Heights University Hospital

All Charges

Charge

Type

Setting

Price

TUBING MIT ARTHRO IRRI 4503USA

Facility

$188.67

Hospital Charge Code	270638957
Hospital Revenue Code	272
Min. Negotiated Rate	$28.30
Max. Negotiated Rate	$28.30
Rate for Payer: Qualcare PPO/HMO/WC	$28.30

TUBING MITY-VAC & CUP

Facility

$184.85

Hospital Charge Code	270604799
Hospital Revenue Code	272
Min. Negotiated Rate	$24.03
Max. Negotiated Rate	$92.42
Rate for Payer: Aetna Commercial	$55.45
Rate for Payer: Aetna Medicare Advantage	$55.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.14
Rate for Payer: Cigna Commercial	$92.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.03
Rate for Payer: Oxford Commercial	$92.42
Rate for Payer: Qualcare PPO/HMO/WC	$27.73
Rate for Payer: UnitedHealthcare Commercial	$92.42

TUBING MITY-VAC & CUP

Facility

$184.85

Hospital Charge Code	270604799
Hospital Revenue Code	272
Min. Negotiated Rate	$27.73
Max. Negotiated Rate	$27.73
Rate for Payer: Qualcare PPO/HMO/WC	$27.73

TUBING NEZHAT DORSEY SMK

Facility

$573.65

Hospital Charge Code	270600267
Hospital Revenue Code	270
Min. Negotiated Rate	$86.05
Max. Negotiated Rate	$86.05
Rate for Payer: Qualcare PPO/HMO/WC	$86.05

TUBING NEZHAT DORSEY SMK

Facility

$573.65

Hospital Charge Code	270600267
Hospital Revenue Code	270
Min. Negotiated Rate	$74.57
Max. Negotiated Rate	$286.82
Rate for Payer: Aetna Commercial	$172.09
Rate for Payer: Aetna Medicare Advantage	$172.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$146.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$146.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$146.28
Rate for Payer: Cigna Commercial	$286.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.57
Rate for Payer: Oxford Commercial	$286.82
Rate for Payer: Qualcare PPO/HMO/WC	$86.05
Rate for Payer: UnitedHealthcare Commercial	$286.82

TUBING NITROGLYCERIN ******

Facility

$61.00

Hospital Charge Code	8003865
Hospital Revenue Code	279
Min. Negotiated Rate	$7.93
Max. Negotiated Rate	$30.50
Rate for Payer: Aetna Commercial	$18.30
Rate for Payer: Aetna Medicare Advantage	$18.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.55
Rate for Payer: Cigna Commercial	$30.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.93
Rate for Payer: Oxford Commercial	$30.50
Rate for Payer: Qualcare PPO/HMO/WC	$9.15
Rate for Payer: UnitedHealthcare Commercial	$30.50

TUBING NITROGLYCERIN ******

Facility

$61.00

Hospital Charge Code	8003865
Hospital Revenue Code	279
Min. Negotiated Rate	$9.15
Max. Negotiated Rate	$9.15
Rate for Payer: Qualcare PPO/HMO/WC	$9.15

TUBING NITRO PUMP 1772-01*****

Facility

$53.00

Hospital Charge Code	7000490
Hospital Revenue Code	279
Min. Negotiated Rate	$7.95
Max. Negotiated Rate	$7.95
Rate for Payer: Qualcare PPO/HMO/WC	$7.95

TUBING NITRO PUMP 1772-01*****

Facility

$53.00

Hospital Charge Code	7000490
Hospital Revenue Code	279
Min. Negotiated Rate	$6.89
Max. Negotiated Rate	$26.50
Rate for Payer: Aetna Commercial	$15.90
Rate for Payer: Aetna Medicare Advantage	$15.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.52
Rate for Payer: Cigna Commercial	$26.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.89
Rate for Payer: Oxford Commercial	$26.50
Rate for Payer: Qualcare PPO/HMO/WC	$7.95
Rate for Payer: UnitedHealthcare Commercial	$26.50

TUBING NITRO SIEMENS IV PUMP

Facility

$29.00

Hospital Charge Code	7000763
Hospital Revenue Code	279
Min. Negotiated Rate	$3.77
Max. Negotiated Rate	$14.50
Rate for Payer: Aetna Commercial	$8.70
Rate for Payer: Aetna Medicare Advantage	$8.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.39
Rate for Payer: Cigna Commercial	$14.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.77
Rate for Payer: Oxford Commercial	$14.50
Rate for Payer: Qualcare PPO/HMO/WC	$4.35
Rate for Payer: UnitedHealthcare Commercial	$14.50

TUBING NITRO SIEMENS IV PUMP

Facility

$29.00

Hospital Charge Code	7000763
Hospital Revenue Code	279
Min. Negotiated Rate	$4.35
Max. Negotiated Rate	$4.35
Rate for Payer: Qualcare PPO/HMO/WC	$4.35

TUBING NITRO/TAXDL SET V7450

Facility

$28.70

Hospital Charge Code	270040296
Hospital Revenue Code	272
Min. Negotiated Rate	$3.73
Max. Negotiated Rate	$14.35
Rate for Payer: Aetna Commercial	$8.61
Rate for Payer: Aetna Medicare Advantage	$8.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.32
Rate for Payer: Cigna Commercial	$14.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.73
Rate for Payer: Oxford Commercial	$14.35
Rate for Payer: Qualcare PPO/HMO/WC	$4.30
Rate for Payer: UnitedHealthcare Commercial	$14.35

TUBING NITRO/TAXDL SET V7450

Facility

$28.70

Hospital Charge Code	270040296
Hospital Revenue Code	272
Min. Negotiated Rate	$4.30
Max. Negotiated Rate	$4.30
Rate for Payer: Qualcare PPO/HMO/WC	$4.30

TUBING NORMATHERMIC ST

Facility

$262.35

Hospital Charge Code	270657963
Hospital Revenue Code	272
Min. Negotiated Rate	$34.11
Max. Negotiated Rate	$131.18
Rate for Payer: Aetna Commercial	$78.70
Rate for Payer: Aetna Medicare Advantage	$78.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.90
Rate for Payer: Cigna Commercial	$131.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.11
Rate for Payer: Oxford Commercial	$131.18
Rate for Payer: Qualcare PPO/HMO/WC	$39.35
Rate for Payer: UnitedHealthcare Commercial	$131.18

TUBING NORMATHERMIC ST

Facility

$262.35

Hospital Charge Code	270657963
Hospital Revenue Code	272
Min. Negotiated Rate	$39.35
Max. Negotiated Rate	$39.35
Rate for Payer: Qualcare PPO/HMO/WC	$39.35

TUBING OMNI-FLOW SECONDARY

Facility

$9.10

Hospital Charge Code	270649227
Hospital Revenue Code	272
Min. Negotiated Rate	$1.18
Max. Negotiated Rate	$4.55
Rate for Payer: Aetna Commercial	$2.73
Rate for Payer: Aetna Medicare Advantage	$2.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.32
Rate for Payer: Cigna Commercial	$4.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.18
Rate for Payer: Oxford Commercial	$4.55
Rate for Payer: Qualcare PPO/HMO/WC	$1.36
Rate for Payer: UnitedHealthcare Commercial	$4.55

TUBING OMNI-FLOW SECONDARY

Facility

$9.10

Hospital Charge Code	270649227
Hospital Revenue Code	272
Min. Negotiated Rate	$1.36
Max. Negotiated Rate	$1.36
Rate for Payer: Qualcare PPO/HMO/WC	$1.36

TUBING OUTFLOW CASSETTE CROSSF

Facility

$270.00

Hospital Charge Code	270675487
Hospital Revenue Code	272
Min. Negotiated Rate	$40.50
Max. Negotiated Rate	$40.50
Rate for Payer: Qualcare PPO/HMO/WC	$40.50

TUBING OUTFLOW CASSETTE CROSSF

Facility

$270.00

Hospital Charge Code	270675487
Hospital Revenue Code	272
Min. Negotiated Rate	$35.10
Max. Negotiated Rate	$135.00
Rate for Payer: Aetna Commercial	$81.00
Rate for Payer: Aetna Medicare Advantage	$81.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.85
Rate for Payer: Cigna Commercial	$135.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.10
Rate for Payer: Oxford Commercial	$135.00
Rate for Payer: Qualcare PPO/HMO/WC	$40.50
Rate for Payer: UnitedHealthcare Commercial	$135.00

TUBING PCA MINI-BORE W/

Facility

$11.15

Hospital Charge Code	270649705
Hospital Revenue Code	270
Min. Negotiated Rate	$1.67
Max. Negotiated Rate	$1.67
Rate for Payer: Qualcare PPO/HMO/WC	$1.67

TUBING PCA MINI-BORE W/

Facility

$11.15

Hospital Charge Code	270649705
Hospital Revenue Code	270
Min. Negotiated Rate	$1.45
Max. Negotiated Rate	$5.58
Rate for Payer: Aetna Commercial	$3.35
Rate for Payer: Aetna Medicare Advantage	$3.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.84
Rate for Payer: Cigna Commercial	$5.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.45
Rate for Payer: Oxford Commercial	$5.58
Rate for Payer: Qualcare PPO/HMO/WC	$1.67
Rate for Payer: UnitedHealthcare Commercial	$5.58

TUBING PCA PUMP *******

Facility

$16.00

Hospital Charge Code	7000730
Hospital Revenue Code	279
Min. Negotiated Rate	$2.40
Max. Negotiated Rate	$2.40
Rate for Payer: Qualcare PPO/HMO/WC	$2.40

TUBING PCA PUMP *******

Facility

$16.00

Hospital Charge Code	7000730
Hospital Revenue Code	279
Min. Negotiated Rate	$2.08
Max. Negotiated Rate	$8.00
Rate for Payer: Aetna Commercial	$4.80
Rate for Payer: Aetna Medicare Advantage	$4.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.08
Rate for Payer: Cigna Commercial	$8.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.08
Rate for Payer: Oxford Commercial	$8.00
Rate for Payer: Qualcare PPO/HMO/WC	$2.40
Rate for Payer: UnitedHealthcare Commercial	$8.00

TUBING PCA PUMP 35590303

Facility

$23.63

Hospital Charge Code	270041125
Hospital Revenue Code	272
Min. Negotiated Rate	$3.07
Max. Negotiated Rate	$11.81
Rate for Payer: Aetna Commercial	$7.09
Rate for Payer: Aetna Medicare Advantage	$7.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.03
Rate for Payer: Cigna Commercial	$11.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.07
Rate for Payer: Oxford Commercial	$11.81
Rate for Payer: Qualcare PPO/HMO/WC	$3.54
Rate for Payer: UnitedHealthcare Commercial	$11.81

TUBING PCA PUMP 35590303

Facility

$23.63

Hospital Charge Code	270041125
Hospital Revenue Code	272
Min. Negotiated Rate	$3.54
Max. Negotiated Rate	$3.54
Rate for Payer: Qualcare PPO/HMO/WC	$3.54

Know your out-of-pocket cost for care.

All Charges