Heights University Hospital

All Charges

Charge

Type

Setting

Price

TUBE HI/LOW EVAC SZ 8

Facility

$179.96

Hospital Charge Code	270650104
Hospital Revenue Code	270
Min. Negotiated Rate	$26.99
Max. Negotiated Rate	$26.99
Rate for Payer: Qualcare PPO/HMO/WC	$26.99

TUBE HI/LOW EVAC SZ 8

Facility

$179.96

Hospital Charge Code	270650104
Hospital Revenue Code	270
Min. Negotiated Rate	$23.39
Max. Negotiated Rate	$89.98
Rate for Payer: Aetna Commercial	$53.99
Rate for Payer: Aetna Medicare Advantage	$53.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.89
Rate for Payer: Cigna Commercial	$89.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.39
Rate for Payer: Oxford Commercial	$89.98
Rate for Payer: Qualcare PPO/HMO/WC	$26.99
Rate for Payer: UnitedHealthcare Commercial	$89.98

TUBE HI/LOW EVAC SZ 8.5

Facility

$203.14

Hospital Charge Code	270650105
Hospital Revenue Code	270
Min. Negotiated Rate	$26.41
Max. Negotiated Rate	$101.57
Rate for Payer: Aetna Commercial	$60.94
Rate for Payer: Aetna Medicare Advantage	$60.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.80
Rate for Payer: Cigna Commercial	$101.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.41
Rate for Payer: Oxford Commercial	$101.57
Rate for Payer: Qualcare PPO/HMO/WC	$30.47
Rate for Payer: UnitedHealthcare Commercial	$101.57

TUBE HI/LOW EVAC SZ 8.5

Facility

$203.14

Hospital Charge Code	270650105
Hospital Revenue Code	270
Min. Negotiated Rate	$30.47
Max. Negotiated Rate	$30.47
Rate for Payer: Qualcare PPO/HMO/WC	$30.47

TUBE HI/LOW EVAC SZ 9

Facility

$121.64

Hospital Charge Code	270650106
Hospital Revenue Code	270
Min. Negotiated Rate	$18.25
Max. Negotiated Rate	$18.25
Rate for Payer: Qualcare PPO/HMO/WC	$18.25

TUBE HI/LOW EVAC SZ 9

Facility

$121.64

Hospital Charge Code	270650106
Hospital Revenue Code	270
Min. Negotiated Rate	$15.81
Max. Negotiated Rate	$60.82
Rate for Payer: Aetna Commercial	$36.49
Rate for Payer: Aetna Medicare Advantage	$36.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.02
Rate for Payer: Cigna Commercial	$60.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.81
Rate for Payer: Oxford Commercial	$60.82
Rate for Payer: Qualcare PPO/HMO/WC	$18.25
Rate for Payer: UnitedHealthcare Commercial	$60.82

TUBE, HI PRESSURE

Facility

$76.00

Hospital Charge Code	2008150
Hospital Revenue Code	272
Min. Negotiated Rate	$11.40
Max. Negotiated Rate	$11.40
Rate for Payer: Qualcare PPO/HMO/WC	$11.40

TUBE, HI PRESSURE

Facility

$76.00

Hospital Charge Code	2008150
Hospital Revenue Code	272
Min. Negotiated Rate	$9.88
Max. Negotiated Rate	$38.00
Rate for Payer: Aetna Commercial	$22.80
Rate for Payer: Aetna Medicare Advantage	$22.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.38
Rate for Payer: Cigna Commercial	$38.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.88
Rate for Payer: Oxford Commercial	$38.00
Rate for Payer: Qualcare PPO/HMO/WC	$11.40
Rate for Payer: UnitedHealthcare Commercial	$38.00

TUBE HMD EXCH 0217-0-012

Facility

$1,058.45

Hospital Charge Code	270617158
Hospital Revenue Code	272
Min. Negotiated Rate	$158.77
Max. Negotiated Rate	$158.77
Rate for Payer: Qualcare PPO/HMO/WC	$158.77

TUBE HMD EXCH 0217-0-012

Facility

$1,058.45

Hospital Charge Code	270617158
Hospital Revenue Code	272
Min. Negotiated Rate	$137.60
Max. Negotiated Rate	$529.23
Rate for Payer: Aetna Commercial	$317.54
Rate for Payer: Aetna Medicare Advantage	$317.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$269.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$269.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$269.90
Rate for Payer: Cigna Commercial	$529.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.60
Rate for Payer: Oxford Commercial	$529.23
Rate for Payer: Qualcare PPO/HMO/WC	$158.77
Rate for Payer: UnitedHealthcare Commercial	$529.23

TUBE INFLOW HYSTEROSCOPIC

Facility

$1,555.05

Hospital Charge Code	270700291
Hospital Revenue Code	272
Min. Negotiated Rate	$202.16
Max. Negotiated Rate	$777.52
Rate for Payer: Aetna Commercial	$466.51
Rate for Payer: Aetna Medicare Advantage	$466.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$396.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$396.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$396.54
Rate for Payer: Cigna Commercial	$777.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$202.16
Rate for Payer: Oxford Commercial	$777.52
Rate for Payer: Qualcare PPO/HMO/WC	$233.26
Rate for Payer: UnitedHealthcare Commercial	$777.52

TUBE INFLOW HYSTEROSCOPIC

Facility

$1,555.05

Hospital Charge Code	270700291
Hospital Revenue Code	272
Min. Negotiated Rate	$233.26
Max. Negotiated Rate	$233.26
Rate for Payer: Qualcare PPO/HMO/WC	$233.26

TUBE INJECTION

Facility

$695.05

Hospital Charge Code	270677429
Hospital Revenue Code	272
Min. Negotiated Rate	$104.26
Max. Negotiated Rate	$104.26
Rate for Payer: Qualcare PPO/HMO/WC	$104.26

TUBE INJECTION

Facility

$695.05

Hospital Charge Code	270677429
Hospital Revenue Code	272
Min. Negotiated Rate	$90.36
Max. Negotiated Rate	$347.52
Rate for Payer: Aetna Commercial	$208.51
Rate for Payer: Aetna Medicare Advantage	$208.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$177.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$177.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$177.24
Rate for Payer: Cigna Commercial	$347.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.36
Rate for Payer: Oxford Commercial	$347.52
Rate for Payer: Qualcare PPO/HMO/WC	$104.26
Rate for Payer: UnitedHealthcare Commercial	$347.52

TUBE INNER CANNULA TRACH4 4DIC

Facility

$13.58

Hospital Charge Code	270302425
Hospital Revenue Code	272
Min. Negotiated Rate	$1.77
Max. Negotiated Rate	$6.79
Rate for Payer: Aetna Commercial	$4.07
Rate for Payer: Aetna Medicare Advantage	$4.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.46
Rate for Payer: Cigna Commercial	$6.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.77
Rate for Payer: Oxford Commercial	$6.79
Rate for Payer: Qualcare PPO/HMO/WC	$2.04
Rate for Payer: UnitedHealthcare Commercial	$6.79

TUBE INNER CANNULA TRACH4 4DIC

Facility

$13.58

Hospital Charge Code	270302425
Hospital Revenue Code	272
Min. Negotiated Rate	$2.04
Max. Negotiated Rate	$2.04
Rate for Payer: Qualcare PPO/HMO/WC	$2.04

TUBE INNER CANNULA TRACH 4DIC

Facility

$17.50

Hospital Charge Code	270602425
Hospital Revenue Code	270
Min. Negotiated Rate	$2.27
Max. Negotiated Rate	$8.75
Rate for Payer: Aetna Commercial	$5.25
Rate for Payer: Aetna Medicare Advantage	$5.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.46
Rate for Payer: Cigna Commercial	$8.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.27
Rate for Payer: Oxford Commercial	$8.75
Rate for Payer: Qualcare PPO/HMO/WC	$2.62
Rate for Payer: UnitedHealthcare Commercial	$8.75

TUBE INNER CANNULA TRACH 4DIC

Facility

$17.50

Hospital Charge Code	270602425
Hospital Revenue Code	270
Min. Negotiated Rate	$2.62
Max. Negotiated Rate	$2.62
Rate for Payer: Qualcare PPO/HMO/WC	$2.62

TUBE INNER CANNULA TRACH 6DIC

Facility

$19.30

Hospital Charge Code	270302426
Hospital Revenue Code	272
Min. Negotiated Rate	$2.90
Max. Negotiated Rate	$2.90
Rate for Payer: Qualcare PPO/HMO/WC	$2.90

TUBE INNER CANNULA TRACH 6DIC

Facility

$19.30

Hospital Charge Code	270302426
Hospital Revenue Code	272
Min. Negotiated Rate	$2.51
Max. Negotiated Rate	$9.65
Rate for Payer: Aetna Commercial	$5.79
Rate for Payer: Aetna Medicare Advantage	$5.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.92
Rate for Payer: Cigna Commercial	$9.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.51
Rate for Payer: Oxford Commercial	$9.65
Rate for Payer: Qualcare PPO/HMO/WC	$2.90
Rate for Payer: UnitedHealthcare Commercial	$9.65

TUBE INTUBATION SET LAC LIS27T

Facility

$735.00

Hospital Charge Code	270641487
Hospital Revenue Code	272
Min. Negotiated Rate	$110.25
Max. Negotiated Rate	$110.25
Rate for Payer: Qualcare PPO/HMO/WC	$110.25

TUBE INTUBATION SET LAC LIS27T

Facility

$735.00

Hospital Charge Code	270641487
Hospital Revenue Code	272
Min. Negotiated Rate	$95.55
Max. Negotiated Rate	$367.50
Rate for Payer: Aetna Commercial	$220.50
Rate for Payer: Aetna Medicare Advantage	$220.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$187.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$187.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$187.43
Rate for Payer: Cigna Commercial	$367.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$95.55
Rate for Payer: Oxford Commercial	$367.50
Rate for Payer: Qualcare PPO/HMO/WC	$110.25
Rate for Payer: UnitedHealthcare Commercial	$367.50

TUBE IRRIGATION

Facility

$375.00

Hospital Charge Code	270688485
Hospital Revenue Code	272
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$56.25
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

TUBE IRRIGATION

Facility

$375.00

Hospital Charge Code	270688533
Hospital Revenue Code	272
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$56.25
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

TUBE IRRIGATION

Facility

$375.00

Hospital Charge Code	270688533
Hospital Revenue Code	272
Min. Negotiated Rate	$48.75
Max. Negotiated Rate	$187.50
Rate for Payer: Aetna Commercial	$112.50
Rate for Payer: Aetna Medicare Advantage	$112.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.62
Rate for Payer: Cigna Commercial	$187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.75
Rate for Payer: Oxford Commercial	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$56.25
Rate for Payer: UnitedHealthcare Commercial	$187.50

Know your out-of-pocket cost for care.

All Charges