Heights University Hospital

All Charges

Charge

Type

Setting

Price

STOCKINETTE TUB 3X 25YD

Facility

$224.00

Hospital Charge Code	270331386
Hospital Revenue Code	272
Min. Negotiated Rate	$29.12
Max. Negotiated Rate	$112.00
Rate for Payer: Aetna Commercial	$67.20
Rate for Payer: Aetna Medicare Advantage	$67.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.12
Rate for Payer: Cigna Commercial	$112.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.12
Rate for Payer: Oxford Commercial	$112.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.60
Rate for Payer: UnitedHealthcare Commercial	$112.00

STOCKINETTE TUBULAR

Facility

$20.58

Hospital Charge Code	270602893
Hospital Revenue Code	272
Min. Negotiated Rate	$3.09
Max. Negotiated Rate	$3.09
Rate for Payer: Qualcare PPO/HMO/WC	$3.09

STOCKINETTE TUBULAR

Facility

$20.58

Hospital Charge Code	270602893
Hospital Revenue Code	272
Min. Negotiated Rate	$2.68
Max. Negotiated Rate	$10.29
Rate for Payer: Aetna Commercial	$6.17
Rate for Payer: Aetna Medicare Advantage	$6.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.25
Rate for Payer: Cigna Commercial	$10.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.68
Rate for Payer: Oxford Commercial	$10.29
Rate for Payer: Qualcare PPO/HMO/WC	$3.09
Rate for Payer: UnitedHealthcare Commercial	$10.29

STOCKINETTE TUBULAR ******

Facility

$14.00

Hospital Charge Code	8003683
Hospital Revenue Code	272
Min. Negotiated Rate	$2.10
Max. Negotiated Rate	$2.10
Rate for Payer: Qualcare PPO/HMO/WC	$2.10

STOCKINETTE TUBULAR ******

Facility

$14.00

Hospital Charge Code	8003683
Hospital Revenue Code	272
Min. Negotiated Rate	$1.82
Max. Negotiated Rate	$7.00
Rate for Payer: Aetna Commercial	$4.20
Rate for Payer: Aetna Medicare Advantage	$4.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.57
Rate for Payer: Cigna Commercial	$7.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.82
Rate for Payer: Oxford Commercial	$7.00
Rate for Payer: Qualcare PPO/HMO/WC	$2.10
Rate for Payer: UnitedHealthcare Commercial	$7.00

STOCKINETTE TUBULAR 3X25

Facility

$62.90

Hospital Charge Code	270653376
Hospital Revenue Code	272
Min. Negotiated Rate	$8.18
Max. Negotiated Rate	$31.45
Rate for Payer: Aetna Commercial	$18.87
Rate for Payer: Aetna Medicare Advantage	$18.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.04
Rate for Payer: Cigna Commercial	$31.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.18
Rate for Payer: Oxford Commercial	$31.45
Rate for Payer: Qualcare PPO/HMO/WC	$9.44
Rate for Payer: UnitedHealthcare Commercial	$31.45

STOCKINETTE TUBULAR 3X25

Facility

$62.90

Hospital Charge Code	270653376
Hospital Revenue Code	272
Min. Negotiated Rate	$9.44
Max. Negotiated Rate	$9.44
Rate for Payer: Qualcare PPO/HMO/WC	$9.44

STOCKINETTE TUBULAR 4X25

Facility

$82.55

Hospital Charge Code	270653377
Hospital Revenue Code	272
Min. Negotiated Rate	$10.73
Max. Negotiated Rate	$41.27
Rate for Payer: Aetna Commercial	$24.77
Rate for Payer: Aetna Medicare Advantage	$24.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.05
Rate for Payer: Cigna Commercial	$41.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.73
Rate for Payer: Oxford Commercial	$41.27
Rate for Payer: Qualcare PPO/HMO/WC	$12.38
Rate for Payer: UnitedHealthcare Commercial	$41.27

STOCKINETTE TUBULAR 4X25

Facility

$82.55

Hospital Charge Code	270653377
Hospital Revenue Code	272
Min. Negotiated Rate	$12.38
Max. Negotiated Rate	$12.38
Rate for Payer: Qualcare PPO/HMO/WC	$12.38

STOCKINETTE UNSTR 6x25 YD 2364

Facility

$82.00

Hospital Charge Code	270649014
Hospital Revenue Code	271
Min. Negotiated Rate	$12.30
Max. Negotiated Rate	$12.30
Rate for Payer: Qualcare PPO/HMO/WC	$12.30

STOCKINETTE UNSTR 6x25 YD 2364

Facility

$82.00

Hospital Charge Code	270649014
Hospital Revenue Code	271
Min. Negotiated Rate	$10.66
Max. Negotiated Rate	$41.00
Rate for Payer: Aetna Commercial	$24.60
Rate for Payer: Aetna Medicare Advantage	$24.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.91
Rate for Payer: Cigna Commercial	$41.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.66
Rate for Payer: Oxford Commercial	$41.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.30
Rate for Payer: UnitedHealthcare Commercial	$41.00

STOCKING ANTI EMBOLISM KNEE XL

Facility

$11.77

Hospital Charge Code	270649867
Hospital Revenue Code	270
Min. Negotiated Rate	$1.77
Max. Negotiated Rate	$1.77
Rate for Payer: Qualcare PPO/HMO/WC	$1.77

STOCKING ANTI EMBOLISM KNEE XL

Facility

$11.77

Hospital Charge Code	270649867
Hospital Revenue Code	270
Min. Negotiated Rate	$1.53
Max. Negotiated Rate	$5.88
Rate for Payer: Aetna Commercial	$3.53
Rate for Payer: Aetna Medicare Advantage	$3.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.00
Rate for Payer: Cigna Commercial	$5.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.53
Rate for Payer: Oxford Commercial	$5.88
Rate for Payer: Qualcare PPO/HMO/WC	$1.77
Rate for Payer: UnitedHealthcare Commercial	$5.88

STOCKING ANTI-EM KNEE LG REG

Facility

$11.77

Hospital Charge Code	270648980
Hospital Revenue Code	270
Min. Negotiated Rate	$1.77
Max. Negotiated Rate	$1.77
Rate for Payer: Qualcare PPO/HMO/WC	$1.77

STOCKING ANTI-EM KNEE LG REG

Facility

$11.77

Hospital Charge Code	270648980
Hospital Revenue Code	270
Min. Negotiated Rate	$1.53
Max. Negotiated Rate	$5.88
Rate for Payer: Aetna Commercial	$3.53
Rate for Payer: Aetna Medicare Advantage	$3.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.00
Rate for Payer: Cigna Commercial	$5.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.53
Rate for Payer: Oxford Commercial	$5.88
Rate for Payer: Qualcare PPO/HMO/WC	$1.77
Rate for Payer: UnitedHealthcare Commercial	$5.88

STOCKING ANTI EM KNEE MED

Facility

$11.77

Hospital Charge Code	270649863
Hospital Revenue Code	270
Min. Negotiated Rate	$1.77
Max. Negotiated Rate	$1.77
Rate for Payer: Qualcare PPO/HMO/WC	$1.77

STOCKING ANTI EM KNEE MED

Facility

$11.77

Hospital Charge Code	270649863
Hospital Revenue Code	270
Min. Negotiated Rate	$1.53
Max. Negotiated Rate	$5.88
Rate for Payer: Aetna Commercial	$3.53
Rate for Payer: Aetna Medicare Advantage	$3.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.00
Rate for Payer: Cigna Commercial	$5.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.53
Rate for Payer: Oxford Commercial	$5.88
Rate for Payer: Qualcare PPO/HMO/WC	$1.77
Rate for Payer: UnitedHealthcare Commercial	$5.88

STOCKING ANTI-EM KNEE XLG LONG

Facility

$12.10

Hospital Charge Code	270648987
Hospital Revenue Code	270
Min. Negotiated Rate	$1.57
Max. Negotiated Rate	$6.05
Rate for Payer: Aetna Commercial	$3.63
Rate for Payer: Aetna Medicare Advantage	$3.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.09
Rate for Payer: Cigna Commercial	$6.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.57
Rate for Payer: Oxford Commercial	$6.05
Rate for Payer: Qualcare PPO/HMO/WC	$1.81
Rate for Payer: UnitedHealthcare Commercial	$6.05

STOCKING ANTI-EM KNEE XLG LONG

Facility

$12.10

Hospital Charge Code	270648987
Hospital Revenue Code	270
Min. Negotiated Rate	$1.81
Max. Negotiated Rate	$1.81
Rate for Payer: Qualcare PPO/HMO/WC	$1.81

STOCKING ANTI EM THIGH LG

Facility

$35.14

Hospital Charge Code	270649862
Hospital Revenue Code	270
Min. Negotiated Rate	$5.27
Max. Negotiated Rate	$5.27
Rate for Payer: Qualcare PPO/HMO/WC	$5.27

STOCKING ANTI EM THIGH LG

Facility

$35.14

Hospital Charge Code	270649862
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

STOCKING ANTI-EM THIGH LG

Facility

$23.10

Hospital Charge Code	270648982
Hospital Revenue Code	272
Min. Negotiated Rate	$3.46
Max. Negotiated Rate	$3.46
Rate for Payer: Qualcare PPO/HMO/WC	$3.46

STOCKING ANTI-EM THIGH LG

Facility

$23.10

Hospital Charge Code	270648982
Hospital Revenue Code	272
Min. Negotiated Rate	$3.00
Max. Negotiated Rate	$11.55
Rate for Payer: Aetna Commercial	$6.93
Rate for Payer: Aetna Medicare Advantage	$6.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.89
Rate for Payer: Cigna Commercial	$11.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.00
Rate for Payer: Oxford Commercial	$11.55
Rate for Payer: Qualcare PPO/HMO/WC	$3.46
Rate for Payer: UnitedHealthcare Commercial	$11.55

STOCKING ANTI-EM THIGH LG LONG

Facility

$18.71

Hospital Charge Code	270303025
Hospital Revenue Code	270
Min. Negotiated Rate	$2.43
Max. Negotiated Rate	$9.36
Rate for Payer: Aetna Commercial	$5.61
Rate for Payer: Aetna Medicare Advantage	$5.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.77
Rate for Payer: Cigna Commercial	$9.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.43
Rate for Payer: Oxford Commercial	$9.36
Rate for Payer: Qualcare PPO/HMO/WC	$2.81
Rate for Payer: UnitedHealthcare Commercial	$9.36

STOCKING ANTI-EM THIGH LG LONG

Facility

$18.71

Hospital Charge Code	270303025
Hospital Revenue Code	270
Min. Negotiated Rate	$2.81
Max. Negotiated Rate	$2.81
Rate for Payer: Qualcare PPO/HMO/WC	$2.81

Know your out-of-pocket cost for care.

All Charges