Heights University Hospital

All Charges

Charge

Type

Setting

Price

TRACH INLINE SUCTION CATH

Facility

$42.63

Hospital Charge Code	270600663R
Hospital Revenue Code	272
Min. Negotiated Rate	$5.54
Max. Negotiated Rate	$21.32
Rate for Payer: Aetna Commercial	$12.79
Rate for Payer: Aetna Medicare Advantage	$12.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.87
Rate for Payer: Cigna Commercial	$21.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.54
Rate for Payer: Oxford Commercial	$21.32
Rate for Payer: Qualcare PPO/HMO/WC	$6.39
Rate for Payer: UnitedHealthcare Commercial	$21.32

TRACH PROX SZ 7 CUFFED 70XLTCP

Facility

$310.00

Hospital Charge Code	270638230
Hospital Revenue Code	272
Min. Negotiated Rate	$40.30
Max. Negotiated Rate	$155.00
Rate for Payer: Aetna Commercial	$93.00
Rate for Payer: Aetna Medicare Advantage	$93.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$79.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$79.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$79.05
Rate for Payer: Cigna Commercial	$155.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.30
Rate for Payer: Oxford Commercial	$155.00
Rate for Payer: Qualcare PPO/HMO/WC	$46.50
Rate for Payer: UnitedHealthcare Commercial	$155.00

TRACH PROX SZ 7 CUFFED 70XLTCP

Facility

$310.00

Hospital Charge Code	270638230
Hospital Revenue Code	272
Min. Negotiated Rate	$46.50
Max. Negotiated Rate	$46.50
Rate for Payer: Qualcare PPO/HMO/WC	$46.50

TRACH SYSTEM CLOSED 16FR W/12

Facility

$35.90

Hospital Charge Code	270650096
Hospital Revenue Code	270
Min. Negotiated Rate	$4.67
Max. Negotiated Rate	$17.95
Rate for Payer: Aetna Commercial	$10.77
Rate for Payer: Aetna Medicare Advantage	$10.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.15
Rate for Payer: Cigna Commercial	$17.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.67
Rate for Payer: Oxford Commercial	$17.95
Rate for Payer: Qualcare PPO/HMO/WC	$5.38
Rate for Payer: UnitedHealthcare Commercial	$17.95

TRACH SYSTEM CLOSED 16FR W/12

Facility

$35.90

Hospital Charge Code	270650096
Hospital Revenue Code	270
Min. Negotiated Rate	$5.38
Max. Negotiated Rate	$5.38
Rate for Payer: Qualcare PPO/HMO/WC	$5.38

TRACH SZ 8 XLT DISTAL CUFFED

Facility

$307.05

Hospital Charge Code	270638227
Hospital Revenue Code	272
Min. Negotiated Rate	$39.92
Max. Negotiated Rate	$153.53
Rate for Payer: Aetna Commercial	$92.11
Rate for Payer: Aetna Medicare Advantage	$92.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78.30
Rate for Payer: Cigna Commercial	$153.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.92
Rate for Payer: Oxford Commercial	$153.53
Rate for Payer: Qualcare PPO/HMO/WC	$46.06
Rate for Payer: UnitedHealthcare Commercial	$153.53

TRACH SZ 8 XLT DISTAL CUFFED

Facility

$307.05

Hospital Charge Code	270638227
Hospital Revenue Code	272
Min. Negotiated Rate	$46.06
Max. Negotiated Rate	$46.06
Rate for Payer: Qualcare PPO/HMO/WC	$46.06

TRACH SZ 8 XLT PROXIMAL CUFFED

Facility

$396.90

Hospital Charge Code	270638229
Hospital Revenue Code	272
Min. Negotiated Rate	$59.53
Max. Negotiated Rate	$59.53
Rate for Payer: Qualcare PPO/HMO/WC	$59.53

TRACH SZ 8 XLT PROXIMAL CUFFED

Facility

$396.90

Hospital Charge Code	270638229
Hospital Revenue Code	272
Min. Negotiated Rate	$51.60
Max. Negotiated Rate	$198.45
Rate for Payer: Aetna Commercial	$119.07
Rate for Payer: Aetna Medicare Advantage	$119.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$101.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$101.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$101.21
Rate for Payer: Cigna Commercial	$198.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.60
Rate for Payer: Oxford Commercial	$198.45
Rate for Payer: Qualcare PPO/HMO/WC	$59.53
Rate for Payer: UnitedHealthcare Commercial	$198.45

TRACH TUBE FENESTRATED #8

Facility

$218.00

Hospital Charge Code	270330630
Hospital Revenue Code	272
Min. Negotiated Rate	$28.34
Max. Negotiated Rate	$109.00
Rate for Payer: Aetna Commercial	$65.40
Rate for Payer: Aetna Medicare Advantage	$65.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55.59
Rate for Payer: Cigna Commercial	$109.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.34
Rate for Payer: Oxford Commercial	$109.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.70
Rate for Payer: UnitedHealthcare Commercial	$109.00

TRACH TUBE FENESTRATED #8

Facility

$218.00

Hospital Charge Code	270330630
Hospital Revenue Code	272
Min. Negotiated Rate	$32.70
Max. Negotiated Rate	$32.70
Rate for Payer: Qualcare PPO/HMO/WC	$32.70

TRACH TUBE HOLDER #240 *******

Facility

$3.00

Hospital Charge Code	8003485
Hospital Revenue Code	279
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$1.50
Rate for Payer: Aetna Commercial	$0.90
Rate for Payer: Aetna Medicare Advantage	$0.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.77
Rate for Payer: Cigna Commercial	$1.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.39
Rate for Payer: Oxford Commercial	$1.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.45
Rate for Payer: UnitedHealthcare Commercial	$1.50

TRACH TUBE HOLDER #240 *******

Facility

$3.00

Hospital Charge Code	8003485
Hospital Revenue Code	279
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

TRACH TUBE INNER CANNULA 80MM

Facility

$15.88

Service Code	HCPCS A4623
Hospital Charge Code	270699905
Hospital Revenue Code	272
Min. Negotiated Rate	$2.06
Max. Negotiated Rate	$9.34
Rate for Payer: Aetna Commercial	$4.76
Rate for Payer: Aetna Medicare Advantage	$4.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.05
Rate for Payer: Cigna Commercial	$9.34
Rate for Payer: Cigna Medicare Advantage	$5.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.06
Rate for Payer: Oxford Commercial	$7.94
Rate for Payer: Qualcare PPO/HMO/WC	$2.38
Rate for Payer: UnitedHealthcare Commercial	$7.94

TRACH TUBE INNER CANNULA 80MM

Facility

$15.88

Service Code	HCPCS A4623
Hospital Charge Code	270699905
Hospital Revenue Code	272
Min. Negotiated Rate	$2.38
Max. Negotiated Rate	$2.38
Rate for Payer: Qualcare PPO/HMO/WC	$2.38

TRACKER INSTRUMENT ENT

Facility

$860.00

Hospital Charge Code	270663282
Hospital Revenue Code	272
Min. Negotiated Rate	$129.00
Max. Negotiated Rate	$129.00
Rate for Payer: Qualcare PPO/HMO/WC	$129.00

TRACKER INSTRUMENT ENT

Facility

$860.00

Hospital Charge Code	270663282
Hospital Revenue Code	272
Min. Negotiated Rate	$111.80
Max. Negotiated Rate	$430.00
Rate for Payer: Aetna Commercial	$258.00
Rate for Payer: Aetna Medicare Advantage	$258.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$219.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$219.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$219.30
Rate for Payer: Cigna Commercial	$430.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.80
Rate for Payer: Oxford Commercial	$430.00
Rate for Payer: Qualcare PPO/HMO/WC	$129.00
Rate for Payer: UnitedHealthcare Commercial	$430.00

TRACKER PATIENT

Facility

$1,300.00

Hospital Charge Code	270703111
Hospital Revenue Code	278
Min. Negotiated Rate	$195.00
Max. Negotiated Rate	$650.00
Rate for Payer: Aetna Commercial	$390.00
Rate for Payer: Aetna Medicare Advantage	$390.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$331.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$331.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$260.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$331.50
Rate for Payer: Cigna Commercial	$650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$314.60
Rate for Payer: Qualcare PPO/HMO/WC	$195.00

TRACKER PATIENT

Facility

$1,300.00

Hospital Charge Code	270703111
Hospital Revenue Code	278
Min. Negotiated Rate	$195.00
Max. Negotiated Rate	$314.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$260.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$314.60
Rate for Payer: Qualcare PPO/HMO/WC	$195.00

TRACKER PATIENT ENT

Facility

$1,025.00

Hospital Charge Code	270663281
Hospital Revenue Code	272
Min. Negotiated Rate	$153.75
Max. Negotiated Rate	$153.75
Rate for Payer: Qualcare PPO/HMO/WC	$153.75

TRACKER PATIENT ENT

Facility

$1,025.00

Hospital Charge Code	270663281
Hospital Revenue Code	272
Min. Negotiated Rate	$133.25
Max. Negotiated Rate	$512.50
Rate for Payer: Aetna Commercial	$307.50
Rate for Payer: Aetna Medicare Advantage	$307.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$261.38
Rate for Payer: Cigna Commercial	$512.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: Oxford Commercial	$512.50
Rate for Payer: Qualcare PPO/HMO/WC	$153.75
Rate for Payer: UnitedHealthcare Commercial	$512.50

TRACLEER 125 MG TAB

Facility

$364.00

Hospital Charge Code	60635641
Hospital Revenue Code	250
Min. Negotiated Rate	$54.60
Max. Negotiated Rate	$54.60
Rate for Payer: Qualcare PPO/HMO/WC	$54.60

TRACLEER 125 MG TAB

Facility

$364.00

Hospital Charge Code	60635641
Hospital Revenue Code	250
Min. Negotiated Rate	$47.32
Max. Negotiated Rate	$182.00
Rate for Payer: Aetna Commercial	$109.20
Rate for Payer: Aetna Medicare Advantage	$109.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.82
Rate for Payer: Cigna Commercial	$182.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.32
Rate for Payer: Oxford Commercial	$182.00
Rate for Payer: Qualcare PPO/HMO/WC	$54.60
Rate for Payer: UnitedHealthcare Commercial	$182.00

TRACLEER DS 125MG TAB

Facility

$362.00

Hospital Charge Code	60635652
Hospital Revenue Code	250
Min. Negotiated Rate	$47.06
Max. Negotiated Rate	$181.00
Rate for Payer: Aetna Commercial	$108.60
Rate for Payer: Aetna Medicare Advantage	$108.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.31
Rate for Payer: Cigna Commercial	$181.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.06
Rate for Payer: Oxford Commercial	$181.00
Rate for Payer: Qualcare PPO/HMO/WC	$54.30
Rate for Payer: UnitedHealthcare Commercial	$181.00

TRACLEER DS 125MG TAB

Facility

$362.00

Hospital Charge Code	60635652
Hospital Revenue Code	250
Min. Negotiated Rate	$54.30
Max. Negotiated Rate	$54.30
Rate for Payer: Qualcare PPO/HMO/WC	$54.30

Know your out-of-pocket cost for care.

All Charges