Heights University Hospital

All Charges

Charge

Type

Setting

Price

CLINDAMYCIN 150 MG/ML INJ

Facility

$92.86

Service Code	NDC 9312403
Hospital Charge Code	6006332
Hospital Revenue Code	250
Min. Negotiated Rate	$13.93
Max. Negotiated Rate	$13.93
Rate for Payer: Qualcare PPO/HMO/WC	$13.93

CLINDAMYCIN 1% LOTION

Facility

$419.15

Hospital Charge Code	60628325
Hospital Revenue Code	250
Min. Negotiated Rate	$54.49
Max. Negotiated Rate	$209.57
Rate for Payer: Aetna Commercial	$125.75
Rate for Payer: Aetna Medicare Advantage	$125.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$106.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$106.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$106.88
Rate for Payer: Cigna Commercial	$209.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.49
Rate for Payer: Oxford Commercial	$209.57
Rate for Payer: Qualcare PPO/HMO/WC	$62.87
Rate for Payer: UnitedHealthcare Commercial	$209.57

CLINDAMYCIN 1% LOTION

Facility

$419.15

Hospital Charge Code	60628325
Hospital Revenue Code	250
Min. Negotiated Rate	$62.87
Max. Negotiated Rate	$62.87
Rate for Payer: Qualcare PPO/HMO/WC	$62.87

CLINDAMYCIN 1% TOP SOLN

Facility

$120.75

Hospital Charge Code	60628594
Hospital Revenue Code	250
Min. Negotiated Rate	$15.70
Max. Negotiated Rate	$60.38
Rate for Payer: Aetna Commercial	$36.23
Rate for Payer: Aetna Medicare Advantage	$36.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.79
Rate for Payer: Cigna Commercial	$60.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.70
Rate for Payer: Oxford Commercial	$60.38
Rate for Payer: Qualcare PPO/HMO/WC	$18.11
Rate for Payer: UnitedHealthcare Commercial	$60.38

CLINDAMYCIN 1% TOP SOLN

Facility

$120.75

Hospital Charge Code	60628594
Hospital Revenue Code	250
Min. Negotiated Rate	$18.11
Max. Negotiated Rate	$18.11
Rate for Payer: Qualcare PPO/HMO/WC	$18.11

CLINDAMYCIN 300MG/2ML

Facility

$50.79

Service Code	NDC 9087026
Hospital Charge Code	60632361
Hospital Revenue Code	250
Min. Negotiated Rate	$7.62
Max. Negotiated Rate	$7.62
Rate for Payer: Qualcare PPO/HMO/WC	$7.62

CLINDAMYCIN 300MG/2ML

Facility

$50.79

Service Code	NDC 9087026
Hospital Charge Code	60632361
Hospital Revenue Code	250
Min. Negotiated Rate	$6.60
Max. Negotiated Rate	$25.39
Rate for Payer: Aetna Commercial	$15.24
Rate for Payer: Aetna Medicare Advantage	$15.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.95
Rate for Payer: Cigna Commercial	$25.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.60
Rate for Payer: Oxford Commercial	$25.39
Rate for Payer: Qualcare PPO/HMO/WC	$7.62
Rate for Payer: UnitedHealthcare Commercial	$25.39

CLINDAMYCIN 300MG/50ML

Facility

$67.00

Service Code	NDC 338954524
Hospital Charge Code	60627323
Hospital Revenue Code	250
Min. Negotiated Rate	$10.05
Max. Negotiated Rate	$10.05
Rate for Payer: Qualcare PPO/HMO/WC	$10.05

CLINDAMYCIN 300MG/50ML

Facility

$67.00

Service Code	NDC 338954524
Hospital Charge Code	60627323
Hospital Revenue Code	250
Min. Negotiated Rate	$8.71
Max. Negotiated Rate	$33.50
Rate for Payer: Aetna Commercial	$20.10
Rate for Payer: Aetna Medicare Advantage	$20.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.09
Rate for Payer: Cigna Commercial	$33.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.71
Rate for Payer: Oxford Commercial	$33.50
Rate for Payer: Qualcare PPO/HMO/WC	$10.05
Rate for Payer: UnitedHealthcare Commercial	$33.50

CLINDAMYCIN 300MG/50ML D5W

Facility

$65.93

Service Code	NDC 781922009
Hospital Charge Code	606390188
Hospital Revenue Code	250
Min. Negotiated Rate	$9.89
Max. Negotiated Rate	$9.89
Rate for Payer: Qualcare PPO/HMO/WC	$9.89

CLINDAMYCIN 300MG/50ML D5W

Facility

$65.93

Service Code	NDC 781922009
Hospital Charge Code	606390188
Hospital Revenue Code	250
Min. Negotiated Rate	$8.57
Max. Negotiated Rate	$32.97
Rate for Payer: Aetna Commercial	$19.78
Rate for Payer: Aetna Medicare Advantage	$19.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.81
Rate for Payer: Cigna Commercial	$32.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.57
Rate for Payer: Oxford Commercial	$32.97
Rate for Payer: Qualcare PPO/HMO/WC	$9.89
Rate for Payer: UnitedHealthcare Commercial	$32.97

CLINDAMYCIN 300MG PREMIX

Facility

$39.40

Hospital Charge Code	60635747
Hospital Revenue Code	250
Min. Negotiated Rate	$5.91
Max. Negotiated Rate	$5.91
Rate for Payer: Qualcare PPO/HMO/WC	$5.91

CLINDAMYCIN 300MG PREMIX

Facility

$39.40

Hospital Charge Code	60635747
Hospital Revenue Code	250
Min. Negotiated Rate	$5.12
Max. Negotiated Rate	$19.70
Rate for Payer: Aetna Commercial	$11.82
Rate for Payer: Aetna Medicare Advantage	$11.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.05
Rate for Payer: Cigna Commercial	$19.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.12
Rate for Payer: Oxford Commercial	$19.70
Rate for Payer: Qualcare PPO/HMO/WC	$5.91
Rate for Payer: UnitedHealthcare Commercial	$19.70

CLINDAMYCIN 600MG/50ML

Facility

$50.59

Service Code	NDC 781328991
Hospital Charge Code	6006324
Hospital Revenue Code	250
Min. Negotiated Rate	$6.58
Max. Negotiated Rate	$25.30
Rate for Payer: Aetna Commercial	$15.18
Rate for Payer: Aetna Medicare Advantage	$15.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.90
Rate for Payer: Cigna Commercial	$25.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.58
Rate for Payer: Oxford Commercial	$25.30
Rate for Payer: Qualcare PPO/HMO/WC	$7.59
Rate for Payer: UnitedHealthcare Commercial	$25.30

CLINDAMYCIN 600MG/50ML

Facility

$50.59

Service Code	NDC 781328991
Hospital Charge Code	6006324
Hospital Revenue Code	250
Min. Negotiated Rate	$7.59
Max. Negotiated Rate	$7.59
Rate for Payer: Qualcare PPO/HMO/WC	$7.59

CLINDAMYCIN 75 MG/5 ML INJ

Facility

$2.45

Hospital Charge Code	60627322
Hospital Revenue Code	252
Min. Negotiated Rate	$0.37
Max. Negotiated Rate	$0.37
Rate for Payer: Qualcare PPO/HMO/WC	$0.37

CLINDAMYCIN 75 MG/5 ML INJ

Facility

$2.45

Hospital Charge Code	60627322
Hospital Revenue Code	252
Min. Negotiated Rate	$0.32
Max. Negotiated Rate	$1.23
Rate for Payer: Aetna Commercial	$0.74
Rate for Payer: Aetna Medicare Advantage	$0.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.62
Rate for Payer: Cigna Commercial	$1.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.32
Rate for Payer: Oxford Commercial	$1.23
Rate for Payer: Qualcare PPO/HMO/WC	$0.37
Rate for Payer: UnitedHealthcare Commercial	$1.23

CLINDAMYCIN 75 MG/5 ML SUSP

Facility

$9.85

Service Code	NDC 574012901
Hospital Charge Code	6063943326
Hospital Revenue Code	250
Min. Negotiated Rate	$1.28
Max. Negotiated Rate	$4.92
Rate for Payer: Aetna Commercial	$2.96
Rate for Payer: Aetna Medicare Advantage	$2.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.51
Rate for Payer: Cigna Commercial	$4.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.28
Rate for Payer: Oxford Commercial	$4.92
Rate for Payer: Qualcare PPO/HMO/WC	$1.48
Rate for Payer: UnitedHealthcare Commercial	$4.92

CLINDAMYCIN 75 MG/5 ML SUSP

Facility

$9.85

Service Code	NDC 574012901
Hospital Charge Code	6063943326
Hospital Revenue Code	250
Min. Negotiated Rate	$1.48
Max. Negotiated Rate	$1.48
Rate for Payer: Qualcare PPO/HMO/WC	$1.48

CLINDAMYCIN 900MG/D5W 50ML

Facility

$121.40

Service Code	NDC 781922209
Hospital Charge Code	606390397
Hospital Revenue Code	250
Min. Negotiated Rate	$18.21
Max. Negotiated Rate	$18.21
Rate for Payer: Qualcare PPO/HMO/WC	$18.21

CLINDAMYCIN 900MG/D5W 50ML

Facility

$121.40

Service Code	NDC 781922209
Hospital Charge Code	606390397
Hospital Revenue Code	250
Min. Negotiated Rate	$15.78
Max. Negotiated Rate	$60.70
Rate for Payer: Aetna Commercial	$36.42
Rate for Payer: Aetna Medicare Advantage	$36.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.96
Rate for Payer: Cigna Commercial	$60.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.78
Rate for Payer: Oxford Commercial	$60.70
Rate for Payer: Qualcare PPO/HMO/WC	$18.21
Rate for Payer: UnitedHealthcare Commercial	$60.70

CLINDAMYCIN 90 MG/NS 50 ML

Facility

$104.92

Service Code	NDC 338955350
Hospital Charge Code	606390277
Hospital Revenue Code	250
Min. Negotiated Rate	$13.64
Max. Negotiated Rate	$52.46
Rate for Payer: Aetna Commercial	$31.48
Rate for Payer: Aetna Medicare Advantage	$31.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.75
Rate for Payer: Cigna Commercial	$52.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.64
Rate for Payer: Oxford Commercial	$52.46
Rate for Payer: Qualcare PPO/HMO/WC	$15.74
Rate for Payer: UnitedHealthcare Commercial	$52.46

CLINDAMYCIN 90 MG/NS 50 ML

Facility

$104.92

Service Code	NDC 338955350
Hospital Charge Code	606390277
Hospital Revenue Code	250
Min. Negotiated Rate	$15.74
Max. Negotiated Rate	$15.74
Rate for Payer: Qualcare PPO/HMO/WC	$15.74

CLINDAMYCIN ADDV/300MG

Facility

$61.00

Hospital Charge Code	60634455
Hospital Revenue Code	250
Min. Negotiated Rate	$9.15
Max. Negotiated Rate	$9.15
Rate for Payer: Qualcare PPO/HMO/WC	$9.15

CLINDAMYCIN ADDV/300MG

Facility

$61.00

Hospital Charge Code	60634455
Hospital Revenue Code	250
Min. Negotiated Rate	$7.93
Max. Negotiated Rate	$30.50
Rate for Payer: Aetna Commercial	$18.30
Rate for Payer: Aetna Medicare Advantage	$18.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.55
Rate for Payer: Cigna Commercial	$30.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.93
Rate for Payer: Oxford Commercial	$30.50
Rate for Payer: Qualcare PPO/HMO/WC	$9.15
Rate for Payer: UnitedHealthcare Commercial	$30.50

Know your out-of-pocket cost for care.

All Charges