Heights University Hospital

All Charges

Charge

Type

Setting

Price

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

PAD BETADINE GAUZE

Facility

$5.65

Hospital Charge Code	270301285
Hospital Revenue Code	272
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$0.85
Rate for Payer: Qualcare PPO/HMO/WC	$0.85

PAD BETADINE GAUZE

Facility

$5.65

Hospital Charge Code	270301285
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

PAD BREAST

Facility

$36.00

Hospital Charge Code	1800291
Hospital Revenue Code	279
Min. Negotiated Rate	$4.68
Max. Negotiated Rate	$18.00
Rate for Payer: Aetna Commercial	$10.80
Rate for Payer: Aetna Medicare Advantage	$10.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.18
Rate for Payer: Cigna Commercial	$18.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.68
Rate for Payer: Oxford Commercial	$18.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.40
Rate for Payer: UnitedHealthcare Commercial	$18.00

PAD BREAST

Facility

$36.00

Hospital Charge Code	1800291
Hospital Revenue Code	279
Min. Negotiated Rate	$5.40
Max. Negotiated Rate	$5.40
Rate for Payer: Qualcare PPO/HMO/WC	$5.40

PAD BREAST **********

Facility

$5.00

Hospital Charge Code	8003089
Hospital Revenue Code	279
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

PAD BREAST **********

Facility

$5.00

Hospital Charge Code	8003089
Hospital Revenue Code	279
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$2.50
Rate for Payer: Aetna Commercial	$1.50
Rate for Payer: Aetna Medicare Advantage	$1.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.27
Rate for Payer: Cigna Commercial	$2.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.65
Rate for Payer: Oxford Commercial	$2.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.75
Rate for Payer: UnitedHealthcare Commercial	$2.50

PAD CAST SOF-ROLL 2X 4YD

Facility

$119.00

Hospital Charge Code	270331387
Hospital Revenue Code	272
Min. Negotiated Rate	$15.47
Max. Negotiated Rate	$59.50
Rate for Payer: Aetna Commercial	$35.70
Rate for Payer: Aetna Medicare Advantage	$35.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.34
Rate for Payer: Cigna Commercial	$59.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.47
Rate for Payer: Oxford Commercial	$59.50
Rate for Payer: Qualcare PPO/HMO/WC	$17.85
Rate for Payer: UnitedHealthcare Commercial	$59.50

PAD CAST SOF-ROLL 2X 4YD

Facility

$119.00

Hospital Charge Code	270331387
Hospital Revenue Code	272
Min. Negotiated Rate	$17.85
Max. Negotiated Rate	$17.85
Rate for Payer: Qualcare PPO/HMO/WC	$17.85

PAD CAST SOF-ROLL 3X 4YD

Facility

$29.00

Hospital Charge Code	270331389
Hospital Revenue Code	272
Min. Negotiated Rate	$3.77
Max. Negotiated Rate	$14.50
Rate for Payer: Aetna Commercial	$8.70
Rate for Payer: Aetna Medicare Advantage	$8.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.39
Rate for Payer: Cigna Commercial	$14.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.77
Rate for Payer: Oxford Commercial	$14.50
Rate for Payer: Qualcare PPO/HMO/WC	$4.35
Rate for Payer: UnitedHealthcare Commercial	$14.50

PAD CAST SOF-ROLL 3X 4YD

Facility

$29.00

Hospital Charge Code	270331389
Hospital Revenue Code	272
Min. Negotiated Rate	$4.35
Max. Negotiated Rate	$4.35
Rate for Payer: Qualcare PPO/HMO/WC	$4.35

PAD CLOSUR SCV22P-AB

Facility

$128.75

Hospital Charge Code	270662926
Hospital Revenue Code	272
Min. Negotiated Rate	$16.74
Max. Negotiated Rate	$64.38
Rate for Payer: Aetna Commercial	$38.62
Rate for Payer: Aetna Medicare Advantage	$38.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.83
Rate for Payer: Cigna Commercial	$64.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.74
Rate for Payer: Oxford Commercial	$64.38
Rate for Payer: Qualcare PPO/HMO/WC	$19.31
Rate for Payer: UnitedHealthcare Commercial	$64.38

PAD CLOSUR SCV22P-AB

Facility

$128.75

Hospital Charge Code	270662926
Hospital Revenue Code	272
Min. Negotiated Rate	$19.31
Max. Negotiated Rate	$19.31
Rate for Payer: Qualcare PPO/HMO/WC	$19.31

PAD COMFORT FOAM EGGCRATE

Facility

$62.74

Hospital Charge Code	270301295
Hospital Revenue Code	270
Min. Negotiated Rate	$9.41
Max. Negotiated Rate	$9.41
Rate for Payer: Qualcare PPO/HMO/WC	$9.41

PAD COMFORT FOAM EGGCRATE

Facility

$62.74

Hospital Charge Code	270301295
Hospital Revenue Code	270
Min. Negotiated Rate	$8.16
Max. Negotiated Rate	$31.37
Rate for Payer: Aetna Commercial	$18.82
Rate for Payer: Aetna Medicare Advantage	$18.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.00
Rate for Payer: Cigna Commercial	$31.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.16
Rate for Payer: Oxford Commercial	$31.37
Rate for Payer: Qualcare PPO/HMO/WC	$9.41
Rate for Payer: UnitedHealthcare Commercial	$31.37

PAD DEFIB ADULT

Facility

$106.07

Hospital Charge Code	270650191
Hospital Revenue Code	270
Min. Negotiated Rate	$15.91
Max. Negotiated Rate	$15.91
Rate for Payer: Qualcare PPO/HMO/WC	$15.91

PAD DEFIB ADULT

Facility

$106.07

Hospital Charge Code	270650191
Hospital Revenue Code	270
Min. Negotiated Rate	$13.79
Max. Negotiated Rate	$53.03
Rate for Payer: Aetna Commercial	$31.82
Rate for Payer: Aetna Medicare Advantage	$31.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.05
Rate for Payer: Cigna Commercial	$53.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.79
Rate for Payer: Oxford Commercial	$53.03
Rate for Payer: Qualcare PPO/HMO/WC	$15.91
Rate for Payer: UnitedHealthcare Commercial	$53.03

PAD DEFIB PEDIATRIC

Facility

$582.70

Hospital Charge Code	270650190
Hospital Revenue Code	270
Min. Negotiated Rate	$87.41
Max. Negotiated Rate	$87.41
Rate for Payer: Qualcare PPO/HMO/WC	$87.41

PAD DEFIB PEDIATRIC

Facility

$582.70

Hospital Charge Code	270650190
Hospital Revenue Code	270
Min. Negotiated Rate	$75.75
Max. Negotiated Rate	$291.35
Rate for Payer: Aetna Commercial	$174.81
Rate for Payer: Aetna Medicare Advantage	$174.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$148.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$148.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$148.59
Rate for Payer: Cigna Commercial	$291.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.75
Rate for Payer: Oxford Commercial	$291.35
Rate for Payer: Qualcare PPO/HMO/WC	$87.41
Rate for Payer: UnitedHealthcare Commercial	$291.35

PADDING CAST 3 4YDS

Facility

$2.52

Hospital Charge Code	270649196
Hospital Revenue Code	272
Min. Negotiated Rate	$0.33
Max. Negotiated Rate	$1.26
Rate for Payer: Aetna Commercial	$0.76
Rate for Payer: Aetna Medicare Advantage	$0.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.64
Rate for Payer: Cigna Commercial	$1.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.33
Rate for Payer: Oxford Commercial	$1.26
Rate for Payer: Qualcare PPO/HMO/WC	$0.38
Rate for Payer: UnitedHealthcare Commercial	$1.26

PADDING CAST 3 4YDS

Facility

$2.52

Hospital Charge Code	270649196
Hospital Revenue Code	272
Min. Negotiated Rate	$0.38
Max. Negotiated Rate	$0.38
Rate for Payer: Qualcare PPO/HMO/WC	$0.38

PADDING CAST 3 X 4 YDS

Facility

$3.25

Hospital Charge Code	270300795
Hospital Revenue Code	270
Min. Negotiated Rate	$0.42
Max. Negotiated Rate	$1.62
Rate for Payer: Aetna Commercial	$0.98
Rate for Payer: Aetna Medicare Advantage	$0.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.83
Rate for Payer: Cigna Commercial	$1.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.42
Rate for Payer: Oxford Commercial	$1.62
Rate for Payer: Qualcare PPO/HMO/WC	$0.49
Rate for Payer: UnitedHealthcare Commercial	$1.62

PADDING CAST 3 X 4 YDS

Facility

$3.25

Hospital Charge Code	270300795
Hospital Revenue Code	270
Min. Negotiated Rate	$0.49
Max. Negotiated Rate	$0.49
Rate for Payer: Qualcare PPO/HMO/WC	$0.49

PADDING CAST 4 4YDS

Facility

$4.32

Hospital Charge Code	270649197
Hospital Revenue Code	272
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$0.65
Rate for Payer: Qualcare PPO/HMO/WC	$0.65

PADDING CAST 4 4YDS

Facility

$4.32

Hospital Charge Code	270649197
Hospital Revenue Code	272
Min. Negotiated Rate	$0.56
Max. Negotiated Rate	$2.16
Rate for Payer: Aetna Commercial	$1.30
Rate for Payer: Aetna Medicare Advantage	$1.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.10
Rate for Payer: Cigna Commercial	$2.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.56
Rate for Payer: Oxford Commercial	$2.16
Rate for Payer: Qualcare PPO/HMO/WC	$0.65
Rate for Payer: UnitedHealthcare Commercial	$2.16

Know your out-of-pocket cost for care.

All Charges