Heights University Hospital

All Charges

Charge

Type

Setting

Price

SYRINGE BD EPILOR LEUR LOK 7CC

Facility

$10.34

Hospital Charge Code	270645388
Hospital Revenue Code	272
Min. Negotiated Rate	$1.55
Max. Negotiated Rate	$1.55
Rate for Payer: Qualcare PPO/HMO/WC	$1.55

SYRINGE BD EPILOR LEUR LOK 7CC

Facility

$10.34

Hospital Charge Code	270645388
Hospital Revenue Code	272
Min. Negotiated Rate	$1.34
Max. Negotiated Rate	$5.17
Rate for Payer: Aetna Commercial	$3.10
Rate for Payer: Aetna Medicare Advantage	$3.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.64
Rate for Payer: Cigna Commercial	$5.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.34
Rate for Payer: Oxford Commercial	$5.17
Rate for Payer: Qualcare PPO/HMO/WC	$1.55
Rate for Payer: UnitedHealthcare Commercial	$5.17

SYRINGE BULB

Facility

$5.65

Hospital Charge Code	270061390
Hospital Revenue Code	272
Min. Negotiated Rate	$0.73
Max. Negotiated Rate	$2.83
Rate for Payer: Aetna Commercial	$1.70
Rate for Payer: Aetna Medicare Advantage	$1.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.44
Rate for Payer: Cigna Commercial	$2.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.73
Rate for Payer: Oxford Commercial	$2.83
Rate for Payer: Qualcare PPO/HMO/WC	$0.85
Rate for Payer: UnitedHealthcare Commercial	$2.83

SYRINGE BULB

Facility

$5.65

Hospital Charge Code	270061390
Hospital Revenue Code	272
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$0.85
Rate for Payer: Qualcare PPO/HMO/WC	$0.85

SYRINGE BULB *******

Facility

$3.00

Hospital Charge Code	1601152
Hospital Revenue Code	272
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

SYRINGE BULB *******

Facility

$3.00

Hospital Charge Code	1601152
Hospital Revenue Code	272
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$1.50
Rate for Payer: Aetna Commercial	$0.90
Rate for Payer: Aetna Medicare Advantage	$0.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.77
Rate for Payer: Cigna Commercial	$1.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.39
Rate for Payer: Oxford Commercial	$1.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.45
Rate for Payer: UnitedHealthcare Commercial	$1.50

SYRINGE BULB IRR60C STR DC3528

Facility

$2.30

Hospital Charge Code	270100781
Hospital Revenue Code	272
Min. Negotiated Rate	$0.30
Max. Negotiated Rate	$1.15
Rate for Payer: Aetna Commercial	$0.69
Rate for Payer: Aetna Medicare Advantage	$0.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.59
Rate for Payer: Cigna Commercial	$1.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.30
Rate for Payer: Oxford Commercial	$1.15
Rate for Payer: Qualcare PPO/HMO/WC	$0.35
Rate for Payer: UnitedHealthcare Commercial	$1.15

SYRINGE BULB IRR60C STR DC3528

Facility

$2.30

Hospital Charge Code	270100781
Hospital Revenue Code	272
Min. Negotiated Rate	$0.35
Max. Negotiated Rate	$0.35
Rate for Payer: Qualcare PPO/HMO/WC	$0.35

SYRINGE BULB IRRIGATION 60cc

Facility

$0.46

Hospital Charge Code	270649112
Hospital Revenue Code	271
Min. Negotiated Rate	$0.07
Max. Negotiated Rate	$0.07
Rate for Payer: Qualcare PPO/HMO/WC	$0.07

SYRINGE BULB IRRIGATION 60cc

Facility

$0.46

Hospital Charge Code	270649112
Hospital Revenue Code	271
Min. Negotiated Rate	$0.06
Max. Negotiated Rate	$0.23
Rate for Payer: Aetna Commercial	$0.14
Rate for Payer: Aetna Medicare Advantage	$0.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.12
Rate for Payer: Cigna Commercial	$0.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.06
Rate for Payer: Oxford Commercial	$0.23
Rate for Payer: Qualcare PPO/HMO/WC	$0.07
Rate for Payer: UnitedHealthcare Commercial	$0.23

SYRINGE CATH TIP *******

Facility

$11.00

Hospital Charge Code	8000465
Hospital Revenue Code	279
Min. Negotiated Rate	$1.65
Max. Negotiated Rate	$1.65
Rate for Payer: Qualcare PPO/HMO/WC	$1.65

SYRINGE CATH TIP *******

Facility

$11.00

Hospital Charge Code	8000465
Hospital Revenue Code	279
Min. Negotiated Rate	$1.43
Max. Negotiated Rate	$5.50
Rate for Payer: Aetna Commercial	$3.30
Rate for Payer: Aetna Medicare Advantage	$3.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.81
Rate for Payer: Cigna Commercial	$5.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.43
Rate for Payer: Oxford Commercial	$5.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.65
Rate for Payer: UnitedHealthcare Commercial	$5.50

SYRINGE CONTIGEN TREATM

Facility

$3,014.45

Hospital Charge Code	270604260
Hospital Revenue Code	272
Min. Negotiated Rate	$391.88
Max. Negotiated Rate	$1,507.22
Rate for Payer: Aetna Commercial	$904.34
Rate for Payer: Aetna Medicare Advantage	$904.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$768.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$768.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$768.68
Rate for Payer: Cigna Commercial	$1,507.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$391.88
Rate for Payer: Oxford Commercial	$1,507.22
Rate for Payer: Qualcare PPO/HMO/WC	$452.17
Rate for Payer: UnitedHealthcare Commercial	$1,507.22

SYRINGE CONTIGEN TREATM

Facility

$3,014.45

Hospital Charge Code	270604260
Hospital Revenue Code	272
Min. Negotiated Rate	$452.17
Max. Negotiated Rate	$452.17
Rate for Payer: Qualcare PPO/HMO/WC	$452.17

SYRINGE CONTIGEN TREATM *****

Facility

$1,180.00

Hospital Charge Code	270504260
Hospital Revenue Code	272
Min. Negotiated Rate	$177.00
Max. Negotiated Rate	$177.00
Rate for Payer: Qualcare PPO/HMO/WC	$177.00

SYRINGE CONTIGEN TREATM *****

Facility

$1,180.00

Hospital Charge Code	270504260
Hospital Revenue Code	272
Min. Negotiated Rate	$153.40
Max. Negotiated Rate	$590.00
Rate for Payer: Aetna Commercial	$354.00
Rate for Payer: Aetna Medicare Advantage	$354.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$300.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$300.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$300.90
Rate for Payer: Cigna Commercial	$590.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$153.40
Rate for Payer: Oxford Commercial	$590.00
Rate for Payer: Qualcare PPO/HMO/WC	$177.00
Rate for Payer: UnitedHealthcare Commercial	$590.00

SYRINGE CONTROL 10cc W/LUERLOK

Facility

$3.95

Hospital Charge Code	270621577
Hospital Revenue Code	272
Min. Negotiated Rate	$0.51
Max. Negotiated Rate	$1.98
Rate for Payer: Aetna Commercial	$1.19
Rate for Payer: Aetna Medicare Advantage	$1.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.01
Rate for Payer: Cigna Commercial	$1.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.51
Rate for Payer: Oxford Commercial	$1.98
Rate for Payer: Qualcare PPO/HMO/WC	$0.59
Rate for Payer: UnitedHealthcare Commercial	$1.98

SYRINGE CONTROL 10cc W/LUERLOK

Facility

$3.95

Hospital Charge Code	270621577
Hospital Revenue Code	272
Min. Negotiated Rate	$0.59
Max. Negotiated Rate	$0.59
Rate for Payer: Qualcare PPO/HMO/WC	$0.59

SYRINGE CONTROL 12ML CCS600

Facility

$26.45

Hospital Charge Code	270624016
Hospital Revenue Code	272
Min. Negotiated Rate	$3.97
Max. Negotiated Rate	$3.97
Rate for Payer: Qualcare PPO/HMO/WC	$3.97

SYRINGE CONTROL 12ML CCS600

Facility

$26.45

Hospital Charge Code	270624016
Hospital Revenue Code	272
Min. Negotiated Rate	$3.44
Max. Negotiated Rate	$13.22
Rate for Payer: Aetna Commercial	$7.93
Rate for Payer: Aetna Medicare Advantage	$7.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.74
Rate for Payer: Cigna Commercial	$13.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.44
Rate for Payer: Oxford Commercial	$13.22
Rate for Payer: Qualcare PPO/HMO/WC	$3.97
Rate for Payer: UnitedHealthcare Commercial	$13.22

SYRINGE CRD 407101

Facility

$32.00

Hospital Charge Code	270601495
Hospital Revenue Code	272
Min. Negotiated Rate	$4.16
Max. Negotiated Rate	$16.00
Rate for Payer: Aetna Commercial	$9.60
Rate for Payer: Aetna Medicare Advantage	$9.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.16
Rate for Payer: Cigna Commercial	$16.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.16
Rate for Payer: Oxford Commercial	$16.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.80
Rate for Payer: UnitedHealthcare Commercial	$16.00

SYRINGE CRD 407101

Facility

$32.00

Hospital Charge Code	270601495
Hospital Revenue Code	272
Min. Negotiated Rate	$4.80
Max. Negotiated Rate	$4.80
Rate for Payer: Qualcare PPO/HMO/WC	$4.80

SYRINGE DAVOL EAR & ULCER ****

Facility

$31.45

Hospital Charge Code	1600865
Hospital Revenue Code	272
Min. Negotiated Rate	$4.09
Max. Negotiated Rate	$15.72
Rate for Payer: Aetna Commercial	$9.44
Rate for Payer: Aetna Medicare Advantage	$9.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.02
Rate for Payer: Cigna Commercial	$15.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.09
Rate for Payer: Oxford Commercial	$15.72
Rate for Payer: Qualcare PPO/HMO/WC	$4.72
Rate for Payer: UnitedHealthcare Commercial	$15.72

SYRINGE DAVOL EAR & ULCER ****

Facility

$31.45

Hospital Charge Code	1600865
Hospital Revenue Code	272
Min. Negotiated Rate	$4.72
Max. Negotiated Rate	$4.72
Rate for Payer: Qualcare PPO/HMO/WC	$4.72

SYRINGE DIGIFLATOR INFLATIO

Facility

$158.00

Hospital Charge Code	270650911
Hospital Revenue Code	272
Min. Negotiated Rate	$20.54
Max. Negotiated Rate	$79.00
Rate for Payer: Aetna Commercial	$47.40
Rate for Payer: Aetna Medicare Advantage	$47.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.29
Rate for Payer: Cigna Commercial	$79.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.54
Rate for Payer: Oxford Commercial	$79.00
Rate for Payer: Qualcare PPO/HMO/WC	$23.70
Rate for Payer: UnitedHealthcare Commercial	$79.00

Know your out-of-pocket cost for care.

All Charges