Heights University Hospital

All Charges

Charge

Type

Setting

Price

NAIL ZIM IM FEM 12 40 22401240

Facility

$4,196.00

Hospital Charge Code	270628469
Hospital Revenue Code	278
Min. Negotiated Rate	$629.40
Max. Negotiated Rate	$2,098.00
Rate for Payer: Aetna Commercial	$1,258.80
Rate for Payer: Aetna Medicare Advantage	$1,258.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,069.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,069.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$839.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,069.98
Rate for Payer: Cigna Commercial	$2,098.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,015.43
Rate for Payer: Qualcare PPO/HMO/WC	$629.40

NAIL ZIM IM FEM 12 40 22401240

Facility

$4,196.00

Hospital Charge Code	270628469
Hospital Revenue Code	278
Min. Negotiated Rate	$629.40
Max. Negotiated Rate	$1,015.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$839.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,015.43
Rate for Payer: Qualcare PPO/HMO/WC	$629.40

NAIL ZIM IM FEM 14 32 22401432

Facility

$4,188.85

Hospital Charge Code	270625723
Hospital Revenue Code	278
Min. Negotiated Rate	$628.33
Max. Negotiated Rate	$1,013.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$837.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,013.70
Rate for Payer: Qualcare PPO/HMO/WC	$628.33

NAIL ZIM IM FEM 14 32 22401432

Facility

$4,188.85

Hospital Charge Code	270625723
Hospital Revenue Code	278
Min. Negotiated Rate	$628.33
Max. Negotiated Rate	$2,094.43
Rate for Payer: Aetna Commercial	$1,256.65
Rate for Payer: Aetna Medicare Advantage	$1,256.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,068.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,068.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$837.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,068.16
Rate for Payer: Cigna Commercial	$2,094.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,013.70
Rate for Payer: Qualcare PPO/HMO/WC	$628.33

NAIL ZIM IM FEM 9 36 225236009

Facility

$2,912.00

Hospital Charge Code	270620526
Hospital Revenue Code	278
Min. Negotiated Rate	$436.80
Max. Negotiated Rate	$1,456.00
Rate for Payer: Aetna Commercial	$873.60
Rate for Payer: Aetna Medicare Advantage	$873.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$742.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$742.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$582.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$742.56
Rate for Payer: Cigna Commercial	$1,456.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$704.70
Rate for Payer: Qualcare PPO/HMO/WC	$436.80

NAIL ZIM IM FEM 9 36 225236009

Facility

$2,912.00

Hospital Charge Code	270620526
Hospital Revenue Code	278
Min. Negotiated Rate	$436.80
Max. Negotiated Rate	$704.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$582.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$704.70
Rate for Payer: Qualcare PPO/HMO/WC	$436.80

NAIL ZIM IM TIB 11 32 22533211

Facility

$2,940.85

Hospital Charge Code	270624447
Hospital Revenue Code	278
Min. Negotiated Rate	$441.13
Max. Negotiated Rate	$1,470.42
Rate for Payer: Aetna Commercial	$882.25
Rate for Payer: Aetna Medicare Advantage	$882.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$749.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$749.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$588.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$749.92
Rate for Payer: Cigna Commercial	$1,470.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$711.69
Rate for Payer: Qualcare PPO/HMO/WC	$441.13

NAIL ZIM IM TIB 11 32 22533211

Facility

$2,940.85

Hospital Charge Code	270624447
Hospital Revenue Code	278
Min. Negotiated Rate	$441.13
Max. Negotiated Rate	$711.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$588.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$711.69
Rate for Payer: Qualcare PPO/HMO/WC	$441.13

NAIL ZIM IM TIB 12 30 22533001

Facility

$3,113.65

Hospital Charge Code	270623245
Hospital Revenue Code	278
Min. Negotiated Rate	$467.05
Max. Negotiated Rate	$1,556.83
Rate for Payer: Aetna Commercial	$934.10
Rate for Payer: Aetna Medicare Advantage	$934.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$793.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$793.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$622.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$793.98
Rate for Payer: Cigna Commercial	$1,556.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$753.50
Rate for Payer: Qualcare PPO/HMO/WC	$467.05

NAIL ZIM IM TIB 12 30 22533001

Facility

$3,113.65

Hospital Charge Code	270623245
Hospital Revenue Code	278
Min. Negotiated Rate	$467.05
Max. Negotiated Rate	$753.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$622.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$753.50
Rate for Payer: Qualcare PPO/HMO/WC	$467.05

NAIL ZIM IM TIB 9 36 22533609

Facility

$2,940.85

Hospital Charge Code	270624283
Hospital Revenue Code	278
Min. Negotiated Rate	$441.13
Max. Negotiated Rate	$1,470.42
Rate for Payer: Aetna Commercial	$882.25
Rate for Payer: Aetna Medicare Advantage	$882.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$749.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$749.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$588.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$749.92
Rate for Payer: Cigna Commercial	$1,470.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$711.69
Rate for Payer: Qualcare PPO/HMO/WC	$441.13

NAIL ZIM IM TIB 9 36 22533609

Facility

$2,940.85

Hospital Charge Code	270624283
Hospital Revenue Code	278
Min. Negotiated Rate	$441.13
Max. Negotiated Rate	$711.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$588.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$711.69
Rate for Payer: Qualcare PPO/HMO/WC	$441.13

NAI M/DN R-F IM 14m30c22401430

Facility

$5,620.65

Hospital Charge Code	270639516
Hospital Revenue Code	278
Min. Negotiated Rate	$843.10
Max. Negotiated Rate	$1,360.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,124.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,360.20
Rate for Payer: Qualcare PPO/HMO/WC	$843.10

NAI M/DN R-F IM 14m30c22401430

Facility

$5,620.65

Hospital Charge Code	270639516
Hospital Revenue Code	278
Min. Negotiated Rate	$843.10
Max. Negotiated Rate	$2,810.32
Rate for Payer: Aetna Commercial	$1,686.19
Rate for Payer: Aetna Medicare Advantage	$1,686.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,433.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,433.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,124.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,433.27
Rate for Payer: Cigna Commercial	$2,810.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,360.20
Rate for Payer: Qualcare PPO/HMO/WC	$843.10

NAI TROCH LNG 11mmX30cmRT28330

Facility

$7,800.00

Hospital Charge Code	270640203
Hospital Revenue Code	278
Min. Negotiated Rate	$1,170.00
Max. Negotiated Rate	$1,887.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,560.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,887.60
Rate for Payer: Qualcare PPO/HMO/WC	$1,170.00

NAI TROCH LNG 11mmX30cmRT28330

Facility

$7,800.00

Hospital Charge Code	270640203
Hospital Revenue Code	278
Min. Negotiated Rate	$1,170.00
Max. Negotiated Rate	$3,900.00
Rate for Payer: Aetna Commercial	$2,340.00
Rate for Payer: Aetna Medicare Advantage	$2,340.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,989.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,989.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,560.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,989.00
Rate for Payer: Cigna Commercial	$3,900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,887.60
Rate for Payer: Qualcare PPO/HMO/WC	$1,170.00

NALBUPHINE 10MG/ML AMPUL

Facility

$26.40

Service Code	HCPCS J2300
Hospital Charge Code	60631804
Hospital Revenue Code	636
Min. Negotiated Rate	$3.96
Max. Negotiated Rate	$6.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.39
Rate for Payer: Qualcare PPO/HMO/WC	$3.96

NALBUPHINE 10MG/ML AMPUL

Facility

$26.40

Service Code	HCPCS J2300
Hospital Charge Code	60631804
Hospital Revenue Code	636
Min. Negotiated Rate	$3.42
Max. Negotiated Rate	$7.92
Rate for Payer: Aetna Commercial	$7.92
Rate for Payer: Aetna Medicare Advantage	$7.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.73
Rate for Payer: Cigna Commercial	$3.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.39
Rate for Payer: Qualcare PPO/HMO/WC	$3.96

NALBUPHINE 10 MG/ML INJ

Facility

$10.45

Hospital Charge Code	6008965
Hospital Revenue Code	250
Min. Negotiated Rate	$1.57
Max. Negotiated Rate	$1.57
Rate for Payer: Qualcare PPO/HMO/WC	$1.57

NALBUPHINE 10 MG/ML INJ

Facility

$10.45

Hospital Charge Code	6008965
Hospital Revenue Code	250
Min. Negotiated Rate	$1.36
Max. Negotiated Rate	$5.22
Rate for Payer: Aetna Commercial	$3.13
Rate for Payer: Aetna Medicare Advantage	$3.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.66
Rate for Payer: Cigna Commercial	$5.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.36
Rate for Payer: Oxford Commercial	$5.22
Rate for Payer: Qualcare PPO/HMO/WC	$1.57
Rate for Payer: UnitedHealthcare Commercial	$5.22

NALBUPHINE 20MG/ML

Facility

$96.88

Hospital Charge Code	60635830
Hospital Revenue Code	250
Min. Negotiated Rate	$14.53
Max. Negotiated Rate	$14.53
Rate for Payer: Qualcare PPO/HMO/WC	$14.53

NALBUPHINE 20MG/ML

Facility

$96.88

Hospital Charge Code	60635830
Hospital Revenue Code	250
Min. Negotiated Rate	$12.59
Max. Negotiated Rate	$48.44
Rate for Payer: Aetna Commercial	$29.06
Rate for Payer: Aetna Medicare Advantage	$29.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.70
Rate for Payer: Cigna Commercial	$48.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.59
Rate for Payer: Oxford Commercial	$48.44
Rate for Payer: Qualcare PPO/HMO/WC	$14.53
Rate for Payer: UnitedHealthcare Commercial	$48.44

Nalbuphine 20mg/ml (1ml) amp

Facility

$35.56

Hospital Charge Code	606361044
Hospital Revenue Code	636
Min. Negotiated Rate	$5.33
Max. Negotiated Rate	$8.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.61
Rate for Payer: Qualcare PPO/HMO/WC	$5.33

Nalbuphine 20mg/ml (1ml) amp

Facility

$35.56

Hospital Charge Code	606361044
Hospital Revenue Code	636
Min. Negotiated Rate	$5.33
Max. Negotiated Rate	$17.78
Rate for Payer: Aetna Commercial	$10.67
Rate for Payer: Aetna Medicare Advantage	$10.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.07
Rate for Payer: Cigna Commercial	$17.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.61
Rate for Payer: Qualcare PPO/HMO/WC	$5.33

NALBUPHINE 20 MG/ML AMP

Facility

$32.32

Hospital Charge Code	606380008
Hospital Revenue Code	636
Min. Negotiated Rate	$4.85
Max. Negotiated Rate	$16.16
Rate for Payer: Aetna Commercial	$9.70
Rate for Payer: Aetna Medicare Advantage	$9.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.24
Rate for Payer: Cigna Commercial	$16.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.82
Rate for Payer: Qualcare PPO/HMO/WC	$4.85

Know your out-of-pocket cost for care.

All Charges