Heights University Hospital

All Charges

Charge

Type

Setting

Price

BIT DR QK GD 2.5mm LG

Facility

$104.00

Hospital Charge Code	270604121
Hospital Revenue Code	279
Min. Negotiated Rate	$15.60
Max. Negotiated Rate	$15.60
Rate for Payer: Qualcare PPO/HMO/WC	$15.60

BIT DR QK GD 2.5mm LG

Facility

$104.00

Hospital Charge Code	270604121
Hospital Revenue Code	279
Min. Negotiated Rate	$13.52
Max. Negotiated Rate	$52.00
Rate for Payer: Aetna Commercial	$31.20
Rate for Payer: Aetna Medicare Advantage	$31.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.52
Rate for Payer: Cigna Commercial	$52.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.52
Rate for Payer: Oxford Commercial	$52.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.60
Rate for Payer: UnitedHealthcare Commercial	$52.00

BIT DR SYN GLD 2.5MM

Facility

$62.50

Hospital Charge Code	270603567
Hospital Revenue Code	279
Min. Negotiated Rate	$8.12
Max. Negotiated Rate	$31.25
Rate for Payer: Aetna Commercial	$18.75
Rate for Payer: Aetna Medicare Advantage	$18.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.94
Rate for Payer: Cigna Commercial	$31.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.12
Rate for Payer: Oxford Commercial	$31.25
Rate for Payer: Qualcare PPO/HMO/WC	$9.38
Rate for Payer: UnitedHealthcare Commercial	$31.25

BIT DR SYN GLD 2.5MM

Facility

$62.50

Hospital Charge Code	270603567
Hospital Revenue Code	279
Min. Negotiated Rate	$9.38
Max. Negotiated Rate	$9.38
Rate for Payer: Qualcare PPO/HMO/WC	$9.38

BITE BLOCK (1)

Facility

$79.00

Hospital Charge Code	270332114
Hospital Revenue Code	272
Min. Negotiated Rate	$11.85
Max. Negotiated Rate	$11.85
Rate for Payer: Qualcare PPO/HMO/WC	$11.85

BITE BLOCK (1)

Facility

$79.00

Hospital Charge Code	270332114
Hospital Revenue Code	272
Min. Negotiated Rate	$10.27
Max. Negotiated Rate	$39.50
Rate for Payer: Aetna Commercial	$23.70
Rate for Payer: Aetna Medicare Advantage	$23.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.14
Rate for Payer: Cigna Commercial	$39.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.27
Rate for Payer: Oxford Commercial	$39.50
Rate for Payer: Qualcare PPO/HMO/WC	$11.85
Rate for Payer: UnitedHealthcare Commercial	$39.50

BITE BLOCK ADULT 60FR W/STRAP

Facility

$8.75

Hospital Charge Code	270607757
Hospital Revenue Code	270
Min. Negotiated Rate	$1.31
Max. Negotiated Rate	$1.31
Rate for Payer: Qualcare PPO/HMO/WC	$1.31

BITE BLOCK ADULT 60FR W/STRAP

Facility

$8.75

Hospital Charge Code	270607757
Hospital Revenue Code	270
Min. Negotiated Rate	$1.14
Max. Negotiated Rate	$4.38
Rate for Payer: Aetna Commercial	$2.62
Rate for Payer: Aetna Medicare Advantage	$2.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.23
Rate for Payer: Cigna Commercial	$4.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.14
Rate for Payer: Oxford Commercial	$4.38
Rate for Payer: Qualcare PPO/HMO/WC	$1.31
Rate for Payer: UnitedHealthcare Commercial	$4.38

BITE BLOCK ENDOSCOPIC PLASTIC

Facility

$1,700.00

Hospital Charge Code	270659011
Hospital Revenue Code	272
Min. Negotiated Rate	$221.00
Max. Negotiated Rate	$850.00
Rate for Payer: Aetna Commercial	$510.00
Rate for Payer: Aetna Medicare Advantage	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$433.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$433.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$433.50
Rate for Payer: Cigna Commercial	$850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$221.00
Rate for Payer: Oxford Commercial	$850.00
Rate for Payer: Qualcare PPO/HMO/WC	$255.00
Rate for Payer: UnitedHealthcare Commercial	$850.00

BITE BLOCK ENDOSCOPIC PLASTIC

Facility

$1,700.00

Hospital Charge Code	270659011
Hospital Revenue Code	272
Min. Negotiated Rate	$255.00
Max. Negotiated Rate	$255.00
Rate for Payer: Qualcare PPO/HMO/WC	$255.00

BITE BLOCK INTERMEDIATE LATEX

Facility

$1,975.00

Hospital Charge Code	270659097
Hospital Revenue Code	272
Min. Negotiated Rate	$256.75
Max. Negotiated Rate	$987.50
Rate for Payer: Aetna Commercial	$592.50
Rate for Payer: Aetna Medicare Advantage	$592.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$503.62
Rate for Payer: Cigna Commercial	$987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$256.75
Rate for Payer: Oxford Commercial	$987.50
Rate for Payer: Qualcare PPO/HMO/WC	$296.25
Rate for Payer: UnitedHealthcare Commercial	$987.50

BITE BLOCK INTERMEDIATE LATEX

Facility

$1,975.00

Hospital Charge Code	270659097
Hospital Revenue Code	272
Min. Negotiated Rate	$296.25
Max. Negotiated Rate	$296.25
Rate for Payer: Qualcare PPO/HMO/WC	$296.25

BITE BLOCK PENTEX OF-25 *****

Facility

$33.00

Hospital Charge Code	1604487
Hospital Revenue Code	279
Min. Negotiated Rate	$4.29
Max. Negotiated Rate	$16.50
Rate for Payer: Aetna Commercial	$9.90
Rate for Payer: Aetna Medicare Advantage	$9.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.41
Rate for Payer: Cigna Commercial	$16.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.29
Rate for Payer: Oxford Commercial	$16.50
Rate for Payer: Qualcare PPO/HMO/WC	$4.95
Rate for Payer: UnitedHealthcare Commercial	$16.50

BITE BLOCK PENTEX OF-25 *****

Facility

$33.00

Hospital Charge Code	1604487
Hospital Revenue Code	279
Min. Negotiated Rate	$4.95
Max. Negotiated Rate	$4.95
Rate for Payer: Qualcare PPO/HMO/WC	$4.95

BITE-STICK AMBER

Facility

$4.85

Hospital Charge Code	270302040
Hospital Revenue Code	272
Min. Negotiated Rate	$0.63
Max. Negotiated Rate	$2.42
Rate for Payer: Aetna Commercial	$1.46
Rate for Payer: Aetna Medicare Advantage	$1.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.24
Rate for Payer: Cigna Commercial	$2.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.63
Rate for Payer: Oxford Commercial	$2.42
Rate for Payer: Qualcare PPO/HMO/WC	$0.73
Rate for Payer: UnitedHealthcare Commercial	$2.42

BITE-STICK AMBER

Facility

$2.00

Hospital Charge Code	8000119
Hospital Revenue Code	279
Min. Negotiated Rate	$0.30
Max. Negotiated Rate	$0.30
Rate for Payer: Qualcare PPO/HMO/WC	$0.30

BITE-STICK AMBER

Facility

$2.00

Hospital Charge Code	8000119
Hospital Revenue Code	279
Min. Negotiated Rate	$0.26
Max. Negotiated Rate	$1.00
Rate for Payer: Aetna Commercial	$0.60
Rate for Payer: Aetna Medicare Advantage	$0.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.51
Rate for Payer: Cigna Commercial	$1.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.26
Rate for Payer: Oxford Commercial	$1.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.30
Rate for Payer: UnitedHealthcare Commercial	$1.00

BITE-STICK AMBER

Facility

$4.85

Hospital Charge Code	270302040
Hospital Revenue Code	272
Min. Negotiated Rate	$0.73
Max. Negotiated Rate	$0.73
Rate for Payer: Qualcare PPO/HMO/WC	$0.73

BIT HMD DR 4.2 60 5235-1865

Facility

$436.85

Hospital Charge Code	270619741
Hospital Revenue Code	272
Min. Negotiated Rate	$65.53
Max. Negotiated Rate	$65.53
Rate for Payer: Qualcare PPO/HMO/WC	$65.53

BIT HMD DR 4.2 60 5235-1865

Facility

$436.85

Hospital Charge Code	270619741
Hospital Revenue Code	272
Min. Negotiated Rate	$56.79
Max. Negotiated Rate	$218.43
Rate for Payer: Aetna Commercial	$131.06
Rate for Payer: Aetna Medicare Advantage	$131.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$111.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$111.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$111.40
Rate for Payer: Cigna Commercial	$218.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.79
Rate for Payer: Oxford Commercial	$218.43
Rate for Payer: Qualcare PPO/HMO/WC	$65.53
Rate for Payer: UnitedHealthcare Commercial	$218.43

BIT HMD DR 5.5 1214-5-180

Facility

$637.65

Hospital Charge Code	270615319
Hospital Revenue Code	272
Min. Negotiated Rate	$82.89
Max. Negotiated Rate	$318.82
Rate for Payer: Aetna Commercial	$191.29
Rate for Payer: Aetna Medicare Advantage	$191.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$162.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$162.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$162.60
Rate for Payer: Cigna Commercial	$318.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.89
Rate for Payer: Oxford Commercial	$318.82
Rate for Payer: Qualcare PPO/HMO/WC	$95.65
Rate for Payer: UnitedHealthcare Commercial	$318.82

BIT HMD DR 5.5 1214-5-180

Facility

$637.65

Hospital Charge Code	270615319
Hospital Revenue Code	272
Min. Negotiated Rate	$95.65
Max. Negotiated Rate	$95.65
Rate for Payer: Qualcare PPO/HMO/WC	$95.65

BIT HMD DR GAM 5.5 12145055

Facility

$685.65

Hospital Charge Code	270613084
Hospital Revenue Code	272
Min. Negotiated Rate	$89.13
Max. Negotiated Rate	$342.82
Rate for Payer: Aetna Commercial	$205.69
Rate for Payer: Aetna Medicare Advantage	$205.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$174.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$174.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$174.84
Rate for Payer: Cigna Commercial	$342.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.13
Rate for Payer: Oxford Commercial	$342.82
Rate for Payer: Qualcare PPO/HMO/WC	$102.85
Rate for Payer: UnitedHealthcare Commercial	$342.82

BIT HMD DR GAM 5.5 12145055

Facility

$685.65

Hospital Charge Code	270613084
Hospital Revenue Code	272
Min. Negotiated Rate	$102.85
Max. Negotiated Rate	$102.85
Rate for Payer: Qualcare PPO/HMO/WC	$102.85

BIT HMD DR TK 4.2 160 52351870

Facility

$436.85

Hospital Charge Code	270619740
Hospital Revenue Code	272
Min. Negotiated Rate	$65.53
Max. Negotiated Rate	$65.53
Rate for Payer: Qualcare PPO/HMO/WC	$65.53

Know your out-of-pocket cost for care.

All Charges