Heights University Hospital

All Charges

Charge

Type

Setting

Price

TIMOPTIC 0.25%/5ML

Facility

$56.00

Hospital Charge Code	60634032
Hospital Revenue Code	250
Min. Negotiated Rate	$7.28
Max. Negotiated Rate	$28.00
Rate for Payer: Aetna Commercial	$16.80
Rate for Payer: Aetna Medicare Advantage	$16.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.28
Rate for Payer: Cigna Commercial	$28.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.28
Rate for Payer: Oxford Commercial	$28.00
Rate for Payer: Qualcare PPO/HMO/WC	$8.40
Rate for Payer: UnitedHealthcare Commercial	$28.00

TIMOPTIC 0.5%/5ML

Facility

$65.00

Hospital Charge Code	60634034
Hospital Revenue Code	250
Min. Negotiated Rate	$8.45
Max. Negotiated Rate	$32.50
Rate for Payer: Aetna Commercial	$19.50
Rate for Payer: Aetna Medicare Advantage	$19.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.57
Rate for Payer: Cigna Commercial	$32.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.45
Rate for Payer: Oxford Commercial	$32.50
Rate for Payer: Qualcare PPO/HMO/WC	$9.75
Rate for Payer: UnitedHealthcare Commercial	$32.50

TIMOPTIC 0.5%/5ML

Facility

$65.00

Hospital Charge Code	60634034
Hospital Revenue Code	250
Min. Negotiated Rate	$9.75
Max. Negotiated Rate	$9.75
Rate for Payer: Qualcare PPO/HMO/WC	$9.75

TINCTURE OF BENZOIN PREP SPRAY

Facility

$283.95

Service Code	NDC 40565011182
Hospital Charge Code	606390066
Hospital Revenue Code	250
Min. Negotiated Rate	$42.59
Max. Negotiated Rate	$42.59
Rate for Payer: Qualcare PPO/HMO/WC	$42.59

TINCTURE OF BENZOIN PREP SPRAY

Facility

$283.95

Service Code	NDC 40565011182
Hospital Charge Code	606390066
Hospital Revenue Code	250
Min. Negotiated Rate	$36.91
Max. Negotiated Rate	$141.97
Rate for Payer: Aetna Commercial	$85.19
Rate for Payer: Aetna Medicare Advantage	$85.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$72.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$72.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$72.41
Rate for Payer: Cigna Commercial	$141.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.91
Rate for Payer: Oxford Commercial	$141.97
Rate for Payer: Qualcare PPO/HMO/WC	$42.59
Rate for Payer: UnitedHealthcare Commercial	$141.97

TINED LEAD KIT - 120

Facility

$17,500.00

Hospital Charge Code	270702021
Hospital Revenue Code	278
Min. Negotiated Rate	$2,625.00
Max. Negotiated Rate	$8,750.00
Rate for Payer: Aetna Commercial	$5,250.00
Rate for Payer: Aetna Medicare Advantage	$5,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,462.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,462.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,462.50
Rate for Payer: Cigna Commercial	$8,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,235.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,625.00

TINED LEAD KIT - 120

Facility

$17,500.00

Hospital Charge Code	270702021
Hospital Revenue Code	278
Min. Negotiated Rate	$2,625.00
Max. Negotiated Rate	$4,235.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,235.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,625.00

TIOTROPIUM 18 MCG CAP FOR INH

Facility

$42.28

Service Code	NDC 597007547
Hospital Charge Code	60629366
Hospital Revenue Code	250
Min. Negotiated Rate	$6.34
Max. Negotiated Rate	$6.34
Rate for Payer: Qualcare PPO/HMO/WC	$6.34

TIOTROPIUM 18 MCG CAP FOR INH

Facility

$42.28

Service Code	NDC 597007547
Hospital Charge Code	60629366
Hospital Revenue Code	250
Min. Negotiated Rate	$5.50
Max. Negotiated Rate	$21.14
Rate for Payer: Aetna Commercial	$12.68
Rate for Payer: Aetna Medicare Advantage	$12.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.78
Rate for Payer: Cigna Commercial	$21.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.50
Rate for Payer: Oxford Commercial	$21.14
Rate for Payer: Qualcare PPO/HMO/WC	$6.34
Rate for Payer: UnitedHealthcare Commercial	$21.14

TIP CAUTERTY LAPSCPC FLAT 0017

Facility

$383.25

Hospital Charge Code	270617785
Hospital Revenue Code	272
Min. Negotiated Rate	$57.49
Max. Negotiated Rate	$57.49
Rate for Payer: Qualcare PPO/HMO/WC	$57.49

TIP CAUTERTY LAPSCPC FLAT 0017

Facility

$383.25

Hospital Charge Code	270617785
Hospital Revenue Code	272
Min. Negotiated Rate	$49.82
Max. Negotiated Rate	$191.62
Rate for Payer: Aetna Commercial	$114.97
Rate for Payer: Aetna Medicare Advantage	$114.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.73
Rate for Payer: Cigna Commercial	$191.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.82
Rate for Payer: Oxford Commercial	$191.62
Rate for Payer: Qualcare PPO/HMO/WC	$57.49
Rate for Payer: UnitedHealthcare Commercial	$191.62

TIP CONTROL FENESTRATED 3222

Facility

$332.50

Hospital Charge Code	270641065
Hospital Revenue Code	272
Min. Negotiated Rate	$43.23
Max. Negotiated Rate	$166.25
Rate for Payer: Aetna Commercial	$99.75
Rate for Payer: Aetna Medicare Advantage	$99.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.79
Rate for Payer: Cigna Commercial	$166.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.23
Rate for Payer: Oxford Commercial	$166.25
Rate for Payer: Qualcare PPO/HMO/WC	$49.88
Rate for Payer: UnitedHealthcare Commercial	$166.25

TIP CONTROL FENESTRATED 3222

Facility

$332.50

Hospital Charge Code	270641065
Hospital Revenue Code	272
Min. Negotiated Rate	$49.88
Max. Negotiated Rate	$49.88
Rate for Payer: Qualcare PPO/HMO/WC	$49.88

TIP COTTON APPLICATOR STERILE

Facility

$2.70

Hospital Charge Code	270300055
Hospital Revenue Code	270
Min. Negotiated Rate	$0.35
Max. Negotiated Rate	$1.35
Rate for Payer: Aetna Commercial	$0.81
Rate for Payer: Aetna Medicare Advantage	$0.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.69
Rate for Payer: Cigna Commercial	$1.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.35
Rate for Payer: Oxford Commercial	$1.35
Rate for Payer: Qualcare PPO/HMO/WC	$0.41
Rate for Payer: UnitedHealthcare Commercial	$1.35

TIP COTTON APPLICATOR STERILE

Facility

$2.70

Hospital Charge Code	270300055
Hospital Revenue Code	270
Min. Negotiated Rate	$0.41
Max. Negotiated Rate	$0.41
Rate for Payer: Qualcare PPO/HMO/WC	$0.41

TIP DIFSUR FIBER IND LAS LF002

Facility

$4,955.10

Hospital Charge Code	270632947
Hospital Revenue Code	272
Min. Negotiated Rate	$644.16
Max. Negotiated Rate	$2,477.55
Rate for Payer: Aetna Commercial	$1,486.53
Rate for Payer: Aetna Medicare Advantage	$1,486.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,263.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,263.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,263.55
Rate for Payer: Cigna Commercial	$2,477.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$644.16
Rate for Payer: Oxford Commercial	$2,477.55
Rate for Payer: Qualcare PPO/HMO/WC	$743.26
Rate for Payer: UnitedHealthcare Commercial	$2,477.55

TIP DIFSUR FIBER IND LAS LF002

Facility

$4,955.10

Hospital Charge Code	270632947
Hospital Revenue Code	272
Min. Negotiated Rate	$743.26
Max. Negotiated Rate	$743.26
Rate for Payer: Qualcare PPO/HMO/WC	$743.26

TIP DPY BAYONET K 2MM 14179-9

Facility

$113.65

Hospital Charge Code	270612491
Hospital Revenue Code	272
Min. Negotiated Rate	$17.05
Max. Negotiated Rate	$17.05
Rate for Payer: Qualcare PPO/HMO/WC	$17.05

TIP DPY BAYONET K 2MM 14179-9

Facility

$113.65

Hospital Charge Code	270612491
Hospital Revenue Code	272
Min. Negotiated Rate	$14.77
Max. Negotiated Rate	$56.83
Rate for Payer: Aetna Commercial	$34.09
Rate for Payer: Aetna Medicare Advantage	$34.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.98
Rate for Payer: Cigna Commercial	$56.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.77
Rate for Payer: Oxford Commercial	$56.83
Rate for Payer: Qualcare PPO/HMO/WC	$17.05
Rate for Payer: UnitedHealthcare Commercial	$56.83

TIP EXTENDERS

Facility

$1,805.00

Hospital Charge Code	270687912
Hospital Revenue Code	278
Min. Negotiated Rate	$270.75
Max. Negotiated Rate	$436.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$361.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$436.81
Rate for Payer: Qualcare PPO/HMO/WC	$270.75

TIP EXTENDERS

Facility

$1,805.00

Hospital Charge Code	270687912
Hospital Revenue Code	278
Min. Negotiated Rate	$270.75
Max. Negotiated Rate	$902.50
Rate for Payer: Aetna Commercial	$541.50
Rate for Payer: Aetna Medicare Advantage	$541.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$460.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$460.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$361.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$460.27
Rate for Payer: Cigna Commercial	$902.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$436.81
Rate for Payer: Qualcare PPO/HMO/WC	$270.75

TIP FRAZIER SUCTION #10 MD097

Facility

$270.45

Hospital Charge Code	270606617
Hospital Revenue Code	272
Min. Negotiated Rate	$40.57
Max. Negotiated Rate	$40.57
Rate for Payer: Qualcare PPO/HMO/WC	$40.57

TIP FRAZIER SUCTION #10 MD097

Facility

$270.45

Hospital Charge Code	270606617
Hospital Revenue Code	272
Min. Negotiated Rate	$35.16
Max. Negotiated Rate	$135.22
Rate for Payer: Aetna Commercial	$81.14
Rate for Payer: Aetna Medicare Advantage	$81.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.96
Rate for Payer: Cigna Commercial	$135.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.16
Rate for Payer: Oxford Commercial	$135.22
Rate for Payer: Qualcare PPO/HMO/WC	$40.57
Rate for Payer: UnitedHealthcare Commercial	$135.22

TIP GUARD

Facility

$9.75

Hospital Charge Code	270691527
Hospital Revenue Code	272
Min. Negotiated Rate	$1.46
Max. Negotiated Rate	$1.46
Rate for Payer: Qualcare PPO/HMO/WC	$1.46

TIP GUARD

Facility

$9.75

Hospital Charge Code	270691527
Hospital Revenue Code	272
Min. Negotiated Rate	$1.27
Max. Negotiated Rate	$4.88
Rate for Payer: Aetna Commercial	$2.92
Rate for Payer: Aetna Medicare Advantage	$2.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.49
Rate for Payer: Cigna Commercial	$4.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.27
Rate for Payer: Oxford Commercial	$4.88
Rate for Payer: Qualcare PPO/HMO/WC	$1.46
Rate for Payer: UnitedHealthcare Commercial	$4.88

Know your out-of-pocket cost for care.

All Charges