Heights University Hospital

All Charges

Charge

Type

Setting

Price

NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE

Facility

$2,150.10

Service Code	APR-DRG 5812
Min. Negotiated Rate	$1,463.27
Max. Negotiated Rate	$2,150.10
Rate for Payer: Aetna Better Health Medicaid	$2,107.94
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$2,150.10
Rate for Payer: Wellpoint Medicaid Managed Care	$1,463.27

NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE

Facility

$8,267.59

Service Code	APR-DRG 5803
Min. Negotiated Rate	$4,814.39
Max. Negotiated Rate	$8,267.59
Rate for Payer: Aetna Better Health Medicaid	$8,105.48
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,267.59
Rate for Payer: Wellpoint Medicaid Managed Care	$4,814.39

NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE

Facility

$14,476.37

Service Code	APR-DRG 5804
Min. Negotiated Rate	$9,089.49
Max. Negotiated Rate	$14,476.37
Rate for Payer: Aetna Better Health Medicaid	$14,192.52
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$14,476.37
Rate for Payer: Wellpoint Medicaid Managed Care	$9,089.49

NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE

Facility

$5,665.28

Service Code	APR-DRG 5802
Min. Negotiated Rate	$2,975.24
Max. Negotiated Rate	$5,665.28
Rate for Payer: Aetna Better Health Medicaid	$5,554.20
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,665.28
Rate for Payer: Wellpoint Medicaid Managed Care	$2,975.24

NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE

Facility

$4,092.37

Service Code	APR-DRG 5801
Min. Negotiated Rate	$2,311.33
Max. Negotiated Rate	$4,092.37
Rate for Payer: Aetna Better Health Medicaid	$4,012.13
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$4,092.37
Rate for Payer: Wellpoint Medicaid Managed Care	$2,311.33

NEONATE WITH ECMO

Facility

$424,538.79

Service Code	APR-DRG 5833
Min. Negotiated Rate	$166,535.45
Max. Negotiated Rate	$424,538.79
Rate for Payer: Aetna Better Health Medicaid	$416,214.50
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$424,538.79
Rate for Payer: Wellpoint Medicaid Managed Care	$166,535.45

NEONATE WITH ECMO

Facility

$487,487.43

Service Code	APR-DRG 5834
Min. Negotiated Rate	$249,025.96
Max. Negotiated Rate	$487,487.43
Rate for Payer: Aetna Better Health Medicaid	$477,928.85
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$487,487.43
Rate for Payer: Wellpoint Medicaid Managed Care	$249,025.96

NEONATE WITH ECMO

Facility

$215,741.04

Service Code	APR-DRG 5831
Min. Negotiated Rate	$79,945.65
Max. Negotiated Rate	$215,741.04
Rate for Payer: Aetna Better Health Medicaid	$211,510.82
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$215,741.04
Rate for Payer: Wellpoint Medicaid Managed Care	$79,945.65

NEONATE WITH ECMO

Facility

$266,408.32

Service Code	APR-DRG 5832
Min. Negotiated Rate	$88,828.54
Max. Negotiated Rate	$266,408.32
Rate for Payer: Aetna Better Health Medicaid	$261,184.63
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$266,408.32
Rate for Payer: Wellpoint Medicaid Managed Care	$88,828.54

NEONATE WITH OTHER SIGNIFICANT PROBLEMS

Facility

$54,661.32

Service Code	MSDRG 794
Min. Negotiated Rate	$3,028.00
Max. Negotiated Rate	$54,661.32
Rate for Payer: Aetna Commercial	$49,767.17
Rate for Payer: Aetna Medicare Advantage	$16,105.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41,074.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41,074.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18,220.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41,074.83
Rate for Payer: Cigna Commercial	$31,762.84
Rate for Payer: Cigna Medicare Advantage	$18,220.44
Rate for Payer: Clover Medicare Advantage	$17,309.42
Rate for Payer: EmblemHealth Commercial	$54,661.32
Rate for Payer: Humana Medicare Advantage	$18,767.05
Rate for Payer: Oxford Commercial	$3,028.00
Rate for Payer: UnitedHealthcare Commercial	$3,437.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$18,220.44
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19,313.67
Rate for Payer: Wellcare Medicare Advantage	$18,220.44

NEO/POLY/BACI OINT

Facility

$28.48

Service Code	NDC 45802014301
Hospital Charge Code	6063943347
Hospital Revenue Code	250
Min. Negotiated Rate	$4.27
Max. Negotiated Rate	$4.27
Rate for Payer: Qualcare PPO/HMO/WC	$4.27

NEO/POLY/BACI OINT

Facility

$28.48

Service Code	NDC 45802014301
Hospital Charge Code	6063943347
Hospital Revenue Code	250
Min. Negotiated Rate	$3.70
Max. Negotiated Rate	$14.24
Rate for Payer: Aetna Commercial	$8.54
Rate for Payer: Aetna Medicare Advantage	$8.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.26
Rate for Payer: Cigna Commercial	$14.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.70
Rate for Payer: Oxford Commercial	$14.24
Rate for Payer: Qualcare PPO/HMO/WC	$4.27
Rate for Payer: UnitedHealthcare Commercial	$14.24

NEORAL ORAL LIQ 50ML

Facility

$1,657.00

Hospital Charge Code	60635069
Hospital Revenue Code	636
Min. Negotiated Rate	$248.55
Max. Negotiated Rate	$400.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$400.99
Rate for Payer: Qualcare PPO/HMO/WC	$248.55

NEORAL ORAL LIQ 50ML

Facility

$1,657.00

Hospital Charge Code	60635069
Hospital Revenue Code	636
Min. Negotiated Rate	$248.55
Max. Negotiated Rate	$828.50
Rate for Payer: Aetna Commercial	$497.10
Rate for Payer: Aetna Medicare Advantage	$497.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$422.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$422.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$422.54
Rate for Payer: Cigna Commercial	$828.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$400.99
Rate for Payer: Qualcare PPO/HMO/WC	$248.55

NEOSPORIN G.U. IRRIGANT

Facility

$860.95

Service Code	NDC 61570004710
Hospital Charge Code	60633525
Hospital Revenue Code	250
Min. Negotiated Rate	$111.92
Max. Negotiated Rate	$430.48
Rate for Payer: Aetna Commercial	$258.29
Rate for Payer: Aetna Medicare Advantage	$258.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$219.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$219.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$219.54
Rate for Payer: Cigna Commercial	$430.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.92
Rate for Payer: Oxford Commercial	$430.48
Rate for Payer: Qualcare PPO/HMO/WC	$129.14
Rate for Payer: UnitedHealthcare Commercial	$430.48

NEOSPORIN G.U. IRRIGANT

Facility

$860.95

Service Code	NDC 61570004710
Hospital Charge Code	60633525
Hospital Revenue Code	250
Min. Negotiated Rate	$129.14
Max. Negotiated Rate	$129.14
Rate for Payer: Qualcare PPO/HMO/WC	$129.14

NEOSPORIN OPHTH SOLN/10ML

Facility

$80.00

Hospital Charge Code	60634570
Hospital Revenue Code	250
Min. Negotiated Rate	$10.40
Max. Negotiated Rate	$40.00
Rate for Payer: Aetna Commercial	$24.00
Rate for Payer: Aetna Medicare Advantage	$24.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.40
Rate for Payer: Cigna Commercial	$40.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.40
Rate for Payer: Oxford Commercial	$40.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.00
Rate for Payer: UnitedHealthcare Commercial	$40.00

NEOSPORIN OPHTH SOLN/10ML

Facility

$80.00

Hospital Charge Code	60634570
Hospital Revenue Code	250
Min. Negotiated Rate	$12.00
Max. Negotiated Rate	$12.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.00

NEOSPORIN OPTH OINT/1/8OZ

Facility

$71.00

Hospital Charge Code	60634598
Hospital Revenue Code	250
Min. Negotiated Rate	$10.65
Max. Negotiated Rate	$10.65
Rate for Payer: Qualcare PPO/HMO/WC	$10.65

NEOSPORIN OPTH OINT/1/8OZ

Facility

$71.00

Hospital Charge Code	60634598
Hospital Revenue Code	250
Min. Negotiated Rate	$9.23
Max. Negotiated Rate	$35.50
Rate for Payer: Aetna Commercial	$21.30
Rate for Payer: Aetna Medicare Advantage	$21.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.11
Rate for Payer: Cigna Commercial	$35.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.23
Rate for Payer: Oxford Commercial	$35.50
Rate for Payer: Qualcare PPO/HMO/WC	$10.65
Rate for Payer: UnitedHealthcare Commercial	$35.50

NEOSTGM METHYL INJ 1MG/ML 10ML

Facility

$95.40

Hospital Charge Code	6003933
Hospital Revenue Code	250
Min. Negotiated Rate	$14.31
Max. Negotiated Rate	$14.31
Rate for Payer: Qualcare PPO/HMO/WC	$14.31

NEOSTGM METHYL INJ 1MG/ML 10ML

Facility

$95.40

Hospital Charge Code	6003933
Hospital Revenue Code	250
Min. Negotiated Rate	$12.40
Max. Negotiated Rate	$47.70
Rate for Payer: Aetna Commercial	$28.62
Rate for Payer: Aetna Medicare Advantage	$28.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.33
Rate for Payer: Cigna Commercial	$47.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.40
Rate for Payer: Oxford Commercial	$47.70
Rate for Payer: Qualcare PPO/HMO/WC	$14.31
Rate for Payer: UnitedHealthcare Commercial	$47.70

NEOSTIGMINE

Facility

$47.35

Hospital Charge Code	270656760
Hospital Revenue Code	270
Min. Negotiated Rate	$7.10
Max. Negotiated Rate	$7.10
Rate for Payer: Qualcare PPO/HMO/WC	$7.10

NEOSTIGMINE

Facility

$47.35

Hospital Charge Code	270656760
Hospital Revenue Code	270
Min. Negotiated Rate	$6.16
Max. Negotiated Rate	$23.68
Rate for Payer: Aetna Commercial	$14.21
Rate for Payer: Aetna Medicare Advantage	$14.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.07
Rate for Payer: Cigna Commercial	$23.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.16
Rate for Payer: Oxford Commercial	$23.68
Rate for Payer: Qualcare PPO/HMO/WC	$7.10
Rate for Payer: UnitedHealthcare Commercial	$23.68

NEOSTIGMINE 1 1000 (1MG ML) IV

Facility

$114.24

Service Code	HCPCS J2710
Hospital Charge Code	60630060
Hospital Revenue Code	636
Min. Negotiated Rate	$17.14
Max. Negotiated Rate	$57.12
Rate for Payer: Aetna Commercial	$34.27
Rate for Payer: Aetna Medicare Advantage	$34.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.13
Rate for Payer: Cigna Commercial	$57.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.65
Rate for Payer: Qualcare PPO/HMO/WC	$17.14

Know your out-of-pocket cost for care.

All Charges