Heights University Hospital

All Charges

Charge

Type

Setting

Price

ISOPROPYL ALCOHOL 70% PINT

Facility

$10.25

Hospital Charge Code	6012694
Hospital Revenue Code	250
Min. Negotiated Rate	$1.54
Max. Negotiated Rate	$1.54
Rate for Payer: Qualcare PPO/HMO/WC	$1.54

ISOPROPYL ALCOHOL 70% PINT

Facility

$10.25

Hospital Charge Code	6012694
Hospital Revenue Code	250
Min. Negotiated Rate	$1.33
Max. Negotiated Rate	$5.12
Rate for Payer: Aetna Commercial	$3.08
Rate for Payer: Aetna Medicare Advantage	$3.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.61
Rate for Payer: Cigna Commercial	$5.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.33
Rate for Payer: Oxford Commercial	$5.12
Rate for Payer: Qualcare PPO/HMO/WC	$1.54
Rate for Payer: UnitedHealthcare Commercial	$5.12

ISOPROTERENOL 0.2% AEROSOL

Facility

$199.05

Hospital Charge Code	60627455
Hospital Revenue Code	250
Min. Negotiated Rate	$29.86
Max. Negotiated Rate	$29.86
Rate for Payer: Qualcare PPO/HMO/WC	$29.86

ISOPROTERENOL 0.2% AEROSOL

Facility

$199.05

Hospital Charge Code	60627455
Hospital Revenue Code	250
Min. Negotiated Rate	$25.88
Max. Negotiated Rate	$99.53
Rate for Payer: Aetna Commercial	$59.72
Rate for Payer: Aetna Medicare Advantage	$59.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.76
Rate for Payer: Cigna Commercial	$99.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.88
Rate for Payer: Oxford Commercial	$99.53
Rate for Payer: Qualcare PPO/HMO/WC	$29.86
Rate for Payer: UnitedHealthcare Commercial	$99.53

ISOPROTERENOL ABBO/1MG/5M

Facility

$13.00

Hospital Charge Code	60634420
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

ISOPROTERENOL ABBO/1MG/5M

Facility

$13.00

Hospital Charge Code	60634420
Hospital Revenue Code	250
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$1.95
Rate for Payer: Qualcare PPO/HMO/WC	$1.95

ISOPROTERENOL INJ 1:5000

Facility

$240.65

Hospital Charge Code	6003198
Hospital Revenue Code	250
Min. Negotiated Rate	$31.28
Max. Negotiated Rate	$120.33
Rate for Payer: Aetna Commercial	$72.19
Rate for Payer: Aetna Medicare Advantage	$72.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.37
Rate for Payer: Cigna Commercial	$120.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.28
Rate for Payer: Oxford Commercial	$120.33
Rate for Payer: Qualcare PPO/HMO/WC	$36.10
Rate for Payer: UnitedHealthcare Commercial	$120.33

ISOPROTERENOL INJ 1:5000

Facility

$240.65

Hospital Charge Code	6003198
Hospital Revenue Code	250
Min. Negotiated Rate	$36.10
Max. Negotiated Rate	$36.10
Rate for Payer: Qualcare PPO/HMO/WC	$36.10

ISOPROTERENOL SYRG 2MG/10ML

Facility

$152.35

Hospital Charge Code	60627454
Hospital Revenue Code	250
Min. Negotiated Rate	$22.85
Max. Negotiated Rate	$22.85
Rate for Payer: Qualcare PPO/HMO/WC	$22.85

ISOPROTERENOL SYRG 2MG/10ML

Facility

$152.35

Hospital Charge Code	60627454
Hospital Revenue Code	250
Min. Negotiated Rate	$19.81
Max. Negotiated Rate	$76.17
Rate for Payer: Aetna Commercial	$45.70
Rate for Payer: Aetna Medicare Advantage	$45.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.85
Rate for Payer: Cigna Commercial	$76.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.81
Rate for Payer: Oxford Commercial	$76.17
Rate for Payer: Qualcare PPO/HMO/WC	$22.85
Rate for Payer: UnitedHealthcare Commercial	$76.17

ISOPTIN/120MG/TAB

Facility

$3.00

Hospital Charge Code	60633197
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

ISOPTIN/120MG/TAB

Facility

$3.00

Hospital Charge Code	60633199
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

ISOPTIN/120MG/TAB

Facility

$3.00

Hospital Charge Code	60633201
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

ISOPTIN/120MG/TAB

Facility

$3.00

Hospital Charge Code	60633199
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

ISOPTIN/120MG/TAB

Facility

$3.00

Hospital Charge Code	60633201
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

ISOPTIN/120MG/TAB

Facility

$3.00

Hospital Charge Code	60633197
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

ISOPTIN/40MG/TAB

Facility

$3.00

Hospital Charge Code	60633203
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

ISOPTIN/40MG/TAB

Facility

$3.00

Hospital Charge Code	60633202
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

ISOPTIN/40MG/TAB

Facility

$3.00

Hospital Charge Code	60633202
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

ISOPTIN/40MG/TAB

Facility

$3.00

Hospital Charge Code	60633203
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

ISOPTIN/80MG/TAB

Facility

$3.00

Hospital Charge Code	60633198
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

ISOPTIN/80MG/TAB

Facility

$3.00

Hospital Charge Code	60633198
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

ISOPTIN/80MG/TAB

Facility

$3.00

Hospital Charge Code	60633200
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

ISOPTIN/80MG/TAB

Facility

$3.00

Hospital Charge Code	60633200
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

ISOPTIN/80MG/TAB

Facility

$3.00

Hospital Charge Code	60633196
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

Know your out-of-pocket cost for care.

All Charges