Heights University Hospital

All Charges

Charge

Type

Setting

Price

NARCAN NEONATAL/0.02MG/1M

Facility

$38.00

Hospital Charge Code	60633501
Hospital Revenue Code	250
Min. Negotiated Rate	$5.70
Max. Negotiated Rate	$5.70
Rate for Payer: Qualcare PPO/HMO/WC	$5.70

NARCAN NEONATAL/0.02MG/1M

Facility

$38.00

Hospital Charge Code	60633501
Hospital Revenue Code	250
Min. Negotiated Rate	$4.94
Max. Negotiated Rate	$19.00
Rate for Payer: Aetna Commercial	$11.40
Rate for Payer: Aetna Medicare Advantage	$11.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.69
Rate for Payer: Cigna Commercial	$19.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.94
Rate for Payer: Oxford Commercial	$19.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.70
Rate for Payer: UnitedHealthcare Commercial	$19.00

NARDIL/15MG/TAB

Facility

$3.00

Hospital Charge Code	60633502
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

NARDIL/15MG/TAB

Facility

$3.00

Hospital Charge Code	60633502
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

NARROW HOOK 10 MM

Facility

$4,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270687612
Hospital Revenue Code	278
Min. Negotiated Rate	$600.00
Max. Negotiated Rate	$968.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$968.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00

NARROW HOOK 10 MM

Facility

$4,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270687612
Hospital Revenue Code	278
Min. Negotiated Rate	$600.00
Max. Negotiated Rate	$2,000.00
Rate for Payer: Aetna Commercial	$1,200.00
Rate for Payer: Aetna Medicare Advantage	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,020.00
Rate for Payer: Cigna Commercial	$2,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$968.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00

NARROW HOOK 8 MM

Facility

$4,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270687613
Hospital Revenue Code	278
Min. Negotiated Rate	$600.00
Max. Negotiated Rate	$2,000.00
Rate for Payer: Aetna Commercial	$1,200.00
Rate for Payer: Aetna Medicare Advantage	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,020.00
Rate for Payer: Cigna Commercial	$2,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$968.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00

NARROW HOOK 8 MM

Facility

$4,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270687613
Hospital Revenue Code	278
Min. Negotiated Rate	$600.00
Max. Negotiated Rate	$968.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$968.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00

NASAL BONES MIN 3 VW

Facility

$5,100.00

Service Code	HCPCS 70160
Hospital Charge Code	94061007
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

NASAL BONES MIN 3 VW

Facility

$5,100.00

Service Code	HCPCS 70160
Hospital Charge Code	94061007
Hospital Revenue Code	320
Min. Negotiated Rate	$30.86
Max. Negotiated Rate	$1,530.00
Rate for Payer: Aetna Better Health Medicaid	$212.34
Rate for Payer: Aetna Commercial	$1,530.00
Rate for Payer: Aetna Medicare Advantage	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$207.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$663.00
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$1,489.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$216.59

NASALCROM 4%/13ML

Facility

$95.00

Hospital Charge Code	60633503
Hospital Revenue Code	250
Min. Negotiated Rate	$14.25
Max. Negotiated Rate	$14.25
Rate for Payer: Qualcare PPO/HMO/WC	$14.25

NASALCROM 4%/13ML

Facility

$95.00

Hospital Charge Code	60633503
Hospital Revenue Code	250
Min. Negotiated Rate	$12.35
Max. Negotiated Rate	$47.50
Rate for Payer: Aetna Commercial	$28.50
Rate for Payer: Aetna Medicare Advantage	$28.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.23
Rate for Payer: Cigna Commercial	$47.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.35
Rate for Payer: Oxford Commercial	$47.50
Rate for Payer: Qualcare PPO/HMO/WC	$14.25
Rate for Payer: UnitedHealthcare Commercial	$47.50

NASAL DORSUM DESIGN A 66MMX8MM

Facility

$975.00

Hospital Charge Code	270638534
Hospital Revenue Code	272
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$146.25
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

NASAL DORSUM DESIGN A 66MMX8MM

Facility

$975.00

Hospital Charge Code	270638534
Hospital Revenue Code	272
Min. Negotiated Rate	$126.75
Max. Negotiated Rate	$487.50
Rate for Payer: Aetna Commercial	$292.50
Rate for Payer: Aetna Medicare Advantage	$292.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.62
Rate for Payer: Cigna Commercial	$487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.75
Rate for Payer: Oxford Commercial	$487.50
Rate for Payer: Qualcare PPO/HMO/WC	$146.25
Rate for Payer: UnitedHealthcare Commercial	$487.50

NASAL DROPS/15ML

Facility

$2.00

Hospital Charge Code	60634602
Hospital Revenue Code	250
Min. Negotiated Rate	$0.30
Max. Negotiated Rate	$0.30
Rate for Payer: Qualcare PPO/HMO/WC	$0.30

NASAL DROPS/15ML

Facility

$2.00

Hospital Charge Code	60634602
Hospital Revenue Code	250
Min. Negotiated Rate	$0.26
Max. Negotiated Rate	$1.00
Rate for Payer: Aetna Commercial	$0.60
Rate for Payer: Aetna Medicare Advantage	$0.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.51
Rate for Payer: Cigna Commercial	$1.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.26
Rate for Payer: Oxford Commercial	$1.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.30
Rate for Payer: UnitedHealthcare Commercial	$1.00

NASAL ENDO ETHMODIDECT,PATAL

Facility

$31,826.31

Service Code	HCPCS 31254
Hospital Charge Code	1600000610
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$16,806.60
Rate for Payer: Aetna Commercial	$9,547.89
Rate for Payer: Aetna Medicare Advantage	$9,547.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,115.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,115.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,115.71
Rate for Payer: Cigna Commercial	$16,806.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,137.42
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,773.95
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

NASAL ENDO ETHMODIDECT,PATAL

Facility

$31,826.31

Service Code	HCPCS 31254
Hospital Charge Code	1600000610
Hospital Revenue Code	360
Min. Negotiated Rate	$4,773.95
Max. Negotiated Rate	$4,773.95
Rate for Payer: Qualcare PPO/HMO/WC	$4,773.95

NASAL ENDOSCOPY-DX

Facility

$1,644.90

Service Code	HCPCS 31231
Hospital Charge Code	1600000347
Hospital Revenue Code	360
Min. Negotiated Rate	$213.84
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$493.47
Rate for Payer: Aetna Medicare Advantage	$493.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$419.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$419.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$419.45
Rate for Payer: Cigna Commercial	$475.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.84
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$246.74
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

NASAL ENDOSCOPY-DX

Facility

$1,644.90

Service Code	HCPCS 31231
Hospital Charge Code	1600000347
Hospital Revenue Code	360
Min. Negotiated Rate	$246.74
Max. Negotiated Rate	$246.74
Rate for Payer: Qualcare PPO/HMO/WC	$246.74

NASAL ENDO W BLD CNTRL

Facility

$14,446.50

Service Code	HCPCS 31238
Hospital Charge Code	1600000319
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$4,333.95
Rate for Payer: Aetna Commercial	$4,333.95
Rate for Payer: Aetna Medicare Advantage	$4,333.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,683.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,683.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,683.86
Rate for Payer: Cigna Commercial	$4,238.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,878.05
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,166.97
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

NASAL ENDO W BLD CNTRL

Facility

$14,446.50

Service Code	HCPCS 31238
Hospital Charge Code	1600000319
Hospital Revenue Code	360
Min. Negotiated Rate	$2,166.97
Max. Negotiated Rate	$2,166.97
Rate for Payer: Qualcare PPO/HMO/WC	$2,166.97

NASAL ENDO,W BX POLYPECT/DEBD

Facility

$14,446.50

Service Code	HCPCS 31237
Hospital Charge Code	16000924
Hospital Revenue Code	360
Min. Negotiated Rate	$2,166.97
Max. Negotiated Rate	$2,166.97
Rate for Payer: Qualcare PPO/HMO/WC	$2,166.97

NASAL ENDO,W BX POLYPECT/DEBD

Facility

$14,446.50

Service Code	HCPCS 31237
Hospital Charge Code	16000924
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$4,333.95
Rate for Payer: Aetna Commercial	$4,333.95
Rate for Payer: Aetna Medicare Advantage	$4,333.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,683.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,683.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,683.86
Rate for Payer: Cigna Commercial	$4,238.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,878.05
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,166.97
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

NASAL ENDO,W CONCHA BULLA RES

Facility

$22,334.60

Service Code	HCPCS 31240
Hospital Charge Code	1600000708
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$6,700.38
Rate for Payer: Aetna Commercial	$6,700.38
Rate for Payer: Aetna Medicare Advantage	$6,700.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,695.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,695.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,695.32
Rate for Payer: Cigna Commercial	$4,238.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,903.50
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,350.19
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

Know your out-of-pocket cost for care.

All Charges