Heights University Hospital

All Charges

Charge

Type

Setting

Price

TUBE TRACH SGL CANN 10.0 10SCT

Facility

$147.20

Hospital Charge Code	270632649
Hospital Revenue Code	272
Min. Negotiated Rate	$19.14
Max. Negotiated Rate	$73.60
Rate for Payer: Aetna Commercial	$44.16
Rate for Payer: Aetna Medicare Advantage	$44.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.54
Rate for Payer: Cigna Commercial	$73.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.14
Rate for Payer: Oxford Commercial	$73.60
Rate for Payer: Qualcare PPO/HMO/WC	$22.08
Rate for Payer: UnitedHealthcare Commercial	$73.60

TUBE TRACH SGL CANNL 8.0 8SCT

Facility

$128.15

Hospital Charge Code	270625559
Hospital Revenue Code	272
Min. Negotiated Rate	$19.22
Max. Negotiated Rate	$19.22
Rate for Payer: Qualcare PPO/HMO/WC	$19.22

TUBE TRACH SGL CANNL 8.0 8SCT

Facility

$128.15

Hospital Charge Code	270625559
Hospital Revenue Code	272
Min. Negotiated Rate	$16.66
Max. Negotiated Rate	$64.08
Rate for Payer: Aetna Commercial	$38.45
Rate for Payer: Aetna Medicare Advantage	$38.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.68
Rate for Payer: Cigna Commercial	$64.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.66
Rate for Payer: Oxford Commercial	$64.08
Rate for Payer: Qualcare PPO/HMO/WC	$19.22
Rate for Payer: UnitedHealthcare Commercial	$64.08

TUBE TRACH SGL CANNULA 6 6SCT

Facility

$119.10

Hospital Charge Code	270632777
Hospital Revenue Code	272
Min. Negotiated Rate	$15.48
Max. Negotiated Rate	$59.55
Rate for Payer: Aetna Commercial	$35.73
Rate for Payer: Aetna Medicare Advantage	$35.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.37
Rate for Payer: Cigna Commercial	$59.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.48
Rate for Payer: Oxford Commercial	$59.55
Rate for Payer: Qualcare PPO/HMO/WC	$17.86
Rate for Payer: UnitedHealthcare Commercial	$59.55

TUBE TRACH SGL CANNULA 6 6SCT

Facility

$119.10

Hospital Charge Code	270632777
Hospital Revenue Code	272
Min. Negotiated Rate	$17.86
Max. Negotiated Rate	$17.86
Rate for Payer: Qualcare PPO/HMO/WC	$17.86

TUBE TRACH SGLE CANN 9.0 9SCT

Facility

$175.25

Hospital Charge Code	270632648
Hospital Revenue Code	272
Min. Negotiated Rate	$26.29
Max. Negotiated Rate	$26.29
Rate for Payer: Qualcare PPO/HMO/WC	$26.29

TUBE TRACH SGLE CANN 9.0 9SCT

Facility

$175.25

Hospital Charge Code	270632648
Hospital Revenue Code	272
Min. Negotiated Rate	$22.78
Max. Negotiated Rate	$87.62
Rate for Payer: Aetna Commercial	$52.58
Rate for Payer: Aetna Medicare Advantage	$52.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.69
Rate for Payer: Cigna Commercial	$87.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.78
Rate for Payer: Oxford Commercial	$87.62
Rate for Payer: Qualcare PPO/HMO/WC	$26.29
Rate for Payer: UnitedHealthcare Commercial	$87.62

TUBE TRACH SHILEY #6 6DFEN

Facility

$292.85

Hospital Charge Code	270614140
Hospital Revenue Code	272
Min. Negotiated Rate	$38.07
Max. Negotiated Rate	$146.43
Rate for Payer: Aetna Commercial	$87.86
Rate for Payer: Aetna Medicare Advantage	$87.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.68
Rate for Payer: Cigna Commercial	$146.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.07
Rate for Payer: Oxford Commercial	$146.43
Rate for Payer: Qualcare PPO/HMO/WC	$43.93
Rate for Payer: UnitedHealthcare Commercial	$146.43

TUBE TRACH SHILEY #6 6DFEN

Facility

$292.85

Hospital Charge Code	270614140
Hospital Revenue Code	272
Min. Negotiated Rate	$43.93
Max. Negotiated Rate	$43.93
Rate for Payer: Qualcare PPO/HMO/WC	$43.93

TUBE TRACH SHILEY FENS 4,6,8**

Facility

$279.00

Hospital Charge Code	8001471
Hospital Revenue Code	274
Min. Negotiated Rate	$41.85
Max. Negotiated Rate	$67.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.52
Rate for Payer: Qualcare PPO/HMO/WC	$41.85

TUBE TRACH SHILEY FENS 4,6,8**

Facility

$279.00

Hospital Charge Code	8001471
Hospital Revenue Code	274
Min. Negotiated Rate	$41.85
Max. Negotiated Rate	$139.50
Rate for Payer: Aetna Commercial	$83.70
Rate for Payer: Aetna Medicare Advantage	$83.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71.14
Rate for Payer: Cigna Commercial	$139.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.52
Rate for Payer: Qualcare PPO/HMO/WC	$41.85

TUBE TRACH SHILEY NONFNS 4-8**

Facility

$335.00

Hospital Charge Code	8002370
Hospital Revenue Code	274
Min. Negotiated Rate	$50.25
Max. Negotiated Rate	$81.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$67.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.07
Rate for Payer: Qualcare PPO/HMO/WC	$50.25

TUBE TRACH SHILEY NONFNS 4-8**

Facility

$335.00

Hospital Charge Code	8002370
Hospital Revenue Code	274
Min. Negotiated Rate	$50.25
Max. Negotiated Rate	$167.50
Rate for Payer: Aetna Commercial	$100.50
Rate for Payer: Aetna Medicare Advantage	$100.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$85.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$85.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$67.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$85.42
Rate for Payer: Cigna Commercial	$167.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.07
Rate for Payer: Qualcare PPO/HMO/WC	$50.25

TUBE TRACH UNCUFFED SZ 6

Facility

$234.25

Hospital Charge Code	270649994
Hospital Revenue Code	270
Min. Negotiated Rate	$30.45
Max. Negotiated Rate	$117.12
Rate for Payer: Aetna Commercial	$70.28
Rate for Payer: Aetna Medicare Advantage	$70.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.73
Rate for Payer: Cigna Commercial	$117.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.45
Rate for Payer: Oxford Commercial	$117.12
Rate for Payer: Qualcare PPO/HMO/WC	$35.14
Rate for Payer: UnitedHealthcare Commercial	$117.12

TUBE TRACH UNCUFFED SZ 6

Facility

$234.25

Hospital Charge Code	270649994
Hospital Revenue Code	270
Min. Negotiated Rate	$35.14
Max. Negotiated Rate	$35.14
Rate for Payer: Qualcare PPO/HMO/WC	$35.14

TUBE TRACH UNCUFFED SZ 8

Facility

$218.90

Hospital Charge Code	270649995
Hospital Revenue Code	270
Min. Negotiated Rate	$32.84
Max. Negotiated Rate	$32.84
Rate for Payer: Qualcare PPO/HMO/WC	$32.84

TUBE TRACH UNCUFFED SZ 8

Facility

$218.90

Hospital Charge Code	270649995
Hospital Revenue Code	270
Min. Negotiated Rate	$28.46
Max. Negotiated Rate	$109.45
Rate for Payer: Aetna Commercial	$65.67
Rate for Payer: Aetna Medicare Advantage	$65.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55.82
Rate for Payer: Cigna Commercial	$109.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.46
Rate for Payer: Oxford Commercial	$109.45
Rate for Payer: Qualcare PPO/HMO/WC	$32.84
Rate for Payer: UnitedHealthcare Commercial	$109.45

TUBE TRACH W/CUFF SZ 6DCT

Facility

$232.05

Hospital Charge Code	270643781
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 W/CUFF SZ 6DCT

Facility

$232.05

Hospital Charge Code	270643781
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 W/CUFF SZ 8DCT

Facility

$232.05

Hospital Charge Code	270605857
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 W/CUFF SZ 8DCT

Facility

$232.05

Hospital Charge Code	270605857
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 TRANSPRT W/SRW CAP 10ML

Facility

$60.00

Hospital Charge Code	270654237
Hospital Revenue Code	272
Min. Negotiated Rate	$9.00
Max. Negotiated Rate	$9.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00

TUBE TRANSPRT W/SRW CAP 10ML

Facility

$60.00

Hospital Charge Code	270654237
Hospital Revenue Code	272
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$30.00
Rate for Payer: Aetna Commercial	$18.00
Rate for Payer: Aetna Medicare Advantage	$18.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.30
Rate for Payer: Cigna Commercial	$30.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.80
Rate for Payer: Oxford Commercial	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00
Rate for Payer: UnitedHealthcare Commercial	$30.00

TUBE TREACHEAL MURPHY TIP 8.0

Facility

$97.18

Hospital Charge Code	270656320
Hospital Revenue Code	271
Min. Negotiated Rate	$12.63
Max. Negotiated Rate	$48.59
Rate for Payer: Aetna Commercial	$29.15
Rate for Payer: Aetna Medicare Advantage	$29.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.78
Rate for Payer: Cigna Commercial	$48.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.63
Rate for Payer: Oxford Commercial	$48.59
Rate for Payer: Qualcare PPO/HMO/WC	$14.58
Rate for Payer: UnitedHealthcare Commercial	$48.59

TUBE TREACHEAL MURPHY TIP 8.0

Facility

$97.18

Hospital Charge Code	270656320
Hospital Revenue Code	271
Min. Negotiated Rate	$14.58
Max. Negotiated Rate	$14.58
Rate for Payer: Qualcare PPO/HMO/WC	$14.58

Know your out-of-pocket cost for care.

All Charges