Heights University Hospital

All Charges

Charge

Type

Setting

Price

BANDAGE ELASTIC RUBBER 6

Facility

$4.06

Hospital Charge Code	270650376
Hospital Revenue Code	272
Min. Negotiated Rate	$0.61
Max. Negotiated Rate	$0.61
Rate for Payer: Qualcare PPO/HMO/WC	$0.61

BANDAGE ELASTIC RUBBER 6

Facility

$4.06

Hospital Charge Code	270650376
Hospital Revenue Code	272
Min. Negotiated Rate	$0.53
Max. Negotiated Rate	$2.03
Rate for Payer: Aetna Commercial	$1.22
Rate for Payer: Aetna Medicare Advantage	$1.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.04
Rate for Payer: Cigna Commercial	$2.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.53
Rate for Payer: Oxford Commercial	$2.03
Rate for Payer: Qualcare PPO/HMO/WC	$0.61
Rate for Payer: UnitedHealthcare Commercial	$2.03

BANDAGE ELASTIC W/VELCRO 2

Facility

$143.27

Hospital Charge Code	270655618
Hospital Revenue Code	272
Min. Negotiated Rate	$21.49
Max. Negotiated Rate	$21.49
Rate for Payer: Qualcare PPO/HMO/WC	$21.49

BANDAGE ELASTIC W/VELCRO 2

Facility

$143.27

Hospital Charge Code	270655618
Hospital Revenue Code	272
Min. Negotiated Rate	$18.63
Max. Negotiated Rate	$71.64
Rate for Payer: Aetna Commercial	$42.98
Rate for Payer: Aetna Medicare Advantage	$42.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.53
Rate for Payer: Cigna Commercial	$71.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.63
Rate for Payer: Oxford Commercial	$71.64
Rate for Payer: Qualcare PPO/HMO/WC	$21.49
Rate for Payer: UnitedHealthcare Commercial	$71.64

BANDAGE ELASTIC W/VELCRO 3

Facility

$16.80

Hospital Charge Code	270655015
Hospital Revenue Code	272
Min. Negotiated Rate	$2.52
Max. Negotiated Rate	$2.52
Rate for Payer: Qualcare PPO/HMO/WC	$2.52

BANDAGE ELASTIC W/VELCRO 3

Facility

$16.80

Hospital Charge Code	270655015
Hospital Revenue Code	272
Min. Negotiated Rate	$2.18
Max. Negotiated Rate	$8.40
Rate for Payer: Aetna Commercial	$5.04
Rate for Payer: Aetna Medicare Advantage	$5.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.28
Rate for Payer: Cigna Commercial	$8.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.18
Rate for Payer: Oxford Commercial	$8.40
Rate for Payer: Qualcare PPO/HMO/WC	$2.52
Rate for Payer: UnitedHealthcare Commercial	$8.40

BANDAGE ELASTIC W/VELCRO 4

Facility

$18.65

Hospital Charge Code	270655622
Hospital Revenue Code	272
Min. Negotiated Rate	$2.42
Max. Negotiated Rate	$9.32
Rate for Payer: Aetna Commercial	$5.59
Rate for Payer: Aetna Medicare Advantage	$5.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.76
Rate for Payer: Cigna Commercial	$9.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.42
Rate for Payer: Oxford Commercial	$9.32
Rate for Payer: Qualcare PPO/HMO/WC	$2.80
Rate for Payer: UnitedHealthcare Commercial	$9.32

BANDAGE ELASTIC W/VELCRO 4

Facility

$18.65

Hospital Charge Code	270655622
Hospital Revenue Code	272
Min. Negotiated Rate	$2.80
Max. Negotiated Rate	$2.80
Rate for Payer: Qualcare PPO/HMO/WC	$2.80

BANDAGE ESMARK

Facility

$5.23

Hospital Charge Code	270600369
Hospital Revenue Code	272
Min. Negotiated Rate	$0.78
Max. Negotiated Rate	$0.78
Rate for Payer: Qualcare PPO/HMO/WC	$0.78

BANDAGE ESMARK

Facility

$5.23

Hospital Charge Code	270600369
Hospital Revenue Code	272
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	$1.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.33
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	$0.78
Rate for Payer: UnitedHealthcare Commercial	$2.62

BANDAGE ESMARK *******

Facility

$17.00

Hospital Charge Code	1608322
Hospital Revenue Code	272
Min. Negotiated Rate	$2.55
Max. Negotiated Rate	$2.55
Rate for Payer: Qualcare PPO/HMO/WC	$2.55

BANDAGE ESMARK *******

Facility

$17.00

Hospital Charge Code	1608322
Hospital Revenue Code	272
Min. Negotiated Rate	$2.21
Max. Negotiated Rate	$8.50
Rate for Payer: Aetna Commercial	$5.10
Rate for Payer: Aetna Medicare Advantage	$5.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.33
Rate for Payer: Cigna Commercial	$8.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.21
Rate for Payer: Oxford Commercial	$8.50
Rate for Payer: Qualcare PPO/HMO/WC	$2.55
Rate for Payer: UnitedHealthcare Commercial	$8.50

BANDAGE ESMARK 4 4 YDS

Facility

$36.05

Hospital Charge Code	270637652
Hospital Revenue Code	272
Min. Negotiated Rate	$5.41
Max. Negotiated Rate	$5.41
Rate for Payer: Qualcare PPO/HMO/WC	$5.41

BANDAGE ESMARK 4 4 YDS

Facility

$36.05

Hospital Charge Code	270637652
Hospital Revenue Code	272
Min. Negotiated Rate	$4.69
Max. Negotiated Rate	$18.02
Rate for Payer: Aetna Commercial	$10.81
Rate for Payer: Aetna Medicare Advantage	$10.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.19
Rate for Payer: Cigna Commercial	$18.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.69
Rate for Payer: Oxford Commercial	$18.02
Rate for Payer: Qualcare PPO/HMO/WC	$5.41
Rate for Payer: UnitedHealthcare Commercial	$18.02

BANDAGE ESMARK STERILE

Facility

$14.25

Hospital Charge Code	270658527
Hospital Revenue Code	272
Min. Negotiated Rate	$1.85
Max. Negotiated Rate	$7.12
Rate for Payer: Aetna Commercial	$4.28
Rate for Payer: Aetna Medicare Advantage	$4.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.63
Rate for Payer: Cigna Commercial	$7.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.85
Rate for Payer: Oxford Commercial	$7.12
Rate for Payer: Qualcare PPO/HMO/WC	$2.14
Rate for Payer: UnitedHealthcare Commercial	$7.12

BANDAGE ESMARK STERILE

Facility

$10.36

Hospital Charge Code	270658525
Hospital Revenue Code	272
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$5.18
Rate for Payer: Aetna Commercial	$3.11
Rate for Payer: Aetna Medicare Advantage	$3.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.64
Rate for Payer: Cigna Commercial	$5.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.35
Rate for Payer: Oxford Commercial	$5.18
Rate for Payer: Qualcare PPO/HMO/WC	$1.55
Rate for Payer: UnitedHealthcare Commercial	$5.18

BANDAGE ESMARK STERILE

Facility

$10.36

Hospital Charge Code	270658525
Hospital Revenue Code	272
Min. Negotiated Rate	$1.55
Max. Negotiated Rate	$1.55
Rate for Payer: Qualcare PPO/HMO/WC	$1.55

BANDAGE ESMARK STERILE

Facility

$14.25

Hospital Charge Code	270658527
Hospital Revenue Code	272
Min. Negotiated Rate	$2.14
Max. Negotiated Rate	$2.14
Rate for Payer: Qualcare PPO/HMO/WC	$2.14

BANDAGE FABRIC 2 44102

Facility

$0.30

Hospital Charge Code	270350175C
Hospital Revenue Code	272
Min. Negotiated Rate	$0.04
Max. Negotiated Rate	$0.15
Rate for Payer: Aetna Commercial	$0.09
Rate for Payer: Aetna Medicare Advantage	$0.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.08
Rate for Payer: Cigna Commercial	$0.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.04
Rate for Payer: Oxford Commercial	$0.15
Rate for Payer: Qualcare PPO/HMO/WC	$0.05
Rate for Payer: UnitedHealthcare Commercial	$0.15

BANDAGE FABRIC 2 44102

Facility

$0.30

Hospital Charge Code	270350175C
Hospital Revenue Code	272
Min. Negotiated Rate	$0.05
Max. Negotiated Rate	$0.05
Rate for Payer: Qualcare PPO/HMO/WC	$0.05

BANDAGE GAUZE KERLIX 2 STER

Facility

$1.09

Hospital Charge Code	270650295
Hospital Revenue Code	272
Min. Negotiated Rate	$0.14
Max. Negotiated Rate	$0.55
Rate for Payer: Aetna Commercial	$0.33
Rate for Payer: Aetna Medicare Advantage	$0.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.28
Rate for Payer: Cigna Commercial	$0.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.14
Rate for Payer: Oxford Commercial	$0.55
Rate for Payer: Qualcare PPO/HMO/WC	$0.16
Rate for Payer: UnitedHealthcare Commercial	$0.55

BANDAGE GAUZE KERLIX 2 STER

Facility

$1.09

Hospital Charge Code	270650295
Hospital Revenue Code	272
Min. Negotiated Rate	$0.16
Max. Negotiated Rate	$0.16
Rate for Payer: Qualcare PPO/HMO/WC	$0.16

BANDAGE GAUZE KERLIX 3 STER

Facility

$1.09

Hospital Charge Code	270650296
Hospital Revenue Code	272
Min. Negotiated Rate	$0.14
Max. Negotiated Rate	$0.55
Rate for Payer: Aetna Commercial	$0.33
Rate for Payer: Aetna Medicare Advantage	$0.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.28
Rate for Payer: Cigna Commercial	$0.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.14
Rate for Payer: Oxford Commercial	$0.55
Rate for Payer: Qualcare PPO/HMO/WC	$0.16
Rate for Payer: UnitedHealthcare Commercial	$0.55

BANDAGE GAUZE KERLIX 3 STER

Facility

$1.09

Hospital Charge Code	270650296
Hospital Revenue Code	272
Min. Negotiated Rate	$0.16
Max. Negotiated Rate	$0.16
Rate for Payer: Qualcare PPO/HMO/WC	$0.16

BANDAGE GAUZE KERLIX 4 STER

Facility

$1.34

Hospital Charge Code	270650297
Hospital Revenue Code	272
Min. Negotiated Rate	$0.20
Max. Negotiated Rate	$0.20
Rate for Payer: Qualcare PPO/HMO/WC	$0.20

Know your out-of-pocket cost for care.

All Charges