Heights University Hospital

All Charges

Charge

Type

Setting

Price

HALDOL LIQUID

Facility

$52.00

Hospital Charge Code	6008247
Hospital Revenue Code	251
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$7.80
Rate for Payer: Qualcare PPO/HMO/WC	$7.80

HALDOL LIQUID

Facility

$52.00

Hospital Charge Code	6008247
Hospital Revenue Code	251
Min. Negotiated Rate	$6.76
Max. Negotiated Rate	$26.00
Rate for Payer: Aetna Commercial	$15.60
Rate for Payer: Aetna Medicare Advantage	$15.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.26
Rate for Payer: Cigna Commercial	$26.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.76
Rate for Payer: Oxford Commercial	$26.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.80
Rate for Payer: UnitedHealthcare Commercial	$26.00

HALEY'S MO/30ML

Facility

$1.00

Hospital Charge Code	60634485
Hospital Revenue Code	250
Min. Negotiated Rate	$0.13
Max. Negotiated Rate	$0.50
Rate for Payer: Aetna Commercial	$0.30
Rate for Payer: Aetna Medicare Advantage	$0.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.26
Rate for Payer: Cigna Commercial	$0.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.13
Rate for Payer: Oxford Commercial	$0.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.15
Rate for Payer: UnitedHealthcare Commercial	$0.50

HALEY'S MO/30ML

Facility

$1.00

Hospital Charge Code	60634485
Hospital Revenue Code	250
Min. Negotiated Rate	$0.15
Max. Negotiated Rate	$0.15
Rate for Payer: Qualcare PPO/HMO/WC	$0.15

HALF PIN 2.5mmx80mm 15mm

Facility

$500.00

Hospital Charge Code	270680473
Hospital Revenue Code	272
Min. Negotiated Rate	$65.00
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$150.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.00
Rate for Payer: Oxford Commercial	$250.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Commercial	$250.00

HALF PIN 2.5mmx80mm 15mm

Facility

$500.00

Hospital Charge Code	270680473
Hospital Revenue Code	272
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

HALF PIN 3.0mmx80mm 15mm

Facility

$500.00

Hospital Charge Code	270680476
Hospital Revenue Code	272
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

HALF PIN 3.0mmx80mm 15mm

Facility

$500.00

Hospital Charge Code	270680476
Hospital Revenue Code	272
Min. Negotiated Rate	$65.00
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$150.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.00
Rate for Payer: Oxford Commercial	$250.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Commercial	$250.00

HALF PIN 5x150x35 SD 50179150S

Facility

$985.00

Service Code	HCPCS C1776
Hospital Charge Code	270643436
Hospital Revenue Code	278
Min. Negotiated Rate	$147.75
Max. Negotiated Rate	$238.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$197.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$238.37
Rate for Payer: Qualcare PPO/HMO/WC	$147.75

HALF PIN 5x150x35 SD 50179150S

Facility

$985.00

Service Code	HCPCS C1776
Hospital Charge Code	270643436
Hospital Revenue Code	278
Min. Negotiated Rate	$147.75
Max. Negotiated Rate	$492.50
Rate for Payer: Aetna Commercial	$295.50
Rate for Payer: Aetna Medicare Advantage	$295.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$251.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$251.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$197.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$251.18
Rate for Payer: Cigna Commercial	$492.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$238.37
Rate for Payer: Qualcare PPO/HMO/WC	$147.75

HALFPIN BMT 3X20X80 25-383986

Facility

$307.25

Hospital Charge Code	270616767
Hospital Revenue Code	278
Min. Negotiated Rate	$46.09
Max. Negotiated Rate	$153.62
Rate for Payer: Aetna Commercial	$92.17
Rate for Payer: Aetna Medicare Advantage	$92.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78.35
Rate for Payer: Cigna Commercial	$153.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.35
Rate for Payer: Qualcare PPO/HMO/WC	$46.09

HALFPIN BMT 3X20X80 25-383986

Facility

$307.25

Hospital Charge Code	270616767
Hospital Revenue Code	278
Min. Negotiated Rate	$46.09
Max. Negotiated Rate	$74.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.35
Rate for Payer: Qualcare PPO/HMO/WC	$46.09

HALFPIN HMD 3/80 5038-5-080

Facility

$315.25

Hospital Charge Code	270619347
Hospital Revenue Code	272
Min. Negotiated Rate	$47.29
Max. Negotiated Rate	$47.29
Rate for Payer: Qualcare PPO/HMO/WC	$47.29

HALFPIN HMD 3/80 5038-5-080

Facility

$315.25

Hospital Charge Code	270619347
Hospital Revenue Code	272
Min. Negotiated Rate	$40.98
Max. Negotiated Rate	$157.62
Rate for Payer: Aetna Commercial	$94.58
Rate for Payer: Aetna Medicare Advantage	$94.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80.39
Rate for Payer: Cigna Commercial	$157.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.98
Rate for Payer: Oxford Commercial	$157.62
Rate for Payer: Qualcare PPO/HMO/WC	$47.29
Rate for Payer: UnitedHealthcare Commercial	$157.62

HALF PIN SD 4/5 40MM

Facility

$1,191.80

Service Code	HCPCS C1713
Hospital Charge Code	270700693
Hospital Revenue Code	278
Min. Negotiated Rate	$178.77
Max. Negotiated Rate	$288.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$238.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$288.42
Rate for Payer: Qualcare PPO/HMO/WC	$178.77

HALF PIN SD 4/5 40MM

Facility

$1,191.80

Service Code	HCPCS C1713
Hospital Charge Code	270700693
Hospital Revenue Code	278
Min. Negotiated Rate	$178.77
Max. Negotiated Rate	$595.90
Rate for Payer: Aetna Commercial	$357.54
Rate for Payer: Aetna Medicare Advantage	$357.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$303.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$303.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$238.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$303.91
Rate for Payer: Cigna Commercial	$595.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$288.42
Rate for Payer: Qualcare PPO/HMO/WC	$178.77

HALF RING MAXFRAME 180 MM DIA

Facility

$2,603.45

Hospital Charge Code	270683950
Hospital Revenue Code	272
Min. Negotiated Rate	$390.52
Max. Negotiated Rate	$390.52
Rate for Payer: Qualcare PPO/HMO/WC	$390.52

HALF RING MAXFRAME 180 MM DIA

Facility

$2,603.45

Hospital Charge Code	270683950
Hospital Revenue Code	272
Min. Negotiated Rate	$338.45
Max. Negotiated Rate	$1,301.72
Rate for Payer: Aetna Commercial	$781.03
Rate for Payer: Aetna Medicare Advantage	$781.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$663.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$663.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$663.88
Rate for Payer: Cigna Commercial	$1,301.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$338.45
Rate for Payer: Oxford Commercial	$1,301.72
Rate for Payer: Qualcare PPO/HMO/WC	$390.52
Rate for Payer: UnitedHealthcare Commercial	$1,301.72

HALOBETASOL PROPIO.05% CRM 50G

Facility

$510.75

Hospital Charge Code	6010409
Hospital Revenue Code	252
Min. Negotiated Rate	$76.61
Max. Negotiated Rate	$76.61
Rate for Payer: Qualcare PPO/HMO/WC	$76.61

HALOBETASOL PROPIO.05% CRM 50G

Facility

$510.75

Hospital Charge Code	6010409
Hospital Revenue Code	252
Min. Negotiated Rate	$66.40
Max. Negotiated Rate	$255.38
Rate for Payer: Aetna Commercial	$153.22
Rate for Payer: Aetna Medicare Advantage	$153.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$130.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$130.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$130.24
Rate for Payer: Cigna Commercial	$255.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.40
Rate for Payer: Oxford Commercial	$255.38
Rate for Payer: Qualcare PPO/HMO/WC	$76.61
Rate for Payer: UnitedHealthcare Commercial	$255.38

HALOG 0.025%/15GM

Facility

$66.00

Hospital Charge Code	60633074
Hospital Revenue Code	250
Min. Negotiated Rate	$8.58
Max. Negotiated Rate	$33.00
Rate for Payer: Aetna Commercial	$19.80
Rate for Payer: Aetna Medicare Advantage	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.83
Rate for Payer: Cigna Commercial	$33.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.58
Rate for Payer: Oxford Commercial	$33.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.90
Rate for Payer: UnitedHealthcare Commercial	$33.00

HALOG 0.025%/15GM

Facility

$66.00

Hospital Charge Code	60633074
Hospital Revenue Code	250
Min. Negotiated Rate	$9.90
Max. Negotiated Rate	$9.90
Rate for Payer: Qualcare PPO/HMO/WC	$9.90

HALOG 0.1%/15GM

Facility

$69.00

Hospital Charge Code	60633075
Hospital Revenue Code	250
Min. Negotiated Rate	$8.97
Max. Negotiated Rate	$34.50
Rate for Payer: Aetna Commercial	$20.70
Rate for Payer: Aetna Medicare Advantage	$20.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.59
Rate for Payer: Cigna Commercial	$34.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.97
Rate for Payer: Oxford Commercial	$34.50
Rate for Payer: Qualcare PPO/HMO/WC	$10.35
Rate for Payer: UnitedHealthcare Commercial	$34.50

HALOG 0.1%/15GM

Facility

$69.00

Hospital Charge Code	60633075
Hospital Revenue Code	250
Min. Negotiated Rate	$10.35
Max. Negotiated Rate	$10.35
Rate for Payer: Qualcare PPO/HMO/WC	$10.35

HALOPERIDOL 0.5 MG TAB

Facility

$4.00

Service Code	NDC 781139113
Hospital Charge Code	60627800
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

Know your out-of-pocket cost for care.

All Charges