Heights University Hospital

All Charges

Charge

Type

Setting

Price

TEMNO COXIAL BIO NDLE 22GX11CM

Facility

$46.44

Hospital Charge Code	270655044R
Hospital Revenue Code	272
Min. Negotiated Rate	$6.97
Max. Negotiated Rate	$6.97
Rate for Payer: Qualcare PPO/HMO/WC	$6.97

TEMNO COXIAL BIO NDLE 22GX11CM

Facility

$46.44

Hospital Charge Code	270655044
Hospital Revenue Code	272
Min. Negotiated Rate	$6.04
Max. Negotiated Rate	$23.22
Rate for Payer: Aetna Commercial	$13.93
Rate for Payer: Aetna Medicare Advantage	$13.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.84
Rate for Payer: Cigna Commercial	$23.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.04
Rate for Payer: Oxford Commercial	$23.22
Rate for Payer: Qualcare PPO/HMO/WC	$6.97
Rate for Payer: UnitedHealthcare Commercial	$23.22

TEMODAR 250 MG CAP

Facility

$1,999.00

Hospital Charge Code	60635594
Hospital Revenue Code	636
Min. Negotiated Rate	$299.85
Max. Negotiated Rate	$483.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$483.76
Rate for Payer: Qualcare PPO/HMO/WC	$299.85

TEMODAR 250 MG CAP

Facility

$1,999.00

Hospital Charge Code	60635594
Hospital Revenue Code	636
Min. Negotiated Rate	$299.85
Max. Negotiated Rate	$999.50
Rate for Payer: Aetna Commercial	$599.70
Rate for Payer: Aetna Medicare Advantage	$599.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$509.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$509.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$509.75
Rate for Payer: Cigna Commercial	$999.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$483.76
Rate for Payer: Qualcare PPO/HMO/WC	$299.85

TEMOVATE 0.05%/15GM

Facility

$107.00

Hospital Charge Code	60633982
Hospital Revenue Code	250
Min. Negotiated Rate	$16.05
Max. Negotiated Rate	$16.05
Rate for Payer: Qualcare PPO/HMO/WC	$16.05

TEMOVATE 0.05%/15GM

Facility

$107.00

Hospital Charge Code	60633981
Hospital Revenue Code	250
Min. Negotiated Rate	$16.05
Max. Negotiated Rate	$16.05
Rate for Payer: Qualcare PPO/HMO/WC	$16.05

TEMOVATE 0.05%/15GM

Facility

$107.00

Hospital Charge Code	60633982
Hospital Revenue Code	250
Min. Negotiated Rate	$13.91
Max. Negotiated Rate	$53.50
Rate for Payer: Aetna Commercial	$32.10
Rate for Payer: Aetna Medicare Advantage	$32.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.29
Rate for Payer: Cigna Commercial	$53.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.91
Rate for Payer: Oxford Commercial	$53.50
Rate for Payer: Qualcare PPO/HMO/WC	$16.05
Rate for Payer: UnitedHealthcare Commercial	$53.50

TEMOVATE 0.05%/15GM

Facility

$107.00

Hospital Charge Code	60633981
Hospital Revenue Code	250
Min. Negotiated Rate	$13.91
Max. Negotiated Rate	$53.50
Rate for Payer: Aetna Commercial	$32.10
Rate for Payer: Aetna Medicare Advantage	$32.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.29
Rate for Payer: Cigna Commercial	$53.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.91
Rate for Payer: Oxford Commercial	$53.50
Rate for Payer: Qualcare PPO/HMO/WC	$16.05
Rate for Payer: UnitedHealthcare Commercial	$53.50

TEMPERATURE SKIN SENSOR

Facility

$66.00

Hospital Charge Code	270331375
Hospital Revenue Code	272
Min. Negotiated Rate	$8.58
Max. Negotiated Rate	$33.00
Rate for Payer: Aetna Commercial	$19.80
Rate for Payer: Aetna Medicare Advantage	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.83
Rate for Payer: Cigna Commercial	$33.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.58
Rate for Payer: Oxford Commercial	$33.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.90
Rate for Payer: UnitedHealthcare Commercial	$33.00

TEMPERATURE SKIN SENSOR

Facility

$66.00

Hospital Charge Code	270331375
Hospital Revenue Code	272
Min. Negotiated Rate	$9.90
Max. Negotiated Rate	$9.90
Rate for Payer: Qualcare PPO/HMO/WC	$9.90

TEMPLATE BENDNG 12HL 4.5DCP PL

Facility

$140.60

Service Code	HCPCS C1713
Hospital Charge Code	270651503
Hospital Revenue Code	272
Min. Negotiated Rate	$18.28
Max. Negotiated Rate	$70.30
Rate for Payer: Aetna Commercial	$42.18
Rate for Payer: Aetna Medicare Advantage	$42.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.85
Rate for Payer: Cigna Commercial	$70.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.28
Rate for Payer: Oxford Commercial	$70.30
Rate for Payer: Qualcare PPO/HMO/WC	$21.09
Rate for Payer: UnitedHealthcare Commercial	$70.30

TEMPLATE BENDNG 12HL 4.5DCP PL

Facility

$140.60

Service Code	HCPCS C1713
Hospital Charge Code	270651503
Hospital Revenue Code	272
Min. Negotiated Rate	$21.09
Max. Negotiated Rate	$21.09
Rate for Payer: Qualcare PPO/HMO/WC	$21.09

TEMPLATE BENDNG 9 HL 4.5 DCP

Facility

$140.60

Service Code	HCPCS C1713
Hospital Charge Code	270651509
Hospital Revenue Code	272
Min. Negotiated Rate	$21.09
Max. Negotiated Rate	$21.09
Rate for Payer: Qualcare PPO/HMO/WC	$21.09

TEMPLATE BENDNG 9 HL 4.5 DCP

Facility

$140.60

Service Code	HCPCS C1713
Hospital Charge Code	270651509
Hospital Revenue Code	272
Min. Negotiated Rate	$18.28
Max. Negotiated Rate	$70.30
Rate for Payer: Aetna Commercial	$42.18
Rate for Payer: Aetna Medicare Advantage	$42.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.85
Rate for Payer: Cigna Commercial	$70.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.28
Rate for Payer: Oxford Commercial	$70.30
Rate for Payer: Qualcare PPO/HMO/WC	$21.09
Rate for Payer: UnitedHealthcare Commercial	$70.30

TEMPLATE GRID 17GA STERILE

Facility

$234.00

Hospital Charge Code	270640971
Hospital Revenue Code	272
Min. Negotiated Rate	$35.10
Max. Negotiated Rate	$35.10
Rate for Payer: Qualcare PPO/HMO/WC	$35.10

TEMPLATE GRID 17GA STERILE

Facility

$234.00

Hospital Charge Code	270640971
Hospital Revenue Code	272
Min. Negotiated Rate	$30.42
Max. Negotiated Rate	$117.00
Rate for Payer: Aetna Commercial	$70.20
Rate for Payer: Aetna Medicare Advantage	$70.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.67
Rate for Payer: Cigna Commercial	$117.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.42
Rate for Payer: Oxford Commercial	$117.00
Rate for Payer: Qualcare PPO/HMO/WC	$35.10
Rate for Payer: UnitedHealthcare Commercial	$117.00

TEMPLATE GRID 18G USE W/UA1084

Facility

$236.00

Hospital Charge Code	270662675
Hospital Revenue Code	270
Min. Negotiated Rate	$35.40
Max. Negotiated Rate	$35.40
Rate for Payer: Qualcare PPO/HMO/WC	$35.40

TEMPLATE GRID 18G USE W/UA1084

Facility

$236.00

Hospital Charge Code	270662675
Hospital Revenue Code	270
Min. Negotiated Rate	$30.68
Max. Negotiated Rate	$118.00
Rate for Payer: Aetna Commercial	$70.80
Rate for Payer: Aetna Medicare Advantage	$70.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.18
Rate for Payer: Cigna Commercial	$118.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.68
Rate for Payer: Oxford Commercial	$118.00
Rate for Payer: Qualcare PPO/HMO/WC	$35.40
Rate for Payer: UnitedHealthcare Commercial	$118.00

TEMPLATE OCCIPITAL PLATE SMALL

Facility

$4,350.00

Service Code	HCPCS A4649
Hospital Charge Code	270697875
Hospital Revenue Code	272
Min. Negotiated Rate	$652.50
Max. Negotiated Rate	$652.50
Rate for Payer: Qualcare PPO/HMO/WC	$652.50

TEMPLATE OCCIPITAL PLATE SMALL

Facility

$4,350.00

Service Code	HCPCS A4649
Hospital Charge Code	270697875
Hospital Revenue Code	272
Min. Negotiated Rate	$565.50
Max. Negotiated Rate	$2,175.00
Rate for Payer: Aetna Commercial	$1,305.00
Rate for Payer: Aetna Medicare Advantage	$1,305.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,109.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,109.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,109.25
Rate for Payer: Cigna Commercial	$2,175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$565.50
Rate for Payer: Oxford Commercial	$2,175.00
Rate for Payer: Qualcare PPO/HMO/WC	$652.50
Rate for Payer: UnitedHealthcare Commercial	$2,175.00

TEMPLATE SDK SIZING 11MM

Facility

$323.25

Hospital Charge Code	270614969
Hospital Revenue Code	272
Min. Negotiated Rate	$42.02
Max. Negotiated Rate	$161.62
Rate for Payer: Aetna Commercial	$96.97
Rate for Payer: Aetna Medicare Advantage	$96.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.43
Rate for Payer: Cigna Commercial	$161.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.02
Rate for Payer: Oxford Commercial	$161.62
Rate for Payer: Qualcare PPO/HMO/WC	$48.49
Rate for Payer: UnitedHealthcare Commercial	$161.62

TEMPLATE SDK SIZING 11MM

Facility

$323.25

Hospital Charge Code	270614969
Hospital Revenue Code	272
Min. Negotiated Rate	$48.49
Max. Negotiated Rate	$48.49
Rate for Payer: Qualcare PPO/HMO/WC	$48.49

TEMPLATE SDK SPIN SYS 823.320

Facility

$261.65

Hospital Charge Code	270616285
Hospital Revenue Code	272
Min. Negotiated Rate	$39.25
Max. Negotiated Rate	$39.25
Rate for Payer: Qualcare PPO/HMO/WC	$39.25

TEMPLATE SDK SPIN SYS 823.320

Facility

$261.65

Hospital Charge Code	270616285
Hospital Revenue Code	272
Min. Negotiated Rate	$34.01
Max. Negotiated Rate	$130.82
Rate for Payer: Aetna Commercial	$78.50
Rate for Payer: Aetna Medicare Advantage	$78.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.72
Rate for Payer: Cigna Commercial	$130.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.01
Rate for Payer: Oxford Commercial	$130.82
Rate for Payer: Qualcare PPO/HMO/WC	$39.25
Rate for Payer: UnitedHealthcare Commercial	$130.82

TEMPLATE SYN 22H 3.5PLT 329.64

Facility

$396.85

Hospital Charge Code	270615259
Hospital Revenue Code	278
Min. Negotiated Rate	$59.53
Max. Negotiated Rate	$198.43
Rate for Payer: Aetna Commercial	$119.06
Rate for Payer: Aetna Medicare Advantage	$119.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$101.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$101.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$79.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$101.20
Rate for Payer: Cigna Commercial	$198.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.04
Rate for Payer: Qualcare PPO/HMO/WC	$59.53

Know your out-of-pocket cost for care.

All Charges