Heights University Hospital

All Charges

Charge

Type

Setting

Price

TUBING CONNECTING 6FT 5mm N56A

Facility

$2.30

Hospital Charge Code	270302440
Hospital Revenue Code	270
Min. Negotiated Rate	$0.30
Max. Negotiated Rate	$1.15
Rate for Payer: Aetna Commercial	$0.69
Rate for Payer: Aetna Medicare Advantage	$0.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.59
Rate for Payer: Cigna Commercial	$1.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.30
Rate for Payer: Oxford Commercial	$1.15
Rate for Payer: Qualcare PPO/HMO/WC	$0.35
Rate for Payer: UnitedHealthcare Commercial	$1.15

TUBING CONNECTOR COIL 60 IN

Facility

$18.75

Hospital Charge Code	270690353
Hospital Revenue Code	272
Min. Negotiated Rate	$2.81
Max. Negotiated Rate	$2.81
Rate for Payer: Qualcare PPO/HMO/WC	$2.81

TUBING CONNECTOR COIL 60 IN

Facility

$18.75

Hospital Charge Code	270690353
Hospital Revenue Code	272
Min. Negotiated Rate	$2.44
Max. Negotiated Rate	$9.38
Rate for Payer: Aetna Commercial	$5.62
Rate for Payer: Aetna Medicare Advantage	$5.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.78
Rate for Payer: Cigna Commercial	$9.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.44
Rate for Payer: Oxford Commercial	$9.38
Rate for Payer: Qualcare PPO/HMO/WC	$2.81
Rate for Payer: UnitedHealthcare Commercial	$9.38

TUBING CONNECTOR EMPOWERCTA

Facility

$22.60

Hospital Charge Code	270690355
Hospital Revenue Code	272
Min. Negotiated Rate	$3.39
Max. Negotiated Rate	$3.39
Rate for Payer: Qualcare PPO/HMO/WC	$3.39

TUBING CONNECTOR EMPOWERCTA

Facility

$22.60

Hospital Charge Code	270690355
Hospital Revenue Code	272
Min. Negotiated Rate	$2.94
Max. Negotiated Rate	$11.30
Rate for Payer: Aetna Commercial	$6.78
Rate for Payer: Aetna Medicare Advantage	$6.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.76
Rate for Payer: Cigna Commercial	$11.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.94
Rate for Payer: Oxford Commercial	$11.30
Rate for Payer: Qualcare PPO/HMO/WC	$3.39
Rate for Payer: UnitedHealthcare Commercial	$11.30

TUBING CONNECTORS NYLON 5540

Facility

$25.00

Hospital Charge Code	270331474
Hospital Revenue Code	272
Min. Negotiated Rate	$3.25
Max. Negotiated Rate	$12.50
Rate for Payer: Aetna Commercial	$7.50
Rate for Payer: Aetna Medicare Advantage	$7.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.38
Rate for Payer: Cigna Commercial	$12.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.25
Rate for Payer: Oxford Commercial	$12.50
Rate for Payer: Qualcare PPO/HMO/WC	$3.75
Rate for Payer: UnitedHealthcare Commercial	$12.50

TUBING CONNECTORS NYLON 5540

Facility

$25.00

Hospital Charge Code	270331474
Hospital Revenue Code	272
Min. Negotiated Rate	$3.75
Max. Negotiated Rate	$3.75
Rate for Payer: Qualcare PPO/HMO/WC	$3.75

TUBING CONTINU-FLO SET

Facility

$19.65

Hospital Charge Code	270649223
Hospital Revenue Code	272
Min. Negotiated Rate	$2.95
Max. Negotiated Rate	$2.95
Rate for Payer: Qualcare PPO/HMO/WC	$2.95

TUBING CONTINU-FLO SET

Facility

$19.65

Hospital Charge Code	270649223
Hospital Revenue Code	272
Min. Negotiated Rate	$2.55
Max. Negotiated Rate	$9.82
Rate for Payer: Aetna Commercial	$5.89
Rate for Payer: Aetna Medicare Advantage	$5.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.01
Rate for Payer: Cigna Commercial	$9.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.55
Rate for Payer: Oxford Commercial	$9.82
Rate for Payer: Qualcare PPO/HMO/WC	$2.95
Rate for Payer: UnitedHealthcare Commercial	$9.82

TUBING CONTINUOUS BLADDER

Facility

$9.00

Hospital Charge Code	7000235
Hospital Revenue Code	258
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 CONTINUOUS BLADDER

Facility

$9.00

Hospital Charge Code	7000235
Hospital Revenue Code	258
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$1.35
Rate for Payer: Qualcare PPO/HMO/WC	$1.35

TUBING CORRUGATED

Facility

$16.85

Hospital Charge Code	270600603
Hospital Revenue Code	272
Min. Negotiated Rate	$2.19
Max. Negotiated Rate	$8.43
Rate for Payer: Aetna Commercial	$5.05
Rate for Payer: Aetna Medicare Advantage	$5.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.30
Rate for Payer: Cigna Commercial	$8.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.19
Rate for Payer: Oxford Commercial	$8.43
Rate for Payer: Qualcare PPO/HMO/WC	$2.53
Rate for Payer: UnitedHealthcare Commercial	$8.43

TUBING CORRUGATED

Facility

$16.85

Hospital Charge Code	270600603
Hospital Revenue Code	272
Min. Negotiated Rate	$2.53
Max. Negotiated Rate	$2.53
Rate for Payer: Qualcare PPO/HMO/WC	$2.53

TUBING CORRUGATED PRE-CUT 6'

Facility

$4.00

Hospital Charge Code	270623583
Hospital Revenue Code	272
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

TUBING CORRUGATED PRE-CUT 6'

Facility

$4.00

Hospital Charge Code	270623583
Hospital Revenue Code	272
Min. Negotiated Rate	$0.52
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.20
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.52
Rate for Payer: Oxford Commercial	$2.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$2.00

TUBING CRITERION PRESSURE

Facility

$71.35

Hospital Charge Code	270651929
Hospital Revenue Code	270
Min. Negotiated Rate	$9.28
Max. Negotiated Rate	$35.67
Rate for Payer: Aetna Commercial	$21.41
Rate for Payer: Aetna Medicare Advantage	$21.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.19
Rate for Payer: Cigna Commercial	$35.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.28
Rate for Payer: Oxford Commercial	$35.67
Rate for Payer: Qualcare PPO/HMO/WC	$10.70
Rate for Payer: UnitedHealthcare Commercial	$35.67

TUBING CRITERION PRESSURE

Facility

$71.35

Hospital Charge Code	270651929
Hospital Revenue Code	270
Min. Negotiated Rate	$10.70
Max. Negotiated Rate	$10.70
Rate for Payer: Qualcare PPO/HMO/WC	$10.70

TUBING CYSTO IRRIGATION

Facility

$43.25

Hospital Charge Code	270061480
Hospital Revenue Code	270
Min. Negotiated Rate	$6.49
Max. Negotiated Rate	$6.49
Rate for Payer: Qualcare PPO/HMO/WC	$6.49

TUBING CYSTO IRRIGATION

Facility

$43.25

Hospital Charge Code	270061480
Hospital Revenue Code	270
Min. Negotiated Rate	$5.62
Max. Negotiated Rate	$21.62
Rate for Payer: Aetna Commercial	$12.97
Rate for Payer: Aetna Medicare Advantage	$12.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.03
Rate for Payer: Cigna Commercial	$21.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.62
Rate for Payer: Oxford Commercial	$21.62
Rate for Payer: Qualcare PPO/HMO/WC	$6.49
Rate for Payer: UnitedHealthcare Commercial	$21.62

TUBING CYSTOSCOPY/IRRIGATION

Facility

$21.30

Hospital Charge Code	270650079
Hospital Revenue Code	270
Min. Negotiated Rate	$3.19
Max. Negotiated Rate	$3.19
Rate for Payer: Qualcare PPO/HMO/WC	$3.19

TUBING CYSTOSCOPY/IRRIGATION

Facility

$21.30

Hospital Charge Code	270650079
Hospital Revenue Code	270
Min. Negotiated Rate	$2.77
Max. Negotiated Rate	$10.65
Rate for Payer: Aetna Commercial	$6.39
Rate for Payer: Aetna Medicare Advantage	$6.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.43
Rate for Payer: Cigna Commercial	$10.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.77
Rate for Payer: Oxford Commercial	$10.65
Rate for Payer: Qualcare PPO/HMO/WC	$3.19
Rate for Payer: UnitedHealthcare Commercial	$10.65

TUBING CYSTO TUR

Facility

$54.98

Hospital Charge Code	270679182
Hospital Revenue Code	272
Min. Negotiated Rate	$8.25
Max. Negotiated Rate	$8.25
Rate for Payer: Qualcare PPO/HMO/WC	$8.25

TUBING CYSTO TUR

Facility

$54.98

Hospital Charge Code	270679182
Hospital Revenue Code	272
Min. Negotiated Rate	$7.15
Max. Negotiated Rate	$27.49
Rate for Payer: Aetna Commercial	$16.49
Rate for Payer: Aetna Medicare Advantage	$16.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.02
Rate for Payer: Cigna Commercial	$27.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.15
Rate for Payer: Oxford Commercial	$27.49
Rate for Payer: Qualcare PPO/HMO/WC	$8.25
Rate for Payer: UnitedHealthcare Commercial	$27.49

TUBING DAVOL HYDROSURG 26010

Facility

$238.26

Hospital Charge Code	270611817
Hospital Revenue Code	272
Min. Negotiated Rate	$35.74
Max. Negotiated Rate	$35.74
Rate for Payer: Qualcare PPO/HMO/WC	$35.74

TUBING DAVOL HYDROSURG 26010

Facility

$238.26

Hospital Charge Code	270611817
Hospital Revenue Code	272
Min. Negotiated Rate	$30.97
Max. Negotiated Rate	$119.13
Rate for Payer: Aetna Commercial	$71.48
Rate for Payer: Aetna Medicare Advantage	$71.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.76
Rate for Payer: Cigna Commercial	$119.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.97
Rate for Payer: Oxford Commercial	$119.13
Rate for Payer: Qualcare PPO/HMO/WC	$35.74
Rate for Payer: UnitedHealthcare Commercial	$119.13

Know your out-of-pocket cost for care.

All Charges