Heights University Hospital

All Charges

Charge

Type

Setting

Price

UNDERPAD ULTRASORB 31x36

Facility

$9.61

Hospital Charge Code	270644336
Hospital Revenue Code	270
Min. Negotiated Rate	$1.44
Max. Negotiated Rate	$1.44
Rate for Payer: Qualcare PPO/HMO/WC	$1.44

UNDERPAD ULTRASORB AP 24x36

Facility

$405.20

Hospital Charge Code	270648397
Hospital Revenue Code	272
Min. Negotiated Rate	$52.68
Max. Negotiated Rate	$202.60
Rate for Payer: Aetna Commercial	$121.56
Rate for Payer: Aetna Medicare Advantage	$121.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$103.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$103.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$103.33
Rate for Payer: Cigna Commercial	$202.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.68
Rate for Payer: Oxford Commercial	$202.60
Rate for Payer: Qualcare PPO/HMO/WC	$60.78
Rate for Payer: UnitedHealthcare Commercial	$202.60

UNDERPAD ULTRASORB AP 24x36

Facility

$405.20

Hospital Charge Code	270648397
Hospital Revenue Code	272
Min. Negotiated Rate	$60.78
Max. Negotiated Rate	$60.78
Rate for Payer: Qualcare PPO/HMO/WC	$60.78

UNICORTICAL SCREW 10MM

Facility

$813.05

Hospital Charge Code	270657821
Hospital Revenue Code	278
Min. Negotiated Rate	$121.96
Max. Negotiated Rate	$196.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.76
Rate for Payer: Qualcare PPO/HMO/WC	$121.96

UNICORTICAL SCREW 10MM

Facility

$813.05

Hospital Charge Code	270657821
Hospital Revenue Code	278
Min. Negotiated Rate	$121.96
Max. Negotiated Rate	$406.52
Rate for Payer: Aetna Commercial	$243.91
Rate for Payer: Aetna Medicare Advantage	$243.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$207.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$207.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$207.33
Rate for Payer: Cigna Commercial	$406.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.76
Rate for Payer: Qualcare PPO/HMO/WC	$121.96

UNICORTICAL SCREW 12MM

Facility

$813.05

Hospital Charge Code	270657823
Hospital Revenue Code	278
Min. Negotiated Rate	$121.96
Max. Negotiated Rate	$406.52
Rate for Payer: Aetna Commercial	$243.91
Rate for Payer: Aetna Medicare Advantage	$243.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$207.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$207.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$207.33
Rate for Payer: Cigna Commercial	$406.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.76
Rate for Payer: Qualcare PPO/HMO/WC	$121.96

UNICORTICAL SCREW 12MM

Facility

$813.05

Hospital Charge Code	270657823
Hospital Revenue Code	278
Min. Negotiated Rate	$121.96
Max. Negotiated Rate	$196.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.76
Rate for Payer: Qualcare PPO/HMO/WC	$121.96

UNI DERM ******

Facility

$23.00

Hospital Charge Code	8002081
Hospital Revenue Code	279
Min. Negotiated Rate	$2.99
Max. Negotiated Rate	$11.50
Rate for Payer: Aetna Commercial	$6.90
Rate for Payer: Aetna Medicare Advantage	$6.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.87
Rate for Payer: Cigna Commercial	$11.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.99
Rate for Payer: Oxford Commercial	$11.50
Rate for Payer: Qualcare PPO/HMO/WC	$3.45
Rate for Payer: UnitedHealthcare Commercial	$11.50

UNI DERM ******

Facility

$23.00

Hospital Charge Code	8002081
Hospital Revenue Code	279
Min. Negotiated Rate	$3.45
Max. Negotiated Rate	$3.45
Rate for Payer: Qualcare PPO/HMO/WC	$3.45

UNIPAK SURGICAL SUPPLIES

Facility

$680.00

Hospital Charge Code	270331454
Hospital Revenue Code	272
Min. Negotiated Rate	$102.00
Max. Negotiated Rate	$102.00
Rate for Payer: Qualcare PPO/HMO/WC	$102.00

UNIPAK SURGICAL SUPPLIES

Facility

$680.00

Hospital Charge Code	270331454
Hospital Revenue Code	272
Min. Negotiated Rate	$88.40
Max. Negotiated Rate	$340.00
Rate for Payer: Aetna Commercial	$204.00
Rate for Payer: Aetna Medicare Advantage	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$173.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$173.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$173.40
Rate for Payer: Cigna Commercial	$340.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$88.40
Rate for Payer: Oxford Commercial	$340.00
Rate for Payer: Qualcare PPO/HMO/WC	$102.00
Rate for Payer: UnitedHealthcare Commercial	$340.00

UNIPEN/500MG/TAB

Facility

$13.00

Hospital Charge Code	60634114
Hospital Revenue Code	250
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$6.50
Rate for Payer: Aetna Commercial	$3.90
Rate for Payer: Aetna Medicare Advantage	$3.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.31
Rate for Payer: Cigna Commercial	$6.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.69
Rate for Payer: Oxford Commercial	$6.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.95
Rate for Payer: UnitedHealthcare Commercial	$6.50

UNIPEN/500MG/TAB

Facility

$13.00

Hospital Charge Code	60634114
Hospital Revenue Code	250
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$1.95
Rate for Payer: Qualcare PPO/HMO/WC	$1.95

UNIPEN ADV/1GM/D5/100

Facility

$16.00

Hospital Charge Code	60634946
Hospital Revenue Code	250
Min. Negotiated Rate	$2.40
Max. Negotiated Rate	$2.40
Rate for Payer: Qualcare PPO/HMO/WC	$2.40

UNIPEN ADV/1GM/D5/100

Facility

$16.00

Hospital Charge Code	60634946
Hospital Revenue Code	250
Min. Negotiated Rate	$2.08
Max. Negotiated Rate	$8.00
Rate for Payer: Aetna Commercial	$4.80
Rate for Payer: Aetna Medicare Advantage	$4.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.08
Rate for Payer: Cigna Commercial	$8.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.08
Rate for Payer: Oxford Commercial	$8.00
Rate for Payer: Qualcare PPO/HMO/WC	$2.40
Rate for Payer: UnitedHealthcare Commercial	$8.00

UNIPEN ADV/1GM/NS/100

Facility

$16.00

Hospital Charge Code	60634949
Hospital Revenue Code	250
Min. Negotiated Rate	$2.40
Max. Negotiated Rate	$2.40
Rate for Payer: Qualcare PPO/HMO/WC	$2.40

UNIPEN ADV/1GM/NS/100

Facility

$16.00

Hospital Charge Code	60634949
Hospital Revenue Code	250
Min. Negotiated Rate	$2.08
Max. Negotiated Rate	$8.00
Rate for Payer: Aetna Commercial	$4.80
Rate for Payer: Aetna Medicare Advantage	$4.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.08
Rate for Payer: Cigna Commercial	$8.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.08
Rate for Payer: Oxford Commercial	$8.00
Rate for Payer: Qualcare PPO/HMO/WC	$2.40
Rate for Payer: UnitedHealthcare Commercial	$8.00

UNIPEN ADV/2GM/D5/250

Facility

$25.00

Hospital Charge Code	60634947
Hospital Revenue Code	250
Min. Negotiated Rate	$3.75
Max. Negotiated Rate	$3.75
Rate for Payer: Qualcare PPO/HMO/WC	$3.75

UNIPEN ADV/2GM/D5/250

Facility

$25.00

Hospital Charge Code	60634947
Hospital Revenue Code	250
Min. Negotiated Rate	$3.25
Max. Negotiated Rate	$12.50
Rate for Payer: Aetna Commercial	$7.50
Rate for Payer: Aetna Medicare Advantage	$7.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.38
Rate for Payer: Cigna Commercial	$12.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.25
Rate for Payer: Oxford Commercial	$12.50
Rate for Payer: Qualcare PPO/HMO/WC	$3.75
Rate for Payer: UnitedHealthcare Commercial	$12.50

UNIPEN ADV/2GM/NS/250

Facility

$15.00

Hospital Charge Code	60634950
Hospital Revenue Code	250
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$7.50
Rate for Payer: Aetna Commercial	$4.50
Rate for Payer: Aetna Medicare Advantage	$4.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.83
Rate for Payer: Cigna Commercial	$7.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.95
Rate for Payer: Oxford Commercial	$7.50
Rate for Payer: Qualcare PPO/HMO/WC	$2.25
Rate for Payer: UnitedHealthcare Commercial	$7.50

UNIPEN ADV/2GM/NS/250

Facility

$15.00

Hospital Charge Code	60634950
Hospital Revenue Code	250
Min. Negotiated Rate	$2.25
Max. Negotiated Rate	$2.25
Rate for Payer: Qualcare PPO/HMO/WC	$2.25

UNIPLATE 16 MM

Facility

$5,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270686054
Hospital Revenue Code	278
Min. Negotiated Rate	$843.75
Max. Negotiated Rate	$2,812.50
Rate for Payer: Aetna Commercial	$1,687.50
Rate for Payer: Aetna Medicare Advantage	$1,687.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,434.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,434.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,434.38
Rate for Payer: Cigna Commercial	$2,812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,361.25
Rate for Payer: Qualcare PPO/HMO/WC	$843.75

UNIPLATE 16 MM

Facility

$5,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270686054
Hospital Revenue Code	278
Min. Negotiated Rate	$843.75
Max. Negotiated Rate	$1,361.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,361.25
Rate for Payer: Qualcare PPO/HMO/WC	$843.75

UNI-PUNCH 3.0 BIOPSY 9033503

Facility

$5.20

Hospital Charge Code	270636847
Hospital Revenue Code	272
Min. Negotiated Rate	$0.68
Max. Negotiated Rate	$2.60
Rate for Payer: Aetna Commercial	$1.56
Rate for Payer: Aetna Medicare Advantage	$1.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.33
Rate for Payer: Cigna Commercial	$2.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.68
Rate for Payer: Oxford Commercial	$2.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.78
Rate for Payer: UnitedHealthcare Commercial	$2.60

UNI-PUNCH 3.0 BIOPSY 9033503

Facility

$5.20

Hospital Charge Code	270636847
Hospital Revenue Code	272
Min. Negotiated Rate	$0.78
Max. Negotiated Rate	$0.78
Rate for Payer: Qualcare PPO/HMO/WC	$0.78

Know your out-of-pocket cost for care.

All Charges