Heights University Hospital

All Charges

Charge

Type

Setting

Price

TUBING PRIMARY IV PIGGYBACK

Facility

$19.83

Hospital Charge Code	270649977
Hospital Revenue Code	270
Min. Negotiated Rate	$2.58
Max. Negotiated Rate	$9.91
Rate for Payer: Aetna Commercial	$5.95
Rate for Payer: Aetna Medicare Advantage	$5.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.06
Rate for Payer: Cigna Commercial	$9.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.58
Rate for Payer: Oxford Commercial	$9.91
Rate for Payer: Qualcare PPO/HMO/WC	$2.97
Rate for Payer: UnitedHealthcare Commercial	$9.91

TUBING PRIMARY PLUM LF

Facility

$33.75

Hospital Charge Code	270649232
Hospital Revenue Code	272
Min. Negotiated Rate	$5.06
Max. Negotiated Rate	$5.06
Rate for Payer: Qualcare PPO/HMO/WC	$5.06

TUBING PRIMARY PLUM LF

Facility

$33.75

Hospital Charge Code	270649232
Hospital Revenue Code	272
Min. Negotiated Rate	$4.39
Max. Negotiated Rate	$16.88
Rate for Payer: Aetna Commercial	$10.12
Rate for Payer: Aetna Medicare Advantage	$10.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.61
Rate for Payer: Cigna Commercial	$16.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.39
Rate for Payer: Oxford Commercial	$16.88
Rate for Payer: Qualcare PPO/HMO/WC	$5.06
Rate for Payer: UnitedHealthcare Commercial	$16.88

TUBING PRIMARY PUMP SET PLUM

Facility

$38.04

Hospital Charge Code	270650081
Hospital Revenue Code	270
Min. Negotiated Rate	$5.71
Max. Negotiated Rate	$5.71
Rate for Payer: Qualcare PPO/HMO/WC	$5.71

TUBING PRIMARY PUMP SET PLUM

Facility

$38.04

Hospital Charge Code	270650081
Hospital Revenue Code	270
Min. Negotiated Rate	$4.95
Max. Negotiated Rate	$19.02
Rate for Payer: Aetna Commercial	$11.41
Rate for Payer: Aetna Medicare Advantage	$11.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.70
Rate for Payer: Cigna Commercial	$19.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.95
Rate for Payer: Oxford Commercial	$19.02
Rate for Payer: Qualcare PPO/HMO/WC	$5.71
Rate for Payer: UnitedHealthcare Commercial	$19.02

TUBING PRIMARY PUMP SET PLUM

Facility

$26.75

Hospital Charge Code	270650078
Hospital Revenue Code	272
Min. Negotiated Rate	$4.01
Max. Negotiated Rate	$4.01
Rate for Payer: Qualcare PPO/HMO/WC	$4.01

TUBING PRIMARY PUMP SET PLUM

Facility

$26.75

Hospital Charge Code	270650078
Hospital Revenue Code	272
Min. Negotiated Rate	$3.48
Max. Negotiated Rate	$13.38
Rate for Payer: Aetna Commercial	$8.03
Rate for Payer: Aetna Medicare Advantage	$8.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.82
Rate for Payer: Cigna Commercial	$13.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.48
Rate for Payer: Oxford Commercial	$13.38
Rate for Payer: Qualcare PPO/HMO/WC	$4.01
Rate for Payer: UnitedHealthcare Commercial	$13.38

TUBING PRIMARY VENTED VENOSET

Facility

$7.60

Hospital Charge Code	270649240
Hospital Revenue Code	272
Min. Negotiated Rate	$1.14
Max. Negotiated Rate	$1.14
Rate for Payer: Qualcare PPO/HMO/WC	$1.14

TUBING PRIMARY VENTED VENOSET

Facility

$7.60

Hospital Charge Code	270649240
Hospital Revenue Code	272
Min. Negotiated Rate	$0.99
Max. Negotiated Rate	$3.80
Rate for Payer: Aetna Commercial	$2.28
Rate for Payer: Aetna Medicare Advantage	$2.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.94
Rate for Payer: Cigna Commercial	$3.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.99
Rate for Payer: Oxford Commercial	$3.80
Rate for Payer: Qualcare PPO/HMO/WC	$1.14
Rate for Payer: UnitedHealthcare Commercial	$3.80

TUBING PRIM IV SET V1728****

Facility

$23.00

Hospital Charge Code	7000102
Hospital Revenue Code	272
Min. Negotiated Rate	$2.99
Max. Negotiated Rate	$11.50
Rate for Payer: Aetna Commercial	$6.90
Rate for Payer: Aetna Medicare Advantage	$6.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.87
Rate for Payer: Cigna Commercial	$11.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.99
Rate for Payer: Oxford Commercial	$11.50
Rate for Payer: Qualcare PPO/HMO/WC	$3.45
Rate for Payer: UnitedHealthcare Commercial	$11.50

TUBING PRIM IV SET V1728****

Facility

$23.00

Hospital Charge Code	7000102
Hospital Revenue Code	272
Min. Negotiated Rate	$3.45
Max. Negotiated Rate	$3.45
Rate for Payer: Qualcare PPO/HMO/WC	$3.45

TUBING PRIM IV SET V1782

Facility

$63.59

Hospital Charge Code	270040255
Hospital Revenue Code	270
Min. Negotiated Rate	$8.27
Max. Negotiated Rate	$31.80
Rate for Payer: Aetna Commercial	$19.08
Rate for Payer: Aetna Medicare Advantage	$19.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.22
Rate for Payer: Cigna Commercial	$31.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.27
Rate for Payer: Oxford Commercial	$31.80
Rate for Payer: Qualcare PPO/HMO/WC	$9.54
Rate for Payer: UnitedHealthcare Commercial	$31.80

TUBING PRIM IV SET V1782

Facility

$63.59

Hospital Charge Code	270040255
Hospital Revenue Code	270
Min. Negotiated Rate	$9.54
Max. Negotiated Rate	$9.54
Rate for Payer: Qualcare PPO/HMO/WC	$9.54

TUBING PROVIDER PUMP 134030101

Facility

$184.85

Hospital Charge Code	270601771
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 PROVIDER PUMP 134030101

Facility

$184.85

Hospital Charge Code	270601771
Hospital Revenue Code	272
Min. Negotiated Rate	$27.73
Max. Negotiated Rate	$27.73
Rate for Payer: Qualcare PPO/HMO/WC	$27.73

TUBING PUREVIEW

Facility

$121.45

Hospital Charge Code	270673979
Hospital Revenue Code	272
Min. Negotiated Rate	$18.22
Max. Negotiated Rate	$18.22
Rate for Payer: Qualcare PPO/HMO/WC	$18.22

TUBING PUREVIEW

Facility

$121.45

Hospital Charge Code	270673979
Hospital Revenue Code	272
Min. Negotiated Rate	$15.79
Max. Negotiated Rate	$60.73
Rate for Payer: Aetna Commercial	$36.44
Rate for Payer: Aetna Medicare Advantage	$36.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.97
Rate for Payer: Cigna Commercial	$60.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.79
Rate for Payer: Oxford Commercial	$60.73
Rate for Payer: Qualcare PPO/HMO/WC	$18.22
Rate for Payer: UnitedHealthcare Commercial	$60.73

TUBING PVC PRESSURE 72

Facility

$9.25

Hospital Charge Code	270660928N
Hospital Revenue Code	272
Min. Negotiated Rate	$1.39
Max. Negotiated Rate	$1.39
Rate for Payer: Qualcare PPO/HMO/WC	$1.39

TUBING PVC PRESSURE 72

Facility

$9.25

Hospital Charge Code	270660928N
Hospital Revenue Code	272
Min. Negotiated Rate	$1.20
Max. Negotiated Rate	$4.62
Rate for Payer: Aetna Commercial	$2.77
Rate for Payer: Aetna Medicare Advantage	$2.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.36
Rate for Payer: Cigna Commercial	$4.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.20
Rate for Payer: Oxford Commercial	$4.62
Rate for Payer: Qualcare PPO/HMO/WC	$1.39
Rate for Payer: UnitedHealthcare Commercial	$4.62

TUBING PVC PRESSURE 72

Facility

$9.25

Hospital Charge Code	270660928
Hospital Revenue Code	272
Min. Negotiated Rate	$1.20
Max. Negotiated Rate	$4.62
Rate for Payer: Aetna Commercial	$2.77
Rate for Payer: Aetna Medicare Advantage	$2.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.36
Rate for Payer: Cigna Commercial	$4.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.20
Rate for Payer: Oxford Commercial	$4.62
Rate for Payer: Qualcare PPO/HMO/WC	$1.39
Rate for Payer: UnitedHealthcare Commercial	$4.62

TUBING PVC PRESSURE 72

Facility

$9.25

Hospital Charge Code	270660928S
Hospital Revenue Code	272
Min. Negotiated Rate	$1.39
Max. Negotiated Rate	$1.39
Rate for Payer: Qualcare PPO/HMO/WC	$1.39

TUBING PVC PRESSURE 72

Facility

$9.25

Hospital Charge Code	270660928
Hospital Revenue Code	272
Min. Negotiated Rate	$1.39
Max. Negotiated Rate	$1.39
Rate for Payer: Qualcare PPO/HMO/WC	$1.39

TUBING PVC PRESSURE 72

Facility

$9.25

Hospital Charge Code	270660928S
Hospital Revenue Code	272
Min. Negotiated Rate	$1.20
Max. Negotiated Rate	$4.62
Rate for Payer: Aetna Commercial	$2.77
Rate for Payer: Aetna Medicare Advantage	$2.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.36
Rate for Payer: Cigna Commercial	$4.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.20
Rate for Payer: Oxford Commercial	$4.62
Rate for Payer: Qualcare PPO/HMO/WC	$1.39
Rate for Payer: UnitedHealthcare Commercial	$4.62

TUBING REG ADMIN SET V1420****

Facility

$7.00

Hospital Charge Code	7000847
Hospital Revenue Code	272
Min. Negotiated Rate	$0.91
Max. Negotiated Rate	$3.50
Rate for Payer: Aetna Commercial	$2.10
Rate for Payer: Aetna Medicare Advantage	$2.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.78
Rate for Payer: Cigna Commercial	$3.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.91
Rate for Payer: Oxford Commercial	$3.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.05
Rate for Payer: UnitedHealthcare Commercial	$3.50

TUBING REG ADMIN SET V1420****

Facility

$7.00

Hospital Charge Code	7000847
Hospital Revenue Code	272
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$1.05
Rate for Payer: Qualcare PPO/HMO/WC	$1.05

Know your out-of-pocket cost for care.

All Charges