Heights University Hospital

All Charges

Charge

Type

Setting

Price

CEENU/40MG/CAP

Facility

$71.00

Hospital Charge Code	60632653
Hospital Revenue Code	250
Min. Negotiated Rate	$9.23
Max. Negotiated Rate	$35.50
Rate for Payer: Aetna Commercial	$21.30
Rate for Payer: Aetna Medicare Advantage	$21.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.11
Rate for Payer: Cigna Commercial	$35.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.23
Rate for Payer: Oxford Commercial	$35.50
Rate for Payer: Qualcare PPO/HMO/WC	$10.65
Rate for Payer: UnitedHealthcare Commercial	$35.50

CEENU/40MG/CAP

Facility

$71.00

Hospital Charge Code	60632653
Hospital Revenue Code	250
Min. Negotiated Rate	$10.65
Max. Negotiated Rate	$10.65
Rate for Payer: Qualcare PPO/HMO/WC	$10.65

CEFACLOR 500 MG CAP

Facility

$19.45

Hospital Charge Code	60627251
Hospital Revenue Code	251
Min. Negotiated Rate	$2.53
Max. Negotiated Rate	$9.72
Rate for Payer: Aetna Commercial	$5.83
Rate for Payer: Aetna Medicare Advantage	$5.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.96
Rate for Payer: Cigna Commercial	$9.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.53
Rate for Payer: Oxford Commercial	$9.72
Rate for Payer: Qualcare PPO/HMO/WC	$2.92
Rate for Payer: UnitedHealthcare Commercial	$9.72

CEFACLOR 500 MG CAP

Facility

$19.45

Hospital Charge Code	60627251
Hospital Revenue Code	251
Min. Negotiated Rate	$2.92
Max. Negotiated Rate	$2.92
Rate for Payer: Qualcare PPO/HMO/WC	$2.92

CEFACLOR 500 MG CR TAB

Facility

$22.45

Hospital Charge Code	60629129
Hospital Revenue Code	250
Min. Negotiated Rate	$2.92
Max. Negotiated Rate	$11.22
Rate for Payer: Aetna Commercial	$6.74
Rate for Payer: Aetna Medicare Advantage	$6.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.72
Rate for Payer: Cigna Commercial	$11.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.92
Rate for Payer: Oxford Commercial	$11.22
Rate for Payer: Qualcare PPO/HMO/WC	$3.37
Rate for Payer: UnitedHealthcare Commercial	$11.22

CEFACLOR 500 MG CR TAB

Facility

$22.45

Hospital Charge Code	60629129
Hospital Revenue Code	250
Min. Negotiated Rate	$3.37
Max. Negotiated Rate	$3.37
Rate for Payer: Qualcare PPO/HMO/WC	$3.37

CEFACLOR CAP 250MG

Facility

$19.85

Hospital Charge Code	6008601
Hospital Revenue Code	251
Min. Negotiated Rate	$2.98
Max. Negotiated Rate	$2.98
Rate for Payer: Qualcare PPO/HMO/WC	$2.98

CEFACLOR CAP 250MG

Facility

$19.85

Hospital Charge Code	6008601
Hospital Revenue Code	251
Min. Negotiated Rate	$2.58
Max. Negotiated Rate	$9.93
Rate for Payer: Aetna Commercial	$5.96
Rate for Payer: Aetna Medicare Advantage	$5.96
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	$9.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.58
Rate for Payer: Oxford Commercial	$9.93
Rate for Payer: Qualcare PPO/HMO/WC	$2.98
Rate for Payer: UnitedHealthcare Commercial	$9.93

CEFACLOR LQ 125MG/5ML

Facility

$113.30

Hospital Charge Code	6000954
Hospital Revenue Code	251
Min. Negotiated Rate	$17.00
Max. Negotiated Rate	$17.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.00

CEFACLOR LQ 125MG/5ML

Facility

$113.30

Hospital Charge Code	6000954
Hospital Revenue Code	251
Min. Negotiated Rate	$14.73
Max. Negotiated Rate	$56.65
Rate for Payer: Aetna Commercial	$33.99
Rate for Payer: Aetna Medicare Advantage	$33.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.89
Rate for Payer: Cigna Commercial	$56.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.73
Rate for Payer: Oxford Commercial	$56.65
Rate for Payer: Qualcare PPO/HMO/WC	$17.00
Rate for Payer: UnitedHealthcare Commercial	$56.65

CEFACLOR LQ 250MG/5ML

Facility

$213.80

Hospital Charge Code	6000962
Hospital Revenue Code	251
Min. Negotiated Rate	$32.07
Max. Negotiated Rate	$32.07
Rate for Payer: Qualcare PPO/HMO/WC	$32.07

CEFACLOR LQ 250MG/5ML

Facility

$213.80

Hospital Charge Code	6000962
Hospital Revenue Code	251
Min. Negotiated Rate	$27.79
Max. Negotiated Rate	$106.90
Rate for Payer: Aetna Commercial	$64.14
Rate for Payer: Aetna Medicare Advantage	$64.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.52
Rate for Payer: Cigna Commercial	$106.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.79
Rate for Payer: Oxford Commercial	$106.90
Rate for Payer: Qualcare PPO/HMO/WC	$32.07
Rate for Payer: UnitedHealthcare Commercial	$106.90

CEFACLOR SSP 250MG/5ML 75ML

Facility

$9.70

Hospital Charge Code	60627252
Hospital Revenue Code	251
Min. Negotiated Rate	$1.46
Max. Negotiated Rate	$1.46
Rate for Payer: Qualcare PPO/HMO/WC	$1.46

CEFACLOR SSP 250MG/5ML 75ML

Facility

$9.70

Hospital Charge Code	60627252
Hospital Revenue Code	251
Min. Negotiated Rate	$1.26
Max. Negotiated Rate	$4.85
Rate for Payer: Aetna Commercial	$2.91
Rate for Payer: Aetna Medicare Advantage	$2.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.47
Rate for Payer: Cigna Commercial	$4.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.26
Rate for Payer: Oxford Commercial	$4.85
Rate for Payer: Qualcare PPO/HMO/WC	$1.46
Rate for Payer: UnitedHealthcare Commercial	$4.85

CEFADROXIL CAP 500 MG

Facility

$21.15

Hospital Charge Code	6000970
Hospital Revenue Code	252
Min. Negotiated Rate	$2.75
Max. Negotiated Rate	$10.57
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	$10.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.75
Rate for Payer: Oxford Commercial	$10.57
Rate for Payer: Qualcare PPO/HMO/WC	$3.17
Rate for Payer: UnitedHealthcare Commercial	$10.57

CEFADROXIL CAP 500 MG

Facility

$21.15

Hospital Charge Code	6000970
Hospital Revenue Code	252
Min. Negotiated Rate	$3.17
Max. Negotiated Rate	$3.17
Rate for Payer: Qualcare PPO/HMO/WC	$3.17

CEFAZOLIN 1GM INJECTION

Facility

$36.05

Service Code	HCPCS J0690
Hospital Charge Code	60632292
Hospital Revenue Code	636
Min. Negotiated Rate	$5.41
Max. Negotiated Rate	$8.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.72
Rate for Payer: Qualcare PPO/HMO/WC	$5.41

CEFAZOLIN 1GM INJECTION

Facility

$36.05

Service Code	HCPCS J0690
Hospital Charge Code	60632292
Hospital Revenue Code	636
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$10.81
Rate for Payer: Aetna Commercial	$10.81
Rate for Payer: Aetna Medicare Advantage	$10.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.19
Rate for Payer: Cigna Commercial	$0.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.72
Rate for Payer: Qualcare PPO/HMO/WC	$5.41

CEFAZOLIN 2GM/100ML NACL IVPB

Facility

$142.11

Service Code	HCPCS J0690
Hospital Charge Code	606390508
Hospital Revenue Code	636
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$42.63
Rate for Payer: Aetna Commercial	$42.63
Rate for Payer: Aetna Medicare Advantage	$42.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.24
Rate for Payer: Cigna Commercial	$0.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.39
Rate for Payer: Qualcare PPO/HMO/WC	$21.32

CEFAZOLIN 2GM/100ML NACL IVPB

Facility

$142.11

Service Code	HCPCS J0690
Hospital Charge Code	606390508
Hospital Revenue Code	636
Min. Negotiated Rate	$21.32
Max. Negotiated Rate	$34.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.39
Rate for Payer: Qualcare PPO/HMO/WC	$21.32

CEFAZOLIN 2GM/50 ML DUPLEX

Facility

$58.69

Service Code	HCPCS J0690
Hospital Charge Code	606350942
Hospital Revenue Code	636
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$17.61
Rate for Payer: Aetna Commercial	$17.61
Rate for Payer: Aetna Medicare Advantage	$17.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.97
Rate for Payer: Cigna Commercial	$0.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.20
Rate for Payer: Qualcare PPO/HMO/WC	$8.80

CEFAZOLIN 2GM/50 ML DUPLEX

Facility

$58.69

Service Code	HCPCS J0690
Hospital Charge Code	606350942
Hospital Revenue Code	636
Min. Negotiated Rate	$8.80
Max. Negotiated Rate	$14.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.20
Rate for Payer: Qualcare PPO/HMO/WC	$8.80

CEFAZOLIN 2GM VIAL

Facility

$43.28

Service Code	HCPCS J0690
Hospital Charge Code	606390502
Hospital Revenue Code	636
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$12.98
Rate for Payer: Aetna Commercial	$12.98
Rate for Payer: Aetna Medicare Advantage	$12.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.04
Rate for Payer: Cigna Commercial	$0.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.47
Rate for Payer: Qualcare PPO/HMO/WC	$6.49

CEFAZOLIN 2GM VIAL

Facility

$43.28

Service Code	HCPCS J0690
Hospital Charge Code	606390502
Hospital Revenue Code	636
Min. Negotiated Rate	$6.49
Max. Negotiated Rate	$10.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.47
Rate for Payer: Qualcare PPO/HMO/WC	$6.49

CEFAZOLIN 500 MG INJ

Facility

$14.54

Service Code	HCPCS J0690
Hospital Charge Code	60629075
Hospital Revenue Code	636
Min. Negotiated Rate	$2.18
Max. Negotiated Rate	$3.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.52
Rate for Payer: Qualcare PPO/HMO/WC	$2.18

Know your out-of-pocket cost for care.

All Charges