Heights University Hospital

All Charges

Charge

Type

Setting

Price

CEFAZOLIN 500 MG INJ

Facility

$14.54

Service Code	HCPCS J0690
Hospital Charge Code	60629075
Hospital Revenue Code	636
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$4.36
Rate for Payer: Aetna Commercial	$4.36
Rate for Payer: Aetna Medicare Advantage	$4.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.71
Rate for Payer: Cigna Commercial	$0.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.52
Rate for Payer: Qualcare PPO/HMO/WC	$2.18

CEFAZOLIN 500MG VIAL

Facility

$15.00

Hospital Charge Code	60635709
Hospital Revenue Code	636
Min. Negotiated Rate	$2.25
Max. Negotiated Rate	$7.50
Rate for Payer: Aetna Commercial	$4.50
Rate for Payer: Aetna Medicare Advantage	$4.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.83
Rate for Payer: Cigna Commercial	$7.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.63
Rate for Payer: Qualcare PPO/HMO/WC	$2.25

CEFAZOLIN 500MG VIAL

Facility

$15.00

Hospital Charge Code	60635709
Hospital Revenue Code	636
Min. Negotiated Rate	$2.25
Max. Negotiated Rate	$3.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.63
Rate for Payer: Qualcare PPO/HMO/WC	$2.25

CEFAZOLIN (ANCEF) 500 MG INJ

Facility

$9.65

Hospital Charge Code	60627257
Hospital Revenue Code	250
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

CEFAZOLIN (ANCEF) 500 MG INJ

Facility

$9.65

Hospital Charge Code	60627257
Hospital Revenue Code	250
Min. Negotiated Rate	$1.45
Max. Negotiated Rate	$1.45
Rate for Payer: Qualcare PPO/HMO/WC	$1.45

CEFAZOLIN FORTIFIED OPTH DROPS

Facility

$36.73

Service Code	NDC 75245201
Hospital Charge Code	60628996
Hospital Revenue Code	250
Min. Negotiated Rate	$4.77
Max. Negotiated Rate	$18.36
Rate for Payer: Aetna Commercial	$11.02
Rate for Payer: Aetna Medicare Advantage	$11.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.37
Rate for Payer: Cigna Commercial	$18.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.77
Rate for Payer: Oxford Commercial	$18.36
Rate for Payer: Qualcare PPO/HMO/WC	$5.51
Rate for Payer: UnitedHealthcare Commercial	$18.36

CEFAZOLIN FORTIFIED OPTH DROPS

Facility

$36.73

Service Code	NDC 75245201
Hospital Charge Code	60628996
Hospital Revenue Code	250
Min. Negotiated Rate	$5.51
Max. Negotiated Rate	$5.51
Rate for Payer: Qualcare PPO/HMO/WC	$5.51

CEFAZOLIN INJ 1GM 7313001

Facility

$10.90

Hospital Charge Code	6007058
Hospital Revenue Code	250
Min. Negotiated Rate	$1.42
Max. Negotiated Rate	$5.45
Rate for Payer: Aetna Commercial	$3.27
Rate for Payer: Aetna Medicare Advantage	$3.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.78
Rate for Payer: Cigna Commercial	$5.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.42
Rate for Payer: Oxford Commercial	$5.45
Rate for Payer: Qualcare PPO/HMO/WC	$1.64
Rate for Payer: UnitedHealthcare Commercial	$5.45

CEFAZOLIN INJ 1GM 7313001

Facility

$10.90

Hospital Charge Code	6007058
Hospital Revenue Code	250
Min. Negotiated Rate	$1.64
Max. Negotiated Rate	$1.64
Rate for Payer: Qualcare PPO/HMO/WC	$1.64

CEFAZOLIN IVPB 1GM/NS 50ML

Facility

$34.60

Hospital Charge Code	60627253
Hospital Revenue Code	250
Min. Negotiated Rate	$5.19
Max. Negotiated Rate	$5.19
Rate for Payer: Qualcare PPO/HMO/WC	$5.19

CEFAZOLIN IVPB 1GM/NS 50ML

Facility

$34.60

Hospital Charge Code	60627253
Hospital Revenue Code	250
Min. Negotiated Rate	$4.50
Max. Negotiated Rate	$17.30
Rate for Payer: Aetna Commercial	$10.38
Rate for Payer: Aetna Medicare Advantage	$10.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.82
Rate for Payer: Cigna Commercial	$17.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.50
Rate for Payer: Oxford Commercial	$17.30
Rate for Payer: Qualcare PPO/HMO/WC	$5.19
Rate for Payer: UnitedHealthcare Commercial	$17.30

CEFAZOLIN IVPB 2GM/D5W 50ML

Facility

$26.25

Hospital Charge Code	60627256
Hospital Revenue Code	250
Min. Negotiated Rate	$3.94
Max. Negotiated Rate	$3.94
Rate for Payer: Qualcare PPO/HMO/WC	$3.94

CEFAZOLIN IVPB 2GM/D5W 50ML

Facility

$26.25

Hospital Charge Code	60627256
Hospital Revenue Code	250
Min. Negotiated Rate	$3.41
Max. Negotiated Rate	$13.12
Rate for Payer: Aetna Commercial	$7.88
Rate for Payer: Aetna Medicare Advantage	$7.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.69
Rate for Payer: Cigna Commercial	$13.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.41
Rate for Payer: Oxford Commercial	$13.12
Rate for Payer: Qualcare PPO/HMO/WC	$3.94
Rate for Payer: UnitedHealthcare Commercial	$13.12

CEFAZOLIN SODIUM 1 GM VIAL

Facility

$43.28

Service Code	HCPCS J0690
Hospital Charge Code	60627254
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 SODIUM 1 GM VIAL

Facility

$43.28

Service Code	HCPCS J0690
Hospital Charge Code	60627254
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 SODIUM 1 GM VIAL

Facility

$245.65

Hospital Charge Code	60627255
Hospital Revenue Code	250
Min. Negotiated Rate	$36.85
Max. Negotiated Rate	$36.85
Rate for Payer: Qualcare PPO/HMO/WC	$36.85

CEFAZOLIN SODIUM 1 GM VIAL

Facility

$245.65

Hospital Charge Code	60627255
Hospital Revenue Code	250
Min. Negotiated Rate	$31.93
Max. Negotiated Rate	$122.83
Rate for Payer: Aetna Commercial	$73.69
Rate for Payer: Aetna Medicare Advantage	$73.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.64
Rate for Payer: Cigna Commercial	$122.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.93
Rate for Payer: Oxford Commercial	$122.83
Rate for Payer: Qualcare PPO/HMO/WC	$36.85
Rate for Payer: UnitedHealthcare Commercial	$122.83

CEFDINIR 250MG/5ML SUSP

Facility

$55.54

Service Code	NDC 68180072304
Hospital Charge Code	6063943075
Hospital Revenue Code	250
Min. Negotiated Rate	$8.33
Max. Negotiated Rate	$8.33
Rate for Payer: Qualcare PPO/HMO/WC	$8.33

CEFDINIR 250MG/5ML SUSP

Facility

$55.54

Service Code	NDC 68180072304
Hospital Charge Code	6063943075
Hospital Revenue Code	250
Min. Negotiated Rate	$7.22
Max. Negotiated Rate	$27.77
Rate for Payer: Aetna Commercial	$16.66
Rate for Payer: Aetna Medicare Advantage	$16.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.16
Rate for Payer: Cigna Commercial	$27.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.22
Rate for Payer: Oxford Commercial	$27.77
Rate for Payer: Qualcare PPO/HMO/WC	$8.33
Rate for Payer: UnitedHealthcare Commercial	$27.77

CEFDINIR 300MG CAP

Facility

$34.24

Service Code	NDC 93316006
Hospital Charge Code	6063943076
Hospital Revenue Code	250
Min. Negotiated Rate	$4.45
Max. Negotiated Rate	$17.12
Rate for Payer: Aetna Commercial	$10.27
Rate for Payer: Aetna Medicare Advantage	$10.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.73
Rate for Payer: Cigna Commercial	$17.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.45
Rate for Payer: Oxford Commercial	$17.12
Rate for Payer: Qualcare PPO/HMO/WC	$5.14
Rate for Payer: UnitedHealthcare Commercial	$17.12

CEFDINIR 300MG CAP

Facility

$34.24

Service Code	NDC 93316006
Hospital Charge Code	6063943076
Hospital Revenue Code	250
Min. Negotiated Rate	$5.14
Max. Negotiated Rate	$5.14
Rate for Payer: Qualcare PPO/HMO/WC	$5.14

CEFEPIME 2G

Facility

$72.06

Hospital Charge Code	60635762
Hospital Revenue Code	636
Min. Negotiated Rate	$10.81
Max. Negotiated Rate	$36.03
Rate for Payer: Aetna Commercial	$21.62
Rate for Payer: Aetna Medicare Advantage	$21.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.38
Rate for Payer: Cigna Commercial	$36.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.44
Rate for Payer: Qualcare PPO/HMO/WC	$10.81

CEFEPIME 2G

Facility

$72.06

Hospital Charge Code	60635762
Hospital Revenue Code	636
Min. Negotiated Rate	$10.81
Max. Negotiated Rate	$17.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.44
Rate for Payer: Qualcare PPO/HMO/WC	$10.81

CEFEPIME 2G FROZEN BAG

Facility

$342.37

Service Code	HCPCS J0692
Hospital Charge Code	60635694
Hospital Revenue Code	636
Min. Negotiated Rate	$1.27
Max. Negotiated Rate	$102.71
Rate for Payer: Aetna Commercial	$102.71
Rate for Payer: Aetna Medicare Advantage	$102.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$87.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$87.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$87.30
Rate for Payer: Cigna Commercial	$1.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.85
Rate for Payer: Qualcare PPO/HMO/WC	$51.36

CEFEPIME 2G FROZEN BAG

Facility

$342.37

Service Code	HCPCS J0692
Hospital Charge Code	60635694
Hospital Revenue Code	636
Min. Negotiated Rate	$51.36
Max. Negotiated Rate	$82.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.85
Rate for Payer: Qualcare PPO/HMO/WC	$51.36

Know your out-of-pocket cost for care.

All Charges