Heights University Hospital

All Charges

Charge

Type

Setting

Price

TUBING ARTERIAL PRESSURE 48**

Facility

$13.00

Hospital Charge Code	8003170
Hospital Revenue Code	279
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$1.95
Rate for Payer: Qualcare PPO/HMO/WC	$1.95

TUBING ARTERIAL PRESSURE 48**

Facility

$13.00

Hospital Charge Code	8003170
Hospital Revenue Code	279
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$6.50
Rate for Payer: Aetna Commercial	$3.90
Rate for Payer: Aetna Medicare Advantage	$3.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.31
Rate for Payer: Cigna Commercial	$6.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.69
Rate for Payer: Oxford Commercial	$6.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.95
Rate for Payer: UnitedHealthcare Commercial	$6.50

TUBING ARTERIAL PRESSURE 6***

Facility

$9.00

Hospital Charge Code	8003162
Hospital Revenue Code	279
Min. Negotiated Rate	$1.17
Max. Negotiated Rate	$4.50
Rate for Payer: Aetna Commercial	$2.70
Rate for Payer: Aetna Medicare Advantage	$2.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.29
Rate for Payer: Cigna Commercial	$4.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.17
Rate for Payer: Oxford Commercial	$4.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.35
Rate for Payer: UnitedHealthcare Commercial	$4.50

TUBING ARTERIAL PRESSURE 6***

Facility

$9.00

Hospital Charge Code	8003162
Hospital Revenue Code	279
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$1.35
Rate for Payer: Qualcare PPO/HMO/WC	$1.35

TUBING ARTHROSCOPY 10K PUMP

Facility

$226.60

Hospital Charge Code	270677533
Hospital Revenue Code	272
Min. Negotiated Rate	$33.99
Max. Negotiated Rate	$33.99
Rate for Payer: Qualcare PPO/HMO/WC	$33.99

TUBING ARTHROSCOPY 10K PUMP

Facility

$226.60

Hospital Charge Code	270677533
Hospital Revenue Code	272
Min. Negotiated Rate	$29.46
Max. Negotiated Rate	$113.30
Rate for Payer: Aetna Commercial	$67.98
Rate for Payer: Aetna Medicare Advantage	$67.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.78
Rate for Payer: Cigna Commercial	$113.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.46
Rate for Payer: Oxford Commercial	$113.30
Rate for Payer: Qualcare PPO/HMO/WC	$33.99
Rate for Payer: UnitedHealthcare Commercial	$113.30

TUBING ART PRESS 36IN 4236801

Facility

$17.65

Hospital Charge Code	270621785
Hospital Revenue Code	270
Min. Negotiated Rate	$2.65
Max. Negotiated Rate	$2.65
Rate for Payer: Qualcare PPO/HMO/WC	$2.65

TUBING ART PRESS 36IN 4236801

Facility

$17.65

Hospital Charge Code	270621785
Hospital Revenue Code	270
Min. Negotiated Rate	$2.29
Max. Negotiated Rate	$8.82
Rate for Payer: Aetna Commercial	$5.29
Rate for Payer: Aetna Medicare Advantage	$5.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.50
Rate for Payer: Cigna Commercial	$8.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.29
Rate for Payer: Oxford Commercial	$8.82
Rate for Payer: Qualcare PPO/HMO/WC	$2.65
Rate for Payer: UnitedHealthcare Commercial	$8.82

TUBING ART PRESS 36IN 4236901

Facility

$8.00

Hospital Charge Code	270616526
Hospital Revenue Code	272
Min. Negotiated Rate	$1.04
Max. Negotiated Rate	$4.00
Rate for Payer: Aetna Commercial	$2.40
Rate for Payer: Aetna Medicare Advantage	$2.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.04
Rate for Payer: Cigna Commercial	$4.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.04
Rate for Payer: Oxford Commercial	$4.00
Rate for Payer: Qualcare PPO/HMO/WC	$1.20
Rate for Payer: UnitedHealthcare Commercial	$4.00

TUBING ART PRESS 36IN 4236901

Facility

$8.00

Hospital Charge Code	270616526
Hospital Revenue Code	272
Min. Negotiated Rate	$1.20
Max. Negotiated Rate	$1.20
Rate for Payer: Qualcare PPO/HMO/WC	$1.20

TUBING ART PRESS 48IN 42362040

Facility

$20.85

Hospital Charge Code	270600720
Hospital Revenue Code	272
Min. Negotiated Rate	$3.13
Max. Negotiated Rate	$3.13
Rate for Payer: Qualcare PPO/HMO/WC	$3.13

TUBING ART PRESS 48IN 42362040

Facility

$20.85

Hospital Charge Code	270600720
Hospital Revenue Code	272
Min. Negotiated Rate	$2.71
Max. Negotiated Rate	$10.43
Rate for Payer: Aetna Commercial	$6.25
Rate for Payer: Aetna Medicare Advantage	$6.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.32
Rate for Payer: Cigna Commercial	$10.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.71
Rate for Payer: Oxford Commercial	$10.43
Rate for Payer: Qualcare PPO/HMO/WC	$3.13
Rate for Payer: UnitedHealthcare Commercial	$10.43

TUBING ART PRESS 6IN 42370010

Facility

$36.00

Hospital Charge Code	270600721
Hospital Revenue Code	272
Min. Negotiated Rate	$5.40
Max. Negotiated Rate	$5.40
Rate for Payer: Qualcare PPO/HMO/WC	$5.40

TUBING ART PRESS 6IN 42370010

Facility

$36.00

Hospital Charge Code	270600721
Hospital Revenue Code	272
Min. Negotiated Rate	$4.68
Max. Negotiated Rate	$18.00
Rate for Payer: Aetna Commercial	$10.80
Rate for Payer: Aetna Medicare Advantage	$10.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.18
Rate for Payer: Cigna Commercial	$18.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.68
Rate for Payer: Oxford Commercial	$18.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.40
Rate for Payer: UnitedHealthcare Commercial	$18.00

TUBING ASPIRATION

Facility

$2,190.00

Hospital Charge Code	270683398
Hospital Revenue Code	272
Min. Negotiated Rate	$328.50
Max. Negotiated Rate	$328.50
Rate for Payer: Qualcare PPO/HMO/WC	$328.50

TUBING ASPIRATION

Facility

$2,190.00

Hospital Charge Code	270683398N
Hospital Revenue Code	272
Min. Negotiated Rate	$284.70
Max. Negotiated Rate	$1,095.00
Rate for Payer: Aetna Commercial	$657.00
Rate for Payer: Aetna Medicare Advantage	$657.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$558.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$558.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$558.45
Rate for Payer: Cigna Commercial	$1,095.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$284.70
Rate for Payer: Oxford Commercial	$1,095.00
Rate for Payer: Qualcare PPO/HMO/WC	$328.50
Rate for Payer: UnitedHealthcare Commercial	$1,095.00

TUBING ASPIRATION

Facility

$2,190.00

Hospital Charge Code	270683398
Hospital Revenue Code	272
Min. Negotiated Rate	$284.70
Max. Negotiated Rate	$1,095.00
Rate for Payer: Aetna Commercial	$657.00
Rate for Payer: Aetna Medicare Advantage	$657.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$558.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$558.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$558.45
Rate for Payer: Cigna Commercial	$1,095.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$284.70
Rate for Payer: Oxford Commercial	$1,095.00
Rate for Payer: Qualcare PPO/HMO/WC	$328.50
Rate for Payer: UnitedHealthcare Commercial	$1,095.00

TUBING ASPIRATION

Facility

$2,190.00

Hospital Charge Code	270683398N
Hospital Revenue Code	272
Min. Negotiated Rate	$328.50
Max. Negotiated Rate	$328.50
Rate for Payer: Qualcare PPO/HMO/WC	$328.50

TUBING ASPIRATION ******

Facility

$39.00

Hospital Charge Code	1606136
Hospital Revenue Code	272
Min. Negotiated Rate	$5.07
Max. Negotiated Rate	$19.50
Rate for Payer: Aetna Commercial	$11.70
Rate for Payer: Aetna Medicare Advantage	$11.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.95
Rate for Payer: Cigna Commercial	$19.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.07
Rate for Payer: Oxford Commercial	$19.50
Rate for Payer: Qualcare PPO/HMO/WC	$5.85
Rate for Payer: UnitedHealthcare Commercial	$19.50

TUBING ASPIRATION ******

Facility

$39.00

Hospital Charge Code	1606136
Hospital Revenue Code	272
Min. Negotiated Rate	$5.85
Max. Negotiated Rate	$5.85
Rate for Payer: Qualcare PPO/HMO/WC	$5.85

TUBING ASPIRATION SET DISP 9FT

Facility

$50.00

Hospital Charge Code	270650892
Hospital Revenue Code	272
Min. Negotiated Rate	$7.50
Max. Negotiated Rate	$7.50
Rate for Payer: Qualcare PPO/HMO/WC	$7.50

TUBING ASPIRATION SET DISP 9FT

Facility

$50.00

Hospital Charge Code	270650892
Hospital Revenue Code	272
Min. Negotiated Rate	$6.50
Max. Negotiated Rate	$25.00
Rate for Payer: Aetna Commercial	$15.00
Rate for Payer: Aetna Medicare Advantage	$15.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.75
Rate for Payer: Cigna Commercial	$25.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.50
Rate for Payer: Oxford Commercial	$25.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.50
Rate for Payer: UnitedHealthcare Commercial	$25.00

TUBING ASSEMBLED 022233

Facility

$215.25

Hospital Charge Code	270606118
Hospital Revenue Code	272
Min. Negotiated Rate	$27.98
Max. Negotiated Rate	$107.62
Rate for Payer: Aetna Commercial	$64.58
Rate for Payer: Aetna Medicare Advantage	$64.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.89
Rate for Payer: Cigna Commercial	$107.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.98
Rate for Payer: Oxford Commercial	$107.62
Rate for Payer: Qualcare PPO/HMO/WC	$32.29
Rate for Payer: UnitedHealthcare Commercial	$107.62

TUBING ASSEMBLED 022233

Facility

$215.25

Hospital Charge Code	270606118
Hospital Revenue Code	272
Min. Negotiated Rate	$32.29
Max. Negotiated Rate	$32.29
Rate for Payer: Qualcare PPO/HMO/WC	$32.29

TUBING ASSEMBLED 022234

Facility

$215.25

Hospital Charge Code	270606119
Hospital Revenue Code	272
Min. Negotiated Rate	$32.29
Max. Negotiated Rate	$32.29
Rate for Payer: Qualcare PPO/HMO/WC	$32.29

Know your out-of-pocket cost for care.

All Charges