Heights University Hospital

All Charges

Charge

Type

Setting

Price

SYRINGE 30CC W/LUER LOCK

Facility

$1.05

Hospital Charge Code	270020095
Hospital Revenue Code	272
Min. Negotiated Rate	$0.16
Max. Negotiated Rate	$0.16
Rate for Payer: Qualcare PPO/HMO/WC	$0.16

SYRINGE 30CC W/LUER LOK

Facility

$1.40

Hospital Charge Code	270309650C
Hospital Revenue Code	272
Min. Negotiated Rate	$0.21
Max. Negotiated Rate	$0.21
Rate for Payer: Qualcare PPO/HMO/WC	$0.21

SYRINGE 30CC W/LUER LOK

Facility

$1.40

Hospital Charge Code	270309650C
Hospital Revenue Code	272
Min. Negotiated Rate	$0.18
Max. Negotiated Rate	$0.70
Rate for Payer: Aetna Commercial	$0.42
Rate for Payer: Aetna Medicare Advantage	$0.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.36
Rate for Payer: Cigna Commercial	$0.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.18
Rate for Payer: Oxford Commercial	$0.70
Rate for Payer: Qualcare PPO/HMO/WC	$0.21
Rate for Payer: UnitedHealthcare Commercial	$0.70

SYRINGE 3cc W/ LUER LOCK

Facility

$0.20

Hospital Charge Code	270020070
Hospital Revenue Code	272
Min. Negotiated Rate	$0.03
Max. Negotiated Rate	$0.10
Rate for Payer: Aetna Commercial	$0.06
Rate for Payer: Aetna Medicare Advantage	$0.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.05
Rate for Payer: Cigna Commercial	$0.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.03
Rate for Payer: Oxford Commercial	$0.10
Rate for Payer: Qualcare PPO/HMO/WC	$0.03
Rate for Payer: UnitedHealthcare Commercial	$0.10

SYRINGE 3cc W/ LUER LOCK

Facility

$0.20

Hospital Charge Code	270020070
Hospital Revenue Code	272
Min. Negotiated Rate	$0.03
Max. Negotiated Rate	$0.03
Rate for Payer: Qualcare PPO/HMO/WC	$0.03

SYRINGE 3CC W/LUER LOK 309585

Facility

$1.00

Hospital Charge Code	270309585C
Hospital Revenue Code	272
Min. Negotiated Rate	$0.15
Max. Negotiated Rate	$0.15
Rate for Payer: Qualcare PPO/HMO/WC	$0.15

SYRINGE 3CC W/LUER LOK 309585

Facility

$1.00

Hospital Charge Code	270309585C
Hospital Revenue Code	272
Min. Negotiated Rate	$0.13
Max. Negotiated Rate	$0.50
Rate for Payer: Aetna Commercial	$0.30
Rate for Payer: Aetna Medicare Advantage	$0.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.26
Rate for Payer: Cigna Commercial	$0.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.13
Rate for Payer: Oxford Commercial	$0.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.15
Rate for Payer: UnitedHealthcare Commercial	$0.50

SYRINGE 5cc W/LUER LOK

Facility

$0.33

Hospital Charge Code	27020075
Hospital Revenue Code	272
Min. Negotiated Rate	$0.04
Max. Negotiated Rate	$0.17
Rate for Payer: Aetna Commercial	$0.10
Rate for Payer: Aetna Medicare Advantage	$0.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.08
Rate for Payer: Cigna Commercial	$0.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.04
Rate for Payer: Oxford Commercial	$0.17
Rate for Payer: Qualcare PPO/HMO/WC	$0.05
Rate for Payer: UnitedHealthcare Commercial	$0.17

SYRINGE 5cc W/LUER LOK

Facility

$0.33

Hospital Charge Code	27020075
Hospital Revenue Code	272
Min. Negotiated Rate	$0.05
Max. Negotiated Rate	$0.05
Rate for Payer: Qualcare PPO/HMO/WC	$0.05

SYRINGE 60cc W/LUER LOCK

Facility

$1.58

Hospital Charge Code	27020100
Hospital Revenue Code	272
Min. Negotiated Rate	$0.24
Max. Negotiated Rate	$0.24
Rate for Payer: Qualcare PPO/HMO/WC	$0.24

SYRINGE 60cc W/LUER LOCK

Facility

$1.58

Hospital Charge Code	27020100
Hospital Revenue Code	272
Min. Negotiated Rate	$0.21
Max. Negotiated Rate	$0.79
Rate for Payer: Aetna Commercial	$0.47
Rate for Payer: Aetna Medicare Advantage	$0.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.40
Rate for Payer: Cigna Commercial	$0.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.21
Rate for Payer: Oxford Commercial	$0.79
Rate for Payer: Qualcare PPO/HMO/WC	$0.24
Rate for Payer: UnitedHealthcare Commercial	$0.79

SYRINGE 60CC W/LUER LOK 309653

Facility

$1.60

Hospital Charge Code	270309653C
Hospital Revenue Code	272
Min. Negotiated Rate	$0.21
Max. Negotiated Rate	$0.80
Rate for Payer: Aetna Commercial	$0.48
Rate for Payer: Aetna Medicare Advantage	$0.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.41
Rate for Payer: Cigna Commercial	$0.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.21
Rate for Payer: Oxford Commercial	$0.80
Rate for Payer: Qualcare PPO/HMO/WC	$0.24
Rate for Payer: UnitedHealthcare Commercial	$0.80

SYRINGE 60CC W/LUER LOK 309653

Facility

$1.60

Hospital Charge Code	270309653C
Hospital Revenue Code	272
Min. Negotiated Rate	$0.24
Max. Negotiated Rate	$0.24
Rate for Payer: Qualcare PPO/HMO/WC	$0.24

SYRINGE 7ML EPI-LOR PLAST LUER

Facility

$10.30

Hospital Charge Code	270645394
Hospital Revenue Code	272
Min. Negotiated Rate	$1.54
Max. Negotiated Rate	$1.54
Rate for Payer: Qualcare PPO/HMO/WC	$1.54

SYRINGE 7ML EPI-LOR PLAST LUER

Facility

$10.30

Hospital Charge Code	270645394
Hospital Revenue Code	272
Min. Negotiated Rate	$1.34
Max. Negotiated Rate	$5.15
Rate for Payer: Aetna Commercial	$3.09
Rate for Payer: Aetna Medicare Advantage	$3.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.63
Rate for Payer: Cigna Commercial	$5.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.34
Rate for Payer: Oxford Commercial	$5.15
Rate for Payer: Qualcare PPO/HMO/WC	$1.54
Rate for Payer: UnitedHealthcare Commercial	$5.15

SYRINGE ACP ANTICOAGULENT

Facility

$750.00

Hospital Charge Code	270656580
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$225.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

SYRINGE ACP ANTICOAGULENT

Facility

$750.00

Hospital Charge Code	270656580
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

SYRINGE ACP DOUBLE

Facility

$1,000.00

Hospital Charge Code	270664266
Hospital Revenue Code	270
Min. Negotiated Rate	$130.00
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$300.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.00
Rate for Payer: Oxford Commercial	$500.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00
Rate for Payer: UnitedHealthcare Commercial	$500.00

SYRINGE ACP DOUBLE

Facility

$1,000.00

Hospital Charge Code	270664266
Hospital Revenue Code	270
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

SYRINGE ALLIANCE INFLATION

Facility

$160.00

Hospital Charge Code	270608079
Hospital Revenue Code	272
Min. Negotiated Rate	$24.00
Max. Negotiated Rate	$24.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.00

SYRINGE ALLIANCE INFLATION

Facility

$160.00

Hospital Charge Code	270608079
Hospital Revenue Code	272
Min. Negotiated Rate	$20.80
Max. Negotiated Rate	$80.00
Rate for Payer: Aetna Commercial	$48.00
Rate for Payer: Aetna Medicare Advantage	$48.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.80
Rate for Payer: Cigna Commercial	$80.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.80
Rate for Payer: Oxford Commercial	$80.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.00
Rate for Payer: UnitedHealthcare Commercial	$80.00

SYRINGE ANGIOGRAPHY MEDALLION

Facility

$9.70

Hospital Charge Code	270685209
Hospital Revenue Code	272
Min. Negotiated Rate	$1.46
Max. Negotiated Rate	$1.46
Rate for Payer: Qualcare PPO/HMO/WC	$1.46

SYRINGE ANGIOGRAPHY MEDALLION

Facility

$9.70

Hospital Charge Code	270685209
Hospital Revenue Code	272
Min. Negotiated Rate	$1.26
Max. Negotiated Rate	$4.85
Rate for Payer: Aetna Commercial	$2.91
Rate for Payer: Aetna Medicare Advantage	$2.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.47
Rate for Payer: Cigna Commercial	$4.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.26
Rate for Payer: Oxford Commercial	$4.85
Rate for Payer: Qualcare PPO/HMO/WC	$1.46
Rate for Payer: UnitedHealthcare Commercial	$4.85

SYRINGE BASIX COMPAK INFLATION

Facility

$130.70

Hospital Charge Code	270636814
Hospital Revenue Code	272
Min. Negotiated Rate	$16.99
Max. Negotiated Rate	$65.35
Rate for Payer: Aetna Commercial	$39.21
Rate for Payer: Aetna Medicare Advantage	$39.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.33
Rate for Payer: Cigna Commercial	$65.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.99
Rate for Payer: Oxford Commercial	$65.35
Rate for Payer: Qualcare PPO/HMO/WC	$19.61
Rate for Payer: UnitedHealthcare Commercial	$65.35

SYRINGE BASIX COMPAK INFLATION

Facility

$130.70

Hospital Charge Code	270636814
Hospital Revenue Code	272
Min. Negotiated Rate	$19.61
Max. Negotiated Rate	$19.61
Rate for Payer: Qualcare PPO/HMO/WC	$19.61

Know your out-of-pocket cost for care.

All Charges