Heights University Hospital

All Charges

Charge

Type

Setting

Price

TUBE BRNC-CATH RT 39M 43161139

Facility

$251.15

Hospital Charge Code	270624527
Hospital Revenue Code	272
Min. Negotiated Rate	$32.65
Max. Negotiated Rate	$125.58
Rate for Payer: Aetna Commercial	$75.34
Rate for Payer: Aetna Medicare Advantage	$75.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$64.04
Rate for Payer: Cigna Commercial	$125.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.65
Rate for Payer: Oxford Commercial	$125.58
Rate for Payer: Qualcare PPO/HMO/WC	$37.67
Rate for Payer: UnitedHealthcare Commercial	$125.58

TUBE BRONCCATH RT 35F 43161135

Facility

$433.25

Hospital Charge Code	270615503
Hospital Revenue Code	272
Min. Negotiated Rate	$56.32
Max. Negotiated Rate	$216.62
Rate for Payer: Aetna Commercial	$129.97
Rate for Payer: Aetna Medicare Advantage	$129.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$110.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$110.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$110.48
Rate for Payer: Cigna Commercial	$216.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.32
Rate for Payer: Oxford Commercial	$216.62
Rate for Payer: Qualcare PPO/HMO/WC	$64.99
Rate for Payer: UnitedHealthcare Commercial	$216.62

TUBE BRONCCATH RT 35F 43161135

Facility

$433.25

Hospital Charge Code	270615503
Hospital Revenue Code	272
Min. Negotiated Rate	$64.99
Max. Negotiated Rate	$64.99
Rate for Payer: Qualcare PPO/HMO/WC	$64.99

TUBE BRONC-CATH RT 37 43161137

Facility

$450.95

Hospital Charge Code	270624525
Hospital Revenue Code	272
Min. Negotiated Rate	$67.64
Max. Negotiated Rate	$67.64
Rate for Payer: Qualcare PPO/HMO/WC	$67.64

TUBE BRONC-CATH RT 37 43161137

Facility

$450.95

Hospital Charge Code	270624525
Hospital Revenue Code	272
Min. Negotiated Rate	$58.62
Max. Negotiated Rate	$225.47
Rate for Payer: Aetna Commercial	$135.28
Rate for Payer: Aetna Medicare Advantage	$135.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.99
Rate for Payer: Cigna Commercial	$225.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.62
Rate for Payer: Oxford Commercial	$225.47
Rate for Payer: Qualcare PPO/HMO/WC	$67.64
Rate for Payer: UnitedHealthcare Commercial	$225.47

TUBE BRONCH CATH L 35MM

Facility

$64.00

Hospital Charge Code	270601632
Hospital Revenue Code	272
Min. Negotiated Rate	$8.32
Max. Negotiated Rate	$32.00
Rate for Payer: Aetna Commercial	$19.20
Rate for Payer: Aetna Medicare Advantage	$19.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.32
Rate for Payer: Cigna Commercial	$32.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.32
Rate for Payer: Oxford Commercial	$32.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.60
Rate for Payer: UnitedHealthcare Commercial	$32.00

TUBE BRONCH CATH L 35MM

Facility

$64.00

Hospital Charge Code	270601632
Hospital Revenue Code	272
Min. Negotiated Rate	$9.60
Max. Negotiated Rate	$9.60
Rate for Payer: Qualcare PPO/HMO/WC	$9.60

TUBE BRONCH CATH L 37MM

Facility

$258.50

Hospital Charge Code	270605912
Hospital Revenue Code	272
Min. Negotiated Rate	$38.77
Max. Negotiated Rate	$38.77
Rate for Payer: Qualcare PPO/HMO/WC	$38.77

TUBE BRONCH CATH L 37MM

Facility

$258.50

Hospital Charge Code	270605912
Hospital Revenue Code	272
Min. Negotiated Rate	$33.60
Max. Negotiated Rate	$129.25
Rate for Payer: Aetna Commercial	$77.55
Rate for Payer: Aetna Medicare Advantage	$77.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.92
Rate for Payer: Cigna Commercial	$129.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.60
Rate for Payer: Oxford Commercial	$129.25
Rate for Payer: Qualcare PPO/HMO/WC	$38.77
Rate for Payer: UnitedHealthcare Commercial	$129.25

TUBE BRONCHO-CATH LEFT 35MM

Facility

$261.15

Hospital Charge Code	270609632
Hospital Revenue Code	272
Min. Negotiated Rate	$39.17
Max. Negotiated Rate	$39.17
Rate for Payer: Qualcare PPO/HMO/WC	$39.17

TUBE BRONCHO-CATH LEFT 35MM

Facility

$261.15

Hospital Charge Code	270609632
Hospital Revenue Code	272
Min. Negotiated Rate	$33.95
Max. Negotiated Rate	$130.57
Rate for Payer: Aetna Commercial	$78.34
Rate for Payer: Aetna Medicare Advantage	$78.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.59
Rate for Payer: Cigna Commercial	$130.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.95
Rate for Payer: Oxford Commercial	$130.57
Rate for Payer: Qualcare PPO/HMO/WC	$39.17
Rate for Payer: UnitedHealthcare Commercial	$130.57

TUBE BRONCHO-CATH LEFT 39mm

Facility

$369.20

Hospital Charge Code	270600890
Hospital Revenue Code	272
Min. Negotiated Rate	$48.00
Max. Negotiated Rate	$184.60
Rate for Payer: Aetna Commercial	$110.76
Rate for Payer: Aetna Medicare Advantage	$110.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.15
Rate for Payer: Cigna Commercial	$184.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.00
Rate for Payer: Oxford Commercial	$184.60
Rate for Payer: Qualcare PPO/HMO/WC	$55.38
Rate for Payer: UnitedHealthcare Commercial	$184.60

TUBE BRONCHO-CATH LEFT 39mm

Facility

$369.20

Hospital Charge Code	270600890
Hospital Revenue Code	272
Min. Negotiated Rate	$55.38
Max. Negotiated Rate	$55.38
Rate for Payer: Qualcare PPO/HMO/WC	$55.38

TUBE BRONCHO-CATH LEFT 41mm

Facility

$369.20

Hospital Charge Code	270600891
Hospital Revenue Code	272
Min. Negotiated Rate	$48.00
Max. Negotiated Rate	$184.60
Rate for Payer: Aetna Commercial	$110.76
Rate for Payer: Aetna Medicare Advantage	$110.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.15
Rate for Payer: Cigna Commercial	$184.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.00
Rate for Payer: Oxford Commercial	$184.60
Rate for Payer: Qualcare PPO/HMO/WC	$55.38
Rate for Payer: UnitedHealthcare Commercial	$184.60

TUBE BRONCHO-CATH LEFT 41mm

Facility

$369.20

Hospital Charge Code	270600891
Hospital Revenue Code	272
Min. Negotiated Rate	$55.38
Max. Negotiated Rate	$55.38
Rate for Payer: Qualcare PPO/HMO/WC	$55.38

TUBE BRONCHOCATH RT 41F 126041

Facility

$330.00

Hospital Charge Code	270641446
Hospital Revenue Code	272
Min. Negotiated Rate	$49.50
Max. Negotiated Rate	$49.50
Rate for Payer: Qualcare PPO/HMO/WC	$49.50

TUBE BRONCHOCATH RT 41F 126041

Facility

$330.00

Hospital Charge Code	270641446
Hospital Revenue Code	272
Min. Negotiated Rate	$42.90
Max. Negotiated Rate	$165.00
Rate for Payer: Aetna Commercial	$99.00
Rate for Payer: Aetna Medicare Advantage	$99.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.15
Rate for Payer: Cigna Commercial	$165.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.90
Rate for Payer: Oxford Commercial	$165.00
Rate for Payer: Qualcare PPO/HMO/WC	$49.50
Rate for Payer: UnitedHealthcare Commercial	$165.00

TUBE CALIBRATION

Facility

$625.00

Service Code	HCPCS A4651
Hospital Charge Code	270667484
Hospital Revenue Code	272
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$93.75
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

TUBE CALIBRATION

Facility

$625.00

Service Code	HCPCS A4651
Hospital Charge Code	270667484
Hospital Revenue Code	272
Min. Negotiated Rate	$81.25
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$187.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.25
Rate for Payer: Oxford Commercial	$312.50
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Commercial	$312.50

TUBE CANTOR

Facility

$114.00

Hospital Charge Code	8000283
Hospital Revenue Code	279
Min. Negotiated Rate	$17.10
Max. Negotiated Rate	$17.10
Rate for Payer: Qualcare PPO/HMO/WC	$17.10

TUBE CANTOR

Facility

$114.00

Hospital Charge Code	8000283
Hospital Revenue Code	279
Min. Negotiated Rate	$14.82
Max. Negotiated Rate	$57.00
Rate for Payer: Aetna Commercial	$34.20
Rate for Payer: Aetna Medicare Advantage	$34.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.07
Rate for Payer: Cigna Commercial	$57.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.82
Rate for Payer: Oxford Commercial	$57.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.10
Rate for Payer: UnitedHealthcare Commercial	$57.00

TUBE CANTOR ADULT

Facility

$612.00

Hospital Charge Code	270302279
Hospital Revenue Code	272
Min. Negotiated Rate	$91.80
Max. Negotiated Rate	$91.80
Rate for Payer: Qualcare PPO/HMO/WC	$91.80

TUBE CANTOR ADULT

Facility

$612.00

Hospital Charge Code	270302279
Hospital Revenue Code	272
Min. Negotiated Rate	$79.56
Max. Negotiated Rate	$306.00
Rate for Payer: Aetna Commercial	$183.60
Rate for Payer: Aetna Medicare Advantage	$183.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$156.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$156.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$156.06
Rate for Payer: Cigna Commercial	$306.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.56
Rate for Payer: Oxford Commercial	$306.00
Rate for Payer: Qualcare PPO/HMO/WC	$91.80
Rate for Payer: UnitedHealthcare Commercial	$306.00

TUBE CONNECT 14F W/STOP G02278

Facility

$70.00

Hospital Charge Code	270623768V
Hospital Revenue Code	272
Min. Negotiated Rate	$9.10
Max. Negotiated Rate	$35.00
Rate for Payer: Aetna Commercial	$21.00
Rate for Payer: Aetna Medicare Advantage	$21.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.85
Rate for Payer: Cigna Commercial	$35.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.10
Rate for Payer: Oxford Commercial	$35.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.50
Rate for Payer: UnitedHealthcare Commercial	$35.00

TUBE CONNECT 14F W/STOP G02278

Facility

$70.00

Hospital Charge Code	270623768V
Hospital Revenue Code	272
Min. Negotiated Rate	$10.50
Max. Negotiated Rate	$10.50
Rate for Payer: Qualcare PPO/HMO/WC	$10.50

Know your out-of-pocket cost for care.

All Charges