Heights University Hospital

All Charges

Charge

Type

Setting

Price

TUBING STRY FLO SUCT 250-70410

Facility

$504.00

Hospital Charge Code	270611964
Hospital Revenue Code	272
Min. Negotiated Rate	$75.60
Max. Negotiated Rate	$75.60
Rate for Payer: Qualcare PPO/HMO/WC	$75.60

TUBING STRY FLO SUCT 250-70410

Facility

$504.00

Hospital Charge Code	270611964
Hospital Revenue Code	272
Min. Negotiated Rate	$65.52
Max. Negotiated Rate	$252.00
Rate for Payer: Aetna Commercial	$151.20
Rate for Payer: Aetna Medicare Advantage	$151.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$128.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$128.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$128.52
Rate for Payer: Cigna Commercial	$252.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.52
Rate for Payer: Oxford Commercial	$252.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.60
Rate for Payer: UnitedHealthcare Commercial	$252.00

TUBING STRY IRRIG 260-901-50

Facility

$435.25

Hospital Charge Code	270610810
Hospital Revenue Code	272
Min. Negotiated Rate	$56.58
Max. Negotiated Rate	$217.62
Rate for Payer: Aetna Commercial	$130.57
Rate for Payer: Aetna Medicare Advantage	$130.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$110.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$110.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$110.99
Rate for Payer: Cigna Commercial	$217.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.58
Rate for Payer: Oxford Commercial	$217.62
Rate for Payer: Qualcare PPO/HMO/WC	$65.29
Rate for Payer: UnitedHealthcare Commercial	$217.62

TUBING STRY IRRIG 260-901-50

Facility

$435.25

Hospital Charge Code	270610810
Hospital Revenue Code	272
Min. Negotiated Rate	$65.29
Max. Negotiated Rate	$65.29
Rate for Payer: Qualcare PPO/HMO/WC	$65.29

TUBING STRYKER S/I 25070400***

Facility

$248.00

Hospital Charge Code	1608108
Hospital Revenue Code	272
Min. Negotiated Rate	$32.24
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$74.40
Rate for Payer: Aetna Medicare Advantage	$74.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.24
Rate for Payer: Cigna Commercial	$124.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.24
Rate for Payer: Oxford Commercial	$124.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.20
Rate for Payer: UnitedHealthcare Commercial	$124.00

TUBING STRYKER S/I 25070400***

Facility

$248.00

Hospital Charge Code	1608108
Hospital Revenue Code	272
Min. Negotiated Rate	$37.20
Max. Negotiated Rate	$37.20
Rate for Payer: Qualcare PPO/HMO/WC	$37.20

TUBING STRY LAPAROSC 620030301

Facility

$24.73

Hospital Charge Code	270622695
Hospital Revenue Code	272
Min. Negotiated Rate	$3.21
Max. Negotiated Rate	$12.37
Rate for Payer: Aetna Commercial	$7.42
Rate for Payer: Aetna Medicare Advantage	$7.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.31
Rate for Payer: Cigna Commercial	$12.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.21
Rate for Payer: Oxford Commercial	$12.37
Rate for Payer: Qualcare PPO/HMO/WC	$3.71
Rate for Payer: UnitedHealthcare Commercial	$12.37

TUBING STRY LAPAROSC 620030301

Facility

$24.73

Hospital Charge Code	270622695
Hospital Revenue Code	272
Min. Negotiated Rate	$3.71
Max. Negotiated Rate	$3.71
Rate for Payer: Qualcare PPO/HMO/WC	$3.71

TUBING STRY PVC SURG 296-2-25

Facility

$326.45

Hospital Charge Code	270600318
Hospital Revenue Code	272
Min. Negotiated Rate	$48.97
Max. Negotiated Rate	$48.97
Rate for Payer: Qualcare PPO/HMO/WC	$48.97

TUBING STRY PVC SURG 296-2-25

Facility

$326.45

Hospital Charge Code	270600318
Hospital Revenue Code	272
Min. Negotiated Rate	$42.44
Max. Negotiated Rate	$163.22
Rate for Payer: Aetna Commercial	$97.94
Rate for Payer: Aetna Medicare Advantage	$97.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.24
Rate for Payer: Cigna Commercial	$163.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.44
Rate for Payer: Oxford Commercial	$163.22
Rate for Payer: Qualcare PPO/HMO/WC	$48.97
Rate for Payer: UnitedHealthcare Commercial	$163.22

TUBING SUCTION IRRIGATION

Facility

$223.00

Hospital Charge Code	270331450
Hospital Revenue Code	272
Min. Negotiated Rate	$28.99
Max. Negotiated Rate	$111.50
Rate for Payer: Aetna Commercial	$66.90
Rate for Payer: Aetna Medicare Advantage	$66.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.87
Rate for Payer: Cigna Commercial	$111.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.99
Rate for Payer: Oxford Commercial	$111.50
Rate for Payer: Qualcare PPO/HMO/WC	$33.45
Rate for Payer: UnitedHealthcare Commercial	$111.50

TUBING SUCTION IRRIGATION

Facility

$223.00

Hospital Charge Code	270331450
Hospital Revenue Code	272
Min. Negotiated Rate	$33.45
Max. Negotiated Rate	$33.45
Rate for Payer: Qualcare PPO/HMO/WC	$33.45

TUBING SUCTION NEURO

Facility

$2,850.00

Hospital Charge Code	270697868
Hospital Revenue Code	278
Min. Negotiated Rate	$427.50
Max. Negotiated Rate	$1,425.00
Rate for Payer: Aetna Commercial	$855.00
Rate for Payer: Aetna Medicare Advantage	$855.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$726.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$726.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$570.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$726.75
Rate for Payer: Cigna Commercial	$1,425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$689.70
Rate for Payer: Qualcare PPO/HMO/WC	$427.50

TUBING SUCTION NEURO

Facility

$2,850.00

Hospital Charge Code	270697868
Hospital Revenue Code	278
Min. Negotiated Rate	$427.50
Max. Negotiated Rate	$689.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$570.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$689.70
Rate for Payer: Qualcare PPO/HMO/WC	$427.50

TUBING THERMOFLATOR 20400162

Facility

$109.20

Hospital Charge Code	270631769
Hospital Revenue Code	272
Min. Negotiated Rate	$14.20
Max. Negotiated Rate	$54.60
Rate for Payer: Aetna Commercial	$32.76
Rate for Payer: Aetna Medicare Advantage	$32.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.85
Rate for Payer: Cigna Commercial	$54.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.20
Rate for Payer: Oxford Commercial	$54.60
Rate for Payer: Qualcare PPO/HMO/WC	$16.38
Rate for Payer: UnitedHealthcare Commercial	$54.60

TUBING THERMOFLATOR 20400162

Facility

$109.20

Hospital Charge Code	270631769
Hospital Revenue Code	272
Min. Negotiated Rate	$16.38
Max. Negotiated Rate	$16.38
Rate for Payer: Qualcare PPO/HMO/WC	$16.38

TUBING THORASEAL EXTENS 714200

Facility

$99.25

Hospital Charge Code	270600429
Hospital Revenue Code	272
Min. Negotiated Rate	$14.89
Max. Negotiated Rate	$14.89
Rate for Payer: Qualcare PPO/HMO/WC	$14.89

TUBING THORASEAL EXTENS 714200

Facility

$99.25

Hospital Charge Code	270600429
Hospital Revenue Code	272
Min. Negotiated Rate	$12.90
Max. Negotiated Rate	$49.62
Rate for Payer: Aetna Commercial	$29.77
Rate for Payer: Aetna Medicare Advantage	$29.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.31
Rate for Payer: Cigna Commercial	$49.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.90
Rate for Payer: Oxford Commercial	$49.62
Rate for Payer: Qualcare PPO/HMO/WC	$14.89
Rate for Payer: UnitedHealthcare Commercial	$49.62

TUBING TROCAR & WOUND DR 1/4

Facility

$111.25

Hospital Charge Code	270605810
Hospital Revenue Code	272
Min. Negotiated Rate	$14.46
Max. Negotiated Rate	$55.62
Rate for Payer: Aetna Commercial	$33.38
Rate for Payer: Aetna Medicare Advantage	$33.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.37
Rate for Payer: Cigna Commercial	$55.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.46
Rate for Payer: Oxford Commercial	$55.62
Rate for Payer: Qualcare PPO/HMO/WC	$16.69
Rate for Payer: UnitedHealthcare Commercial	$55.62

TUBING TROCAR & WOUND DR 1/4

Facility

$111.25

Hospital Charge Code	270605810
Hospital Revenue Code	272
Min. Negotiated Rate	$16.69
Max. Negotiated Rate	$16.69
Rate for Payer: Qualcare PPO/HMO/WC	$16.69

TUBING TROCAR & WOUND DR 1/8

Facility

$111.25

Hospital Charge Code	270605808
Hospital Revenue Code	272
Min. Negotiated Rate	$14.46
Max. Negotiated Rate	$55.62
Rate for Payer: Aetna Commercial	$33.38
Rate for Payer: Aetna Medicare Advantage	$33.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.37
Rate for Payer: Cigna Commercial	$55.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.46
Rate for Payer: Oxford Commercial	$55.62
Rate for Payer: Qualcare PPO/HMO/WC	$16.69
Rate for Payer: UnitedHealthcare Commercial	$55.62

TUBING TROCAR & WOUND DR 1/8

Facility

$111.25

Hospital Charge Code	270605808
Hospital Revenue Code	272
Min. Negotiated Rate	$16.69
Max. Negotiated Rate	$16.69
Rate for Payer: Qualcare PPO/HMO/WC	$16.69

TUBING TROCAR & WOUND DR 3/16

Facility

$111.25

Hospital Charge Code	270605809
Hospital Revenue Code	272
Min. Negotiated Rate	$14.46
Max. Negotiated Rate	$55.62
Rate for Payer: Aetna Commercial	$33.38
Rate for Payer: Aetna Medicare Advantage	$33.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.37
Rate for Payer: Cigna Commercial	$55.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.46
Rate for Payer: Oxford Commercial	$55.62
Rate for Payer: Qualcare PPO/HMO/WC	$16.69
Rate for Payer: UnitedHealthcare Commercial	$55.62

TUBING TROCAR & WOUND DR 3/16

Facility

$111.25

Hospital Charge Code	270605809
Hospital Revenue Code	272
Min. Negotiated Rate	$16.69
Max. Negotiated Rate	$16.69
Rate for Payer: Qualcare PPO/HMO/WC	$16.69

TUBING T-U-R TYPE SET

Facility

$34.60

Hospital Charge Code	270650117
Hospital Revenue Code	270
Min. Negotiated Rate	$5.19
Max. Negotiated Rate	$5.19
Rate for Payer: Qualcare PPO/HMO/WC	$5.19

Know your out-of-pocket cost for care.

All Charges