Heights University Hospital

All Charges

Charge

Type

Setting

Price

STERILE WATER FOR INJ

Facility

$4.50

Hospital Charge Code	6013239
Hospital Revenue Code	250
Min. Negotiated Rate	$0.59
Max. Negotiated Rate	$2.25
Rate for Payer: Aetna Commercial	$1.35
Rate for Payer: Aetna Medicare Advantage	$1.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.15
Rate for Payer: Cigna Commercial	$2.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.59
Rate for Payer: Oxford Commercial	$2.25
Rate for Payer: Qualcare PPO/HMO/WC	$0.68
Rate for Payer: UnitedHealthcare Commercial	$2.25

STERILE WATER FOR INJ

Facility

$4.50

Hospital Charge Code	6013239
Hospital Revenue Code	250
Min. Negotiated Rate	$0.68
Max. Negotiated Rate	$0.68
Rate for Payer: Qualcare PPO/HMO/WC	$0.68

STERILE WATER FOR INJ

Facility

$57.60

Hospital Charge Code	60628714
Hospital Revenue Code	250
Min. Negotiated Rate	$8.64
Max. Negotiated Rate	$8.64
Rate for Payer: Qualcare PPO/HMO/WC	$8.64

STERILE WATER FOR INJ

Facility

$57.60

Hospital Charge Code	60628714
Hospital Revenue Code	250
Min. Negotiated Rate	$7.49
Max. Negotiated Rate	$28.80
Rate for Payer: Aetna Commercial	$17.28
Rate for Payer: Aetna Medicare Advantage	$17.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.69
Rate for Payer: Cigna Commercial	$28.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.49
Rate for Payer: Oxford Commercial	$28.80
Rate for Payer: Qualcare PPO/HMO/WC	$8.64
Rate for Payer: UnitedHealthcare Commercial	$28.80

STERILE WATER FOR INJECTI

Facility

$2.00

Hospital Charge Code	60635443
Hospital Revenue Code	272
Min. Negotiated Rate	$0.30
Max. Negotiated Rate	$0.30
Rate for Payer: Qualcare PPO/HMO/WC	$0.30

STERILE WATER FOR INJECTI

Facility

$2.00

Hospital Charge Code	60635443
Hospital Revenue Code	272
Min. Negotiated Rate	$0.26
Max. Negotiated Rate	$1.00
Rate for Payer: Aetna Commercial	$0.60
Rate for Payer: Aetna Medicare Advantage	$0.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.51
Rate for Payer: Cigna Commercial	$1.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.26
Rate for Payer: Oxford Commercial	$1.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.30
Rate for Payer: UnitedHealthcare Commercial	$1.00

STERILE WATER FOR IRRIG 1000ML

Facility

$5.50

Hospital Charge Code	60630173
Hospital Revenue Code	272
Min. Negotiated Rate	$0.72
Max. Negotiated Rate	$2.75
Rate for Payer: Aetna Commercial	$1.65
Rate for Payer: Aetna Medicare Advantage	$1.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.40
Rate for Payer: Cigna Commercial	$2.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.72
Rate for Payer: Oxford Commercial	$2.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.83
Rate for Payer: UnitedHealthcare Commercial	$2.75

STERILE WATER FOR IRRIG 1000ML

Facility

$5.50

Hospital Charge Code	60630173
Hospital Revenue Code	272
Min. Negotiated Rate	$0.83
Max. Negotiated Rate	$0.83
Rate for Payer: Qualcare PPO/HMO/WC	$0.83

STERILE WATER FOR IRRIG 2000ML

Facility

$8.20

Hospital Charge Code	60630174
Hospital Revenue Code	272
Min. Negotiated Rate	$1.23
Max. Negotiated Rate	$1.23
Rate for Payer: Qualcare PPO/HMO/WC	$1.23

STERILE WATER FOR IRRIG 2000ML

Facility

$8.20

Hospital Charge Code	60630174
Hospital Revenue Code	272
Min. Negotiated Rate	$1.07
Max. Negotiated Rate	$4.10
Rate for Payer: Aetna Commercial	$2.46
Rate for Payer: Aetna Medicare Advantage	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.09
Rate for Payer: Cigna Commercial	$4.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.07
Rate for Payer: Oxford Commercial	$4.10
Rate for Payer: Qualcare PPO/HMO/WC	$1.23
Rate for Payer: UnitedHealthcare Commercial	$4.10

STERILE WATER FOR IRRIG 500ML

Facility

$4.80

Hospital Charge Code	60630172
Hospital Revenue Code	272
Min. Negotiated Rate	$0.72
Max. Negotiated Rate	$0.72
Rate for Payer: Qualcare PPO/HMO/WC	$0.72

STERILE WATER FOR IRRIG 500ML

Facility

$4.80

Hospital Charge Code	60630172
Hospital Revenue Code	272
Min. Negotiated Rate	$0.62
Max. Negotiated Rate	$2.40
Rate for Payer: Aetna Commercial	$1.44
Rate for Payer: Aetna Medicare Advantage	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.22
Rate for Payer: Cigna Commercial	$2.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.62
Rate for Payer: Oxford Commercial	$2.40
Rate for Payer: Qualcare PPO/HMO/WC	$0.72
Rate for Payer: UnitedHealthcare Commercial	$2.40

STERILE WATER INJ 20ML

Facility

$1.95

Hospital Charge Code	60628712
Hospital Revenue Code	250
Min. Negotiated Rate	$0.25
Max. Negotiated Rate	$0.98
Rate for Payer: Aetna Commercial	$0.59
Rate for Payer: Aetna Medicare Advantage	$0.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.50
Rate for Payer: Cigna Commercial	$0.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.25
Rate for Payer: Oxford Commercial	$0.98
Rate for Payer: Qualcare PPO/HMO/WC	$0.29
Rate for Payer: UnitedHealthcare Commercial	$0.98

STERILE WATER INJ 20ML

Facility

$1.95

Hospital Charge Code	60628712
Hospital Revenue Code	250
Min. Negotiated Rate	$0.29
Max. Negotiated Rate	$0.29
Rate for Payer: Qualcare PPO/HMO/WC	$0.29

STERILE WATER INJ 50ML

Facility

$17.95

Hospital Charge Code	60628713
Hospital Revenue Code	250
Min. Negotiated Rate	$2.33
Max. Negotiated Rate	$8.97
Rate for Payer: Aetna Commercial	$5.38
Rate for Payer: Aetna Medicare Advantage	$5.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.58
Rate for Payer: Cigna Commercial	$8.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.33
Rate for Payer: Oxford Commercial	$8.97
Rate for Payer: Qualcare PPO/HMO/WC	$2.69
Rate for Payer: UnitedHealthcare Commercial	$8.97

STERILE WATER INJ 50ML

Facility

$17.95

Hospital Charge Code	60628713
Hospital Revenue Code	250
Min. Negotiated Rate	$2.69
Max. Negotiated Rate	$2.69
Rate for Payer: Qualcare PPO/HMO/WC	$2.69

STERILIZATION CASE CHONDRO PIC

Facility

$2,075.00

Hospital Charge Code	270689603
Hospital Revenue Code	272
Min. Negotiated Rate	$311.25
Max. Negotiated Rate	$311.25
Rate for Payer: Qualcare PPO/HMO/WC	$311.25

STERILIZATION CASE CHONDRO PIC

Facility

$2,075.00

Hospital Charge Code	270689603
Hospital Revenue Code	272
Min. Negotiated Rate	$269.75
Max. Negotiated Rate	$1,037.50
Rate for Payer: Aetna Commercial	$622.50
Rate for Payer: Aetna Medicare Advantage	$622.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$529.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$529.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$529.12
Rate for Payer: Cigna Commercial	$1,037.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$269.75
Rate for Payer: Oxford Commercial	$1,037.50
Rate for Payer: Qualcare PPO/HMO/WC	$311.25
Rate for Payer: UnitedHealthcare Commercial	$1,037.50

STERILIZATION CORNERS

Facility

$1,440.00

Hospital Charge Code	270657723
Hospital Revenue Code	272
Min. Negotiated Rate	$216.00
Max. Negotiated Rate	$216.00
Rate for Payer: Qualcare PPO/HMO/WC	$216.00

STERILIZATION CORNERS

Facility

$1,440.00

Hospital Charge Code	270657723
Hospital Revenue Code	272
Min. Negotiated Rate	$187.20
Max. Negotiated Rate	$720.00
Rate for Payer: Aetna Commercial	$432.00
Rate for Payer: Aetna Medicare Advantage	$432.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$367.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$367.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$367.20
Rate for Payer: Cigna Commercial	$720.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.20
Rate for Payer: Oxford Commercial	$720.00
Rate for Payer: Qualcare PPO/HMO/WC	$216.00
Rate for Payer: UnitedHealthcare Commercial	$720.00

STERILIZER BAG 3-1/2 X 5

Facility

$6.36

Hospital Charge Code	270654429
Hospital Revenue Code	272
Min. Negotiated Rate	$0.83
Max. Negotiated Rate	$3.18
Rate for Payer: Aetna Commercial	$1.91
Rate for Payer: Aetna Medicare Advantage	$1.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.62
Rate for Payer: Cigna Commercial	$3.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.83
Rate for Payer: Oxford Commercial	$3.18
Rate for Payer: Qualcare PPO/HMO/WC	$0.95
Rate for Payer: UnitedHealthcare Commercial	$3.18

STERILIZER BAG 3-1/2 X 5

Facility

$6.36

Hospital Charge Code	270654429
Hospital Revenue Code	272
Min. Negotiated Rate	$0.95
Max. Negotiated Rate	$0.95
Rate for Payer: Qualcare PPO/HMO/WC	$0.95

STERIS 3085 SP BATTERY POWERED

Facility

$174,074.10

Hospital Charge Code	270663229
Hospital Revenue Code	270
Min. Negotiated Rate	$26,111.12
Max. Negotiated Rate	$26,111.12
Rate for Payer: Qualcare PPO/HMO/WC	$26,111.12

STERIS 3085 SP BATTERY POWERED

Facility

$174,074.10

Hospital Charge Code	270663229
Hospital Revenue Code	270
Min. Negotiated Rate	$22,629.63
Max. Negotiated Rate	$87,037.05
Rate for Payer: Aetna Commercial	$52,222.23
Rate for Payer: Aetna Medicare Advantage	$52,222.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44,388.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44,388.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44,388.90
Rate for Payer: Cigna Commercial	$87,037.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22,629.63
Rate for Payer: Oxford Commercial	$87,037.05
Rate for Payer: Qualcare PPO/HMO/WC	$26,111.12
Rate for Payer: UnitedHealthcare Commercial	$87,037.05

STERI STRIP 1

Facility

$197.10

Hospital Charge Code	270663693
Hospital Revenue Code	270
Min. Negotiated Rate	$25.62
Max. Negotiated Rate	$98.55
Rate for Payer: Aetna Commercial	$59.13
Rate for Payer: Aetna Medicare Advantage	$59.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.26
Rate for Payer: Cigna Commercial	$98.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.62
Rate for Payer: Oxford Commercial	$98.55
Rate for Payer: Qualcare PPO/HMO/WC	$29.57
Rate for Payer: UnitedHealthcare Commercial	$98.55

Know your out-of-pocket cost for care.

All Charges