Heights University Hospital

All Charges

Charge

Type

Setting

Price

TUBE FEEDING FLOW 20SSK G31542

Facility

$482.50

Hospital Charge Code	270642117
Hospital Revenue Code	272
Min. Negotiated Rate	$72.38
Max. Negotiated Rate	$72.38
Rate for Payer: Qualcare PPO/HMO/WC	$72.38

TUBE FEEDING FLOW 20SSK G31542

Facility

$482.50

Hospital Charge Code	270642117
Hospital Revenue Code	272
Min. Negotiated Rate	$62.73
Max. Negotiated Rate	$241.25
Rate for Payer: Aetna Commercial	$144.75
Rate for Payer: Aetna Medicare Advantage	$144.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$123.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$123.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$123.04
Rate for Payer: Cigna Commercial	$241.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.73
Rate for Payer: Oxford Commercial	$241.25
Rate for Payer: Qualcare PPO/HMO/WC	$72.38
Rate for Payer: UnitedHealthcare Commercial	$241.25

TUBE FEEDING FLOW 20SSK G31545

Facility

$482.50

Hospital Charge Code	270642118
Hospital Revenue Code	272
Min. Negotiated Rate	$72.38
Max. Negotiated Rate	$72.38
Rate for Payer: Qualcare PPO/HMO/WC	$72.38

TUBE FEEDING FLOW 20SSK G31545

Facility

$482.50

Hospital Charge Code	270642118
Hospital Revenue Code	272
Min. Negotiated Rate	$62.73
Max. Negotiated Rate	$241.25
Rate for Payer: Aetna Commercial	$144.75
Rate for Payer: Aetna Medicare Advantage	$144.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$123.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$123.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$123.04
Rate for Payer: Cigna Commercial	$241.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.73
Rate for Payer: Oxford Commercial	$241.25
Rate for Payer: Qualcare PPO/HMO/WC	$72.38
Rate for Payer: UnitedHealthcare Commercial	$241.25

TUBE FEEDING INFANT 5FR

Facility

$3.94

Hospital Charge Code	270649917
Hospital Revenue Code	272
Min. Negotiated Rate	$0.59
Max. Negotiated Rate	$0.59
Rate for Payer: Qualcare PPO/HMO/WC	$0.59

TUBE FEEDING INFANT 5FR

Facility

$3.94

Hospital Charge Code	270649917
Hospital Revenue Code	272
Min. Negotiated Rate	$0.51
Max. Negotiated Rate	$1.97
Rate for Payer: Aetna Commercial	$1.18
Rate for Payer: Aetna Medicare Advantage	$1.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.00
Rate for Payer: Cigna Commercial	$1.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.51
Rate for Payer: Oxford Commercial	$1.97
Rate for Payer: Qualcare PPO/HMO/WC	$0.59
Rate for Payer: UnitedHealthcare Commercial	$1.97

TUBE FEEDING INFANT 8FR

Facility

$3.94

Hospital Charge Code	270649918
Hospital Revenue Code	272
Min. Negotiated Rate	$0.51
Max. Negotiated Rate	$1.97
Rate for Payer: Aetna Commercial	$1.18
Rate for Payer: Aetna Medicare Advantage	$1.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.00
Rate for Payer: Cigna Commercial	$1.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.51
Rate for Payer: Oxford Commercial	$1.97
Rate for Payer: Qualcare PPO/HMO/WC	$0.59
Rate for Payer: UnitedHealthcare Commercial	$1.97

TUBE FEEDING INFANT 8FR

Facility

$3.94

Hospital Charge Code	270649918
Hospital Revenue Code	272
Min. Negotiated Rate	$0.59
Max. Negotiated Rate	$0.59
Rate for Payer: Qualcare PPO/HMO/WC	$0.59

TUBE, FEEDING JEJUNAL 12FR

Facility

$311.00

Hospital Charge Code	270330691
Hospital Revenue Code	272
Min. Negotiated Rate	$46.65
Max. Negotiated Rate	$46.65
Rate for Payer: Qualcare PPO/HMO/WC	$46.65

TUBE, FEEDING JEJUNAL 12FR

Facility

$311.00

Hospital Charge Code	270330691
Hospital Revenue Code	272
Min. Negotiated Rate	$40.43
Max. Negotiated Rate	$155.50
Rate for Payer: Aetna Commercial	$93.30
Rate for Payer: Aetna Medicare Advantage	$93.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$79.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$79.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$79.31
Rate for Payer: Cigna Commercial	$155.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.43
Rate for Payer: Oxford Commercial	$155.50
Rate for Payer: Qualcare PPO/HMO/WC	$46.65
Rate for Payer: UnitedHealthcare Commercial	$155.50

TUBE, FEEDING, JEJUNAL, ENFIT

Facility

$195.20

Hospital Charge Code	270687773
Hospital Revenue Code	272
Min. Negotiated Rate	$25.38
Max. Negotiated Rate	$97.60
Rate for Payer: Aetna Commercial	$58.56
Rate for Payer: Aetna Medicare Advantage	$58.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.78
Rate for Payer: Cigna Commercial	$97.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.38
Rate for Payer: Oxford Commercial	$97.60
Rate for Payer: Qualcare PPO/HMO/WC	$29.28
Rate for Payer: UnitedHealthcare Commercial	$97.60

TUBE, FEEDING, JEJUNAL, ENFIT

Facility

$195.20

Hospital Charge Code	270687772
Hospital Revenue Code	272
Min. Negotiated Rate	$29.28
Max. Negotiated Rate	$29.28
Rate for Payer: Qualcare PPO/HMO/WC	$29.28

TUBE, FEEDING, JEJUNAL, ENFIT

Facility

$195.20

Hospital Charge Code	270687772
Hospital Revenue Code	272
Min. Negotiated Rate	$25.38
Max. Negotiated Rate	$97.60
Rate for Payer: Aetna Commercial	$58.56
Rate for Payer: Aetna Medicare Advantage	$58.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.78
Rate for Payer: Cigna Commercial	$97.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.38
Rate for Payer: Oxford Commercial	$97.60
Rate for Payer: Qualcare PPO/HMO/WC	$29.28
Rate for Payer: UnitedHealthcare Commercial	$97.60

TUBE, FEEDING, JEJUNAL, ENFIT

Facility

$195.20

Hospital Charge Code	270687773
Hospital Revenue Code	272
Min. Negotiated Rate	$29.28
Max. Negotiated Rate	$29.28
Rate for Payer: Qualcare PPO/HMO/WC	$29.28

TUBE, FEEDING, JEJUNAL, ENFIT

Facility

$195.20

Hospital Charge Code	270687774
Hospital Revenue Code	272
Min. Negotiated Rate	$25.38
Max. Negotiated Rate	$97.60
Rate for Payer: Aetna Commercial	$58.56
Rate for Payer: Aetna Medicare Advantage	$58.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.78
Rate for Payer: Cigna Commercial	$97.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.38
Rate for Payer: Oxford Commercial	$97.60
Rate for Payer: Qualcare PPO/HMO/WC	$29.28
Rate for Payer: UnitedHealthcare Commercial	$97.60

TUBE, FEEDING, JEJUNAL, ENFIT

Facility

$195.20

Hospital Charge Code	270687775
Hospital Revenue Code	272
Min. Negotiated Rate	$29.28
Max. Negotiated Rate	$29.28
Rate for Payer: Qualcare PPO/HMO/WC	$29.28

TUBE, FEEDING, JEJUNAL, ENFIT

Facility

$195.20

Hospital Charge Code	270687774
Hospital Revenue Code	272
Min. Negotiated Rate	$29.28
Max. Negotiated Rate	$29.28
Rate for Payer: Qualcare PPO/HMO/WC	$29.28

TUBE, FEEDING, JEJUNAL, ENFIT

Facility

$195.20

Hospital Charge Code	270687775
Hospital Revenue Code	272
Min. Negotiated Rate	$25.38
Max. Negotiated Rate	$97.60
Rate for Payer: Aetna Commercial	$58.56
Rate for Payer: Aetna Medicare Advantage	$58.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.78
Rate for Payer: Cigna Commercial	$97.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.38
Rate for Payer: Oxford Commercial	$97.60
Rate for Payer: Qualcare PPO/HMO/WC	$29.28
Rate for Payer: UnitedHealthcare Commercial	$97.60

TUBE FEED JEJU 24FR PEGJ1224

Facility

$460.00

Hospital Charge Code	270641311
Hospital Revenue Code	272
Min. Negotiated Rate	$59.80
Max. Negotiated Rate	$230.00
Rate for Payer: Aetna Commercial	$138.00
Rate for Payer: Aetna Medicare Advantage	$138.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$117.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$117.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$117.30
Rate for Payer: Cigna Commercial	$230.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.80
Rate for Payer: Oxford Commercial	$230.00
Rate for Payer: Qualcare PPO/HMO/WC	$69.00
Rate for Payer: UnitedHealthcare Commercial	$230.00

TUBE FEED JEJU 24FR PEGJ1224

Facility

$460.00

Hospital Charge Code	270641311
Hospital Revenue Code	272
Min. Negotiated Rate	$69.00
Max. Negotiated Rate	$69.00
Rate for Payer: Qualcare PPO/HMO/WC	$69.00

TUBE FEUERSTEIN DRAIN MYRNG***

Facility

$28.00

Hospital Charge Code	1600659
Hospital Revenue Code	272
Min. Negotiated Rate	$4.20
Max. Negotiated Rate	$4.20
Rate for Payer: Qualcare PPO/HMO/WC	$4.20

TUBE FEUERSTEIN DRAIN MYRNG***

Facility

$28.00

Hospital Charge Code	1600659
Hospital Revenue Code	272
Min. Negotiated Rate	$3.64
Max. Negotiated Rate	$14.00
Rate for Payer: Aetna Commercial	$8.40
Rate for Payer: Aetna Medicare Advantage	$8.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.14
Rate for Payer: Cigna Commercial	$14.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.64
Rate for Payer: Oxford Commercial	$14.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.20
Rate for Payer: UnitedHealthcare Commercial	$14.00

TUBE FIXATOR LP CORETRAK 16x80

Facility

$11,200.00

Hospital Charge Code	270680472
Hospital Revenue Code	272
Min. Negotiated Rate	$1,680.00
Max. Negotiated Rate	$1,680.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,680.00

TUBE FIXATOR LP CORETRAK 16x80

Facility

$11,200.00

Hospital Charge Code	270680472
Hospital Revenue Code	272
Min. Negotiated Rate	$1,456.00
Max. Negotiated Rate	$5,600.00
Rate for Payer: Aetna Commercial	$3,360.00
Rate for Payer: Aetna Medicare Advantage	$3,360.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,856.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,856.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,856.00
Rate for Payer: Cigna Commercial	$5,600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,456.00
Rate for Payer: Oxford Commercial	$5,600.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,680.00
Rate for Payer: UnitedHealthcare Commercial	$5,600.00

TUBE FLATUS*****

Facility

$30.00

Hospital Charge Code	8000705
Hospital Revenue Code	279
Min. Negotiated Rate	$3.90
Max. Negotiated Rate	$15.00
Rate for Payer: Aetna Commercial	$9.00
Rate for Payer: Aetna Medicare Advantage	$9.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.65
Rate for Payer: Cigna Commercial	$15.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.90
Rate for Payer: Oxford Commercial	$15.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.50
Rate for Payer: UnitedHealthcare Commercial	$15.00

Know your out-of-pocket cost for care.

All Charges