Heights University Hospital

All Charges

Charge

Type

Setting

Price

RENAL VENIPUNCTURE

Facility

$26.25

Service Code	HCPCS 36415
Hospital Charge Code	8200502
Hospital Revenue Code	300
Min. Negotiated Rate	$3.94
Max. Negotiated Rate	$3.94
Rate for Payer: Qualcare PPO/HMO/WC	$3.94

RENASOL 0 K 2.5 CAL SB1014

Facility

$22.45

Hospital Charge Code	270605245
Hospital Revenue Code	272
Min. Negotiated Rate	$3.37
Max. Negotiated Rate	$3.37
Rate for Payer: Qualcare PPO/HMO/WC	$3.37

RENASOL 0 K 2.5 CAL SB1014

Facility

$22.45

Hospital Charge Code	270605245
Hospital Revenue Code	272
Min. Negotiated Rate	$2.92
Max. Negotiated Rate	$11.22
Rate for Payer: Aetna Commercial	$6.74
Rate for Payer: Aetna Medicare Advantage	$6.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.72
Rate for Payer: Cigna Commercial	$11.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.92
Rate for Payer: Oxford Commercial	$11.22
Rate for Payer: Qualcare PPO/HMO/WC	$3.37
Rate for Payer: UnitedHealthcare Commercial	$11.22

RENASOL 2 K 2.5 CA SB1020

Facility

$22.45

Hospital Charge Code	270604649
Hospital Revenue Code	272
Min. Negotiated Rate	$2.92
Max. Negotiated Rate	$11.22
Rate for Payer: Aetna Commercial	$6.74
Rate for Payer: Aetna Medicare Advantage	$6.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.72
Rate for Payer: Cigna Commercial	$11.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.92
Rate for Payer: Oxford Commercial	$11.22
Rate for Payer: Qualcare PPO/HMO/WC	$3.37
Rate for Payer: UnitedHealthcare Commercial	$11.22

RENASOL 2 K 2.5 CA SB1020

Facility

$22.45

Hospital Charge Code	270604649
Hospital Revenue Code	272
Min. Negotiated Rate	$3.37
Max. Negotiated Rate	$3.37
Rate for Payer: Qualcare PPO/HMO/WC	$3.37

RENASOL BICARB POWDER 25GAL

Facility

$47.65

Hospital Charge Code	270646987
Hospital Revenue Code	270
Min. Negotiated Rate	$6.19
Max. Negotiated Rate	$23.82
Rate for Payer: Aetna Commercial	$14.29
Rate for Payer: Aetna Medicare Advantage	$14.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.15
Rate for Payer: Cigna Commercial	$23.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.19
Rate for Payer: Oxford Commercial	$23.82
Rate for Payer: Qualcare PPO/HMO/WC	$7.15
Rate for Payer: UnitedHealthcare Commercial	$23.82

RENASOL BICARB POWDER 25GAL

Facility

$47.65

Hospital Charge Code	270646987
Hospital Revenue Code	270
Min. Negotiated Rate	$7.15
Max. Negotiated Rate	$7.15
Rate for Payer: Qualcare PPO/HMO/WC	$7.15

RENASOL CA-2.5 K-3.0 (1057)

Facility

$15.00

Hospital Charge Code	270642576
Hospital Revenue Code	270
Min. Negotiated Rate	$2.25
Max. Negotiated Rate	$2.25
Rate for Payer: Qualcare PPO/HMO/WC	$2.25

RENASOL CA-2.5 K-3.0 (1057)

Facility

$15.00

Hospital Charge Code	270642576
Hospital Revenue Code	270
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$7.50
Rate for Payer: Aetna Commercial	$4.50
Rate for Payer: Aetna Medicare Advantage	$4.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.83
Rate for Payer: Cigna Commercial	$7.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.95
Rate for Payer: Oxford Commercial	$7.50
Rate for Payer: Qualcare PPO/HMO/WC	$2.25
Rate for Payer: UnitedHealthcare Commercial	$7.50

RENASOL CA-2 K-2 (1086)

Facility

$15.45

Hospital Charge Code	270633128
Hospital Revenue Code	270
Min. Negotiated Rate	$2.01
Max. Negotiated Rate	$7.72
Rate for Payer: Aetna Commercial	$4.63
Rate for Payer: Aetna Medicare Advantage	$4.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.94
Rate for Payer: Cigna Commercial	$7.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.01
Rate for Payer: Oxford Commercial	$7.72
Rate for Payer: Qualcare PPO/HMO/WC	$2.32
Rate for Payer: UnitedHealthcare Commercial	$7.72

RENASOL CA-2 K-2 (1086)

Facility

$15.45

Hospital Charge Code	270633128
Hospital Revenue Code	270
Min. Negotiated Rate	$2.32
Max. Negotiated Rate	$2.32
Rate for Payer: Qualcare PPO/HMO/WC	$2.32

RENASOL NA-143 CA-0.0 K-2.0

Facility

$15.00

Hospital Charge Code	270643464
Hospital Revenue Code	270
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$7.50
Rate for Payer: Aetna Commercial	$4.50
Rate for Payer: Aetna Medicare Advantage	$4.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.83
Rate for Payer: Cigna Commercial	$7.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.95
Rate for Payer: Oxford Commercial	$7.50
Rate for Payer: Qualcare PPO/HMO/WC	$2.25
Rate for Payer: UnitedHealthcare Commercial	$7.50

RENASOL NA-143 CA-0.0 K-2.0

Facility

$15.00

Hospital Charge Code	270643464
Hospital Revenue Code	270
Min. Negotiated Rate	$2.25
Max. Negotiated Rate	$2.25
Rate for Payer: Qualcare PPO/HMO/WC	$2.25

RENASYS DRESSING FOAM KIT

Facility

$141.95

Hospital Charge Code	270659496
Hospital Revenue Code	272
Min. Negotiated Rate	$21.29
Max. Negotiated Rate	$21.29
Rate for Payer: Qualcare PPO/HMO/WC	$21.29

RENASYS DRESSING FOAM KIT

Facility

$141.95

Hospital Charge Code	270659496
Hospital Revenue Code	272
Min. Negotiated Rate	$18.45
Max. Negotiated Rate	$70.97
Rate for Payer: Aetna Commercial	$42.59
Rate for Payer: Aetna Medicare Advantage	$42.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.20
Rate for Payer: Cigna Commercial	$70.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.45
Rate for Payer: Oxford Commercial	$70.97
Rate for Payer: Qualcare PPO/HMO/WC	$21.29
Rate for Payer: UnitedHealthcare Commercial	$70.97

RENASYS DRESSING F/P KIT XL

Facility

$456.15

Hospital Charge Code	270659491
Hospital Revenue Code	272
Min. Negotiated Rate	$59.30
Max. Negotiated Rate	$228.07
Rate for Payer: Aetna Commercial	$136.84
Rate for Payer: Aetna Medicare Advantage	$136.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$116.32
Rate for Payer: Cigna Commercial	$228.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.30
Rate for Payer: Oxford Commercial	$228.07
Rate for Payer: Qualcare PPO/HMO/WC	$68.42
Rate for Payer: UnitedHealthcare Commercial	$228.07

RENASYS DRESSING F/P KIT XL

Facility

$456.15

Hospital Charge Code	270659491
Hospital Revenue Code	272
Min. Negotiated Rate	$68.42
Max. Negotiated Rate	$68.42
Rate for Payer: Qualcare PPO/HMO/WC	$68.42

RENASYS DRESSING F/P MEDIUM

Facility

$349.85

Hospital Charge Code	270649168
Hospital Revenue Code	272
Min. Negotiated Rate	$45.48
Max. Negotiated Rate	$174.93
Rate for Payer: Aetna Commercial	$104.95
Rate for Payer: Aetna Medicare Advantage	$104.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.21
Rate for Payer: Cigna Commercial	$174.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.48
Rate for Payer: Oxford Commercial	$174.93
Rate for Payer: Qualcare PPO/HMO/WC	$52.48
Rate for Payer: UnitedHealthcare Commercial	$174.93

RENASYS DRESSING F/P MEDIUM

Facility

$349.85

Hospital Charge Code	270649168
Hospital Revenue Code	272
Min. Negotiated Rate	$52.48
Max. Negotiated Rate	$52.48
Rate for Payer: Qualcare PPO/HMO/WC	$52.48

RENASYS SOFT PORT STAND ALONE

Facility

$75.00

Hospital Charge Code	270659504
Hospital Revenue Code	270
Min. Negotiated Rate	$9.75
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	$9.75
Rate for Payer: Oxford Commercial	$37.50
Rate for Payer: Qualcare PPO/HMO/WC	$11.25
Rate for Payer: UnitedHealthcare Commercial	$37.50

RENASYS SOFT PORT STAND ALONE

Facility

$75.00

Hospital Charge Code	270659504
Hospital Revenue Code	270
Min. Negotiated Rate	$11.25
Max. Negotiated Rate	$11.25
Rate for Payer: Qualcare PPO/HMO/WC	$11.25

RENEGADE STC 18 MICRO CATH .01

Facility

$2,240.00

Hospital Charge Code	270CH0086
Hospital Revenue Code	272
Min. Negotiated Rate	$291.20
Max. Negotiated Rate	$1,120.00
Rate for Payer: Aetna Commercial	$672.00
Rate for Payer: Aetna Medicare Advantage	$672.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$571.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$571.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$571.20
Rate for Payer: Cigna Commercial	$1,120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$291.20
Rate for Payer: Oxford Commercial	$1,120.00
Rate for Payer: Qualcare PPO/HMO/WC	$336.00
Rate for Payer: UnitedHealthcare Commercial	$1,120.00

RENEGADE STC 18 MICRO CATH .01

Facility

$2,240.00

Hospital Charge Code	270CH0086
Hospital Revenue Code	272
Min. Negotiated Rate	$336.00
Max. Negotiated Rate	$336.00
Rate for Payer: Qualcare PPO/HMO/WC	$336.00

RENESE/1MG/TAB

Facility

$3.00

Hospital Charge Code	60634393
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

RENESE/1MG/TAB

Facility

$3.00

Hospital Charge Code	60634393
Hospital Revenue Code	250
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$1.50
Rate for Payer: Aetna Commercial	$0.90
Rate for Payer: Aetna Medicare Advantage	$0.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.77
Rate for Payer: Cigna Commercial	$1.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.39
Rate for Payer: Oxford Commercial	$1.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.45
Rate for Payer: UnitedHealthcare Commercial	$1.50

Know your out-of-pocket cost for care.

All Charges