Heights University Hospital

All Charges

Charge

Type

Setting

Price

NEFAZODONE TAB 100MG

Facility

$7.70

Hospital Charge Code	6024194
Hospital Revenue Code	251
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$1.16
Rate for Payer: Qualcare PPO/HMO/WC	$1.16

NEGATIVE SUSCEPTIBILITY P

Facility

$66.25

Service Code	HCPCS 87184
Hospital Charge Code	3008749
Hospital Revenue Code	309
Min. Negotiated Rate	$3.74
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$24.24
Rate for Payer: Aetna Medicare Advantage	$7.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.41
Rate for Payer: Cigna Commercial	$7.48
Rate for Payer: Cigna Medicare Advantage	$3.74
Rate for Payer: Clover Medicare Advantage	$7.11
Rate for Payer: EmblemHealth Commercial	$22.44
Rate for Payer: Humana Medicare Advantage	$7.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.61
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.94
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$7.48
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$7.93
Rate for Payer: Wellcare Medicare Advantage	$7.48

NEGATIVE SUSCEPTIBILITY P

Facility

$66.25

Service Code	HCPCS 87184
Hospital Charge Code	3008749
Hospital Revenue Code	309
Min. Negotiated Rate	$9.94
Max. Negotiated Rate	$9.94
Rate for Payer: Qualcare PPO/HMO/WC	$9.94

NEG PRESS WND TX </=50 SQ CM

Facility

$1,471.38

Service Code	HCPCS 97607
Hospital Charge Code	1600000771
Hospital Revenue Code	360
Min. Negotiated Rate	$191.28
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$441.41
Rate for Payer: Aetna Medicare Advantage	$441.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$375.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$375.20
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	$375.20
Rate for Payer: Cigna Commercial	$968.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.28
Rate for Payer: Qualcare PPO/HMO/WC	$220.71

NEG PRESS WND TX </=50 SQ CM

Facility

$1,471.38

Service Code	HCPCS 97607
Hospital Charge Code	1600000771
Hospital Revenue Code	360
Min. Negotiated Rate	$220.71
Max. Negotiated Rate	$220.71
Rate for Payer: Qualcare PPO/HMO/WC	$220.71

NEG PRESS WOUND TX<=50CN

Facility

$826.36

Service Code	HCPCS 97605
Hospital Charge Code	1600000699
Hospital Revenue Code	360
Min. Negotiated Rate	$107.43
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$247.91
Rate for Payer: Aetna Medicare Advantage	$247.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$210.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$210.72
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	$210.72
Rate for Payer: Cigna Commercial	$477.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.43
Rate for Payer: Qualcare PPO/HMO/WC	$123.95

NEG PRESS WOUND TX<=50CN

Facility

$826.36

Service Code	HCPCS 97605
Hospital Charge Code	1600000699
Hospital Revenue Code	360
Min. Negotiated Rate	$123.95
Max. Negotiated Rate	$123.95
Rate for Payer: Qualcare PPO/HMO/WC	$123.95

NEISSERIA GONORRHOEAE

Facility

$390.00

Service Code	HCPCS 87591
Hospital Charge Code	39708053C
Hospital Revenue Code	306
Min. Negotiated Rate	$17.55
Max. Negotiated Rate	$128.57
Rate for Payer: Aetna Commercial	$113.69
Rate for Payer: Aetna Medicare Advantage	$35.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$128.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$128.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$35.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$70.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$128.57
Rate for Payer: Cigna Commercial	$35.09
Rate for Payer: Cigna Medicare Advantage	$17.55
Rate for Payer: Clover Medicare Advantage	$33.34
Rate for Payer: EmblemHealth Commercial	$105.27
Rate for Payer: Humana Medicare Advantage	$36.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$35.09
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$37.20
Rate for Payer: Wellcare Medicare Advantage	$35.09

NEISSERIA GONORRHOEAE

Facility

$390.00

Service Code	HCPCS 87591
Hospital Charge Code	39708053C
Hospital Revenue Code	306
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

NELFINAVIR 250 MG TAB

Facility

$26.13

Service Code	NDC 63010001030
Hospital Charge Code	60628664
Hospital Revenue Code	250
Min. Negotiated Rate	$3.40
Max. Negotiated Rate	$13.06
Rate for Payer: Aetna Commercial	$7.84
Rate for Payer: Aetna Medicare Advantage	$7.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.66
Rate for Payer: Cigna Commercial	$13.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.40
Rate for Payer: Oxford Commercial	$13.06
Rate for Payer: Qualcare PPO/HMO/WC	$3.92
Rate for Payer: UnitedHealthcare Commercial	$13.06

NELFINAVIR 250 MG TAB

Facility

$26.13

Service Code	NDC 63010001030
Hospital Charge Code	60628664
Hospital Revenue Code	250
Min. Negotiated Rate	$3.92
Max. Negotiated Rate	$3.92
Rate for Payer: Qualcare PPO/HMO/WC	$3.92

NEMBUTAL SODIUM/100MG

Facility

$3.00

Hospital Charge Code	60633515
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

NEMBUTAL SODIUM/100MG

Facility

$3.00

Hospital Charge Code	60633515
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

NEO-CALGLUCON/1.8GM/5ML

Facility

$83.00

Hospital Charge Code	60633516
Hospital Revenue Code	250
Min. Negotiated Rate	$10.79
Max. Negotiated Rate	$41.50
Rate for Payer: Aetna Commercial	$24.90
Rate for Payer: Aetna Medicare Advantage	$24.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.16
Rate for Payer: Cigna Commercial	$41.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.79
Rate for Payer: Oxford Commercial	$41.50
Rate for Payer: Qualcare PPO/HMO/WC	$12.45
Rate for Payer: UnitedHealthcare Commercial	$41.50

NEO-CALGLUCON/1.8GM/5ML

Facility

$83.00

Hospital Charge Code	60633516
Hospital Revenue Code	250
Min. Negotiated Rate	$12.45
Max. Negotiated Rate	$12.45
Rate for Payer: Qualcare PPO/HMO/WC	$12.45

NEODECADRON 0.35%-0.1% OP

Facility

$58.00

Hospital Charge Code	60633523
Hospital Revenue Code	250
Min. Negotiated Rate	$8.70
Max. Negotiated Rate	$8.70
Rate for Payer: Qualcare PPO/HMO/WC	$8.70

NEODECADRON 0.35%-0.1% OP

Facility

$58.00

Hospital Charge Code	60633523
Hospital Revenue Code	250
Min. Negotiated Rate	$7.54
Max. Negotiated Rate	$29.00
Rate for Payer: Aetna Commercial	$17.40
Rate for Payer: Aetna Medicare Advantage	$17.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.79
Rate for Payer: Cigna Commercial	$29.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.54
Rate for Payer: Oxford Commercial	$29.00
Rate for Payer: Qualcare PPO/HMO/WC	$8.70
Rate for Payer: UnitedHealthcare Commercial	$29.00

NEODECADRON 0.35%-.05%/3.

Facility

$38.00

Hospital Charge Code	60633522
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

NEODECADRON 0.35%-.05%/3.

Facility

$38.00

Hospital Charge Code	60633522
Hospital Revenue Code	250
Min. Negotiated Rate	$5.70
Max. Negotiated Rate	$5.70
Rate for Payer: Qualcare PPO/HMO/WC	$5.70

NEOGUARD 15.2x244 COVER 610941

Facility

$146.25

Hospital Charge Code	270641249
Hospital Revenue Code	272
Min. Negotiated Rate	$19.01
Max. Negotiated Rate	$73.12
Rate for Payer: Aetna Commercial	$43.88
Rate for Payer: Aetna Medicare Advantage	$43.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.29
Rate for Payer: Cigna Commercial	$73.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.01
Rate for Payer: Oxford Commercial	$73.12
Rate for Payer: Qualcare PPO/HMO/WC	$21.94
Rate for Payer: UnitedHealthcare Commercial	$73.12

NEOGUARD 15.2x244 COVER 610941

Facility

$146.25

Hospital Charge Code	270641249
Hospital Revenue Code	272
Min. Negotiated Rate	$21.94
Max. Negotiated Rate	$21.94
Rate for Payer: Qualcare PPO/HMO/WC	$21.94

NEOGUARD TRANSDUCER COVER

Facility

$29.17

Hospital Charge Code	270667952
Hospital Revenue Code	270
Min. Negotiated Rate	$4.38
Max. Negotiated Rate	$4.38
Rate for Payer: Qualcare PPO/HMO/WC	$4.38

NEOGUARD TRANSDUCER COVER

Facility

$29.17

Hospital Charge Code	270667952
Hospital Revenue Code	270
Min. Negotiated Rate	$3.79
Max. Negotiated Rate	$14.59
Rate for Payer: Aetna Commercial	$8.75
Rate for Payer: Aetna Medicare Advantage	$8.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.44
Rate for Payer: Cigna Commercial	$14.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.79
Rate for Payer: Oxford Commercial	$14.59
Rate for Payer: Qualcare PPO/HMO/WC	$4.38
Rate for Payer: UnitedHealthcare Commercial	$14.59

NEOMYCIN 500 MG TAB

Facility

$9.98

Service Code	NDC 93117701
Hospital Charge Code	60627242
Hospital Revenue Code	251
Min. Negotiated Rate	$1.50
Max. Negotiated Rate	$1.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.50

NEOMYCIN 500 MG TAB

Facility

$9.98

Service Code	NDC 93117701
Hospital Charge Code	60627242
Hospital Revenue Code	251
Min. Negotiated Rate	$1.30
Max. Negotiated Rate	$4.99
Rate for Payer: Aetna Commercial	$2.99
Rate for Payer: Aetna Medicare Advantage	$2.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.54
Rate for Payer: Cigna Commercial	$4.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.30
Rate for Payer: Oxford Commercial	$4.99
Rate for Payer: Qualcare PPO/HMO/WC	$1.50
Rate for Payer: UnitedHealthcare Commercial	$4.99

Know your out-of-pocket cost for care.

All Charges