Heights University Hospital

All Charges

Charge

Type

Setting

Price

CIRCUIT ANESTHESIA 60 CORR, LF

Facility

$378.10

Hospital Charge Code	270645627
Hospital Revenue Code	272
Min. Negotiated Rate	$56.72
Max. Negotiated Rate	$56.72
Rate for Payer: Qualcare PPO/HMO/WC	$56.72

CIRCUIT ANESTHESIA 60 CORR, LF

Facility

$378.10

Hospital Charge Code	270645627
Hospital Revenue Code	272
Min. Negotiated Rate	$49.15
Max. Negotiated Rate	$189.05
Rate for Payer: Aetna Commercial	$113.43
Rate for Payer: Aetna Medicare Advantage	$113.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$96.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$96.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$96.42
Rate for Payer: Cigna Commercial	$189.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.15
Rate for Payer: Oxford Commercial	$189.05
Rate for Payer: Qualcare PPO/HMO/WC	$56.72
Rate for Payer: UnitedHealthcare Commercial	$189.05

CIRCUIT ANESTHESIA ADULT

Facility

$10.63

Hospital Charge Code	270649971
Hospital Revenue Code	272
Min. Negotiated Rate	$1.38
Max. Negotiated Rate	$5.32
Rate for Payer: Aetna Commercial	$3.19
Rate for Payer: Aetna Medicare Advantage	$3.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.71
Rate for Payer: Cigna Commercial	$5.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.38
Rate for Payer: Oxford Commercial	$5.32
Rate for Payer: Qualcare PPO/HMO/WC	$1.59
Rate for Payer: UnitedHealthcare Commercial	$5.32

CIRCUIT ANESTHESIA ADULT

Facility

$10.63

Hospital Charge Code	270649971
Hospital Revenue Code	272
Min. Negotiated Rate	$1.59
Max. Negotiated Rate	$1.59
Rate for Payer: Qualcare PPO/HMO/WC	$1.59

CIRCUIT ANESTHESIA BREATHING

Facility

$15.25

Hospital Charge Code	270658116
Hospital Revenue Code	270
Min. Negotiated Rate	$1.98
Max. Negotiated Rate	$7.62
Rate for Payer: Aetna Commercial	$4.58
Rate for Payer: Aetna Medicare Advantage	$4.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.89
Rate for Payer: Cigna Commercial	$7.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.98
Rate for Payer: Oxford Commercial	$7.62
Rate for Payer: Qualcare PPO/HMO/WC	$2.29
Rate for Payer: UnitedHealthcare Commercial	$7.62

CIRCUIT ANESTHESIA BREATHING

Facility

$15.25

Hospital Charge Code	270658116
Hospital Revenue Code	270
Min. Negotiated Rate	$2.29
Max. Negotiated Rate	$2.29
Rate for Payer: Qualcare PPO/HMO/WC	$2.29

CIRCUIT ANESTHESIA PEDS

Facility

$14.38

Hospital Charge Code	270649970
Hospital Revenue Code	272
Min. Negotiated Rate	$2.16
Max. Negotiated Rate	$2.16
Rate for Payer: Qualcare PPO/HMO/WC	$2.16

CIRCUIT ANESTHESIA PEDS

Facility

$14.38

Hospital Charge Code	270649970
Hospital Revenue Code	272
Min. Negotiated Rate	$1.87
Max. Negotiated Rate	$7.19
Rate for Payer: Aetna Commercial	$4.31
Rate for Payer: Aetna Medicare Advantage	$4.31
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	$7.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.87
Rate for Payer: Oxford Commercial	$7.19
Rate for Payer: Qualcare PPO/HMO/WC	$2.16
Rate for Payer: UnitedHealthcare Commercial	$7.19

CIRCUIT ANESTHESIA XLG 8667

Facility

$43.25

Hospital Charge Code	270600870
Hospital Revenue Code	272
Min. Negotiated Rate	$5.62
Max. Negotiated Rate	$21.62
Rate for Payer: Aetna Commercial	$12.97
Rate for Payer: Aetna Medicare Advantage	$12.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.03
Rate for Payer: Cigna Commercial	$21.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.62
Rate for Payer: Oxford Commercial	$21.62
Rate for Payer: Qualcare PPO/HMO/WC	$6.49
Rate for Payer: UnitedHealthcare Commercial	$21.62

CIRCUIT ANESTHESIA XLG 8667

Facility

$43.25

Hospital Charge Code	270600870
Hospital Revenue Code	272
Min. Negotiated Rate	$6.49
Max. Negotiated Rate	$6.49
Rate for Payer: Qualcare PPO/HMO/WC	$6.49

CIRCUIT BREATHING COAXIAL

Facility

$38.59

Hospital Charge Code	270651820
Hospital Revenue Code	272
Min. Negotiated Rate	$5.79
Max. Negotiated Rate	$5.79
Rate for Payer: Qualcare PPO/HMO/WC	$5.79

CIRCUIT BREATHING COAXIAL

Facility

$38.59

Hospital Charge Code	270651820
Hospital Revenue Code	272
Min. Negotiated Rate	$5.02
Max. Negotiated Rate	$19.30
Rate for Payer: Aetna Commercial	$11.58
Rate for Payer: Aetna Medicare Advantage	$11.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.84
Rate for Payer: Cigna Commercial	$19.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.02
Rate for Payer: Oxford Commercial	$19.30
Rate for Payer: Qualcare PPO/HMO/WC	$5.79
Rate for Payer: UnitedHealthcare Commercial	$19.30

CIRCUIT BREATHING DUAL HEATED

Facility

$135.63

Hospital Charge Code	270688978
Hospital Revenue Code	272
Min. Negotiated Rate	$17.63
Max. Negotiated Rate	$67.81
Rate for Payer: Aetna Commercial	$40.69
Rate for Payer: Aetna Medicare Advantage	$40.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.59
Rate for Payer: Cigna Commercial	$67.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.63
Rate for Payer: Oxford Commercial	$67.81
Rate for Payer: Qualcare PPO/HMO/WC	$20.34
Rate for Payer: UnitedHealthcare Commercial	$67.81

CIRCUIT BREATHING DUAL HEATED

Facility

$135.63

Hospital Charge Code	270688978
Hospital Revenue Code	272
Min. Negotiated Rate	$20.34
Max. Negotiated Rate	$20.34
Rate for Payer: Qualcare PPO/HMO/WC	$20.34

CIRCUIT BREATHING SNG LIMB 72

Facility

$91.30

Hospital Charge Code	270669514
Hospital Revenue Code	272
Min. Negotiated Rate	$13.70
Max. Negotiated Rate	$13.70
Rate for Payer: Qualcare PPO/HMO/WC	$13.70

CIRCUIT BREATHING SNG LIMB 72

Facility

$91.30

Hospital Charge Code	270669514
Hospital Revenue Code	272
Min. Negotiated Rate	$11.87
Max. Negotiated Rate	$45.65
Rate for Payer: Aetna Commercial	$27.39
Rate for Payer: Aetna Medicare Advantage	$27.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.28
Rate for Payer: Cigna Commercial	$45.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.87
Rate for Payer: Oxford Commercial	$45.65
Rate for Payer: Qualcare PPO/HMO/WC	$13.70
Rate for Payer: UnitedHealthcare Commercial	$45.65

CIRCUIT BREATH PED 1L BAG 5101

Facility

$71.25

Hospital Charge Code	270600873
Hospital Revenue Code	272
Min. Negotiated Rate	$10.69
Max. Negotiated Rate	$10.69
Rate for Payer: Qualcare PPO/HMO/WC	$10.69

CIRCUIT BREATH PED 1L BAG 5101

Facility

$71.25

Hospital Charge Code	270600873
Hospital Revenue Code	272
Min. Negotiated Rate	$9.26
Max. Negotiated Rate	$35.62
Rate for Payer: Aetna Commercial	$21.38
Rate for Payer: Aetna Medicare Advantage	$21.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.17
Rate for Payer: Cigna Commercial	$35.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.26
Rate for Payer: Oxford Commercial	$35.62
Rate for Payer: Qualcare PPO/HMO/WC	$10.69
Rate for Payer: UnitedHealthcare Commercial	$35.62

CIRCUIT DISP CPAP 72IN 21953

Facility

$32.50

Hospital Charge Code	270638052
Hospital Revenue Code	272
Min. Negotiated Rate	$4.88
Max. Negotiated Rate	$4.88
Rate for Payer: Qualcare PPO/HMO/WC	$4.88

CIRCUIT DISP CPAP 72IN 21953

Facility

$32.50

Hospital Charge Code	270638052
Hospital Revenue Code	272
Min. Negotiated Rate	$4.22
Max. Negotiated Rate	$16.25
Rate for Payer: Aetna Commercial	$9.75
Rate for Payer: Aetna Medicare Advantage	$9.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.29
Rate for Payer: Cigna Commercial	$16.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.22
Rate for Payer: Oxford Commercial	$16.25
Rate for Payer: Qualcare PPO/HMO/WC	$4.88
Rate for Payer: UnitedHealthcare Commercial	$16.25

CIRCUIT DUAL 90 IN HME FILTER

Facility

$34.50

Hospital Charge Code	270689034
Hospital Revenue Code	272
Min. Negotiated Rate	$4.49
Max. Negotiated Rate	$17.25
Rate for Payer: Aetna Commercial	$10.35
Rate for Payer: Aetna Medicare Advantage	$10.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.80
Rate for Payer: Cigna Commercial	$17.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.49
Rate for Payer: Oxford Commercial	$17.25
Rate for Payer: Qualcare PPO/HMO/WC	$5.17
Rate for Payer: UnitedHealthcare Commercial	$17.25

CIRCUIT DUAL 90 IN HME FILTER

Facility

$34.50

Hospital Charge Code	270689034
Hospital Revenue Code	272
Min. Negotiated Rate	$5.17
Max. Negotiated Rate	$5.17
Rate for Payer: Qualcare PPO/HMO/WC	$5.17

CIRCUIT FLIGHT 60

Facility

$188.70

Hospital Charge Code	270691055
Hospital Revenue Code	270
Min. Negotiated Rate	$28.30
Max. Negotiated Rate	$28.30
Rate for Payer: Qualcare PPO/HMO/WC	$28.30

CIRCUIT FLIGHT 60

Facility

$188.70

Hospital Charge Code	270691055
Hospital Revenue Code	270
Min. Negotiated Rate	$24.53
Max. Negotiated Rate	$94.35
Rate for Payer: Aetna Commercial	$56.61
Rate for Payer: Aetna Medicare Advantage	$56.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.12
Rate for Payer: Cigna Commercial	$94.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.53
Rate for Payer: Oxford Commercial	$94.35
Rate for Payer: Qualcare PPO/HMO/WC	$28.30
Rate for Payer: UnitedHealthcare Commercial	$94.35

CIRCUIT HEATED F/VENTILATOR

Facility

$96.07

Hospital Charge Code	270643694
Hospital Revenue Code	272
Min. Negotiated Rate	$14.41
Max. Negotiated Rate	$14.41
Rate for Payer: Qualcare PPO/HMO/WC	$14.41

Know your out-of-pocket cost for care.

All Charges