Heights University Hospital

All Charges

Charge

Type

Setting

Price

TUBING HME FLEX 1590

Facility

$10.50

Hospital Charge Code	270633721
Hospital Revenue Code	272
Min. Negotiated Rate	$1.36
Max. Negotiated Rate	$5.25
Rate for Payer: Aetna Commercial	$3.15
Rate for Payer: Aetna Medicare Advantage	$3.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.68
Rate for Payer: Cigna Commercial	$5.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.36
Rate for Payer: Oxford Commercial	$5.25
Rate for Payer: Qualcare PPO/HMO/WC	$1.57
Rate for Payer: UnitedHealthcare Commercial	$5.25

TUBING HORIZON NXT IV PUMP 610

Facility

$346.45

Hospital Charge Code	270605409
Hospital Revenue Code	272
Min. Negotiated Rate	$45.04
Max. Negotiated Rate	$173.22
Rate for Payer: Aetna Commercial	$103.94
Rate for Payer: Aetna Medicare Advantage	$103.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.34
Rate for Payer: Cigna Commercial	$173.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.04
Rate for Payer: Oxford Commercial	$173.22
Rate for Payer: Qualcare PPO/HMO/WC	$51.97
Rate for Payer: UnitedHealthcare Commercial	$173.22

TUBING HORIZON NXT IV PUMP 610

Facility

$346.45

Hospital Charge Code	270605409
Hospital Revenue Code	272
Min. Negotiated Rate	$51.97
Max. Negotiated Rate	$51.97
Rate for Payer: Qualcare PPO/HMO/WC	$51.97

TUBING HUDSON CORRUGATED

Facility

$24.85

Hospital Charge Code	270061436
Hospital Revenue Code	272
Min. Negotiated Rate	$3.73
Max. Negotiated Rate	$3.73
Rate for Payer: Qualcare PPO/HMO/WC	$3.73

TUBING HUDSON CORRUGATED

Facility

$24.85

Hospital Charge Code	270061436
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 HUDSON CORRUGATED *****

Facility

$34.00

Hospital Charge Code	1601137
Hospital Revenue Code	272
Min. Negotiated Rate	$5.10
Max. Negotiated Rate	$5.10
Rate for Payer: Qualcare PPO/HMO/WC	$5.10

TUBING HUDSON CORRUGATED *****

Facility

$34.00

Hospital Charge Code	1601137
Hospital Revenue Code	272
Min. Negotiated Rate	$4.42
Max. Negotiated Rate	$17.00
Rate for Payer: Aetna Commercial	$10.20
Rate for Payer: Aetna Medicare Advantage	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.67
Rate for Payer: Cigna Commercial	$17.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.42
Rate for Payer: Oxford Commercial	$17.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.10
Rate for Payer: UnitedHealthcare Commercial	$17.00

TUBING HYSTEROSCOPY

Facility

$410.55

Hospital Charge Code	270650772
Hospital Revenue Code	272
Min. Negotiated Rate	$61.58
Max. Negotiated Rate	$61.58
Rate for Payer: Qualcare PPO/HMO/WC	$61.58

TUBING HYSTEROSCOPY

Facility

$410.55

Hospital Charge Code	270650772
Hospital Revenue Code	272
Min. Negotiated Rate	$53.37
Max. Negotiated Rate	$205.28
Rate for Payer: Aetna Commercial	$123.17
Rate for Payer: Aetna Medicare Advantage	$123.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$104.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$104.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$104.69
Rate for Payer: Cigna Commercial	$205.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.37
Rate for Payer: Oxford Commercial	$205.28
Rate for Payer: Qualcare PPO/HMO/WC	$61.58
Rate for Payer: UnitedHealthcare Commercial	$205.28

TUBING INFLOW CASSETTE CROSSFL

Facility

$242.50

Hospital Charge Code	270673137
Hospital Revenue Code	272
Min. Negotiated Rate	$36.38
Max. Negotiated Rate	$36.38
Rate for Payer: Qualcare PPO/HMO/WC	$36.38

TUBING INFLOW CASSETTE CROSSFL

Facility

$242.50

Hospital Charge Code	270673137
Hospital Revenue Code	272
Min. Negotiated Rate	$31.52
Max. Negotiated Rate	$121.25
Rate for Payer: Aetna Commercial	$72.75
Rate for Payer: Aetna Medicare Advantage	$72.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.84
Rate for Payer: Cigna Commercial	$121.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.52
Rate for Payer: Oxford Commercial	$121.25
Rate for Payer: Qualcare PPO/HMO/WC	$36.38
Rate for Payer: UnitedHealthcare Commercial	$121.25

TUBING INJECTOR ANGIO HI PRESS

Facility

$25.75

Hospital Charge Code	270699058
Hospital Revenue Code	272
Min. Negotiated Rate	$3.35
Max. Negotiated Rate	$12.88
Rate for Payer: Aetna Commercial	$7.72
Rate for Payer: Aetna Medicare Advantage	$7.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.57
Rate for Payer: Cigna Commercial	$12.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.35
Rate for Payer: Oxford Commercial	$12.88
Rate for Payer: Qualcare PPO/HMO/WC	$3.86
Rate for Payer: UnitedHealthcare Commercial	$12.88

TUBING INJECTOR ANGIO HI PRESS

Facility

$25.75

Hospital Charge Code	270699058
Hospital Revenue Code	272
Min. Negotiated Rate	$3.86
Max. Negotiated Rate	$3.86
Rate for Payer: Qualcare PPO/HMO/WC	$3.86

TUBING INSUFFLATION 20L

Facility

$51.60

Hospital Charge Code	270657496
Hospital Revenue Code	270
Min. Negotiated Rate	$6.71
Max. Negotiated Rate	$25.80
Rate for Payer: Aetna Commercial	$15.48
Rate for Payer: Aetna Medicare Advantage	$15.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.16
Rate for Payer: Cigna Commercial	$25.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.71
Rate for Payer: Oxford Commercial	$25.80
Rate for Payer: Qualcare PPO/HMO/WC	$7.74
Rate for Payer: UnitedHealthcare Commercial	$25.80

TUBING INSUFFLATION 20L

Facility

$51.60

Hospital Charge Code	270657496
Hospital Revenue Code	270
Min. Negotiated Rate	$7.74
Max. Negotiated Rate	$7.74
Rate for Payer: Qualcare PPO/HMO/WC	$7.74

TUBING INSUFFLATION W/FILTER**

Facility

$90.00

Hospital Charge Code	8003725
Hospital Revenue Code	272
Min. Negotiated Rate	$11.70
Max. Negotiated Rate	$45.00
Rate for Payer: Aetna Commercial	$27.00
Rate for Payer: Aetna Medicare Advantage	$27.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.95
Rate for Payer: Cigna Commercial	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.70
Rate for Payer: Oxford Commercial	$45.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.50
Rate for Payer: UnitedHealthcare Commercial	$45.00

TUBING INSUFFLATION W/FILTER**

Facility

$90.00

Hospital Charge Code	8003725
Hospital Revenue Code	272
Min. Negotiated Rate	$13.50
Max. Negotiated Rate	$13.50
Rate for Payer: Qualcare PPO/HMO/WC	$13.50

TUBING INTRAFLO II A-LINE****

Facility

$215.00

Hospital Charge Code	8003147
Hospital Revenue Code	279
Min. Negotiated Rate	$32.25
Max. Negotiated Rate	$32.25
Rate for Payer: Qualcare PPO/HMO/WC	$32.25

TUBING INTRAFLO II A-LINE****

Facility

$215.00

Hospital Charge Code	8003147
Hospital Revenue Code	279
Min. Negotiated Rate	$27.95
Max. Negotiated Rate	$107.50
Rate for Payer: Aetna Commercial	$64.50
Rate for Payer: Aetna Medicare Advantage	$64.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.83
Rate for Payer: Cigna Commercial	$107.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.95
Rate for Payer: Oxford Commercial	$107.50
Rate for Payer: Qualcare PPO/HMO/WC	$32.25
Rate for Payer: UnitedHealthcare Commercial	$107.50

TUBING IRRIG SET LG BORE Y-TYP

Facility

$31.56

Hospital Charge Code	270649226
Hospital Revenue Code	272
Min. Negotiated Rate	$4.10
Max. Negotiated Rate	$15.78
Rate for Payer: Aetna Commercial	$9.47
Rate for Payer: Aetna Medicare Advantage	$9.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.05
Rate for Payer: Cigna Commercial	$15.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.10
Rate for Payer: Oxford Commercial	$15.78
Rate for Payer: Qualcare PPO/HMO/WC	$4.73
Rate for Payer: UnitedHealthcare Commercial	$15.78

TUBING IRRIG SET LG BORE Y-TYP

Facility

$31.56

Hospital Charge Code	270649226
Hospital Revenue Code	272
Min. Negotiated Rate	$4.73
Max. Negotiated Rate	$4.73
Rate for Payer: Qualcare PPO/HMO/WC	$4.73

TUBING IV ABBOTT BLOOD

Facility

$33.00

Hospital Charge Code	7000748
Hospital Revenue Code	279
Min. Negotiated Rate	$4.29
Max. Negotiated Rate	$16.50
Rate for Payer: Aetna Commercial	$9.90
Rate for Payer: Aetna Medicare Advantage	$9.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.41
Rate for Payer: Cigna Commercial	$16.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.29
Rate for Payer: Oxford Commercial	$16.50
Rate for Payer: Qualcare PPO/HMO/WC	$4.95
Rate for Payer: UnitedHealthcare Commercial	$16.50

TUBING IV ABBOTT BLOOD

Facility

$33.00

Hospital Charge Code	7000748
Hospital Revenue Code	279
Min. Negotiated Rate	$4.95
Max. Negotiated Rate	$4.95
Rate for Payer: Qualcare PPO/HMO/WC	$4.95

TUBING IV ADM UNIV SAFELE 1585

Facility

$9.70

Hospital Charge Code	270645820
Hospital Revenue Code	272
Min. Negotiated Rate	$1.46
Max. Negotiated Rate	$1.46
Rate for Payer: Qualcare PPO/HMO/WC	$1.46

TUBING IV ADM UNIV SAFELE 1585

Facility

$9.70

Hospital Charge Code	270645820
Hospital Revenue Code	272
Min. Negotiated Rate	$1.26
Max. Negotiated Rate	$4.85
Rate for Payer: Aetna Commercial	$2.91
Rate for Payer: Aetna Medicare Advantage	$2.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.47
Rate for Payer: Cigna Commercial	$4.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.26
Rate for Payer: Oxford Commercial	$4.85
Rate for Payer: Qualcare PPO/HMO/WC	$1.46
Rate for Payer: UnitedHealthcare Commercial	$4.85

Know your out-of-pocket cost for care.

All Charges