Heights University Hospital

All Charges

Charge

Type

Setting

Price

TUBING GU IRRIGATION

Facility

$26.67

Hospital Charge Code	270040325
Hospital Revenue Code	272
Min. Negotiated Rate	$4.00
Max. Negotiated Rate	$4.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.00

TUBING GU IRRIGATION

Facility

$26.67

Hospital Charge Code	270040325
Hospital Revenue Code	272
Min. Negotiated Rate	$3.47
Max. Negotiated Rate	$13.34
Rate for Payer: Aetna Commercial	$8.00
Rate for Payer: Aetna Medicare Advantage	$8.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.80
Rate for Payer: Cigna Commercial	$13.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.47
Rate for Payer: Oxford Commercial	$13.34
Rate for Payer: Qualcare PPO/HMO/WC	$4.00
Rate for Payer: UnitedHealthcare Commercial	$13.34

TUBING HEMA Y-TYPE BLOOD SET

Facility

$43.63

Hospital Charge Code	270649225
Hospital Revenue Code	272
Min. Negotiated Rate	$6.54
Max. Negotiated Rate	$6.54
Rate for Payer: Qualcare PPO/HMO/WC	$6.54

TUBING HEMA Y-TYPE BLOOD SET

Facility

$43.63

Hospital Charge Code	270649225
Hospital Revenue Code	272
Min. Negotiated Rate	$5.67
Max. Negotiated Rate	$21.82
Rate for Payer: Aetna Commercial	$13.09
Rate for Payer: Aetna Medicare Advantage	$13.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.13
Rate for Payer: Cigna Commercial	$21.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.67
Rate for Payer: Oxford Commercial	$21.82
Rate for Payer: Qualcare PPO/HMO/WC	$6.54
Rate for Payer: UnitedHealthcare Commercial	$21.82

TUBING HEMOVAC WOUND LG

Facility

$136.85

Hospital Charge Code	270061435
Hospital Revenue Code	272
Min. Negotiated Rate	$20.53
Max. Negotiated Rate	$20.53
Rate for Payer: Qualcare PPO/HMO/WC	$20.53

TUBING HEMOVAC WOUND LG

Facility

$136.85

Hospital Charge Code	270061435
Hospital Revenue Code	272
Min. Negotiated Rate	$17.79
Max. Negotiated Rate	$68.42
Rate for Payer: Aetna Commercial	$41.05
Rate for Payer: Aetna Medicare Advantage	$41.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.90
Rate for Payer: Cigna Commercial	$68.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.79
Rate for Payer: Oxford Commercial	$68.42
Rate for Payer: Qualcare PPO/HMO/WC	$20.53
Rate for Payer: UnitedHealthcare Commercial	$68.42

TUBING HIGH PRESS 72in HPF720E

Facility

$30.90

Hospital Charge Code	270628012
Hospital Revenue Code	272
Min. Negotiated Rate	$4.02
Max. Negotiated Rate	$15.45
Rate for Payer: Aetna Commercial	$9.27
Rate for Payer: Aetna Medicare Advantage	$9.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.88
Rate for Payer: Cigna Commercial	$15.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.02
Rate for Payer: Oxford Commercial	$15.45
Rate for Payer: Qualcare PPO/HMO/WC	$4.63
Rate for Payer: UnitedHealthcare Commercial	$15.45

TUBING HIGH PRESS 72in HPF720E

Facility

$30.90

Hospital Charge Code	270628012
Hospital Revenue Code	272
Min. Negotiated Rate	$4.63
Max. Negotiated Rate	$4.63
Rate for Payer: Qualcare PPO/HMO/WC	$4.63

TUBING HIGH PRESSURE

Facility

$205.65

Hospital Charge Code	270601453
Hospital Revenue Code	272
Min. Negotiated Rate	$30.85
Max. Negotiated Rate	$30.85
Rate for Payer: Qualcare PPO/HMO/WC	$30.85

TUBING HIGH PRESSURE

Facility

$205.65

Hospital Charge Code	270601453
Hospital Revenue Code	272
Min. Negotiated Rate	$26.73
Max. Negotiated Rate	$102.83
Rate for Payer: Aetna Commercial	$61.70
Rate for Payer: Aetna Medicare Advantage	$61.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.44
Rate for Payer: Cigna Commercial	$102.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.73
Rate for Payer: Oxford Commercial	$102.83
Rate for Payer: Qualcare PPO/HMO/WC	$30.85
Rate for Payer: UnitedHealthcare Commercial	$102.83

TUBING HIGH PRESSURE 100

Facility

$40.50

Hospital Charge Code	270667655
Hospital Revenue Code	272
Min. Negotiated Rate	$5.26
Max. Negotiated Rate	$20.25
Rate for Payer: Aetna Commercial	$12.15
Rate for Payer: Aetna Medicare Advantage	$12.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.33
Rate for Payer: Cigna Commercial	$20.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.26
Rate for Payer: Oxford Commercial	$20.25
Rate for Payer: Qualcare PPO/HMO/WC	$6.08
Rate for Payer: UnitedHealthcare Commercial	$20.25

TUBING HIGH PRESSURE 100

Facility

$40.50

Hospital Charge Code	270667655
Hospital Revenue Code	272
Min. Negotiated Rate	$6.08
Max. Negotiated Rate	$6.08
Rate for Payer: Qualcare PPO/HMO/WC	$6.08

TUBING HIGH PRESSURE 120 PSI

Facility

$687.50

Hospital Charge Code	270663793
Hospital Revenue Code	270
Min. Negotiated Rate	$89.38
Max. Negotiated Rate	$343.75
Rate for Payer: Aetna Commercial	$206.25
Rate for Payer: Aetna Medicare Advantage	$206.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$175.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$175.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$175.31
Rate for Payer: Cigna Commercial	$343.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.38
Rate for Payer: Oxford Commercial	$343.75
Rate for Payer: Qualcare PPO/HMO/WC	$103.12
Rate for Payer: UnitedHealthcare Commercial	$343.75

TUBING HIGH PRESSURE 120 PSI

Facility

$687.50

Hospital Charge Code	270663793
Hospital Revenue Code	270
Min. Negotiated Rate	$103.12
Max. Negotiated Rate	$103.12
Rate for Payer: Qualcare PPO/HMO/WC	$103.12

TUBING HIGH PRESSURE 20

Facility

$357.50

Hospital Charge Code	270658345
Hospital Revenue Code	279
Min. Negotiated Rate	$53.62
Max. Negotiated Rate	$53.62
Rate for Payer: Qualcare PPO/HMO/WC	$53.62

TUBING HIGH PRESSURE 20

Facility

$357.50

Hospital Charge Code	270658345
Hospital Revenue Code	279
Min. Negotiated Rate	$46.48
Max. Negotiated Rate	$178.75
Rate for Payer: Aetna Commercial	$107.25
Rate for Payer: Aetna Medicare Advantage	$107.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.16
Rate for Payer: Cigna Commercial	$178.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.48
Rate for Payer: Oxford Commercial	$178.75
Rate for Payer: Qualcare PPO/HMO/WC	$53.62
Rate for Payer: UnitedHealthcare Commercial	$178.75

TUBING HIGH PRESSURE HPF480E

Facility

$43.25

Hospital Charge Code	270623570
Hospital Revenue Code	272
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 HIGH PRESSURE HPF480E

Facility

$43.25

Hospital Charge Code	270623570
Hospital Revenue Code	272
Min. Negotiated Rate	$6.49
Max. Negotiated Rate	$6.49
Rate for Payer: Qualcare PPO/HMO/WC	$6.49

TUBING HI PRESSURE 900 HP9100E

Facility

$13.75

Hospital Charge Code	270658323
Hospital Revenue Code	271
Min. Negotiated Rate	$2.06
Max. Negotiated Rate	$2.06
Rate for Payer: Qualcare PPO/HMO/WC	$2.06

TUBING HI PRESSURE 900 HP9100E

Facility

$13.75

Hospital Charge Code	270658323
Hospital Revenue Code	271
Min. Negotiated Rate	$1.79
Max. Negotiated Rate	$6.88
Rate for Payer: Aetna Commercial	$4.12
Rate for Payer: Aetna Medicare Advantage	$4.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.51
Rate for Payer: Cigna Commercial	$6.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.79
Rate for Payer: Oxford Commercial	$6.88
Rate for Payer: Qualcare PPO/HMO/WC	$2.06
Rate for Payer: UnitedHealthcare Commercial	$6.88

TUBING HI PRESSURE 900 HP9100E

Facility

$16.40

Hospital Charge Code	270658323N
Hospital Revenue Code	271
Min. Negotiated Rate	$2.46
Max. Negotiated Rate	$2.46
Rate for Payer: Qualcare PPO/HMO/WC	$2.46

TUBING HI PRESSURE 900 HP9100E

Facility

$16.40

Hospital Charge Code	270658323N
Hospital Revenue Code	271
Min. Negotiated Rate	$2.13
Max. Negotiated Rate	$8.20
Rate for Payer: Aetna Commercial	$4.92
Rate for Payer: Aetna Medicare Advantage	$4.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.18
Rate for Payer: Cigna Commercial	$8.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.13
Rate for Payer: Oxford Commercial	$8.20
Rate for Payer: Qualcare PPO/HMO/WC	$2.46
Rate for Payer: UnitedHealthcare Commercial	$8.20

TUBING HI PRESSURE 900 HP9100E

Facility

$13.75

Hospital Charge Code	270658323S
Hospital Revenue Code	271
Min. Negotiated Rate	$1.79
Max. Negotiated Rate	$6.88
Rate for Payer: Aetna Commercial	$4.12
Rate for Payer: Aetna Medicare Advantage	$4.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.51
Rate for Payer: Cigna Commercial	$6.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.79
Rate for Payer: Oxford Commercial	$6.88
Rate for Payer: Qualcare PPO/HMO/WC	$2.06
Rate for Payer: UnitedHealthcare Commercial	$6.88

TUBING HI PRESSURE 900 HP9100E

Facility

$13.75

Hospital Charge Code	270658323S
Hospital Revenue Code	271
Min. Negotiated Rate	$2.06
Max. Negotiated Rate	$2.06
Rate for Payer: Qualcare PPO/HMO/WC	$2.06

TUBING HME FLEX 1590

Facility

$10.50

Hospital Charge Code	270633721
Hospital Revenue Code	272
Min. Negotiated Rate	$1.57
Max. Negotiated Rate	$1.57
Rate for Payer: Qualcare PPO/HMO/WC	$1.57

Know your out-of-pocket cost for care.

All Charges