Heights University Hospital

All Charges

Charge

Type

Setting

Price

NAPROSYN/500MG/TAB

Facility

$6.00

Hospital Charge Code	60633495
Hospital Revenue Code	250
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$0.90
Rate for Payer: Qualcare PPO/HMO/WC	$0.90

NAPROSYN SUSP/16OZ

Facility

$190.00

Hospital Charge Code	60634611
Hospital Revenue Code	250
Min. Negotiated Rate	$28.50
Max. Negotiated Rate	$28.50
Rate for Payer: Qualcare PPO/HMO/WC	$28.50

NAPROSYN SUSP/16OZ

Facility

$190.00

Hospital Charge Code	60634611
Hospital Revenue Code	250
Min. Negotiated Rate	$24.70
Max. Negotiated Rate	$95.00
Rate for Payer: Aetna Commercial	$57.00
Rate for Payer: Aetna Medicare Advantage	$57.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.45
Rate for Payer: Cigna Commercial	$95.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.70
Rate for Payer: Oxford Commercial	$95.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.50
Rate for Payer: UnitedHealthcare Commercial	$95.00

NAPROXEN 250 MG TAB

Facility

$5.23

Service Code	NDC 31722034001
Hospital Charge Code	60627691
Hospital Revenue Code	250
Min. Negotiated Rate	$0.78
Max. Negotiated Rate	$0.78
Rate for Payer: Qualcare PPO/HMO/WC	$0.78

NAPROXEN 250 MG TAB

Facility

$5.23

Service Code	NDC 31722034001
Hospital Charge Code	60627691
Hospital Revenue Code	250
Min. Negotiated Rate	$0.68
Max. Negotiated Rate	$2.62
Rate for Payer: Aetna Commercial	$1.57
Rate for Payer: Aetna Medicare Advantage	$1.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.33
Rate for Payer: Cigna Commercial	$2.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.68
Rate for Payer: Oxford Commercial	$2.62
Rate for Payer: Qualcare PPO/HMO/WC	$0.78
Rate for Payer: UnitedHealthcare Commercial	$2.62

NAPROXEN 375 MG TAB

Facility

$7.10

Service Code	NDC 31722034101
Hospital Charge Code	60627693
Hospital Revenue Code	250
Min. Negotiated Rate	$0.92
Max. Negotiated Rate	$3.55
Rate for Payer: Aetna Commercial	$2.13
Rate for Payer: Aetna Medicare Advantage	$2.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.81
Rate for Payer: Cigna Commercial	$3.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.92
Rate for Payer: Oxford Commercial	$3.55
Rate for Payer: Qualcare PPO/HMO/WC	$1.06
Rate for Payer: UnitedHealthcare Commercial	$3.55

NAPROXEN 375 MG TAB

Facility

$7.10

Service Code	NDC 31722034101
Hospital Charge Code	60627693
Hospital Revenue Code	250
Min. Negotiated Rate	$1.06
Max. Negotiated Rate	$1.06
Rate for Payer: Qualcare PPO/HMO/WC	$1.06

NAPROXEN 500MG TAB

Facility

$8.98

Service Code	NDC 68084012701
Hospital Charge Code	6063943144
Hospital Revenue Code	250
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$1.35
Rate for Payer: Qualcare PPO/HMO/WC	$1.35

NAPROXEN 500MG TAB

Facility

$8.98

Service Code	NDC 68084012701
Hospital Charge Code	6063943144
Hospital Revenue Code	250
Min. Negotiated Rate	$1.17
Max. Negotiated Rate	$4.49
Rate for Payer: Aetna Commercial	$2.69
Rate for Payer: Aetna Medicare Advantage	$2.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.29
Rate for Payer: Cigna Commercial	$4.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.17
Rate for Payer: Oxford Commercial	$4.49
Rate for Payer: Qualcare PPO/HMO/WC	$1.35
Rate for Payer: UnitedHealthcare Commercial	$4.49

NAPROXEN ORAL SUSP

Facility

$356.85

Hospital Charge Code	60627692
Hospital Revenue Code	250
Min. Negotiated Rate	$53.53
Max. Negotiated Rate	$53.53
Rate for Payer: Qualcare PPO/HMO/WC	$53.53

NAPROXEN ORAL SUSP

Facility

$356.85

Hospital Charge Code	60627692
Hospital Revenue Code	250
Min. Negotiated Rate	$46.39
Max. Negotiated Rate	$178.43
Rate for Payer: Aetna Commercial	$107.06
Rate for Payer: Aetna Medicare Advantage	$107.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.00
Rate for Payer: Cigna Commercial	$178.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.39
Rate for Payer: Oxford Commercial	$178.43
Rate for Payer: Qualcare PPO/HMO/WC	$53.53
Rate for Payer: UnitedHealthcare Commercial	$178.43

NAPROXEN TAB 250MG

Facility

$1.95

Hospital Charge Code	6024244
Hospital Revenue Code	250
Min. Negotiated Rate	$0.29
Max. Negotiated Rate	$0.29
Rate for Payer: Qualcare PPO/HMO/WC	$0.29

NAPROXEN TAB 250MG

Facility

$1.95

Hospital Charge Code	6024244
Hospital Revenue Code	250
Min. Negotiated Rate	$0.25
Max. Negotiated Rate	$0.98
Rate for Payer: Aetna Commercial	$0.59
Rate for Payer: Aetna Medicare Advantage	$0.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.50
Rate for Payer: Cigna Commercial	$0.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.25
Rate for Payer: Oxford Commercial	$0.98
Rate for Payer: Qualcare PPO/HMO/WC	$0.29
Rate for Payer: UnitedHealthcare Commercial	$0.98

NAPROXEN TAB 375MG

Facility

$1.95

Hospital Charge Code	6024236
Hospital Revenue Code	250
Min. Negotiated Rate	$0.29
Max. Negotiated Rate	$0.29
Rate for Payer: Qualcare PPO/HMO/WC	$0.29

NAPROXEN TAB 375MG

Facility

$1.95

Hospital Charge Code	6024236
Hospital Revenue Code	250
Min. Negotiated Rate	$0.25
Max. Negotiated Rate	$0.98
Rate for Payer: Aetna Commercial	$0.59
Rate for Payer: Aetna Medicare Advantage	$0.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.50
Rate for Payer: Cigna Commercial	$0.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.25
Rate for Payer: Oxford Commercial	$0.98
Rate for Payer: Qualcare PPO/HMO/WC	$0.29
Rate for Payer: UnitedHealthcare Commercial	$0.98

NAPROXEN TAB 500MG

Facility

$10.25

Hospital Charge Code	60627694
Hospital Revenue Code	250
Min. Negotiated Rate	$1.54
Max. Negotiated Rate	$1.54
Rate for Payer: Qualcare PPO/HMO/WC	$1.54

NAPROXEN TAB 500MG

Facility

$10.25

Hospital Charge Code	60627694
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

NAPSIN-A-IHC

Facility

$2,164.00

Service Code	HCPCS 88342
Hospital Charge Code	4016883425
Hospital Revenue Code	310
Min. Negotiated Rate	$62.80
Max. Negotiated Rate	$649.20
Rate for Payer: Aetna Commercial	$649.20
Rate for Payer: Aetna Medicare Advantage	$649.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$551.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$551.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$551.82
Rate for Payer: Cigna Commercial	$405.73
Rate for Payer: Cigna Medicare Advantage	$62.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$281.32
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$324.60
Rate for Payer: UnitedHealthcare Commercial	$114.00

NAPSIN-A-IHC

Facility

$2,164.00

Service Code	HCPCS 88342
Hospital Charge Code	4016883425
Hospital Revenue Code	310
Min. Negotiated Rate	$324.60
Max. Negotiated Rate	$324.60
Rate for Payer: Qualcare PPO/HMO/WC	$324.60

NARCAN/0.4MG/1ML

Facility

$42.00

Hospital Charge Code	60633498
Hospital Revenue Code	250
Min. Negotiated Rate	$6.30
Max. Negotiated Rate	$6.30
Rate for Payer: Qualcare PPO/HMO/WC	$6.30

NARCAN/0.4MG/1ML

Facility

$42.00

Hospital Charge Code	60633498
Hospital Revenue Code	250
Min. Negotiated Rate	$5.46
Max. Negotiated Rate	$21.00
Rate for Payer: Aetna Commercial	$12.60
Rate for Payer: Aetna Medicare Advantage	$12.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.71
Rate for Payer: Cigna Commercial	$21.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.46
Rate for Payer: Oxford Commercial	$21.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.30
Rate for Payer: UnitedHealthcare Commercial	$21.00

NARCAN/1MG/1ML

Facility

$485.00

Hospital Charge Code	60633499
Hospital Revenue Code	250
Min. Negotiated Rate	$63.05
Max. Negotiated Rate	$242.50
Rate for Payer: Aetna Commercial	$145.50
Rate for Payer: Aetna Medicare Advantage	$145.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$123.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$123.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$123.67
Rate for Payer: Cigna Commercial	$242.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.05
Rate for Payer: Oxford Commercial	$242.50
Rate for Payer: Qualcare PPO/HMO/WC	$72.75
Rate for Payer: UnitedHealthcare Commercial	$242.50

NARCAN/1MG/1ML

Facility

$485.00

Hospital Charge Code	60633499
Hospital Revenue Code	250
Min. Negotiated Rate	$72.75
Max. Negotiated Rate	$72.75
Rate for Payer: Qualcare PPO/HMO/WC	$72.75

NARCAN MULTIPLE DOSE/0.4M

Facility

$212.00

Hospital Charge Code	60633500
Hospital Revenue Code	250
Min. Negotiated Rate	$31.80
Max. Negotiated Rate	$31.80
Rate for Payer: Qualcare PPO/HMO/WC	$31.80

NARCAN MULTIPLE DOSE/0.4M

Facility

$212.00

Hospital Charge Code	60633500
Hospital Revenue Code	250
Min. Negotiated Rate	$27.56
Max. Negotiated Rate	$106.00
Rate for Payer: Aetna Commercial	$63.60
Rate for Payer: Aetna Medicare Advantage	$63.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.06
Rate for Payer: Cigna Commercial	$106.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.56
Rate for Payer: Oxford Commercial	$106.00
Rate for Payer: Qualcare PPO/HMO/WC	$31.80
Rate for Payer: UnitedHealthcare Commercial	$106.00

Know your out-of-pocket cost for care.

All Charges