Heights University Hospital

All Charges

Charge

Type

Setting

Price

CASTOR OIL

Facility

$11.25

Hospital Charge Code	60628124
Hospital Revenue Code	250
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$1.69
Rate for Payer: Qualcare PPO/HMO/WC	$1.69

CASTOR OIL

Facility

$11.25

Hospital Charge Code	60628124
Hospital Revenue Code	250
Min. Negotiated Rate	$1.46
Max. Negotiated Rate	$5.62
Rate for Payer: Aetna Commercial	$3.38
Rate for Payer: Aetna Medicare Advantage	$3.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.87
Rate for Payer: Cigna Commercial	$5.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.46
Rate for Payer: Oxford Commercial	$5.62
Rate for Payer: Qualcare PPO/HMO/WC	$1.69
Rate for Payer: UnitedHealthcare Commercial	$5.62

CASTOR OIL EMULSION/3OZ

Facility

$31.36

Service Code	NDC 395051592
Hospital Charge Code	60634578
Hospital Revenue Code	250
Min. Negotiated Rate	$4.70
Max. Negotiated Rate	$4.70
Rate for Payer: Qualcare PPO/HMO/WC	$4.70

CASTOR OIL EMULSION/3OZ

Facility

$31.36

Service Code	NDC 395051592
Hospital Charge Code	60634578
Hospital Revenue Code	250
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$15.68
Rate for Payer: Aetna Commercial	$9.41
Rate for Payer: Aetna Medicare Advantage	$9.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.00
Rate for Payer: Cigna Commercial	$15.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.08
Rate for Payer: Oxford Commercial	$15.68
Rate for Payer: Qualcare PPO/HMO/WC	$4.70
Rate for Payer: UnitedHealthcare Commercial	$15.68

CAST PAD DELTA ROLL 3SYNTH.

Facility

$38.00

Hospital Charge Code	270331610
Hospital Revenue Code	270
Min. Negotiated Rate	$5.70
Max. Negotiated Rate	$5.70
Rate for Payer: Qualcare PPO/HMO/WC	$5.70

CAST PAD DELTA ROLL 3SYNTH.

Facility

$38.00

Hospital Charge Code	270331610
Hospital Revenue Code	270
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

CAST PADDING 2 4YDS

Facility

$2.18

Hospital Charge Code	270650468
Hospital Revenue Code	270
Min. Negotiated Rate	$0.28
Max. Negotiated Rate	$1.09
Rate for Payer: Aetna Commercial	$0.65
Rate for Payer: Aetna Medicare Advantage	$0.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.56
Rate for Payer: Cigna Commercial	$1.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.28
Rate for Payer: Oxford Commercial	$1.09
Rate for Payer: Qualcare PPO/HMO/WC	$0.33
Rate for Payer: UnitedHealthcare Commercial	$1.09

CAST PADDING 2 4YDS

Facility

$2.18

Hospital Charge Code	270650468
Hospital Revenue Code	270
Min. Negotiated Rate	$0.33
Max. Negotiated Rate	$0.33
Rate for Payer: Qualcare PPO/HMO/WC	$0.33

CAST PADDING 4 IN X 4 YDS

Facility

$3.13

Hospital Charge Code	270660495
Hospital Revenue Code	270
Min. Negotiated Rate	$0.41
Max. Negotiated Rate	$1.56
Rate for Payer: Aetna Commercial	$0.94
Rate for Payer: Aetna Medicare Advantage	$0.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.80
Rate for Payer: Cigna Commercial	$1.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.41
Rate for Payer: Oxford Commercial	$1.56
Rate for Payer: Qualcare PPO/HMO/WC	$0.47
Rate for Payer: UnitedHealthcare Commercial	$1.56

CAST PADDING 4 IN X 4 YDS

Facility

$3.13

Hospital Charge Code	270660495
Hospital Revenue Code	270
Min. Negotiated Rate	$0.47
Max. Negotiated Rate	$0.47
Rate for Payer: Qualcare PPO/HMO/WC	$0.47

CAST PADDING 4YD 2 45090CMW02

Facility

$3.25

Hospital Charge Code	270635913
Hospital Revenue Code	272
Min. Negotiated Rate	$0.42
Max. Negotiated Rate	$1.62
Rate for Payer: Aetna Commercial	$0.98
Rate for Payer: Aetna Medicare Advantage	$0.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.83
Rate for Payer: Cigna Commercial	$1.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.42
Rate for Payer: Oxford Commercial	$1.62
Rate for Payer: Qualcare PPO/HMO/WC	$0.49
Rate for Payer: UnitedHealthcare Commercial	$1.62

CAST PADDING 4YD 2 45090CMW02

Facility

$3.25

Hospital Charge Code	270635913
Hospital Revenue Code	272
Min. Negotiated Rate	$0.49
Max. Negotiated Rate	$0.49
Rate for Payer: Qualcare PPO/HMO/WC	$0.49

CAST PADDING 6 4 YDS 3489

Facility

$5.20

Hospital Charge Code	270649199
Hospital Revenue Code	270
Min. Negotiated Rate	$0.78
Max. Negotiated Rate	$0.78
Rate for Payer: Qualcare PPO/HMO/WC	$0.78

CAST PADDING 6 4 YDS 3489

Facility

$5.20

Hospital Charge Code	270649199
Hospital Revenue Code	270
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

CAST PADDING WEBRIL STER 3

Facility

$5.78

Hospital Charge Code	270649174
Hospital Revenue Code	272
Min. Negotiated Rate	$0.87
Max. Negotiated Rate	$0.87
Rate for Payer: Qualcare PPO/HMO/WC	$0.87

CAST PADDING WEBRIL STER 3

Facility

$5.78

Hospital Charge Code	270649174
Hospital Revenue Code	272
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$2.89
Rate for Payer: Aetna Commercial	$1.73
Rate for Payer: Aetna Medicare Advantage	$1.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.47
Rate for Payer: Cigna Commercial	$2.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.75
Rate for Payer: Oxford Commercial	$2.89
Rate for Payer: Qualcare PPO/HMO/WC	$0.87
Rate for Payer: UnitedHealthcare Commercial	$2.89

CAST PADDING WEBRIL STER 4

Facility

$5.08

Hospital Charge Code	270649176
Hospital Revenue Code	272
Min. Negotiated Rate	$0.76
Max. Negotiated Rate	$0.76
Rate for Payer: Qualcare PPO/HMO/WC	$0.76

CAST PADDING WEBRIL STER 4

Facility

$5.08

Hospital Charge Code	270649176
Hospital Revenue Code	272
Min. Negotiated Rate	$0.66
Max. Negotiated Rate	$2.54
Rate for Payer: Aetna Commercial	$1.52
Rate for Payer: Aetna Medicare Advantage	$1.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.30
Rate for Payer: Cigna Commercial	$2.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.66
Rate for Payer: Oxford Commercial	$2.54
Rate for Payer: Qualcare PPO/HMO/WC	$0.76
Rate for Payer: UnitedHealthcare Commercial	$2.54

CAST PADDING WEBRIL STER 6

Facility

$11.54

Hospital Charge Code	270649180
Hospital Revenue Code	272
Min. Negotiated Rate	$1.73
Max. Negotiated Rate	$1.73
Rate for Payer: Qualcare PPO/HMO/WC	$1.73

CAST PADDING WEBRIL STER 6

Facility

$11.54

Hospital Charge Code	270649180
Hospital Revenue Code	272
Min. Negotiated Rate	$1.50
Max. Negotiated Rate	$5.77
Rate for Payer: Aetna Commercial	$3.46
Rate for Payer: Aetna Medicare Advantage	$3.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.94
Rate for Payer: Cigna Commercial	$5.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.50
Rate for Payer: Oxford Commercial	$5.77
Rate for Payer: Qualcare PPO/HMO/WC	$1.73
Rate for Payer: UnitedHealthcare Commercial	$5.77

CAST SHORT LEG APPLICATION OF

Facility

$374.45

Hospital Charge Code	4000063
Hospital Revenue Code	270
Min. Negotiated Rate	$48.68
Max. Negotiated Rate	$187.22
Rate for Payer: Aetna Commercial	$112.33
Rate for Payer: Aetna Medicare Advantage	$112.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.48
Rate for Payer: Cigna Commercial	$187.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.68
Rate for Payer: Oxford Commercial	$187.22
Rate for Payer: Qualcare PPO/HMO/WC	$56.17
Rate for Payer: UnitedHealthcare Commercial	$187.22

CAST SHORT LEG APPLICATION OF

Facility

$374.45

Hospital Charge Code	4000063
Hospital Revenue Code	270
Min. Negotiated Rate	$56.17
Max. Negotiated Rate	$56.17
Rate for Payer: Qualcare PPO/HMO/WC	$56.17

CAST WALKER LG

Facility

$63.35

Hospital Charge Code	270649591
Hospital Revenue Code	272
Min. Negotiated Rate	$8.24
Max. Negotiated Rate	$31.68
Rate for Payer: Aetna Commercial	$19.00
Rate for Payer: Aetna Medicare Advantage	$19.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.15
Rate for Payer: Cigna Commercial	$31.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.24
Rate for Payer: Oxford Commercial	$31.68
Rate for Payer: Qualcare PPO/HMO/WC	$9.50
Rate for Payer: UnitedHealthcare Commercial	$31.68

CAST WALKER LG

Facility

$63.35

Hospital Charge Code	270649591
Hospital Revenue Code	272
Min. Negotiated Rate	$9.50
Max. Negotiated Rate	$9.50
Rate for Payer: Qualcare PPO/HMO/WC	$9.50

CAST WALKER MED

Facility

$65.25

Hospital Charge Code	270649592
Hospital Revenue Code	272
Min. Negotiated Rate	$8.48
Max. Negotiated Rate	$32.62
Rate for Payer: Aetna Commercial	$19.57
Rate for Payer: Aetna Medicare Advantage	$19.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.64
Rate for Payer: Cigna Commercial	$32.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.48
Rate for Payer: Oxford Commercial	$32.62
Rate for Payer: Qualcare PPO/HMO/WC	$9.79
Rate for Payer: UnitedHealthcare Commercial	$32.62

Know your out-of-pocket cost for care.

All Charges