Heights University Hospital

All Charges

Charge

Type

Setting

Price

TUBE NASAL RAE ENDOTRACH 6.5

Facility

$23.55

Hospital Charge Code	270677054
Hospital Revenue Code	272
Min. Negotiated Rate	$3.53
Max. Negotiated Rate	$3.53
Rate for Payer: Qualcare PPO/HMO/WC	$3.53

TUBE NASAL RAE ENDOTRACH 7.0

Facility

$235.75

Hospital Charge Code	270677055
Hospital Revenue Code	272
Min. Negotiated Rate	$30.65
Max. Negotiated Rate	$117.88
Rate for Payer: Aetna Commercial	$70.72
Rate for Payer: Aetna Medicare Advantage	$70.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.12
Rate for Payer: Cigna Commercial	$117.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.65
Rate for Payer: Oxford Commercial	$117.88
Rate for Payer: Qualcare PPO/HMO/WC	$35.36
Rate for Payer: UnitedHealthcare Commercial	$117.88

TUBE NASAL RAE ENDOTRACH 7.0

Facility

$235.75

Hospital Charge Code	270677055
Hospital Revenue Code	272
Min. Negotiated Rate	$35.36
Max. Negotiated Rate	$35.36
Rate for Payer: Qualcare PPO/HMO/WC	$35.36

TUBE NASAL RAE ENDOTRACH 7.5

Facility

$23.55

Hospital Charge Code	270677056
Hospital Revenue Code	272
Min. Negotiated Rate	$3.06
Max. Negotiated Rate	$11.78
Rate for Payer: Aetna Commercial	$7.07
Rate for Payer: Aetna Medicare Advantage	$7.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.01
Rate for Payer: Cigna Commercial	$11.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.06
Rate for Payer: Oxford Commercial	$11.78
Rate for Payer: Qualcare PPO/HMO/WC	$3.53
Rate for Payer: UnitedHealthcare Commercial	$11.78

TUBE NASAL RAE ENDOTRACH 7.5

Facility

$23.55

Hospital Charge Code	270677056
Hospital Revenue Code	272
Min. Negotiated Rate	$3.53
Max. Negotiated Rate	$3.53
Rate for Payer: Qualcare PPO/HMO/WC	$3.53

TUBE NASAL RAE ENDOTRACH 8.0

Facility

$235.75

Hospital Charge Code	270677057
Hospital Revenue Code	272
Min. Negotiated Rate	$30.65
Max. Negotiated Rate	$117.88
Rate for Payer: Aetna Commercial	$70.72
Rate for Payer: Aetna Medicare Advantage	$70.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.12
Rate for Payer: Cigna Commercial	$117.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.65
Rate for Payer: Oxford Commercial	$117.88
Rate for Payer: Qualcare PPO/HMO/WC	$35.36
Rate for Payer: UnitedHealthcare Commercial	$117.88

TUBE NASAL RAE ENDOTRACH 8.0

Facility

$235.75

Hospital Charge Code	270677057
Hospital Revenue Code	272
Min. Negotiated Rate	$35.36
Max. Negotiated Rate	$35.36
Rate for Payer: Qualcare PPO/HMO/WC	$35.36

TUBE NONCONDUCT 20FR N620A

Facility

$6.16

Hospital Charge Code	270100764
Hospital Revenue Code	272
Min. Negotiated Rate	$0.92
Max. Negotiated Rate	$0.92
Rate for Payer: Qualcare PPO/HMO/WC	$0.92

TUBE NONCONDUCT 20FR N620A

Facility

$6.16

Hospital Charge Code	270100764
Hospital Revenue Code	272
Min. Negotiated Rate	$0.80
Max. Negotiated Rate	$3.08
Rate for Payer: Aetna Commercial	$1.85
Rate for Payer: Aetna Medicare Advantage	$1.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.57
Rate for Payer: Cigna Commercial	$3.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.80
Rate for Payer: Oxford Commercial	$3.08
Rate for Payer: Qualcare PPO/HMO/WC	$0.92
Rate for Payer: UnitedHealthcare Commercial	$3.08

TUBE NONCONDUCT CONNECT 1/4X6'

Facility

$2.32

Hospital Charge Code	270649310
Hospital Revenue Code	272
Min. Negotiated Rate	$0.30
Max. Negotiated Rate	$1.16
Rate for Payer: Aetna Commercial	$0.70
Rate for Payer: Aetna Medicare Advantage	$0.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.59
Rate for Payer: Cigna Commercial	$1.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.30
Rate for Payer: Oxford Commercial	$1.16
Rate for Payer: Qualcare PPO/HMO/WC	$0.35
Rate for Payer: UnitedHealthcare Commercial	$1.16

TUBE NONCONDUCT CONNECT 1/4X6'

Facility

$2.32

Hospital Charge Code	270649310
Hospital Revenue Code	272
Min. Negotiated Rate	$0.35
Max. Negotiated Rate	$0.35
Rate for Payer: Qualcare PPO/HMO/WC	$0.35

TUBE NON CONDUCTIVE 20

Facility

$2.32

Hospital Charge Code	270654182
Hospital Revenue Code	270
Min. Negotiated Rate	$0.30
Max. Negotiated Rate	$1.16
Rate for Payer: Aetna Commercial	$0.70
Rate for Payer: Aetna Medicare Advantage	$0.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.59
Rate for Payer: Cigna Commercial	$1.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.30
Rate for Payer: Oxford Commercial	$1.16
Rate for Payer: Qualcare PPO/HMO/WC	$0.35
Rate for Payer: UnitedHealthcare Commercial	$1.16

TUBE NON CONDUCTIVE 20

Facility

$2.32

Hospital Charge Code	270654182
Hospital Revenue Code	270
Min. Negotiated Rate	$0.35
Max. Negotiated Rate	$0.35
Rate for Payer: Qualcare PPO/HMO/WC	$0.35

TUBE NUPREP 4oz

Facility

$38.20

Hospital Charge Code	270620570
Hospital Revenue Code	272
Min. Negotiated Rate	$5.73
Max. Negotiated Rate	$5.73
Rate for Payer: Qualcare PPO/HMO/WC	$5.73

TUBE NUPREP 4oz

Facility

$38.20

Hospital Charge Code	270620570
Hospital Revenue Code	272
Min. Negotiated Rate	$4.97
Max. Negotiated Rate	$19.10
Rate for Payer: Aetna Commercial	$11.46
Rate for Payer: Aetna Medicare Advantage	$11.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.74
Rate for Payer: Cigna Commercial	$19.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.97
Rate for Payer: Oxford Commercial	$19.10
Rate for Payer: Qualcare PPO/HMO/WC	$5.73
Rate for Payer: UnitedHealthcare Commercial	$19.10

TUBE ORAL RAE CUFFED 4.5MM

Facility

$187.45

Hospital Charge Code	270656299
Hospital Revenue Code	271
Min. Negotiated Rate	$24.37
Max. Negotiated Rate	$93.72
Rate for Payer: Aetna Commercial	$56.23
Rate for Payer: Aetna Medicare Advantage	$56.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.80
Rate for Payer: Cigna Commercial	$93.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.37
Rate for Payer: Oxford Commercial	$93.72
Rate for Payer: Qualcare PPO/HMO/WC	$28.12
Rate for Payer: UnitedHealthcare Commercial	$93.72

TUBE ORAL RAE CUFFED 4.5MM

Facility

$23.58

Hospital Charge Code	270655757
Hospital Revenue Code	272
Min. Negotiated Rate	$3.07
Max. Negotiated Rate	$11.79
Rate for Payer: Aetna Commercial	$7.07
Rate for Payer: Aetna Medicare Advantage	$7.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.01
Rate for Payer: Cigna Commercial	$11.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.07
Rate for Payer: Oxford Commercial	$11.79
Rate for Payer: Qualcare PPO/HMO/WC	$3.54
Rate for Payer: UnitedHealthcare Commercial	$11.79

TUBE ORAL RAE CUFFED 4.5MM

Facility

$187.45

Hospital Charge Code	270656299
Hospital Revenue Code	271
Min. Negotiated Rate	$28.12
Max. Negotiated Rate	$28.12
Rate for Payer: Qualcare PPO/HMO/WC	$28.12

TUBE ORAL RAE CUFFED 4.5MM

Facility

$23.58

Hospital Charge Code	270655757
Hospital Revenue Code	272
Min. Negotiated Rate	$3.54
Max. Negotiated Rate	$3.54
Rate for Payer: Qualcare PPO/HMO/WC	$3.54

TUBE ORAL RAE CUFFED 5.0MM

Facility

$23.58

Hospital Charge Code	270660320
Hospital Revenue Code	272
Min. Negotiated Rate	$3.07
Max. Negotiated Rate	$11.79
Rate for Payer: Aetna Commercial	$7.07
Rate for Payer: Aetna Medicare Advantage	$7.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.01
Rate for Payer: Cigna Commercial	$11.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.07
Rate for Payer: Oxford Commercial	$11.79
Rate for Payer: Qualcare PPO/HMO/WC	$3.54
Rate for Payer: UnitedHealthcare Commercial	$11.79

TUBE ORAL RAE CUFFED 5.0MM

Facility

$374.90

Hospital Charge Code	270655752
Hospital Revenue Code	271
Min. Negotiated Rate	$56.23
Max. Negotiated Rate	$56.23
Rate for Payer: Qualcare PPO/HMO/WC	$56.23

TUBE ORAL RAE CUFFED 5.0MM

Facility

$374.90

Hospital Charge Code	270655752
Hospital Revenue Code	271
Min. Negotiated Rate	$48.74
Max. Negotiated Rate	$187.45
Rate for Payer: Aetna Commercial	$112.47
Rate for Payer: Aetna Medicare Advantage	$112.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.60
Rate for Payer: Cigna Commercial	$187.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.74
Rate for Payer: Oxford Commercial	$187.45
Rate for Payer: Qualcare PPO/HMO/WC	$56.23
Rate for Payer: UnitedHealthcare Commercial	$187.45

TUBE ORAL RAE CUFFED 5.0MM

Facility

$23.58

Hospital Charge Code	270660320
Hospital Revenue Code	272
Min. Negotiated Rate	$3.54
Max. Negotiated Rate	$3.54
Rate for Payer: Qualcare PPO/HMO/WC	$3.54

TUBE ORAL RAE CUFFED 5.5MM

Facility

$23.58

Hospital Charge Code	270660321
Hospital Revenue Code	272
Min. Negotiated Rate	$3.07
Max. Negotiated Rate	$11.79
Rate for Payer: Aetna Commercial	$7.07
Rate for Payer: Aetna Medicare Advantage	$7.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.01
Rate for Payer: Cigna Commercial	$11.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.07
Rate for Payer: Oxford Commercial	$11.79
Rate for Payer: Qualcare PPO/HMO/WC	$3.54
Rate for Payer: UnitedHealthcare Commercial	$11.79

TUBE ORAL RAE CUFFED 5.5MM

Facility

$23.58

Hospital Charge Code	270660321
Hospital Revenue Code	272
Min. Negotiated Rate	$3.54
Max. Negotiated Rate	$3.54
Rate for Payer: Qualcare PPO/HMO/WC	$3.54

Know your out-of-pocket cost for care.

All Charges