Heights University Hospital

All Charges

Charge

Type

Setting

Price

STOCKINETTE 6 WIDE

Facility

$100.70

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

STOCKINETTE 6 WIDE

Facility

$100.70

Hospital Charge Code	270302965
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 X 25YDS 3M

Facility

$285.65

Hospital Charge Code	270300790
Hospital Revenue Code	270
Min. Negotiated Rate	$37.13
Max. Negotiated Rate	$142.82
Rate for Payer: Aetna Commercial	$85.69
Rate for Payer: Aetna Medicare Advantage	$85.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$72.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$72.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$72.84
Rate for Payer: Cigna Commercial	$142.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.13
Rate for Payer: Oxford Commercial	$142.82
Rate for Payer: Qualcare PPO/HMO/WC	$42.85
Rate for Payer: UnitedHealthcare Commercial	$142.82

STOCKINETTE 6 X 25YDS 3M

Facility

$285.65

Hospital Charge Code	270300790
Hospital Revenue Code	270
Min. Negotiated Rate	$42.85
Max. Negotiated Rate	$42.85
Rate for Payer: Qualcare PPO/HMO/WC	$42.85

STOCKINETTE IMPERVIOUS *****

Facility

$81.00

Hospital Charge Code	1601145
Hospital Revenue Code	272
Min. Negotiated Rate	$12.15
Max. Negotiated Rate	$12.15
Rate for Payer: Qualcare PPO/HMO/WC	$12.15

STOCKINETTE IMPERVIOUS *****

Facility

$81.00

Hospital Charge Code	1601145
Hospital Revenue Code	272
Min. Negotiated Rate	$10.53
Max. Negotiated Rate	$40.50
Rate for Payer: Aetna Commercial	$24.30
Rate for Payer: Aetna Medicare Advantage	$24.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.66
Rate for Payer: Cigna Commercial	$40.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.53
Rate for Payer: Oxford Commercial	$40.50
Rate for Payer: Qualcare PPO/HMO/WC	$12.15
Rate for Payer: UnitedHealthcare Commercial	$40.50

STOCKINETTE IMPERVIOUS 1587

Facility

$16.45

Hospital Charge Code	270648976
Hospital Revenue Code	272
Min. Negotiated Rate	$2.14
Max. Negotiated Rate	$8.22
Rate for Payer: Aetna Commercial	$4.93
Rate for Payer: Aetna Medicare Advantage	$4.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.19
Rate for Payer: Cigna Commercial	$8.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.14
Rate for Payer: Oxford Commercial	$8.22
Rate for Payer: Qualcare PPO/HMO/WC	$2.47
Rate for Payer: UnitedHealthcare Commercial	$8.22

STOCKINETTE IMPERVIOUS 1587

Facility

$16.45

Hospital Charge Code	270648976
Hospital Revenue Code	272
Min. Negotiated Rate	$2.47
Max. Negotiated Rate	$2.47
Rate for Payer: Qualcare PPO/HMO/WC	$2.47

STOCKINETTE IMPERV STER

Facility

$29.61

Hospital Charge Code	270061525
Hospital Revenue Code	272
Min. Negotiated Rate	$4.44
Max. Negotiated Rate	$4.44
Rate for Payer: Qualcare PPO/HMO/WC	$4.44

STOCKINETTE IMPERV STER

Facility

$29.61

Hospital Charge Code	270061525
Hospital Revenue Code	272
Min. Negotiated Rate	$3.85
Max. Negotiated Rate	$14.80
Rate for Payer: Aetna Commercial	$8.88
Rate for Payer: Aetna Medicare Advantage	$8.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.55
Rate for Payer: Cigna Commercial	$14.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.85
Rate for Payer: Oxford Commercial	$14.80
Rate for Payer: Qualcare PPO/HMO/WC	$4.44
Rate for Payer: UnitedHealthcare Commercial	$14.80

STOCKINETTE MEDIUM

Facility

$19.57

Hospital Charge Code	270654105
Hospital Revenue Code	270
Min. Negotiated Rate	$2.94
Max. Negotiated Rate	$2.94
Rate for Payer: Qualcare PPO/HMO/WC	$2.94

STOCKINETTE MEDIUM

Facility

$19.57

Hospital Charge Code	270654105
Hospital Revenue Code	270
Min. Negotiated Rate	$2.54
Max. Negotiated Rate	$9.79
Rate for Payer: Aetna Commercial	$5.87
Rate for Payer: Aetna Medicare Advantage	$5.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.99
Rate for Payer: Cigna Commercial	$9.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.54
Rate for Payer: Oxford Commercial	$9.79
Rate for Payer: Qualcare PPO/HMO/WC	$2.94
Rate for Payer: UnitedHealthcare Commercial	$9.79

STOCKINETTE N/STAR 3X25 YD

Facility

$55.25

Hospital Charge Code	270649012
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 N/STAR 3X25 YD

Facility

$55.25

Hospital Charge Code	270649012
Hospital Revenue Code	270
Min. Negotiated Rate	$8.29
Max. Negotiated Rate	$8.29
Rate for Payer: Qualcare PPO/HMO/WC	$8.29

STOCKINETTE N/STER 2X25 YD

Facility

$33.15

Hospital Charge Code	270649011
Hospital Revenue Code	272
Min. Negotiated Rate	$4.31
Max. Negotiated Rate	$16.57
Rate for Payer: Aetna Commercial	$9.95
Rate for Payer: Aetna Medicare Advantage	$9.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.45
Rate for Payer: Cigna Commercial	$16.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.31
Rate for Payer: Oxford Commercial	$16.57
Rate for Payer: Qualcare PPO/HMO/WC	$4.97
Rate for Payer: UnitedHealthcare Commercial	$16.57

STOCKINETTE N/STER 2X25 YD

Facility

$33.15

Hospital Charge Code	270649011
Hospital Revenue Code	272
Min. Negotiated Rate	$4.97
Max. Negotiated Rate	$4.97
Rate for Payer: Qualcare PPO/HMO/WC	$4.97

STOCKINETTE N/STER 4X25 YD

Facility

$32.90

Hospital Charge Code	270649013
Hospital Revenue Code	270
Min. Negotiated Rate	$4.93
Max. Negotiated Rate	$4.93
Rate for Payer: Qualcare PPO/HMO/WC	$4.93

STOCKINETTE N/STER 4X25 YD

Facility

$32.90

Hospital Charge Code	270649013
Hospital Revenue Code	270
Min. Negotiated Rate	$4.28
Max. Negotiated Rate	$16.45
Rate for Payer: Aetna Commercial	$9.87
Rate for Payer: Aetna Medicare Advantage	$9.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.39
Rate for Payer: Cigna Commercial	$16.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.28
Rate for Payer: Oxford Commercial	$16.45
Rate for Payer: Qualcare PPO/HMO/WC	$4.93
Rate for Payer: UnitedHealthcare Commercial	$16.45

STOCKINETTE SPECIALIST 6X25YD

Facility

$117.25

Hospital Charge Code	270663268
Hospital Revenue Code	270
Min. Negotiated Rate	$17.59
Max. Negotiated Rate	$17.59
Rate for Payer: Qualcare PPO/HMO/WC	$17.59

STOCKINETTE SPECIALIST 6X25YD

Facility

$117.25

Hospital Charge Code	270663268
Hospital Revenue Code	270
Min. Negotiated Rate	$15.24
Max. Negotiated Rate	$58.62
Rate for Payer: Aetna Commercial	$35.17
Rate for Payer: Aetna Medicare Advantage	$35.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.90
Rate for Payer: Cigna Commercial	$58.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.24
Rate for Payer: Oxford Commercial	$58.62
Rate for Payer: Qualcare PPO/HMO/WC	$17.59
Rate for Payer: UnitedHealthcare Commercial	$58.62

STOCKINETTE STERILE 4X36 2PLY

Facility

$30.42

Hospital Charge Code	270649008
Hospital Revenue Code	272
Min. Negotiated Rate	$4.56
Max. Negotiated Rate	$4.56
Rate for Payer: Qualcare PPO/HMO/WC	$4.56

STOCKINETTE STERILE 4X36 2PLY

Facility

$30.42

Hospital Charge Code	270649008
Hospital Revenue Code	272
Min. Negotiated Rate	$3.95
Max. Negotiated Rate	$15.21
Rate for Payer: Aetna Commercial	$9.13
Rate for Payer: Aetna Medicare Advantage	$9.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.76
Rate for Payer: Cigna Commercial	$15.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.95
Rate for Payer: Oxford Commercial	$15.21
Rate for Payer: Qualcare PPO/HMO/WC	$4.56
Rate for Payer: UnitedHealthcare Commercial	$15.21

STOCKINETTE STERILE 6X48 2PLY

Facility

$26.21

Hospital Charge Code	270649010
Hospital Revenue Code	272
Min. Negotiated Rate	$3.41
Max. Negotiated Rate	$13.11
Rate for Payer: Aetna Commercial	$7.86
Rate for Payer: Aetna Medicare Advantage	$7.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.68
Rate for Payer: Cigna Commercial	$13.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.41
Rate for Payer: Oxford Commercial	$13.11
Rate for Payer: Qualcare PPO/HMO/WC	$3.93
Rate for Payer: UnitedHealthcare Commercial	$13.11

STOCKINETTE STERILE 6X48 2PLY

Facility

$26.21

Hospital Charge Code	270649010
Hospital Revenue Code	272
Min. Negotiated Rate	$3.93
Max. Negotiated Rate	$3.93
Rate for Payer: Qualcare PPO/HMO/WC	$3.93

STOCKINETTE TUB 3X 25YD

Facility

$224.00

Hospital Charge Code	270331386
Hospital Revenue Code	272
Min. Negotiated Rate	$33.60
Max. Negotiated Rate	$33.60
Rate for Payer: Qualcare PPO/HMO/WC	$33.60

Know your out-of-pocket cost for care.

All Charges