Heights University Hospital

All Charges

Charge

Type

Setting

Price

ATHEROSCLEROSIS WITH MCC

Facility

$46,554.42

Service Code	MSDRG 302
Min. Negotiated Rate	$13,058.00
Max. Negotiated Rate	$46,554.42
Rate for Payer: Aetna Commercial	$40,349.22
Rate for Payer: Aetna Medicare Advantage	$13,058.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30,875.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30,875.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15,518.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30,875.04
Rate for Payer: Cigna Commercial	$25,752.03
Rate for Payer: Cigna Medicare Advantage	$15,518.14
Rate for Payer: Clover Medicare Advantage	$14,742.23
Rate for Payer: EmblemHealth Commercial	$46,554.42
Rate for Payer: Humana Medicare Advantage	$15,983.68
Rate for Payer: Oxford Commercial	$16,094.27
Rate for Payer: UnitedHealthcare Commercial	$18,268.49
Rate for Payer: UnitedHealthcare Medicare Advantage	$15,518.14
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$16,449.23
Rate for Payer: Wellcare Medicare Advantage	$15,518.14

ATHEROSCLEROSIS WITHOUT MCC

Facility

$31,362.36

Service Code	MSDRG 303
Min. Negotiated Rate	$7,346.35
Max. Negotiated Rate	$31,362.36
Rate for Payer: Aetna Commercial	$22,700.22
Rate for Payer: Aetna Medicare Advantage	$7,346.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18,194.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18,194.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10,454.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18,194.22
Rate for Payer: Cigna Commercial	$14,487.94
Rate for Payer: Cigna Medicare Advantage	$10,454.12
Rate for Payer: Clover Medicare Advantage	$9,931.41
Rate for Payer: EmblemHealth Commercial	$31,362.36
Rate for Payer: Humana Medicare Advantage	$10,767.74
Rate for Payer: Oxford Commercial	$9,054.54
Rate for Payer: UnitedHealthcare Commercial	$10,277.74
Rate for Payer: UnitedHealthcare Medicare Advantage	$10,454.12
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$11,081.37
Rate for Payer: Wellcare Medicare Advantage	$10,454.12

ATIVAN/0.5MG/TAB

Facility

$3.00

Hospital Charge Code	60632498
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

ATIVAN/0.5MG/TAB

Facility

$4.00

Hospital Charge Code	60632501
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

ATIVAN/0.5MG/TAB

Facility

$4.00

Hospital Charge Code	60632501
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

ATIVAN/0.5MG/TAB

Facility

$3.00

Hospital Charge Code	60632498
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

ATIVAN/1MG/TAB

Facility

$4.00

Hospital Charge Code	60632496
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

ATIVAN/1MG/TAB

Facility

$3.00

Hospital Charge Code	60632500
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

ATIVAN/1MG/TAB

Facility

$4.00

Hospital Charge Code	60632496
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

ATIVAN/1MG/TAB

Facility

$3.00

Hospital Charge Code	60632500
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

ATIVAN/2MG/1ML

Facility

$80.00

Hospital Charge Code	60632502
Hospital Revenue Code	636
Min. Negotiated Rate	$12.00
Max. Negotiated Rate	$19.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.36
Rate for Payer: Qualcare PPO/HMO/WC	$12.00

ATIVAN/2MG/1ML

Facility

$80.00

Hospital Charge Code	60632502
Hospital Revenue Code	636
Min. Negotiated Rate	$12.00
Max. Negotiated Rate	$40.00
Rate for Payer: Aetna Commercial	$24.00
Rate for Payer: Aetna Medicare Advantage	$24.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.40
Rate for Payer: Cigna Commercial	$40.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.36
Rate for Payer: Qualcare PPO/HMO/WC	$12.00

ATIVAN/2MG/TAB

Facility

$4.00

Hospital Charge Code	60632497
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

ATIVAN/2MG/TAB

Facility

$4.00

Hospital Charge Code	60632497
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

ATIVAN/2MG/TAB

Facility

$3.00

Hospital Charge Code	60632499
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

ATIVAN/2MG/TAB

Facility

$3.00

Hospital Charge Code	60632499
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

ATLAS TOPAZ WAND

Facility

$475.00

Hospital Charge Code	270332603
Hospital Revenue Code	272
Min. Negotiated Rate	$61.75
Max. Negotiated Rate	$237.50
Rate for Payer: Aetna Commercial	$142.50
Rate for Payer: Aetna Medicare Advantage	$142.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$121.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$121.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$121.12
Rate for Payer: Cigna Commercial	$237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.75
Rate for Payer: Oxford Commercial	$237.50
Rate for Payer: Qualcare PPO/HMO/WC	$71.25
Rate for Payer: UnitedHealthcare Commercial	$237.50

ATLAS TOPAZ WAND

Facility

$475.00

Hospital Charge Code	270332603
Hospital Revenue Code	272
Min. Negotiated Rate	$71.25
Max. Negotiated Rate	$71.25
Rate for Payer: Qualcare PPO/HMO/WC	$71.25

ATOMOXETINE HYDROCHLORIDE 10 M

Facility

$74.71

Service Code	NDC 2322730
Hospital Charge Code	6063943180
Hospital Revenue Code	250
Min. Negotiated Rate	$9.71
Max. Negotiated Rate	$37.35
Rate for Payer: Aetna Commercial	$22.41
Rate for Payer: Aetna Medicare Advantage	$22.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.05
Rate for Payer: Cigna Commercial	$37.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.71
Rate for Payer: Oxford Commercial	$37.35
Rate for Payer: Qualcare PPO/HMO/WC	$11.21
Rate for Payer: UnitedHealthcare Commercial	$37.35

ATOMOXETINE HYDROCHLORIDE 10 M

Facility

$74.71

Service Code	NDC 2322730
Hospital Charge Code	6063943180
Hospital Revenue Code	250
Min. Negotiated Rate	$11.21
Max. Negotiated Rate	$11.21
Rate for Payer: Qualcare PPO/HMO/WC	$11.21

ATOMOXETINE HYDROCHLORIDE 18 M

Facility

$74.71

Service Code	NDC 2323830
Hospital Charge Code	6063943181
Hospital Revenue Code	250
Min. Negotiated Rate	$9.71
Max. Negotiated Rate	$37.35
Rate for Payer: Aetna Commercial	$22.41
Rate for Payer: Aetna Medicare Advantage	$22.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.05
Rate for Payer: Cigna Commercial	$37.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.71
Rate for Payer: Oxford Commercial	$37.35
Rate for Payer: Qualcare PPO/HMO/WC	$11.21
Rate for Payer: UnitedHealthcare Commercial	$37.35

ATOMOXETINE HYDROCHLORIDE 18 M

Facility

$74.71

Service Code	NDC 2323830
Hospital Charge Code	6063943181
Hospital Revenue Code	250
Min. Negotiated Rate	$11.21
Max. Negotiated Rate	$11.21
Rate for Payer: Qualcare PPO/HMO/WC	$11.21

ATOMOXETINE HYDROCHLORIDE 40 M

Facility

$81.14

Service Code	NDC 2322930
Hospital Charge Code	6063943182
Hospital Revenue Code	250
Min. Negotiated Rate	$10.55
Max. Negotiated Rate	$40.57
Rate for Payer: Aetna Commercial	$24.34
Rate for Payer: Aetna Medicare Advantage	$24.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.69
Rate for Payer: Cigna Commercial	$40.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.55
Rate for Payer: Oxford Commercial	$40.57
Rate for Payer: Qualcare PPO/HMO/WC	$12.17
Rate for Payer: UnitedHealthcare Commercial	$40.57

ATOMOXETINE HYDROCHLORIDE 40 M

Facility

$81.14

Service Code	NDC 2322930
Hospital Charge Code	6063943182
Hospital Revenue Code	250
Min. Negotiated Rate	$12.17
Max. Negotiated Rate	$12.17
Rate for Payer: Qualcare PPO/HMO/WC	$12.17

ATOMOXETINE HYDROCHLORIDE 80 M

Facility

$87.57

Service Code	NDC 2325030
Hospital Charge Code	6063943183
Hospital Revenue Code	250
Min. Negotiated Rate	$13.14
Max. Negotiated Rate	$13.14
Rate for Payer: Qualcare PPO/HMO/WC	$13.14

Know your out-of-pocket cost for care.

All Charges