Heights University Hospital

All Charges

Charge

Type

Setting

Price

ERGOCALCIFEROL 400 IU/0.05 ML

Facility

$9.60

Hospital Charge Code	6063943197
Hospital Revenue Code	250
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$4.80
Rate for Payer: Aetna Commercial	$2.88
Rate for Payer: Aetna Medicare Advantage	$2.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.45
Rate for Payer: Cigna Commercial	$4.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.25
Rate for Payer: Oxford Commercial	$4.80
Rate for Payer: Qualcare PPO/HMO/WC	$1.44
Rate for Payer: UnitedHealthcare Commercial	$4.80

ERGOCALCIFEROL 50000 IU SGL

Facility

$13.20

Service Code	NDC 64380073706
Hospital Charge Code	60628493
Hospital Revenue Code	250
Min. Negotiated Rate	$1.98
Max. Negotiated Rate	$1.98
Rate for Payer: Qualcare PPO/HMO/WC	$1.98

ERGOCALCIFEROL 50000 IU SGL

Facility

$13.20

Service Code	NDC 64380073706
Hospital Charge Code	60628493
Hospital Revenue Code	250
Min. Negotiated Rate	$1.72
Max. Negotiated Rate	$6.60
Rate for Payer: Aetna Commercial	$3.96
Rate for Payer: Aetna Medicare Advantage	$3.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.37
Rate for Payer: Cigna Commercial	$6.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.72
Rate for Payer: Oxford Commercial	$6.60
Rate for Payer: Qualcare PPO/HMO/WC	$1.98
Rate for Payer: UnitedHealthcare Commercial	$6.60

ERGOCALCIFEROL LQ 0.2MG/ML

Facility

$684.85

Hospital Charge Code	60628492
Hospital Revenue Code	250
Min. Negotiated Rate	$102.73
Max. Negotiated Rate	$102.73
Rate for Payer: Qualcare PPO/HMO/WC	$102.73

ERGOCALCIFEROL LQ 0.2MG/ML

Facility

$684.85

Hospital Charge Code	60628492
Hospital Revenue Code	250
Min. Negotiated Rate	$89.03
Max. Negotiated Rate	$342.43
Rate for Payer: Aetna Commercial	$205.46
Rate for Payer: Aetna Medicare Advantage	$205.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$174.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$174.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$174.64
Rate for Payer: Cigna Commercial	$342.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.03
Rate for Payer: Oxford Commercial	$342.43
Rate for Payer: Qualcare PPO/HMO/WC	$102.73
Rate for Payer: UnitedHealthcare Commercial	$342.43

ERGOCALCIFEROL LQ 200MCG 60ML

Facility

$442.90

Hospital Charge Code	6002232
Hospital Revenue Code	252
Min. Negotiated Rate	$66.44
Max. Negotiated Rate	$66.44
Rate for Payer: Qualcare PPO/HMO/WC	$66.44

ERGOCALCIFEROL LQ 200MCG 60ML

Facility

$442.90

Hospital Charge Code	6002232
Hospital Revenue Code	252
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

ERGOLOID MESYLATES/1MG/TA

Facility

$3.00

Hospital Charge Code	60632942
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

ERGOLOID MESYLATES/1MG/TA

Facility

$3.00

Hospital Charge Code	60632942
Hospital Revenue Code	250
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$1.50
Rate for Payer: Aetna Commercial	$0.90
Rate for Payer: Aetna Medicare Advantage	$0.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.77
Rate for Payer: Cigna Commercial	$1.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.39
Rate for Payer: Oxford Commercial	$1.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.45
Rate for Payer: UnitedHealthcare Commercial	$1.50

ERGONOVINE 0.2 MG/ML INJ

Facility

$23.70

Hospital Charge Code	60628282
Hospital Revenue Code	636
Min. Negotiated Rate	$3.56
Max. Negotiated Rate	$5.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.74
Rate for Payer: Qualcare PPO/HMO/WC	$3.56

ERGONOVINE 0.2 MG/ML INJ

Facility

$23.70

Hospital Charge Code	60628282
Hospital Revenue Code	636
Min. Negotiated Rate	$3.56
Max. Negotiated Rate	$11.85
Rate for Payer: Aetna Commercial	$7.11
Rate for Payer: Aetna Medicare Advantage	$7.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.04
Rate for Payer: Cigna Commercial	$11.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.74
Rate for Payer: Qualcare PPO/HMO/WC	$3.56

ERGONOVINE PROVOCATION TEST***

Facility

$424.00

Service Code	HCPCS 93024
Hospital Charge Code	5100029
Hospital Revenue Code	481
Min. Negotiated Rate	$63.60
Max. Negotiated Rate	$63.60
Rate for Payer: Qualcare PPO/HMO/WC	$63.60

ERGONOVINE PROVOCATION TEST***

Facility

$424.00

Service Code	HCPCS 93024
Hospital Charge Code	5100029
Hospital Revenue Code	481
Min. Negotiated Rate	$55.12
Max. Negotiated Rate	$4,350.00
Rate for Payer: Aetna Commercial	$127.20
Rate for Payer: Aetna Medicare Advantage	$127.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$108.12
Rate for Payer: Cigna Commercial	$1,063.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.12
Rate for Payer: Qualcare PPO/HMO/WC	$63.60

ERGOTRATE MALEATE/0.2MG/1

Facility

$13.00

Hospital Charge Code	60632943
Hospital Revenue Code	250
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$1.95
Rate for Payer: Qualcare PPO/HMO/WC	$1.95

ERGOTRATE MALEATE/0.2MG/1

Facility

$13.00

Hospital Charge Code	60632943
Hospital Revenue Code	250
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$6.50
Rate for Payer: Aetna Commercial	$3.90
Rate for Payer: Aetna Medicare Advantage	$3.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.31
Rate for Payer: Cigna Commercial	$6.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.69
Rate for Payer: Oxford Commercial	$6.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.95
Rate for Payer: UnitedHealthcare Commercial	$6.50

ER-GREAT TOE FRACTURE-BIL

Facility

$612.00

Hospital Charge Code	5790645
Hospital Revenue Code	450
Min. Negotiated Rate	$79.56
Max. Negotiated Rate	$306.00
Rate for Payer: Aetna Commercial	$183.60
Rate for Payer: Aetna Medicare Advantage	$183.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$156.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$156.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$156.06
Rate for Payer: Cigna Commercial	$306.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.56
Rate for Payer: Qualcare PPO/HMO/WC	$91.80

ER-GREAT TOE FRACTURE-BIL

Facility

$612.00

Hospital Charge Code	5790645
Hospital Revenue Code	450
Min. Negotiated Rate	$91.80
Max. Negotiated Rate	$91.80
Rate for Payer: Qualcare PPO/HMO/WC	$91.80

ER HEMOCCULT STOOL

Facility

$32.05

Service Code	HCPCS 82272
Hospital Charge Code	5700809
Hospital Revenue Code	300
Min. Negotiated Rate	$4.81
Max. Negotiated Rate	$4.81
Rate for Payer: Qualcare PPO/HMO/WC	$4.81

ER HEMOCCULT STOOL

Facility

$32.05

Service Code	HCPCS 82272
Hospital Charge Code	5700809
Hospital Revenue Code	300
Min. Negotiated Rate	$2.12
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$13.71
Rate for Payer: Aetna Medicare Advantage	$4.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.50
Rate for Payer: Cigna Commercial	$4.23
Rate for Payer: Cigna Medicare Advantage	$2.12
Rate for Payer: Clover Medicare Advantage	$4.02
Rate for Payer: EmblemHealth Commercial	$12.69
Rate for Payer: Humana Medicare Advantage	$4.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.17
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.81
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.23
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$4.48
Rate for Payer: Wellcare Medicare Advantage	$4.23

ER HEP LOCK SETUP PROCEDURE***

Facility

$46.00

Hospital Charge Code	8004079
Hospital Revenue Code	272
Min. Negotiated Rate	$6.90
Max. Negotiated Rate	$6.90
Rate for Payer: Qualcare PPO/HMO/WC	$6.90

ER HEP LOCK SETUP PROCEDURE***

Facility

$46.00

Hospital Charge Code	8004079
Hospital Revenue Code	272
Min. Negotiated Rate	$5.98
Max. Negotiated Rate	$23.00
Rate for Payer: Aetna Commercial	$13.80
Rate for Payer: Aetna Medicare Advantage	$13.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.73
Rate for Payer: Cigna Commercial	$23.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.98
Rate for Payer: Oxford Commercial	$23.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.90
Rate for Payer: UnitedHealthcare Commercial	$23.00

ER-HIP DISLOC TRAMATIC-BI

Facility

$453.00

Hospital Charge Code	5790550
Hospital Revenue Code	450
Min. Negotiated Rate	$58.89
Max. Negotiated Rate	$226.50
Rate for Payer: Aetna Commercial	$135.90
Rate for Payer: Aetna Medicare Advantage	$135.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$115.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$115.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$115.52
Rate for Payer: Cigna Commercial	$226.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.89
Rate for Payer: Qualcare PPO/HMO/WC	$67.95

ER-HIP DISLOC TRAMATIC-BI

Facility

$453.00

Hospital Charge Code	5790550
Hospital Revenue Code	450
Min. Negotiated Rate	$67.95
Max. Negotiated Rate	$67.95
Rate for Payer: Qualcare PPO/HMO/WC	$67.95

ER-HUMERAL CONDYLAR FX-BI

Facility

$458.00

Hospital Charge Code	5790395
Hospital Revenue Code	450
Min. Negotiated Rate	$68.70
Max. Negotiated Rate	$68.70
Rate for Payer: Qualcare PPO/HMO/WC	$68.70

ER-HUMERAL CONDYLAR FX-BI

Facility

$458.00

Hospital Charge Code	5790395
Hospital Revenue Code	450
Min. Negotiated Rate	$59.54
Max. Negotiated Rate	$229.00
Rate for Payer: Aetna Commercial	$137.40
Rate for Payer: Aetna Medicare Advantage	$137.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$116.79
Rate for Payer: Cigna Commercial	$229.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.54
Rate for Payer: Qualcare PPO/HMO/WC	$68.70

Know your out-of-pocket cost for care.

All Charges