Heights University Hospital

All Charges

Charge

Type

Setting

Price

GLUCAGON

Facility

$98.20

Service Code	HCPCS 82943
Hospital Charge Code	39900085
Hospital Revenue Code	301
Min. Negotiated Rate	$7.14
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$46.30
Rate for Payer: Aetna Medicare Advantage	$14.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$43.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.36
Rate for Payer: Cigna Commercial	$14.29
Rate for Payer: Cigna Medicare Advantage	$7.14
Rate for Payer: Clover Medicare Advantage	$13.58
Rate for Payer: EmblemHealth Commercial	$42.87
Rate for Payer: Humana Medicare Advantage	$14.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.77
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$14.73
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.29
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15.15
Rate for Payer: Wellcare Medicare Advantage	$14.29

GLUCAGON

Facility

$98.20

Service Code	HCPCS 82943
Hospital Charge Code	39900085
Hospital Revenue Code	301
Min. Negotiated Rate	$14.73
Max. Negotiated Rate	$14.73
Rate for Payer: Qualcare PPO/HMO/WC	$14.73

GLUCAGON

Facility

$336.00

Service Code	HCPCS 82943
Hospital Charge Code	38472299
Hospital Revenue Code	301
Min. Negotiated Rate	$7.14
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$46.30
Rate for Payer: Aetna Medicare Advantage	$14.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$43.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.36
Rate for Payer: Cigna Commercial	$14.29
Rate for Payer: Cigna Medicare Advantage	$7.14
Rate for Payer: Clover Medicare Advantage	$13.58
Rate for Payer: EmblemHealth Commercial	$42.87
Rate for Payer: Humana Medicare Advantage	$14.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.68
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$50.40
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.29
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15.15
Rate for Payer: Wellcare Medicare Advantage	$14.29

GLUCAGON

Facility

$336.00

Service Code	HCPCS 82943
Hospital Charge Code	38472299
Hospital Revenue Code	301
Min. Negotiated Rate	$50.40
Max. Negotiated Rate	$50.40
Rate for Payer: Qualcare PPO/HMO/WC	$50.40

GLUCAGON, PLASMA

Facility

$179.25

Service Code	HCPCS 82943
Hospital Charge Code	3007416
Hospital Revenue Code	301
Min. Negotiated Rate	$26.89
Max. Negotiated Rate	$26.89
Rate for Payer: Qualcare PPO/HMO/WC	$26.89

GLUCAGON, PLASMA

Facility

$179.25

Service Code	HCPCS 82943
Hospital Charge Code	3007416
Hospital Revenue Code	301
Min. Negotiated Rate	$7.14
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$46.30
Rate for Payer: Aetna Medicare Advantage	$14.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$43.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.36
Rate for Payer: Cigna Commercial	$14.29
Rate for Payer: Cigna Medicare Advantage	$7.14
Rate for Payer: Clover Medicare Advantage	$13.58
Rate for Payer: EmblemHealth Commercial	$42.87
Rate for Payer: Humana Medicare Advantage	$14.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.30
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$26.89
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.29
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15.15
Rate for Payer: Wellcare Medicare Advantage	$14.29

GLUCAGON RECOMBINANT 1 MG INJ

Facility

$1,379.66

Service Code	HCPCS J1610
Hospital Charge Code	6002638
Hospital Revenue Code	636
Min. Negotiated Rate	$206.95
Max. Negotiated Rate	$333.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$333.88
Rate for Payer: Qualcare PPO/HMO/WC	$206.95

GLUCAGON RECOMBINANT 1 MG INJ

Facility

$1,379.66

Service Code	HCPCS J1610
Hospital Charge Code	6002638
Hospital Revenue Code	636
Min. Negotiated Rate	$206.95
Max. Negotiated Rate	$413.90
Rate for Payer: Aetna Commercial	$413.90
Rate for Payer: Aetna Medicare Advantage	$413.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$351.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$351.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$351.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$333.88
Rate for Payer: Qualcare PPO/HMO/WC	$206.95

GLUCERNA

Facility

$23.00

Hospital Charge Code	60634846
Hospital Revenue Code	250
Min. Negotiated Rate	$3.45
Max. Negotiated Rate	$3.45
Rate for Payer: Qualcare PPO/HMO/WC	$3.45

GLUCERNA

Facility

$23.00

Hospital Charge Code	60634846
Hospital Revenue Code	250
Min. Negotiated Rate	$2.99
Max. Negotiated Rate	$11.50
Rate for Payer: Aetna Commercial	$6.90
Rate for Payer: Aetna Medicare Advantage	$6.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.87
Rate for Payer: Cigna Commercial	$11.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.99
Rate for Payer: Oxford Commercial	$11.50
Rate for Payer: Qualcare PPO/HMO/WC	$3.45
Rate for Payer: UnitedHealthcare Commercial	$11.50

GLUCOMETER

Facility

$56.00

Service Code	HCPCS 82948
Hospital Charge Code	36540021
Hospital Revenue Code	301
Min. Negotiated Rate	$2.52
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.33
Rate for Payer: Aetna Medicare Advantage	$5.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.47
Rate for Payer: Cigna Commercial	$5.04
Rate for Payer: Cigna Medicare Advantage	$2.52
Rate for Payer: Clover Medicare Advantage	$4.79
Rate for Payer: EmblemHealth Commercial	$15.12
Rate for Payer: Humana Medicare Advantage	$5.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.28
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$8.40
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.04
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.34
Rate for Payer: Wellcare Medicare Advantage	$5.04

GLUCOMETER

Facility

$56.00

Service Code	HCPCS 82948
Hospital Charge Code	36540021
Hospital Revenue Code	301
Min. Negotiated Rate	$8.40
Max. Negotiated Rate	$8.40
Rate for Payer: Qualcare PPO/HMO/WC	$8.40

GLUCOPHAGE 500MG

Facility

$4.00

Hospital Charge Code	60635048
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

GLUCOPHAGE 500MG

Facility

$4.00

Hospital Charge Code	60635048
Hospital Revenue Code	250
Min. Negotiated Rate	$0.52
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.20
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.52
Rate for Payer: Oxford Commercial	$2.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$2.00

GLUCOPHAGE 850MG/TAB

Facility

$5.00

Hospital Charge Code	60635102
Hospital Revenue Code	250
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

GLUCOPHAGE 850MG/TAB

Facility

$5.00

Hospital Charge Code	60635102
Hospital Revenue Code	250
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$2.50
Rate for Payer: Aetna Commercial	$1.50
Rate for Payer: Aetna Medicare Advantage	$1.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.27
Rate for Payer: Cigna Commercial	$2.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.65
Rate for Payer: Oxford Commercial	$2.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.75
Rate for Payer: UnitedHealthcare Commercial	$2.50

GLUCOSAMINE-CHONDROITIN TAB

Facility

$1.65

Hospital Charge Code	60629203
Hospital Revenue Code	250
Min. Negotiated Rate	$0.25
Max. Negotiated Rate	$0.25
Rate for Payer: Qualcare PPO/HMO/WC	$0.25

GLUCOSAMINE-CHONDROITIN TAB

Facility

$1.65

Hospital Charge Code	60629203
Hospital Revenue Code	250
Min. Negotiated Rate	$0.21
Max. Negotiated Rate	$0.83
Rate for Payer: Aetna Commercial	$0.50
Rate for Payer: Aetna Medicare Advantage	$0.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.42
Rate for Payer: Cigna Commercial	$0.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.21
Rate for Payer: Oxford Commercial	$0.83
Rate for Payer: Qualcare PPO/HMO/WC	$0.25
Rate for Payer: UnitedHealthcare Commercial	$0.83

GLUCOSE

Facility

$117.65

Service Code	HCPCS 82947CF
Hospital Charge Code	8200312RS
Hospital Revenue Code	301
Min. Negotiated Rate	$17.65
Max. Negotiated Rate	$17.65
Rate for Payer: Qualcare PPO/HMO/WC	$17.65

GLUCOSE

Facility

$117.65

Service Code	HCPCS 82947CF
Hospital Charge Code	8200312RS
Hospital Revenue Code	301
Min. Negotiated Rate	$15.29
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Medicare Advantage	$35.30
Rate for Payer: Aetna Commercial	$35.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.00
Rate for Payer: Cigna Commercial	$58.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.29
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.65
Rate for Payer: UnitedHealthcare Commercial	$114.00

GLUCOSE

Facility

$156.00

Service Code	HCPCS 82947
Hospital Charge Code	38472302
Hospital Revenue Code	301
Min. Negotiated Rate	$1.97
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$12.73
Rate for Payer: Aetna Medicare Advantage	$3.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.40
Rate for Payer: Cigna Commercial	$3.93
Rate for Payer: Cigna Medicare Advantage	$1.97
Rate for Payer: Clover Medicare Advantage	$3.73
Rate for Payer: EmblemHealth Commercial	$11.79
Rate for Payer: Humana Medicare Advantage	$4.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.28
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$23.40
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$3.93
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$4.17
Rate for Payer: Wellcare Medicare Advantage	$3.93

GLUCOSE

Facility

$156.00

Service Code	HCPCS 82947
Hospital Charge Code	38472302
Hospital Revenue Code	301
Min. Negotiated Rate	$23.40
Max. Negotiated Rate	$23.40
Rate for Payer: Qualcare PPO/HMO/WC	$23.40

GLUCOSE 1/2 HR

Facility

$117.65

Service Code	HCPCS 82947
Hospital Charge Code	3008489
Hospital Revenue Code	301
Min. Negotiated Rate	$17.65
Max. Negotiated Rate	$17.65
Rate for Payer: Qualcare PPO/HMO/WC	$17.65

GLUCOSE 1/2 HR

Facility

$117.65

Service Code	HCPCS 82947
Hospital Charge Code	3008489
Hospital Revenue Code	301
Min. Negotiated Rate	$1.97
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$12.73
Rate for Payer: Aetna Medicare Advantage	$3.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.40
Rate for Payer: Cigna Commercial	$3.93
Rate for Payer: Cigna Medicare Advantage	$1.97
Rate for Payer: Clover Medicare Advantage	$3.73
Rate for Payer: EmblemHealth Commercial	$11.79
Rate for Payer: Humana Medicare Advantage	$4.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.29
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.65
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$3.93
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$4.17
Rate for Payer: Wellcare Medicare Advantage	$3.93

GLUCOSE 1 HR

Facility

$117.65

Service Code	HCPCS 82947
Hospital Charge Code	3008497
Hospital Revenue Code	301
Min. Negotiated Rate	$17.65
Max. Negotiated Rate	$17.65
Rate for Payer: Qualcare PPO/HMO/WC	$17.65

Know your out-of-pocket cost for care.

All Charges