Heights University Hospital

All Charges

Charge

Type

Setting

Price

NADOLOL 20 MG TAB

Facility

$41.47

Service Code	NDC 51079081220
Hospital Charge Code	60627586
Hospital Revenue Code	250
Min. Negotiated Rate	$5.39
Max. Negotiated Rate	$20.73
Rate for Payer: Aetna Commercial	$12.44
Rate for Payer: Aetna Medicare Advantage	$12.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.57
Rate for Payer: Cigna Commercial	$20.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.39
Rate for Payer: Oxford Commercial	$20.73
Rate for Payer: Qualcare PPO/HMO/WC	$6.22
Rate for Payer: UnitedHealthcare Commercial	$20.73

NADOLOL 40 MG TAB

Facility

$48.44

Service Code	NDC 51079081320
Hospital Charge Code	60627587
Hospital Revenue Code	250
Min. Negotiated Rate	$6.30
Max. Negotiated Rate	$24.22
Rate for Payer: Aetna Commercial	$14.53
Rate for Payer: Aetna Medicare Advantage	$14.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.35
Rate for Payer: Cigna Commercial	$24.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.30
Rate for Payer: Oxford Commercial	$24.22
Rate for Payer: Qualcare PPO/HMO/WC	$7.27
Rate for Payer: UnitedHealthcare Commercial	$24.22

NADOLOL 40 MG TAB

Facility

$48.44

Service Code	NDC 51079081320
Hospital Charge Code	60627587
Hospital Revenue Code	250
Min. Negotiated Rate	$7.27
Max. Negotiated Rate	$7.27
Rate for Payer: Qualcare PPO/HMO/WC	$7.27

NADOLOL TAB 40MG

Facility

$10.90

Hospital Charge Code	6009724
Hospital Revenue Code	251
Min. Negotiated Rate	$1.64
Max. Negotiated Rate	$1.64
Rate for Payer: Qualcare PPO/HMO/WC	$1.64

NADOLOL TAB 40MG

Facility

$10.90

Hospital Charge Code	6009724
Hospital Revenue Code	251
Min. Negotiated Rate	$1.42
Max. Negotiated Rate	$5.45
Rate for Payer: Aetna Commercial	$3.27
Rate for Payer: Aetna Medicare Advantage	$3.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.78
Rate for Payer: Cigna Commercial	$5.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.42
Rate for Payer: Oxford Commercial	$5.45
Rate for Payer: Qualcare PPO/HMO/WC	$1.64
Rate for Payer: UnitedHealthcare Commercial	$5.45

NADROXEN SSP 125MG/5ML 474ML

Facility

$346.90

Hospital Charge Code	6009864
Hospital Revenue Code	252
Min. Negotiated Rate	$52.03
Max. Negotiated Rate	$52.03
Rate for Payer: Qualcare PPO/HMO/WC	$52.03

NADROXEN SSP 125MG/5ML 474ML

Facility

$346.90

Hospital Charge Code	6009864
Hospital Revenue Code	252
Min. Negotiated Rate	$45.10
Max. Negotiated Rate	$173.45
Rate for Payer: Aetna Commercial	$104.07
Rate for Payer: Aetna Medicare Advantage	$104.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.46
Rate for Payer: Cigna Commercial	$173.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.10
Rate for Payer: Oxford Commercial	$173.45
Rate for Payer: Qualcare PPO/HMO/WC	$52.03
Rate for Payer: UnitedHealthcare Commercial	$173.45

NAFAZAIR 0.1% OPHTH/15ML

Facility

$18.00

Hospital Charge Code	60633481
Hospital Revenue Code	250
Min. Negotiated Rate	$2.34
Max. Negotiated Rate	$9.00
Rate for Payer: Aetna Commercial	$5.40
Rate for Payer: Aetna Medicare Advantage	$5.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.59
Rate for Payer: Cigna Commercial	$9.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.34
Rate for Payer: Oxford Commercial	$9.00
Rate for Payer: Qualcare PPO/HMO/WC	$2.70
Rate for Payer: UnitedHealthcare Commercial	$9.00

NAFAZAIR 0.1% OPHTH/15ML

Facility

$18.00

Hospital Charge Code	60633481
Hospital Revenue Code	250
Min. Negotiated Rate	$2.70
Max. Negotiated Rate	$2.70
Rate for Payer: Qualcare PPO/HMO/WC	$2.70

NAFCIL/10GM

Facility

$84.00

Hospital Charge Code	60633483
Hospital Revenue Code	250
Min. Negotiated Rate	$10.92
Max. Negotiated Rate	$42.00
Rate for Payer: Aetna Commercial	$25.20
Rate for Payer: Aetna Medicare Advantage	$25.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.42
Rate for Payer: Cigna Commercial	$42.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.92
Rate for Payer: Oxford Commercial	$42.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.60
Rate for Payer: UnitedHealthcare Commercial	$42.00

NAFCIL/10GM

Facility

$84.00

Hospital Charge Code	60633483
Hospital Revenue Code	250
Min. Negotiated Rate	$12.60
Max. Negotiated Rate	$12.60
Rate for Payer: Qualcare PPO/HMO/WC	$12.60

NAFCIL/1GM

Facility

$44.00

Hospital Charge Code	60633485
Hospital Revenue Code	250
Min. Negotiated Rate	$5.72
Max. Negotiated Rate	$22.00
Rate for Payer: Aetna Commercial	$13.20
Rate for Payer: Aetna Medicare Advantage	$13.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.22
Rate for Payer: Cigna Commercial	$22.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.72
Rate for Payer: Oxford Commercial	$22.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.60
Rate for Payer: UnitedHealthcare Commercial	$22.00

NAFCIL/1GM

Facility

$44.00

Hospital Charge Code	60633485
Hospital Revenue Code	250
Min. Negotiated Rate	$6.60
Max. Negotiated Rate	$6.60
Rate for Payer: Qualcare PPO/HMO/WC	$6.60

NAFCIL/2GM

Facility

$101.00

Hospital Charge Code	60633482
Hospital Revenue Code	250
Min. Negotiated Rate	$15.15
Max. Negotiated Rate	$15.15
Rate for Payer: Qualcare PPO/HMO/WC	$15.15

NAFCIL/2GM

Facility

$101.00

Hospital Charge Code	60633482
Hospital Revenue Code	250
Min. Negotiated Rate	$13.13
Max. Negotiated Rate	$50.50
Rate for Payer: Aetna Commercial	$30.30
Rate for Payer: Aetna Medicare Advantage	$30.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.75
Rate for Payer: Cigna Commercial	$50.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.13
Rate for Payer: Oxford Commercial	$50.50
Rate for Payer: Qualcare PPO/HMO/WC	$15.15
Rate for Payer: UnitedHealthcare Commercial	$50.50

NAFCIL/2GM

Facility

$122.00

Hospital Charge Code	60633486
Hospital Revenue Code	250
Min. Negotiated Rate	$15.86
Max. Negotiated Rate	$61.00
Rate for Payer: Aetna Commercial	$36.60
Rate for Payer: Aetna Medicare Advantage	$36.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.11
Rate for Payer: Cigna Commercial	$61.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.86
Rate for Payer: Oxford Commercial	$61.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.30
Rate for Payer: UnitedHealthcare Commercial	$61.00

NAFCIL/2GM

Facility

$122.00

Hospital Charge Code	60633486
Hospital Revenue Code	250
Min. Negotiated Rate	$18.30
Max. Negotiated Rate	$18.30
Rate for Payer: Qualcare PPO/HMO/WC	$18.30

NAFCIL 2GM PREMIX

Facility

$138.00

Hospital Charge Code	60635572
Hospital Revenue Code	250
Min. Negotiated Rate	$17.94
Max. Negotiated Rate	$69.00
Rate for Payer: Aetna Commercial	$41.40
Rate for Payer: Aetna Medicare Advantage	$41.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.19
Rate for Payer: Cigna Commercial	$69.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.94
Rate for Payer: Oxford Commercial	$69.00
Rate for Payer: Qualcare PPO/HMO/WC	$20.70
Rate for Payer: UnitedHealthcare Commercial	$69.00

NAFCIL 2GM PREMIX

Facility

$138.00

Hospital Charge Code	60635572
Hospital Revenue Code	250
Min. Negotiated Rate	$20.70
Max. Negotiated Rate	$20.70
Rate for Payer: Qualcare PPO/HMO/WC	$20.70

NAFCIL/500MG

Facility

$32.00

Hospital Charge Code	60633484
Hospital Revenue Code	250
Min. Negotiated Rate	$4.16
Max. Negotiated Rate	$16.00
Rate for Payer: Aetna Commercial	$9.60
Rate for Payer: Aetna Medicare Advantage	$9.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.16
Rate for Payer: Cigna Commercial	$16.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.16
Rate for Payer: Oxford Commercial	$16.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.80
Rate for Payer: UnitedHealthcare Commercial	$16.00

NAFCIL/500MG

Facility

$32.00

Hospital Charge Code	60633484
Hospital Revenue Code	250
Min. Negotiated Rate	$4.80
Max. Negotiated Rate	$4.80
Rate for Payer: Qualcare PPO/HMO/WC	$4.80

NAFCILLIN 1 G INJ

Facility

$52.60

Service Code	NDC 703909501
Hospital Charge Code	6012884
Hospital Revenue Code	250
Min. Negotiated Rate	$7.89
Max. Negotiated Rate	$7.89
Rate for Payer: Qualcare PPO/HMO/WC	$7.89

NAFCILLIN 1 G INJ

Facility

$52.60

Service Code	NDC 703909501
Hospital Charge Code	6012884
Hospital Revenue Code	250
Min. Negotiated Rate	$6.84
Max. Negotiated Rate	$26.30
Rate for Payer: Aetna Commercial	$15.78
Rate for Payer: Aetna Medicare Advantage	$15.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.41
Rate for Payer: Cigna Commercial	$26.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.84
Rate for Payer: Oxford Commercial	$26.30
Rate for Payer: Qualcare PPO/HMO/WC	$7.89
Rate for Payer: UnitedHealthcare Commercial	$26.30

NAFCILLIN 2 G INJ

Facility

$102.04

Service Code	NDC 703910501
Hospital Charge Code	60627303
Hospital Revenue Code	250
Min. Negotiated Rate	$13.27
Max. Negotiated Rate	$51.02
Rate for Payer: Aetna Commercial	$30.61
Rate for Payer: Aetna Medicare Advantage	$30.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.02
Rate for Payer: Cigna Commercial	$51.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.27
Rate for Payer: Oxford Commercial	$51.02
Rate for Payer: Qualcare PPO/HMO/WC	$15.31
Rate for Payer: UnitedHealthcare Commercial	$51.02

NAFCILLIN 2 G INJ

Facility

$102.04

Service Code	NDC 703910501
Hospital Charge Code	60627303
Hospital Revenue Code	250
Min. Negotiated Rate	$15.31
Max. Negotiated Rate	$15.31
Rate for Payer: Qualcare PPO/HMO/WC	$15.31

Know your out-of-pocket cost for care.

All Charges