Heights University Hospital

All Charges

Charge

Type

Setting

Price

ADRENALIN CHLOR 1:1000 NA

Facility

$60.00

Hospital Charge Code	60632402
Hospital Revenue Code	250
Min. Negotiated Rate	$9.00
Max. Negotiated Rate	$9.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00

ADRENALIN CHLOR 1:1000 NA

Facility

$60.00

Hospital Charge Code	60632402
Hospital Revenue Code	250
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$30.00
Rate for Payer: Aetna Commercial	$18.00
Rate for Payer: Aetna Medicare Advantage	$18.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.30
Rate for Payer: Cigna Commercial	$30.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.80
Rate for Payer: Oxford Commercial	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00
Rate for Payer: UnitedHealthcare Commercial	$30.00

ADRENALIN CHLORIDE

Facility

$74.90

Hospital Charge Code	6008437
Hospital Revenue Code	250
Min. Negotiated Rate	$11.23
Max. Negotiated Rate	$11.23
Rate for Payer: Qualcare PPO/HMO/WC	$11.23

ADRENALIN CHLORIDE

Facility

$74.90

Hospital Charge Code	6008437
Hospital Revenue Code	250
Min. Negotiated Rate	$9.74
Max. Negotiated Rate	$37.45
Rate for Payer: Aetna Commercial	$22.47
Rate for Payer: Aetna Medicare Advantage	$22.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.10
Rate for Payer: Cigna Commercial	$37.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.74
Rate for Payer: Oxford Commercial	$37.45
Rate for Payer: Qualcare PPO/HMO/WC	$11.23
Rate for Payer: UnitedHealthcare Commercial	$37.45

ADRENALIN CHLORIDE 1:1000

Facility

$83.00

Hospital Charge Code	60632404
Hospital Revenue Code	250
Min. Negotiated Rate	$10.79
Max. Negotiated Rate	$41.50
Rate for Payer: Aetna Commercial	$24.90
Rate for Payer: Aetna Medicare Advantage	$24.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.16
Rate for Payer: Cigna Commercial	$41.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.79
Rate for Payer: Oxford Commercial	$41.50
Rate for Payer: Qualcare PPO/HMO/WC	$12.45
Rate for Payer: UnitedHealthcare Commercial	$41.50

ADRENALIN CHLORIDE 1:1000

Facility

$60.00

Hospital Charge Code	60632403
Hospital Revenue Code	250
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$30.00
Rate for Payer: Aetna Commercial	$18.00
Rate for Payer: Aetna Medicare Advantage	$18.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.30
Rate for Payer: Cigna Commercial	$30.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.80
Rate for Payer: Oxford Commercial	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00
Rate for Payer: UnitedHealthcare Commercial	$30.00

ADRENALIN CHLORIDE 1:1000

Facility

$83.00

Hospital Charge Code	60632404
Hospital Revenue Code	250
Min. Negotiated Rate	$12.45
Max. Negotiated Rate	$12.45
Rate for Payer: Qualcare PPO/HMO/WC	$12.45

ADRENALIN CHLORIDE 1:1000

Facility

$60.00

Hospital Charge Code	60632403
Hospital Revenue Code	250
Min. Negotiated Rate	$9.00
Max. Negotiated Rate	$9.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00

ADRENAL PROCEDURES

Facility

$31,004.49

Service Code	APR-DRG 4012
Min. Negotiated Rate	$18,881.61
Max. Negotiated Rate	$31,004.49
Rate for Payer: Aetna Better Health Medicaid	$30,396.56
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$31,004.49
Rate for Payer: Wellpoint Medicaid Managed Care	$18,881.61

ADRENAL PROCEDURES

Facility

$68,765.22

Service Code	APR-DRG 4014
Min. Negotiated Rate	$65,976.98
Max. Negotiated Rate	$68,765.22
Rate for Payer: Aetna Better Health Medicaid	$65,976.98
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$67,296.52
Rate for Payer: Wellpoint Medicaid Managed Care	$68,765.22

ADRENAL PROCEDURES

Facility

$17,915.69

Service Code	APR-DRG 4011
Min. Negotiated Rate	$14,044.35
Max. Negotiated Rate	$17,915.69
Rate for Payer: Aetna Better Health Medicaid	$17,564.40
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$17,915.69
Rate for Payer: Wellpoint Medicaid Managed Care	$14,044.35

ADRENAL PROCEDURES

Facility

$40,676.46

Service Code	APR-DRG 4013
Min. Negotiated Rate	$31,781.76
Max. Negotiated Rate	$40,676.46
Rate for Payer: Aetna Better Health Medicaid	$39,878.88
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$40,676.46
Rate for Payer: Wellpoint Medicaid Managed Care	$31,781.76

ADRENOCORTITROPHIC HORMONE ACT

Facility

$383.00

Service Code	HCPCS 82024
Hospital Charge Code	38472035
Hospital Revenue Code	309
Min. Negotiated Rate	$19.31
Max. Negotiated Rate	$141.50
Rate for Payer: Aetna Commercial	$125.13
Rate for Payer: Aetna Medicare Advantage	$38.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$141.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$141.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$38.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$141.50
Rate for Payer: Cigna Commercial	$38.62
Rate for Payer: Cigna Medicare Advantage	$19.31
Rate for Payer: Clover Medicare Advantage	$36.69
Rate for Payer: EmblemHealth Commercial	$115.86
Rate for Payer: Humana Medicare Advantage	$39.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.79
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$57.45
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$38.62
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$40.94
Rate for Payer: Wellcare Medicare Advantage	$38.62

ADRENOCORTITROPHIC HORMONE ACT

Facility

$383.00

Service Code	HCPCS 82024
Hospital Charge Code	38472035
Hospital Revenue Code	309
Min. Negotiated Rate	$57.45
Max. Negotiated Rate	$57.45
Rate for Payer: Qualcare PPO/HMO/WC	$57.45

ADRIAMYCIN PFS/10MG

Facility

$214.00

Hospital Charge Code	60634323
Hospital Revenue Code	250
Min. Negotiated Rate	$27.82
Max. Negotiated Rate	$107.00
Rate for Payer: Aetna Commercial	$64.20
Rate for Payer: Aetna Medicare Advantage	$64.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.57
Rate for Payer: Cigna Commercial	$107.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.82
Rate for Payer: Oxford Commercial	$107.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.10
Rate for Payer: UnitedHealthcare Commercial	$107.00

ADRIAMYCIN PFS/10MG

Facility

$214.00

Hospital Charge Code	60634323
Hospital Revenue Code	250
Min. Negotiated Rate	$32.10
Max. Negotiated Rate	$32.10
Rate for Payer: Qualcare PPO/HMO/WC	$32.10

ADRIAMYCIN PFS/50MG

Facility

$1,430.00

Hospital Charge Code	60634324
Hospital Revenue Code	250
Min. Negotiated Rate	$214.50
Max. Negotiated Rate	$214.50
Rate for Payer: Qualcare PPO/HMO/WC	$214.50

ADRIAMYCIN PFS/50MG

Facility

$1,430.00

Hospital Charge Code	60634324
Hospital Revenue Code	250
Min. Negotiated Rate	$185.90
Max. Negotiated Rate	$715.00
Rate for Payer: Aetna Commercial	$429.00
Rate for Payer: Aetna Medicare Advantage	$429.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$364.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$364.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$364.65
Rate for Payer: Cigna Commercial	$715.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$185.90
Rate for Payer: Oxford Commercial	$715.00
Rate for Payer: Qualcare PPO/HMO/WC	$214.50
Rate for Payer: UnitedHealthcare Commercial	$715.00

ADULT PULSE OXIMETER SENSOR

Facility

$28.75

Hospital Charge Code	270652476
Hospital Revenue Code	270
Min. Negotiated Rate	$4.31
Max. Negotiated Rate	$4.31
Rate for Payer: Qualcare PPO/HMO/WC	$4.31

ADULT PULSE OXIMETER SENSOR

Facility

$28.75

Hospital Charge Code	270652476
Hospital Revenue Code	270
Min. Negotiated Rate	$3.74
Max. Negotiated Rate	$14.38
Rate for Payer: Aetna Commercial	$8.62
Rate for Payer: Aetna Medicare Advantage	$8.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.33
Rate for Payer: Cigna Commercial	$14.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.74
Rate for Payer: Oxford Commercial	$14.38
Rate for Payer: Qualcare PPO/HMO/WC	$4.31
Rate for Payer: UnitedHealthcare Commercial	$14.38

ADVAIR 115/21 INH

Facility

$1,291.96

Service Code	NDC 173071622
Hospital Charge Code	6063943050
Hospital Revenue Code	250
Min. Negotiated Rate	$167.95
Max. Negotiated Rate	$645.98
Rate for Payer: Aetna Commercial	$387.59
Rate for Payer: Aetna Medicare Advantage	$387.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$329.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$329.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$329.45
Rate for Payer: Cigna Commercial	$645.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$167.95
Rate for Payer: Oxford Commercial	$645.98
Rate for Payer: Qualcare PPO/HMO/WC	$193.79
Rate for Payer: UnitedHealthcare Commercial	$645.98

ADVAIR 115/21 INH

Facility

$1,291.96

Service Code	NDC 173071622
Hospital Charge Code	6063943050
Hospital Revenue Code	250
Min. Negotiated Rate	$193.79
Max. Negotiated Rate	$193.79
Rate for Payer: Qualcare PPO/HMO/WC	$193.79

ADVAIR 230/21 INH

Facility

$1,916.07

Service Code	NDC 173071722
Hospital Charge Code	6063943051
Hospital Revenue Code	250
Min. Negotiated Rate	$287.41
Max. Negotiated Rate	$287.41
Rate for Payer: Qualcare PPO/HMO/WC	$287.41

ADVAIR 230/21 INH

Facility

$1,916.07

Service Code	NDC 173071722
Hospital Charge Code	6063943051
Hospital Revenue Code	250
Min. Negotiated Rate	$249.09
Max. Negotiated Rate	$958.03
Rate for Payer: Aetna Commercial	$574.82
Rate for Payer: Aetna Medicare Advantage	$574.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$488.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$488.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$488.60
Rate for Payer: Cigna Commercial	$958.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$249.09
Rate for Payer: Oxford Commercial	$958.03
Rate for Payer: Qualcare PPO/HMO/WC	$287.41
Rate for Payer: UnitedHealthcare Commercial	$958.03

ADVAIR 45/21 INH

Facility

$1,291.96

Service Code	NDC 173071522
Hospital Charge Code	6063943052
Hospital Revenue Code	250
Min. Negotiated Rate	$167.95
Max. Negotiated Rate	$645.98
Rate for Payer: Aetna Commercial	$387.59
Rate for Payer: Aetna Medicare Advantage	$387.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$329.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$329.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$329.45
Rate for Payer: Cigna Commercial	$645.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$167.95
Rate for Payer: Oxford Commercial	$645.98
Rate for Payer: Qualcare PPO/HMO/WC	$193.79
Rate for Payer: UnitedHealthcare Commercial	$645.98

Know your out-of-pocket cost for care.

All Charges