Heights University Hospital

All Charges

Charge

Type

Setting

Price

TUBING REG BLOOD ADMIN SET****

Facility

$23.00

Hospital Charge Code	7000417
Hospital Revenue Code	279
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 REG BLOOD ADMIN SET****

Facility

$23.00

Hospital Charge Code	7000417
Hospital Revenue Code	279
Min. Negotiated Rate	$3.45
Max. Negotiated Rate	$3.45
Rate for Payer: Qualcare PPO/HMO/WC	$3.45

TUBING REG BLOOD ADM SET V2500

Facility

$12.03

Hospital Charge Code	270040270
Hospital Revenue Code	270
Min. Negotiated Rate	$1.56
Max. Negotiated Rate	$6.01
Rate for Payer: Aetna Commercial	$3.61
Rate for Payer: Aetna Medicare Advantage	$3.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.07
Rate for Payer: Cigna Commercial	$6.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.56
Rate for Payer: Oxford Commercial	$6.01
Rate for Payer: Qualcare PPO/HMO/WC	$1.80
Rate for Payer: UnitedHealthcare Commercial	$6.01

TUBING REG BLOOD ADM SET V2500

Facility

$12.03

Hospital Charge Code	270040270
Hospital Revenue Code	270
Min. Negotiated Rate	$1.80
Max. Negotiated Rate	$1.80
Rate for Payer: Qualcare PPO/HMO/WC	$1.80

TUBING REG SIEMENS IV PUMP***

Facility

$18.00

Hospital Charge Code	7000755
Hospital Revenue Code	279
Min. Negotiated Rate	$2.70
Max. Negotiated Rate	$2.70
Rate for Payer: Qualcare PPO/HMO/WC	$2.70

TUBING REG SIEMENS IV PUMP***

Facility

$18.00

Hospital Charge Code	7000755
Hospital Revenue Code	279
Min. Negotiated Rate	$2.34
Max. Negotiated Rate	$9.00
Rate for Payer: Aetna Commercial	$5.40
Rate for Payer: Aetna Medicare Advantage	$5.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.59
Rate for Payer: Cigna Commercial	$9.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.34
Rate for Payer: Oxford Commercial	$9.00
Rate for Payer: Qualcare PPO/HMO/WC	$2.70
Rate for Payer: UnitedHealthcare Commercial	$9.00

TUBING ROENTENOGRAPHY*******

Facility

$18.00

Hospital Charge Code	1600543
Hospital Revenue Code	272
Min. Negotiated Rate	$2.34
Max. Negotiated Rate	$9.00
Rate for Payer: Aetna Commercial	$5.40
Rate for Payer: Aetna Medicare Advantage	$5.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.59
Rate for Payer: Cigna Commercial	$9.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.34
Rate for Payer: Oxford Commercial	$9.00
Rate for Payer: Qualcare PPO/HMO/WC	$2.70
Rate for Payer: UnitedHealthcare Commercial	$9.00

TUBING ROENTENOGRAPHY*******

Facility

$18.00

Hospital Charge Code	1600543
Hospital Revenue Code	272
Min. Negotiated Rate	$2.70
Max. Negotiated Rate	$2.70
Rate for Payer: Qualcare PPO/HMO/WC	$2.70

TUBING ROENTGENOGRAPHY

Facility

$32.00

Hospital Charge Code	270061235
Hospital Revenue Code	272
Min. Negotiated Rate	$4.16
Max. Negotiated Rate	$16.00
Rate for Payer: Aetna Commercial	$9.60
Rate for Payer: Aetna Medicare Advantage	$9.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.16
Rate for Payer: Cigna Commercial	$16.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.16
Rate for Payer: Oxford Commercial	$16.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.80
Rate for Payer: UnitedHealthcare Commercial	$16.00

TUBING ROENTGENOGRAPHY

Facility

$32.00

Hospital Charge Code	270061235
Hospital Revenue Code	272
Min. Negotiated Rate	$4.80
Max. Negotiated Rate	$4.80
Rate for Payer: Qualcare PPO/HMO/WC	$4.80

TUBING SAFELINE BASC IV NF1150

Facility

$11.03

Hospital Charge Code	270040240
Hospital Revenue Code	270
Min. Negotiated Rate	$1.43
Max. Negotiated Rate	$5.51
Rate for Payer: Aetna Commercial	$3.31
Rate for Payer: Aetna Medicare Advantage	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.81
Rate for Payer: Cigna Commercial	$5.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.43
Rate for Payer: Oxford Commercial	$5.51
Rate for Payer: Qualcare PPO/HMO/WC	$1.65
Rate for Payer: UnitedHealthcare Commercial	$5.51

TUBING SAFELINE BASC IV NF1150

Facility

$11.03

Hospital Charge Code	270040240
Hospital Revenue Code	270
Min. Negotiated Rate	$1.65
Max. Negotiated Rate	$1.65
Rate for Payer: Qualcare PPO/HMO/WC	$1.65

TUBING SAFELINE EXT SET NF1370

Facility

$11.08

Hospital Charge Code	270617764
Hospital Revenue Code	272
Min. Negotiated Rate	$1.66
Max. Negotiated Rate	$1.66
Rate for Payer: Qualcare PPO/HMO/WC	$1.66

TUBING SAFELINE EXT SET NF1370

Facility

$11.08

Hospital Charge Code	270617764
Hospital Revenue Code	272
Min. Negotiated Rate	$1.44
Max. Negotiated Rate	$5.54
Rate for Payer: Aetna Commercial	$3.32
Rate for Payer: Aetna Medicare Advantage	$3.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.83
Rate for Payer: Cigna Commercial	$5.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.44
Rate for Payer: Oxford Commercial	$5.54
Rate for Payer: Qualcare PPO/HMO/WC	$1.66
Rate for Payer: UnitedHealthcare Commercial	$5.54

TUBING SAFELINE HEPLOCK NF9100

Facility

$6.65

Hospital Charge Code	270610736
Hospital Revenue Code	270
Min. Negotiated Rate	$1.00
Max. Negotiated Rate	$1.00
Rate for Payer: Qualcare PPO/HMO/WC	$1.00

TUBING SAFELINE HEPLOCK NF9100

Facility

$6.65

Hospital Charge Code	270610736
Hospital Revenue Code	270
Min. Negotiated Rate	$0.86
Max. Negotiated Rate	$3.33
Rate for Payer: Aetna Commercial	$2.00
Rate for Payer: Aetna Medicare Advantage	$2.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.70
Rate for Payer: Cigna Commercial	$3.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.86
Rate for Payer: Oxford Commercial	$3.33
Rate for Payer: Qualcare PPO/HMO/WC	$1.00
Rate for Payer: UnitedHealthcare Commercial	$3.33

TUBING SAFELIN PUMP SET NF3140

Facility

$22.37

Hospital Charge Code	270040266
Hospital Revenue Code	270
Min. Negotiated Rate	$2.91
Max. Negotiated Rate	$11.19
Rate for Payer: Aetna Commercial	$6.71
Rate for Payer: Aetna Medicare Advantage	$6.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.70
Rate for Payer: Cigna Commercial	$11.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.91
Rate for Payer: Oxford Commercial	$11.19
Rate for Payer: Qualcare PPO/HMO/WC	$3.36
Rate for Payer: UnitedHealthcare Commercial	$11.19

TUBING SAFELIN PUMP SET NF3140

Facility

$22.37

Hospital Charge Code	270040266
Hospital Revenue Code	270
Min. Negotiated Rate	$3.36
Max. Negotiated Rate	$3.36
Rate for Payer: Qualcare PPO/HMO/WC	$3.36

TUBING SECONDARY IV 14230-28

Facility

$5.25

Hospital Charge Code	270649233
Hospital Revenue Code	272
Min. Negotiated Rate	$0.79
Max. Negotiated Rate	$0.79
Rate for Payer: Qualcare PPO/HMO/WC	$0.79

TUBING SECONDARY IV 14230-28

Facility

$5.25

Hospital Charge Code	270649233
Hospital Revenue Code	272
Min. Negotiated Rate	$0.68
Max. Negotiated Rate	$2.62
Rate for Payer: Aetna Commercial	$1.57
Rate for Payer: Aetna Medicare Advantage	$1.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.34
Rate for Payer: Cigna Commercial	$2.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.68
Rate for Payer: Oxford Commercial	$2.62
Rate for Payer: Qualcare PPO/HMO/WC	$0.79
Rate for Payer: UnitedHealthcare Commercial	$2.62

TUBING SECONDARY IV PIGGYBACK

Facility

$4.11

Hospital Charge Code	270650121
Hospital Revenue Code	270
Min. Negotiated Rate	$0.62
Max. Negotiated Rate	$0.62
Rate for Payer: Qualcare PPO/HMO/WC	$0.62

TUBING SECONDARY IV PIGGYBACK

Facility

$4.11

Hospital Charge Code	270650121
Hospital Revenue Code	270
Min. Negotiated Rate	$0.53
Max. Negotiated Rate	$2.06
Rate for Payer: Aetna Commercial	$1.23
Rate for Payer: Aetna Medicare Advantage	$1.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.05
Rate for Payer: Cigna Commercial	$2.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.53
Rate for Payer: Oxford Commercial	$2.06
Rate for Payer: Qualcare PPO/HMO/WC	$0.62
Rate for Payer: UnitedHealthcare Commercial	$2.06

TUBING SECONDARY IV SET NF1430

Facility

$7.25

Hospital Charge Code	270040260
Hospital Revenue Code	270
Min. Negotiated Rate	$1.09
Max. Negotiated Rate	$1.09
Rate for Payer: Qualcare PPO/HMO/WC	$1.09

TUBING SECONDARY IV SET NF1430

Facility

$7.25

Hospital Charge Code	270040260
Hospital Revenue Code	270
Min. Negotiated Rate	$0.94
Max. Negotiated Rate	$3.62
Rate for Payer: Aetna Commercial	$2.17
Rate for Payer: Aetna Medicare Advantage	$2.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.85
Rate for Payer: Cigna Commercial	$3.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.94
Rate for Payer: Oxford Commercial	$3.62
Rate for Payer: Qualcare PPO/HMO/WC	$1.09
Rate for Payer: UnitedHealthcare Commercial	$3.62

TUBING SECOND IV SET V1903****

Facility

$9.00

Hospital Charge Code	7000656
Hospital Revenue Code	279
Min. Negotiated Rate	$1.17
Max. Negotiated Rate	$4.50
Rate for Payer: Aetna Commercial	$2.70
Rate for Payer: Aetna Medicare Advantage	$2.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.29
Rate for Payer: Cigna Commercial	$4.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.17
Rate for Payer: Oxford Commercial	$4.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.35
Rate for Payer: UnitedHealthcare Commercial	$4.50

Know your out-of-pocket cost for care.

All Charges