Heights University Hospital

All Charges

Charge

Type

Setting

Price

TUBE SUMP LONG WEIGHTED 16FR

Facility

$374.00

Hospital Charge Code	270645121
Hospital Revenue Code	271
Min. Negotiated Rate	$56.10
Max. Negotiated Rate	$56.10
Rate for Payer: Qualcare PPO/HMO/WC	$56.10

TUBE T #8 - 20 *******

Facility

$15.00

Hospital Charge Code	1600584
Hospital Revenue Code	272
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$7.50
Rate for Payer: Aetna Commercial	$4.50
Rate for Payer: Aetna Medicare Advantage	$4.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.83
Rate for Payer: Cigna Commercial	$7.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.95
Rate for Payer: Oxford Commercial	$7.50
Rate for Payer: Qualcare PPO/HMO/WC	$2.25
Rate for Payer: UnitedHealthcare Commercial	$7.50

TUBE T #8 - 20 *******

Facility

$15.00

Hospital Charge Code	1600584
Hospital Revenue Code	272
Min. Negotiated Rate	$2.25
Max. Negotiated Rate	$2.25
Rate for Payer: Qualcare PPO/HMO/WC	$2.25

TUBE T CATTELL DRAIN 14 FR

Facility

$37.82

Hospital Charge Code	270659383
Hospital Revenue Code	270
Min. Negotiated Rate	$5.67
Max. Negotiated Rate	$5.67
Rate for Payer: Qualcare PPO/HMO/WC	$5.67

TUBE T CATTELL DRAIN 14 FR

Facility

$37.82

Hospital Charge Code	270659383
Hospital Revenue Code	270
Min. Negotiated Rate	$4.92
Max. Negotiated Rate	$18.91
Rate for Payer: Aetna Commercial	$11.35
Rate for Payer: Aetna Medicare Advantage	$11.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.64
Rate for Payer: Cigna Commercial	$18.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.92
Rate for Payer: Oxford Commercial	$18.91
Rate for Payer: Qualcare PPO/HMO/WC	$5.67
Rate for Payer: UnitedHealthcare Commercial	$18.91

TUBE T DEAVER 10FR

Facility

$123.25

Hospital Charge Code	270606964
Hospital Revenue Code	272
Min. Negotiated Rate	$18.49
Max. Negotiated Rate	$18.49
Rate for Payer: Qualcare PPO/HMO/WC	$18.49

TUBE T DEAVER 10FR

Facility

$123.25

Hospital Charge Code	270606964
Hospital Revenue Code	272
Min. Negotiated Rate	$16.02
Max. Negotiated Rate	$61.62
Rate for Payer: Aetna Commercial	$36.98
Rate for Payer: Aetna Medicare Advantage	$36.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.43
Rate for Payer: Cigna Commercial	$61.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.02
Rate for Payer: Oxford Commercial	$61.62
Rate for Payer: Qualcare PPO/HMO/WC	$18.49
Rate for Payer: UnitedHealthcare Commercial	$61.62

TUBE T DEAVER 12FR

Facility

$92.00

Hospital Charge Code	270617091
Hospital Revenue Code	272
Min. Negotiated Rate	$11.96
Max. Negotiated Rate	$46.00
Rate for Payer: Aetna Commercial	$27.60
Rate for Payer: Aetna Medicare Advantage	$27.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.46
Rate for Payer: Cigna Commercial	$46.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.96
Rate for Payer: Oxford Commercial	$46.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.80
Rate for Payer: UnitedHealthcare Commercial	$46.00

TUBE T DEAVER 12FR

Facility

$92.00

Hospital Charge Code	270617091
Hospital Revenue Code	272
Min. Negotiated Rate	$13.80
Max. Negotiated Rate	$13.80
Rate for Payer: Qualcare PPO/HMO/WC	$13.80

TUBE T DEAVER 5FR PED

Facility

$242.45

Hospital Charge Code	270606961
Hospital Revenue Code	272
Min. Negotiated Rate	$31.52
Max. Negotiated Rate	$121.22
Rate for Payer: Aetna Commercial	$72.73
Rate for Payer: Aetna Medicare Advantage	$72.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.82
Rate for Payer: Cigna Commercial	$121.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.52
Rate for Payer: Oxford Commercial	$121.22
Rate for Payer: Qualcare PPO/HMO/WC	$36.37
Rate for Payer: UnitedHealthcare Commercial	$121.22

TUBE T DEAVER 5FR PED

Facility

$242.45

Hospital Charge Code	270606961
Hospital Revenue Code	272
Min. Negotiated Rate	$36.37
Max. Negotiated Rate	$36.37
Rate for Payer: Qualcare PPO/HMO/WC	$36.37

TUBE T DEAVER 8FR

Facility

$123.25

Hospital Charge Code	270606962
Hospital Revenue Code	272
Min. Negotiated Rate	$18.49
Max. Negotiated Rate	$18.49
Rate for Payer: Qualcare PPO/HMO/WC	$18.49

TUBE T DEAVER 8FR

Facility

$123.25

Hospital Charge Code	270606962
Hospital Revenue Code	272
Min. Negotiated Rate	$16.02
Max. Negotiated Rate	$61.62
Rate for Payer: Aetna Commercial	$36.98
Rate for Payer: Aetna Medicare Advantage	$36.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.43
Rate for Payer: Cigna Commercial	$61.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.02
Rate for Payer: Oxford Commercial	$61.62
Rate for Payer: Qualcare PPO/HMO/WC	$18.49
Rate for Payer: UnitedHealthcare Commercial	$61.62

TUBE T DRAIN 12FR*****

Facility

$42.48

Hospital Charge Code	270061530
Hospital Revenue Code	272
Min. Negotiated Rate	$5.52
Max. Negotiated Rate	$21.24
Rate for Payer: Aetna Commercial	$12.74
Rate for Payer: Aetna Medicare Advantage	$12.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.83
Rate for Payer: Cigna Commercial	$21.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.52
Rate for Payer: Oxford Commercial	$21.24
Rate for Payer: Qualcare PPO/HMO/WC	$6.37
Rate for Payer: UnitedHealthcare Commercial	$21.24

TUBE T DRAIN 12FR*****

Facility

$42.48

Hospital Charge Code	270061530
Hospital Revenue Code	272
Min. Negotiated Rate	$6.37
Max. Negotiated Rate	$6.37
Rate for Payer: Qualcare PPO/HMO/WC	$6.37

TUBE T DRAIN 14F 06200099820

Facility

$37.20

Hospital Charge Code	270617092
Hospital Revenue Code	272
Min. Negotiated Rate	$4.84
Max. Negotiated Rate	$18.60
Rate for Payer: Aetna Commercial	$11.16
Rate for Payer: Aetna Medicare Advantage	$11.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.49
Rate for Payer: Cigna Commercial	$18.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.84
Rate for Payer: Oxford Commercial	$18.60
Rate for Payer: Qualcare PPO/HMO/WC	$5.58
Rate for Payer: UnitedHealthcare Commercial	$18.60

TUBE T DRAIN 14F 06200099820

Facility

$37.20

Hospital Charge Code	270617092
Hospital Revenue Code	272
Min. Negotiated Rate	$5.58
Max. Negotiated Rate	$5.58
Rate for Payer: Qualcare PPO/HMO/WC	$5.58

TUBE T DRAIN 14FR

Facility

$110.45

Hospital Charge Code	270061535
Hospital Revenue Code	272
Min. Negotiated Rate	$16.57
Max. Negotiated Rate	$16.57
Rate for Payer: Qualcare PPO/HMO/WC	$16.57

TUBE T DRAIN 14FR

Facility

$110.45

Hospital Charge Code	270061535
Hospital Revenue Code	272
Min. Negotiated Rate	$14.36
Max. Negotiated Rate	$55.23
Rate for Payer: Aetna Commercial	$33.13
Rate for Payer: Aetna Medicare Advantage	$33.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.16
Rate for Payer: Cigna Commercial	$55.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.36
Rate for Payer: Oxford Commercial	$55.23
Rate for Payer: Qualcare PPO/HMO/WC	$16.57
Rate for Payer: UnitedHealthcare Commercial	$55.23

TUBE T DRAIN 16FR

Facility

$116.85

Hospital Charge Code	270061540
Hospital Revenue Code	272
Min. Negotiated Rate	$17.53
Max. Negotiated Rate	$17.53
Rate for Payer: Qualcare PPO/HMO/WC	$17.53

TUBE T DRAIN 16FR

Facility

$116.85

Hospital Charge Code	270061540
Hospital Revenue Code	272
Min. Negotiated Rate	$15.19
Max. Negotiated Rate	$58.42
Rate for Payer: Aetna Commercial	$35.05
Rate for Payer: Aetna Medicare Advantage	$35.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.80
Rate for Payer: Cigna Commercial	$58.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.19
Rate for Payer: Oxford Commercial	$58.42
Rate for Payer: Qualcare PPO/HMO/WC	$17.53
Rate for Payer: UnitedHealthcare Commercial	$58.42

TUBE T DRAIN 16FR 06200099830

Facility

$37.95

Hospital Charge Code	270617093
Hospital Revenue Code	272
Min. Negotiated Rate	$5.69
Max. Negotiated Rate	$5.69
Rate for Payer: Qualcare PPO/HMO/WC	$5.69

TUBE T DRAIN 16FR 06200099830

Facility

$37.95

Hospital Charge Code	270617093
Hospital Revenue Code	272
Min. Negotiated Rate	$4.93
Max. Negotiated Rate	$18.98
Rate for Payer: Aetna Commercial	$11.38
Rate for Payer: Aetna Medicare Advantage	$11.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.68
Rate for Payer: Cigna Commercial	$18.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.93
Rate for Payer: Oxford Commercial	$18.98
Rate for Payer: Qualcare PPO/HMO/WC	$5.69
Rate for Payer: UnitedHealthcare Commercial	$18.98

TUBE TEFLON

Facility

$1,404.05

Hospital Charge Code	270661243
Hospital Revenue Code	272
Min. Negotiated Rate	$210.61
Max. Negotiated Rate	$210.61
Rate for Payer: Qualcare PPO/HMO/WC	$210.61

TUBE TEFLON

Facility

$1,404.05

Hospital Charge Code	270661243
Hospital Revenue Code	272
Min. Negotiated Rate	$182.53
Max. Negotiated Rate	$702.02
Rate for Payer: Aetna Commercial	$421.21
Rate for Payer: Aetna Medicare Advantage	$421.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$358.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$358.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$358.03
Rate for Payer: Cigna Commercial	$702.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.53
Rate for Payer: Oxford Commercial	$702.02
Rate for Payer: Qualcare PPO/HMO/WC	$210.61
Rate for Payer: UnitedHealthcare Commercial	$702.02

Know your out-of-pocket cost for care.

All Charges