Heights University Hospital

All Charges

Charge

Type

Setting

Price

TAPE TRANSPORE 1 ROLL

Facility

$9.65

Hospital Charge Code	270350250
Hospital Revenue Code	272
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$4.83
Rate for Payer: Aetna Commercial	$2.90
Rate for Payer: Aetna Medicare Advantage	$2.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.46
Rate for Payer: Cigna Commercial	$4.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.25
Rate for Payer: Oxford Commercial	$4.83
Rate for Payer: Qualcare PPO/HMO/WC	$1.45
Rate for Payer: UnitedHealthcare Commercial	$4.83

TAPE TRANSPORE 1 ROLL ******

Facility

$21.00

Hospital Charge Code	8001794
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 TRANSPORE 1 ROLL ******

Facility

$21.00

Hospital Charge Code	8001794
Hospital Revenue Code	279
Min. Negotiated Rate	$3.15
Max. Negotiated Rate	$3.15
Rate for Payer: Qualcare PPO/HMO/WC	$3.15

TAPE TRANSPORE 1X54

Facility

$4.00

Hospital Charge Code	270605770
Hospital Revenue Code	270
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

TAPE TRANSPORE 1X54

Facility

$4.00

Hospital Charge Code	270605770
Hospital Revenue Code	270
Min. Negotiated Rate	$0.52
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.20
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.52
Rate for Payer: Oxford Commercial	$2.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$2.00

TAPE UMBILICAL

Facility

$5.74

Hospital Charge Code	270658538
Hospital Revenue Code	270
Min. Negotiated Rate	$0.86
Max. Negotiated Rate	$0.86
Rate for Payer: Qualcare PPO/HMO/WC	$0.86

TAPE UMBILICAL

Facility

$5.74

Hospital Charge Code	270658538
Hospital Revenue Code	270
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$2.87
Rate for Payer: Aetna Commercial	$1.72
Rate for Payer: Aetna Medicare Advantage	$1.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.46
Rate for Payer: Cigna Commercial	$2.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.75
Rate for Payer: Oxford Commercial	$2.87
Rate for Payer: Qualcare PPO/HMO/WC	$0.86
Rate for Payer: UnitedHealthcare Commercial	$2.87

TAPE UMBILICAL COTTON 2x30x1/8

Facility

$4.15

Hospital Charge Code	270656087
Hospital Revenue Code	272
Min. Negotiated Rate	$0.62
Max. Negotiated Rate	$0.62
Rate for Payer: Qualcare PPO/HMO/WC	$0.62

TAPE UMBILICAL COTTON 2x30x1/8

Facility

$4.15

Hospital Charge Code	270656087
Hospital Revenue Code	272
Min. Negotiated Rate	$0.54
Max. Negotiated Rate	$2.08
Rate for Payer: Aetna Commercial	$1.25
Rate for Payer: Aetna Medicare Advantage	$1.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.06
Rate for Payer: Cigna Commercial	$2.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.54
Rate for Payer: Oxford Commercial	$2.08
Rate for Payer: Qualcare PPO/HMO/WC	$0.62
Rate for Payer: UnitedHealthcare Commercial	$2.08

TAPE VIPER TRACK RADIOPAQUE

Facility

$180.00

Hospital Charge Code	2709003743
Hospital Revenue Code	272
Min. Negotiated Rate	$27.00
Max. Negotiated Rate	$27.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00

TAPE VIPER TRACK RADIOPAQUE

Facility

$36.00

Hospital Charge Code	270642017
Hospital Revenue Code	272
Min. Negotiated Rate	$4.68
Max. Negotiated Rate	$18.00
Rate for Payer: Aetna Commercial	$10.80
Rate for Payer: Aetna Medicare Advantage	$10.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.18
Rate for Payer: Cigna Commercial	$18.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.68
Rate for Payer: Oxford Commercial	$18.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.40
Rate for Payer: UnitedHealthcare Commercial	$18.00

TAPE VIPER TRACK RADIOPAQUE

Facility

$36.00

Hospital Charge Code	270642017
Hospital Revenue Code	272
Min. Negotiated Rate	$5.40
Max. Negotiated Rate	$5.40
Rate for Payer: Qualcare PPO/HMO/WC	$5.40

TAPE VIPER TRACK RADIOPAQUE

Facility

$165.00

Hospital Charge Code	270642017S
Hospital Revenue Code	270
Min. Negotiated Rate	$21.45
Max. Negotiated Rate	$82.50
Rate for Payer: Aetna Commercial	$49.50
Rate for Payer: Aetna Medicare Advantage	$49.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.08
Rate for Payer: Cigna Commercial	$82.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.45
Rate for Payer: Oxford Commercial	$82.50
Rate for Payer: Qualcare PPO/HMO/WC	$24.75
Rate for Payer: UnitedHealthcare Commercial	$82.50

TAPE VIPER TRACK RADIOPAQUE

Facility

$165.00

Hospital Charge Code	270642017S
Hospital Revenue Code	270
Min. Negotiated Rate	$24.75
Max. Negotiated Rate	$24.75
Rate for Payer: Qualcare PPO/HMO/WC	$24.75

TAPE VIPER TRACK RADIOPAQUE

Facility

$165.00

Hospital Charge Code	270642017C
Hospital Revenue Code	270
Min. Negotiated Rate	$24.75
Max. Negotiated Rate	$24.75
Rate for Payer: Qualcare PPO/HMO/WC	$24.75

TAPE VIPER TRACK RADIOPAQUE

Facility

$165.00

Hospital Charge Code	270642017C
Hospital Revenue Code	270
Min. Negotiated Rate	$21.45
Max. Negotiated Rate	$82.50
Rate for Payer: Aetna Commercial	$49.50
Rate for Payer: Aetna Medicare Advantage	$49.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.08
Rate for Payer: Cigna Commercial	$82.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.45
Rate for Payer: Oxford Commercial	$82.50
Rate for Payer: Qualcare PPO/HMO/WC	$24.75
Rate for Payer: UnitedHealthcare Commercial	$82.50

TAPE VIPER TRACK RADIOPAQUE

Facility

$180.00

Hospital Charge Code	2709003743
Hospital Revenue Code	272
Min. Negotiated Rate	$23.40
Max. Negotiated Rate	$90.00
Rate for Payer: Aetna Commercial	$54.00
Rate for Payer: Aetna Medicare Advantage	$54.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.90
Rate for Payer: Cigna Commercial	$90.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.40
Rate for Payer: Oxford Commercial	$90.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00
Rate for Payer: UnitedHealthcare Commercial	$90.00

TAPE ZONAS ADHESIVE 1

Facility

$5.34

Hospital Charge Code	270649118
Hospital Revenue Code	272
Min. Negotiated Rate	$0.80
Max. Negotiated Rate	$0.80
Rate for Payer: Qualcare PPO/HMO/WC	$0.80

TAPE ZONAS ADHESIVE 1

Facility

$5.34

Hospital Charge Code	270649118
Hospital Revenue Code	272
Min. Negotiated Rate	$0.69
Max. Negotiated Rate	$2.67
Rate for Payer: Aetna Commercial	$1.60
Rate for Payer: Aetna Medicare Advantage	$1.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.36
Rate for Payer: Cigna Commercial	$2.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.69
Rate for Payer: Oxford Commercial	$2.67
Rate for Payer: Qualcare PPO/HMO/WC	$0.80
Rate for Payer: UnitedHealthcare Commercial	$2.67

TAP F/2MM CORTEX SCREW 54MM

Facility

$417.15

Service Code	HCPCS C1713
Hospital Charge Code	270604457
Hospital Revenue Code	278
Min. Negotiated Rate	$62.57
Max. Negotiated Rate	$208.57
Rate for Payer: Aetna Commercial	$125.14
Rate for Payer: Aetna Medicare Advantage	$125.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$106.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$106.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$83.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$106.37
Rate for Payer: Cigna Commercial	$208.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.95
Rate for Payer: Qualcare PPO/HMO/WC	$62.57

TAP F/2MM CORTEX SCREW 54MM

Facility

$417.15

Service Code	HCPCS C1713
Hospital Charge Code	270604457
Hospital Revenue Code	278
Min. Negotiated Rate	$62.57
Max. Negotiated Rate	$100.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$83.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.95
Rate for Payer: Qualcare PPO/HMO/WC	$62.57

TAP F/4.5mm CANNULATED SCREW

Facility

$940.00

Service Code	HCPCS C1713
Hospital Charge Code	270604932
Hospital Revenue Code	278
Min. Negotiated Rate	$141.00
Max. Negotiated Rate	$470.00
Rate for Payer: Aetna Commercial	$282.00
Rate for Payer: Aetna Medicare Advantage	$282.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$239.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$239.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$188.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$239.70
Rate for Payer: Cigna Commercial	$470.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$227.48
Rate for Payer: Qualcare PPO/HMO/WC	$141.00

TAP F/4.5mm CANNULATED SCREW

Facility

$940.00

Service Code	HCPCS C1713
Hospital Charge Code	270604932
Hospital Revenue Code	278
Min. Negotiated Rate	$141.00
Max. Negotiated Rate	$227.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$188.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$227.48
Rate for Payer: Qualcare PPO/HMO/WC	$141.00

TAP F/CORTEX SCREW 2.7MM

Facility

$491.30

Service Code	HCPCS C1713
Hospital Charge Code	270604139
Hospital Revenue Code	278
Min. Negotiated Rate	$73.69
Max. Negotiated Rate	$118.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$98.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.89
Rate for Payer: Qualcare PPO/HMO/WC	$73.69

TAP F/CORTEX SCREW 2.7MM

Facility

$491.30

Service Code	HCPCS C1713
Hospital Charge Code	270604139
Hospital Revenue Code	278
Min. Negotiated Rate	$73.69
Max. Negotiated Rate	$245.65
Rate for Payer: Aetna Commercial	$147.39
Rate for Payer: Aetna Medicare Advantage	$147.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$125.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$125.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$98.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$125.28
Rate for Payer: Cigna Commercial	$245.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.89
Rate for Payer: Qualcare PPO/HMO/WC	$73.69

Know your out-of-pocket cost for care.

All Charges