Heights University Hospital

All Charges

Charge

Type

Setting

Price

TUBE ET SHER-I-BRONCH 35FR LT

Facility

$685.00

Hospital Charge Code	270657414
Hospital Revenue Code	272
Min. Negotiated Rate	$102.75
Max. Negotiated Rate	$102.75
Rate for Payer: Qualcare PPO/HMO/WC	$102.75

TUBE ET SHER-I-BRONCH 37FR LT

Facility

$705.45

Hospital Charge Code	270652547
Hospital Revenue Code	272
Min. Negotiated Rate	$105.82
Max. Negotiated Rate	$105.82
Rate for Payer: Qualcare PPO/HMO/WC	$105.82

TUBE ET SHER-I-BRONCH 37FR LT

Facility

$705.45

Hospital Charge Code	270652547
Hospital Revenue Code	272
Min. Negotiated Rate	$91.71
Max. Negotiated Rate	$352.73
Rate for Payer: Aetna Commercial	$211.63
Rate for Payer: Aetna Medicare Advantage	$211.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$179.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$179.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$179.89
Rate for Payer: Cigna Commercial	$352.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.71
Rate for Payer: Oxford Commercial	$352.73
Rate for Payer: Qualcare PPO/HMO/WC	$105.82
Rate for Payer: UnitedHealthcare Commercial	$352.73

TUBE EWALD *******

Facility

$55.00

Hospital Charge Code	8000689
Hospital Revenue Code	279
Min. Negotiated Rate	$7.15
Max. Negotiated Rate	$27.50
Rate for Payer: Aetna Commercial	$16.50
Rate for Payer: Aetna Medicare Advantage	$16.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.03
Rate for Payer: Cigna Commercial	$27.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.15
Rate for Payer: Oxford Commercial	$27.50
Rate for Payer: Qualcare PPO/HMO/WC	$8.25
Rate for Payer: UnitedHealthcare Commercial	$27.50

TUBE EWALD *******

Facility

$55.00

Hospital Charge Code	8000689
Hospital Revenue Code	279
Min. Negotiated Rate	$8.25
Max. Negotiated Rate	$8.25
Rate for Payer: Qualcare PPO/HMO/WC	$8.25

TUBE FAST TRACK ET 7.0

Facility

$335.00

Hospital Charge Code	270625558
Hospital Revenue Code	272
Min. Negotiated Rate	$43.55
Max. Negotiated Rate	$167.50
Rate for Payer: Aetna Commercial	$100.50
Rate for Payer: Aetna Medicare Advantage	$100.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$85.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$85.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$85.42
Rate for Payer: Cigna Commercial	$167.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.55
Rate for Payer: Oxford Commercial	$167.50
Rate for Payer: Qualcare PPO/HMO/WC	$50.25
Rate for Payer: UnitedHealthcare Commercial	$167.50

TUBE FAST TRACK ET 7.0

Facility

$335.00

Hospital Charge Code	270625558
Hospital Revenue Code	272
Min. Negotiated Rate	$50.25
Max. Negotiated Rate	$50.25
Rate for Payer: Qualcare PPO/HMO/WC	$50.25

TUBE FDG ENDOVIV 12FR TTP PIGT

Facility

$682.20

Hospital Charge Code	270686529
Hospital Revenue Code	272
Min. Negotiated Rate	$102.33
Max. Negotiated Rate	$102.33
Rate for Payer: Qualcare PPO/HMO/WC	$102.33

TUBE FDG ENDOVIV 12FR TTP PIGT

Facility

$682.20

Hospital Charge Code	270686529
Hospital Revenue Code	272
Min. Negotiated Rate	$88.69
Max. Negotiated Rate	$341.10
Rate for Payer: Aetna Commercial	$204.66
Rate for Payer: Aetna Medicare Advantage	$204.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$173.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$173.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$173.96
Rate for Payer: Cigna Commercial	$341.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$88.69
Rate for Payer: Oxford Commercial	$341.10
Rate for Payer: Qualcare PPO/HMO/WC	$102.33
Rate for Payer: UnitedHealthcare Commercial	$341.10

TUBE FDNG ENDOVIV 12FR TTP BNT

Facility

$682.20

Hospital Charge Code	270686528
Hospital Revenue Code	272
Min. Negotiated Rate	$88.69
Max. Negotiated Rate	$341.10
Rate for Payer: Aetna Commercial	$204.66
Rate for Payer: Aetna Medicare Advantage	$204.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$173.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$173.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$173.96
Rate for Payer: Cigna Commercial	$341.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$88.69
Rate for Payer: Oxford Commercial	$341.10
Rate for Payer: Qualcare PPO/HMO/WC	$102.33
Rate for Payer: UnitedHealthcare Commercial	$341.10

TUBE FDNG ENDOVIV 12FR TTP BNT

Facility

$682.20

Hospital Charge Code	270686528
Hospital Revenue Code	272
Min. Negotiated Rate	$102.33
Max. Negotiated Rate	$102.33
Rate for Payer: Qualcare PPO/HMO/WC	$102.33

TUBE FEEDING 10FR

Facility

$13.65

Hospital Charge Code	270302305
Hospital Revenue Code	272
Min. Negotiated Rate	$1.77
Max. Negotiated Rate	$6.83
Rate for Payer: Aetna Commercial	$4.09
Rate for Payer: Aetna Medicare Advantage	$4.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.48
Rate for Payer: Cigna Commercial	$6.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.77
Rate for Payer: Oxford Commercial	$6.83
Rate for Payer: Qualcare PPO/HMO/WC	$2.05
Rate for Payer: UnitedHealthcare Commercial	$6.83

TUBE FEEDING 10FR

Facility

$13.65

Hospital Charge Code	270302305
Hospital Revenue Code	272
Min. Negotiated Rate	$2.05
Max. Negotiated Rate	$2.05
Rate for Payer: Qualcare PPO/HMO/WC	$2.05

TUBE FEEDING 18FR TRANSG/JEJUN

Facility

$1,134.90

Hospital Charge Code	270644695
Hospital Revenue Code	272
Min. Negotiated Rate	$147.54
Max. Negotiated Rate	$567.45
Rate for Payer: Aetna Commercial	$340.47
Rate for Payer: Aetna Medicare Advantage	$340.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$289.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$289.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$289.40
Rate for Payer: Cigna Commercial	$567.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.54
Rate for Payer: Oxford Commercial	$567.45
Rate for Payer: Qualcare PPO/HMO/WC	$170.24
Rate for Payer: UnitedHealthcare Commercial	$567.45

TUBE FEEDING 18FR TRANSG/JEJUN

Facility

$1,134.90

Hospital Charge Code	270644695
Hospital Revenue Code	272
Min. Negotiated Rate	$170.24
Max. Negotiated Rate	$170.24
Rate for Payer: Qualcare PPO/HMO/WC	$170.24

TUBE FEEDING 3.5FR

Facility

$16.85

Hospital Charge Code	270302290
Hospital Revenue Code	272
Min. Negotiated Rate	$2.53
Max. Negotiated Rate	$2.53
Rate for Payer: Qualcare PPO/HMO/WC	$2.53

TUBE FEEDING 3.5FR

Facility

$16.85

Hospital Charge Code	270302290
Hospital Revenue Code	272
Min. Negotiated Rate	$2.19
Max. Negotiated Rate	$8.43
Rate for Payer: Aetna Commercial	$5.05
Rate for Payer: Aetna Medicare Advantage	$5.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.30
Rate for Payer: Cigna Commercial	$8.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.19
Rate for Payer: Oxford Commercial	$8.43
Rate for Payer: Qualcare PPO/HMO/WC	$2.53
Rate for Payer: UnitedHealthcare Commercial	$8.43

TUBE FEEDING 5FR

Facility

$7.25

Hospital Charge Code	270302295
Hospital Revenue Code	272
Min. Negotiated Rate	$1.09
Max. Negotiated Rate	$1.09
Rate for Payer: Qualcare PPO/HMO/WC	$1.09

TUBE FEEDING 5FR

Facility

$7.25

Hospital Charge Code	270302295
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

TUBE FEEDING 8FR

Facility

$9.65

Hospital Charge Code	270302300
Hospital Revenue Code	272
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$4.83
Rate for Payer: Aetna Commercial	$2.90
Rate for Payer: Aetna Medicare Advantage	$2.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.46
Rate for Payer: Cigna Commercial	$4.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.25
Rate for Payer: Oxford Commercial	$4.83
Rate for Payer: Qualcare PPO/HMO/WC	$1.45
Rate for Payer: UnitedHealthcare Commercial	$4.83

TUBE FEEDING 8FR

Facility

$9.65

Hospital Charge Code	270302300
Hospital Revenue Code	272
Min. Negotiated Rate	$1.45
Max. Negotiated Rate	$1.45
Rate for Payer: Qualcare PPO/HMO/WC	$1.45

TUBE FEEDING 8FR *******

Facility

$4.00

Hospital Charge Code	8000820
Hospital Revenue Code	279
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

TUBE FEEDING 8FR *******

Facility

$4.00

Hospital Charge Code	8000820
Hospital Revenue Code	279
Min. Negotiated Rate	$0.52
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.20
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.52
Rate for Payer: Oxford Commercial	$2.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$2.00

TUBE FEEDING ENDOVIVE 12 FR

Facility

$682.20

Hospital Charge Code	270689189
Hospital Revenue Code	272
Min. Negotiated Rate	$102.33
Max. Negotiated Rate	$102.33
Rate for Payer: Qualcare PPO/HMO/WC	$102.33

TUBE FEEDING ENDOVIVE 12 FR

Facility

$682.20

Hospital Charge Code	270689189
Hospital Revenue Code	272
Min. Negotiated Rate	$88.69
Max. Negotiated Rate	$341.10
Rate for Payer: Aetna Commercial	$204.66
Rate for Payer: Aetna Medicare Advantage	$204.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$173.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$173.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$173.96
Rate for Payer: Cigna Commercial	$341.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$88.69
Rate for Payer: Oxford Commercial	$341.10
Rate for Payer: Qualcare PPO/HMO/WC	$102.33
Rate for Payer: UnitedHealthcare Commercial	$341.10

Know your out-of-pocket cost for care.

All Charges