Heights University Hospital

All Charges

Charge

Type

Setting

Price

INS TUN INT PERIT CATH

Facility

$17,259.20

Service Code	HCPCS 49418
Hospital Charge Code	2690145
Hospital Revenue Code	361
Min. Negotiated Rate	$2,588.88
Max. Negotiated Rate	$2,588.88
Rate for Payer: Qualcare PPO/HMO/WC	$2,588.88

INS TUN INT PERIT CATH

Facility

$14,554.80

Service Code	HCPCS 49418
Hospital Charge Code	411049418
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$8,526.35
Rate for Payer: Aetna Commercial	$4,366.44
Rate for Payer: Aetna Medicare Advantage	$4,366.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,711.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,711.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,711.47
Rate for Payer: Cigna Commercial	$8,526.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,892.12
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,183.22
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

INS TUN INT PERIT CATH

Facility

$8,972.00

Service Code	HCPCS 49418
Hospital Charge Code	7411588
Hospital Revenue Code	361
Min. Negotiated Rate	$1,166.36
Max. Negotiated Rate	$8,526.35
Rate for Payer: Aetna Commercial	$2,691.60
Rate for Payer: Aetna Medicare Advantage	$2,691.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,287.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,287.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,287.86
Rate for Payer: Cigna Commercial	$8,526.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,166.36
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,345.80
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

INS TUN INT PERIT CATH

Facility

$17,259.20

Service Code	HCPCS 49418
Hospital Charge Code	2690145
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$8,526.35
Rate for Payer: Aetna Commercial	$5,177.76
Rate for Payer: Aetna Medicare Advantage	$5,177.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,401.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,401.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,401.10
Rate for Payer: Cigna Commercial	$8,526.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,243.70
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,588.88
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

INS TUN INT PERIT CATH

Facility

$14,554.80

Service Code	HCPCS 49418
Hospital Charge Code	366849418
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$8,526.35
Rate for Payer: Aetna Commercial	$4,366.44
Rate for Payer: Aetna Medicare Advantage	$4,366.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,711.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,711.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,711.47
Rate for Payer: Cigna Commercial	$8,526.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,892.12
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,183.22
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

INS TUNN CNTRL VENOUS<5 YEARS

Facility

$12,618.93

Service Code	HCPCS 36560
Hospital Charge Code	2008005
Hospital Revenue Code	361
Min. Negotiated Rate	$1,640.46
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Commercial	$3,785.68
Rate for Payer: Aetna Medicare Advantage	$3,785.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,217.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,217.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,217.83
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,640.46
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,892.84
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

INS TUNN CNTRL VENOUS<5 YEARS

Facility

$12,618.93

Service Code	HCPCS 36560
Hospital Charge Code	2008005
Hospital Revenue Code	361
Min. Negotiated Rate	$1,892.84
Max. Negotiated Rate	$1,892.84
Rate for Payer: Qualcare PPO/HMO/WC	$1,892.84

INS TUNN CVAD W PORT AGE 5YR>

Facility

$37,793.28

Service Code	HCPCS 36561
Hospital Charge Code	1600000346
Hospital Revenue Code	360
Min. Negotiated Rate	$5,668.99
Max. Negotiated Rate	$5,668.99
Rate for Payer: Qualcare PPO/HMO/WC	$5,668.99

INS TUNN CVAD W PORT AGE 5YR>

Facility

$37,793.28

Service Code	HCPCS 36561
Hospital Charge Code	1600000346
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$11,337.98
Rate for Payer: Aetna Commercial	$11,337.98
Rate for Payer: Aetna Medicare Advantage	$11,337.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,637.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,637.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,637.29
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,913.13
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,668.99
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

INS TUNNELED CV CATH AGE 5/>

Facility

$29,451.76

Service Code	HCPCS 36558
Hospital Charge Code	16000735
Hospital Revenue Code	360
Min. Negotiated Rate	$4,417.76
Max. Negotiated Rate	$4,417.76
Rate for Payer: Qualcare PPO/HMO/WC	$4,417.76

INS TUNNELED CV CATH AGE 5/>

Facility

$29,451.76

Service Code	HCPCS 36558
Hospital Charge Code	16000735
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$8,835.53
Rate for Payer: Aetna Commercial	$8,835.53
Rate for Payer: Aetna Medicare Advantage	$8,835.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,510.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,510.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,510.20
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,828.73
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,417.76
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

INSUFFLATOR AIR BULB

Facility

$29.29

Hospital Charge Code	270647038
Hospital Revenue Code	270
Min. Negotiated Rate	$4.39
Max. Negotiated Rate	$4.39
Rate for Payer: Qualcare PPO/HMO/WC	$4.39

INSUFFLATOR AIR BULB

Facility

$29.29

Hospital Charge Code	270647038
Hospital Revenue Code	270
Min. Negotiated Rate	$3.81
Max. Negotiated Rate	$14.64
Rate for Payer: Aetna Commercial	$8.79
Rate for Payer: Aetna Medicare Advantage	$8.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.47
Rate for Payer: Cigna Commercial	$14.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.81
Rate for Payer: Oxford Commercial	$14.64
Rate for Payer: Qualcare PPO/HMO/WC	$4.39
Rate for Payer: UnitedHealthcare Commercial	$14.64

INSUFFLATOR BULB & TUBE W/TIP

Facility

$44.00

Hospital Charge Code	270332342
Hospital Revenue Code	272
Min. Negotiated Rate	$5.72
Max. Negotiated Rate	$22.00
Rate for Payer: Aetna Commercial	$13.20
Rate for Payer: Aetna Medicare Advantage	$13.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.22
Rate for Payer: Cigna Commercial	$22.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.72
Rate for Payer: Oxford Commercial	$22.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.60
Rate for Payer: UnitedHealthcare Commercial	$22.00

INSUFFLATOR BULB & TUBE W/TIP

Facility

$44.00

Hospital Charge Code	270332342
Hospital Revenue Code	272
Min. Negotiated Rate	$6.60
Max. Negotiated Rate	$6.60
Rate for Payer: Qualcare PPO/HMO/WC	$6.60

INSUFFLATOR HIGH FLOW PNEUMO

Facility

$213.29

Hospital Charge Code	270667863
Hospital Revenue Code	272
Min. Negotiated Rate	$27.73
Max. Negotiated Rate	$106.64
Rate for Payer: Aetna Commercial	$63.99
Rate for Payer: Aetna Medicare Advantage	$63.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.39
Rate for Payer: Cigna Commercial	$106.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.73
Rate for Payer: Oxford Commercial	$106.64
Rate for Payer: Qualcare PPO/HMO/WC	$31.99
Rate for Payer: UnitedHealthcare Commercial	$106.64

INSUFFLATOR HIGH FLOW PNEUMO

Facility

$213.29

Hospital Charge Code	270667863
Hospital Revenue Code	272
Min. Negotiated Rate	$31.99
Max. Negotiated Rate	$31.99
Rate for Payer: Qualcare PPO/HMO/WC	$31.99

INSUFFLATOR PNEUMO SURE XL

Facility

$24,250.00

Hospital Charge Code	270676435
Hospital Revenue Code	272
Min. Negotiated Rate	$3,637.50
Max. Negotiated Rate	$3,637.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,637.50

INSUFFLATOR PNEUMO SURE XL

Facility

$24,250.00

Hospital Charge Code	270676435
Hospital Revenue Code	272
Min. Negotiated Rate	$3,152.50
Max. Negotiated Rate	$12,125.00
Rate for Payer: Aetna Commercial	$7,275.00
Rate for Payer: Aetna Medicare Advantage	$7,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,183.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,183.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,183.75
Rate for Payer: Cigna Commercial	$12,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,152.50
Rate for Payer: Oxford Commercial	$12,125.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,637.50
Rate for Payer: UnitedHealthcare Commercial	$12,125.00

INSULATED SUCTION CAUTRY TUBE

Facility

$2,428.25

Hospital Charge Code	270662644
Hospital Revenue Code	272
Min. Negotiated Rate	$315.67
Max. Negotiated Rate	$1,214.12
Rate for Payer: Aetna Commercial	$728.48
Rate for Payer: Aetna Medicare Advantage	$728.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$619.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$619.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$619.20
Rate for Payer: Cigna Commercial	$1,214.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$315.67
Rate for Payer: Oxford Commercial	$1,214.12
Rate for Payer: Qualcare PPO/HMO/WC	$364.24
Rate for Payer: UnitedHealthcare Commercial	$1,214.12

INSULATED SUCTION CAUTRY TUBE

Facility

$2,428.25

Hospital Charge Code	270662644
Hospital Revenue Code	272
Min. Negotiated Rate	$364.24
Max. Negotiated Rate	$364.24
Rate for Payer: Qualcare PPO/HMO/WC	$364.24

INSULIN AB

Facility

$410.00

Service Code	HCPCS 86337
Hospital Charge Code	38476019
Hospital Revenue Code	302
Min. Negotiated Rate	$10.71
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$69.37
Rate for Payer: Aetna Medicare Advantage	$21.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78.45
Rate for Payer: Cigna Commercial	$21.41
Rate for Payer: Cigna Medicare Advantage	$10.71
Rate for Payer: Clover Medicare Advantage	$20.34
Rate for Payer: EmblemHealth Commercial	$64.23
Rate for Payer: Humana Medicare Advantage	$22.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.30
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$61.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$21.41
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$22.69
Rate for Payer: Wellcare Medicare Advantage	$21.41

INSULIN AB

Facility

$410.00

Service Code	HCPCS 86337
Hospital Charge Code	38476019
Hospital Revenue Code	302
Min. Negotiated Rate	$61.50
Max. Negotiated Rate	$61.50
Rate for Payer: Qualcare PPO/HMO/WC	$61.50

INSULIN AB, RIA

Facility

$147.15

Service Code	HCPCS 86337
Hospital Charge Code	39900217
Hospital Revenue Code	302
Min. Negotiated Rate	$10.71
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$69.37
Rate for Payer: Aetna Medicare Advantage	$21.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78.45
Rate for Payer: Cigna Commercial	$21.41
Rate for Payer: Cigna Medicare Advantage	$10.71
Rate for Payer: Clover Medicare Advantage	$20.34
Rate for Payer: EmblemHealth Commercial	$64.23
Rate for Payer: Humana Medicare Advantage	$22.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.13
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.07
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$21.41
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$22.69
Rate for Payer: Wellcare Medicare Advantage	$21.41

INSULIN AB, RIA

Facility

$147.15

Service Code	HCPCS 86337
Hospital Charge Code	39900217
Hospital Revenue Code	302
Min. Negotiated Rate	$22.07
Max. Negotiated Rate	$22.07
Rate for Payer: Qualcare PPO/HMO/WC	$22.07

Know your out-of-pocket cost for care.

All Charges