PAD ARM PKIT SST PILLOW

Facility

$209.38

Hospital Charge Code	270681481
Hospital Revenue Code	272
Min. Negotiated Rate	$27.22
Max. Negotiated Rate	$104.69
Rate for Payer: Aetna Commercial	$62.81
Rate for Payer: Aetna Medicare Advantage	$62.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.39
Rate for Payer: Cigna Commercial	$104.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.22
Rate for Payer: Oxford Commercial	$104.69
Rate for Payer: Qualcare PPO/HMO/WC	$31.41
Rate for Payer: UnitedHealthcare Commercial	$104.69

PAD ARM PKIT SST PILLOW

Facility

$209.38

Hospital Charge Code	270681481
Hospital Revenue Code	272
Min. Negotiated Rate	$31.41
Max. Negotiated Rate	$31.41
Rate for Payer: Qualcare PPO/HMO/WC	$31.41

PAD ATTACH FOR FETAL EL

Facility

$5.65

Hospital Charge Code	270600585
Hospital Revenue Code	272
Min. Negotiated Rate	$0.73
Max. Negotiated Rate	$2.83
Rate for Payer: Aetna Commercial	$1.70
Rate for Payer: Aetna Medicare Advantage	$1.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.44
Rate for Payer: Cigna Commercial	$2.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.73
Rate for Payer: Oxford Commercial	$2.83
Rate for Payer: Qualcare PPO/HMO/WC	$0.85
Rate for Payer: UnitedHealthcare Commercial	$2.83

Know your out-of-pocket cost for care.

All Charges