Heights University Hospital

All Charges

Charge

Type

Setting

Price

PADDING CAST 4 X 4 YDS

Facility

$4.10

Hospital Charge Code	270300800
Hospital Revenue Code	270
Min. Negotiated Rate	$0.62
Max. Negotiated Rate	$0.62
Rate for Payer: Qualcare PPO/HMO/WC	$0.62

PADDING CAST 4 X 4 YDS

Facility

$4.10

Hospital Charge Code	270300800
Hospital Revenue Code	270
Min. Negotiated Rate	$0.53
Max. Negotiated Rate	$2.05
Rate for Payer: Aetna Commercial	$1.23
Rate for Payer: Aetna Medicare Advantage	$1.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.05
Rate for Payer: Cigna Commercial	$2.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.53
Rate for Payer: Oxford Commercial	$2.05
Rate for Payer: Qualcare PPO/HMO/WC	$0.62
Rate for Payer: UnitedHealthcare Commercial	$2.05

PADDING CAST 6 X 4 YDS

Facility

$6.19

Hospital Charge Code	270300805
Hospital Revenue Code	270
Min. Negotiated Rate	$0.93
Max. Negotiated Rate	$0.93
Rate for Payer: Qualcare PPO/HMO/WC	$0.93

PADDING CAST 6 X 4 YDS

Facility

$6.19

Hospital Charge Code	270300805
Hospital Revenue Code	270
Min. Negotiated Rate	$0.80
Max. Negotiated Rate	$3.10
Rate for Payer: Aetna Commercial	$1.86
Rate for Payer: Aetna Medicare Advantage	$1.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.58
Rate for Payer: Cigna Commercial	$3.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.80
Rate for Payer: Oxford Commercial	$3.10
Rate for Payer: Qualcare PPO/HMO/WC	$0.93
Rate for Payer: UnitedHealthcare Commercial	$3.10

PADDING COTTON 4 ************

Facility

$4.00

Hospital Charge Code	8004442
Hospital Revenue Code	279
Min. Negotiated Rate	$0.52
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.20
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.52
Rate for Payer: Oxford Commercial	$2.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$2.00

PADDING COTTON 4 ************

Facility

$4.00

Hospital Charge Code	8004442
Hospital Revenue Code	279
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

PADDING COTTON 6 ***********

Facility

$5.00

Hospital Charge Code	8004434
Hospital Revenue Code	279
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

PADDING COTTON 6 ***********

Facility

$5.00

Hospital Charge Code	8004434
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

PADDING FELT 1/2 X 36X36

Facility

$291.25

Hospital Charge Code	270650843
Hospital Revenue Code	272
Min. Negotiated Rate	$37.86
Max. Negotiated Rate	$145.62
Rate for Payer: Aetna Commercial	$87.38
Rate for Payer: Aetna Medicare Advantage	$87.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.27
Rate for Payer: Cigna Commercial	$145.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.86
Rate for Payer: Oxford Commercial	$145.62
Rate for Payer: Qualcare PPO/HMO/WC	$43.69
Rate for Payer: UnitedHealthcare Commercial	$145.62

PADDING FELT 1/2 X 36X36

Facility

$291.25

Hospital Charge Code	270650843
Hospital Revenue Code	272
Min. Negotiated Rate	$43.69
Max. Negotiated Rate	$43.69
Rate for Payer: Qualcare PPO/HMO/WC	$43.69

PADDING WEBRIL 4YD 3 KC2394

Facility

$5.51

Hospital Charge Code	270639102
Hospital Revenue Code	270
Min. Negotiated Rate	$0.72
Max. Negotiated Rate	$2.75
Rate for Payer: Aetna Commercial	$1.65
Rate for Payer: Aetna Medicare Advantage	$1.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.41
Rate for Payer: Cigna Commercial	$2.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.72
Rate for Payer: Oxford Commercial	$2.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.83
Rate for Payer: UnitedHealthcare Commercial	$2.75

PADDING WEBRIL 4YD 3 KC2394

Facility

$5.51

Hospital Charge Code	270639102
Hospital Revenue Code	270
Min. Negotiated Rate	$0.83
Max. Negotiated Rate	$0.83
Rate for Payer: Qualcare PPO/HMO/WC	$0.83

PADDLE

Facility

$2,153.50

Hospital Charge Code	270665803
Hospital Revenue Code	270
Min. Negotiated Rate	$323.02
Max. Negotiated Rate	$323.02
Rate for Payer: Qualcare PPO/HMO/WC	$323.02

PADDLE

Facility

$2,153.50

Hospital Charge Code	270665803
Hospital Revenue Code	270
Min. Negotiated Rate	$279.95
Max. Negotiated Rate	$1,076.75
Rate for Payer: Aetna Commercial	$646.05
Rate for Payer: Aetna Medicare Advantage	$646.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$549.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$549.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$549.14
Rate for Payer: Cigna Commercial	$1,076.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$279.95
Rate for Payer: Oxford Commercial	$1,076.75
Rate for Payer: Qualcare PPO/HMO/WC	$323.02
Rate for Payer: UnitedHealthcare Commercial	$1,076.75

PAD DRIFLR FLUID ABSRTN MAT

Facility

$41.04

Hospital Charge Code	270651634
Hospital Revenue Code	270
Min. Negotiated Rate	$5.34
Max. Negotiated Rate	$20.52
Rate for Payer: Aetna Commercial	$12.31
Rate for Payer: Aetna Medicare Advantage	$12.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.47
Rate for Payer: Cigna Commercial	$20.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.34
Rate for Payer: Oxford Commercial	$20.52
Rate for Payer: Qualcare PPO/HMO/WC	$6.16
Rate for Payer: UnitedHealthcare Commercial	$20.52

PAD DRIFLR FLUID ABSRTN MAT

Facility

$41.04

Hospital Charge Code	270651634
Hospital Revenue Code	270
Min. Negotiated Rate	$6.16
Max. Negotiated Rate	$6.16
Rate for Payer: Qualcare PPO/HMO/WC	$6.16

PAD ELECTRODE

Facility

$80.33

Hospital Charge Code	270609591
Hospital Revenue Code	272
Min. Negotiated Rate	$10.44
Max. Negotiated Rate	$40.16
Rate for Payer: Aetna Commercial	$24.10
Rate for Payer: Aetna Medicare Advantage	$24.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.48
Rate for Payer: Cigna Commercial	$40.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.44
Rate for Payer: Oxford Commercial	$40.16
Rate for Payer: Qualcare PPO/HMO/WC	$12.05
Rate for Payer: UnitedHealthcare Commercial	$40.16

PAD ELECTRODE

Facility

$80.33

Hospital Charge Code	270609591
Hospital Revenue Code	272
Min. Negotiated Rate	$12.05
Max. Negotiated Rate	$12.05
Rate for Payer: Qualcare PPO/HMO/WC	$12.05

PAD ELECTRODE***

Facility

$60.50

Hospital Charge Code	2300499
Hospital Revenue Code	279
Min. Negotiated Rate	$7.87
Max. Negotiated Rate	$30.25
Rate for Payer: Aetna Commercial	$18.15
Rate for Payer: Aetna Medicare Advantage	$18.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.43
Rate for Payer: Cigna Commercial	$30.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.87
Rate for Payer: Oxford Commercial	$30.25
Rate for Payer: Qualcare PPO/HMO/WC	$9.07
Rate for Payer: UnitedHealthcare Commercial	$30.25

PAD ELECTRODE***

Facility

$60.50

Hospital Charge Code	2300499
Hospital Revenue Code	279
Min. Negotiated Rate	$9.07
Max. Negotiated Rate	$9.07
Rate for Payer: Qualcare PPO/HMO/WC	$9.07

PAD ELECTRO GROUNDING PEDS

Facility

$30.66

Hospital Charge Code	270649190
Hospital Revenue Code	272
Min. Negotiated Rate	$3.99
Max. Negotiated Rate	$15.33
Rate for Payer: Aetna Commercial	$9.20
Rate for Payer: Aetna Medicare Advantage	$9.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.82
Rate for Payer: Cigna Commercial	$15.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.99
Rate for Payer: Oxford Commercial	$15.33
Rate for Payer: Qualcare PPO/HMO/WC	$4.60
Rate for Payer: UnitedHealthcare Commercial	$15.33

PAD ELECTRO GROUNDING PEDS

Facility

$30.66

Hospital Charge Code	270649190
Hospital Revenue Code	272
Min. Negotiated Rate	$4.60
Max. Negotiated Rate	$4.60
Rate for Payer: Qualcare PPO/HMO/WC	$4.60

PAD EYE STER

Facility

$2.45

Hospital Charge Code	270350060
Hospital Revenue Code	272
Min. Negotiated Rate	$0.37
Max. Negotiated Rate	$0.37
Rate for Payer: Qualcare PPO/HMO/WC	$0.37

PAD EYE STER

Facility

$2.45

Hospital Charge Code	270350060
Hospital Revenue Code	272
Min. Negotiated Rate	$0.32
Max. Negotiated Rate	$1.23
Rate for Payer: Aetna Commercial	$0.74
Rate for Payer: Aetna Medicare Advantage	$0.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.62
Rate for Payer: Cigna Commercial	$1.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.32
Rate for Payer: Oxford Commercial	$1.23
Rate for Payer: Qualcare PPO/HMO/WC	$0.37
Rate for Payer: UnitedHealthcare Commercial	$1.23

PAD FOAM*******

Facility

$77.00

Hospital Charge Code	8000713
Hospital Revenue Code	279
Min. Negotiated Rate	$11.55
Max. Negotiated Rate	$11.55
Rate for Payer: Qualcare PPO/HMO/WC	$11.55

Know your out-of-pocket cost for care.

All Charges