Heights University Hospital

All Charges

Charge

Type

Setting

Price

TUBE ENDOTRACHEAL 8.5MM 34FR

Facility

$71.00

Hospital Charge Code	270330898
Hospital Revenue Code	272
Min. Negotiated Rate	$10.65
Max. Negotiated Rate	$10.65
Rate for Payer: Qualcare PPO/HMO/WC	$10.65

TUBE ENDOTRACHEAL 8MM

Facility

$72.00

Hospital Charge Code	270331093
Hospital Revenue Code	272
Min. Negotiated Rate	$9.36
Max. Negotiated Rate	$36.00
Rate for Payer: Aetna Commercial	$21.60
Rate for Payer: Aetna Medicare Advantage	$21.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.36
Rate for Payer: Cigna Commercial	$36.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.36
Rate for Payer: Oxford Commercial	$36.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.80
Rate for Payer: UnitedHealthcare Commercial	$36.00

TUBE ENDOTRACHEAL 8MM

Facility

$72.00

Hospital Charge Code	270331093
Hospital Revenue Code	272
Min. Negotiated Rate	$10.80
Max. Negotiated Rate	$10.80
Rate for Payer: Qualcare PPO/HMO/WC	$10.80

TUBE ENDOTRACHEAL 9.0mm

Facility

$7.18

Hospital Charge Code	270649829
Hospital Revenue Code	270
Min. Negotiated Rate	$1.08
Max. Negotiated Rate	$1.08
Rate for Payer: Qualcare PPO/HMO/WC	$1.08

TUBE ENDOTRACHEAL 9.0mm

Facility

$7.18

Hospital Charge Code	270649829
Hospital Revenue Code	270
Min. Negotiated Rate	$0.93
Max. Negotiated Rate	$3.59
Rate for Payer: Aetna Commercial	$2.15
Rate for Payer: Aetna Medicare Advantage	$2.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.83
Rate for Payer: Cigna Commercial	$3.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.93
Rate for Payer: Oxford Commercial	$3.59
Rate for Payer: Qualcare PPO/HMO/WC	$1.08
Rate for Payer: UnitedHealthcare Commercial	$3.59

TUBE ENDOTRACHEAL 9.5MM 38FR

Facility

$71.00

Hospital Charge Code	270330906
Hospital Revenue Code	272
Min. Negotiated Rate	$9.23
Max. Negotiated Rate	$35.50
Rate for Payer: Aetna Commercial	$21.30
Rate for Payer: Aetna Medicare Advantage	$21.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.11
Rate for Payer: Cigna Commercial	$35.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.23
Rate for Payer: Oxford Commercial	$35.50
Rate for Payer: Qualcare PPO/HMO/WC	$10.65
Rate for Payer: UnitedHealthcare Commercial	$35.50

TUBE ENDOTRACHEAL 9.5MM 38FR

Facility

$71.00

Hospital Charge Code	270330906
Hospital Revenue Code	272
Min. Negotiated Rate	$10.65
Max. Negotiated Rate	$10.65
Rate for Payer: Qualcare PPO/HMO/WC	$10.65

TUBE ENDOTRACHEAL 9MM

Facility

$72.00

Hospital Charge Code	270331094
Hospital Revenue Code	272
Min. Negotiated Rate	$10.80
Max. Negotiated Rate	$10.80
Rate for Payer: Qualcare PPO/HMO/WC	$10.80

TUBE ENDOTRACHEAL 9MM

Facility

$72.00

Hospital Charge Code	270331094
Hospital Revenue Code	272
Min. Negotiated Rate	$9.36
Max. Negotiated Rate	$36.00
Rate for Payer: Aetna Commercial	$21.60
Rate for Payer: Aetna Medicare Advantage	$21.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.36
Rate for Payer: Cigna Commercial	$36.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.36
Rate for Payer: Oxford Commercial	$36.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.80
Rate for Payer: UnitedHealthcare Commercial	$36.00

TUBE ENDOTRACHEAL PEDS 3.5mm

Facility

$5.65

Hospital Charge Code	270649820
Hospital Revenue Code	272
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$0.85
Rate for Payer: Qualcare PPO/HMO/WC	$0.85

TUBE ENDOTRACHEAL PEDS 3.5mm

Facility

$5.65

Hospital Charge Code	270649820
Hospital Revenue Code	272
Min. Negotiated Rate	$0.73
Max. Negotiated Rate	$2.83
Rate for Payer: Aetna Commercial	$1.70
Rate for Payer: Aetna Medicare Advantage	$1.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.44
Rate for Payer: Cigna Commercial	$2.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.73
Rate for Payer: Oxford Commercial	$2.83
Rate for Payer: Qualcare PPO/HMO/WC	$0.85
Rate for Payer: UnitedHealthcare Commercial	$2.83

TUBE ENDOTRACH ORAL RAE 6.0MM

Facility

$190.20

Hospital Charge Code	270656298
Hospital Revenue Code	271
Min. Negotiated Rate	$24.73
Max. Negotiated Rate	$95.10
Rate for Payer: Aetna Commercial	$57.06
Rate for Payer: Aetna Medicare Advantage	$57.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.50
Rate for Payer: Cigna Commercial	$95.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.73
Rate for Payer: Oxford Commercial	$95.10
Rate for Payer: Qualcare PPO/HMO/WC	$28.53
Rate for Payer: UnitedHealthcare Commercial	$95.10

TUBE ENDOTRACH ORAL RAE 6.0MM

Facility

$190.20

Hospital Charge Code	270656298
Hospital Revenue Code	271
Min. Negotiated Rate	$28.53
Max. Negotiated Rate	$28.53
Rate for Payer: Qualcare PPO/HMO/WC	$28.53

TUBE ENDOTRACH SZ 4 LOW 510108

Facility

$14.10

Hospital Charge Code	270626172
Hospital Revenue Code	272
Min. Negotiated Rate	$1.83
Max. Negotiated Rate	$7.05
Rate for Payer: Aetna Commercial	$4.23
Rate for Payer: Aetna Medicare Advantage	$4.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.60
Rate for Payer: Cigna Commercial	$7.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.83
Rate for Payer: Oxford Commercial	$7.05
Rate for Payer: Qualcare PPO/HMO/WC	$2.12
Rate for Payer: UnitedHealthcare Commercial	$7.05

TUBE ENDOTRACH SZ 4 LOW 510108

Facility

$14.10

Hospital Charge Code	270626172
Hospital Revenue Code	272
Min. Negotiated Rate	$2.12
Max. Negotiated Rate	$2.12
Rate for Payer: Qualcare PPO/HMO/WC	$2.12

TUBE ENDOTRCHL 6NE CNT 8229506

Facility

$1,665.00

Hospital Charge Code	270639285
Hospital Revenue Code	272
Min. Negotiated Rate	$216.45
Max. Negotiated Rate	$832.50
Rate for Payer: Aetna Commercial	$499.50
Rate for Payer: Aetna Medicare Advantage	$499.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$424.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$424.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$424.57
Rate for Payer: Cigna Commercial	$832.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$216.45
Rate for Payer: Oxford Commercial	$832.50
Rate for Payer: Qualcare PPO/HMO/WC	$249.75
Rate for Payer: UnitedHealthcare Commercial	$832.50

TUBE ENDOTRCHL 6NE CNT 8229506

Facility

$1,665.00

Hospital Charge Code	270639285
Hospital Revenue Code	272
Min. Negotiated Rate	$249.75
Max. Negotiated Rate	$249.75
Rate for Payer: Qualcare PPO/HMO/WC	$249.75

TUBE ENDOTRCHL 7NE CNT 8229507

Facility

$2,005.00

Hospital Charge Code	270639286
Hospital Revenue Code	270
Min. Negotiated Rate	$260.65
Max. Negotiated Rate	$1,002.50
Rate for Payer: Aetna Commercial	$601.50
Rate for Payer: Aetna Medicare Advantage	$601.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$511.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$511.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$511.27
Rate for Payer: Cigna Commercial	$1,002.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.65
Rate for Payer: Oxford Commercial	$1,002.50
Rate for Payer: Qualcare PPO/HMO/WC	$300.75
Rate for Payer: UnitedHealthcare Commercial	$1,002.50

TUBE ENDOTRCHL 7NE CNT 8229507

Facility

$2,005.00

Hospital Charge Code	270639286
Hospital Revenue Code	270
Min. Negotiated Rate	$300.75
Max. Negotiated Rate	$300.75
Rate for Payer: Qualcare PPO/HMO/WC	$300.75

TUBE ENDOTRCHL 8NE CNT

Facility

$1,695.00

Hospital Charge Code	270639287
Hospital Revenue Code	270
Min. Negotiated Rate	$220.35
Max. Negotiated Rate	$847.50
Rate for Payer: Aetna Commercial	$508.50
Rate for Payer: Aetna Medicare Advantage	$508.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$432.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$432.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$432.23
Rate for Payer: Cigna Commercial	$847.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$220.35
Rate for Payer: Oxford Commercial	$847.50
Rate for Payer: Qualcare PPO/HMO/WC	$254.25
Rate for Payer: UnitedHealthcare Commercial	$847.50

TUBE ENDOTRCHL 8NE CNT

Facility

$1,695.00

Hospital Charge Code	270639287
Hospital Revenue Code	270
Min. Negotiated Rate	$254.25
Max. Negotiated Rate	$254.25
Rate for Payer: Qualcare PPO/HMO/WC	$254.25

TUBE ENDOTR CUFF #5 LOW 510109

Facility

$14.15

Hospital Charge Code	270626173
Hospital Revenue Code	272
Min. Negotiated Rate	$1.84
Max. Negotiated Rate	$7.08
Rate for Payer: Aetna Commercial	$4.25
Rate for Payer: Aetna Medicare Advantage	$4.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.61
Rate for Payer: Cigna Commercial	$7.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.84
Rate for Payer: Oxford Commercial	$7.08
Rate for Payer: Qualcare PPO/HMO/WC	$2.12
Rate for Payer: UnitedHealthcare Commercial	$7.08

TUBE ENDOTR CUFF #5 LOW 510109

Facility

$14.15

Hospital Charge Code	270626173
Hospital Revenue Code	272
Min. Negotiated Rate	$2.12
Max. Negotiated Rate	$2.12
Rate for Payer: Qualcare PPO/HMO/WC	$2.12

TUBE ENDO UNCUFFED 2.0mm

Facility

$5.66

Hospital Charge Code	270649297
Hospital Revenue Code	272
Min. Negotiated Rate	$0.74
Max. Negotiated Rate	$2.83
Rate for Payer: Aetna Commercial	$1.70
Rate for Payer: Aetna Medicare Advantage	$1.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.44
Rate for Payer: Cigna Commercial	$2.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.74
Rate for Payer: Oxford Commercial	$2.83
Rate for Payer: Qualcare PPO/HMO/WC	$0.85
Rate for Payer: UnitedHealthcare Commercial	$2.83

TUBE ENDO UNCUFFED 2.0mm

Facility

$5.66

Hospital Charge Code	270649297
Hospital Revenue Code	272
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$0.85
Rate for Payer: Qualcare PPO/HMO/WC	$0.85

Know your out-of-pocket cost for care.

All Charges