Heights University Hospital

All Charges

Charge

Type

Setting

Price

TUBE ENDO UNCUFFED 2.5mm

Facility

$5.66

Hospital Charge Code	270649298
Hospital Revenue Code	272
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$0.85
Rate for Payer: Qualcare PPO/HMO/WC	$0.85

TUBE ENDO UNCUFFED 2.5mm

Facility

$5.66

Hospital Charge Code	270649298
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 3.0mm

Facility

$5.66

Hospital Charge Code	270649299
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 3.0mm

Facility

$5.66

Hospital Charge Code	270649299
Hospital Revenue Code	272
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$0.85
Rate for Payer: Qualcare PPO/HMO/WC	$0.85

TUBE ENDO UNCUFFED 4.0mm

Facility

$5.27

Hospital Charge Code	270649301
Hospital Revenue Code	272
Min. Negotiated Rate	$0.79
Max. Negotiated Rate	$0.79
Rate for Payer: Qualcare PPO/HMO/WC	$0.79

TUBE ENDO UNCUFFED 4.0mm

Facility

$5.27

Hospital Charge Code	270649301
Hospital Revenue Code	272
Min. Negotiated Rate	$0.69
Max. Negotiated Rate	$2.63
Rate for Payer: Aetna Commercial	$1.58
Rate for Payer: Aetna Medicare Advantage	$1.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.34
Rate for Payer: Cigna Commercial	$2.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.69
Rate for Payer: Oxford Commercial	$2.63
Rate for Payer: Qualcare PPO/HMO/WC	$0.79
Rate for Payer: UnitedHealthcare Commercial	$2.63

TUBE ENDO UNCUFFED 4.5mm

Facility

$5.25

Hospital Charge Code	270649302
Hospital Revenue Code	272
Min. Negotiated Rate	$0.68
Max. Negotiated Rate	$2.62
Rate for Payer: Aetna Commercial	$1.57
Rate for Payer: Aetna Medicare Advantage	$1.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.34
Rate for Payer: Cigna Commercial	$2.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.68
Rate for Payer: Oxford Commercial	$2.62
Rate for Payer: Qualcare PPO/HMO/WC	$0.79
Rate for Payer: UnitedHealthcare Commercial	$2.62

TUBE ENDO UNCUFFED 4.5mm

Facility

$5.25

Hospital Charge Code	270649302
Hospital Revenue Code	272
Min. Negotiated Rate	$0.79
Max. Negotiated Rate	$0.79
Rate for Payer: Qualcare PPO/HMO/WC	$0.79

TUBE ENDO UNCUFFED 5.0mm

Facility

$5.25

Hospital Charge Code	270649303
Hospital Revenue Code	272
Min. Negotiated Rate	$0.79
Max. Negotiated Rate	$0.79
Rate for Payer: Qualcare PPO/HMO/WC	$0.79

TUBE ENDO UNCUFFED 5.0mm

Facility

$5.25

Hospital Charge Code	270649303
Hospital Revenue Code	272
Min. Negotiated Rate	$0.68
Max. Negotiated Rate	$2.62
Rate for Payer: Aetna Commercial	$1.57
Rate for Payer: Aetna Medicare Advantage	$1.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.34
Rate for Payer: Cigna Commercial	$2.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.68
Rate for Payer: Oxford Commercial	$2.62
Rate for Payer: Qualcare PPO/HMO/WC	$0.79
Rate for Payer: UnitedHealthcare Commercial	$2.62

TUBE ENDO UNCUFFED 5.5mm

Facility

$14.69

Hospital Charge Code	270649304
Hospital Revenue Code	272
Min. Negotiated Rate	$2.20
Max. Negotiated Rate	$2.20
Rate for Payer: Qualcare PPO/HMO/WC	$2.20

TUBE ENDO UNCUFFED 5.5mm

Facility

$14.69

Hospital Charge Code	270649304
Hospital Revenue Code	272
Min. Negotiated Rate	$1.91
Max. Negotiated Rate	$7.34
Rate for Payer: Aetna Commercial	$4.41
Rate for Payer: Aetna Medicare Advantage	$4.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.75
Rate for Payer: Cigna Commercial	$7.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.91
Rate for Payer: Oxford Commercial	$7.34
Rate for Payer: Qualcare PPO/HMO/WC	$2.20
Rate for Payer: UnitedHealthcare Commercial	$7.34

TUBE ENT GOODE ACTIVENT

Facility

$117.00

Hospital Charge Code	270669516
Hospital Revenue Code	272
Min. Negotiated Rate	$17.55
Max. Negotiated Rate	$17.55
Rate for Payer: Qualcare PPO/HMO/WC	$17.55

TUBE ENT GOODE ACTIVENT

Facility

$117.00

Hospital Charge Code	270669516
Hospital Revenue Code	272
Min. Negotiated Rate	$15.21
Max. Negotiated Rate	$58.50
Rate for Payer: Aetna Commercial	$35.10
Rate for Payer: Aetna Medicare Advantage	$35.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.84
Rate for Payer: Cigna Commercial	$58.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.21
Rate for Payer: Oxford Commercial	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$17.55
Rate for Payer: UnitedHealthcare Commercial	$58.50

TUBE ENTRCHL CUFFED 6. 5-12512

Facility

$88.28

Hospital Charge Code	270643896
Hospital Revenue Code	272
Min. Negotiated Rate	$13.24
Max. Negotiated Rate	$13.24
Rate for Payer: Qualcare PPO/HMO/WC	$13.24

TUBE ENTRCHL CUFFED 6. 5-12512

Facility

$88.28

Hospital Charge Code	270643896
Hospital Revenue Code	272
Min. Negotiated Rate	$11.48
Max. Negotiated Rate	$44.14
Rate for Payer: Aetna Commercial	$26.48
Rate for Payer: Aetna Medicare Advantage	$26.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.51
Rate for Payer: Cigna Commercial	$44.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.48
Rate for Payer: Oxford Commercial	$44.14
Rate for Payer: Qualcare PPO/HMO/WC	$13.24
Rate for Payer: UnitedHealthcare Commercial	$44.14

TUBE ENTRCHL CUFFED 7. 5-12514

Facility

$88.28

Hospital Charge Code	270643897
Hospital Revenue Code	272
Min. Negotiated Rate	$11.48
Max. Negotiated Rate	$44.14
Rate for Payer: Aetna Commercial	$26.48
Rate for Payer: Aetna Medicare Advantage	$26.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.51
Rate for Payer: Cigna Commercial	$44.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.48
Rate for Payer: Oxford Commercial	$44.14
Rate for Payer: Qualcare PPO/HMO/WC	$13.24
Rate for Payer: UnitedHealthcare Commercial	$44.14

TUBE ENTRCHL CUFFED 7. 5-12514

Facility

$88.28

Hospital Charge Code	270643897
Hospital Revenue Code	272
Min. Negotiated Rate	$13.24
Max. Negotiated Rate	$13.24
Rate for Payer: Qualcare PPO/HMO/WC	$13.24

TUBE ENTRCHL CUFFED 8. 5-12516

Facility

$44.14

Hospital Charge Code	270643898
Hospital Revenue Code	272
Min. Negotiated Rate	$6.62
Max. Negotiated Rate	$6.62
Rate for Payer: Qualcare PPO/HMO/WC	$6.62

TUBE ENTRCHL CUFFED 8. 5-12516

Facility

$44.14

Hospital Charge Code	270643898
Hospital Revenue Code	272
Min. Negotiated Rate	$5.74
Max. Negotiated Rate	$22.07
Rate for Payer: Aetna Commercial	$13.24
Rate for Payer: Aetna Medicare Advantage	$13.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.26
Rate for Payer: Cigna Commercial	$22.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.74
Rate for Payer: Oxford Commercial	$22.07
Rate for Payer: Qualcare PPO/HMO/WC	$6.62
Rate for Payer: UnitedHealthcare Commercial	$22.07

TUBE E PORTAL

Facility

$2,000.00

Hospital Charge Code	270674907
Hospital Revenue Code	272
Min. Negotiated Rate	$260.00
Max. Negotiated Rate	$1,000.00
Rate for Payer: Aetna Commercial	$600.00
Rate for Payer: Aetna Medicare Advantage	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$510.00
Rate for Payer: Cigna Commercial	$1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.00
Rate for Payer: Oxford Commercial	$1,000.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00
Rate for Payer: UnitedHealthcare Commercial	$1,000.00

TUBE E PORTAL

Facility

$2,000.00

Hospital Charge Code	270674907
Hospital Revenue Code	272
Min. Negotiated Rate	$300.00
Max. Negotiated Rate	$300.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00

TUBE ESOPHAGEAL NASO 20F ADULT

Facility

$738.95

Hospital Charge Code	270654068
Hospital Revenue Code	272
Min. Negotiated Rate	$96.06
Max. Negotiated Rate	$369.48
Rate for Payer: Aetna Commercial	$221.69
Rate for Payer: Aetna Medicare Advantage	$221.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$188.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$188.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$188.43
Rate for Payer: Cigna Commercial	$369.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.06
Rate for Payer: Oxford Commercial	$369.48
Rate for Payer: Qualcare PPO/HMO/WC	$110.84
Rate for Payer: UnitedHealthcare Commercial	$369.48

TUBE ESOPHAGEAL NASO 20F ADULT

Facility

$738.95

Hospital Charge Code	270654068
Hospital Revenue Code	272
Min. Negotiated Rate	$110.84
Max. Negotiated Rate	$110.84
Rate for Payer: Qualcare PPO/HMO/WC	$110.84

TUBE ET SHER-I-BRONCH 35FR LT

Facility

$685.00

Hospital Charge Code	270657414
Hospital Revenue Code	272
Min. Negotiated Rate	$89.05
Max. Negotiated Rate	$342.50
Rate for Payer: Aetna Commercial	$205.50
Rate for Payer: Aetna Medicare Advantage	$205.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$174.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$174.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$174.68
Rate for Payer: Cigna Commercial	$342.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.05
Rate for Payer: Oxford Commercial	$342.50
Rate for Payer: Qualcare PPO/HMO/WC	$102.75
Rate for Payer: UnitedHealthcare Commercial	$342.50

Know your out-of-pocket cost for care.

All Charges