Heights University Hospital

All Charges

Charge

Type

Setting

Price

TUBE VISIGI W/BULB 40FR

Facility

$848.00

Hospital Charge Code	270692045
Hospital Revenue Code	272
Min. Negotiated Rate	$110.24
Max. Negotiated Rate	$424.00
Rate for Payer: Aetna Commercial	$254.40
Rate for Payer: Aetna Medicare Advantage	$254.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$216.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$216.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$216.24
Rate for Payer: Cigna Commercial	$424.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.24
Rate for Payer: Oxford Commercial	$424.00
Rate for Payer: Qualcare PPO/HMO/WC	$127.20
Rate for Payer: UnitedHealthcare Commercial	$424.00

TUBE V VENT ARMSTRONG MYRING

Facility

$128.00

Hospital Charge Code	270600316
Hospital Revenue Code	272
Min. Negotiated Rate	$19.20
Max. Negotiated Rate	$19.20
Rate for Payer: Qualcare PPO/HMO/WC	$19.20

TUBE V VENT ARMSTRONG MYRING

Facility

$128.00

Hospital Charge Code	270600316
Hospital Revenue Code	272
Min. Negotiated Rate	$16.64
Max. Negotiated Rate	$64.00
Rate for Payer: Aetna Commercial	$38.40
Rate for Payer: Aetna Medicare Advantage	$38.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.64
Rate for Payer: Cigna Commercial	$64.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.64
Rate for Payer: Oxford Commercial	$64.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.20
Rate for Payer: UnitedHealthcare Commercial	$64.00

TUBE WATER

Facility

$310.25

Hospital Charge Code	270676862
Hospital Revenue Code	272
Min. Negotiated Rate	$46.54
Max. Negotiated Rate	$46.54
Rate for Payer: Qualcare PPO/HMO/WC	$46.54

TUBE WATER

Facility

$310.25

Hospital Charge Code	270676862
Hospital Revenue Code	272
Min. Negotiated Rate	$40.33
Max. Negotiated Rate	$155.12
Rate for Payer: Aetna Commercial	$93.08
Rate for Payer: Aetna Medicare Advantage	$93.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$79.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$79.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$79.11
Rate for Payer: Cigna Commercial	$155.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.33
Rate for Payer: Oxford Commercial	$155.12
Rate for Payer: Qualcare PPO/HMO/WC	$46.54
Rate for Payer: UnitedHealthcare Commercial	$155.12

TUBE WC FEEDING 20F FLOW20PULL

Facility

$433.65

Hospital Charge Code	270623504
Hospital Revenue Code	272
Min. Negotiated Rate	$56.37
Max. Negotiated Rate	$216.82
Rate for Payer: Aetna Commercial	$130.09
Rate for Payer: Aetna Medicare Advantage	$130.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$110.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$110.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$110.58
Rate for Payer: Cigna Commercial	$216.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.37
Rate for Payer: Oxford Commercial	$216.82
Rate for Payer: Qualcare PPO/HMO/WC	$65.05
Rate for Payer: UnitedHealthcare Commercial	$216.82

TUBE WC FEEDING 20F FLOW20PULL

Facility

$433.65

Hospital Charge Code	270623504
Hospital Revenue Code	272
Min. Negotiated Rate	$65.05
Max. Negotiated Rate	$65.05
Rate for Payer: Qualcare PPO/HMO/WC	$65.05

TUBE WC FEEDING 20F FLOW20PUSH

Facility

$459.25

Hospital Charge Code	270623503
Hospital Revenue Code	272
Min. Negotiated Rate	$59.70
Max. Negotiated Rate	$229.62
Rate for Payer: Aetna Commercial	$137.78
Rate for Payer: Aetna Medicare Advantage	$137.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$117.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$117.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$117.11
Rate for Payer: Cigna Commercial	$229.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.70
Rate for Payer: Oxford Commercial	$229.62
Rate for Payer: Qualcare PPO/HMO/WC	$68.89
Rate for Payer: UnitedHealthcare Commercial	$229.62

TUBE WC FEEDING 20F FLOW20PUSH

Facility

$459.25

Hospital Charge Code	270623503
Hospital Revenue Code	272
Min. Negotiated Rate	$68.89
Max. Negotiated Rate	$68.89
Rate for Payer: Qualcare PPO/HMO/WC	$68.89

TUBE WCK SUCTION CAUT 50-7045

Facility

$713.65

Hospital Charge Code	270615467
Hospital Revenue Code	272
Min. Negotiated Rate	$107.05
Max. Negotiated Rate	$107.05
Rate for Payer: Qualcare PPO/HMO/WC	$107.05

TUBE WCK SUCTION CAUT 50-7045

Facility

$713.65

Hospital Charge Code	270615467
Hospital Revenue Code	272
Min. Negotiated Rate	$92.77
Max. Negotiated Rate	$356.82
Rate for Payer: Aetna Commercial	$214.09
Rate for Payer: Aetna Medicare Advantage	$214.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$181.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$181.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$181.98
Rate for Payer: Cigna Commercial	$356.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.77
Rate for Payer: Oxford Commercial	$356.82
Rate for Payer: Qualcare PPO/HMO/WC	$107.05
Rate for Payer: UnitedHealthcare Commercial	$356.82

TUBEX INJECTOR UNIT

Facility

$0.65

Hospital Charge Code	60629267
Hospital Revenue Code	270
Min. Negotiated Rate	$0.08
Max. Negotiated Rate	$0.33
Rate for Payer: Aetna Commercial	$0.20
Rate for Payer: Aetna Medicare Advantage	$0.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.17
Rate for Payer: Cigna Commercial	$0.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.08
Rate for Payer: Oxford Commercial	$0.33
Rate for Payer: Qualcare PPO/HMO/WC	$0.10
Rate for Payer: UnitedHealthcare Commercial	$0.33

TUBEX INJECTOR UNIT

Facility

$0.65

Hospital Charge Code	60629267
Hospital Revenue Code	270
Min. Negotiated Rate	$0.10
Max. Negotiated Rate	$0.10
Rate for Payer: Qualcare PPO/HMO/WC	$0.10

TUBE ZIM EXCH 8MM 2255-17

Facility

$959.25

Hospital Charge Code	270619336
Hospital Revenue Code	272
Min. Negotiated Rate	$143.89
Max. Negotiated Rate	$143.89
Rate for Payer: Qualcare PPO/HMO/WC	$143.89

TUBE ZIM EXCH 8MM 2255-17

Facility

$959.25

Hospital Charge Code	270619336
Hospital Revenue Code	272
Min. Negotiated Rate	$124.70
Max. Negotiated Rate	$479.62
Rate for Payer: Aetna Commercial	$287.77
Rate for Payer: Aetna Medicare Advantage	$287.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$244.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$244.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$244.61
Rate for Payer: Cigna Commercial	$479.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$124.70
Rate for Payer: Oxford Commercial	$479.62
Rate for Payer: Qualcare PPO/HMO/WC	$143.89
Rate for Payer: UnitedHealthcare Commercial	$479.62

TUBE ZIM EXCH FLARED 2255-17

Facility

$411.75

Hospital Charge Code	270620530
Hospital Revenue Code	272
Min. Negotiated Rate	$53.53
Max. Negotiated Rate	$205.88
Rate for Payer: Aetna Commercial	$123.53
Rate for Payer: Aetna Medicare Advantage	$123.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$105.00
Rate for Payer: Cigna Commercial	$205.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.53
Rate for Payer: Oxford Commercial	$205.88
Rate for Payer: Qualcare PPO/HMO/WC	$61.76
Rate for Payer: UnitedHealthcare Commercial	$205.88

TUBE ZIM EXCH FLARED 2255-17

Facility

$411.75

Hospital Charge Code	270620530
Hospital Revenue Code	272
Min. Negotiated Rate	$61.76
Max. Negotiated Rate	$61.76
Rate for Payer: Qualcare PPO/HMO/WC	$61.76

TUBING ACCUP PMP ADDIV V8610**

Facility

$20.00

Hospital Charge Code	7000821
Hospital Revenue Code	272
Min. Negotiated Rate	$2.60
Max. Negotiated Rate	$10.00
Rate for Payer: Aetna Commercial	$6.00
Rate for Payer: Aetna Medicare Advantage	$6.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.10
Rate for Payer: Cigna Commercial	$10.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.60
Rate for Payer: Oxford Commercial	$10.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.00
Rate for Payer: UnitedHealthcare Commercial	$10.00

TUBING ACCUP PMP ADDIV V8610**

Facility

$20.00

Hospital Charge Code	7000821
Hospital Revenue Code	272
Min. Negotiated Rate	$3.00
Max. Negotiated Rate	$3.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.00

TUBING AIR/WATER/SUCTN/BIOPSY

Facility

$37.50

Hospital Charge Code	270677702
Hospital Revenue Code	272
Min. Negotiated Rate	$5.62
Max. Negotiated Rate	$5.62
Rate for Payer: Qualcare PPO/HMO/WC	$5.62

TUBING AIR/WATER/SUCTN/BIOPSY

Facility

$37.50

Hospital Charge Code	270677702
Hospital Revenue Code	272
Min. Negotiated Rate	$4.88
Max. Negotiated Rate	$18.75
Rate for Payer: Aetna Commercial	$11.25
Rate for Payer: Aetna Medicare Advantage	$11.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.56
Rate for Payer: Cigna Commercial	$18.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.88
Rate for Payer: Oxford Commercial	$18.75
Rate for Payer: Qualcare PPO/HMO/WC	$5.62
Rate for Payer: UnitedHealthcare Commercial	$18.75

TUBING ARTERIAL BLOOD CASE

Facility

$91.25

Hospital Charge Code	27059775
Hospital Revenue Code	270
Min. Negotiated Rate	$13.69
Max. Negotiated Rate	$13.69
Rate for Payer: Qualcare PPO/HMO/WC	$13.69

TUBING ARTERIAL BLOOD CASE

Facility

$91.25

Hospital Charge Code	27059775
Hospital Revenue Code	270
Min. Negotiated Rate	$11.86
Max. Negotiated Rate	$45.62
Rate for Payer: Aetna Commercial	$27.38
Rate for Payer: Aetna Medicare Advantage	$27.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.27
Rate for Payer: Cigna Commercial	$45.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.86
Rate for Payer: Oxford Commercial	$45.62
Rate for Payer: Qualcare PPO/HMO/WC	$13.69
Rate for Payer: UnitedHealthcare Commercial	$45.62

TUBING ARTERIAL BLOODLINE SET

Facility

$14.68

Hospital Charge Code	270649214
Hospital Revenue Code	272
Min. Negotiated Rate	$2.20
Max. Negotiated Rate	$2.20
Rate for Payer: Qualcare PPO/HMO/WC	$2.20

TUBING ARTERIAL BLOODLINE SET

Facility

$14.68

Hospital Charge Code	270649214
Hospital Revenue Code	272
Min. Negotiated Rate	$1.91
Max. Negotiated Rate	$7.34
Rate for Payer: Aetna Commercial	$4.40
Rate for Payer: Aetna Medicare Advantage	$4.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.74
Rate for Payer: Cigna Commercial	$7.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.91
Rate for Payer: Oxford Commercial	$7.34
Rate for Payer: Qualcare PPO/HMO/WC	$2.20
Rate for Payer: UnitedHealthcare Commercial	$7.34

Know your out-of-pocket cost for care.

All Charges