Heights University Hospital

All Charges

Charge

Type

Setting

Price

PAD PREP 24x44

Facility

$159.90

Hospital Charge Code	270651647
Hospital Revenue Code	270
Min. Negotiated Rate	$23.98
Max. Negotiated Rate	$23.98
Rate for Payer: Qualcare PPO/HMO/WC	$23.98

PAD PREP 24x44

Facility

$159.90

Hospital Charge Code	270651647
Hospital Revenue Code	270
Min. Negotiated Rate	$20.79
Max. Negotiated Rate	$79.95
Rate for Payer: Aetna Commercial	$47.97
Rate for Payer: Aetna Medicare Advantage	$47.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.77
Rate for Payer: Cigna Commercial	$79.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.79
Rate for Payer: Oxford Commercial	$79.95
Rate for Payer: Qualcare PPO/HMO/WC	$23.98
Rate for Payer: UnitedHealthcare Commercial	$79.95

PAD PREP POVIDONE IODINE

Facility

$43.95

Hospital Charge Code	270651648
Hospital Revenue Code	272
Min. Negotiated Rate	$6.59
Max. Negotiated Rate	$6.59
Rate for Payer: Qualcare PPO/HMO/WC	$6.59

PAD PREP POVIDONE IODINE

Facility

$43.95

Hospital Charge Code	270651648
Hospital Revenue Code	272
Min. Negotiated Rate	$5.71
Max. Negotiated Rate	$21.98
Rate for Payer: Aetna Commercial	$13.19
Rate for Payer: Aetna Medicare Advantage	$13.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.21
Rate for Payer: Cigna Commercial	$21.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.71
Rate for Payer: Oxford Commercial	$21.98
Rate for Payer: Qualcare PPO/HMO/WC	$6.59
Rate for Payer: UnitedHealthcare Commercial	$21.98

PAD PT DELUXE UNIVERSAL

Facility

$97.25

Hospital Charge Code	270683981
Hospital Revenue Code	272
Min. Negotiated Rate	$14.59
Max. Negotiated Rate	$14.59
Rate for Payer: Qualcare PPO/HMO/WC	$14.59

PAD PT DELUXE UNIVERSAL

Facility

$97.25

Hospital Charge Code	270683981
Hospital Revenue Code	272
Min. Negotiated Rate	$12.64
Max. Negotiated Rate	$48.62
Rate for Payer: Aetna Commercial	$29.18
Rate for Payer: Aetna Medicare Advantage	$29.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.80
Rate for Payer: Cigna Commercial	$48.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.64
Rate for Payer: Oxford Commercial	$48.62
Rate for Payer: Qualcare PPO/HMO/WC	$14.59
Rate for Payer: UnitedHealthcare Commercial	$48.62

PAD PT LATERAL POS'R

Facility

$129.17

Hospital Charge Code	270601203
Hospital Revenue Code	272
Min. Negotiated Rate	$16.79
Max. Negotiated Rate	$64.58
Rate for Payer: Aetna Commercial	$38.75
Rate for Payer: Aetna Medicare Advantage	$38.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.94
Rate for Payer: Cigna Commercial	$64.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.79
Rate for Payer: Oxford Commercial	$64.58
Rate for Payer: Qualcare PPO/HMO/WC	$19.38
Rate for Payer: UnitedHealthcare Commercial	$64.58

PAD PT LATERAL POS'R

Facility

$129.17

Hospital Charge Code	270601203
Hospital Revenue Code	272
Min. Negotiated Rate	$19.38
Max. Negotiated Rate	$19.38
Rate for Payer: Qualcare PPO/HMO/WC	$19.38

PAD QK COMBO DEFIB 11996000017

Facility

$133.00

Hospital Charge Code	270641169
Hospital Revenue Code	270
Min. Negotiated Rate	$19.95
Max. Negotiated Rate	$19.95
Rate for Payer: Qualcare PPO/HMO/WC	$19.95

PAD QK COMBO DEFIB 11996000017

Facility

$133.00

Hospital Charge Code	270641169
Hospital Revenue Code	270
Min. Negotiated Rate	$17.29
Max. Negotiated Rate	$66.50
Rate for Payer: Aetna Commercial	$39.90
Rate for Payer: Aetna Medicare Advantage	$39.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.91
Rate for Payer: Cigna Commercial	$66.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.29
Rate for Payer: Oxford Commercial	$66.50
Rate for Payer: Qualcare PPO/HMO/WC	$19.95
Rate for Payer: UnitedHealthcare Commercial	$66.50

PAD SANITARY XL 1380A

Facility

$0.72

Hospital Charge Code	270649198
Hospital Revenue Code	270
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 SANITARY XL 1380A

Facility

$0.72

Hospital Charge Code	270649198
Hospital Revenue Code	270
Min. Negotiated Rate	$0.11
Max. Negotiated Rate	$0.11
Rate for Payer: Qualcare PPO/HMO/WC	$0.11

PADS BABY 18X30

Facility

$13.23

Hospital Charge Code	270658697
Hospital Revenue Code	270
Min. Negotiated Rate	$1.72
Max. Negotiated Rate	$6.62
Rate for Payer: Aetna Commercial	$3.97
Rate for Payer: Aetna Medicare Advantage	$3.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.37
Rate for Payer: Cigna Commercial	$6.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.72
Rate for Payer: Oxford Commercial	$6.62
Rate for Payer: Qualcare PPO/HMO/WC	$1.98
Rate for Payer: UnitedHealthcare Commercial	$6.62

PADS BABY 18X30

Facility

$13.23

Hospital Charge Code	270658697
Hospital Revenue Code	270
Min. Negotiated Rate	$1.98
Max. Negotiated Rate	$1.98
Rate for Payer: Qualcare PPO/HMO/WC	$1.98

PADS NASAL GEL SMALL GECKO

Facility

$74.75

Hospital Charge Code	270650421
Hospital Revenue Code	271
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

PADS NASAL GEL SMALL GECKO

Facility

$74.75

Hospital Charge Code	270650421
Hospital Revenue Code	271
Min. Negotiated Rate	$11.21
Max. Negotiated Rate	$11.21
Rate for Payer: Qualcare PPO/HMO/WC	$11.21

PADS SOFT ON SOFT A0G22

Facility

$80.10

Hospital Charge Code	270632203
Hospital Revenue Code	272
Min. Negotiated Rate	$12.02
Max. Negotiated Rate	$12.02
Rate for Payer: Qualcare PPO/HMO/WC	$12.02

PADS SOFT ON SOFT A0G22

Facility

$80.10

Hospital Charge Code	270632203
Hospital Revenue Code	272
Min. Negotiated Rate	$10.41
Max. Negotiated Rate	$40.05
Rate for Payer: Aetna Medicare Advantage	$24.03
Rate for Payer: Aetna Commercial	$24.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.43
Rate for Payer: Cigna Commercial	$40.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.41
Rate for Payer: Oxford Commercial	$40.05
Rate for Payer: Qualcare PPO/HMO/WC	$12.02
Rate for Payer: UnitedHealthcare Commercial	$40.05

PAD STERILE GAUZE SPONGE

Facility

$12.10

Hospital Charge Code	270655052
Hospital Revenue Code	270
Min. Negotiated Rate	$1.81
Max. Negotiated Rate	$1.81
Rate for Payer: Qualcare PPO/HMO/WC	$1.81

PAD STERILE GAUZE SPONGE

Facility

$12.10

Hospital Charge Code	270655052
Hospital Revenue Code	270
Min. Negotiated Rate	$1.57
Max. Negotiated Rate	$6.05
Rate for Payer: Aetna Commercial	$3.63
Rate for Payer: Aetna Medicare Advantage	$3.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.09
Rate for Payer: Cigna Commercial	$6.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.57
Rate for Payer: Oxford Commercial	$6.05
Rate for Payer: Qualcare PPO/HMO/WC	$1.81
Rate for Payer: UnitedHealthcare Commercial	$6.05

PAD TRENDELENBURG/ TABLE GEL

Facility

$255.04

Hospital Charge Code	270664519
Hospital Revenue Code	270
Min. Negotiated Rate	$38.26
Max. Negotiated Rate	$38.26
Rate for Payer: Qualcare PPO/HMO/WC	$38.26

PAD TRENDELENBURG/ TABLE GEL

Facility

$255.04

Hospital Charge Code	270664519
Hospital Revenue Code	270
Min. Negotiated Rate	$33.16
Max. Negotiated Rate	$127.52
Rate for Payer: Aetna Commercial	$76.51
Rate for Payer: Aetna Medicare Advantage	$76.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.04
Rate for Payer: Cigna Commercial	$127.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.16
Rate for Payer: Oxford Commercial	$127.52
Rate for Payer: Qualcare PPO/HMO/WC	$38.26
Rate for Payer: UnitedHealthcare Commercial	$127.52

PAD VL ELECTRODE

Facility

$13.98

Hospital Charge Code	270061155
Hospital Revenue Code	272
Min. Negotiated Rate	$2.10
Max. Negotiated Rate	$2.10
Rate for Payer: Qualcare PPO/HMO/WC	$2.10

PAD VL ELECTRODE

Facility

$13.98

Hospital Charge Code	270061155
Hospital Revenue Code	272
Min. Negotiated Rate	$1.82
Max. Negotiated Rate	$6.99
Rate for Payer: Aetna Commercial	$4.19
Rate for Payer: Aetna Medicare Advantage	$4.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.56
Rate for Payer: Cigna Commercial	$6.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.82
Rate for Payer: Oxford Commercial	$6.99
Rate for Payer: Qualcare PPO/HMO/WC	$2.10
Rate for Payer: UnitedHealthcare Commercial	$6.99

PAD WITCH HAZEL (TUCKS)

Facility

$4.00

Hospital Charge Code	270301315
Hospital Revenue Code	270
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

Know your out-of-pocket cost for care.

All Charges