Heights University Hospital

All Charges

Charge

Type

Setting

Price

PAD HYPOTHERMIA

Facility

$61.30

Hospital Charge Code	270301312
Hospital Revenue Code	270
Min. Negotiated Rate	$9.20
Max. Negotiated Rate	$9.20
Rate for Payer: Qualcare PPO/HMO/WC	$9.20

PAD HYPOTHERMIA

Facility

$61.30

Hospital Charge Code	270301312
Hospital Revenue Code	270
Min. Negotiated Rate	$7.97
Max. Negotiated Rate	$30.65
Rate for Payer: Aetna Commercial	$18.39
Rate for Payer: Aetna Medicare Advantage	$18.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.63
Rate for Payer: Cigna Commercial	$30.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.97
Rate for Payer: Oxford Commercial	$30.65
Rate for Payer: Qualcare PPO/HMO/WC	$9.20
Rate for Payer: UnitedHealthcare Commercial	$30.65

PAD INCONTINENCE CLINIT

Facility

$9.65

Hospital Charge Code	270301313
Hospital Revenue Code	270
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$4.83
Rate for Payer: Aetna Commercial	$2.90
Rate for Payer: Aetna Medicare Advantage	$2.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.46
Rate for Payer: Cigna Commercial	$4.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.25
Rate for Payer: Oxford Commercial	$4.83
Rate for Payer: Qualcare PPO/HMO/WC	$1.45
Rate for Payer: UnitedHealthcare Commercial	$4.83

PAD INCONTINENCE CLINIT

Facility

$9.65

Hospital Charge Code	270301313
Hospital Revenue Code	270
Min. Negotiated Rate	$1.45
Max. Negotiated Rate	$1.45
Rate for Payer: Qualcare PPO/HMO/WC	$1.45

PAD LAP 18x18 W/RINGS

Facility

$9.44

Hospital Charge Code	27061300
Hospital Revenue Code	270
Min. Negotiated Rate	$1.23
Max. Negotiated Rate	$4.72
Rate for Payer: Aetna Commercial	$2.83
Rate for Payer: Aetna Medicare Advantage	$2.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.41
Rate for Payer: Cigna Commercial	$4.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.23
Rate for Payer: Oxford Commercial	$4.72
Rate for Payer: Qualcare PPO/HMO/WC	$1.42
Rate for Payer: UnitedHealthcare Commercial	$4.72

PAD LAP 18x18 W/RINGS

Facility

$9.44

Hospital Charge Code	27061300
Hospital Revenue Code	270
Min. Negotiated Rate	$1.42
Max. Negotiated Rate	$1.42
Rate for Payer: Qualcare PPO/HMO/WC	$1.42

PAD LAP 18X18 W/RINGS

Facility

$16.85

Hospital Charge Code	270061300
Hospital Revenue Code	272
Min. Negotiated Rate	$2.19
Max. Negotiated Rate	$8.43
Rate for Payer: Aetna Commercial	$5.05
Rate for Payer: Aetna Medicare Advantage	$5.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.30
Rate for Payer: Cigna Commercial	$8.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.19
Rate for Payer: Oxford Commercial	$8.43
Rate for Payer: Qualcare PPO/HMO/WC	$2.53
Rate for Payer: UnitedHealthcare Commercial	$8.43

PAD LAP 18X18 W/RINGS

Facility

$16.85

Hospital Charge Code	270061300
Hospital Revenue Code	272
Min. Negotiated Rate	$2.53
Max. Negotiated Rate	$2.53
Rate for Payer: Qualcare PPO/HMO/WC	$2.53

PADLOCK CLIP DEFECT CLOSURE SY

Facility

$2,625.00

Hospital Charge Code	270683650
Hospital Revenue Code	272
Min. Negotiated Rate	$341.25
Max. Negotiated Rate	$1,312.50
Rate for Payer: Aetna Commercial	$787.50
Rate for Payer: Aetna Medicare Advantage	$787.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$669.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$669.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$669.38
Rate for Payer: Cigna Commercial	$1,312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$341.25
Rate for Payer: Oxford Commercial	$1,312.50
Rate for Payer: Qualcare PPO/HMO/WC	$393.75
Rate for Payer: UnitedHealthcare Commercial	$1,312.50

PADLOCK CLIP DEFECT CLOSURE SY

Facility

$2,625.00

Hospital Charge Code	270683650
Hospital Revenue Code	272
Min. Negotiated Rate	$393.75
Max. Negotiated Rate	$393.75
Rate for Payer: Qualcare PPO/HMO/WC	$393.75

PADLOCK CLIP PROSELECT

Facility

$2,625.00

Hospital Charge Code	270683651
Hospital Revenue Code	272
Min. Negotiated Rate	$341.25
Max. Negotiated Rate	$1,312.50
Rate for Payer: Aetna Commercial	$787.50
Rate for Payer: Aetna Medicare Advantage	$787.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$669.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$669.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$669.38
Rate for Payer: Cigna Commercial	$1,312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$341.25
Rate for Payer: Oxford Commercial	$1,312.50
Rate for Payer: Qualcare PPO/HMO/WC	$393.75
Rate for Payer: UnitedHealthcare Commercial	$1,312.50

PADLOCK CLIP PROSELECT

Facility

$2,625.00

Hospital Charge Code	270683651
Hospital Revenue Code	272
Min. Negotiated Rate	$393.75
Max. Negotiated Rate	$393.75
Rate for Payer: Qualcare PPO/HMO/WC	$393.75

PADLOCK SEALS

Facility

$1.95

Hospital Charge Code	6024095
Hospital Revenue Code	250
Min. Negotiated Rate	$0.25
Max. Negotiated Rate	$0.98
Rate for Payer: Aetna Commercial	$0.59
Rate for Payer: Aetna Medicare Advantage	$0.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.50
Rate for Payer: Cigna Commercial	$0.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.25
Rate for Payer: Oxford Commercial	$0.98
Rate for Payer: Qualcare PPO/HMO/WC	$0.29
Rate for Payer: UnitedHealthcare Commercial	$0.98

PADLOCK SEALS

Facility

$1.95

Hospital Charge Code	6024095
Hospital Revenue Code	250
Min. Negotiated Rate	$0.29
Max. Negotiated Rate	$0.29
Rate for Payer: Qualcare PPO/HMO/WC	$0.29

PAD MAGNETIC DISP

Facility

$19.14

Hospital Charge Code	270061149
Hospital Revenue Code	272
Min. Negotiated Rate	$2.87
Max. Negotiated Rate	$2.87
Rate for Payer: Qualcare PPO/HMO/WC	$2.87

PAD MAGNETIC DISP

Facility

$19.14

Hospital Charge Code	270061149
Hospital Revenue Code	272
Min. Negotiated Rate	$2.49
Max. Negotiated Rate	$9.57
Rate for Payer: Aetna Commercial	$5.74
Rate for Payer: Aetna Medicare Advantage	$5.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.88
Rate for Payer: Cigna Commercial	$9.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.49
Rate for Payer: Oxford Commercial	$9.57
Rate for Payer: Qualcare PPO/HMO/WC	$2.87
Rate for Payer: UnitedHealthcare Commercial	$9.57

PAD MATERNITY 11

Facility

$9.65

Hospital Charge Code	270130130
Hospital Revenue Code	272
Min. Negotiated Rate	$1.45
Max. Negotiated Rate	$1.45
Rate for Payer: Qualcare PPO/HMO/WC	$1.45

PAD MATERNITY 11

Facility

$9.65

Hospital Charge Code	270130130
Hospital Revenue Code	272
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$4.83
Rate for Payer: Aetna Commercial	$2.90
Rate for Payer: Aetna Medicare Advantage	$2.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.46
Rate for Payer: Cigna Commercial	$4.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.25
Rate for Payer: Oxford Commercial	$4.83
Rate for Payer: Qualcare PPO/HMO/WC	$1.45
Rate for Payer: UnitedHealthcare Commercial	$4.83

PAD MATRIX TRI/LAYER 3x3.5CM

Facility

$787.50

Service Code	HCPCS Q4102
Hospital Charge Code	270675286
Hospital Revenue Code	278
Min. Negotiated Rate	$118.12
Max. Negotiated Rate	$296.35
Rate for Payer: Aetna Commercial	$236.25
Rate for Payer: Aetna Medicare Advantage	$236.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$200.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$200.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$157.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$200.81
Rate for Payer: Cigna Commercial	$296.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$190.57
Rate for Payer: Qualcare PPO/HMO/WC	$118.12

PAD MATRIX TRI/LAYER 3x3.5CM

Facility

$787.50

Service Code	HCPCS Q4102
Hospital Charge Code	270675286
Hospital Revenue Code	278
Min. Negotiated Rate	$118.12
Max. Negotiated Rate	$190.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$157.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$190.57
Rate for Payer: Qualcare PPO/HMO/WC	$118.12

PAD MATRIX TRI/LAYER 3x7CM

Facility

$1,417.50

Hospital Charge Code	270681360
Hospital Revenue Code	272
Min. Negotiated Rate	$184.28
Max. Negotiated Rate	$708.75
Rate for Payer: Aetna Commercial	$425.25
Rate for Payer: Aetna Medicare Advantage	$425.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$361.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$361.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$361.46
Rate for Payer: Cigna Commercial	$708.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$184.28
Rate for Payer: Oxford Commercial	$708.75
Rate for Payer: Qualcare PPO/HMO/WC	$212.62
Rate for Payer: UnitedHealthcare Commercial	$708.75

PAD MATRIX TRI/LAYER 3x7CM

Facility

$1,417.50

Hospital Charge Code	270681360
Hospital Revenue Code	272
Min. Negotiated Rate	$212.62
Max. Negotiated Rate	$212.62
Rate for Payer: Qualcare PPO/HMO/WC	$212.62

PAD MATRIX TRILYR 5x7CM

Facility

$1,606.20

Service Code	HCPCS Q4124
Hospital Charge Code	270675194
Hospital Revenue Code	278
Min. Negotiated Rate	$240.93
Max. Negotiated Rate	$388.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$321.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$388.70
Rate for Payer: Qualcare PPO/HMO/WC	$240.93

PAD MATRIX TRILYR 5x7CM

Facility

$1,606.20

Service Code	HCPCS Q4124
Hospital Charge Code	270675194
Hospital Revenue Code	278
Min. Negotiated Rate	$240.93
Max. Negotiated Rate	$481.86
Rate for Payer: Aetna Commercial	$481.86
Rate for Payer: Aetna Medicare Advantage	$481.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$409.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$409.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$321.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$409.58
Rate for Payer: Cigna Commercial	$296.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$388.70
Rate for Payer: Qualcare PPO/HMO/WC	$240.93

PAD MATRIX TRILYR 5x7CM/SQCMJW

Facility

$45.43

Hospital Charge Code	270675194W
Hospital Revenue Code	636
Min. Negotiated Rate	$6.81
Max. Negotiated Rate	$22.71
Rate for Payer: Aetna Commercial	$13.63
Rate for Payer: Aetna Medicare Advantage	$13.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.58
Rate for Payer: Cigna Commercial	$22.71
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.99
Rate for Payer: Qualcare PPO/HMO/WC	$6.81

Know your out-of-pocket cost for care.

All Charges