Heights University Hospital

All Charges

Charge

Type

Setting

Price

TUBE LEVINE 12FR

Facility

$7.25

Hospital Charge Code	270302315
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 LEVINE 16FR

Facility

$7.25

Hospital Charge Code	270302325
Hospital Revenue Code	272
Min. Negotiated Rate	$1.09
Max. Negotiated Rate	$1.09
Rate for Payer: Qualcare PPO/HMO/WC	$1.09

TUBE LEVINE 16FR

Facility

$7.25

Hospital Charge Code	270302325
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 LEVINE 18FR

Facility

$3.19

Hospital Charge Code	270649943
Hospital Revenue Code	272
Min. Negotiated Rate	$0.48
Max. Negotiated Rate	$0.48
Rate for Payer: Qualcare PPO/HMO/WC	$0.48

TUBE LEVINE 18FR

Facility

$3.19

Hospital Charge Code	270649943
Hospital Revenue Code	272
Min. Negotiated Rate	$0.41
Max. Negotiated Rate	$1.59
Rate for Payer: Aetna Commercial	$0.96
Rate for Payer: Aetna Medicare Advantage	$0.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.81
Rate for Payer: Cigna Commercial	$1.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.41
Rate for Payer: Oxford Commercial	$1.59
Rate for Payer: Qualcare PPO/HMO/WC	$0.48
Rate for Payer: UnitedHealthcare Commercial	$1.59

TUBE LIFE SAVING ADULT HUDSON

Facility

$28.00

Hospital Charge Code	270331356
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 LIFE SAVING ADULT HUDSON

Facility

$4.34

Hospital Charge Code	270649929
Hospital Revenue Code	270
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$0.65
Rate for Payer: Qualcare PPO/HMO/WC	$0.65

TUBE LIFE SAVING ADULT HUDSON

Facility

$4.34

Hospital Charge Code	270649929
Hospital Revenue Code	270
Min. Negotiated Rate	$0.56
Max. Negotiated Rate	$2.17
Rate for Payer: Aetna Commercial	$1.30
Rate for Payer: Aetna Medicare Advantage	$1.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.11
Rate for Payer: Cigna Commercial	$2.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.56
Rate for Payer: Oxford Commercial	$2.17
Rate for Payer: Qualcare PPO/HMO/WC	$0.65
Rate for Payer: UnitedHealthcare Commercial	$2.17

TUBE LIFE SAVING ADULT HUDSON

Facility

$28.00

Hospital Charge Code	270331356
Hospital Revenue Code	272
Min. Negotiated Rate	$4.20
Max. Negotiated Rate	$4.20
Rate for Payer: Qualcare PPO/HMO/WC	$4.20

TUBE LSR SHLD II 5.5MM 7060250

Facility

$868.75

Hospital Charge Code	270607058
Hospital Revenue Code	272
Min. Negotiated Rate	$130.31
Max. Negotiated Rate	$130.31
Rate for Payer: Qualcare PPO/HMO/WC	$130.31

TUBE LSR SHLD II 5.5MM 7060250

Facility

$868.75

Hospital Charge Code	270607058
Hospital Revenue Code	272
Min. Negotiated Rate	$112.94
Max. Negotiated Rate	$434.38
Rate for Payer: Aetna Commercial	$260.62
Rate for Payer: Aetna Medicare Advantage	$260.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$221.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$221.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$221.53
Rate for Payer: Cigna Commercial	$434.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$112.94
Rate for Payer: Oxford Commercial	$434.38
Rate for Payer: Qualcare PPO/HMO/WC	$130.31
Rate for Payer: UnitedHealthcare Commercial	$434.38

TUBE MCV FEEDING JEJ 12F 6643

Facility

$503.25

Hospital Charge Code	270620419
Hospital Revenue Code	272
Min. Negotiated Rate	$75.49
Max. Negotiated Rate	$75.49
Rate for Payer: Qualcare PPO/HMO/WC	$75.49

TUBE MCV FEEDING JEJ 12F 6643

Facility

$503.25

Hospital Charge Code	270620419
Hospital Revenue Code	272
Min. Negotiated Rate	$65.42
Max. Negotiated Rate	$251.62
Rate for Payer: Aetna Commercial	$150.97
Rate for Payer: Aetna Medicare Advantage	$150.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$128.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$128.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$128.33
Rate for Payer: Cigna Commercial	$251.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.42
Rate for Payer: Oxford Commercial	$251.62
Rate for Payer: Qualcare PPO/HMO/WC	$75.49
Rate for Payer: UnitedHealthcare Commercial	$251.62

TUBE MCV GASTROST REPLC 6220

Facility

$195.00

Hospital Charge Code	270614167
Hospital Revenue Code	272
Min. Negotiated Rate	$25.35
Max. Negotiated Rate	$97.50
Rate for Payer: Aetna Commercial	$58.50
Rate for Payer: Aetna Medicare Advantage	$58.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.73
Rate for Payer: Cigna Commercial	$97.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.35
Rate for Payer: Oxford Commercial	$97.50
Rate for Payer: Qualcare PPO/HMO/WC	$29.25
Rate for Payer: UnitedHealthcare Commercial	$97.50

TUBE MCV GASTROST REPLC 6220

Facility

$195.00

Hospital Charge Code	270614167
Hospital Revenue Code	272
Min. Negotiated Rate	$29.25
Max. Negotiated Rate	$29.25
Rate for Payer: Qualcare PPO/HMO/WC	$29.25

TUBE MEDULLARY 35501

Facility

$364.65

Hospital Charge Code	270633856
Hospital Revenue Code	272
Min. Negotiated Rate	$47.40
Max. Negotiated Rate	$182.32
Rate for Payer: Aetna Commercial	$109.39
Rate for Payer: Aetna Medicare Advantage	$109.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.99
Rate for Payer: Cigna Commercial	$182.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.40
Rate for Payer: Oxford Commercial	$182.32
Rate for Payer: Qualcare PPO/HMO/WC	$54.70
Rate for Payer: UnitedHealthcare Commercial	$182.32

TUBE MEDULLARY 35501

Facility

$364.65

Hospital Charge Code	270633856
Hospital Revenue Code	272
Min. Negotiated Rate	$54.70
Max. Negotiated Rate	$54.70
Rate for Payer: Qualcare PPO/HMO/WC	$54.70

TUBE MEDULLRY ALIGN 6.3 469395

Facility

$230.00

Hospital Charge Code	270632876
Hospital Revenue Code	272
Min. Negotiated Rate	$34.50
Max. Negotiated Rate	$34.50
Rate for Payer: Qualcare PPO/HMO/WC	$34.50

TUBE MEDULLRY ALIGN 6.3 469395

Facility

$230.00

Hospital Charge Code	270632876
Hospital Revenue Code	272
Min. Negotiated Rate	$29.90
Max. Negotiated Rate	$115.00
Rate for Payer: Aetna Commercial	$69.00
Rate for Payer: Aetna Medicare Advantage	$69.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.65
Rate for Payer: Cigna Commercial	$115.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.90
Rate for Payer: Oxford Commercial	$115.00
Rate for Payer: Qualcare PPO/HMO/WC	$34.50
Rate for Payer: UnitedHealthcare Commercial	$115.00

TUBE MIC GASTROSTOMY ADULT 20

Facility

$220.30

Hospital Charge Code	270666073
Hospital Revenue Code	272
Min. Negotiated Rate	$33.05
Max. Negotiated Rate	$33.05
Rate for Payer: Qualcare PPO/HMO/WC	$33.05

TUBE MIC GASTROSTOMY ADULT 20

Facility

$220.30

Hospital Charge Code	270666073
Hospital Revenue Code	272
Min. Negotiated Rate	$28.64
Max. Negotiated Rate	$110.15
Rate for Payer: Aetna Commercial	$66.09
Rate for Payer: Aetna Medicare Advantage	$66.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.18
Rate for Payer: Cigna Commercial	$110.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.64
Rate for Payer: Oxford Commercial	$110.15
Rate for Payer: Qualcare PPO/HMO/WC	$33.05
Rate for Payer: UnitedHealthcare Commercial	$110.15

TUBE MIC GASTROSTOMY FEED 16FR

Facility

$220.30

Hospital Charge Code	672029
Hospital Revenue Code	272
Min. Negotiated Rate	$28.64
Max. Negotiated Rate	$110.15
Rate for Payer: Aetna Commercial	$66.09
Rate for Payer: Aetna Medicare Advantage	$66.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.18
Rate for Payer: Cigna Commercial	$110.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.64
Rate for Payer: Oxford Commercial	$110.15
Rate for Payer: Qualcare PPO/HMO/WC	$33.05
Rate for Payer: UnitedHealthcare Commercial	$110.15

TUBE MIC GASTROSTOMY FEED 16FR

Facility

$220.30

Hospital Charge Code	672029
Hospital Revenue Code	272
Min. Negotiated Rate	$33.05
Max. Negotiated Rate	$33.05
Rate for Payer: Qualcare PPO/HMO/WC	$33.05

TUBE MIC-KEY GASTRO 16FR 4.0cm

Facility

$512.20

Hospital Charge Code	270672280
Hospital Revenue Code	272
Min. Negotiated Rate	$66.59
Max. Negotiated Rate	$256.10
Rate for Payer: Aetna Commercial	$153.66
Rate for Payer: Aetna Medicare Advantage	$153.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$130.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$130.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$130.61
Rate for Payer: Cigna Commercial	$256.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.59
Rate for Payer: Oxford Commercial	$256.10
Rate for Payer: Qualcare PPO/HMO/WC	$76.83
Rate for Payer: UnitedHealthcare Commercial	$256.10

TUBE MIC-KEY GASTRO 16FR 4.0cm

Facility

$512.20

Hospital Charge Code	270672280
Hospital Revenue Code	272
Min. Negotiated Rate	$76.83
Max. Negotiated Rate	$76.83
Rate for Payer: Qualcare PPO/HMO/WC	$76.83

Know your out-of-pocket cost for care.

All Charges