Heights University Hospital

All Charges

Charge

Type

Setting

Price

TUBE TRACH CUFFLESS N/FENES 10

Facility

$173.65

Hospital Charge Code	270302431
Hospital Revenue Code	272
Min. Negotiated Rate	$26.05
Max. Negotiated Rate	$26.05
Rate for Payer: Qualcare PPO/HMO/WC	$26.05

TUBE TRACH CUFFLESS N/FENES 10

Facility

$173.65

Hospital Charge Code	270302431
Hospital Revenue Code	272
Min. Negotiated Rate	$22.57
Max. Negotiated Rate	$86.83
Rate for Payer: Aetna Commercial	$52.09
Rate for Payer: Aetna Medicare Advantage	$52.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.28
Rate for Payer: Cigna Commercial	$86.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.57
Rate for Payer: Oxford Commercial	$86.83
Rate for Payer: Qualcare PPO/HMO/WC	$26.05
Rate for Payer: UnitedHealthcare Commercial	$86.83

TUBE TRACH CUFFLESS N/FENES 6

Facility

$174.40

Hospital Charge Code	270302429
Hospital Revenue Code	272
Min. Negotiated Rate	$22.67
Max. Negotiated Rate	$87.20
Rate for Payer: Aetna Commercial	$52.32
Rate for Payer: Aetna Medicare Advantage	$52.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.47
Rate for Payer: Cigna Commercial	$87.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.67
Rate for Payer: Oxford Commercial	$87.20
Rate for Payer: Qualcare PPO/HMO/WC	$26.16
Rate for Payer: UnitedHealthcare Commercial	$87.20

TUBE TRACH CUFFLESS N/FENES 6

Facility

$174.40

Hospital Charge Code	270302429
Hospital Revenue Code	272
Min. Negotiated Rate	$26.16
Max. Negotiated Rate	$26.16
Rate for Payer: Qualcare PPO/HMO/WC	$26.16

TUBE TRACH CUFFLESS N/FENES 8

Facility

$173.65

Hospital Charge Code	270302430
Hospital Revenue Code	272
Min. Negotiated Rate	$22.57
Max. Negotiated Rate	$86.83
Rate for Payer: Aetna Commercial	$52.09
Rate for Payer: Aetna Medicare Advantage	$52.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.28
Rate for Payer: Cigna Commercial	$86.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.57
Rate for Payer: Oxford Commercial	$86.83
Rate for Payer: Qualcare PPO/HMO/WC	$26.05
Rate for Payer: UnitedHealthcare Commercial	$86.83

TUBE TRACH CUFFLESS N/FENES 8

Facility

$173.65

Hospital Charge Code	270302430
Hospital Revenue Code	272
Min. Negotiated Rate	$26.05
Max. Negotiated Rate	$26.05
Rate for Payer: Qualcare PPO/HMO/WC	$26.05

TUBE TRACH CUFFL FENES #4-8***

Facility

$219.00

Hospital Charge Code	8004319
Hospital Revenue Code	274
Min. Negotiated Rate	$32.85
Max. Negotiated Rate	$109.50
Rate for Payer: Aetna Commercial	$65.70
Rate for Payer: Aetna Medicare Advantage	$65.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$43.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55.84
Rate for Payer: Cigna Commercial	$109.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.85

TUBE TRACH CUFFL FENES #4-8***

Facility

$219.00

Hospital Charge Code	8004319
Hospital Revenue Code	274
Min. Negotiated Rate	$32.85
Max. Negotiated Rate	$53.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$43.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.85

TUBE TRACH CUFFL NONFN #4-8***

Facility

$180.00

Hospital Charge Code	8004335
Hospital Revenue Code	274
Min. Negotiated Rate	$27.00
Max. Negotiated Rate	$43.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.56
Rate for Payer: Qualcare PPO/HMO/WC	$27.00

TUBE TRACH CUFFL NONFN #4-8***

Facility

$180.00

Hospital Charge Code	8004335
Hospital Revenue Code	274
Min. Negotiated Rate	$27.00
Max. Negotiated Rate	$90.00
Rate for Payer: Aetna Commercial	$54.00
Rate for Payer: Aetna Medicare Advantage	$54.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.90
Rate for Payer: Cigna Commercial	$90.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.56
Rate for Payer: Qualcare PPO/HMO/WC	$27.00

TUBE TRACH CUFF SZ 4 4DCT

Facility

$232.05

Hospital Charge Code	270649306
Hospital Revenue Code	272
Min. Negotiated Rate	$34.81
Max. Negotiated Rate	$34.81
Rate for Payer: Qualcare PPO/HMO/WC	$34.81

TUBE TRACH CUFF SZ 4 4DCT

Facility

$232.05

Hospital Charge Code	270649306
Hospital Revenue Code	272
Min. Negotiated Rate	$30.17
Max. Negotiated Rate	$116.03
Rate for Payer: Aetna Commercial	$69.61
Rate for Payer: Aetna Medicare Advantage	$69.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.17
Rate for Payer: Cigna Commercial	$116.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.17
Rate for Payer: Oxford Commercial	$116.03
Rate for Payer: Qualcare PPO/HMO/WC	$34.81
Rate for Payer: UnitedHealthcare Commercial	$116.03

TUBE TRACH CUF XL 6.0 72120060

Facility

$267.90

Hospital Charge Code	270633234
Hospital Revenue Code	272
Min. Negotiated Rate	$40.19
Max. Negotiated Rate	$40.19
Rate for Payer: Qualcare PPO/HMO/WC	$40.19

TUBE TRACH CUF XL 6.0 72120060

Facility

$267.90

Hospital Charge Code	270633234
Hospital Revenue Code	272
Min. Negotiated Rate	$34.83
Max. Negotiated Rate	$133.95
Rate for Payer: Aetna Commercial	$80.37
Rate for Payer: Aetna Medicare Advantage	$80.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.31
Rate for Payer: Cigna Commercial	$133.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.83
Rate for Payer: Oxford Commercial	$133.95
Rate for Payer: Qualcare PPO/HMO/WC	$40.19
Rate for Payer: UnitedHealthcare Commercial	$133.95

TUBE TRACH CUS HA05CS80NNC228N

Facility

$1,314.45

Hospital Charge Code	270634786
Hospital Revenue Code	272
Min. Negotiated Rate	$197.17
Max. Negotiated Rate	$197.17
Rate for Payer: Qualcare PPO/HMO/WC	$197.17

TUBE TRACH CUS HA05CS80NNC228N

Facility

$1,314.45

Hospital Charge Code	270634786
Hospital Revenue Code	272
Min. Negotiated Rate	$170.88
Max. Negotiated Rate	$657.23
Rate for Payer: Aetna Commercial	$394.33
Rate for Payer: Aetna Medicare Advantage	$394.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$335.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$335.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$335.18
Rate for Payer: Cigna Commercial	$657.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.88
Rate for Payer: Oxford Commercial	$657.23
Rate for Payer: Qualcare PPO/HMO/WC	$197.17
Rate for Payer: UnitedHealthcare Commercial	$657.23

TUBE TRACHEAL 7.5 CUFFED Q

Facility

$522.00

Hospital Charge Code	270660792
Hospital Revenue Code	270
Min. Negotiated Rate	$67.86
Max. Negotiated Rate	$261.00
Rate for Payer: Aetna Commercial	$156.60
Rate for Payer: Aetna Medicare Advantage	$156.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.11
Rate for Payer: Cigna Commercial	$261.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.86
Rate for Payer: Oxford Commercial	$261.00
Rate for Payer: Qualcare PPO/HMO/WC	$78.30
Rate for Payer: UnitedHealthcare Commercial	$261.00

TUBE TRACHEAL 7.5 CUFFED Q

Facility

$522.00

Hospital Charge Code	270660792
Hospital Revenue Code	270
Min. Negotiated Rate	$78.30
Max. Negotiated Rate	$78.30
Rate for Payer: Qualcare PPO/HMO/WC	$78.30

TUBE TRACHEAL MURPHY 6.0

Facility

$104.00

Hospital Charge Code	270666938
Hospital Revenue Code	270
Min. Negotiated Rate	$15.60
Max. Negotiated Rate	$15.60
Rate for Payer: Qualcare PPO/HMO/WC	$15.60

TUBE TRACHEAL MURPHY 6.0

Facility

$104.00

Hospital Charge Code	270666938
Hospital Revenue Code	270
Min. Negotiated Rate	$13.52
Max. Negotiated Rate	$52.00
Rate for Payer: Aetna Commercial	$31.20
Rate for Payer: Aetna Medicare Advantage	$31.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.52
Rate for Payer: Cigna Commercial	$52.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.52
Rate for Payer: Oxford Commercial	$52.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.60
Rate for Payer: UnitedHealthcare Commercial	$52.00

TUBE TRACHEAL MURPHY 6.5

Facility

$104.00

Hospital Charge Code	270666939
Hospital Revenue Code	270
Min. Negotiated Rate	$13.52
Max. Negotiated Rate	$52.00
Rate for Payer: Aetna Commercial	$31.20
Rate for Payer: Aetna Medicare Advantage	$31.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.52
Rate for Payer: Cigna Commercial	$52.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.52
Rate for Payer: Oxford Commercial	$52.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.60
Rate for Payer: UnitedHealthcare Commercial	$52.00

TUBE TRACHEAL MURPHY 6.5

Facility

$104.00

Hospital Charge Code	270666939
Hospital Revenue Code	270
Min. Negotiated Rate	$15.60
Max. Negotiated Rate	$15.60
Rate for Payer: Qualcare PPO/HMO/WC	$15.60

TUBE TRACHEOSTOMY #10

Facility

$229.85

Hospital Charge Code	270650076
Hospital Revenue Code	270
Min. Negotiated Rate	$34.48
Max. Negotiated Rate	$34.48
Rate for Payer: Qualcare PPO/HMO/WC	$34.48

TUBE TRACHEOSTOMY #10

Facility

$229.85

Hospital Charge Code	270650076
Hospital Revenue Code	270
Min. Negotiated Rate	$29.88
Max. Negotiated Rate	$114.92
Rate for Payer: Aetna Commercial	$68.95
Rate for Payer: Aetna Medicare Advantage	$68.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.61
Rate for Payer: Cigna Commercial	$114.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.88
Rate for Payer: Oxford Commercial	$114.92
Rate for Payer: Qualcare PPO/HMO/WC	$34.48
Rate for Payer: UnitedHealthcare Commercial	$114.92

TUBE TRACH FENESTRATED SZ10

Facility

$210.15

Hospital Charge Code	270649902
Hospital Revenue Code	270
Min. Negotiated Rate	$31.52
Max. Negotiated Rate	$31.52
Rate for Payer: Qualcare PPO/HMO/WC	$31.52

Know your out-of-pocket cost for care.

All Charges