Heights University Hospital

All Charges

Charge

Type

Setting

Price

SYRINGE EMBOSPRE 2ML GR S820GH

Facility

$992.00

Hospital Charge Code	270631481N
Hospital Revenue Code	272
Min. Negotiated Rate	$148.80
Max. Negotiated Rate	$148.80
Rate for Payer: Qualcare PPO/HMO/WC	$148.80

SYRINGE EMBOSPRE 2ML GR S820GH

Facility

$1,215.00

Service Code	HCPCS L8699
Hospital Charge Code	270631481S
Hospital Revenue Code	278
Min. Negotiated Rate	$182.25
Max. Negotiated Rate	$607.50
Rate for Payer: Aetna Commercial	$364.50
Rate for Payer: Aetna Medicare Advantage	$364.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$309.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$309.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$243.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$309.82
Rate for Payer: Cigna Commercial	$607.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$294.03
Rate for Payer: Qualcare PPO/HMO/WC	$182.25

SYRINGE EMBOSPRE 2ML GR S820GH

Facility

$6,200.00

Hospital Charge Code	270631481
Hospital Revenue Code	279
Min. Negotiated Rate	$806.00
Max. Negotiated Rate	$3,100.00
Rate for Payer: Aetna Commercial	$1,860.00
Rate for Payer: Aetna Medicare Advantage	$1,860.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,581.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,581.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,581.00
Rate for Payer: Cigna Commercial	$3,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$806.00
Rate for Payer: Oxford Commercial	$3,100.00
Rate for Payer: Qualcare PPO/HMO/WC	$930.00
Rate for Payer: UnitedHealthcare Commercial	$3,100.00

SYRINGE EMBOSPRE 2ML GR S820GH

Facility

$6,200.00

Hospital Charge Code	270631481
Hospital Revenue Code	279
Min. Negotiated Rate	$930.00
Max. Negotiated Rate	$930.00
Rate for Payer: Qualcare PPO/HMO/WC	$930.00

SYRINGEEMBOYELLOW100-300 2.0M

Facility

$1,265.00

Hospital Charge Code	2709004169
Hospital Revenue Code	272
Min. Negotiated Rate	$189.75
Max. Negotiated Rate	$189.75
Rate for Payer: Qualcare PPO/HMO/WC	$189.75

SYRINGEEMBOYELLOW100-300 2.0M

Facility

$1,265.00

Hospital Charge Code	2709004169
Hospital Revenue Code	272
Min. Negotiated Rate	$164.45
Max. Negotiated Rate	$632.50
Rate for Payer: Aetna Commercial	$379.50
Rate for Payer: Aetna Medicare Advantage	$379.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$322.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$322.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$322.57
Rate for Payer: Cigna Commercial	$632.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$164.45
Rate for Payer: Oxford Commercial	$632.50
Rate for Payer: Qualcare PPO/HMO/WC	$189.75
Rate for Payer: UnitedHealthcare Commercial	$632.50

SYRINGE EPI PULSATOR PLASTIC

Facility

$731.05

Hospital Charge Code	270665061
Hospital Revenue Code	270
Min. Negotiated Rate	$109.66
Max. Negotiated Rate	$109.66
Rate for Payer: Qualcare PPO/HMO/WC	$109.66

SYRINGE EPI PULSATOR PLASTIC

Facility

$731.05

Hospital Charge Code	270665061
Hospital Revenue Code	270
Min. Negotiated Rate	$95.04
Max. Negotiated Rate	$365.52
Rate for Payer: Aetna Commercial	$219.31
Rate for Payer: Aetna Medicare Advantage	$219.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$186.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$186.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$186.42
Rate for Payer: Cigna Commercial	$365.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$95.04
Rate for Payer: Oxford Commercial	$365.52
Rate for Payer: Qualcare PPO/HMO/WC	$109.66
Rate for Payer: UnitedHealthcare Commercial	$365.52

SYRINGE EZM ANGIO 4830

Facility

$29.65

Hospital Charge Code	270601318
Hospital Revenue Code	272
Min. Negotiated Rate	$4.45
Max. Negotiated Rate	$4.45
Rate for Payer: Qualcare PPO/HMO/WC	$4.45

SYRINGE EZM ANGIO 4830

Facility

$29.65

Hospital Charge Code	270601318
Hospital Revenue Code	272
Min. Negotiated Rate	$3.85
Max. Negotiated Rate	$14.82
Rate for Payer: Aetna Commercial	$8.89
Rate for Payer: Aetna Medicare Advantage	$8.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.56
Rate for Payer: Cigna Commercial	$14.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.85
Rate for Payer: Oxford Commercial	$14.82
Rate for Payer: Qualcare PPO/HMO/WC	$4.45
Rate for Payer: UnitedHealthcare Commercial	$14.82

SYRINGE FAST TURN W/QUICK FILL

Facility

$15.53

Hospital Charge Code	270639011
Hospital Revenue Code	272
Min. Negotiated Rate	$2.02
Max. Negotiated Rate	$7.76
Rate for Payer: Aetna Commercial	$4.66
Rate for Payer: Aetna Medicare Advantage	$4.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.96
Rate for Payer: Cigna Commercial	$7.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.02
Rate for Payer: Oxford Commercial	$7.76
Rate for Payer: Qualcare PPO/HMO/WC	$2.33
Rate for Payer: UnitedHealthcare Commercial	$7.76

SYRINGE FAST TURN W/QUICK FILL

Facility

$15.53

Hospital Charge Code	270639011
Hospital Revenue Code	272
Min. Negotiated Rate	$2.33
Max. Negotiated Rate	$2.33
Rate for Payer: Qualcare PPO/HMO/WC	$2.33

SYRINGE FASTURN 150ML W/QUICK

Facility

$22.40

Hospital Charge Code	270657880
Hospital Revenue Code	271
Min. Negotiated Rate	$2.91
Max. Negotiated Rate	$11.20
Rate for Payer: Aetna Commercial	$6.72
Rate for Payer: Aetna Medicare Advantage	$6.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.71
Rate for Payer: Cigna Commercial	$11.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.91
Rate for Payer: Oxford Commercial	$11.20
Rate for Payer: Qualcare PPO/HMO/WC	$3.36
Rate for Payer: UnitedHealthcare Commercial	$11.20

SYRINGE FASTURN 150ML W/QUICK

Facility

$21.40

Hospital Charge Code	270657880N
Hospital Revenue Code	271
Min. Negotiated Rate	$3.21
Max. Negotiated Rate	$3.21
Rate for Payer: Qualcare PPO/HMO/WC	$3.21

SYRINGE FASTURN 150ML W/QUICK

Facility

$21.40

Hospital Charge Code	270657880N
Hospital Revenue Code	271
Min. Negotiated Rate	$2.78
Max. Negotiated Rate	$10.70
Rate for Payer: Aetna Commercial	$6.42
Rate for Payer: Aetna Medicare Advantage	$6.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.46
Rate for Payer: Cigna Commercial	$10.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.78
Rate for Payer: Oxford Commercial	$10.70
Rate for Payer: Qualcare PPO/HMO/WC	$3.21
Rate for Payer: UnitedHealthcare Commercial	$10.70

SYRINGE FASTURN 150ML W/QUICK

Facility

$22.40

Hospital Charge Code	270657880
Hospital Revenue Code	271
Min. Negotiated Rate	$3.36
Max. Negotiated Rate	$3.36
Rate for Payer: Qualcare PPO/HMO/WC	$3.36

SYRINGE FASTURN 150ML W/QUICK

Facility

$22.40

Hospital Charge Code	270657880S
Hospital Revenue Code	271
Min. Negotiated Rate	$3.36
Max. Negotiated Rate	$3.36
Rate for Payer: Qualcare PPO/HMO/WC	$3.36

SYRINGE FASTURN 150ML W/QUICK

Facility

$22.40

Hospital Charge Code	270657880S
Hospital Revenue Code	271
Min. Negotiated Rate	$2.91
Max. Negotiated Rate	$11.20
Rate for Payer: Aetna Commercial	$6.72
Rate for Payer: Aetna Medicare Advantage	$6.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.71
Rate for Payer: Cigna Commercial	$11.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.91
Rate for Payer: Oxford Commercial	$11.20
Rate for Payer: Qualcare PPO/HMO/WC	$3.36
Rate for Payer: UnitedHealthcare Commercial	$11.20

SYRINGE FLUSH IV SALINE 5ML

Facility

$1.02

Hospital Charge Code	270649080
Hospital Revenue Code	272
Min. Negotiated Rate	$0.13
Max. Negotiated Rate	$0.51
Rate for Payer: Aetna Commercial	$0.31
Rate for Payer: Aetna Medicare Advantage	$0.31
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	$0.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.13
Rate for Payer: Oxford Commercial	$0.51
Rate for Payer: Qualcare PPO/HMO/WC	$0.15
Rate for Payer: UnitedHealthcare Commercial	$0.51

SYRINGE FLUSH IV SALINE 5ML

Facility

$1.02

Hospital Charge Code	270649080
Hospital Revenue Code	272
Min. Negotiated Rate	$0.15
Max. Negotiated Rate	$0.15
Rate for Payer: Qualcare PPO/HMO/WC	$0.15

SYRINGE INJECTOR

Facility

$67.00

Hospital Charge Code	270633923
Hospital Revenue Code	272
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

SYRINGE INJECTOR

Facility

$67.00

Hospital Charge Code	270633923
Hospital Revenue Code	272
Min. Negotiated Rate	$10.05
Max. Negotiated Rate	$10.05
Rate for Payer: Qualcare PPO/HMO/WC	$10.05

SYRINGE INLAT KYPHX XPAND A08A

Facility

$565.50

Hospital Charge Code	270631257
Hospital Revenue Code	272
Min. Negotiated Rate	$73.52
Max. Negotiated Rate	$282.75
Rate for Payer: Aetna Commercial	$169.65
Rate for Payer: Aetna Medicare Advantage	$169.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.20
Rate for Payer: Cigna Commercial	$282.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.52
Rate for Payer: Oxford Commercial	$282.75
Rate for Payer: Qualcare PPO/HMO/WC	$84.83
Rate for Payer: UnitedHealthcare Commercial	$282.75

SYRINGE INLAT KYPHX XPAND A08A

Facility

$565.50

Hospital Charge Code	270631257
Hospital Revenue Code	272
Min. Negotiated Rate	$84.83
Max. Negotiated Rate	$84.83
Rate for Payer: Qualcare PPO/HMO/WC	$84.83

SYRINGE INTRO 5C RAUL AI14703

Facility

$32.40

Hospital Charge Code	270629903
Hospital Revenue Code	272
Min. Negotiated Rate	$4.86
Max. Negotiated Rate	$4.86
Rate for Payer: Qualcare PPO/HMO/WC	$4.86

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All Charges