Heights University Hospital

All Charges

Charge

Type

Setting

Price

WARFARIN 1 MG TAB

Facility

$13.80

Service Code	NDC 56016975
Hospital Charge Code	60627515
Hospital Revenue Code	250
Min. Negotiated Rate	$2.07
Max. Negotiated Rate	$2.07
Rate for Payer: Qualcare PPO/HMO/WC	$2.07

WARFARIN 1 MG TAB

Facility

$13.80

Service Code	NDC 56016975
Hospital Charge Code	60627515
Hospital Revenue Code	250
Min. Negotiated Rate	$1.79
Max. Negotiated Rate	$6.90
Rate for Payer: Aetna Commercial	$4.14
Rate for Payer: Aetna Medicare Advantage	$4.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.52
Rate for Payer: Cigna Commercial	$6.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.79
Rate for Payer: Oxford Commercial	$6.90
Rate for Payer: Qualcare PPO/HMO/WC	$2.07
Rate for Payer: UnitedHealthcare Commercial	$6.90

WARFARIN 2.5 MG TAB

Facility

$14.87

Service Code	NDC 56017675
Hospital Charge Code	60627516
Hospital Revenue Code	250
Min. Negotiated Rate	$1.93
Max. Negotiated Rate	$7.43
Rate for Payer: Aetna Commercial	$4.46
Rate for Payer: Aetna Medicare Advantage	$4.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.79
Rate for Payer: Cigna Commercial	$7.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.93
Rate for Payer: Oxford Commercial	$7.43
Rate for Payer: Qualcare PPO/HMO/WC	$2.23
Rate for Payer: UnitedHealthcare Commercial	$7.43

WARFARIN 2.5 MG TAB

Facility

$14.87

Service Code	NDC 56017675
Hospital Charge Code	60627516
Hospital Revenue Code	250
Min. Negotiated Rate	$2.23
Max. Negotiated Rate	$2.23
Rate for Payer: Qualcare PPO/HMO/WC	$2.23

WARFARIN 2 MG TAB

Facility

$14.41

Service Code	NDC 56017075
Hospital Charge Code	60627517
Hospital Revenue Code	250
Min. Negotiated Rate	$1.87
Max. Negotiated Rate	$7.21
Rate for Payer: Aetna Commercial	$4.32
Rate for Payer: Aetna Medicare Advantage	$4.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.67
Rate for Payer: Cigna Commercial	$7.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.87
Rate for Payer: Oxford Commercial	$7.21
Rate for Payer: Qualcare PPO/HMO/WC	$2.16
Rate for Payer: UnitedHealthcare Commercial	$7.21

WARFARIN 2 MG TAB

Facility

$14.41

Service Code	NDC 56017075
Hospital Charge Code	60627517
Hospital Revenue Code	250
Min. Negotiated Rate	$2.16
Max. Negotiated Rate	$2.16
Rate for Payer: Qualcare PPO/HMO/WC	$2.16

WARFARIN 3 MG TAB

Facility

$14.87

Service Code	NDC 56018875
Hospital Charge Code	60629210
Hospital Revenue Code	250
Min. Negotiated Rate	$1.93
Max. Negotiated Rate	$7.43
Rate for Payer: Aetna Commercial	$4.46
Rate for Payer: Aetna Medicare Advantage	$4.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.79
Rate for Payer: Cigna Commercial	$7.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.93
Rate for Payer: Oxford Commercial	$7.43
Rate for Payer: Qualcare PPO/HMO/WC	$2.23
Rate for Payer: UnitedHealthcare Commercial	$7.43

WARFARIN 3 MG TAB

Facility

$14.87

Service Code	NDC 56018875
Hospital Charge Code	60629210
Hospital Revenue Code	250
Min. Negotiated Rate	$2.23
Max. Negotiated Rate	$2.23
Rate for Payer: Qualcare PPO/HMO/WC	$2.23

WARFARIN 5 MG TAB

Facility

$15.48

Service Code	NDC 56017275
Hospital Charge Code	60627518
Hospital Revenue Code	250
Min. Negotiated Rate	$2.32
Max. Negotiated Rate	$2.32
Rate for Payer: Qualcare PPO/HMO/WC	$2.32

WARFARIN 5 MG TAB

Facility

$15.48

Service Code	NDC 56017275
Hospital Charge Code	60627518
Hospital Revenue Code	250
Min. Negotiated Rate	$2.01
Max. Negotiated Rate	$7.74
Rate for Payer: Aetna Commercial	$4.64
Rate for Payer: Aetna Medicare Advantage	$4.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.95
Rate for Payer: Cigna Commercial	$7.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.01
Rate for Payer: Oxford Commercial	$7.74
Rate for Payer: Qualcare PPO/HMO/WC	$2.32
Rate for Payer: UnitedHealthcare Commercial	$7.74

WARFARIN 7.5 MG TAB

Facility

$20.64

Service Code	NDC 56017375
Hospital Charge Code	60627519
Hospital Revenue Code	250
Min. Negotiated Rate	$2.68
Max. Negotiated Rate	$10.32
Rate for Payer: Aetna Commercial	$6.19
Rate for Payer: Aetna Medicare Advantage	$6.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.26
Rate for Payer: Cigna Commercial	$10.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.68
Rate for Payer: Oxford Commercial	$10.32
Rate for Payer: Qualcare PPO/HMO/WC	$3.10
Rate for Payer: UnitedHealthcare Commercial	$10.32

WARFARIN 7.5 MG TAB

Facility

$20.64

Service Code	NDC 56017375
Hospital Charge Code	60627519
Hospital Revenue Code	250
Min. Negotiated Rate	$3.10
Max. Negotiated Rate	$3.10
Rate for Payer: Qualcare PPO/HMO/WC	$3.10

WARFARIN INJ 5MG

Facility

$89.60

Hospital Charge Code	60629261
Hospital Revenue Code	250
Min. Negotiated Rate	$11.65
Max. Negotiated Rate	$44.80
Rate for Payer: Aetna Commercial	$26.88
Rate for Payer: Aetna Medicare Advantage	$26.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.85
Rate for Payer: Cigna Commercial	$44.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.65
Rate for Payer: Oxford Commercial	$44.80
Rate for Payer: Qualcare PPO/HMO/WC	$13.44
Rate for Payer: UnitedHealthcare Commercial	$44.80

WARFARIN INJ 5MG

Facility

$89.60

Hospital Charge Code	60629261
Hospital Revenue Code	250
Min. Negotiated Rate	$13.44
Max. Negotiated Rate	$13.44
Rate for Payer: Qualcare PPO/HMO/WC	$13.44

WARMER FLUID 241 *******

Facility

$36.00

Hospital Charge Code	1608298
Hospital Revenue Code	272
Min. Negotiated Rate	$5.40
Max. Negotiated Rate	$5.40
Rate for Payer: Qualcare PPO/HMO/WC	$5.40

WARMER FLUID 241 *******

Facility

$36.00

Hospital Charge Code	1608298
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

WASHBASIN RECT 8 QT

Facility

$7.25

Hospital Charge Code	270300502
Hospital Revenue Code	270
Min. Negotiated Rate	$0.94
Max. Negotiated Rate	$3.62
Rate for Payer: Aetna Commercial	$2.17
Rate for Payer: Aetna Medicare Advantage	$2.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.85
Rate for Payer: Cigna Commercial	$3.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.94
Rate for Payer: Oxford Commercial	$3.62
Rate for Payer: Qualcare PPO/HMO/WC	$1.09
Rate for Payer: UnitedHealthcare Commercial	$3.62

WASHBASIN RECT 8 QT

Facility

$7.25

Hospital Charge Code	270300502
Hospital Revenue Code	270
Min. Negotiated Rate	$1.09
Max. Negotiated Rate	$1.09
Rate for Payer: Qualcare PPO/HMO/WC	$1.09

WASHCLOTHES DISPOSABLE

Facility

$195.20

Hospital Charge Code	270655087
Hospital Revenue Code	270
Min. Negotiated Rate	$25.38
Max. Negotiated Rate	$97.60
Rate for Payer: Aetna Commercial	$58.56
Rate for Payer: Aetna Medicare Advantage	$58.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.78
Rate for Payer: Cigna Commercial	$97.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.38
Rate for Payer: Oxford Commercial	$97.60
Rate for Payer: Qualcare PPO/HMO/WC	$29.28
Rate for Payer: UnitedHealthcare Commercial	$97.60

WASHCLOTHES DISPOSABLE

Facility

$195.20

Hospital Charge Code	270655087
Hospital Revenue Code	270
Min. Negotiated Rate	$29.28
Max. Negotiated Rate	$29.28
Rate for Payer: Qualcare PPO/HMO/WC	$29.28

WASHED RBC'S

Facility

$1,706.16

Hospital Charge Code	38471037
Hospital Revenue Code	390
Min. Negotiated Rate	$255.92
Max. Negotiated Rate	$255.92
Rate for Payer: Qualcare PPO/HMO/WC	$255.92

WASHED RBC'S

Facility

$1,706.16

Hospital Charge Code	38471037
Hospital Revenue Code	390
Min. Negotiated Rate	$221.80
Max. Negotiated Rate	$853.08
Rate for Payer: Aetna Commercial	$511.85
Rate for Payer: Aetna Medicare Advantage	$511.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$435.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$435.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$435.07
Rate for Payer: Cigna Commercial	$853.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$221.80
Rate for Payer: Oxford Commercial	$666.00
Rate for Payer: Qualcare PPO/HMO/WC	$255.92
Rate for Payer: UnitedHealthcare Commercial	$756.00

WASHED RED BLOOD CELLS UNIT

Facility

$1,439.02

Hospital Charge Code	3101507
Hospital Revenue Code	390
Min. Negotiated Rate	$187.07
Max. Negotiated Rate	$756.00
Rate for Payer: Aetna Commercial	$431.71
Rate for Payer: Aetna Medicare Advantage	$431.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$366.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$366.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$366.95
Rate for Payer: Cigna Commercial	$719.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.07
Rate for Payer: Oxford Commercial	$666.00
Rate for Payer: Qualcare PPO/HMO/WC	$215.85
Rate for Payer: UnitedHealthcare Commercial	$756.00

WASHED RED BLOOD CELLS UNIT

Facility

$1,439.02

Hospital Charge Code	3101507
Hospital Revenue Code	390
Min. Negotiated Rate	$215.85
Max. Negotiated Rate	$215.85
Rate for Payer: Qualcare PPO/HMO/WC	$215.85

WASHER

Facility

$105.30

Hospital Charge Code	270657776
Hospital Revenue Code	278
Min. Negotiated Rate	$15.79
Max. Negotiated Rate	$52.65
Rate for Payer: Aetna Commercial	$31.59
Rate for Payer: Aetna Medicare Advantage	$31.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.85
Rate for Payer: Cigna Commercial	$52.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.48
Rate for Payer: Qualcare PPO/HMO/WC	$15.79

Know your out-of-pocket cost for care.

All Charges