Heights University Hospital

All Charges

Charge

Type

Setting

Price

SKIN HOOK JOSEPH DOUBLE 6 IN

Facility

$492.55

Hospital Charge Code	270684791
Hospital Revenue Code	272
Min. Negotiated Rate	$73.88
Max. Negotiated Rate	$73.88
Rate for Payer: Qualcare PPO/HMO/WC	$73.88

SKIN HOOK JOSEPH DOUBLE 6 IN

Facility

$492.55

Hospital Charge Code	270684791
Hospital Revenue Code	272
Min. Negotiated Rate	$64.03
Max. Negotiated Rate	$246.28
Rate for Payer: Aetna Commercial	$147.76
Rate for Payer: Aetna Medicare Advantage	$147.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$125.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$125.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$125.60
Rate for Payer: Cigna Commercial	$246.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.03
Rate for Payer: Oxford Commercial	$246.28
Rate for Payer: Qualcare PPO/HMO/WC	$73.88
Rate for Payer: UnitedHealthcare Commercial	$246.28

SKIN LOTION

Facility

$67.25

Hospital Charge Code	60628457
Hospital Revenue Code	250
Min. Negotiated Rate	$10.09
Max. Negotiated Rate	$10.09
Rate for Payer: Qualcare PPO/HMO/WC	$10.09

SKIN LOTION

Facility

$67.25

Hospital Charge Code	60628457
Hospital Revenue Code	250
Min. Negotiated Rate	$8.74
Max. Negotiated Rate	$33.62
Rate for Payer: Aetna Commercial	$20.18
Rate for Payer: Aetna Medicare Advantage	$20.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.15
Rate for Payer: Cigna Commercial	$33.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.74
Rate for Payer: Oxford Commercial	$33.62
Rate for Payer: Qualcare PPO/HMO/WC	$10.09
Rate for Payer: UnitedHealthcare Commercial	$33.62

SKIN LOTION

Facility

$26.90

Hospital Charge Code	60628456
Hospital Revenue Code	250
Min. Negotiated Rate	$3.50
Max. Negotiated Rate	$13.45
Rate for Payer: Aetna Commercial	$8.07
Rate for Payer: Aetna Medicare Advantage	$8.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.86
Rate for Payer: Cigna Commercial	$13.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.50
Rate for Payer: Oxford Commercial	$13.45
Rate for Payer: Qualcare PPO/HMO/WC	$4.04
Rate for Payer: UnitedHealthcare Commercial	$13.45

SKIN LOTION

Facility

$53.80

Hospital Charge Code	60628458
Hospital Revenue Code	250
Min. Negotiated Rate	$6.99
Max. Negotiated Rate	$26.90
Rate for Payer: Aetna Commercial	$16.14
Rate for Payer: Aetna Medicare Advantage	$16.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.72
Rate for Payer: Cigna Commercial	$26.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.99
Rate for Payer: Oxford Commercial	$26.90
Rate for Payer: Qualcare PPO/HMO/WC	$8.07
Rate for Payer: UnitedHealthcare Commercial	$26.90

SKIN LOTION

Facility

$53.80

Hospital Charge Code	60628458
Hospital Revenue Code	250
Min. Negotiated Rate	$8.07
Max. Negotiated Rate	$8.07
Rate for Payer: Qualcare PPO/HMO/WC	$8.07

SKIN LOTION

Facility

$26.90

Hospital Charge Code	60628456
Hospital Revenue Code	250
Min. Negotiated Rate	$4.04
Max. Negotiated Rate	$4.04
Rate for Payer: Qualcare PPO/HMO/WC	$4.04

SKIN OIL 120ML

Facility

$21.15

Hospital Charge Code	6009971
Hospital Revenue Code	250
Min. Negotiated Rate	$3.17
Max. Negotiated Rate	$3.17
Rate for Payer: Qualcare PPO/HMO/WC	$3.17

SKIN OIL 120ML

Facility

$21.15

Hospital Charge Code	6009971
Hospital Revenue Code	250
Min. Negotiated Rate	$2.75
Max. Negotiated Rate	$10.57
Rate for Payer: Aetna Commercial	$6.34
Rate for Payer: Aetna Medicare Advantage	$6.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.39
Rate for Payer: Cigna Commercial	$10.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.75
Rate for Payer: Oxford Commercial	$10.57
Rate for Payer: Qualcare PPO/HMO/WC	$3.17
Rate for Payer: UnitedHealthcare Commercial	$10.57

SKIN PARTIAL THICK,ABRASION

Facility

$1,050.00

Service Code	HCPCS 11040
Hospital Charge Code	1600000376
Hospital Revenue Code	360
Min. Negotiated Rate	$136.50
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$315.00
Rate for Payer: Aetna Medicare Advantage	$315.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$267.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$267.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$267.75
Rate for Payer: Cigna Commercial	$525.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$136.50
Rate for Payer: Qualcare PPO/HMO/WC	$157.50

SKIN PARTIAL THICK,ABRASION

Facility

$1,050.00

Service Code	HCPCS 11040
Hospital Charge Code	1600000376
Hospital Revenue Code	360
Min. Negotiated Rate	$157.50
Max. Negotiated Rate	$157.50
Rate for Payer: Qualcare PPO/HMO/WC	$157.50

SKIN PREP BOX ******

Facility

$95.00

Hospital Charge Code	8001554
Hospital Revenue Code	279
Min. Negotiated Rate	$12.35
Max. Negotiated Rate	$47.50
Rate for Payer: Aetna Commercial	$28.50
Rate for Payer: Aetna Medicare Advantage	$28.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.23
Rate for Payer: Cigna Commercial	$47.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.35
Rate for Payer: Oxford Commercial	$47.50
Rate for Payer: Qualcare PPO/HMO/WC	$14.25
Rate for Payer: UnitedHealthcare Commercial	$47.50

SKIN PREP BOX ******

Facility

$95.00

Hospital Charge Code	8001554
Hospital Revenue Code	279
Min. Negotiated Rate	$14.25
Max. Negotiated Rate	$14.25
Rate for Payer: Qualcare PPO/HMO/WC	$14.25

SKIN PREP PREOP NASAL ANTISEPT

Facility

$79.35

Hospital Charge Code	270677880
Hospital Revenue Code	272
Min. Negotiated Rate	$10.32
Max. Negotiated Rate	$39.67
Rate for Payer: Aetna Commercial	$23.80
Rate for Payer: Aetna Medicare Advantage	$23.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.23
Rate for Payer: Cigna Commercial	$39.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.32
Rate for Payer: Oxford Commercial	$39.67
Rate for Payer: Qualcare PPO/HMO/WC	$11.90
Rate for Payer: UnitedHealthcare Commercial	$39.67

SKIN PREP PREOP NASAL ANTISEPT

Facility

$79.35

Hospital Charge Code	270677880
Hospital Revenue Code	272
Min. Negotiated Rate	$11.90
Max. Negotiated Rate	$11.90
Rate for Payer: Qualcare PPO/HMO/WC	$11.90

SKIN-PREP WIPES

Facility

$2.45

Hospital Charge Code	270301985
Hospital Revenue Code	272
Min. Negotiated Rate	$0.37
Max. Negotiated Rate	$0.37
Rate for Payer: Qualcare PPO/HMO/WC	$0.37

SKIN-PREP WIPES

Facility

$2.45

Hospital Charge Code	270301985
Hospital Revenue Code	272
Min. Negotiated Rate	$0.32
Max. Negotiated Rate	$1.23
Rate for Payer: Aetna Commercial	$0.74
Rate for Payer: Aetna Medicare Advantage	$0.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.62
Rate for Payer: Cigna Commercial	$1.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.32
Rate for Payer: Oxford Commercial	$1.23
Rate for Payer: Qualcare PPO/HMO/WC	$0.37
Rate for Payer: UnitedHealthcare Commercial	$1.23

SKIN PREP W/O STRIP 3344

Facility

$144.85

Hospital Charge Code	270611248
Hospital Revenue Code	272
Min. Negotiated Rate	$18.83
Max. Negotiated Rate	$72.42
Rate for Payer: Aetna Commercial	$43.45
Rate for Payer: Aetna Medicare Advantage	$43.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.94
Rate for Payer: Cigna Commercial	$72.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.83
Rate for Payer: Oxford Commercial	$72.42
Rate for Payer: Qualcare PPO/HMO/WC	$21.73
Rate for Payer: UnitedHealthcare Commercial	$72.42

SKIN PREP W/O STRIP 3344

Facility

$144.85

Hospital Charge Code	270611248
Hospital Revenue Code	272
Min. Negotiated Rate	$21.73
Max. Negotiated Rate	$21.73
Rate for Payer: Qualcare PPO/HMO/WC	$21.73

SKIN SCRIBE ************

Facility

$3.00

Hospital Charge Code	1600568
Hospital Revenue Code	272
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

SKIN SCRIBE ************

Facility

$3.00

Hospital Charge Code	1600568
Hospital Revenue Code	272
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

SKIN SPLT GRFT TRNK/ARM/LEG

Facility

$26,848.40

Service Code	HCPCS 15100
Hospital Charge Code	1600000355
Hospital Revenue Code	360
Min. Negotiated Rate	$4,027.26
Max. Negotiated Rate	$4,027.26
Rate for Payer: Qualcare PPO/HMO/WC	$4,027.26

SKIN SPLT GRFT TRNK/ARM/LEG

Facility

$26,848.40

Service Code	HCPCS 15100
Hospital Charge Code	1600000355
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$8,054.52
Rate for Payer: Aetna Commercial	$8,054.52
Rate for Payer: Aetna Medicare Advantage	$8,054.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,846.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,846.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,846.34
Rate for Payer: Cigna Commercial	$4,913.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,490.29
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,027.26
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

SKIN SUB GRAFT FACE/NK/HF/G

Facility

$8,909.70

Service Code	HCPCS 15275
Hospital Charge Code	1600000379
Hospital Revenue Code	360
Min. Negotiated Rate	$1,336.45
Max. Negotiated Rate	$1,336.45
Rate for Payer: Qualcare PPO/HMO/WC	$1,336.45

Know your out-of-pocket cost for care.

All Charges