Heights University Hospital

All Charges

Charge

Type

Setting

Price

ARDVAN INJ/10MG/10ML VIAL

Facility

$238.00

Hospital Charge Code	60634313
Hospital Revenue Code	250
Min. Negotiated Rate	$30.94
Max. Negotiated Rate	$119.00
Rate for Payer: Aetna Commercial	$71.40
Rate for Payer: Aetna Medicare Advantage	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.69
Rate for Payer: Cigna Commercial	$119.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.94
Rate for Payer: Oxford Commercial	$119.00
Rate for Payer: Qualcare PPO/HMO/WC	$35.70
Rate for Payer: UnitedHealthcare Commercial	$119.00

AREDEA/30MG

Facility

$1,131.00

Hospital Charge Code	60634869
Hospital Revenue Code	636
Min. Negotiated Rate	$169.65
Max. Negotiated Rate	$273.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$273.70
Rate for Payer: Qualcare PPO/HMO/WC	$169.65

AREDEA/30MG

Facility

$1,131.00

Hospital Charge Code	60634869
Hospital Revenue Code	636
Min. Negotiated Rate	$169.65
Max. Negotiated Rate	$565.50
Rate for Payer: Aetna Commercial	$339.30
Rate for Payer: Aetna Medicare Advantage	$339.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$288.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$288.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$288.40
Rate for Payer: Cigna Commercial	$565.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$273.70
Rate for Payer: Qualcare PPO/HMO/WC	$169.65

AREDIA 30MG INJ

Facility

$3,094.00

Hospital Charge Code	60635235
Hospital Revenue Code	636
Min. Negotiated Rate	$464.10
Max. Negotiated Rate	$748.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$748.75
Rate for Payer: Qualcare PPO/HMO/WC	$464.10

AREDIA 30MG INJ

Facility

$3,094.00

Hospital Charge Code	60635235
Hospital Revenue Code	636
Min. Negotiated Rate	$464.10
Max. Negotiated Rate	$1,547.00
Rate for Payer: Aetna Commercial	$928.20
Rate for Payer: Aetna Medicare Advantage	$928.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$788.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$788.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$788.97
Rate for Payer: Cigna Commercial	$1,547.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$748.75
Rate for Payer: Qualcare PPO/HMO/WC	$464.10

AREDIA/30MG/INJ

Facility

$886.00

Hospital Charge Code	60634710
Hospital Revenue Code	636
Min. Negotiated Rate	$132.90
Max. Negotiated Rate	$443.00
Rate for Payer: Aetna Commercial	$265.80
Rate for Payer: Aetna Medicare Advantage	$265.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$225.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$225.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$225.93
Rate for Payer: Cigna Commercial	$443.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.41
Rate for Payer: Qualcare PPO/HMO/WC	$132.90

AREDIA/30MG/INJ

Facility

$886.00

Hospital Charge Code	60634710
Hospital Revenue Code	636
Min. Negotiated Rate	$132.90
Max. Negotiated Rate	$214.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.41
Rate for Payer: Qualcare PPO/HMO/WC	$132.90

ARFORMOTEROL 15MC G/2ML

Facility

$150.82

Service Code	NDC 63402091130
Hospital Charge Code	60629947
Hospital Revenue Code	250
Min. Negotiated Rate	$19.61
Max. Negotiated Rate	$75.41
Rate for Payer: Aetna Commercial	$45.25
Rate for Payer: Aetna Medicare Advantage	$45.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.46
Rate for Payer: Cigna Commercial	$75.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.61
Rate for Payer: Oxford Commercial	$75.41
Rate for Payer: Qualcare PPO/HMO/WC	$22.62
Rate for Payer: UnitedHealthcare Commercial	$75.41

ARFORMOTEROL 15MC G/2ML

Facility

$150.82

Service Code	NDC 63402091130
Hospital Charge Code	60629947
Hospital Revenue Code	250
Min. Negotiated Rate	$22.62
Max. Negotiated Rate	$22.62
Rate for Payer: Qualcare PPO/HMO/WC	$22.62

ARGATROBAN 250MG/250ML DSW INJ

Facility

$3,271.05

Hospital Charge Code	60629163
Hospital Revenue Code	250
Min. Negotiated Rate	$490.66
Max. Negotiated Rate	$490.66
Rate for Payer: Qualcare PPO/HMO/WC	$490.66

ARGATROBAN 250MG/250ML DSW INJ

Facility

$3,271.05

Hospital Charge Code	60629163
Hospital Revenue Code	250
Min. Negotiated Rate	$425.24
Max. Negotiated Rate	$1,635.53
Rate for Payer: Aetna Commercial	$981.32
Rate for Payer: Aetna Medicare Advantage	$981.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$834.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$834.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$834.12
Rate for Payer: Cigna Commercial	$1,635.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$425.24
Rate for Payer: Oxford Commercial	$1,635.53
Rate for Payer: Qualcare PPO/HMO/WC	$490.66
Rate for Payer: UnitedHealthcare Commercial	$1,635.53

ARGININE VASOPRESSIN

Facility

$416.00

Service Code	HCPCS 84588
Hospital Charge Code	38473080
Hospital Revenue Code	301
Min. Negotiated Rate	$62.40
Max. Negotiated Rate	$62.40
Rate for Payer: Qualcare PPO/HMO/WC	$62.40

ARGININE VASOPRESSIN

Facility

$416.00

Service Code	HCPCS 84588
Hospital Charge Code	38473080
Hospital Revenue Code	301
Min. Negotiated Rate	$16.97
Max. Negotiated Rate	$124.36
Rate for Payer: Aetna Commercial	$109.97
Rate for Payer: Aetna Medicare Advantage	$33.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$33.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$92.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.36
Rate for Payer: Cigna Commercial	$33.94
Rate for Payer: Cigna Medicare Advantage	$16.97
Rate for Payer: Clover Medicare Advantage	$32.24
Rate for Payer: EmblemHealth Commercial	$101.82
Rate for Payer: Humana Medicare Advantage	$34.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.08
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$62.40
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$33.94
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$35.98
Rate for Payer: Wellcare Medicare Advantage	$33.94

ARGININE VASOPRESSIN

Facility

$390.00

Service Code	HCPCS 84588
Hospital Charge Code	39900148
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

ARGININE VASOPRESSIN

Facility

$390.00

Service Code	HCPCS 84588
Hospital Charge Code	39900148
Hospital Revenue Code	301
Min. Negotiated Rate	$16.97
Max. Negotiated Rate	$124.36
Rate for Payer: Aetna Commercial	$109.97
Rate for Payer: Aetna Medicare Advantage	$33.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$33.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$92.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.36
Rate for Payer: Cigna Commercial	$33.94
Rate for Payer: Cigna Medicare Advantage	$16.97
Rate for Payer: Clover Medicare Advantage	$32.24
Rate for Payer: EmblemHealth Commercial	$101.82
Rate for Payer: Humana Medicare Advantage	$34.96
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	$33.94
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$35.98
Rate for Payer: Wellcare Medicare Advantage	$33.94

ARGON

Facility

$1,151.90

Hospital Charge Code	270658112
Hospital Revenue Code	272
Min. Negotiated Rate	$172.78
Max. Negotiated Rate	$172.78
Rate for Payer: Qualcare PPO/HMO/WC	$172.78

ARGON

Facility

$1,151.90

Hospital Charge Code	270658112
Hospital Revenue Code	272
Min. Negotiated Rate	$149.75
Max. Negotiated Rate	$575.95
Rate for Payer: Aetna Commercial	$345.57
Rate for Payer: Aetna Medicare Advantage	$345.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$293.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$293.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$293.73
Rate for Payer: Cigna Commercial	$575.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$149.75
Rate for Payer: Oxford Commercial	$575.95
Rate for Payer: Qualcare PPO/HMO/WC	$172.78
Rate for Payer: UnitedHealthcare Commercial	$575.95

ARGON LASER *******

Facility

$297.00

Service Code	HCPCS 67227
Hospital Charge Code	5600028
Hospital Revenue Code	369
Min. Negotiated Rate	$38.61
Max. Negotiated Rate	$9,362.20
Rate for Payer: Aetna Medicare Advantage	$89.10
Rate for Payer: Aetna Commercial	$89.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$75.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$75.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$260.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$75.73
Rate for Payer: Cigna Commercial	$9,362.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.61
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$44.55
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

ARGON LASER *******

Facility

$297.00

Service Code	HCPCS 67227
Hospital Charge Code	5600028
Hospital Revenue Code	369
Min. Negotiated Rate	$44.55
Max. Negotiated Rate	$44.55
Rate for Payer: Qualcare PPO/HMO/WC	$44.55

ARGYROL S.S. 20% OPHTH/1M

Facility

$135.00

Hospital Charge Code	60632482
Hospital Revenue Code	250
Min. Negotiated Rate	$17.55
Max. Negotiated Rate	$67.50
Rate for Payer: Aetna Commercial	$40.50
Rate for Payer: Aetna Medicare Advantage	$40.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.42
Rate for Payer: Cigna Commercial	$67.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.55
Rate for Payer: Oxford Commercial	$67.50
Rate for Payer: Qualcare PPO/HMO/WC	$20.25
Rate for Payer: UnitedHealthcare Commercial	$67.50

ARGYROL S.S. 20% OPHTH/1M

Facility

$135.00

Hospital Charge Code	60632482
Hospital Revenue Code	250
Min. Negotiated Rate	$20.25
Max. Negotiated Rate	$20.25
Rate for Payer: Qualcare PPO/HMO/WC	$20.25

ARH SOLUTIONS HEAD 22MM RIGHT

Facility

$18,660.00

Service Code	HCPCS C1776
Hospital Charge Code	270686225
Hospital Revenue Code	278
Min. Negotiated Rate	$2,799.00
Max. Negotiated Rate	$9,330.00
Rate for Payer: Aetna Commercial	$5,598.00
Rate for Payer: Aetna Medicare Advantage	$5,598.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,758.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,758.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,732.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,758.30
Rate for Payer: Cigna Commercial	$9,330.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,515.72
Rate for Payer: Qualcare PPO/HMO/WC	$2,799.00

ARH SOLUTIONS HEAD 22MM RIGHT

Facility

$18,660.00

Service Code	HCPCS C1776
Hospital Charge Code	270686225
Hospital Revenue Code	278
Min. Negotiated Rate	$2,799.00
Max. Negotiated Rate	$4,515.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,732.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,515.72
Rate for Payer: Qualcare PPO/HMO/WC	$2,799.00

ARICEPT 10MG TAB BULK

Facility

$17.00

Hospital Charge Code	60635190
Hospital Revenue Code	250
Min. Negotiated Rate	$2.21
Max. Negotiated Rate	$8.50
Rate for Payer: Aetna Commercial	$5.10
Rate for Payer: Aetna Medicare Advantage	$5.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.33
Rate for Payer: Cigna Commercial	$8.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.21
Rate for Payer: Oxford Commercial	$8.50
Rate for Payer: Qualcare PPO/HMO/WC	$2.55
Rate for Payer: UnitedHealthcare Commercial	$8.50

ARICEPT 10MG TAB BULK

Facility

$17.00

Hospital Charge Code	60635190
Hospital Revenue Code	250
Min. Negotiated Rate	$2.55
Max. Negotiated Rate	$2.55
Rate for Payer: Qualcare PPO/HMO/WC	$2.55

Know your out-of-pocket cost for care.

All Charges