Heights University Hospital

All Charges

Charge

Type

Setting

Price

TAPE ELASTIKON 3X5YD

Facility

$52.00

Hospital Charge Code	270331304
Hospital Revenue Code	272
Min. Negotiated Rate	$6.76
Max. Negotiated Rate	$26.00
Rate for Payer: Aetna Commercial	$15.60
Rate for Payer: Aetna Medicare Advantage	$15.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.26
Rate for Payer: Cigna Commercial	$26.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.76
Rate for Payer: Oxford Commercial	$26.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.80
Rate for Payer: UnitedHealthcare Commercial	$26.00

TAPE ELASTOPLAST 2 X 5.5YD

Facility

$35.00

Hospital Charge Code	270331373
Hospital Revenue Code	272
Min. Negotiated Rate	$4.55
Max. Negotiated Rate	$17.50
Rate for Payer: Aetna Commercial	$10.50
Rate for Payer: Aetna Medicare Advantage	$10.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.93
Rate for Payer: Cigna Commercial	$17.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.55
Rate for Payer: Oxford Commercial	$17.50
Rate for Payer: Qualcare PPO/HMO/WC	$5.25
Rate for Payer: UnitedHealthcare Commercial	$17.50

TAPE ELASTOPLAST 2 X 5.5YD

Facility

$35.00

Hospital Charge Code	270331373
Hospital Revenue Code	272
Min. Negotiated Rate	$5.25
Max. Negotiated Rate	$5.25
Rate for Payer: Qualcare PPO/HMO/WC	$5.25

TAPE ELASTOPLAST 3 5YD

Facility

$25.90

Hospital Charge Code	270649723
Hospital Revenue Code	272
Min. Negotiated Rate	$3.37
Max. Negotiated Rate	$12.95
Rate for Payer: Aetna Commercial	$7.77
Rate for Payer: Aetna Medicare Advantage	$7.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.60
Rate for Payer: Cigna Commercial	$12.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.37
Rate for Payer: Oxford Commercial	$12.95
Rate for Payer: Qualcare PPO/HMO/WC	$3.88
Rate for Payer: UnitedHealthcare Commercial	$12.95

TAPE ELASTOPLAST 3 5YD

Facility

$25.90

Hospital Charge Code	270649723
Hospital Revenue Code	272
Min. Negotiated Rate	$3.88
Max. Negotiated Rate	$3.88
Rate for Payer: Qualcare PPO/HMO/WC	$3.88

TAPE ELASTOPLAST 4

Facility

$22.04

Hospital Charge Code	270350150
Hospital Revenue Code	272
Min. Negotiated Rate	$3.31
Max. Negotiated Rate	$3.31
Rate for Payer: Qualcare PPO/HMO/WC	$3.31

TAPE ELASTOPLAST 4

Facility

$32.58

Hospital Charge Code	270649724
Hospital Revenue Code	272
Min. Negotiated Rate	$4.89
Max. Negotiated Rate	$4.89
Rate for Payer: Qualcare PPO/HMO/WC	$4.89

TAPE ELASTOPLAST 4

Facility

$22.04

Hospital Charge Code	270350150
Hospital Revenue Code	272
Min. Negotiated Rate	$2.87
Max. Negotiated Rate	$11.02
Rate for Payer: Aetna Commercial	$6.61
Rate for Payer: Aetna Medicare Advantage	$6.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.62
Rate for Payer: Cigna Commercial	$11.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.87
Rate for Payer: Oxford Commercial	$11.02
Rate for Payer: Qualcare PPO/HMO/WC	$3.31
Rate for Payer: UnitedHealthcare Commercial	$11.02

TAPE ELASTOPLAST 4

Facility

$32.58

Hospital Charge Code	270649724
Hospital Revenue Code	272
Min. Negotiated Rate	$4.24
Max. Negotiated Rate	$16.29
Rate for Payer: Aetna Commercial	$9.77
Rate for Payer: Aetna Medicare Advantage	$9.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.31
Rate for Payer: Cigna Commercial	$16.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.24
Rate for Payer: Oxford Commercial	$16.29
Rate for Payer: Qualcare PPO/HMO/WC	$4.89
Rate for Payer: UnitedHealthcare Commercial	$16.29

TAPE ELASTOPLAST 4*********

Facility

$24.00

Hospital Charge Code	8000697
Hospital Revenue Code	279
Min. Negotiated Rate	$3.60
Max. Negotiated Rate	$3.60
Rate for Payer: Qualcare PPO/HMO/WC	$3.60

TAPE ELASTOPLAST 4*********

Facility

$24.00

Hospital Charge Code	8000697
Hospital Revenue Code	279
Min. Negotiated Rate	$3.12
Max. Negotiated Rate	$12.00
Rate for Payer: Aetna Commercial	$7.20
Rate for Payer: Aetna Medicare Advantage	$7.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.12
Rate for Payer: Cigna Commercial	$12.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.12
Rate for Payer: Oxford Commercial	$12.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.60
Rate for Payer: UnitedHealthcare Commercial	$12.00

TAPE EMERGENCY TAPE EDITION A

Facility

$167.00

Hospital Charge Code	270611452
Hospital Revenue Code	280
Min. Negotiated Rate	$21.71
Max. Negotiated Rate	$1,805.00
Rate for Payer: Aetna Commercial	$50.10
Rate for Payer: Aetna Medicare Advantage	$50.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.59
Rate for Payer: Cigna Commercial	$83.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.71
Rate for Payer: Oxford Commercial	$1,591.00
Rate for Payer: Qualcare PPO/HMO/WC	$25.05
Rate for Payer: UnitedHealthcare Commercial	$1,805.00

TAPE EMERGENCY TAPE EDITION A

Facility

$167.00

Hospital Charge Code	270611452
Hospital Revenue Code	280
Min. Negotiated Rate	$25.05
Max. Negotiated Rate	$25.05
Rate for Payer: Qualcare PPO/HMO/WC	$25.05

TAPE GLOW N TELL STERILE

Facility

$99.90

Hospital Charge Code	2703000877
Hospital Revenue Code	272
Min. Negotiated Rate	$12.99
Max. Negotiated Rate	$49.95
Rate for Payer: Aetna Commercial	$29.97
Rate for Payer: Aetna Medicare Advantage	$29.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.47
Rate for Payer: Cigna Commercial	$49.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.99
Rate for Payer: Oxford Commercial	$49.95
Rate for Payer: Qualcare PPO/HMO/WC	$14.98
Rate for Payer: UnitedHealthcare Commercial	$49.95

TAPE GLOW N TELL STERILE

Facility

$99.90

Hospital Charge Code	2703000877
Hospital Revenue Code	272
Min. Negotiated Rate	$14.98
Max. Negotiated Rate	$14.98
Rate for Payer: Qualcare PPO/HMO/WC	$14.98

TAPE GLOW & TELL 051492-S20

Facility

$209.75

Hospital Charge Code	270600423
Hospital Revenue Code	270
Min. Negotiated Rate	$31.46
Max. Negotiated Rate	$31.46
Rate for Payer: Qualcare PPO/HMO/WC	$31.46

TAPE GLOW & TELL 051492-S20

Facility

$209.75

Hospital Charge Code	270600423
Hospital Revenue Code	270
Min. Negotiated Rate	$27.27
Max. Negotiated Rate	$104.88
Rate for Payer: Aetna Commercial	$62.92
Rate for Payer: Aetna Medicare Advantage	$62.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.49
Rate for Payer: Cigna Commercial	$104.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.27
Rate for Payer: Oxford Commercial	$104.88
Rate for Payer: Qualcare PPO/HMO/WC	$31.46
Rate for Payer: UnitedHealthcare Commercial	$104.88

TAPE LABEL 1.5 MM 36IN

Facility

$350.00

Hospital Charge Code	270667329
Hospital Revenue Code	272
Min. Negotiated Rate	$52.50
Max. Negotiated Rate	$52.50
Rate for Payer: Qualcare PPO/HMO/WC	$52.50

TAPE LABEL 1.5 MM 36IN

Facility

$350.00

Hospital Charge Code	270667329
Hospital Revenue Code	272
Min. Negotiated Rate	$45.50
Max. Negotiated Rate	$175.00
Rate for Payer: Aetna Commercial	$105.00
Rate for Payer: Aetna Medicare Advantage	$105.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.25
Rate for Payer: Cigna Commercial	$175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.50
Rate for Payer: Oxford Commercial	$175.00
Rate for Payer: Qualcare PPO/HMO/WC	$52.50
Rate for Payer: UnitedHealthcare Commercial	$175.00

TAPE MEDIPORE SOFT CLOTH 2862

Facility

$16.58

Hospital Charge Code	270649120
Hospital Revenue Code	272
Min. Negotiated Rate	$2.49
Max. Negotiated Rate	$2.49
Rate for Payer: Qualcare PPO/HMO/WC	$2.49

TAPE MEDIPORE SOFT CLOTH 2862

Facility

$16.58

Hospital Charge Code	270649120
Hospital Revenue Code	272
Min. Negotiated Rate	$2.16
Max. Negotiated Rate	$8.29
Rate for Payer: Aetna Commercial	$4.97
Rate for Payer: Aetna Medicare Advantage	$4.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.23
Rate for Payer: Cigna Commercial	$8.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.16
Rate for Payer: Oxford Commercial	$8.29
Rate for Payer: Qualcare PPO/HMO/WC	$2.49
Rate for Payer: UnitedHealthcare Commercial	$8.29

TAPE MEDIPORE SOFT CLOTH 3x10

Facility

$25.17

Hospital Charge Code	270649121
Hospital Revenue Code	272
Min. Negotiated Rate	$3.78
Max. Negotiated Rate	$3.78
Rate for Payer: Qualcare PPO/HMO/WC	$3.78

TAPE MEDIPORE SOFT CLOTH 3x10

Facility

$25.17

Hospital Charge Code	270649121
Hospital Revenue Code	272
Min. Negotiated Rate	$3.27
Max. Negotiated Rate	$12.59
Rate for Payer: Aetna Commercial	$7.55
Rate for Payer: Aetna Medicare Advantage	$7.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.42
Rate for Payer: Cigna Commercial	$12.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.27
Rate for Payer: Oxford Commercial	$12.59
Rate for Payer: Qualcare PPO/HMO/WC	$3.78
Rate for Payer: UnitedHealthcare Commercial	$12.59

TAPE MERSILENE 5MM 0S-8

Facility

$358.33

Hospital Charge Code	270655648
Hospital Revenue Code	270
Min. Negotiated Rate	$46.58
Max. Negotiated Rate	$179.16
Rate for Payer: Aetna Commercial	$107.50
Rate for Payer: Aetna Medicare Advantage	$107.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.37
Rate for Payer: Cigna Commercial	$179.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.58
Rate for Payer: Oxford Commercial	$179.16
Rate for Payer: Qualcare PPO/HMO/WC	$53.75
Rate for Payer: UnitedHealthcare Commercial	$179.16

TAPE MERSILENE 5MM 0S-8

Facility

$358.33

Hospital Charge Code	270655648
Hospital Revenue Code	270
Min. Negotiated Rate	$53.75
Max. Negotiated Rate	$53.75
Rate for Payer: Qualcare PPO/HMO/WC	$53.75

Know your out-of-pocket cost for care.

All Charges