Heights University Hospital

All Charges

Charge

Type

Setting

Price

NAVANE/2MG/CAP

Facility

$3.00

Hospital Charge Code	60633507
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

NAVANE/2MG/CAP

Facility

$3.00

Hospital Charge Code	60633507
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

NAVANE/5MG

Facility

$13.00

Hospital Charge Code	60633510
Hospital Revenue Code	250
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$6.50
Rate for Payer: Aetna Commercial	$3.90
Rate for Payer: Aetna Medicare Advantage	$3.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.31
Rate for Payer: Cigna Commercial	$6.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.69
Rate for Payer: Oxford Commercial	$6.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.95
Rate for Payer: UnitedHealthcare Commercial	$6.50

NAVANE/5MG

Facility

$13.00

Hospital Charge Code	60633510
Hospital Revenue Code	250
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$1.95
Rate for Payer: Qualcare PPO/HMO/WC	$1.95

NAVANE/5MG/1ML

Facility

$127.00

Hospital Charge Code	60633505
Hospital Revenue Code	250
Min. Negotiated Rate	$16.51
Max. Negotiated Rate	$63.50
Rate for Payer: Aetna Commercial	$38.10
Rate for Payer: Aetna Medicare Advantage	$38.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.38
Rate for Payer: Cigna Commercial	$63.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.51
Rate for Payer: Oxford Commercial	$63.50
Rate for Payer: Qualcare PPO/HMO/WC	$19.05
Rate for Payer: UnitedHealthcare Commercial	$63.50

NAVANE/5MG/1ML

Facility

$127.00

Hospital Charge Code	60633505
Hospital Revenue Code	250
Min. Negotiated Rate	$19.05
Max. Negotiated Rate	$19.05
Rate for Payer: Qualcare PPO/HMO/WC	$19.05

NAVANE/5MG/CAP

Facility

$5.00

Hospital Charge Code	60633506
Hospital Revenue Code	250
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

NAVANE/5MG/CAP

Facility

$5.00

Hospital Charge Code	60633506
Hospital Revenue Code	250
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$2.50
Rate for Payer: Aetna Commercial	$1.50
Rate for Payer: Aetna Medicare Advantage	$1.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.27
Rate for Payer: Cigna Commercial	$2.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.65
Rate for Payer: Oxford Commercial	$2.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.75
Rate for Payer: UnitedHealthcare Commercial	$2.50

NAVELBINE 10MG

Facility

$1,483.00

Hospital Charge Code	60635009
Hospital Revenue Code	636
Min. Negotiated Rate	$222.45
Max. Negotiated Rate	$741.50
Rate for Payer: Aetna Commercial	$444.90
Rate for Payer: Aetna Medicare Advantage	$444.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$378.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$378.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$378.17
Rate for Payer: Cigna Commercial	$741.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$358.89
Rate for Payer: Qualcare PPO/HMO/WC	$222.45

NAVELBINE 10MG

Facility

$1,483.00

Hospital Charge Code	60635009
Hospital Revenue Code	636
Min. Negotiated Rate	$222.45
Max. Negotiated Rate	$358.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$358.89
Rate for Payer: Qualcare PPO/HMO/WC	$222.45

NAVIFLEX RX DELIVERY SYS 10FR

Facility

$404.90

Hospital Charge Code	270675437
Hospital Revenue Code	272
Min. Negotiated Rate	$60.73
Max. Negotiated Rate	$60.73
Rate for Payer: Qualcare PPO/HMO/WC	$60.73

NAVIFLEX RX DELIVERY SYS 10FR

Facility

$404.90

Hospital Charge Code	270675437
Hospital Revenue Code	272
Min. Negotiated Rate	$52.64
Max. Negotiated Rate	$202.45
Rate for Payer: Aetna Commercial	$121.47
Rate for Payer: Aetna Medicare Advantage	$121.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$103.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$103.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$103.25
Rate for Payer: Cigna Commercial	$202.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.64
Rate for Payer: Oxford Commercial	$202.45
Rate for Payer: Qualcare PPO/HMO/WC	$60.73
Rate for Payer: UnitedHealthcare Commercial	$202.45

NAVI FLEX RX DELIVERY SYST10FR

Facility

$405.90

Hospital Charge Code	270659233
Hospital Revenue Code	272
Min. Negotiated Rate	$52.77
Max. Negotiated Rate	$202.95
Rate for Payer: Aetna Commercial	$121.77
Rate for Payer: Aetna Medicare Advantage	$121.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$103.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$103.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$103.50
Rate for Payer: Cigna Commercial	$202.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.77
Rate for Payer: Oxford Commercial	$202.95
Rate for Payer: Qualcare PPO/HMO/WC	$60.88
Rate for Payer: UnitedHealthcare Commercial	$202.95

NAVI FLEX RX DELIVERY SYST10FR

Facility

$405.90

Hospital Charge Code	270659233
Hospital Revenue Code	272
Min. Negotiated Rate	$60.88
Max. Negotiated Rate	$60.88
Rate for Payer: Qualcare PPO/HMO/WC	$60.88

NAVIFLEX RX DELIVERY SYSTEM

Facility

$405.90

Hospital Charge Code	270675172
Hospital Revenue Code	272
Min. Negotiated Rate	$52.77
Max. Negotiated Rate	$202.95
Rate for Payer: Aetna Commercial	$121.77
Rate for Payer: Aetna Medicare Advantage	$121.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$103.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$103.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$103.50
Rate for Payer: Cigna Commercial	$202.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.77
Rate for Payer: Oxford Commercial	$202.95
Rate for Payer: Qualcare PPO/HMO/WC	$60.88
Rate for Payer: UnitedHealthcare Commercial	$202.95

NAVIFLEX RX DELIVERY SYSTEM

Facility

$405.90

Hospital Charge Code	270675172
Hospital Revenue Code	272
Min. Negotiated Rate	$60.88
Max. Negotiated Rate	$60.88
Rate for Payer: Qualcare PPO/HMO/WC	$60.88

NAVIFLEX RX DELIVERY SYSTM 7FR

Facility

$405.90

Hospital Charge Code	270659227
Hospital Revenue Code	272
Min. Negotiated Rate	$60.88
Max. Negotiated Rate	$60.88
Rate for Payer: Qualcare PPO/HMO/WC	$60.88

NAVIFLEX RX DELIVERY SYSTM 7FR

Facility

$405.90

Hospital Charge Code	270659227
Hospital Revenue Code	272
Min. Negotiated Rate	$52.77
Max. Negotiated Rate	$202.95
Rate for Payer: Aetna Commercial	$121.77
Rate for Payer: Aetna Medicare Advantage	$121.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$103.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$103.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$103.50
Rate for Payer: Cigna Commercial	$202.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.77
Rate for Payer: Oxford Commercial	$202.95
Rate for Payer: Qualcare PPO/HMO/WC	$60.88
Rate for Payer: UnitedHealthcare Commercial	$202.95

NAVIGATION LANTERN ASSIST DEV

Facility

$6,000.00

Hospital Charge Code	270694804
Hospital Revenue Code	271
Min. Negotiated Rate	$780.00
Max. Negotiated Rate	$3,000.00
Rate for Payer: Aetna Commercial	$1,800.00
Rate for Payer: Aetna Medicare Advantage	$1,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,530.00
Rate for Payer: Cigna Commercial	$3,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$780.00
Rate for Payer: Oxford Commercial	$3,000.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00
Rate for Payer: UnitedHealthcare Commercial	$3,000.00

NAVIGATION LANTERN ASSIST DEV

Facility

$6,000.00

Hospital Charge Code	270694804
Hospital Revenue Code	271
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$900.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

NAVIGATOR CANNULA LEFT MID

Facility

$1,075.00

Hospital Charge Code	270691762
Hospital Revenue Code	272
Min. Negotiated Rate	$139.75
Max. Negotiated Rate	$537.50
Rate for Payer: Aetna Commercial	$322.50
Rate for Payer: Aetna Medicare Advantage	$322.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$274.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$274.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$274.12
Rate for Payer: Cigna Commercial	$537.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.75
Rate for Payer: Oxford Commercial	$537.50
Rate for Payer: Qualcare PPO/HMO/WC	$161.25
Rate for Payer: UnitedHealthcare Commercial	$537.50

NAVIGATOR CANNULA LEFT MID

Facility

$1,075.00

Hospital Charge Code	270691762
Hospital Revenue Code	272
Min. Negotiated Rate	$161.25
Max. Negotiated Rate	$161.25
Rate for Payer: Qualcare PPO/HMO/WC	$161.25

NAVIGATOR POST RIGHT

Facility

$1,075.00

Hospital Charge Code	270691763
Hospital Revenue Code	272
Min. Negotiated Rate	$139.75
Max. Negotiated Rate	$537.50
Rate for Payer: Aetna Commercial	$322.50
Rate for Payer: Aetna Medicare Advantage	$322.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$274.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$274.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$274.12
Rate for Payer: Cigna Commercial	$537.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.75
Rate for Payer: Oxford Commercial	$537.50
Rate for Payer: Qualcare PPO/HMO/WC	$161.25
Rate for Payer: UnitedHealthcare Commercial	$537.50

NAVIGATOR POST RIGHT

Facility

$1,075.00

Hospital Charge Code	270691763
Hospital Revenue Code	272
Min. Negotiated Rate	$161.25
Max. Negotiated Rate	$161.25
Rate for Payer: Qualcare PPO/HMO/WC	$161.25

NAV-X BLADE

Facility

$3,540.00

Hospital Charge Code	270679505
Hospital Revenue Code	272
Min. Negotiated Rate	$460.20
Max. Negotiated Rate	$1,770.00
Rate for Payer: Aetna Commercial	$1,062.00
Rate for Payer: Aetna Medicare Advantage	$1,062.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$902.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$902.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$902.70
Rate for Payer: Cigna Commercial	$1,770.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$460.20
Rate for Payer: Oxford Commercial	$1,770.00
Rate for Payer: Qualcare PPO/HMO/WC	$531.00
Rate for Payer: UnitedHealthcare Commercial	$1,770.00

Know your out-of-pocket cost for care.

All Charges