Heights University Hospital

All Charges

Charge

Type

Setting

Price

EPOETIN INJ 1OMU/1ML NONRENAL

Facility

$956.85

Hospital Charge Code	60629082
Hospital Revenue Code	636
Min. Negotiated Rate	$143.53
Max. Negotiated Rate	$231.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$231.56
Rate for Payer: Qualcare PPO/HMO/WC	$143.53

EPOETIN INJ 20,000U/1ML

Facility

$1,921.30

Hospital Charge Code	60628612
Hospital Revenue Code	250
Min. Negotiated Rate	$288.19
Max. Negotiated Rate	$288.19
Rate for Payer: Qualcare PPO/HMO/WC	$288.19

EPOETIN INJ 20,000U/1ML

Facility

$1,921.30

Hospital Charge Code	60628612
Hospital Revenue Code	250
Min. Negotiated Rate	$249.77
Max. Negotiated Rate	$960.65
Rate for Payer: Aetna Commercial	$576.39
Rate for Payer: Aetna Medicare Advantage	$576.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$489.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$489.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$489.93
Rate for Payer: Cigna Commercial	$960.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$249.77
Rate for Payer: Oxford Commercial	$960.65
Rate for Payer: Qualcare PPO/HMO/WC	$288.19
Rate for Payer: UnitedHealthcare Commercial	$960.65

EPOETIN INJ 20,000U/2ML

Facility

$933.15

Hospital Charge Code	60627532
Hospital Revenue Code	250
Min. Negotiated Rate	$121.31
Max. Negotiated Rate	$466.57
Rate for Payer: Aetna Commercial	$279.94
Rate for Payer: Aetna Medicare Advantage	$279.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$237.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$237.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$237.95
Rate for Payer: Cigna Commercial	$466.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.31
Rate for Payer: Oxford Commercial	$466.57
Rate for Payer: Qualcare PPO/HMO/WC	$139.97
Rate for Payer: UnitedHealthcare Commercial	$466.57

EPOETIN INJ 20,000U/2ML

Facility

$933.15

Hospital Charge Code	60627532
Hospital Revenue Code	250
Min. Negotiated Rate	$139.97
Max. Negotiated Rate	$139.97
Rate for Payer: Qualcare PPO/HMO/WC	$139.97

EPOETIN INJ 2,000U/1ML

Facility

$197.15

Hospital Charge Code	60627531
Hospital Revenue Code	250
Min. Negotiated Rate	$25.63
Max. Negotiated Rate	$98.58
Rate for Payer: Aetna Commercial	$59.15
Rate for Payer: Aetna Medicare Advantage	$59.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.27
Rate for Payer: Cigna Commercial	$98.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.63
Rate for Payer: Oxford Commercial	$98.58
Rate for Payer: Qualcare PPO/HMO/WC	$29.57
Rate for Payer: UnitedHealthcare Commercial	$98.58

EPOETIN INJ 2,000U/1ML

Facility

$197.15

Hospital Charge Code	60627531
Hospital Revenue Code	250
Min. Negotiated Rate	$29.57
Max. Negotiated Rate	$29.57
Rate for Payer: Qualcare PPO/HMO/WC	$29.57

EPOETIN INJ 20MU/1ML NONRENAL

Facility

$1,912.00

Hospital Charge Code	60629085
Hospital Revenue Code	636
Min. Negotiated Rate	$286.80
Max. Negotiated Rate	$956.00
Rate for Payer: Aetna Commercial	$573.60
Rate for Payer: Aetna Medicare Advantage	$573.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$487.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$487.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$487.56
Rate for Payer: Cigna Commercial	$956.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$462.70
Rate for Payer: Qualcare PPO/HMO/WC	$286.80

EPOETIN INJ 20MU/1ML NONRENAL

Facility

$1,529.60

Hospital Charge Code	60629080
Hospital Revenue Code	636
Min. Negotiated Rate	$229.44
Max. Negotiated Rate	$370.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$370.16
Rate for Payer: Qualcare PPO/HMO/WC	$229.44

EPOETIN INJ 20MU/1ML NONRENAL

Facility

$1,912.00

Hospital Charge Code	60629085
Hospital Revenue Code	636
Min. Negotiated Rate	$286.80
Max. Negotiated Rate	$462.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$462.70
Rate for Payer: Qualcare PPO/HMO/WC	$286.80

EPOETIN INJ 20MU/1ML NONRENAL

Facility

$1,529.60

Hospital Charge Code	60629080
Hospital Revenue Code	636
Min. Negotiated Rate	$229.44
Max. Negotiated Rate	$764.80
Rate for Payer: Aetna Commercial	$458.88
Rate for Payer: Aetna Medicare Advantage	$458.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$390.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$390.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$390.05
Rate for Payer: Cigna Commercial	$764.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$370.16
Rate for Payer: Qualcare PPO/HMO/WC	$229.44

EPOETIN INJ 2MU/1ML NONRENAL

Facility

$192.85

Hospital Charge Code	60629086
Hospital Revenue Code	636
Min. Negotiated Rate	$28.93
Max. Negotiated Rate	$46.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.67
Rate for Payer: Qualcare PPO/HMO/WC	$28.93

EPOETIN INJ 2MU/1ML NONRENAL

Facility

$192.85

Hospital Charge Code	60629086
Hospital Revenue Code	636
Min. Negotiated Rate	$28.93
Max. Negotiated Rate	$96.42
Rate for Payer: Aetna Commercial	$57.85
Rate for Payer: Aetna Medicare Advantage	$57.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.18
Rate for Payer: Cigna Commercial	$96.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.67
Rate for Payer: Qualcare PPO/HMO/WC	$28.93

EPOETIN INJ 3,000U/1ML

Facility

$295.05

Hospital Charge Code	60627533
Hospital Revenue Code	250
Min. Negotiated Rate	$38.36
Max. Negotiated Rate	$147.53
Rate for Payer: Aetna Commercial	$88.52
Rate for Payer: Aetna Medicare Advantage	$88.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$75.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$75.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$75.24
Rate for Payer: Cigna Commercial	$147.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.36
Rate for Payer: Oxford Commercial	$147.53
Rate for Payer: Qualcare PPO/HMO/WC	$44.26
Rate for Payer: UnitedHealthcare Commercial	$147.53

EPOETIN INJ 3,000U/1ML

Facility

$295.05

Hospital Charge Code	60627533
Hospital Revenue Code	250
Min. Negotiated Rate	$44.26
Max. Negotiated Rate	$44.26
Rate for Payer: Qualcare PPO/HMO/WC	$44.26

EPOETIN INJ 3MU/1ML NONRENAL

Facility

$230.40

Hospital Charge Code	60629083
Hospital Revenue Code	636
Min. Negotiated Rate	$34.56
Max. Negotiated Rate	$55.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.76
Rate for Payer: Qualcare PPO/HMO/WC	$34.56

EPOETIN INJ 3MU/1ML NONRENAL

Facility

$230.40

Hospital Charge Code	60629083
Hospital Revenue Code	636
Min. Negotiated Rate	$34.56
Max. Negotiated Rate	$115.20
Rate for Payer: Aetna Commercial	$69.12
Rate for Payer: Aetna Medicare Advantage	$69.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.75
Rate for Payer: Cigna Commercial	$115.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.76
Rate for Payer: Qualcare PPO/HMO/WC	$34.56

EPOETIN INJ 4,000U/1ML

Facility

$393.00

Hospital Charge Code	60627534
Hospital Revenue Code	250
Min. Negotiated Rate	$51.09
Max. Negotiated Rate	$196.50
Rate for Payer: Aetna Commercial	$117.90
Rate for Payer: Aetna Medicare Advantage	$117.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.22
Rate for Payer: Cigna Commercial	$196.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.09
Rate for Payer: Oxford Commercial	$196.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.95
Rate for Payer: UnitedHealthcare Commercial	$196.50

EPOETIN INJ 4,000U/1ML

Facility

$393.00

Hospital Charge Code	60627534
Hospital Revenue Code	250
Min. Negotiated Rate	$58.95
Max. Negotiated Rate	$58.95
Rate for Payer: Qualcare PPO/HMO/WC	$58.95

EPOETIN INJ 4MU/1ML NONRENAL

Facility

$383.25

Hospital Charge Code	60629081
Hospital Revenue Code	636
Min. Negotiated Rate	$57.49
Max. Negotiated Rate	$92.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.75
Rate for Payer: Qualcare PPO/HMO/WC	$57.49

EPOETIN INJ 4MU/1ML NONRENAL

Facility

$383.25

Hospital Charge Code	60629081
Hospital Revenue Code	636
Min. Negotiated Rate	$57.49
Max. Negotiated Rate	$191.62
Rate for Payer: Aetna Commercial	$114.97
Rate for Payer: Aetna Medicare Advantage	$114.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.73
Rate for Payer: Cigna Commercial	$191.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.75
Rate for Payer: Qualcare PPO/HMO/WC	$57.49

EPOETIN INJ 5,000U/1ML

Facility

$368.65

Hospital Charge Code	60628894
Hospital Revenue Code	250
Min. Negotiated Rate	$55.30
Max. Negotiated Rate	$55.30
Rate for Payer: Qualcare PPO/HMO/WC	$55.30

EPOETIN INJ 5,000U/1ML

Facility

$368.65

Hospital Charge Code	60628894
Hospital Revenue Code	250
Min. Negotiated Rate	$47.92
Max. Negotiated Rate	$184.32
Rate for Payer: Aetna Commercial	$110.59
Rate for Payer: Aetna Medicare Advantage	$110.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.01
Rate for Payer: Cigna Commercial	$184.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.92
Rate for Payer: Oxford Commercial	$184.32
Rate for Payer: Qualcare PPO/HMO/WC	$55.30
Rate for Payer: UnitedHealthcare Commercial	$184.32

EPOETIN INJ 6,000U/1ML

Facility

$442.90

Hospital Charge Code	60628895
Hospital Revenue Code	250
Min. Negotiated Rate	$57.58
Max. Negotiated Rate	$221.45
Rate for Payer: Aetna Commercial	$132.87
Rate for Payer: Aetna Medicare Advantage	$132.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$112.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$112.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$112.94
Rate for Payer: Cigna Commercial	$221.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.58
Rate for Payer: Oxford Commercial	$221.45
Rate for Payer: Qualcare PPO/HMO/WC	$66.44
Rate for Payer: UnitedHealthcare Commercial	$221.45

EPOETIN INJ 6,000U/1ML

Facility

$442.90

Hospital Charge Code	60628895
Hospital Revenue Code	250
Min. Negotiated Rate	$66.44
Max. Negotiated Rate	$66.44
Rate for Payer: Qualcare PPO/HMO/WC	$66.44

Know your out-of-pocket cost for care.

All Charges