Heights University Hospital

All Charges

Charge

Type

Setting

Price

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

PAD MESSY MONITORING SPLIT W/

Facility

$29.65

Hospital Charge Code	270607683
Hospital Revenue Code	270
Min. Negotiated Rate	$3.85
Max. Negotiated Rate	$14.82
Rate for Payer: Aetna Commercial	$8.89
Rate for Payer: Aetna Medicare Advantage	$8.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.56
Rate for Payer: Cigna Commercial	$14.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.85
Rate for Payer: Oxford Commercial	$14.82
Rate for Payer: Qualcare PPO/HMO/WC	$4.45
Rate for Payer: UnitedHealthcare Commercial	$14.82

PAD MESSY MONITORING SPLIT W/

Facility

$29.65

Hospital Charge Code	270607683
Hospital Revenue Code	270
Min. Negotiated Rate	$4.45
Max. Negotiated Rate	$4.45
Rate for Payer: Qualcare PPO/HMO/WC	$4.45

PAD MICROCINATE BODY STANDARD

Facility

$16.40

Hospital Charge Code	270675834
Hospital Revenue Code	272
Min. Negotiated Rate	$2.13
Max. Negotiated Rate	$8.20
Rate for Payer: Aetna Commercial	$4.92
Rate for Payer: Aetna Medicare Advantage	$4.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.18
Rate for Payer: Cigna Commercial	$8.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.13
Rate for Payer: Oxford Commercial	$8.20
Rate for Payer: Qualcare PPO/HMO/WC	$2.46
Rate for Payer: UnitedHealthcare Commercial	$8.20

PAD MICROCINATE BODY STANDARD

Facility

$16.40

Hospital Charge Code	270675834
Hospital Revenue Code	272
Min. Negotiated Rate	$2.46
Max. Negotiated Rate	$2.46
Rate for Payer: Qualcare PPO/HMO/WC	$2.46

PAD MICRO-TEMP

Facility

$23.75

Hospital Charge Code	270301311
Hospital Revenue Code	270
Min. Negotiated Rate	$3.56
Max. Negotiated Rate	$3.56
Rate for Payer: Qualcare PPO/HMO/WC	$3.56

PAD MICRO-TEMP

Facility

$23.75

Hospital Charge Code	270301311
Hospital Revenue Code	270
Min. Negotiated Rate	$3.09
Max. Negotiated Rate	$11.88
Rate for Payer: Aetna Commercial	$7.12
Rate for Payer: Aetna Medicare Advantage	$7.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.06
Rate for Payer: Cigna Commercial	$11.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.09
Rate for Payer: Oxford Commercial	$11.88
Rate for Payer: Qualcare PPO/HMO/WC	$3.56
Rate for Payer: UnitedHealthcare Commercial	$11.88

PAD MTRX TRILYR 3x3.5CM/SQCMJW

Facility

$75.00

Hospital Charge Code	270675286W
Hospital Revenue Code	636
Min. Negotiated Rate	$11.25
Max. Negotiated Rate	$37.50
Rate for Payer: Aetna Commercial	$22.50
Rate for Payer: Aetna Medicare Advantage	$22.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.12
Rate for Payer: Cigna Commercial	$37.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.15
Rate for Payer: Qualcare PPO/HMO/WC	$11.25

PAD MTRX TRILYR 3x3.5CM/SQCMJW

Facility

$75.00

Hospital Charge Code	270675286W
Hospital Revenue Code	636
Min. Negotiated Rate	$11.25
Max. Negotiated Rate	$18.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.15
Rate for Payer: Qualcare PPO/HMO/WC	$11.25

PAD NAIL POLISH REMOVER

Facility

$0.01

Hospital Charge Code	270649193
Hospital Revenue Code	270
Max. Negotiated Rate	$0.01
Rate for Payer: Aetna Commercial	$0.00
Rate for Payer: Aetna Medicare Advantage	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.00
Rate for Payer: Cigna Commercial	$0.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Oxford Commercial	$0.01
Rate for Payer: Qualcare PPO/HMO/WC	$0.00
Rate for Payer: UnitedHealthcare Commercial	$0.01

PAD NAIL POLISH REMOVER

Facility

$0.01

Hospital Charge Code	270649193
Hospital Revenue Code	270
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

PAD NASAL GECKO LARGE

Facility

$74.75

Hospital Charge Code	270646855
Hospital Revenue Code	272
Min. Negotiated Rate	$9.72
Max. Negotiated Rate	$37.38
Rate for Payer: Aetna Commercial	$22.43
Rate for Payer: Aetna Medicare Advantage	$22.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.06
Rate for Payer: Cigna Commercial	$37.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.72
Rate for Payer: Oxford Commercial	$37.38
Rate for Payer: Qualcare PPO/HMO/WC	$11.21
Rate for Payer: UnitedHealthcare Commercial	$37.38

PAD NASAL GECKO LARGE

Facility

$74.75

Hospital Charge Code	270646855
Hospital Revenue Code	272
Min. Negotiated Rate	$11.21
Max. Negotiated Rate	$11.21
Rate for Payer: Qualcare PPO/HMO/WC	$11.21

PAD NURSING

Facility

$0.36

Hospital Charge Code	270649195
Hospital Revenue Code	270
Min. Negotiated Rate	$0.05
Max. Negotiated Rate	$0.05
Rate for Payer: Qualcare PPO/HMO/WC	$0.05

PAD NURSING

Facility

$0.36

Hospital Charge Code	270649195
Hospital Revenue Code	270
Min. Negotiated Rate	$0.05
Max. Negotiated Rate	$0.18
Rate for Payer: Aetna Commercial	$0.11
Rate for Payer: Aetna Medicare Advantage	$0.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.09
Rate for Payer: Cigna Commercial	$0.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.05
Rate for Payer: Oxford Commercial	$0.18
Rate for Payer: Qualcare PPO/HMO/WC	$0.05
Rate for Payer: UnitedHealthcare Commercial	$0.18

PAD NURSING BRA

Facility

$4.85

Hospital Charge Code	270130125
Hospital Revenue Code	272
Min. Negotiated Rate	$0.63
Max. Negotiated Rate	$2.42
Rate for Payer: Aetna Commercial	$1.46
Rate for Payer: Aetna Medicare Advantage	$1.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.24
Rate for Payer: Cigna Commercial	$2.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.63
Rate for Payer: Oxford Commercial	$2.42
Rate for Payer: Qualcare PPO/HMO/WC	$0.73
Rate for Payer: UnitedHealthcare Commercial	$2.42

PAD NURSING BRA

Facility

$4.85

Hospital Charge Code	270130125
Hospital Revenue Code	272
Min. Negotiated Rate	$0.73
Max. Negotiated Rate	$0.73
Rate for Payer: Qualcare PPO/HMO/WC	$0.73

PAD OB IND WRAP N/STER 11

Facility

$5.25

Hospital Charge Code	270651642
Hospital Revenue Code	270
Min. Negotiated Rate	$0.79
Max. Negotiated Rate	$0.79
Rate for Payer: Qualcare PPO/HMO/WC	$0.79

PAD OB IND WRAP N/STER 11

Facility

$5.25

Hospital Charge Code	270651642
Hospital Revenue Code	270
Min. Negotiated Rate	$0.68
Max. Negotiated Rate	$2.62
Rate for Payer: Aetna Commercial	$1.57
Rate for Payer: Aetna Medicare Advantage	$1.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.34
Rate for Payer: Cigna Commercial	$2.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.68
Rate for Payer: Oxford Commercial	$2.62
Rate for Payer: Qualcare PPO/HMO/WC	$0.79
Rate for Payer: UnitedHealthcare Commercial	$2.62

PAD OB SANITARY V-PAD

Facility

$11.25

Hospital Charge Code	270301305
Hospital Revenue Code	270
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$1.69
Rate for Payer: Qualcare PPO/HMO/WC	$1.69

PAD OB SANITARY V-PAD

Facility

$11.25

Hospital Charge Code	270301305
Hospital Revenue Code	270
Min. Negotiated Rate	$1.46
Max. Negotiated Rate	$5.62
Rate for Payer: Aetna Commercial	$3.38
Rate for Payer: Aetna Medicare Advantage	$3.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.87
Rate for Payer: Cigna Commercial	$5.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.46
Rate for Payer: Oxford Commercial	$5.62
Rate for Payer: Qualcare PPO/HMO/WC	$1.69
Rate for Payer: UnitedHealthcare Commercial	$5.62

PAD PERINEAL POST

Facility

$385.00

Hospital Charge Code	270681156
Hospital Revenue Code	272
Min. Negotiated Rate	$50.05
Max. Negotiated Rate	$192.50
Rate for Payer: Aetna Commercial	$115.50
Rate for Payer: Aetna Medicare Advantage	$115.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$98.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$98.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$98.17
Rate for Payer: Cigna Commercial	$192.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.05
Rate for Payer: Oxford Commercial	$192.50
Rate for Payer: Qualcare PPO/HMO/WC	$57.75
Rate for Payer: UnitedHealthcare Commercial	$192.50

PAD PERINEAL POST

Facility

$385.00

Hospital Charge Code	270681156
Hospital Revenue Code	272
Min. Negotiated Rate	$57.75
Max. Negotiated Rate	$57.75
Rate for Payer: Qualcare PPO/HMO/WC	$57.75

PAD POLYHESIVE REM MONITORING

Facility

$973.35

Hospital Charge Code	270654284
Hospital Revenue Code	272
Min. Negotiated Rate	$126.54
Max. Negotiated Rate	$486.68
Rate for Payer: Aetna Commercial	$292.00
Rate for Payer: Aetna Medicare Advantage	$292.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.20
Rate for Payer: Cigna Commercial	$486.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.54
Rate for Payer: Oxford Commercial	$486.68
Rate for Payer: Qualcare PPO/HMO/WC	$146.00
Rate for Payer: UnitedHealthcare Commercial	$486.68

PAD POLYHESIVE REM MONITORING

Facility

$973.35

Hospital Charge Code	270654284
Hospital Revenue Code	272
Min. Negotiated Rate	$146.00
Max. Negotiated Rate	$146.00
Rate for Payer: Qualcare PPO/HMO/WC	$146.00

Know your out-of-pocket cost for care.

All Charges