Heights University Hospital

All Charges

Charge

Type

Setting

Price

TUBING SECOND IV SET V1903****

Facility

$9.00

Hospital Charge Code	7000656
Hospital Revenue Code	279
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$1.35
Rate for Payer: Qualcare PPO/HMO/WC	$1.35

TUBING SET APEX1-CONNEC C7120

Facility

$676.00

Hospital Charge Code	270600247
Hospital Revenue Code	272
Min. Negotiated Rate	$87.88
Max. Negotiated Rate	$338.00
Rate for Payer: Aetna Commercial	$202.80
Rate for Payer: Aetna Medicare Advantage	$202.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$172.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$172.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$172.38
Rate for Payer: Cigna Commercial	$338.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.88
Rate for Payer: Oxford Commercial	$338.00
Rate for Payer: Qualcare PPO/HMO/WC	$101.40
Rate for Payer: UnitedHealthcare Commercial	$338.00

TUBING SET APEX1-CONNEC C7120

Facility

$676.00

Hospital Charge Code	270600247
Hospital Revenue Code	272
Min. Negotiated Rate	$101.40
Max. Negotiated Rate	$101.40
Rate for Payer: Qualcare PPO/HMO/WC	$101.40

TUBING SET BLOOD N/VENTED

Facility

$16.41

Hospital Charge Code	270649235
Hospital Revenue Code	272
Min. Negotiated Rate	$2.46
Max. Negotiated Rate	$2.46
Rate for Payer: Qualcare PPO/HMO/WC	$2.46

TUBING SET BLOOD N/VENTED

Facility

$16.41

Hospital Charge Code	270649235
Hospital Revenue Code	272
Min. Negotiated Rate	$2.13
Max. Negotiated Rate	$8.21
Rate for Payer: Aetna Commercial	$4.92
Rate for Payer: Aetna Medicare Advantage	$4.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.18
Rate for Payer: Cigna Commercial	$8.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.13
Rate for Payer: Oxford Commercial	$8.21
Rate for Payer: Qualcare PPO/HMO/WC	$2.46
Rate for Payer: UnitedHealthcare Commercial	$8.21

TUBING SET BLOOD RENAL*******

Facility

$13.28

Hospital Charge Code	270606942
Hospital Revenue Code	272
Min. Negotiated Rate	$1.99
Max. Negotiated Rate	$1.99
Rate for Payer: Qualcare PPO/HMO/WC	$1.99

TUBING SET BLOOD RENAL*******

Facility

$13.28

Hospital Charge Code	270606942
Hospital Revenue Code	272
Min. Negotiated Rate	$1.73
Max. Negotiated Rate	$6.64
Rate for Payer: Aetna Commercial	$3.98
Rate for Payer: Aetna Medicare Advantage	$3.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.39
Rate for Payer: Cigna Commercial	$6.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.73
Rate for Payer: Oxford Commercial	$6.64
Rate for Payer: Qualcare PPO/HMO/WC	$1.99
Rate for Payer: UnitedHealthcare Commercial	$6.64

TUBING SILICONE 10'

Facility

$124.85

Hospital Charge Code	270600234
Hospital Revenue Code	272
Min. Negotiated Rate	$18.73
Max. Negotiated Rate	$18.73
Rate for Payer: Qualcare PPO/HMO/WC	$18.73

TUBING SILICONE 10'

Facility

$124.85

Hospital Charge Code	270600234
Hospital Revenue Code	272
Min. Negotiated Rate	$16.23
Max. Negotiated Rate	$62.42
Rate for Payer: Aetna Commercial	$37.45
Rate for Payer: Aetna Medicare Advantage	$37.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.84
Rate for Payer: Cigna Commercial	$62.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.23
Rate for Payer: Oxford Commercial	$62.42
Rate for Payer: Qualcare PPO/HMO/WC	$18.73
Rate for Payer: UnitedHealthcare Commercial	$62.42

TUBING SMOKE EVACUATION WAND S

Facility

$113.88

Hospital Charge Code	270677064
Hospital Revenue Code	272
Min. Negotiated Rate	$14.80
Max. Negotiated Rate	$56.94
Rate for Payer: Aetna Commercial	$34.16
Rate for Payer: Aetna Medicare Advantage	$34.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.04
Rate for Payer: Cigna Commercial	$56.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.80
Rate for Payer: Oxford Commercial	$56.94
Rate for Payer: Qualcare PPO/HMO/WC	$17.08
Rate for Payer: UnitedHealthcare Commercial	$56.94

TUBING SMOKE EVACUATION WAND S

Facility

$113.88

Hospital Charge Code	270677064
Hospital Revenue Code	272
Min. Negotiated Rate	$17.08
Max. Negotiated Rate	$17.08
Rate for Payer: Qualcare PPO/HMO/WC	$17.08

TUBING SOLUSET BURETTE 150ml

Facility

$20.62

Hospital Charge Code	270649305
Hospital Revenue Code	272
Min. Negotiated Rate	$3.09
Max. Negotiated Rate	$3.09
Rate for Payer: Qualcare PPO/HMO/WC	$3.09

TUBING SOLUSET BURETTE 150ml

Facility

$20.62

Hospital Charge Code	270649305
Hospital Revenue Code	272
Min. Negotiated Rate	$2.68
Max. Negotiated Rate	$10.31
Rate for Payer: Aetna Commercial	$6.19
Rate for Payer: Aetna Medicare Advantage	$6.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.26
Rate for Payer: Cigna Commercial	$10.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.68
Rate for Payer: Oxford Commercial	$10.31
Rate for Payer: Qualcare PPO/HMO/WC	$3.09
Rate for Payer: UnitedHealthcare Commercial	$10.31

TUBING STATLOCK MACRO BORE 6

Facility

$18.97

Hospital Charge Code	270649236
Hospital Revenue Code	272
Min. Negotiated Rate	$2.85
Max. Negotiated Rate	$2.85
Rate for Payer: Qualcare PPO/HMO/WC	$2.85

TUBING STATLOCK MACRO BORE 6

Facility

$18.97

Hospital Charge Code	270649236
Hospital Revenue Code	272
Min. Negotiated Rate	$2.47
Max. Negotiated Rate	$9.48
Rate for Payer: Aetna Commercial	$5.69
Rate for Payer: Aetna Medicare Advantage	$5.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.84
Rate for Payer: Cigna Commercial	$9.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.47
Rate for Payer: Oxford Commercial	$9.48
Rate for Payer: Qualcare PPO/HMO/WC	$2.85
Rate for Payer: UnitedHealthcare Commercial	$9.48

TUBING STATLOCK PICC PLUS

Facility

$21.12

Hospital Charge Code	270649237
Hospital Revenue Code	272
Min. Negotiated Rate	$3.17
Max. Negotiated Rate	$3.17
Rate for Payer: Qualcare PPO/HMO/WC	$3.17

TUBING STATLOCK PICC PLUS

Facility

$21.12

Hospital Charge Code	270649237
Hospital Revenue Code	272
Min. Negotiated Rate	$2.75
Max. Negotiated Rate	$10.56
Rate for Payer: Aetna Commercial	$6.34
Rate for Payer: Aetna Medicare Advantage	$6.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.39
Rate for Payer: Cigna Commercial	$10.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.75
Rate for Payer: Oxford Commercial	$10.56
Rate for Payer: Qualcare PPO/HMO/WC	$3.17
Rate for Payer: UnitedHealthcare Commercial	$10.56

TUBING STD SPIKE SET

Facility

$82.50

Hospital Charge Code	270677061
Hospital Revenue Code	272
Min. Negotiated Rate	$10.72
Max. Negotiated Rate	$41.25
Rate for Payer: Aetna Commercial	$24.75
Rate for Payer: Aetna Medicare Advantage	$24.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.04
Rate for Payer: Cigna Commercial	$41.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.72
Rate for Payer: Oxford Commercial	$41.25
Rate for Payer: Qualcare PPO/HMO/WC	$12.38
Rate for Payer: UnitedHealthcare Commercial	$41.25

TUBING STD SPIKE SET

Facility

$82.50

Hospital Charge Code	270677061
Hospital Revenue Code	272
Min. Negotiated Rate	$12.38
Max. Negotiated Rate	$12.38
Rate for Payer: Qualcare PPO/HMO/WC	$12.38

TUBING STRAIGHTSHOT TO XPS

Facility

$185.00

Hospital Charge Code	270663278
Hospital Revenue Code	272
Min. Negotiated Rate	$24.05
Max. Negotiated Rate	$92.50
Rate for Payer: Aetna Commercial	$55.50
Rate for Payer: Aetna Medicare Advantage	$55.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.17
Rate for Payer: Cigna Commercial	$92.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.05
Rate for Payer: Oxford Commercial	$92.50
Rate for Payer: Qualcare PPO/HMO/WC	$27.75
Rate for Payer: UnitedHealthcare Commercial	$92.50

TUBING STRAIGHTSHOT TO XPS

Facility

$185.00

Hospital Charge Code	270663278
Hospital Revenue Code	272
Min. Negotiated Rate	$27.75
Max. Negotiated Rate	$27.75
Rate for Payer: Qualcare PPO/HMO/WC	$27.75

TUBING STRY ARTHRSC 350-202-00

Facility

$359.00

Hospital Charge Code	270620730
Hospital Revenue Code	270
Min. Negotiated Rate	$53.85
Max. Negotiated Rate	$53.85
Rate for Payer: Qualcare PPO/HMO/WC	$53.85

TUBING STRY ARTHRSC 350-202-00

Facility

$359.00

Hospital Charge Code	270620730
Hospital Revenue Code	270
Min. Negotiated Rate	$46.67
Max. Negotiated Rate	$179.50
Rate for Payer: Aetna Commercial	$107.70
Rate for Payer: Aetna Medicare Advantage	$107.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.55
Rate for Payer: Cigna Commercial	$179.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.67
Rate for Payer: Oxford Commercial	$179.50
Rate for Payer: Qualcare PPO/HMO/WC	$53.85
Rate for Payer: UnitedHealthcare Commercial	$179.50

TUBING STRY FLO SUCT 250-70400

Facility

$326.77

Hospital Charge Code	270600269
Hospital Revenue Code	272
Min. Negotiated Rate	$49.02
Max. Negotiated Rate	$49.02
Rate for Payer: Qualcare PPO/HMO/WC	$49.02

TUBING STRY FLO SUCT 250-70400

Facility

$326.77

Hospital Charge Code	270600269
Hospital Revenue Code	272
Min. Negotiated Rate	$42.48
Max. Negotiated Rate	$163.38
Rate for Payer: Aetna Commercial	$98.03
Rate for Payer: Aetna Medicare Advantage	$98.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.33
Rate for Payer: Cigna Commercial	$163.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.48
Rate for Payer: Oxford Commercial	$163.38
Rate for Payer: Qualcare PPO/HMO/WC	$49.02
Rate for Payer: UnitedHealthcare Commercial	$163.38

Know your out-of-pocket cost for care.

All Charges