Heights University Hospital

All Charges

Charge

Type

Setting

Price

SWEAT CHLORIDE

Facility

$289.00

Service Code	HCPCS 89230
Hospital Charge Code	38472612
Hospital Revenue Code	300
Min. Negotiated Rate	$43.35
Max. Negotiated Rate	$43.35
Rate for Payer: Qualcare PPO/HMO/WC	$43.35

SWEAT CHLORIDE

Facility

$289.00

Service Code	HCPCS 89230
Hospital Charge Code	38472612
Hospital Revenue Code	300
Min. Negotiated Rate	$1.73
Max. Negotiated Rate	$124.10
Rate for Payer: Aetna Commercial	$86.70
Rate for Payer: Aetna Medicare Advantage	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$73.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$73.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$73.69
Rate for Payer: Cigna Commercial	$124.10
Rate for Payer: Cigna Medicare Advantage	$1.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.57
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$43.35
Rate for Payer: UnitedHealthcare Commercial	$114.00

SWEAT TEST

Facility

$373.00

Service Code	HCPCS 99199
Hospital Charge Code	3030632
Hospital Revenue Code	309
Min. Negotiated Rate	$48.49
Max. Negotiated Rate	$186.50
Rate for Payer: Aetna Commercial	$111.90
Rate for Payer: Aetna Medicare Advantage	$111.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.11
Rate for Payer: Cigna Commercial	$186.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.49
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$55.95
Rate for Payer: UnitedHealthcare Commercial	$114.00

SWEAT TEST

Facility

$373.00

Service Code	HCPCS 99199
Hospital Charge Code	3030632
Hospital Revenue Code	309
Min. Negotiated Rate	$55.95
Max. Negotiated Rate	$55.95
Rate for Payer: Qualcare PPO/HMO/WC	$55.95

SWEETCHEEKSGLUCOSEGEL40%3ML

Facility

$67.00

Service Code	NDC 54758000628
Hospital Charge Code	606390533
Hospital Revenue Code	250
Min. Negotiated Rate	$8.71
Max. Negotiated Rate	$33.50
Rate for Payer: Aetna Commercial	$20.10
Rate for Payer: Aetna Medicare Advantage	$20.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.09
Rate for Payer: Cigna Commercial	$33.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.71
Rate for Payer: Oxford Commercial	$33.50
Rate for Payer: Qualcare PPO/HMO/WC	$10.05
Rate for Payer: UnitedHealthcare Commercial	$33.50

SWEETCHEEKSGLUCOSEGEL40%3ML

Facility

$67.00

Service Code	NDC 54758000628
Hospital Charge Code	606390533
Hospital Revenue Code	250
Min. Negotiated Rate	$10.05
Max. Negotiated Rate	$10.05
Rate for Payer: Qualcare PPO/HMO/WC	$10.05

SWEET-EASE 200 PIECES

Facility

$540.75

Hospital Charge Code	270654567
Hospital Revenue Code	272
Min. Negotiated Rate	$70.30
Max. Negotiated Rate	$270.38
Rate for Payer: Aetna Commercial	$162.22
Rate for Payer: Aetna Medicare Advantage	$162.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$137.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$137.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$137.89
Rate for Payer: Cigna Commercial	$270.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$70.30
Rate for Payer: Oxford Commercial	$270.38
Rate for Payer: Qualcare PPO/HMO/WC	$81.11
Rate for Payer: UnitedHealthcare Commercial	$270.38

SWEET-EASE 200 PIECES

Facility

$540.75

Hospital Charge Code	270654567
Hospital Revenue Code	272
Min. Negotiated Rate	$81.11
Max. Negotiated Rate	$81.11
Rate for Payer: Qualcare PPO/HMO/WC	$81.11

SWING BAR HOFFMAN SCREW COMPR.

Facility

$2.85

Hospital Charge Code	270650278
Hospital Revenue Code	270
Min. Negotiated Rate	$0.37
Max. Negotiated Rate	$1.43
Rate for Payer: Aetna Commercial	$0.86
Rate for Payer: Aetna Medicare Advantage	$0.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.73
Rate for Payer: Cigna Commercial	$1.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.37
Rate for Payer: Oxford Commercial	$1.43
Rate for Payer: Qualcare PPO/HMO/WC	$0.43
Rate for Payer: UnitedHealthcare Commercial	$1.43

SWING BAR HOFFMAN SCREW COMPR.

Facility

$2.85

Hospital Charge Code	270650278
Hospital Revenue Code	270
Min. Negotiated Rate	$0.43
Max. Negotiated Rate	$0.43
Rate for Payer: Qualcare PPO/HMO/WC	$0.43

SWISH MIXTURE

Facility

$30.00

Hospital Charge Code	60635883
Hospital Revenue Code	259
Min. Negotiated Rate	$3.90
Max. Negotiated Rate	$15.00
Rate for Payer: Aetna Commercial	$9.00
Rate for Payer: Aetna Medicare Advantage	$9.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.65
Rate for Payer: Cigna Commercial	$15.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.90
Rate for Payer: Oxford Commercial	$15.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.50
Rate for Payer: UnitedHealthcare Commercial	$15.00

SWISH MIXTURE

Facility

$30.00

Hospital Charge Code	60635883
Hospital Revenue Code	259
Min. Negotiated Rate	$4.50
Max. Negotiated Rate	$4.50
Rate for Payer: Qualcare PPO/HMO/WC	$4.50

SWITCH BLADE MINI METZ SCISSOR

Facility

$250.00

Hospital Charge Code	270657358
Hospital Revenue Code	272
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$37.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

SWITCH BLADE MINI METZ SCISSOR

Facility

$250.00

Hospital Charge Code	270657358
Hospital Revenue Code	272
Min. Negotiated Rate	$32.50
Max. Negotiated Rate	$125.00
Rate for Payer: Aetna Commercial	$75.00
Rate for Payer: Aetna Medicare Advantage	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.75
Rate for Payer: Cigna Commercial	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.50
Rate for Payer: Oxford Commercial	$125.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.50
Rate for Payer: UnitedHealthcare Commercial	$125.00

SWITCH, FLO HP 44-200 12/BX

Facility

$22.33

Hospital Charge Code	2706000537
Hospital Revenue Code	272
Min. Negotiated Rate	$2.90
Max. Negotiated Rate	$11.16
Rate for Payer: Aetna Commercial	$6.70
Rate for Payer: Aetna Medicare Advantage	$6.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.69
Rate for Payer: Cigna Commercial	$11.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.90
Rate for Payer: Oxford Commercial	$11.16
Rate for Payer: Qualcare PPO/HMO/WC	$3.35
Rate for Payer: UnitedHealthcare Commercial	$11.16

SWITCH, FLO HP 44-200 12/BX

Facility

$22.33

Hospital Charge Code	2706000537
Hospital Revenue Code	272
Min. Negotiated Rate	$3.35
Max. Negotiated Rate	$3.35
Rate for Payer: Qualcare PPO/HMO/WC	$3.35

SWITCH STICK 4mm X-LNG AR-3026

Facility

$644.85

Hospital Charge Code	270636214
Hospital Revenue Code	272
Min. Negotiated Rate	$83.83
Max. Negotiated Rate	$322.43
Rate for Payer: Aetna Commercial	$193.46
Rate for Payer: Aetna Medicare Advantage	$193.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$164.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$164.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$164.44
Rate for Payer: Cigna Commercial	$322.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.83
Rate for Payer: Oxford Commercial	$322.43
Rate for Payer: Qualcare PPO/HMO/WC	$96.73
Rate for Payer: UnitedHealthcare Commercial	$322.43

SWITCH STICK 4mm X-LNG AR-3026

Facility

$644.85

Hospital Charge Code	270636214
Hospital Revenue Code	272
Min. Negotiated Rate	$96.73
Max. Negotiated Rate	$96.73
Rate for Payer: Qualcare PPO/HMO/WC	$96.73

SWIVELLOCK 3.9MM

Facility

$2,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270687861
Hospital Revenue Code	278
Min. Negotiated Rate	$371.25
Max. Negotiated Rate	$598.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$598.95
Rate for Payer: Qualcare PPO/HMO/WC	$371.25

SWIVELLOCK 3.9MM

Facility

$2,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270687861
Hospital Revenue Code	278
Min. Negotiated Rate	$371.25
Max. Negotiated Rate	$1,237.50
Rate for Payer: Aetna Commercial	$742.50
Rate for Payer: Aetna Medicare Advantage	$742.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$631.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$631.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$631.12
Rate for Payer: Cigna Commercial	$1,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$598.95
Rate for Payer: Qualcare PPO/HMO/WC	$371.25

SWIVEL LOCK 5.5 X 22 PEEK

Facility

$1,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270688243
Hospital Revenue Code	278
Min. Negotiated Rate	$296.25
Max. Negotiated Rate	$477.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$477.95
Rate for Payer: Qualcare PPO/HMO/WC	$296.25

SWIVEL LOCK 5.5 X 22 PEEK

Facility

$1,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270688243
Hospital Revenue Code	278
Min. Negotiated Rate	$296.25
Max. Negotiated Rate	$987.50
Rate for Payer: Aetna Commercial	$592.50
Rate for Payer: Aetna Medicare Advantage	$592.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$395.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$503.62
Rate for Payer: Cigna Commercial	$987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$477.95
Rate for Payer: Qualcare PPO/HMO/WC	$296.25

SWIVELOCK 4.75MM W/FIBER TAPE

Facility

$3,360.00

Service Code	HCPCS C1713
Hospital Charge Code	270663953
Hospital Revenue Code	278
Min. Negotiated Rate	$504.00
Max. Negotiated Rate	$813.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$672.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$813.12
Rate for Payer: Qualcare PPO/HMO/WC	$504.00

SWIVELOCK 4.75MM W/FIBER TAPE

Facility

$3,360.00

Service Code	HCPCS C1713
Hospital Charge Code	270663953
Hospital Revenue Code	278
Min. Negotiated Rate	$504.00
Max. Negotiated Rate	$1,680.00
Rate for Payer: Aetna Commercial	$1,008.00
Rate for Payer: Aetna Medicare Advantage	$1,008.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$856.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$856.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$672.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$856.80
Rate for Payer: Cigna Commercial	$1,680.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$813.12
Rate for Payer: Qualcare PPO/HMO/WC	$504.00

SWIVELOCK 4.75MM W/TIGER TAPE

Facility

$3,360.00

Hospital Charge Code	270666758
Hospital Revenue Code	278
Min. Negotiated Rate	$504.00
Max. Negotiated Rate	$1,680.00
Rate for Payer: Aetna Commercial	$1,008.00
Rate for Payer: Aetna Medicare Advantage	$1,008.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$856.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$856.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$672.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$856.80
Rate for Payer: Cigna Commercial	$1,680.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$813.12
Rate for Payer: Qualcare PPO/HMO/WC	$504.00

Know your out-of-pocket cost for care.

All Charges