Heights University Hospital

All Charges

Charge

Type

Setting

Price

STOCK ANTI-EM THIGH L R

Facility

$35.14

Hospital Charge Code	270303021
Hospital Revenue Code	270
Min. Negotiated Rate	$5.27
Max. Negotiated Rate	$5.27
Rate for Payer: Qualcare PPO/HMO/WC	$5.27

STOCK ANTI-EM THIGH M L

Facility

$34.46

Hospital Charge Code	270303015
Hospital Revenue Code	270
Min. Negotiated Rate	$5.17
Max. Negotiated Rate	$5.17
Rate for Payer: Qualcare PPO/HMO/WC	$5.17

STOCK ANTI-EM THIGH M L

Facility

$34.46

Hospital Charge Code	270303015
Hospital Revenue Code	270
Min. Negotiated Rate	$4.48
Max. Negotiated Rate	$17.23
Rate for Payer: Aetna Commercial	$10.34
Rate for Payer: Aetna Medicare Advantage	$10.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.79
Rate for Payer: Cigna Commercial	$17.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.48
Rate for Payer: Oxford Commercial	$17.23
Rate for Payer: Qualcare PPO/HMO/WC	$5.17
Rate for Payer: UnitedHealthcare Commercial	$17.23

STOCK ANTI-EM THIGH M S

Facility

$40.85

Hospital Charge Code	270303005
Hospital Revenue Code	270
Min. Negotiated Rate	$6.13
Max. Negotiated Rate	$6.13
Rate for Payer: Qualcare PPO/HMO/WC	$6.13

STOCK ANTI-EM THIGH M S

Facility

$40.85

Hospital Charge Code	270303005
Hospital Revenue Code	270
Min. Negotiated Rate	$5.31
Max. Negotiated Rate	$20.43
Rate for Payer: Aetna Commercial	$12.26
Rate for Payer: Aetna Medicare Advantage	$12.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.42
Rate for Payer: Cigna Commercial	$20.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.31
Rate for Payer: Oxford Commercial	$20.43
Rate for Payer: Qualcare PPO/HMO/WC	$6.13
Rate for Payer: UnitedHealthcare Commercial	$20.43

STOCK ANTI-EM THIGH S R

Facility

$35.14

Hospital Charge Code	270302995
Hospital Revenue Code	270
Min. Negotiated Rate	$5.27
Max. Negotiated Rate	$5.27
Rate for Payer: Qualcare PPO/HMO/WC	$5.27

STOCK ANTI-EM THIGH S R

Facility

$35.14

Hospital Charge Code	270302995
Hospital Revenue Code	270
Min. Negotiated Rate	$4.57
Max. Negotiated Rate	$17.57
Rate for Payer: Aetna Commercial	$10.54
Rate for Payer: Aetna Medicare Advantage	$10.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.96
Rate for Payer: Cigna Commercial	$17.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.57
Rate for Payer: Oxford Commercial	$17.57
Rate for Payer: Qualcare PPO/HMO/WC	$5.27
Rate for Payer: UnitedHealthcare Commercial	$17.57

STOCK ANTI-EM THIGH XL

Facility

$60.88

Hospital Charge Code	270303030
Hospital Revenue Code	270
Min. Negotiated Rate	$7.91
Max. Negotiated Rate	$30.44
Rate for Payer: Aetna Commercial	$18.26
Rate for Payer: Aetna Medicare Advantage	$18.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.52
Rate for Payer: Cigna Commercial	$30.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.91
Rate for Payer: Oxford Commercial	$30.44
Rate for Payer: Qualcare PPO/HMO/WC	$9.13
Rate for Payer: UnitedHealthcare Commercial	$30.44

STOCK ANTI-EM THIGH XL

Facility

$60.88

Hospital Charge Code	270303030
Hospital Revenue Code	270
Min. Negotiated Rate	$9.13
Max. Negotiated Rate	$9.13
Rate for Payer: Qualcare PPO/HMO/WC	$9.13

STOCKINETTE 2 WIDE

Facility

$42.35

Hospital Charge Code	270302950
Hospital Revenue Code	270
Min. Negotiated Rate	$6.35
Max. Negotiated Rate	$6.35
Rate for Payer: Qualcare PPO/HMO/WC	$6.35

STOCKINETTE 2 WIDE

Facility

$42.35

Hospital Charge Code	270302950
Hospital Revenue Code	270
Min. Negotiated Rate	$5.51
Max. Negotiated Rate	$21.18
Rate for Payer: Aetna Commercial	$12.71
Rate for Payer: Aetna Medicare Advantage	$12.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.80
Rate for Payer: Cigna Commercial	$21.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.51
Rate for Payer: Oxford Commercial	$21.18
Rate for Payer: Qualcare PPO/HMO/WC	$6.35
Rate for Payer: UnitedHealthcare Commercial	$21.18

STOCKINETTE 3

Facility

$55.50

Hospital Charge Code	302955
Hospital Revenue Code	270
Min. Negotiated Rate	$8.32
Max. Negotiated Rate	$8.32
Rate for Payer: Qualcare PPO/HMO/WC	$8.32

STOCKINETTE 3

Facility

$55.50

Hospital Charge Code	302955
Hospital Revenue Code	270
Min. Negotiated Rate	$7.21
Max. Negotiated Rate	$27.75
Rate for Payer: Aetna Commercial	$16.65
Rate for Payer: Aetna Medicare Advantage	$16.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.15
Rate for Payer: Cigna Commercial	$27.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.21
Rate for Payer: Oxford Commercial	$27.75
Rate for Payer: Qualcare PPO/HMO/WC	$8.32
Rate for Payer: UnitedHealthcare Commercial	$27.75

STOCKINETTE 3 WIDE

Facility

$55.25

Hospital Charge Code	270302955
Hospital Revenue Code	270
Min. Negotiated Rate	$8.29
Max. Negotiated Rate	$8.29
Rate for Payer: Qualcare PPO/HMO/WC	$8.29

STOCKINETTE 3 WIDE

Facility

$55.25

Hospital Charge Code	270302955
Hospital Revenue Code	270
Min. Negotiated Rate	$7.18
Max. Negotiated Rate	$27.62
Rate for Payer: Aetna Commercial	$16.57
Rate for Payer: Aetna Medicare Advantage	$16.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.09
Rate for Payer: Cigna Commercial	$27.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.18
Rate for Payer: Oxford Commercial	$27.62
Rate for Payer: Qualcare PPO/HMO/WC	$8.29
Rate for Payer: UnitedHealthcare Commercial	$27.62

STOCKINETTE 3 X 25YDS 3M

Facility

$106.45

Hospital Charge Code	270300785
Hospital Revenue Code	270
Min. Negotiated Rate	$15.97
Max. Negotiated Rate	$15.97
Rate for Payer: Qualcare PPO/HMO/WC	$15.97

STOCKINETTE 3 X 25YDS 3M

Facility

$106.45

Hospital Charge Code	270300785
Hospital Revenue Code	270
Min. Negotiated Rate	$13.84
Max. Negotiated Rate	$53.23
Rate for Payer: Aetna Commercial	$31.93
Rate for Payer: Aetna Medicare Advantage	$31.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.14
Rate for Payer: Cigna Commercial	$53.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.84
Rate for Payer: Oxford Commercial	$53.23
Rate for Payer: Qualcare PPO/HMO/WC	$15.97
Rate for Payer: UnitedHealthcare Commercial	$53.23

STOCKINETTE 4 WIDE

Facility

$64.90

Hospital Charge Code	270302960
Hospital Revenue Code	270
Min. Negotiated Rate	$9.73
Max. Negotiated Rate	$9.73
Rate for Payer: Qualcare PPO/HMO/WC	$9.73

STOCKINETTE 4 WIDE

Facility

$64.90

Hospital Charge Code	270302960
Hospital Revenue Code	270
Min. Negotiated Rate	$8.44
Max. Negotiated Rate	$32.45
Rate for Payer: Aetna Commercial	$19.47
Rate for Payer: Aetna Medicare Advantage	$19.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.55
Rate for Payer: Cigna Commercial	$32.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.44
Rate for Payer: Oxford Commercial	$32.45
Rate for Payer: Qualcare PPO/HMO/WC	$9.73
Rate for Payer: UnitedHealthcare Commercial	$32.45

STOCKINETTE 4 WIDE

Facility

$64.90

Hospital Charge Code	270302960W
Hospital Revenue Code	270
Min. Negotiated Rate	$9.73
Max. Negotiated Rate	$9.73
Rate for Payer: Qualcare PPO/HMO/WC	$9.73

STOCKINETTE 4 WIDE

Facility

$64.90

Hospital Charge Code	270302960W
Hospital Revenue Code	270
Min. Negotiated Rate	$8.44
Max. Negotiated Rate	$32.45
Rate for Payer: Aetna Commercial	$19.47
Rate for Payer: Aetna Medicare Advantage	$19.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.55
Rate for Payer: Cigna Commercial	$32.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.44
Rate for Payer: Oxford Commercial	$32.45
Rate for Payer: Qualcare PPO/HMO/WC	$9.73
Rate for Payer: UnitedHealthcare Commercial	$32.45

STOCKINETTE 4 X 25YDS 3M

Facility

$265.65

Hospital Charge Code	270300786
Hospital Revenue Code	270
Min. Negotiated Rate	$34.53
Max. Negotiated Rate	$132.82
Rate for Payer: Aetna Commercial	$79.69
Rate for Payer: Aetna Medicare Advantage	$79.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.74
Rate for Payer: Cigna Commercial	$132.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.53
Rate for Payer: Oxford Commercial	$132.82
Rate for Payer: Qualcare PPO/HMO/WC	$39.85
Rate for Payer: UnitedHealthcare Commercial	$132.82

STOCKINETTE 4 X 25YDS 3M

Facility

$265.65

Hospital Charge Code	270300786
Hospital Revenue Code	270
Min. Negotiated Rate	$39.85
Max. Negotiated Rate	$39.85
Rate for Payer: Qualcare PPO/HMO/WC	$39.85

STOCKINETTE 6 WIDE

Facility

$100.70

Hospital Charge Code	270302965W
Hospital Revenue Code	270
Min. Negotiated Rate	$13.09
Max. Negotiated Rate	$50.35
Rate for Payer: Aetna Commercial	$30.21
Rate for Payer: Aetna Medicare Advantage	$30.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.68
Rate for Payer: Cigna Commercial	$50.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.09
Rate for Payer: Oxford Commercial	$50.35
Rate for Payer: Qualcare PPO/HMO/WC	$15.11
Rate for Payer: UnitedHealthcare Commercial	$50.35

STOCKINETTE 6 WIDE

Facility

$100.70

Hospital Charge Code	270302965W
Hospital Revenue Code	270
Min. Negotiated Rate	$15.11
Max. Negotiated Rate	$15.11
Rate for Payer: Qualcare PPO/HMO/WC	$15.11

Know your out-of-pocket cost for care.

All Charges