Heights University Hospital

All Charges

Charge

Type

Setting

Price

CANNULA MCV FLUORO TIP 3096

Facility

$352.00

Hospital Charge Code	270604741
Hospital Revenue Code	272
Min. Negotiated Rate	$45.76
Max. Negotiated Rate	$176.00
Rate for Payer: Aetna Commercial	$105.60
Rate for Payer: Aetna Medicare Advantage	$105.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.76
Rate for Payer: Cigna Commercial	$176.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.76
Rate for Payer: Oxford Commercial	$176.00
Rate for Payer: Qualcare PPO/HMO/WC	$52.80
Rate for Payer: UnitedHealthcare Commercial	$176.00

CANNULA MCV FLUORO TIP 3096

Facility

$352.00

Hospital Charge Code	270604741
Hospital Revenue Code	272
Min. Negotiated Rate	$52.80
Max. Negotiated Rate	$52.80
Rate for Payer: Qualcare PPO/HMO/WC	$52.80

CANNULA MCV FLUORO TIP 3097

Facility

$352.00

Hospital Charge Code	270604742
Hospital Revenue Code	272
Min. Negotiated Rate	$45.76
Max. Negotiated Rate	$176.00
Rate for Payer: Aetna Commercial	$105.60
Rate for Payer: Aetna Medicare Advantage	$105.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.76
Rate for Payer: Cigna Commercial	$176.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.76
Rate for Payer: Oxford Commercial	$176.00
Rate for Payer: Qualcare PPO/HMO/WC	$52.80
Rate for Payer: UnitedHealthcare Commercial	$176.00

CANNULA MCV FLUORO TIP 3097

Facility

$352.00

Hospital Charge Code	270604742
Hospital Revenue Code	272
Min. Negotiated Rate	$52.80
Max. Negotiated Rate	$52.80
Rate for Payer: Qualcare PPO/HMO/WC	$52.80

CANNULA MCV FLUORO TIP 3098

Facility

$352.00

Hospital Charge Code	270604743
Hospital Revenue Code	272
Min. Negotiated Rate	$45.76
Max. Negotiated Rate	$176.00
Rate for Payer: Aetna Commercial	$105.60
Rate for Payer: Aetna Medicare Advantage	$105.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.76
Rate for Payer: Cigna Commercial	$176.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.76
Rate for Payer: Oxford Commercial	$176.00
Rate for Payer: Qualcare PPO/HMO/WC	$52.80
Rate for Payer: UnitedHealthcare Commercial	$176.00

CANNULA MCV FLUORO TIP 3098

Facility

$352.00

Hospital Charge Code	270604743
Hospital Revenue Code	272
Min. Negotiated Rate	$52.80
Max. Negotiated Rate	$52.80
Rate for Payer: Qualcare PPO/HMO/WC	$52.80

CANNULA MCV FLUORO TIP ERCP

Facility

$192.00

Hospital Charge Code	270600938
Hospital Revenue Code	279
Min. Negotiated Rate	$24.96
Max. Negotiated Rate	$96.00
Rate for Payer: Aetna Commercial	$57.60
Rate for Payer: Aetna Medicare Advantage	$57.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.96
Rate for Payer: Cigna Commercial	$96.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.96
Rate for Payer: Oxford Commercial	$96.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.80
Rate for Payer: UnitedHealthcare Commercial	$96.00

CANNULA MCV FLUORO TIP ERCP

Facility

$192.00

Hospital Charge Code	270600938
Hospital Revenue Code	279
Min. Negotiated Rate	$28.80
Max. Negotiated Rate	$28.80
Rate for Payer: Qualcare PPO/HMO/WC	$28.80

CANNULA NASAL *******

Facility

$11.00

Hospital Charge Code	1600899
Hospital Revenue Code	272
Min. Negotiated Rate	$1.65
Max. Negotiated Rate	$1.65
Rate for Payer: Qualcare PPO/HMO/WC	$1.65

CANNULA NASAL *******

Facility

$11.00

Hospital Charge Code	1600899
Hospital Revenue Code	272
Min. Negotiated Rate	$1.43
Max. Negotiated Rate	$5.50
Rate for Payer: Aetna Commercial	$3.30
Rate for Payer: Aetna Medicare Advantage	$3.30
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	$5.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.43
Rate for Payer: Oxford Commercial	$5.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.65
Rate for Payer: UnitedHealthcare Commercial	$5.50

CANNULA NASAL ADULT 001310

Facility

$9.65

Hospital Charge Code	270200055
Hospital Revenue Code	272
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$4.83
Rate for Payer: Aetna Commercial	$2.90
Rate for Payer: Aetna Medicare Advantage	$2.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.46
Rate for Payer: Cigna Commercial	$4.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.25
Rate for Payer: Oxford Commercial	$4.83
Rate for Payer: Qualcare PPO/HMO/WC	$1.45
Rate for Payer: UnitedHealthcare Commercial	$4.83

CANNULA NASAL ADULT 001310

Facility

$4.85

Hospital Charge Code	270600619
Hospital Revenue Code	272
Min. Negotiated Rate	$0.63
Max. Negotiated Rate	$2.42
Rate for Payer: Aetna Commercial	$1.46
Rate for Payer: Aetna Medicare Advantage	$1.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.24
Rate for Payer: Cigna Commercial	$2.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.63
Rate for Payer: Oxford Commercial	$2.42
Rate for Payer: Qualcare PPO/HMO/WC	$0.73
Rate for Payer: UnitedHealthcare Commercial	$2.42

CANNULA NASAL ADULT 001310

Facility

$9.65

Hospital Charge Code	270200055
Hospital Revenue Code	272
Min. Negotiated Rate	$1.45
Max. Negotiated Rate	$1.45
Rate for Payer: Qualcare PPO/HMO/WC	$1.45

CANNULA NASAL ADULT 001310

Facility

$4.85

Hospital Charge Code	270600619
Hospital Revenue Code	272
Min. Negotiated Rate	$0.73
Max. Negotiated Rate	$0.73
Rate for Payer: Qualcare PPO/HMO/WC	$0.73

CANNULA NASAL ADULT O2 ETCO2

Facility

$50.00

Hospital Charge Code	270626115
Hospital Revenue Code	272
Min. Negotiated Rate	$6.50
Max. Negotiated Rate	$25.00
Rate for Payer: Aetna Commercial	$15.00
Rate for Payer: Aetna Medicare Advantage	$15.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.75
Rate for Payer: Cigna Commercial	$25.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.50
Rate for Payer: Oxford Commercial	$25.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.50
Rate for Payer: UnitedHealthcare Commercial	$25.00

CANNULA NASAL ADULT O2 ETCO2

Facility

$50.00

Hospital Charge Code	270626115
Hospital Revenue Code	272
Min. Negotiated Rate	$7.50
Max. Negotiated Rate	$7.50
Rate for Payer: Qualcare PPO/HMO/WC	$7.50

CANNULA NASAL CPAP INFANT SZ3

Facility

$447.65

Hospital Charge Code	270651735
Hospital Revenue Code	272
Min. Negotiated Rate	$67.15
Max. Negotiated Rate	$67.15
Rate for Payer: Qualcare PPO/HMO/WC	$67.15

CANNULA NASAL CPAP INFANT SZ3

Facility

$447.65

Hospital Charge Code	270651735
Hospital Revenue Code	272
Min. Negotiated Rate	$58.19
Max. Negotiated Rate	$223.82
Rate for Payer: Aetna Commercial	$134.29
Rate for Payer: Aetna Medicare Advantage	$134.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.15
Rate for Payer: Cigna Commercial	$223.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.19
Rate for Payer: Oxford Commercial	$223.82
Rate for Payer: Qualcare PPO/HMO/WC	$67.15
Rate for Payer: UnitedHealthcare Commercial	$223.82

CANNULA NASAL HIGH FLOW ADULT

Facility

$28.80

Hospital Charge Code	270664877
Hospital Revenue Code	270
Min. Negotiated Rate	$4.32
Max. Negotiated Rate	$4.32
Rate for Payer: Qualcare PPO/HMO/WC	$4.32

CANNULA NASAL HIGH FLOW ADULT

Facility

$28.80

Hospital Charge Code	270664877
Hospital Revenue Code	270
Min. Negotiated Rate	$3.74
Max. Negotiated Rate	$14.40
Rate for Payer: Aetna Commercial	$8.64
Rate for Payer: Aetna Medicare Advantage	$8.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.34
Rate for Payer: Cigna Commercial	$14.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.74
Rate for Payer: Oxford Commercial	$14.40
Rate for Payer: Qualcare PPO/HMO/WC	$4.32
Rate for Payer: UnitedHealthcare Commercial	$14.40

CANNULA NASAL LO FLOW NEONATE

Facility

$34.00

Hospital Charge Code	270664878
Hospital Revenue Code	270
Min. Negotiated Rate	$4.42
Max. Negotiated Rate	$17.00
Rate for Payer: Aetna Commercial	$10.20
Rate for Payer: Aetna Medicare Advantage	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.67
Rate for Payer: Cigna Commercial	$17.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.42
Rate for Payer: Oxford Commercial	$17.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.10
Rate for Payer: UnitedHealthcare Commercial	$17.00

CANNULA NASAL LO FLOW NEONATE

Facility

$34.00

Hospital Charge Code	270664878
Hospital Revenue Code	270
Min. Negotiated Rate	$5.10
Max. Negotiated Rate	$5.10
Rate for Payer: Qualcare PPO/HMO/WC	$5.10

CANNULA NASAL OPTIFLOW LG

Facility

$111.36

Hospital Charge Code	270651736
Hospital Revenue Code	270
Min. Negotiated Rate	$14.48
Max. Negotiated Rate	$55.68
Rate for Payer: Aetna Commercial	$33.41
Rate for Payer: Aetna Medicare Advantage	$33.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.40
Rate for Payer: Cigna Commercial	$55.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.48
Rate for Payer: Oxford Commercial	$55.68
Rate for Payer: Qualcare PPO/HMO/WC	$16.70
Rate for Payer: UnitedHealthcare Commercial	$55.68

CANNULA NASAL OPTIFLOW LG

Facility

$111.36

Hospital Charge Code	270651736
Hospital Revenue Code	270
Min. Negotiated Rate	$16.70
Max. Negotiated Rate	$16.70
Rate for Payer: Qualcare PPO/HMO/WC	$16.70

CANNULA NASAL OPTIFLOW MED

Facility

$2,054.05

Hospital Charge Code	270651737
Hospital Revenue Code	270
Min. Negotiated Rate	$267.03
Max. Negotiated Rate	$1,027.03
Rate for Payer: Aetna Commercial	$616.22
Rate for Payer: Aetna Medicare Advantage	$616.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$523.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$523.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$523.78
Rate for Payer: Cigna Commercial	$1,027.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$267.03
Rate for Payer: Oxford Commercial	$1,027.03
Rate for Payer: Qualcare PPO/HMO/WC	$308.11
Rate for Payer: UnitedHealthcare Commercial	$1,027.03

Know your out-of-pocket cost for care.

All Charges