Heights University Hospital

All Charges

Charge

Type

Setting

Price

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

NEOSTIGMINE 1MG/ML (5ML) SYR

Facility

$341.70

Service Code	HCPCS J2710
Hospital Charge Code	6063943336
Hospital Revenue Code	636
Min. Negotiated Rate	$51.26
Max. Negotiated Rate	$82.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.69
Rate for Payer: Qualcare PPO/HMO/WC	$51.26

NEOSTIGMINE 1MG/ML (5ML) SYR

Facility

$341.70

Service Code	HCPCS J2710
Hospital Charge Code	6063943336
Hospital Revenue Code	636
Min. Negotiated Rate	$51.26
Max. Negotiated Rate	$170.85
Rate for Payer: Aetna Commercial	$102.51
Rate for Payer: Aetna Medicare Advantage	$102.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$87.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$87.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$87.13
Rate for Payer: Cigna Commercial	$170.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.69
Rate for Payer: Qualcare PPO/HMO/WC	$51.26

NEOSTIGMINE 2MG/2ML SYRINGE

Facility

$152.43

Service Code	HCPCS J2710
Hospital Charge Code	606380027
Hospital Revenue Code	636
Min. Negotiated Rate	$22.86
Max. Negotiated Rate	$76.22
Rate for Payer: Aetna Commercial	$45.73
Rate for Payer: Aetna Medicare Advantage	$45.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.87
Rate for Payer: Cigna Commercial	$76.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.89
Rate for Payer: Qualcare PPO/HMO/WC	$22.86

NEOSTIGMINE 2MG/2ML SYRINGE

Facility

$152.43

Service Code	HCPCS J2710
Hospital Charge Code	606380027
Hospital Revenue Code	636
Min. Negotiated Rate	$22.86
Max. Negotiated Rate	$36.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.89
Rate for Payer: Qualcare PPO/HMO/WC	$22.86

NEOSTIGMINE 3MG/3ML SYRINGE

Facility

$221.10

Service Code	HCPCS J2710
Hospital Charge Code	6063943361
Hospital Revenue Code	636
Min. Negotiated Rate	$33.16
Max. Negotiated Rate	$53.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.51
Rate for Payer: Qualcare PPO/HMO/WC	$33.16

NEOSTIGMINE 3MG/3ML SYRINGE

Facility

$221.10

Service Code	HCPCS J2710
Hospital Charge Code	6063943361
Hospital Revenue Code	636
Min. Negotiated Rate	$33.16
Max. Negotiated Rate	$110.55
Rate for Payer: Aetna Commercial	$66.33
Rate for Payer: Aetna Medicare Advantage	$66.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.38
Rate for Payer: Cigna Commercial	$110.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.51
Rate for Payer: Qualcare PPO/HMO/WC	$33.16

NEOSTIGMINE 3MG/3ML VIAL

Facility

$68.68

Service Code	HCPCS J2710
Hospital Charge Code	606390265
Hospital Revenue Code	636
Min. Negotiated Rate	$10.30
Max. Negotiated Rate	$34.34
Rate for Payer: Aetna Commercial	$20.60
Rate for Payer: Aetna Medicare Advantage	$20.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.51
Rate for Payer: Cigna Commercial	$34.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.62
Rate for Payer: Qualcare PPO/HMO/WC	$10.30

NEOSTIGMINE 3MG/3ML VIAL

Facility

$68.68

Service Code	HCPCS J2710
Hospital Charge Code	606390265
Hospital Revenue Code	636
Min. Negotiated Rate	$10.30
Max. Negotiated Rate	$16.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.62
Rate for Payer: Qualcare PPO/HMO/WC	$10.30

NEOSTIGMINE VIAL 10ML

Facility

$7.70

Hospital Charge Code	6013023
Hospital Revenue Code	250
Min. Negotiated Rate	$1.00
Max. Negotiated Rate	$3.85
Rate for Payer: Aetna Commercial	$2.31
Rate for Payer: Aetna Medicare Advantage	$2.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.96
Rate for Payer: Cigna Commercial	$3.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.00
Rate for Payer: Oxford Commercial	$3.85
Rate for Payer: Qualcare PPO/HMO/WC	$1.16
Rate for Payer: UnitedHealthcare Commercial	$3.85

NEOSTIGMINE VIAL 10ML

Facility

$7.70

Hospital Charge Code	6013023
Hospital Revenue Code	250
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$1.16
Rate for Payer: Qualcare PPO/HMO/WC	$1.16

NEO-SYNALAR CREAM 0.025%

Facility

$61.00

Hospital Charge Code	60634772
Hospital Revenue Code	250
Min. Negotiated Rate	$7.93
Max. Negotiated Rate	$30.50
Rate for Payer: Aetna Commercial	$18.30
Rate for Payer: Aetna Medicare Advantage	$18.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.55
Rate for Payer: Cigna Commercial	$30.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.93
Rate for Payer: Oxford Commercial	$30.50
Rate for Payer: Qualcare PPO/HMO/WC	$9.15
Rate for Payer: UnitedHealthcare Commercial	$30.50

NEO-SYNALAR CREAM 0.025%

Facility

$61.00

Hospital Charge Code	60634772
Hospital Revenue Code	250
Min. Negotiated Rate	$9.15
Max. Negotiated Rate	$9.15
Rate for Payer: Qualcare PPO/HMO/WC	$9.15

NEOSYNEPHINE INJ/10MG/ML

Facility

$28.00

Hospital Charge Code	60634264
Hospital Revenue Code	250
Min. Negotiated Rate	$4.20
Max. Negotiated Rate	$4.20
Rate for Payer: Qualcare PPO/HMO/WC	$4.20

NEOSYNEPHINE INJ/10MG/ML

Facility

$28.00

Hospital Charge Code	60634264
Hospital Revenue Code	250
Min. Negotiated Rate	$3.64
Max. Negotiated Rate	$14.00
Rate for Payer: Aetna Commercial	$8.40
Rate for Payer: Aetna Medicare Advantage	$8.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.14
Rate for Payer: Cigna Commercial	$14.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.64
Rate for Payer: Oxford Commercial	$14.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.20
Rate for Payer: UnitedHealthcare Commercial	$14.00

NEOSYNEPH NOSE GTTS 0.25%

Facility

$34.60

Hospital Charge Code	6006696
Hospital Revenue Code	251
Min. Negotiated Rate	$4.50
Max. Negotiated Rate	$17.30
Rate for Payer: Aetna Commercial	$10.38
Rate for Payer: Aetna Medicare Advantage	$10.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.82
Rate for Payer: Cigna Commercial	$17.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.50
Rate for Payer: Oxford Commercial	$17.30
Rate for Payer: Qualcare PPO/HMO/WC	$5.19
Rate for Payer: UnitedHealthcare Commercial	$17.30

NEOSYNEPH NOSE GTTS 0.25%

Facility

$34.60

Hospital Charge Code	6006696
Hospital Revenue Code	251
Min. Negotiated Rate	$5.19
Max. Negotiated Rate	$5.19
Rate for Payer: Qualcare PPO/HMO/WC	$5.19

NEOSYNEPH NOSE GTTS 0.5%

Facility

$34.60

Hospital Charge Code	6006704
Hospital Revenue Code	251
Min. Negotiated Rate	$5.19
Max. Negotiated Rate	$5.19
Rate for Payer: Qualcare PPO/HMO/WC	$5.19

NEOSYNEPH NOSE GTTS 0.5%

Facility

$34.60

Hospital Charge Code	6006704
Hospital Revenue Code	251
Min. Negotiated Rate	$4.50
Max. Negotiated Rate	$17.30
Rate for Payer: Aetna Commercial	$10.38
Rate for Payer: Aetna Medicare Advantage	$10.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.82
Rate for Payer: Cigna Commercial	$17.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.50
Rate for Payer: Oxford Commercial	$17.30
Rate for Payer: Qualcare PPO/HMO/WC	$5.19
Rate for Payer: UnitedHealthcare Commercial	$17.30

NEOSYNEPH NOSE GTTS 1.0%

Facility

$34.60

Hospital Charge Code	6006712
Hospital Revenue Code	251
Min. Negotiated Rate	$5.19
Max. Negotiated Rate	$5.19
Rate for Payer: Qualcare PPO/HMO/WC	$5.19

NEOSYNEPH NOSE GTTS 1.0%

Facility

$34.60

Hospital Charge Code	6006712
Hospital Revenue Code	251
Min. Negotiated Rate	$4.50
Max. Negotiated Rate	$17.30
Rate for Payer: Aetna Commercial	$10.38
Rate for Payer: Aetna Medicare Advantage	$10.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.82
Rate for Payer: Cigna Commercial	$17.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.50
Rate for Payer: Oxford Commercial	$17.30
Rate for Payer: Qualcare PPO/HMO/WC	$5.19
Rate for Payer: UnitedHealthcare Commercial	$17.30

NEO-SYNEPHRINE 0.125% NAS

Facility

$18.00

Hospital Charge Code	60633517
Hospital Revenue Code	250
Min. Negotiated Rate	$2.34
Max. Negotiated Rate	$9.00
Rate for Payer: Aetna Commercial	$5.40
Rate for Payer: Aetna Medicare Advantage	$5.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.59
Rate for Payer: Cigna Commercial	$9.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.34
Rate for Payer: Oxford Commercial	$9.00
Rate for Payer: Qualcare PPO/HMO/WC	$2.70
Rate for Payer: UnitedHealthcare Commercial	$9.00

NEO-SYNEPHRINE 0.125% NAS

Facility

$18.00

Hospital Charge Code	60633517
Hospital Revenue Code	250
Min. Negotiated Rate	$2.70
Max. Negotiated Rate	$2.70
Rate for Payer: Qualcare PPO/HMO/WC	$2.70

NEO-SYNEPHRINE 0.25% NASA

Facility

$18.00

Hospital Charge Code	60633518
Hospital Revenue Code	250
Min. Negotiated Rate	$2.34
Max. Negotiated Rate	$9.00
Rate for Payer: Aetna Commercial	$5.40
Rate for Payer: Aetna Medicare Advantage	$5.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.59
Rate for Payer: Cigna Commercial	$9.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.34
Rate for Payer: Oxford Commercial	$9.00
Rate for Payer: Qualcare PPO/HMO/WC	$2.70
Rate for Payer: UnitedHealthcare Commercial	$9.00

NEO-SYNEPHRINE 0.25% NASA

Facility

$18.00

Hospital Charge Code	60633518
Hospital Revenue Code	250
Min. Negotiated Rate	$2.70
Max. Negotiated Rate	$2.70
Rate for Payer: Qualcare PPO/HMO/WC	$2.70

Know your out-of-pocket cost for care.

All Charges