Heights University Hospital

All Charges

Charge

Type

Setting

Price

TUBING DIAL-A-FLOW EXT****

Facility

$25.00

Hospital Charge Code	7000623
Hospital Revenue Code	279
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 DIAL-A-FLOW EXT****

Facility

$25.00

Hospital Charge Code	7000623
Hospital Revenue Code	279
Min. Negotiated Rate	$3.75
Max. Negotiated Rate	$3.75
Rate for Payer: Qualcare PPO/HMO/WC	$3.75

TUBING DIAL-FLOW EXT 16710202

Facility

$15.67

Hospital Charge Code	270041120
Hospital Revenue Code	272
Min. Negotiated Rate	$2.35
Max. Negotiated Rate	$2.35
Rate for Payer: Qualcare PPO/HMO/WC	$2.35

TUBING DIAL-FLOW EXT 16710202

Facility

$15.67

Hospital Charge Code	270041120
Hospital Revenue Code	272
Min. Negotiated Rate	$2.04
Max. Negotiated Rate	$7.83
Rate for Payer: Aetna Commercial	$4.70
Rate for Payer: Aetna Medicare Advantage	$4.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.00
Rate for Payer: Cigna Commercial	$7.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.04
Rate for Payer: Oxford Commercial	$7.83
Rate for Payer: Qualcare PPO/HMO/WC	$2.35
Rate for Payer: UnitedHealthcare Commercial	$7.83

TUBING DIEGO 70338003

Facility

$92.25

Hospital Charge Code	270627898
Hospital Revenue Code	272
Min. Negotiated Rate	$13.84
Max. Negotiated Rate	$13.84
Rate for Payer: Qualcare PPO/HMO/WC	$13.84

TUBING DIEGO 70338003

Facility

$92.25

Hospital Charge Code	270627898
Hospital Revenue Code	272
Min. Negotiated Rate	$11.99
Max. Negotiated Rate	$46.12
Rate for Payer: Aetna Commercial	$27.68
Rate for Payer: Aetna Medicare Advantage	$27.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.52
Rate for Payer: Cigna Commercial	$46.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.99
Rate for Payer: Oxford Commercial	$46.12
Rate for Payer: Qualcare PPO/HMO/WC	$13.84
Rate for Payer: UnitedHealthcare Commercial	$46.12

TUBING DYE INJ 900617

Facility

$25.00

Hospital Charge Code	270637278
Hospital Revenue Code	270
Min. Negotiated Rate	$3.75
Max. Negotiated Rate	$3.75
Rate for Payer: Qualcare PPO/HMO/WC	$3.75

TUBING DYE INJ 900617

Facility

$25.00

Hospital Charge Code	270637278
Hospital Revenue Code	270
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 EDS SUCT/IRR EI010001

Facility

$556.00

Hospital Charge Code	270628754
Hospital Revenue Code	272
Min. Negotiated Rate	$72.28
Max. Negotiated Rate	$278.00
Rate for Payer: Aetna Commercial	$166.80
Rate for Payer: Aetna Medicare Advantage	$166.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$141.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$141.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$141.78
Rate for Payer: Cigna Commercial	$278.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.28
Rate for Payer: Oxford Commercial	$278.00
Rate for Payer: Qualcare PPO/HMO/WC	$83.40
Rate for Payer: UnitedHealthcare Commercial	$278.00

TUBING EDS SUCT/IRR EI010001

Facility

$556.00

Hospital Charge Code	270628754
Hospital Revenue Code	272
Min. Negotiated Rate	$83.40
Max. Negotiated Rate	$83.40
Rate for Payer: Qualcare PPO/HMO/WC	$83.40

TUBING ELECTRO COAG 809700

Facility

$8.00

Hospital Charge Code	270625166
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 ELECTRO COAG 809700

Facility

$8.00

Hospital Charge Code	270625166
Hospital Revenue Code	272
Min. Negotiated Rate	$1.20
Max. Negotiated Rate	$1.20
Rate for Payer: Qualcare PPO/HMO/WC	$1.20

TUBING ENDOGATOR HYBRID

Facility

$120.00

Hospital Charge Code	270677701
Hospital Revenue Code	272
Min. Negotiated Rate	$18.00
Max. Negotiated Rate	$18.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.00

TUBING ENDOGATOR HYBRID

Facility

$120.00

Hospital Charge Code	270677701
Hospital Revenue Code	272
Min. Negotiated Rate	$15.60
Max. Negotiated Rate	$60.00
Rate for Payer: Aetna Commercial	$36.00
Rate for Payer: Aetna Medicare Advantage	$36.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.60
Rate for Payer: Cigna Commercial	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.60
Rate for Payer: Oxford Commercial	$60.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.00
Rate for Payer: UnitedHealthcare Commercial	$60.00

TUBING ENDOLAV CONNECTING

Facility

$32.85

Hospital Charge Code	270600948
Hospital Revenue Code	272
Min. Negotiated Rate	$4.27
Max. Negotiated Rate	$16.43
Rate for Payer: Aetna Commercial	$9.86
Rate for Payer: Aetna Medicare Advantage	$9.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.38
Rate for Payer: Cigna Commercial	$16.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.27
Rate for Payer: Oxford Commercial	$16.43
Rate for Payer: Qualcare PPO/HMO/WC	$4.93
Rate for Payer: UnitedHealthcare Commercial	$16.43

TUBING ENDOLAV CONNECTING

Facility

$32.85

Hospital Charge Code	270600948
Hospital Revenue Code	272
Min. Negotiated Rate	$4.93
Max. Negotiated Rate	$4.93
Rate for Payer: Qualcare PPO/HMO/WC	$4.93

TUBING EVACUATION

Facility

$47.00

Hospital Charge Code	270335142
Hospital Revenue Code	272
Min. Negotiated Rate	$7.05
Max. Negotiated Rate	$7.05
Rate for Payer: Qualcare PPO/HMO/WC	$7.05

TUBING EVACUATION

Facility

$47.00

Hospital Charge Code	270335142
Hospital Revenue Code	272
Min. Negotiated Rate	$6.11
Max. Negotiated Rate	$23.50
Rate for Payer: Aetna Commercial	$14.10
Rate for Payer: Aetna Medicare Advantage	$14.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.98
Rate for Payer: Cigna Commercial	$23.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.11
Rate for Payer: Oxford Commercial	$23.50
Rate for Payer: Qualcare PPO/HMO/WC	$7.05
Rate for Payer: UnitedHealthcare Commercial	$23.50

TUBING EXTENSION 12 5C4464

Facility

$24.85

Hospital Charge Code	270607856
Hospital Revenue Code	272
Min. Negotiated Rate	$3.23
Max. Negotiated Rate	$12.43
Rate for Payer: Aetna Commercial	$7.46
Rate for Payer: Aetna Medicare Advantage	$7.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.34
Rate for Payer: Cigna Commercial	$12.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.23
Rate for Payer: Oxford Commercial	$12.43
Rate for Payer: Qualcare PPO/HMO/WC	$3.73
Rate for Payer: UnitedHealthcare Commercial	$12.43

TUBING EXTENSION 12 5C4464

Facility

$24.85

Hospital Charge Code	270607856
Hospital Revenue Code	272
Min. Negotiated Rate	$3.73
Max. Negotiated Rate	$3.73
Rate for Payer: Qualcare PPO/HMO/WC	$3.73

TUBING EXTENSION 20 4429-48

Facility

$5.65

Hospital Charge Code	270601252
Hospital Revenue Code	272
Min. Negotiated Rate	$0.73
Max. Negotiated Rate	$2.83
Rate for Payer: Aetna Commercial	$1.70
Rate for Payer: Aetna Medicare Advantage	$1.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.44
Rate for Payer: Cigna Commercial	$2.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.73
Rate for Payer: Oxford Commercial	$2.83
Rate for Payer: Qualcare PPO/HMO/WC	$0.85
Rate for Payer: UnitedHealthcare Commercial	$2.83

TUBING EXTENSION 20 4429-48

Facility

$5.65

Hospital Charge Code	270601252
Hospital Revenue Code	272
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$0.85
Rate for Payer: Qualcare PPO/HMO/WC	$0.85

TUBING EXTENSION 2C6224

Facility

$12.85

Hospital Charge Code	270601457
Hospital Revenue Code	272
Min. Negotiated Rate	$1.93
Max. Negotiated Rate	$1.93
Rate for Payer: Qualcare PPO/HMO/WC	$1.93

TUBING EXTENSION 2C6224

Facility

$12.85

Hospital Charge Code	270601457
Hospital Revenue Code	272
Min. Negotiated Rate	$1.67
Max. Negotiated Rate	$6.42
Rate for Payer: Aetna Commercial	$3.85
Rate for Payer: Aetna Medicare Advantage	$3.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.28
Rate for Payer: Cigna Commercial	$6.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.67
Rate for Payer: Oxford Commercial	$6.42
Rate for Payer: Qualcare PPO/HMO/WC	$1.93
Rate for Payer: UnitedHealthcare Commercial	$6.42

TUBING EXTENSION SET

Facility

$82.50

Hospital Charge Code	270677062
Hospital Revenue Code	272
Min. Negotiated Rate	$10.72
Max. Negotiated Rate	$41.25
Rate for Payer: Aetna Commercial	$24.75
Rate for Payer: Aetna Medicare Advantage	$24.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.04
Rate for Payer: Cigna Commercial	$41.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.72
Rate for Payer: Oxford Commercial	$41.25
Rate for Payer: Qualcare PPO/HMO/WC	$12.38
Rate for Payer: UnitedHealthcare Commercial	$41.25

Know your out-of-pocket cost for care.

All Charges