Heights University Hospital

All Charges

Charge

Type

Setting

Price

INSULIN ANTIBODY, SERUM

Facility

$179.25

Service Code	HCPCS 86337
Hospital Charge Code	3001666
Hospital Revenue Code	302
Min. Negotiated Rate	$26.89
Max. Negotiated Rate	$26.89
Rate for Payer: Qualcare PPO/HMO/WC	$26.89

INSULIN ANTIBODY, SERUM

Facility

$179.25

Service Code	HCPCS 86337
Hospital Charge Code	3001666
Hospital Revenue Code	302
Min. Negotiated Rate	$10.71
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$69.37
Rate for Payer: Aetna Medicare Advantage	$21.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78.45
Rate for Payer: Cigna Commercial	$21.41
Rate for Payer: Cigna Medicare Advantage	$10.71
Rate for Payer: Clover Medicare Advantage	$20.34
Rate for Payer: EmblemHealth Commercial	$64.23
Rate for Payer: Humana Medicare Advantage	$22.05
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	$21.41
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$22.69
Rate for Payer: Wellcare Medicare Advantage	$21.41

INSULIN ASPART 100UNITS ML SOL

Facility

$439.50

Hospital Charge Code	60629910
Hospital Revenue Code	636
Min. Negotiated Rate	$65.92
Max. Negotiated Rate	$106.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$106.36
Rate for Payer: Qualcare PPO/HMO/WC	$65.92

INSULIN ASPART 100UNITS ML SOL

Facility

$439.50

Hospital Charge Code	60629910
Hospital Revenue Code	636
Min. Negotiated Rate	$65.92
Max. Negotiated Rate	$219.75
Rate for Payer: Aetna Commercial	$131.85
Rate for Payer: Aetna Medicare Advantage	$131.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$112.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$112.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$112.07
Rate for Payer: Cigna Commercial	$219.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$106.36
Rate for Payer: Qualcare PPO/HMO/WC	$65.92

INSULIN ASPART 30-70 UNITS/mLS

Facility

$204.10

Hospital Charge Code	60629959
Hospital Revenue Code	250
Min. Negotiated Rate	$30.61
Max. Negotiated Rate	$30.61
Rate for Payer: Qualcare PPO/HMO/WC	$30.61

INSULIN ASPART 30-70 UNITS/mLS

Facility

$204.10

Hospital Charge Code	60629959
Hospital Revenue Code	250
Min. Negotiated Rate	$26.53
Max. Negotiated Rate	$102.05
Rate for Payer: Aetna Commercial	$61.23
Rate for Payer: Aetna Medicare Advantage	$61.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.05
Rate for Payer: Cigna Commercial	$102.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.53
Rate for Payer: Oxford Commercial	$102.05
Rate for Payer: Qualcare PPO/HMO/WC	$30.61
Rate for Payer: UnitedHealthcare Commercial	$102.05

Insulin Autoantibody

Facility

$390.00

Service Code	HCPCS 86337
Hospital Charge Code	401186337
Hospital Revenue Code	302
Min. Negotiated Rate	$10.71
Max. Negotiated Rate	$114.00
Rate for Payer: Cigna Commercial	$21.41
Rate for Payer: Cigna Medicare Advantage	$10.71
Rate for Payer: Aetna Commercial	$69.37
Rate for Payer: Aetna Medicare Advantage	$21.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78.45
Rate for Payer: Clover Medicare Advantage	$20.34
Rate for Payer: EmblemHealth Commercial	$64.23
Rate for Payer: Humana Medicare Advantage	$22.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$21.41
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$22.69
Rate for Payer: Wellcare Medicare Advantage	$21.41

Insulin Autoantibody

Facility

$390.00

Service Code	HCPCS 86337
Hospital Charge Code	401186337
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

INSULIN BEEF/PORK REG INJ U100

Facility

$133.15

Hospital Charge Code	60628223
Hospital Revenue Code	250
Min. Negotiated Rate	$19.97
Max. Negotiated Rate	$19.97
Rate for Payer: Qualcare PPO/HMO/WC	$19.97

INSULIN BEEF/PORK REG INJ U100

Facility

$133.15

Hospital Charge Code	60628223
Hospital Revenue Code	250
Min. Negotiated Rate	$17.31
Max. Negotiated Rate	$66.58
Rate for Payer: Aetna Commercial	$39.95
Rate for Payer: Aetna Medicare Advantage	$39.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.95
Rate for Payer: Cigna Commercial	$66.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.31
Rate for Payer: Oxford Commercial	$66.58
Rate for Payer: Qualcare PPO/HMO/WC	$19.97
Rate for Payer: UnitedHealthcare Commercial	$66.58

INSULIN COVERAGE

Facility

$61.00

Hospital Charge Code	60634694
Hospital Revenue Code	250
Min. Negotiated Rate	$9.15
Max. Negotiated Rate	$9.15
Rate for Payer: Qualcare PPO/HMO/WC	$9.15

INSULIN COVERAGE

Facility

$61.00

Hospital Charge Code	60634694
Hospital Revenue Code	250
Min. Negotiated Rate	$7.93
Max. Negotiated Rate	$30.50
Rate for Payer: Aetna Commercial	$18.30
Rate for Payer: Aetna Medicare Advantage	$18.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.55
Rate for Payer: Cigna Commercial	$30.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.93
Rate for Payer: Oxford Commercial	$30.50
Rate for Payer: Qualcare PPO/HMO/WC	$9.15
Rate for Payer: UnitedHealthcare Commercial	$30.50

INSULINE GLARGINE-YFGB INJ 100

Facility

$506.25

Service Code	NDC 83257001111
Hospital Charge Code	606390579
Hospital Revenue Code	250
Min. Negotiated Rate	$75.94
Max. Negotiated Rate	$75.94
Rate for Payer: Qualcare PPO/HMO/WC	$75.94

INSULINE GLARGINE-YFGB INJ 100

Facility

$506.25

Service Code	NDC 83257001111
Hospital Charge Code	606390579
Hospital Revenue Code	250
Min. Negotiated Rate	$65.81
Max. Negotiated Rate	$253.12
Rate for Payer: Aetna Commercial	$151.88
Rate for Payer: Aetna Medicare Advantage	$151.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$129.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$129.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$129.09
Rate for Payer: Cigna Commercial	$253.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.81
Rate for Payer: Oxford Commercial	$253.12
Rate for Payer: Qualcare PPO/HMO/WC	$75.94
Rate for Payer: UnitedHealthcare Commercial	$253.12

INSULIN FREE BIOACTIVE

Facility

$390.00

Service Code	HCPCS 83527
Hospital Charge Code	38477111
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

INSULIN FREE BIOACTIVE

Facility

$390.00

Service Code	HCPCS 83527
Hospital Charge Code	38477111
Hospital Revenue Code	301
Min. Negotiated Rate	$6.47
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$41.96
Rate for Payer: Aetna Medicare Advantage	$12.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.45
Rate for Payer: Cigna Commercial	$12.95
Rate for Payer: Cigna Medicare Advantage	$6.47
Rate for Payer: Clover Medicare Advantage	$12.30
Rate for Payer: EmblemHealth Commercial	$38.85
Rate for Payer: Humana Medicare Advantage	$13.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.95
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13.73
Rate for Payer: Wellcare Medicare Advantage	$12.95

INSULIN GLARGINE 100 UNIT ML

Facility

$774.92

Service Code	NDC 88221905
Hospital Charge Code	6063943390
Hospital Revenue Code	250
Min. Negotiated Rate	$116.24
Max. Negotiated Rate	$116.24
Rate for Payer: Qualcare PPO/HMO/WC	$116.24

INSULIN GLARGINE 100 UNIT ML

Facility

$774.92

Service Code	NDC 88221905
Hospital Charge Code	6063943390
Hospital Revenue Code	250
Min. Negotiated Rate	$100.74
Max. Negotiated Rate	$387.46
Rate for Payer: Aetna Commercial	$232.48
Rate for Payer: Aetna Medicare Advantage	$232.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.60
Rate for Payer: Cigna Commercial	$387.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.74
Rate for Payer: Oxford Commercial	$387.46
Rate for Payer: Qualcare PPO/HMO/WC	$116.24
Rate for Payer: UnitedHealthcare Commercial	$387.46

INSULIN GLARGINE YFGN 100ML

Facility

$739.68

Service Code	NDC 83257001532
Hospital Charge Code	6063943378
Hospital Revenue Code	250
Min. Negotiated Rate	$96.16
Max. Negotiated Rate	$369.84
Rate for Payer: Aetna Commercial	$221.90
Rate for Payer: Aetna Medicare Advantage	$221.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$188.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$188.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$188.62
Rate for Payer: Cigna Commercial	$369.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.16
Rate for Payer: Oxford Commercial	$369.84
Rate for Payer: Qualcare PPO/HMO/WC	$110.95
Rate for Payer: UnitedHealthcare Commercial	$369.84

INSULIN GLARGINE YFGN 100ML

Facility

$739.68

Service Code	NDC 83257001532
Hospital Charge Code	6063943378
Hospital Revenue Code	250
Min. Negotiated Rate	$110.95
Max. Negotiated Rate	$110.95
Rate for Payer: Qualcare PPO/HMO/WC	$110.95

INSULIN HUMAN INJ (IV DRIP)

Facility

$136.35

Hospital Charge Code	6010235
Hospital Revenue Code	250
Min. Negotiated Rate	$17.73
Max. Negotiated Rate	$68.17
Rate for Payer: Aetna Commercial	$40.91
Rate for Payer: Aetna Medicare Advantage	$40.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.77
Rate for Payer: Cigna Commercial	$68.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.73
Rate for Payer: Oxford Commercial	$68.17
Rate for Payer: Qualcare PPO/HMO/WC	$20.45
Rate for Payer: UnitedHealthcare Commercial	$68.17

INSULIN HUMAN INJ (IV DRIP)

Facility

$136.35

Hospital Charge Code	6010235
Hospital Revenue Code	250
Min. Negotiated Rate	$20.45
Max. Negotiated Rate	$20.45
Rate for Payer: Qualcare PPO/HMO/WC	$20.45

INSULIN INJ GLARGINE U-100

Facility

$237.65

Hospital Charge Code	60629201
Hospital Revenue Code	250
Min. Negotiated Rate	$30.89
Max. Negotiated Rate	$118.83
Rate for Payer: Aetna Commercial	$71.30
Rate for Payer: Aetna Medicare Advantage	$71.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.60
Rate for Payer: Cigna Commercial	$118.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.89
Rate for Payer: Oxford Commercial	$118.83
Rate for Payer: Qualcare PPO/HMO/WC	$35.65
Rate for Payer: UnitedHealthcare Commercial	$118.83

INSULIN INJ GLARGINE U-100

Facility

$237.65

Hospital Charge Code	60629201
Hospital Revenue Code	250
Min. Negotiated Rate	$35.65
Max. Negotiated Rate	$35.65
Rate for Payer: Qualcare PPO/HMO/WC	$35.65

INSULIN INSTRUCT F/U PT

Facility

$2,700.00

Service Code	HCPCS 98960
Hospital Charge Code	9200020
Hospital Revenue Code	942
Min. Negotiated Rate	$18.55
Max. Negotiated Rate	$1,350.00
Rate for Payer: Aetna Commercial	$810.00
Rate for Payer: Aetna Medicare Advantage	$810.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$688.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$688.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$688.50
Rate for Payer: Cigna Commercial	$1,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$351.00
Rate for Payer: Oxford Commercial	$686.00
Rate for Payer: Qualcare PPO/HMO/WC	$405.00
Rate for Payer: UnitedHealthcare Commercial	$779.00

Know your out-of-pocket cost for care.

All Charges