Heights University Hospital

All Charges

Charge

Type

Setting

Price

TUBING IV PUMP BLD ADMIN SET**

Facility

$28.00

Hospital Charge Code	7000706
Hospital Revenue Code	279
Min. Negotiated Rate	$3.64
Max. Negotiated Rate	$14.00
Rate for Payer: Aetna Commercial	$8.40
Rate for Payer: Aetna Medicare Advantage	$8.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.14
Rate for Payer: Cigna Commercial	$14.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.64
Rate for Payer: Oxford Commercial	$14.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.20
Rate for Payer: UnitedHealthcare Commercial	$14.00

TUBING IV PUMP BLD ADMIN SET**

Facility

$28.00

Hospital Charge Code	7000706
Hospital Revenue Code	279
Min. Negotiated Rate	$4.20
Max. Negotiated Rate	$4.20
Rate for Payer: Qualcare PPO/HMO/WC	$4.20

TUBING LNG VASPRSS 120 VP510L

Facility

$125.00

Hospital Charge Code	270655227
Hospital Revenue Code	272
Min. Negotiated Rate	$18.75
Max. Negotiated Rate	$18.75
Rate for Payer: Qualcare PPO/HMO/WC	$18.75

TUBING LNG VASPRSS 120 VP510L

Facility

$125.00

Hospital Charge Code	270655227
Hospital Revenue Code	272
Min. Negotiated Rate	$16.25
Max. Negotiated Rate	$62.50
Rate for Payer: Aetna Commercial	$37.50
Rate for Payer: Aetna Medicare Advantage	$37.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.88
Rate for Payer: Cigna Commercial	$62.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.25
Rate for Payer: Oxford Commercial	$62.50
Rate for Payer: Qualcare PPO/HMO/WC	$18.75
Rate for Payer: UnitedHealthcare Commercial	$62.50

TUBING LO PRESSURE CONTRST 48

Facility

$9.99

Hospital Charge Code	270625797
Hospital Revenue Code	272
Min. Negotiated Rate	$1.50
Max. Negotiated Rate	$1.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.50

TUBING LO PRESSURE CONTRST 48

Facility

$9.99

Hospital Charge Code	270625797
Hospital Revenue Code	272
Min. Negotiated Rate	$1.30
Max. Negotiated Rate	$5.00
Rate for Payer: Aetna Commercial	$3.00
Rate for Payer: Aetna Medicare Advantage	$3.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.55
Rate for Payer: Cigna Commercial	$5.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.30
Rate for Payer: Oxford Commercial	$5.00
Rate for Payer: Qualcare PPO/HMO/WC	$1.50
Rate for Payer: UnitedHealthcare Commercial	$5.00

TUBING LVT OSTEO IRRG 5038-600

Facility

$212.85

Hospital Charge Code	270621436
Hospital Revenue Code	270
Min. Negotiated Rate	$27.67
Max. Negotiated Rate	$106.42
Rate for Payer: Aetna Commercial	$63.85
Rate for Payer: Aetna Medicare Advantage	$63.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.28
Rate for Payer: Cigna Commercial	$106.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.67
Rate for Payer: Oxford Commercial	$106.42
Rate for Payer: Qualcare PPO/HMO/WC	$31.93
Rate for Payer: UnitedHealthcare Commercial	$106.42

TUBING LVT OSTEO IRRG 5038-600

Facility

$212.85

Hospital Charge Code	270621436
Hospital Revenue Code	270
Min. Negotiated Rate	$31.93
Max. Negotiated Rate	$31.93
Rate for Payer: Qualcare PPO/HMO/WC	$31.93

TUBING MEDULLARY VENT 4044-19

Facility

$28.00

Hospital Charge Code	270600337
Hospital Revenue Code	272
Min. Negotiated Rate	$4.20
Max. Negotiated Rate	$4.20
Rate for Payer: Qualcare PPO/HMO/WC	$4.20

TUBING MEDULLARY VENT 4044-19

Facility

$28.00

Hospital Charge Code	270600337
Hospital Revenue Code	272
Min. Negotiated Rate	$3.64
Max. Negotiated Rate	$14.00
Rate for Payer: Aetna Commercial	$8.40
Rate for Payer: Aetna Medicare Advantage	$8.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.14
Rate for Payer: Cigna Commercial	$14.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.64
Rate for Payer: Oxford Commercial	$14.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.20
Rate for Payer: UnitedHealthcare Commercial	$14.00

TUBING METRST MINIDROP *****

Facility

$21.00

Hospital Charge Code	7000425
Hospital Revenue Code	264
Min. Negotiated Rate	$3.15
Max. Negotiated Rate	$3.15
Rate for Payer: Qualcare PPO/HMO/WC	$3.15

TUBING METRST MINIDROP *****

Facility

$21.00

Hospital Charge Code	7000425
Hospital Revenue Code	264
Min. Negotiated Rate	$2.73
Max. Negotiated Rate	$10.50
Rate for Payer: Aetna Commercial	$6.30
Rate for Payer: Aetna Medicare Advantage	$6.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.36
Rate for Payer: Cigna Commercial	$10.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.73
Rate for Payer: Oxford Commercial	$10.50
Rate for Payer: Qualcare PPO/HMO/WC	$3.15
Rate for Payer: UnitedHealthcare Commercial	$10.50

TUBING MICROBORE EXT W/T PP

Facility

$11.55

Hospital Charge Code	270649860
Hospital Revenue Code	270
Min. Negotiated Rate	$1.50
Max. Negotiated Rate	$5.78
Rate for Payer: Aetna Commercial	$3.46
Rate for Payer: Aetna Medicare Advantage	$3.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.95
Rate for Payer: Cigna Commercial	$5.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.50
Rate for Payer: Oxford Commercial	$5.78
Rate for Payer: Qualcare PPO/HMO/WC	$1.73
Rate for Payer: UnitedHealthcare Commercial	$5.78

TUBING MICROBORE EXT W/T PP

Facility

$11.55

Hospital Charge Code	270649860
Hospital Revenue Code	270
Min. Negotiated Rate	$1.73
Max. Negotiated Rate	$1.73
Rate for Payer: Qualcare PPO/HMO/WC	$1.73

TUBING MINI ADM S V1425

Facility

$17.35

Hospital Charge Code	270040245
Hospital Revenue Code	272
Min. Negotiated Rate	$2.60
Max. Negotiated Rate	$2.60
Rate for Payer: Qualcare PPO/HMO/WC	$2.60

TUBING MINI ADM S V1425

Facility

$17.35

Hospital Charge Code	270040245
Hospital Revenue Code	272
Min. Negotiated Rate	$2.26
Max. Negotiated Rate	$8.68
Rate for Payer: Aetna Commercial	$5.21
Rate for Payer: Aetna Medicare Advantage	$5.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.42
Rate for Payer: Cigna Commercial	$8.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.26
Rate for Payer: Oxford Commercial	$8.68
Rate for Payer: Qualcare PPO/HMO/WC	$2.60
Rate for Payer: UnitedHealthcare Commercial	$8.68

TUBING MINICAP PD TRANSFER

Facility

$286.67

Hospital Charge Code	270649945
Hospital Revenue Code	272
Min. Negotiated Rate	$37.27
Max. Negotiated Rate	$143.34
Rate for Payer: Aetna Commercial	$86.00
Rate for Payer: Aetna Medicare Advantage	$86.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$73.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$73.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$73.10
Rate for Payer: Cigna Commercial	$143.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.27
Rate for Payer: Oxford Commercial	$143.34
Rate for Payer: Qualcare PPO/HMO/WC	$43.00
Rate for Payer: UnitedHealthcare Commercial	$143.34

TUBING MINICAP PD TRANSFER

Facility

$286.67

Hospital Charge Code	270649945
Hospital Revenue Code	272
Min. Negotiated Rate	$43.00
Max. Negotiated Rate	$43.00
Rate for Payer: Qualcare PPO/HMO/WC	$43.00

TUBING MINI GH 95LONG

Facility

$12.85

Hospital Charge Code	270600546
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 MINI GH 95LONG

Facility

$12.85

Hospital Charge Code	270600546
Hospital Revenue Code	272
Min. Negotiated Rate	$1.93
Max. Negotiated Rate	$1.93
Rate for Payer: Qualcare PPO/HMO/WC	$1.93

TUBING MINI MCGAW IV PUMP***

Facility

$20.00

Hospital Charge Code	7000698
Hospital Revenue Code	279
Min. Negotiated Rate	$2.60
Max. Negotiated Rate	$10.00
Rate for Payer: Aetna Commercial	$6.00
Rate for Payer: Aetna Medicare Advantage	$6.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.10
Rate for Payer: Cigna Commercial	$10.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.60
Rate for Payer: Oxford Commercial	$10.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.00
Rate for Payer: UnitedHealthcare Commercial	$10.00

TUBING MINI MCGAW IV PUMP***

Facility

$20.00

Hospital Charge Code	7000698
Hospital Revenue Code	279
Min. Negotiated Rate	$3.00
Max. Negotiated Rate	$3.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.00

TUBING MIT ARTHRO INT 1102USA

Facility

$102.08

Hospital Charge Code	270638955
Hospital Revenue Code	272
Min. Negotiated Rate	$15.31
Max. Negotiated Rate	$15.31
Rate for Payer: Qualcare PPO/HMO/WC	$15.31

TUBING MIT ARTHRO INT 1102USA

Facility

$102.08

Hospital Charge Code	270638955
Hospital Revenue Code	272
Min. Negotiated Rate	$13.27
Max. Negotiated Rate	$51.04
Rate for Payer: Aetna Commercial	$30.62
Rate for Payer: Aetna Medicare Advantage	$30.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.03
Rate for Payer: Cigna Commercial	$51.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.27
Rate for Payer: Oxford Commercial	$51.04
Rate for Payer: Qualcare PPO/HMO/WC	$15.31
Rate for Payer: UnitedHealthcare Commercial	$51.04

TUBING MIT ARTHRO IRRI 4503USA

Facility

$188.67

Hospital Charge Code	270638957
Hospital Revenue Code	272
Min. Negotiated Rate	$24.53
Max. Negotiated Rate	$94.33
Rate for Payer: Aetna Commercial	$56.60
Rate for Payer: Aetna Medicare Advantage	$56.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.11
Rate for Payer: Cigna Commercial	$94.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.53
Rate for Payer: Oxford Commercial	$94.33
Rate for Payer: Qualcare PPO/HMO/WC	$28.30
Rate for Payer: UnitedHealthcare Commercial	$94.33

Know your out-of-pocket cost for care.

All Charges