Heights University Hospital

All Charges

Charge

Type

Setting

Price

TAPE CASTING 2

Facility

$10.21

Hospital Charge Code	270300825
Hospital Revenue Code	270
Min. Negotiated Rate	$1.33
Max. Negotiated Rate	$5.11
Rate for Payer: Aetna Commercial	$3.06
Rate for Payer: Aetna Medicare Advantage	$3.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.60
Rate for Payer: Cigna Commercial	$5.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.33
Rate for Payer: Oxford Commercial	$5.11
Rate for Payer: Qualcare PPO/HMO/WC	$1.53
Rate for Payer: UnitedHealthcare Commercial	$5.11

TAPE CASTING 2

Facility

$10.21

Hospital Charge Code	270300825
Hospital Revenue Code	270
Min. Negotiated Rate	$1.53
Max. Negotiated Rate	$1.53
Rate for Payer: Qualcare PPO/HMO/WC	$1.53

TAPE CASTING 3

Facility

$11.85

Hospital Charge Code	270300830W
Hospital Revenue Code	270
Min. Negotiated Rate	$1.78
Max. Negotiated Rate	$1.78
Rate for Payer: Qualcare PPO/HMO/WC	$1.78

TAPE CASTING 3

Facility

$11.85

Hospital Charge Code	270300830
Hospital Revenue Code	270
Min. Negotiated Rate	$1.54
Max. Negotiated Rate	$5.92
Rate for Payer: Aetna Commercial	$3.56
Rate for Payer: Aetna Medicare Advantage	$3.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.02
Rate for Payer: Cigna Commercial	$5.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.54
Rate for Payer: Oxford Commercial	$5.92
Rate for Payer: Qualcare PPO/HMO/WC	$1.78
Rate for Payer: UnitedHealthcare Commercial	$5.92

TAPE CASTING 3

Facility

$11.85

Hospital Charge Code	270300830
Hospital Revenue Code	270
Min. Negotiated Rate	$1.78
Max. Negotiated Rate	$1.78
Rate for Payer: Qualcare PPO/HMO/WC	$1.78

TAPE CASTING 3

Facility

$11.85

Hospital Charge Code	270300830W
Hospital Revenue Code	270
Min. Negotiated Rate	$1.54
Max. Negotiated Rate	$5.92
Rate for Payer: Aetna Commercial	$3.56
Rate for Payer: Aetna Medicare Advantage	$3.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.02
Rate for Payer: Cigna Commercial	$5.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.54
Rate for Payer: Oxford Commercial	$5.92
Rate for Payer: Qualcare PPO/HMO/WC	$1.78
Rate for Payer: UnitedHealthcare Commercial	$5.92

TAPE CASTING 4

Facility

$16.15

Hospital Charge Code	270300835W
Hospital Revenue Code	270
Min. Negotiated Rate	$2.10
Max. Negotiated Rate	$8.07
Rate for Payer: Aetna Commercial	$4.84
Rate for Payer: Aetna Medicare Advantage	$4.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.12
Rate for Payer: Cigna Commercial	$8.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.10
Rate for Payer: Oxford Commercial	$8.07
Rate for Payer: Qualcare PPO/HMO/WC	$2.42
Rate for Payer: UnitedHealthcare Commercial	$8.07

TAPE CASTING 4

Facility

$16.15

Hospital Charge Code	270300835W
Hospital Revenue Code	270
Min. Negotiated Rate	$2.42
Max. Negotiated Rate	$2.42
Rate for Payer: Qualcare PPO/HMO/WC	$2.42

TAPE CASTING 4 IN

Facility

$16.15

Hospital Charge Code	270300835
Hospital Revenue Code	270
Min. Negotiated Rate	$2.10
Max. Negotiated Rate	$8.07
Rate for Payer: Aetna Commercial	$4.84
Rate for Payer: Aetna Medicare Advantage	$4.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.12
Rate for Payer: Cigna Commercial	$8.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.10
Rate for Payer: Oxford Commercial	$8.07
Rate for Payer: Qualcare PPO/HMO/WC	$2.42
Rate for Payer: UnitedHealthcare Commercial	$8.07

TAPE CASTING 4 IN

Facility

$16.15

Hospital Charge Code	270300835
Hospital Revenue Code	270
Min. Negotiated Rate	$2.42
Max. Negotiated Rate	$2.42
Rate for Payer: Qualcare PPO/HMO/WC	$2.42

TAPE CASTING 5

Facility

$19.52

Hospital Charge Code	270300840
Hospital Revenue Code	270
Min. Negotiated Rate	$2.93
Max. Negotiated Rate	$2.93
Rate for Payer: Qualcare PPO/HMO/WC	$2.93

TAPE CASTING 5

Facility

$19.52

Hospital Charge Code	270300840
Hospital Revenue Code	270
Min. Negotiated Rate	$2.54
Max. Negotiated Rate	$9.76
Rate for Payer: Aetna Commercial	$5.86
Rate for Payer: Aetna Medicare Advantage	$5.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.98
Rate for Payer: Cigna Commercial	$9.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.54
Rate for Payer: Oxford Commercial	$9.76
Rate for Payer: Qualcare PPO/HMO/WC	$2.93
Rate for Payer: UnitedHealthcare Commercial	$9.76

TAPE CASTING 5

Facility

$19.52

Hospital Charge Code	270300840W
Hospital Revenue Code	270
Min. Negotiated Rate	$2.54
Max. Negotiated Rate	$9.76
Rate for Payer: Aetna Commercial	$5.86
Rate for Payer: Aetna Medicare Advantage	$5.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.98
Rate for Payer: Cigna Commercial	$9.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.54
Rate for Payer: Oxford Commercial	$9.76
Rate for Payer: Qualcare PPO/HMO/WC	$2.93
Rate for Payer: UnitedHealthcare Commercial	$9.76

TAPE CASTING 5

Facility

$19.52

Hospital Charge Code	270300840W
Hospital Revenue Code	270
Min. Negotiated Rate	$2.93
Max. Negotiated Rate	$2.93
Rate for Payer: Qualcare PPO/HMO/WC	$2.93

TAPE CLOTH 2X10YD

Facility

$14.00

Hospital Charge Code	270331935
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

TAPE CLOTH 2X10YD

Facility

$14.00

Hospital Charge Code	270331935
Hospital Revenue Code	272
Min. Negotiated Rate	$2.10
Max. Negotiated Rate	$2.10
Rate for Payer: Qualcare PPO/HMO/WC	$2.10

TAPE DERMICEL *************

Facility

$21.00

Hospital Charge Code	8000481
Hospital Revenue Code	279
Min. Negotiated Rate	$3.15
Max. Negotiated Rate	$3.15
Rate for Payer: Qualcare PPO/HMO/WC	$3.15

TAPE DERMICEL *************

Facility

$21.00

Hospital Charge Code	8000481
Hospital Revenue Code	279
Min. Negotiated Rate	$2.73
Max. Negotiated Rate	$10.50
Rate for Payer: Aetna Commercial	$6.30
Rate for Payer: Aetna Medicare Advantage	$6.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.36
Rate for Payer: Cigna Commercial	$10.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.73
Rate for Payer: Oxford Commercial	$10.50
Rate for Payer: Qualcare PPO/HMO/WC	$3.15
Rate for Payer: UnitedHealthcare Commercial	$10.50

TAPE DURAPORE 1IN 10YD

Facility

$2.38

Hospital Charge Code	270649119
Hospital Revenue Code	270
Min. Negotiated Rate	$0.36
Max. Negotiated Rate	$0.36
Rate for Payer: Qualcare PPO/HMO/WC	$0.36

TAPE DURAPORE 1IN 10YD

Facility

$2.38

Hospital Charge Code	270649119
Hospital Revenue Code	270
Min. Negotiated Rate	$0.31
Max. Negotiated Rate	$1.19
Rate for Payer: Aetna Commercial	$0.71
Rate for Payer: Aetna Medicare Advantage	$0.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.61
Rate for Payer: Cigna Commercial	$1.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.31
Rate for Payer: Oxford Commercial	$1.19
Rate for Payer: Qualcare PPO/HMO/WC	$0.36
Rate for Payer: UnitedHealthcare Commercial	$1.19

TAPE DURAPORE 2

Facility

$4.76

Hospital Charge Code	270628731
Hospital Revenue Code	272
Min. Negotiated Rate	$0.62
Max. Negotiated Rate	$2.38
Rate for Payer: Aetna Commercial	$1.43
Rate for Payer: Aetna Medicare Advantage	$1.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.21
Rate for Payer: Cigna Commercial	$2.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.62
Rate for Payer: Oxford Commercial	$2.38
Rate for Payer: Qualcare PPO/HMO/WC	$0.71
Rate for Payer: UnitedHealthcare Commercial	$2.38

TAPE DURAPORE 2

Facility

$4.76

Hospital Charge Code	270628731
Hospital Revenue Code	272
Min. Negotiated Rate	$0.71
Max. Negotiated Rate	$0.71
Rate for Payer: Qualcare PPO/HMO/WC	$0.71

TAPE DURAPORE 3 IN

Facility

$8.30

Hospital Charge Code	270628732
Hospital Revenue Code	272
Min. Negotiated Rate	$1.08
Max. Negotiated Rate	$4.15
Rate for Payer: Aetna Commercial	$2.49
Rate for Payer: Aetna Medicare Advantage	$2.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.12
Rate for Payer: Cigna Commercial	$4.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.08
Rate for Payer: Oxford Commercial	$4.15
Rate for Payer: Qualcare PPO/HMO/WC	$1.25
Rate for Payer: UnitedHealthcare Commercial	$4.15

TAPE DURAPORE 3 IN

Facility

$8.30

Hospital Charge Code	270628732
Hospital Revenue Code	272
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$1.25
Rate for Payer: Qualcare PPO/HMO/WC	$1.25

TAPE ELASTIKON 3X5YD

Facility

$52.00

Hospital Charge Code	270331304
Hospital Revenue Code	272
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$7.80
Rate for Payer: Qualcare PPO/HMO/WC	$7.80

Know your out-of-pocket cost for care.

All Charges