Heights University Hospital

All Charges

Charge

Type

Setting

Price

WATER STERILE 2OUNCE BOTTLE

Facility

$22.19

Hospital Charge Code	270653903
Hospital Revenue Code	272
Min. Negotiated Rate	$2.88
Max. Negotiated Rate	$11.10
Rate for Payer: Aetna Commercial	$6.66
Rate for Payer: Aetna Medicare Advantage	$6.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.66
Rate for Payer: Cigna Commercial	$11.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.88
Rate for Payer: Oxford Commercial	$11.10
Rate for Payer: Qualcare PPO/HMO/WC	$3.33
Rate for Payer: UnitedHealthcare Commercial	$11.10

WATER, STERILE 50 ML SOL

Facility

$15.61

Service Code	NDC 409488750
Hospital Charge Code	6063943272
Hospital Revenue Code	250
Min. Negotiated Rate	$2.03
Max. Negotiated Rate	$7.80
Rate for Payer: Aetna Commercial	$4.68
Rate for Payer: Aetna Medicare Advantage	$4.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.98
Rate for Payer: Cigna Commercial	$7.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.03
Rate for Payer: Oxford Commercial	$7.80
Rate for Payer: Qualcare PPO/HMO/WC	$2.34
Rate for Payer: UnitedHealthcare Commercial	$7.80

WATER, STERILE 50 ML SOL

Facility

$15.61

Service Code	NDC 409488750
Hospital Charge Code	6063943272
Hospital Revenue Code	250
Min. Negotiated Rate	$2.34
Max. Negotiated Rate	$2.34
Rate for Payer: Qualcare PPO/HMO/WC	$2.34

WATER STERILE IN HANGING BOTTL

Facility

$36.00

Hospital Charge Code	270689129
Hospital Revenue Code	270
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

WATER STERILE IN HANGING BOTTL

Facility

$36.00

Hospital Charge Code	270689129
Hospital Revenue Code	270
Min. Negotiated Rate	$5.40
Max. Negotiated Rate	$5.40
Rate for Payer: Qualcare PPO/HMO/WC	$5.40

WATER TRAP AIRLIFE

Facility

$9.51

Hospital Charge Code	270600664
Hospital Revenue Code	272
Min. Negotiated Rate	$1.24
Max. Negotiated Rate	$4.75
Rate for Payer: Aetna Commercial	$2.85
Rate for Payer: Aetna Medicare Advantage	$2.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.43
Rate for Payer: Cigna Commercial	$4.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.24
Rate for Payer: Oxford Commercial	$4.75
Rate for Payer: Qualcare PPO/HMO/WC	$1.43
Rate for Payer: UnitedHealthcare Commercial	$4.75

WATER TRAP AIRLIFE

Facility

$9.51

Hospital Charge Code	270600664
Hospital Revenue Code	272
Min. Negotiated Rate	$1.43
Max. Negotiated Rate	$1.43
Rate for Payer: Qualcare PPO/HMO/WC	$1.43

WAVEGUIDE INVUITY EIGR

Facility

$1,375.00

Hospital Charge Code	270663932
Hospital Revenue Code	270
Min. Negotiated Rate	$178.75
Max. Negotiated Rate	$687.50
Rate for Payer: Aetna Commercial	$412.50
Rate for Payer: Aetna Medicare Advantage	$412.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$350.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$350.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$350.62
Rate for Payer: Cigna Commercial	$687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$178.75
Rate for Payer: Oxford Commercial	$687.50
Rate for Payer: Qualcare PPO/HMO/WC	$206.25
Rate for Payer: UnitedHealthcare Commercial	$687.50

WAVEGUIDE INVUITY EIGR

Facility

$1,375.00

Hospital Charge Code	270663932
Hospital Revenue Code	270
Min. Negotiated Rate	$206.25
Max. Negotiated Rate	$206.25
Rate for Payer: Qualcare PPO/HMO/WC	$206.25

WBC

Facility

$21.28

Service Code	HCPCS 85048
Hospital Charge Code	8200340RS
Hospital Revenue Code	301
Min. Negotiated Rate	$3.19
Max. Negotiated Rate	$3.19
Rate for Payer: Qualcare PPO/HMO/WC	$3.19

WBC

Facility

$21.28

Service Code	HCPCS 85048
Hospital Charge Code	8200340RS
Hospital Revenue Code	301
Min. Negotiated Rate	$1.27
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$8.23
Rate for Payer: Aetna Medicare Advantage	$2.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.31
Rate for Payer: Cigna Commercial	$2.54
Rate for Payer: Cigna Medicare Advantage	$1.27
Rate for Payer: Clover Medicare Advantage	$2.41
Rate for Payer: EmblemHealth Commercial	$7.62
Rate for Payer: Humana Medicare Advantage	$2.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.77
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.19
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$2.54
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$2.69
Rate for Payer: Wellcare Medicare Advantage	$2.54

WBC COUNT

Facility

$103.00

Service Code	HCPCS 85048
Hospital Charge Code	38473014
Hospital Revenue Code	301
Min. Negotiated Rate	$15.45
Max. Negotiated Rate	$15.45
Rate for Payer: Qualcare PPO/HMO/WC	$15.45

WBC COUNT

Facility

$103.00

Service Code	HCPCS 85048
Hospital Charge Code	38473014
Hospital Revenue Code	301
Min. Negotiated Rate	$1.27
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$8.23
Rate for Payer: Aetna Medicare Advantage	$2.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.31
Rate for Payer: Cigna Commercial	$2.54
Rate for Payer: Cigna Medicare Advantage	$1.27
Rate for Payer: Clover Medicare Advantage	$2.41
Rate for Payer: EmblemHealth Commercial	$7.62
Rate for Payer: Humana Medicare Advantage	$2.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.39
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.45
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$2.54
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$2.69
Rate for Payer: Wellcare Medicare Advantage	$2.54

WBC STAIN***

Facility

$14.00

Hospital Charge Code	3010212
Hospital Revenue Code	306
Min. Negotiated Rate	$2.10
Max. Negotiated Rate	$2.10
Rate for Payer: Qualcare PPO/HMO/WC	$2.10

WBC STAIN***

Facility

$14.00

Hospital Charge Code	3010212
Hospital Revenue Code	306
Min. Negotiated Rate	$1.82
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$4.20
Rate for Payer: Aetna Medicare Advantage	$4.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.57
Rate for Payer: Cigna Commercial	$7.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.82
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$2.10
Rate for Payer: UnitedHealthcare Commercial	$114.00

WC 3 LAYER COMP BANDAGE

Facility

$38.00

Hospital Charge Code	9808265
Hospital Revenue Code	272
Min. Negotiated Rate	$4.94
Max. Negotiated Rate	$19.00
Rate for Payer: Aetna Commercial	$11.40
Rate for Payer: Aetna Medicare Advantage	$11.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.69
Rate for Payer: Cigna Commercial	$19.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.94
Rate for Payer: Oxford Commercial	$19.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.70
Rate for Payer: UnitedHealthcare Commercial	$19.00

WC 3 LAYER COMP BANDAGE

Facility

$38.00

Hospital Charge Code	9808265
Hospital Revenue Code	272
Min. Negotiated Rate	$5.70
Max. Negotiated Rate	$5.70
Rate for Payer: Qualcare PPO/HMO/WC	$5.70

WC ACCUCHECK

Facility

$390.00

Service Code	HCPCS 82948
Hospital Charge Code	9808060
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

WC ACCUCHECK

Facility

$390.00

Service Code	HCPCS 82948
Hospital Charge Code	9808060
Hospital Revenue Code	301
Min. Negotiated Rate	$2.52
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.33
Rate for Payer: Aetna Medicare Advantage	$5.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.47
Rate for Payer: Cigna Commercial	$5.04
Rate for Payer: Cigna Medicare Advantage	$2.52
Rate for Payer: Clover Medicare Advantage	$4.79
Rate for Payer: EmblemHealth Commercial	$15.12
Rate for Payer: Humana Medicare Advantage	$5.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.04
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.34
Rate for Payer: Wellcare Medicare Advantage	$5.04

WC ACEL DERM RPL HD/FT/DIG<100

Facility

$947.13

Service Code	HCPCS 15175
Hospital Charge Code	98000210
Hospital Revenue Code	510
Min. Negotiated Rate	$123.13
Max. Negotiated Rate	$473.56
Rate for Payer: Aetna Commercial	$284.14
Rate for Payer: Aetna Medicare Advantage	$284.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$241.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$241.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$241.52
Rate for Payer: Cigna Commercial	$473.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$123.13
Rate for Payer: Qualcare PPO/HMO/WC	$142.07

WC ACEL DERM RPL HD/FT/DIG<100

Facility

$947.13

Service Code	HCPCS 15175
Hospital Charge Code	98000210
Hospital Revenue Code	510
Min. Negotiated Rate	$142.07
Max. Negotiated Rate	$142.07
Rate for Payer: Qualcare PPO/HMO/WC	$142.07

WC ACELLULAR DERMAL TISS MATRI

Facility

$2,653.00

Service Code	HCPCS Q4100
Hospital Charge Code	9808270
Hospital Revenue Code	636
Min. Negotiated Rate	$397.95
Max. Negotiated Rate	$642.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$642.03
Rate for Payer: Qualcare PPO/HMO/WC	$397.95

WC ACELLULAR DERMAL TISS MATRI

Facility

$2,653.00

Service Code	HCPCS Q4100
Hospital Charge Code	9808270
Hospital Revenue Code	636
Min. Negotiated Rate	$397.95
Max. Negotiated Rate	$1,326.50
Rate for Payer: Aetna Commercial	$795.90
Rate for Payer: Aetna Medicare Advantage	$795.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$676.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$676.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$676.51
Rate for Payer: Cigna Commercial	$1,326.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$642.03
Rate for Payer: Qualcare PPO/HMO/WC	$397.95

WC ACELLULAR XENOGRAFT 1ST 100

Facility

$1,183.95

Hospital Charge Code	9800250
Hospital Revenue Code	510
Min. Negotiated Rate	$153.91
Max. Negotiated Rate	$591.98
Rate for Payer: Aetna Commercial	$355.19
Rate for Payer: Aetna Medicare Advantage	$355.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$301.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$301.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$301.91
Rate for Payer: Cigna Commercial	$591.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$153.91
Rate for Payer: Qualcare PPO/HMO/WC	$177.59

WC ACELLULAR XENOGRAFT 1ST 100

Facility

$1,183.95

Hospital Charge Code	9800250
Hospital Revenue Code	510
Min. Negotiated Rate	$177.59
Max. Negotiated Rate	$177.59
Rate for Payer: Qualcare PPO/HMO/WC	$177.59

Know your out-of-pocket cost for care.

All Charges