Heights University Hospital

All Charges

Charge

Type

Setting

Price

THERMAL ENDOMETER TUMOR ABL LT

Facility

$32,257.60

Service Code	HCPCS 58353
Hospital Charge Code	1600000785
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$11,912.81
Rate for Payer: Aetna Commercial	$9,677.28
Rate for Payer: Aetna Medicare Advantage	$9,677.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,225.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,225.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,225.69
Rate for Payer: Cigna Commercial	$11,912.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,193.49
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,838.64
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

THERMASPLINT SGL MED 15-29010

Facility

$77.65

Hospital Charge Code	270613913
Hospital Revenue Code	272
Min. Negotiated Rate	$11.65
Max. Negotiated Rate	$11.65
Rate for Payer: Qualcare PPO/HMO/WC	$11.65

THERMASPLINT SGL MED 15-29010

Facility

$77.65

Hospital Charge Code	270613913
Hospital Revenue Code	272
Min. Negotiated Rate	$10.09
Max. Negotiated Rate	$38.83
Rate for Payer: Aetna Commercial	$23.30
Rate for Payer: Aetna Medicare Advantage	$23.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.80
Rate for Payer: Cigna Commercial	$38.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.09
Rate for Payer: Oxford Commercial	$38.83
Rate for Payer: Qualcare PPO/HMO/WC	$11.65
Rate for Payer: UnitedHealthcare Commercial	$38.83

THERMAZENE CRM 1% 400GM

Facility

$181.15

Hospital Charge Code	6007249
Hospital Revenue Code	251
Min. Negotiated Rate	$27.17
Max. Negotiated Rate	$27.17
Rate for Payer: Qualcare PPO/HMO/WC	$27.17

THERMAZENE CRM 1% 400GM

Facility

$181.15

Hospital Charge Code	6007249
Hospital Revenue Code	251
Min. Negotiated Rate	$23.55
Max. Negotiated Rate	$90.58
Rate for Payer: Aetna Commercial	$54.34
Rate for Payer: Aetna Medicare Advantage	$54.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.19
Rate for Payer: Cigna Commercial	$90.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.55
Rate for Payer: Oxford Commercial	$90.58
Rate for Payer: Qualcare PPO/HMO/WC	$27.17
Rate for Payer: UnitedHealthcare Commercial	$90.58

THERMAZENE CRM 1% 50GM

Facility

$48.00

Hospital Charge Code	6007215
Hospital Revenue Code	251
Min. Negotiated Rate	$6.24
Max. Negotiated Rate	$24.00
Rate for Payer: Aetna Commercial	$14.40
Rate for Payer: Aetna Medicare Advantage	$14.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.24
Rate for Payer: Cigna Commercial	$24.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.24
Rate for Payer: Oxford Commercial	$24.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.20
Rate for Payer: UnitedHealthcare Commercial	$24.00

THERMAZENE CRM 1% 50GM

Facility

$48.00

Hospital Charge Code	6007215
Hospital Revenue Code	251
Min. Negotiated Rate	$7.20
Max. Negotiated Rate	$7.20
Rate for Payer: Qualcare PPO/HMO/WC	$7.20

THERM. DIGITAL MOUNT

Facility

$137.25

Hospital Charge Code	270665869
Hospital Revenue Code	270
Min. Negotiated Rate	$17.84
Max. Negotiated Rate	$68.62
Rate for Payer: Aetna Commercial	$41.17
Rate for Payer: Aetna Medicare Advantage	$41.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.00
Rate for Payer: Cigna Commercial	$68.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.84
Rate for Payer: Oxford Commercial	$68.62
Rate for Payer: Qualcare PPO/HMO/WC	$20.59
Rate for Payer: UnitedHealthcare Commercial	$68.62

THERM. DIGITAL MOUNT

Facility

$137.25

Hospital Charge Code	270665869
Hospital Revenue Code	270
Min. Negotiated Rate	$20.59
Max. Negotiated Rate	$20.59
Rate for Payer: Qualcare PPO/HMO/WC	$20.59

THERMO GUARD ADHESIVE PAD

Facility

$63.00

Hospital Charge Code	270335113
Hospital Revenue Code	272
Min. Negotiated Rate	$8.19
Max. Negotiated Rate	$31.50
Rate for Payer: Aetna Commercial	$18.90
Rate for Payer: Aetna Medicare Advantage	$18.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.07
Rate for Payer: Cigna Commercial	$31.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.19
Rate for Payer: Oxford Commercial	$31.50
Rate for Payer: Qualcare PPO/HMO/WC	$9.45
Rate for Payer: UnitedHealthcare Commercial	$31.50

THERMO GUARD ADHESIVE PAD

Facility

$63.00

Hospital Charge Code	270335113
Hospital Revenue Code	272
Min. Negotiated Rate	$9.45
Max. Negotiated Rate	$9.45
Rate for Payer: Qualcare PPO/HMO/WC	$9.45

THERMOMETER DIGITAL

Facility

$101.70

Hospital Charge Code	270646237
Hospital Revenue Code	271
Min. Negotiated Rate	$13.22
Max. Negotiated Rate	$50.85
Rate for Payer: Aetna Commercial	$30.51
Rate for Payer: Aetna Medicare Advantage	$30.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.93
Rate for Payer: Cigna Commercial	$50.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.22
Rate for Payer: Oxford Commercial	$50.85
Rate for Payer: Qualcare PPO/HMO/WC	$15.26
Rate for Payer: UnitedHealthcare Commercial	$50.85

THERMOMETER DIGITAL

Facility

$101.70

Hospital Charge Code	270646237
Hospital Revenue Code	271
Min. Negotiated Rate	$15.26
Max. Negotiated Rate	$15.26
Rate for Payer: Qualcare PPO/HMO/WC	$15.26

THERMOMETER LIQUID CRYSTAL SUR

Facility

$78.33

Hospital Charge Code	270655711
Hospital Revenue Code	271
Min. Negotiated Rate	$10.18
Max. Negotiated Rate	$39.16
Rate for Payer: Aetna Commercial	$23.50
Rate for Payer: Aetna Medicare Advantage	$23.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.97
Rate for Payer: Cigna Commercial	$39.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.18
Rate for Payer: Oxford Commercial	$39.16
Rate for Payer: Qualcare PPO/HMO/WC	$11.75
Rate for Payer: UnitedHealthcare Commercial	$39.16

THERMOMETER LIQUID CRYSTAL SUR

Facility

$78.33

Hospital Charge Code	270655711
Hospital Revenue Code	271
Min. Negotiated Rate	$11.75
Max. Negotiated Rate	$11.75
Rate for Payer: Qualcare PPO/HMO/WC	$11.75

THERMOMETER STRIP TEMPA-DOT

Facility

$38.85

Hospital Charge Code	270652809
Hospital Revenue Code	270
Min. Negotiated Rate	$5.05
Max. Negotiated Rate	$19.43
Rate for Payer: Aetna Commercial	$11.65
Rate for Payer: Aetna Medicare Advantage	$11.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.91
Rate for Payer: Cigna Commercial	$19.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.05
Rate for Payer: Oxford Commercial	$19.43
Rate for Payer: Qualcare PPO/HMO/WC	$5.83
Rate for Payer: UnitedHealthcare Commercial	$19.43

THERMOMETER STRIP TEMPA-DOT

Facility

$38.85

Hospital Charge Code	270652809
Hospital Revenue Code	270
Min. Negotiated Rate	$5.83
Max. Negotiated Rate	$5.83
Rate for Payer: Qualcare PPO/HMO/WC	$5.83

THERMOMETER (TEMP CARE)

Facility

$19.25

Hospital Charge Code	270302195
Hospital Revenue Code	270
Min. Negotiated Rate	$2.50
Max. Negotiated Rate	$9.62
Rate for Payer: Aetna Commercial	$5.78
Rate for Payer: Aetna Medicare Advantage	$5.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.91
Rate for Payer: Cigna Commercial	$9.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.50
Rate for Payer: Oxford Commercial	$9.62
Rate for Payer: Qualcare PPO/HMO/WC	$2.89
Rate for Payer: UnitedHealthcare Commercial	$9.62

THERMOMETER (TEMP CARE)

Facility

$19.25

Hospital Charge Code	270302195
Hospital Revenue Code	270
Min. Negotiated Rate	$2.89
Max. Negotiated Rate	$2.89
Rate for Payer: Qualcare PPO/HMO/WC	$2.89

THER/PROPH/DIAG INJ SC/IM

Facility

$499.80

Service Code	HCPCS 96372
Hospital Charge Code	1600000648
Hospital Revenue Code	360
Min. Negotiated Rate	$64.97
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$149.94
Rate for Payer: Aetna Medicare Advantage	$149.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.45
Rate for Payer: Cigna Commercial	$171.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.97
Rate for Payer: Qualcare PPO/HMO/WC	$74.97

THER/PROPH/DIAG INJ SC/IM

Facility

$499.80

Service Code	HCPCS 96372
Hospital Charge Code	1600000648
Hospital Revenue Code	360
Min. Negotiated Rate	$74.97
Max. Negotiated Rate	$74.97
Rate for Payer: Qualcare PPO/HMO/WC	$74.97

THIABENDAZOLE LIQ 500MG/5ML SP

Facility

$174.75

Hospital Charge Code	6005292
Hospital Revenue Code	252
Min. Negotiated Rate	$26.21
Max. Negotiated Rate	$26.21
Rate for Payer: Qualcare PPO/HMO/WC	$26.21

THIABENDAZOLE LIQ 500MG/5ML SP

Facility

$174.75

Hospital Charge Code	6005292
Hospital Revenue Code	252
Min. Negotiated Rate	$22.72
Max. Negotiated Rate	$87.38
Rate for Payer: Aetna Commercial	$52.42
Rate for Payer: Aetna Medicare Advantage	$52.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.56
Rate for Payer: Cigna Commercial	$87.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.72
Rate for Payer: Oxford Commercial	$87.38
Rate for Payer: Qualcare PPO/HMO/WC	$26.21
Rate for Payer: UnitedHealthcare Commercial	$87.38

THIAMINE 100 MG/ML INJ

Facility

$83.35

Service Code	HCPCS J3411
Hospital Charge Code	6009096
Hospital Revenue Code	636
Min. Negotiated Rate	$1.55
Max. Negotiated Rate	$25.00
Rate for Payer: Aetna Commercial	$25.00
Rate for Payer: Aetna Medicare Advantage	$25.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.25
Rate for Payer: Cigna Commercial	$1.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.17
Rate for Payer: Qualcare PPO/HMO/WC	$12.50

THIAMINE 100 MG/ML INJ

Facility

$83.35

Service Code	HCPCS J3411
Hospital Charge Code	6009096
Hospital Revenue Code	636
Min. Negotiated Rate	$12.50
Max. Negotiated Rate	$20.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.17
Rate for Payer: Qualcare PPO/HMO/WC	$12.50

Know your out-of-pocket cost for care.

All Charges