Heights University Hospital

All Charges

Charge

Type

Setting

Price

TRAY SUCTION 14FR W/SALINE

Facility

$5.11

Hospital Charge Code	270649271
Hospital Revenue Code	272
Min. Negotiated Rate	$0.77
Max. Negotiated Rate	$0.77
Rate for Payer: Qualcare PPO/HMO/WC	$0.77

TRAY SUCTION 6FR

Facility

$10.45

Hospital Charge Code	270302255
Hospital Revenue Code	272
Min. Negotiated Rate	$1.57
Max. Negotiated Rate	$1.57
Rate for Payer: Qualcare PPO/HMO/WC	$1.57

TRAY SUCTION 6FR

Facility

$10.45

Hospital Charge Code	270302255
Hospital Revenue Code	272
Min. Negotiated Rate	$1.36
Max. Negotiated Rate	$5.22
Rate for Payer: Aetna Commercial	$3.13
Rate for Payer: Aetna Medicare Advantage	$3.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.66
Rate for Payer: Cigna Commercial	$5.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.36
Rate for Payer: Oxford Commercial	$5.22
Rate for Payer: Qualcare PPO/HMO/WC	$1.57
Rate for Payer: UnitedHealthcare Commercial	$5.22

TRAY SUCTION 8FR

Facility

$7.25

Hospital Charge Code	270302260
Hospital Revenue Code	272
Min. Negotiated Rate	$0.94
Max. Negotiated Rate	$3.62
Rate for Payer: Aetna Commercial	$2.17
Rate for Payer: Aetna Medicare Advantage	$2.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.85
Rate for Payer: Cigna Commercial	$3.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.94
Rate for Payer: Oxford Commercial	$3.62
Rate for Payer: Qualcare PPO/HMO/WC	$1.09
Rate for Payer: UnitedHealthcare Commercial	$3.62

TRAY SUCTION 8FR

Facility

$7.25

Hospital Charge Code	270302260
Hospital Revenue Code	272
Min. Negotiated Rate	$1.09
Max. Negotiated Rate	$1.09
Rate for Payer: Qualcare PPO/HMO/WC	$1.09

TRAY SUPERPUBIC FOLEY

Facility

$272.18

Hospital Charge Code	270663907
Hospital Revenue Code	272
Min. Negotiated Rate	$35.38
Max. Negotiated Rate	$136.09
Rate for Payer: Aetna Commercial	$81.65
Rate for Payer: Aetna Medicare Advantage	$81.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$69.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$69.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$69.41
Rate for Payer: Cigna Commercial	$136.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.38
Rate for Payer: Oxford Commercial	$136.09
Rate for Payer: Qualcare PPO/HMO/WC	$40.83
Rate for Payer: UnitedHealthcare Commercial	$136.09

TRAY SUPERPUBIC FOLEY

Facility

$272.18

Hospital Charge Code	270663907
Hospital Revenue Code	272
Min. Negotiated Rate	$40.83
Max. Negotiated Rate	$40.83
Rate for Payer: Qualcare PPO/HMO/WC	$40.83

TRAY SUTURE REMOVAL SET

Facility

$3.40

Hospital Charge Code	270649272
Hospital Revenue Code	270
Min. Negotiated Rate	$0.44
Max. Negotiated Rate	$1.70
Rate for Payer: Aetna Commercial	$1.02
Rate for Payer: Aetna Medicare Advantage	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.87
Rate for Payer: Cigna Commercial	$1.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.44
Rate for Payer: Oxford Commercial	$1.70
Rate for Payer: Qualcare PPO/HMO/WC	$0.51
Rate for Payer: UnitedHealthcare Commercial	$1.70

TRAY SUTURE REMOVAL SET

Facility

$3.40

Hospital Charge Code	270649272
Hospital Revenue Code	270
Min. Negotiated Rate	$0.51
Max. Negotiated Rate	$0.51
Rate for Payer: Qualcare PPO/HMO/WC	$0.51

TRAY T/A

Facility

$190.36

Hospital Charge Code	270654144
Hospital Revenue Code	270
Min. Negotiated Rate	$28.55
Max. Negotiated Rate	$28.55
Rate for Payer: Qualcare PPO/HMO/WC	$28.55

TRAY T/A

Facility

$190.36

Hospital Charge Code	270654144
Hospital Revenue Code	270
Min. Negotiated Rate	$24.75
Max. Negotiated Rate	$95.18
Rate for Payer: Aetna Commercial	$57.11
Rate for Payer: Aetna Medicare Advantage	$57.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.54
Rate for Payer: Cigna Commercial	$95.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.75
Rate for Payer: Oxford Commercial	$95.18
Rate for Payer: Qualcare PPO/HMO/WC	$28.55
Rate for Payer: UnitedHealthcare Commercial	$95.18

TRAY TBIAL MD SZ A LEFT 154718

Facility

$7,715.00

Hospital Charge Code	270639275
Hospital Revenue Code	272
Min. Negotiated Rate	$1,157.25
Max. Negotiated Rate	$1,157.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,157.25

TRAY TBIAL MD SZ A LEFT 154718

Facility

$7,715.00

Hospital Charge Code	270639275
Hospital Revenue Code	272
Min. Negotiated Rate	$1,002.95
Max. Negotiated Rate	$3,857.50
Rate for Payer: Aetna Commercial	$2,314.50
Rate for Payer: Aetna Medicare Advantage	$2,314.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,967.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,967.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,967.33
Rate for Payer: Cigna Commercial	$3,857.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,002.95
Rate for Payer: Oxford Commercial	$3,857.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,157.25
Rate for Payer: UnitedHealthcare Commercial	$3,857.50

TRAY THAL-QUICK CHEST TUBE 8FR

Facility

$755.95

Hospital Charge Code	270677080
Hospital Revenue Code	272
Min. Negotiated Rate	$98.27
Max. Negotiated Rate	$377.98
Rate for Payer: Aetna Commercial	$226.78
Rate for Payer: Aetna Medicare Advantage	$226.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.77
Rate for Payer: Cigna Commercial	$377.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.27
Rate for Payer: Oxford Commercial	$377.98
Rate for Payer: Qualcare PPO/HMO/WC	$113.39
Rate for Payer: UnitedHealthcare Commercial	$377.98

TRAY THAL-QUICK CHEST TUBE 8FR

Facility

$755.95

Hospital Charge Code	270677080
Hospital Revenue Code	272
Min. Negotiated Rate	$113.39
Max. Negotiated Rate	$113.39
Rate for Payer: Qualcare PPO/HMO/WC	$113.39

TRAY THORACENTESIS

Facility

$115.56

Hospital Charge Code	270303235
Hospital Revenue Code	272
Min. Negotiated Rate	$17.33
Max. Negotiated Rate	$17.33
Rate for Payer: Qualcare PPO/HMO/WC	$17.33

TRAY THORACENTESIS

Facility

$115.56

Hospital Charge Code	270303235
Hospital Revenue Code	272
Min. Negotiated Rate	$15.02
Max. Negotiated Rate	$57.78
Rate for Payer: Aetna Commercial	$34.67
Rate for Payer: Aetna Medicare Advantage	$34.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.47
Rate for Payer: Cigna Commercial	$57.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.02
Rate for Payer: Oxford Commercial	$57.78
Rate for Payer: Qualcare PPO/HMO/WC	$17.33
Rate for Payer: UnitedHealthcare Commercial	$57.78

TRAY THORACENTESIS 48/CS

Facility

$14.25

Hospital Charge Code	270649810
Hospital Revenue Code	271
Min. Negotiated Rate	$1.85
Max. Negotiated Rate	$7.12
Rate for Payer: Aetna Commercial	$4.28
Rate for Payer: Aetna Medicare Advantage	$4.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.63
Rate for Payer: Cigna Commercial	$7.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.85
Rate for Payer: Oxford Commercial	$7.12
Rate for Payer: Qualcare PPO/HMO/WC	$2.14
Rate for Payer: UnitedHealthcare Commercial	$7.12

TRAY THORACENTESIS 48/CS

Facility

$14.25

Hospital Charge Code	270649810
Hospital Revenue Code	271
Min. Negotiated Rate	$2.14
Max. Negotiated Rate	$2.14
Rate for Payer: Qualcare PPO/HMO/WC	$2.14

TRAY THORACENTESIS W/ASP NEEDL

Facility

$197.75

Hospital Charge Code	270653354
Hospital Revenue Code	270
Min. Negotiated Rate	$25.71
Max. Negotiated Rate	$98.88
Rate for Payer: Aetna Commercial	$59.33
Rate for Payer: Aetna Medicare Advantage	$59.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.43
Rate for Payer: Cigna Commercial	$98.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.71
Rate for Payer: Oxford Commercial	$98.88
Rate for Payer: Qualcare PPO/HMO/WC	$29.66
Rate for Payer: UnitedHealthcare Commercial	$98.88

TRAY THORACENTESIS W/ASP NEEDL

Facility

$197.75

Hospital Charge Code	270653354
Hospital Revenue Code	270
Min. Negotiated Rate	$29.66
Max. Negotiated Rate	$29.66
Rate for Payer: Qualcare PPO/HMO/WC	$29.66

TRAY THORACENTESIS W/ASP NEEDL

Facility

$2,519.75

Hospital Charge Code	270650921
Hospital Revenue Code	278
Min. Negotiated Rate	$377.96
Max. Negotiated Rate	$1,259.88
Rate for Payer: Aetna Commercial	$755.92
Rate for Payer: Aetna Medicare Advantage	$755.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$642.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$642.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$503.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$642.54
Rate for Payer: Cigna Commercial	$1,259.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$609.78
Rate for Payer: Qualcare PPO/HMO/WC	$377.96

TRAY THORACENTESIS W/ASP NEEDL

Facility

$2,519.75

Hospital Charge Code	270650921
Hospital Revenue Code	278
Min. Negotiated Rate	$377.96
Max. Negotiated Rate	$609.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$503.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$609.78
Rate for Payer: Qualcare PPO/HMO/WC	$377.96

TRAY THORACENTESIS W/CATH

Facility

$179.25

Hospital Charge Code	270303240
Hospital Revenue Code	272
Min. Negotiated Rate	$26.89
Max. Negotiated Rate	$26.89
Rate for Payer: Qualcare PPO/HMO/WC	$26.89

TRAY THORACENTESIS W/CATH

Facility

$179.25

Hospital Charge Code	270303240
Hospital Revenue Code	272
Min. Negotiated Rate	$23.30
Max. Negotiated Rate	$89.62
Rate for Payer: Aetna Commercial	$53.77
Rate for Payer: Aetna Medicare Advantage	$53.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.71
Rate for Payer: Cigna Commercial	$89.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.30
Rate for Payer: Oxford Commercial	$89.62
Rate for Payer: Qualcare PPO/HMO/WC	$26.89
Rate for Payer: UnitedHealthcare Commercial	$89.62

Know your out-of-pocket cost for care.

All Charges