Heights University Hospital

All Charges

Charge

Type

Setting

Price

SENOKOT/TAB

Facility

$1.00

Hospital Charge Code	60633861
Hospital Revenue Code	250
Min. Negotiated Rate	$0.15
Max. Negotiated Rate	$0.15
Rate for Payer: Qualcare PPO/HMO/WC	$0.15

SENOKOT/TAB

Facility

$1.00

Hospital Charge Code	60633861
Hospital Revenue Code	250
Min. Negotiated Rate	$0.13
Max. Negotiated Rate	$0.50
Rate for Payer: Aetna Commercial	$0.30
Rate for Payer: Aetna Medicare Advantage	$0.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.26
Rate for Payer: Cigna Commercial	$0.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.13
Rate for Payer: Oxford Commercial	$0.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.15
Rate for Payer: UnitedHealthcare Commercial	$0.50

SENOR PULSE OX

Facility

$1,076.75

Hospital Charge Code	270665806
Hospital Revenue Code	270
Min. Negotiated Rate	$139.98
Max. Negotiated Rate	$538.38
Rate for Payer: Aetna Commercial	$323.02
Rate for Payer: Aetna Medicare Advantage	$323.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$274.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$274.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$274.57
Rate for Payer: Cigna Commercial	$538.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.98
Rate for Payer: Oxford Commercial	$538.38
Rate for Payer: Qualcare PPO/HMO/WC	$161.51
Rate for Payer: UnitedHealthcare Commercial	$538.38

SENOR PULSE OX

Facility

$1,076.75

Hospital Charge Code	270665806
Hospital Revenue Code	270
Min. Negotiated Rate	$161.51
Max. Negotiated Rate	$161.51
Rate for Payer: Qualcare PPO/HMO/WC	$161.51

SENSATION STANDARD OVAL

Facility

$4.25

Hospital Charge Code	270654279
Hospital Revenue Code	272
Min. Negotiated Rate	$0.64
Max. Negotiated Rate	$0.64
Rate for Payer: Qualcare PPO/HMO/WC	$0.64

SENSATION STANDARD OVAL

Facility

$4.25

Hospital Charge Code	270654279
Hospital Revenue Code	272
Min. Negotiated Rate	$0.55
Max. Negotiated Rate	$2.12
Rate for Payer: Aetna Commercial	$1.27
Rate for Payer: Aetna Medicare Advantage	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.08
Rate for Payer: Cigna Commercial	$2.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.55
Rate for Payer: Oxford Commercial	$2.12
Rate for Payer: Qualcare PPO/HMO/WC	$0.64
Rate for Payer: UnitedHealthcare Commercial	$2.12

SENSIPAR 60MG TAB

Facility

$294.26

Service Code	NDC 55513007430
Hospital Charge Code	606361030
Hospital Revenue Code	250
Min. Negotiated Rate	$38.25
Max. Negotiated Rate	$147.13
Rate for Payer: Aetna Commercial	$88.28
Rate for Payer: Aetna Medicare Advantage	$88.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$75.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$75.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$75.04
Rate for Payer: Cigna Commercial	$147.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.25
Rate for Payer: Oxford Commercial	$147.13
Rate for Payer: Qualcare PPO/HMO/WC	$44.14
Rate for Payer: UnitedHealthcare Commercial	$147.13

SENSIPAR 60MG TAB

Facility

$294.26

Service Code	NDC 55513007430
Hospital Charge Code	606361030
Hospital Revenue Code	250
Min. Negotiated Rate	$44.14
Max. Negotiated Rate	$44.14
Rate for Payer: Qualcare PPO/HMO/WC	$44.14

SENSITIVITY

Facility

$66.25

Service Code	HCPCS 87184
Hospital Charge Code	3008746
Hospital Revenue Code	309
Min. Negotiated Rate	$9.94
Max. Negotiated Rate	$9.94
Rate for Payer: Qualcare PPO/HMO/WC	$9.94

SENSITIVITY

Facility

$66.25

Service Code	HCPCS 87184
Hospital Charge Code	3008746
Hospital Revenue Code	309
Min. Negotiated Rate	$3.74
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$24.24
Rate for Payer: Aetna Medicare Advantage	$7.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.41
Rate for Payer: Cigna Commercial	$7.48
Rate for Payer: Cigna Medicare Advantage	$3.74
Rate for Payer: Clover Medicare Advantage	$7.11
Rate for Payer: EmblemHealth Commercial	$22.44
Rate for Payer: Humana Medicare Advantage	$7.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.61
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.94
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$7.48
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$7.93
Rate for Payer: Wellcare Medicare Advantage	$7.48

SENSITIVITY, FUNGUS

Facility

$111.25

Service Code	HCPCS 87107
Hospital Charge Code	3008778
Hospital Revenue Code	309
Min. Negotiated Rate	$5.16
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$33.44
Rate for Payer: Aetna Medicare Advantage	$10.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.81
Rate for Payer: Cigna Commercial	$10.32
Rate for Payer: Cigna Medicare Advantage	$5.16
Rate for Payer: Clover Medicare Advantage	$9.80
Rate for Payer: EmblemHealth Commercial	$30.96
Rate for Payer: Humana Medicare Advantage	$10.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.46
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.69
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$10.32
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$10.94
Rate for Payer: Wellcare Medicare Advantage	$10.32

SENSITIVITY, FUNGUS

Facility

$111.25

Service Code	HCPCS 87107
Hospital Charge Code	3008778
Hospital Revenue Code	309
Min. Negotiated Rate	$16.69
Max. Negotiated Rate	$16.69
Rate for Payer: Qualcare PPO/HMO/WC	$16.69

SENSITIVITY - MIC

Facility

$196.35

Service Code	HCPCS 87186
Hospital Charge Code	3001047
Hospital Revenue Code	309
Min. Negotiated Rate	$4.33
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$28.03
Rate for Payer: Aetna Medicare Advantage	$8.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.69
Rate for Payer: Cigna Commercial	$8.65
Rate for Payer: Cigna Medicare Advantage	$4.33
Rate for Payer: Clover Medicare Advantage	$8.22
Rate for Payer: EmblemHealth Commercial	$25.95
Rate for Payer: Humana Medicare Advantage	$8.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.53
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$29.45
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$8.65
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$9.17
Rate for Payer: Wellcare Medicare Advantage	$8.65

SENSITIVITY - MIC

Facility

$196.35

Service Code	HCPCS 87186
Hospital Charge Code	3001047
Hospital Revenue Code	309
Min. Negotiated Rate	$29.45
Max. Negotiated Rate	$29.45
Rate for Payer: Qualcare PPO/HMO/WC	$29.45

SENSITIV/KIRBY-BAUER PER PLATI

Facility

$33.00

Service Code	HCPCS 87184
Hospital Charge Code	3008745
Hospital Revenue Code	306
Min. Negotiated Rate	$4.95
Max. Negotiated Rate	$4.95
Rate for Payer: Qualcare PPO/HMO/WC	$4.95

SENSITIV/KIRBY-BAUER PER PLATI

Facility

$33.00

Service Code	HCPCS 87184
Hospital Charge Code	3008745
Hospital Revenue Code	306
Min. Negotiated Rate	$3.74
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$24.24
Rate for Payer: Aetna Medicare Advantage	$7.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.41
Rate for Payer: Cigna Commercial	$7.48
Rate for Payer: Cigna Medicare Advantage	$3.74
Rate for Payer: Clover Medicare Advantage	$7.11
Rate for Payer: EmblemHealth Commercial	$22.44
Rate for Payer: Humana Medicare Advantage	$7.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.29
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.95
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$7.48
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$7.93
Rate for Payer: Wellcare Medicare Advantage	$7.48

SENSOR ADULT ADHESIVE FOREHEAD

Facility

$102.08

Hospital Charge Code	270646541
Hospital Revenue Code	272
Min. Negotiated Rate	$15.31
Max. Negotiated Rate	$15.31
Rate for Payer: Qualcare PPO/HMO/WC	$15.31

SENSOR ADULT ADHESIVE FOREHEAD

Facility

$102.08

Hospital Charge Code	270646541
Hospital Revenue Code	272
Min. Negotiated Rate	$13.27
Max. Negotiated Rate	$51.04
Rate for Payer: Aetna Commercial	$30.62
Rate for Payer: Aetna Medicare Advantage	$30.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.03
Rate for Payer: Cigna Commercial	$51.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.27
Rate for Payer: Oxford Commercial	$51.04
Rate for Payer: Qualcare PPO/HMO/WC	$15.31
Rate for Payer: UnitedHealthcare Commercial	$51.04

SENSOR ADULT FINGER SPO2 HP

Facility

$402.35

Hospital Charge Code	270618437
Hospital Revenue Code	279
Min. Negotiated Rate	$60.35
Max. Negotiated Rate	$60.35
Rate for Payer: Qualcare PPO/HMO/WC	$60.35

SENSOR ADULT FINGER SPO2 HP

Facility

$402.35

Hospital Charge Code	270618437
Hospital Revenue Code	279
Min. Negotiated Rate	$52.31
Max. Negotiated Rate	$201.18
Rate for Payer: Aetna Commercial	$120.70
Rate for Payer: Aetna Medicare Advantage	$120.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$102.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$102.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$102.60
Rate for Payer: Cigna Commercial	$201.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.31
Rate for Payer: Oxford Commercial	$201.18
Rate for Payer: Qualcare PPO/HMO/WC	$60.35
Rate for Payer: UnitedHealthcare Commercial	$201.18

SENSOR ADULT/NEONATAL DISP

Facility

$124.69

Hospital Charge Code	270643750
Hospital Revenue Code	272
Min. Negotiated Rate	$18.70
Max. Negotiated Rate	$18.70
Rate for Payer: Qualcare PPO/HMO/WC	$18.70

SENSOR ADULT/NEONATAL DISP

Facility

$124.69

Hospital Charge Code	270643750
Hospital Revenue Code	272
Min. Negotiated Rate	$16.21
Max. Negotiated Rate	$62.34
Rate for Payer: Aetna Commercial	$37.41
Rate for Payer: Aetna Medicare Advantage	$37.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.80
Rate for Payer: Cigna Commercial	$62.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.21
Rate for Payer: Oxford Commercial	$62.34
Rate for Payer: Qualcare PPO/HMO/WC	$18.70
Rate for Payer: UnitedHealthcare Commercial	$62.34

SENSORCAINE 0.25%/30ML

Facility

$27.47

Service Code	NDC 409155930
Hospital Charge Code	60633863
Hospital Revenue Code	250
Min. Negotiated Rate	$3.57
Max. Negotiated Rate	$13.73
Rate for Payer: Aetna Commercial	$8.24
Rate for Payer: Aetna Medicare Advantage	$8.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.00
Rate for Payer: Cigna Commercial	$13.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.57
Rate for Payer: Oxford Commercial	$13.73
Rate for Payer: Qualcare PPO/HMO/WC	$4.12
Rate for Payer: UnitedHealthcare Commercial	$13.73

SENSORCAINE 0.25%/30ML

Facility

$28.00

Hospital Charge Code	60633864
Hospital Revenue Code	250
Min. Negotiated Rate	$3.64
Max. Negotiated Rate	$14.00
Rate for Payer: Aetna Commercial	$8.40
Rate for Payer: Aetna Medicare Advantage	$8.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.14
Rate for Payer: Cigna Commercial	$14.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.64
Rate for Payer: Oxford Commercial	$14.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.20
Rate for Payer: UnitedHealthcare Commercial	$14.00

SENSORCAINE 0.25%/30ML

Facility

$28.00

Hospital Charge Code	60633864
Hospital Revenue Code	250
Min. Negotiated Rate	$4.20
Max. Negotiated Rate	$4.20
Rate for Payer: Qualcare PPO/HMO/WC	$4.20

Know your out-of-pocket cost for care.

All Charges