Heights University Hospital

All Charges

Charge

Type

Setting

Price

BANDAGE SYS PROFORE 4-LAYER

Facility

$61.98

Hospital Charge Code	270650138
Hospital Revenue Code	270
Min. Negotiated Rate	$8.06
Max. Negotiated Rate	$30.99
Rate for Payer: Aetna Commercial	$18.59
Rate for Payer: Aetna Medicare Advantage	$18.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.80
Rate for Payer: Cigna Commercial	$30.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.06
Rate for Payer: Oxford Commercial	$30.99
Rate for Payer: Qualcare PPO/HMO/WC	$9.30
Rate for Payer: UnitedHealthcare Commercial	$30.99

BANDAGE TENSOPLAST 2IN X 5YDS

Facility

$564.90

Hospital Charge Code	270655949
Hospital Revenue Code	272
Min. Negotiated Rate	$84.73
Max. Negotiated Rate	$84.73
Rate for Payer: Qualcare PPO/HMO/WC	$84.73

BANDAGE TENSOPLAST 2IN X 5YDS

Facility

$564.90

Hospital Charge Code	270655949
Hospital Revenue Code	272
Min. Negotiated Rate	$73.44
Max. Negotiated Rate	$282.45
Rate for Payer: Aetna Commercial	$169.47
Rate for Payer: Aetna Medicare Advantage	$169.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.05
Rate for Payer: Cigna Commercial	$282.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.44
Rate for Payer: Oxford Commercial	$282.45
Rate for Payer: Qualcare PPO/HMO/WC	$84.73
Rate for Payer: UnitedHealthcare Commercial	$282.45

BANDAGE THERMAL LATEX FREE 7IN

Facility

$9.22

Hospital Charge Code	270654003
Hospital Revenue Code	270
Min. Negotiated Rate	$1.38
Max. Negotiated Rate	$1.38
Rate for Payer: Qualcare PPO/HMO/WC	$1.38

BANDAGE THERMAL LATEX FREE 7IN

Facility

$9.22

Hospital Charge Code	270654003
Hospital Revenue Code	270
Min. Negotiated Rate	$1.20
Max. Negotiated Rate	$4.61
Rate for Payer: Aetna Commercial	$2.77
Rate for Payer: Aetna Medicare Advantage	$2.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.35
Rate for Payer: Cigna Commercial	$4.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.20
Rate for Payer: Oxford Commercial	$4.61
Rate for Payer: Qualcare PPO/HMO/WC	$1.38
Rate for Payer: UnitedHealthcare Commercial	$4.61

BANDAGE UNNA BOOT 4

Facility

$27.23

Hospital Charge Code	270649893
Hospital Revenue Code	272
Min. Negotiated Rate	$3.54
Max. Negotiated Rate	$13.62
Rate for Payer: Aetna Commercial	$8.17
Rate for Payer: Aetna Medicare Advantage	$8.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.94
Rate for Payer: Cigna Commercial	$13.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.54
Rate for Payer: Oxford Commercial	$13.62
Rate for Payer: Qualcare PPO/HMO/WC	$4.08
Rate for Payer: UnitedHealthcare Commercial	$13.62

BANDAGE UNNA BOOT 4

Facility

$27.23

Hospital Charge Code	270649893
Hospital Revenue Code	272
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$4.08
Rate for Payer: Qualcare PPO/HMO/WC	$4.08

BAND-AID XLG 2 WIDE

Facility

$5.00

Hospital Charge Code	270350175
Hospital Revenue Code	272
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$2.50
Rate for Payer: Aetna Commercial	$1.50
Rate for Payer: Aetna Medicare Advantage	$1.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.27
Rate for Payer: Cigna Commercial	$2.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.65
Rate for Payer: Oxford Commercial	$2.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.75
Rate for Payer: UnitedHealthcare Commercial	$2.50

BAND-AID XLG 2 WIDE

Facility

$5.00

Hospital Charge Code	270350175
Hospital Revenue Code	272
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

BAND CLAMPS 177050070

Facility

$4,736.85

Hospital Charge Code	270632112
Hospital Revenue Code	272
Min. Negotiated Rate	$710.53
Max. Negotiated Rate	$710.53
Rate for Payer: Qualcare PPO/HMO/WC	$710.53

BAND CLAMPS 177050070

Facility

$4,736.85

Hospital Charge Code	270632112
Hospital Revenue Code	272
Min. Negotiated Rate	$615.79
Max. Negotiated Rate	$2,368.43
Rate for Payer: Aetna Commercial	$1,421.06
Rate for Payer: Aetna Medicare Advantage	$1,421.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,207.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,207.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,207.90
Rate for Payer: Cigna Commercial	$2,368.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$615.79
Rate for Payer: Oxford Commercial	$2,368.43
Rate for Payer: Qualcare PPO/HMO/WC	$710.53
Rate for Payer: UnitedHealthcare Commercial	$2,368.43

BAND EXERCISE LEVEL 3 4in. 50y

Facility

$575.00

Hospital Charge Code	270665145
Hospital Revenue Code	270
Min. Negotiated Rate	$74.75
Max. Negotiated Rate	$287.50
Rate for Payer: Aetna Commercial	$172.50
Rate for Payer: Aetna Medicare Advantage	$172.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$146.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$146.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$146.62
Rate for Payer: Cigna Commercial	$287.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.75
Rate for Payer: Oxford Commercial	$287.50
Rate for Payer: Qualcare PPO/HMO/WC	$86.25
Rate for Payer: UnitedHealthcare Commercial	$287.50

BAND EXERCISE LEVEL 3 4in. 50y

Facility

$575.00

Hospital Charge Code	270665145
Hospital Revenue Code	270
Min. Negotiated Rate	$86.25
Max. Negotiated Rate	$86.25
Rate for Payer: Qualcare PPO/HMO/WC	$86.25

BAND GASTRIC ADJUSTABLE

Facility

$13,600.00

Hospital Charge Code	270676279
Hospital Revenue Code	278
Min. Negotiated Rate	$2,040.00
Max. Negotiated Rate	$3,291.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,720.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,291.20
Rate for Payer: Qualcare PPO/HMO/WC	$2,040.00

BAND GASTRIC ADJUSTABLE

Facility

$13,600.00

Hospital Charge Code	270676279
Hospital Revenue Code	278
Min. Negotiated Rate	$2,040.00
Max. Negotiated Rate	$6,800.00
Rate for Payer: Aetna Commercial	$4,080.00
Rate for Payer: Aetna Medicare Advantage	$4,080.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,468.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,468.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,720.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,468.00
Rate for Payer: Cigna Commercial	$6,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,291.20
Rate for Payer: Qualcare PPO/HMO/WC	$2,040.00

BAND LEG FOLEY CATH

Facility

$33.65

Hospital Charge Code	270600286
Hospital Revenue Code	272
Min. Negotiated Rate	$5.05
Max. Negotiated Rate	$5.05
Rate for Payer: Qualcare PPO/HMO/WC	$5.05

BAND LEG FOLEY CATH

Facility

$33.65

Hospital Charge Code	270600286
Hospital Revenue Code	272
Min. Negotiated Rate	$4.37
Max. Negotiated Rate	$16.82
Rate for Payer: Aetna Commercial	$10.10
Rate for Payer: Aetna Medicare Advantage	$10.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.58
Rate for Payer: Cigna Commercial	$16.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.37
Rate for Payer: Oxford Commercial	$16.82
Rate for Payer: Qualcare PPO/HMO/WC	$5.05
Rate for Payer: UnitedHealthcare Commercial	$16.82

BAND LIGATOR-6 SHOOTER SAEED M

Facility

$521.00

Hospital Charge Code	270334801
Hospital Revenue Code	272
Min. Negotiated Rate	$78.15
Max. Negotiated Rate	$78.15
Rate for Payer: Qualcare PPO/HMO/WC	$78.15

BAND LIGATOR-6 SHOOTER SAEED M

Facility

$521.00

Hospital Charge Code	270334801
Hospital Revenue Code	272
Min. Negotiated Rate	$67.73
Max. Negotiated Rate	$260.50
Rate for Payer: Aetna Commercial	$156.30
Rate for Payer: Aetna Medicare Advantage	$156.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.85
Rate for Payer: Cigna Commercial	$260.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.73
Rate for Payer: Oxford Commercial	$260.50
Rate for Payer: Qualcare PPO/HMO/WC	$78.15
Rate for Payer: UnitedHealthcare Commercial	$260.50

BANDNET FULLHEADCAP NON-ST.

Facility

$19.98

Hospital Charge Code	270650505
Hospital Revenue Code	272
Min. Negotiated Rate	$3.00
Max. Negotiated Rate	$3.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.00

BANDNET FULLHEADCAP NON-ST.

Facility

$19.98

Hospital Charge Code	270650505
Hospital Revenue Code	272
Min. Negotiated Rate	$2.60
Max. Negotiated Rate	$9.99
Rate for Payer: Aetna Commercial	$5.99
Rate for Payer: Aetna Medicare Advantage	$5.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.09
Rate for Payer: Cigna Commercial	$9.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.60
Rate for Payer: Oxford Commercial	$9.99
Rate for Payer: Qualcare PPO/HMO/WC	$3.00
Rate for Payer: UnitedHealthcare Commercial	$9.99

BAND SET STRUT MAXFRAME SET

Facility

$2,250.00

Hospital Charge Code	270683952
Hospital Revenue Code	272
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$337.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

BAND SET STRUT MAXFRAME SET

Facility

$2,250.00

Hospital Charge Code	270683952
Hospital Revenue Code	272
Min. Negotiated Rate	$292.50
Max. Negotiated Rate	$1,125.00
Rate for Payer: Aetna Commercial	$675.00
Rate for Payer: Aetna Medicare Advantage	$675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$573.75
Rate for Payer: Cigna Commercial	$1,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$292.50
Rate for Payer: Oxford Commercial	$1,125.00
Rate for Payer: Qualcare PPO/HMO/WC	$337.50
Rate for Payer: UnitedHealthcare Commercial	$1,125.00

BANKART ASP, 90

Facility

$1,725.00

Hospital Charge Code	270656493
Hospital Revenue Code	272
Min. Negotiated Rate	$224.25
Max. Negotiated Rate	$862.50
Rate for Payer: Aetna Commercial	$517.50
Rate for Payer: Aetna Medicare Advantage	$517.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$439.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$439.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$439.88
Rate for Payer: Cigna Commercial	$862.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$224.25
Rate for Payer: Oxford Commercial	$862.50
Rate for Payer: Qualcare PPO/HMO/WC	$258.75
Rate for Payer: UnitedHealthcare Commercial	$862.50

BANKART ASP, 90

Facility

$1,725.00

Hospital Charge Code	270656493
Hospital Revenue Code	272
Min. Negotiated Rate	$258.75
Max. Negotiated Rate	$258.75
Rate for Payer: Qualcare PPO/HMO/WC	$258.75

Know your out-of-pocket cost for care.

All Charges