Heights University Hospital

All Charges

Charge

Type

Setting

Price

BUG GUARD LONG

Facility

$1,531.80

Hospital Charge Code	270657064
Hospital Revenue Code	272
Min. Negotiated Rate	$199.13
Max. Negotiated Rate	$765.90
Rate for Payer: Aetna Commercial	$459.54
Rate for Payer: Aetna Medicare Advantage	$459.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$390.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$390.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$390.61
Rate for Payer: Cigna Commercial	$765.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$199.13
Rate for Payer: Oxford Commercial	$765.90
Rate for Payer: Qualcare PPO/HMO/WC	$229.77
Rate for Payer: UnitedHealthcare Commercial	$765.90

BUG GUARD LONG

Facility

$1,531.80

Hospital Charge Code	270657064
Hospital Revenue Code	272
Min. Negotiated Rate	$229.77
Max. Negotiated Rate	$229.77
Rate for Payer: Qualcare PPO/HMO/WC	$229.77

BULB J PRATT 100CC SUI301305

Facility

$24.85

Hospital Charge Code	270600417
Hospital Revenue Code	270
Min. Negotiated Rate	$3.23
Max. Negotiated Rate	$12.43
Rate for Payer: Aetna Commercial	$7.46
Rate for Payer: Aetna Medicare Advantage	$7.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.34
Rate for Payer: Cigna Commercial	$12.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.23
Rate for Payer: Oxford Commercial	$12.43
Rate for Payer: Qualcare PPO/HMO/WC	$3.73
Rate for Payer: UnitedHealthcare Commercial	$12.43

BULB J PRATT 100CC SUI301305

Facility

$24.85

Hospital Charge Code	270600417
Hospital Revenue Code	270
Min. Negotiated Rate	$3.73
Max. Negotiated Rate	$3.73
Rate for Payer: Qualcare PPO/HMO/WC	$3.73

BULB SUCTION

Facility

$16.00

Hospital Charge Code	270331434
Hospital Revenue Code	272
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

BULB SUCTION

Facility

$16.00

Hospital Charge Code	270331434
Hospital Revenue Code	272
Min. Negotiated Rate	$2.40
Max. Negotiated Rate	$2.40
Rate for Payer: Qualcare PPO/HMO/WC	$2.40

BULB SYRINGE IRRIGATION SET

Facility

$6.86

Service Code	HCPCS A4322
Hospital Charge Code	270649781
Hospital Revenue Code	272
Min. Negotiated Rate	$0.89
Max. Negotiated Rate	$4.21
Rate for Payer: Aetna Commercial	$2.06
Rate for Payer: Aetna Medicare Advantage	$2.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.75
Rate for Payer: Cigna Commercial	$4.21
Rate for Payer: Cigna Medicare Advantage	$2.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.89
Rate for Payer: Oxford Commercial	$3.43
Rate for Payer: Qualcare PPO/HMO/WC	$1.03
Rate for Payer: UnitedHealthcare Commercial	$3.43

BULB SYRINGE IRRIGATION SET

Facility

$6.86

Service Code	HCPCS A4322
Hospital Charge Code	270649781
Hospital Revenue Code	272
Min. Negotiated Rate	$1.03
Max. Negotiated Rate	$1.03
Rate for Payer: Qualcare PPO/HMO/WC	$1.03

BULB VAG SPEC ILLUMNATION 4.6V

Facility

$130.80

Hospital Charge Code	270651674
Hospital Revenue Code	270
Min. Negotiated Rate	$17.00
Max. Negotiated Rate	$65.40
Rate for Payer: Aetna Commercial	$39.24
Rate for Payer: Aetna Medicare Advantage	$39.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.35
Rate for Payer: Cigna Commercial	$65.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.00
Rate for Payer: Oxford Commercial	$65.40
Rate for Payer: Qualcare PPO/HMO/WC	$19.62
Rate for Payer: UnitedHealthcare Commercial	$65.40

BULB VAG SPEC ILLUMNATION 4.6V

Facility

$130.80

Hospital Charge Code	270651674
Hospital Revenue Code	270
Min. Negotiated Rate	$19.62
Max. Negotiated Rate	$19.62
Rate for Payer: Qualcare PPO/HMO/WC	$19.62

BULKAMID URET IMP BULKING SYST

Facility

$5,750.00

Service Code	HCPCS L8603
Hospital Charge Code	270697611
Hospital Revenue Code	278
Min. Negotiated Rate	$862.50
Max. Negotiated Rate	$1,391.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,391.50
Rate for Payer: Qualcare PPO/HMO/WC	$862.50

BULKAMID URET IMP BULKING SYST

Facility

$5,750.00

Service Code	HCPCS L8603
Hospital Charge Code	270697611
Hospital Revenue Code	278
Min. Negotiated Rate	$320.76
Max. Negotiated Rate	$1,725.00
Rate for Payer: Aetna Commercial	$1,725.00
Rate for Payer: Aetna Medicare Advantage	$1,725.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,466.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,466.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,466.25
Rate for Payer: Cigna Commercial	$534.60
Rate for Payer: Cigna Medicare Advantage	$320.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,391.50
Rate for Payer: Qualcare PPO/HMO/WC	$862.50

BULK TWIST LOCK CABLE 64CM

Facility

$400.00

Hospital Charge Code	270671696
Hospital Revenue Code	272
Min. Negotiated Rate	$52.00
Max. Negotiated Rate	$200.00
Rate for Payer: Aetna Commercial	$120.00
Rate for Payer: Aetna Medicare Advantage	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$102.00
Rate for Payer: Cigna Commercial	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.00
Rate for Payer: Oxford Commercial	$200.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.00
Rate for Payer: UnitedHealthcare Commercial	$200.00

BULK TWIST LOCK CABLE 64CM

Facility

$400.00

Hospital Charge Code	270671696
Hospital Revenue Code	272
Min. Negotiated Rate	$60.00
Max. Negotiated Rate	$60.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.00

BULLDOG ATRAUMATIC VASCULAR CL

Facility

$4,694.55

Hospital Charge Code	270665288
Hospital Revenue Code	272
Min. Negotiated Rate	$610.29
Max. Negotiated Rate	$2,347.28
Rate for Payer: Aetna Commercial	$1,408.37
Rate for Payer: Aetna Medicare Advantage	$1,408.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,197.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,197.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,197.11
Rate for Payer: Cigna Commercial	$2,347.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$610.29
Rate for Payer: Oxford Commercial	$2,347.28
Rate for Payer: Qualcare PPO/HMO/WC	$704.18
Rate for Payer: UnitedHealthcare Commercial	$2,347.28

BULLDOG ATRAUMATIC VASCULAR CL

Facility

$4,694.55

Hospital Charge Code	270665288
Hospital Revenue Code	272
Min. Negotiated Rate	$704.18
Max. Negotiated Rate	$704.18
Rate for Payer: Qualcare PPO/HMO/WC	$704.18

BULLDOG ATRAUMATIC VASCULAR CL

Facility

$4,694.55

Hospital Charge Code	270665287
Hospital Revenue Code	272
Min. Negotiated Rate	$704.18
Max. Negotiated Rate	$704.18
Rate for Payer: Qualcare PPO/HMO/WC	$704.18

BULLDOG ATRAUMATIC VASCULAR CL

Facility

$4,694.55

Hospital Charge Code	270665287
Hospital Revenue Code	272
Min. Negotiated Rate	$610.29
Max. Negotiated Rate	$2,347.28
Rate for Payer: Aetna Commercial	$1,408.37
Rate for Payer: Aetna Medicare Advantage	$1,408.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,197.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,197.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,197.11
Rate for Payer: Cigna Commercial	$2,347.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$610.29
Rate for Payer: Oxford Commercial	$2,347.28
Rate for Payer: Qualcare PPO/HMO/WC	$704.18
Rate for Payer: UnitedHealthcare Commercial	$2,347.28

BUMETAMIDE INJ 4MG

Facility

$43.55

Hospital Charge Code	6008940
Hospital Revenue Code	250
Min. Negotiated Rate	$5.66
Max. Negotiated Rate	$21.77
Rate for Payer: Aetna Commercial	$13.06
Rate for Payer: Aetna Medicare Advantage	$13.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.11
Rate for Payer: Cigna Commercial	$21.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.66
Rate for Payer: Oxford Commercial	$21.77
Rate for Payer: Qualcare PPO/HMO/WC	$6.53
Rate for Payer: UnitedHealthcare Commercial	$21.77

BUMETAMIDE INJ 4MG

Facility

$43.55

Hospital Charge Code	6008940
Hospital Revenue Code	250
Min. Negotiated Rate	$6.53
Max. Negotiated Rate	$6.53
Rate for Payer: Qualcare PPO/HMO/WC	$6.53

BUMETANIDE 0.25 MG/ML INJ

Facility

$21.00

Hospital Charge Code	60627960
Hospital Revenue Code	250
Min. Negotiated Rate	$3.15
Max. Negotiated Rate	$3.15
Rate for Payer: Qualcare PPO/HMO/WC	$3.15

BUMETANIDE 0.25 MG/ML INJ

Facility

$21.00

Hospital Charge Code	60627960
Hospital Revenue Code	250
Min. Negotiated Rate	$2.73
Max. Negotiated Rate	$10.50
Rate for Payer: Aetna Commercial	$6.30
Rate for Payer: Aetna Medicare Advantage	$6.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.36
Rate for Payer: Cigna Commercial	$10.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.73
Rate for Payer: Oxford Commercial	$10.50
Rate for Payer: Qualcare PPO/HMO/WC	$3.15
Rate for Payer: UnitedHealthcare Commercial	$10.50

BUMETANIDE 0.5 MG TAB

Facility

$4.00

Service Code	NDC 51079089120
Hospital Charge Code	60627958
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

BUMETANIDE 0.5 MG TAB

Facility

$4.00

Service Code	NDC 51079089120
Hospital Charge Code	60627958
Hospital Revenue Code	250
Min. Negotiated Rate	$0.52
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.20
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.52
Rate for Payer: Oxford Commercial	$2.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$2.00

BUMETANIDE 1 MG TAB

Facility

$4.00

Service Code	NDC 51079089220
Hospital Charge Code	60627959
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

Know your out-of-pocket cost for care.

All Charges