Heights University Hospital

All Charges

Charge

Type

Setting

Price

NEXUS SONICVAC TUBESET U/S TIP

Facility

$3,230.00

Hospital Charge Code	270693179
Hospital Revenue Code	272
Min. Negotiated Rate	$419.90
Max. Negotiated Rate	$1,615.00
Rate for Payer: Aetna Commercial	$969.00
Rate for Payer: Aetna Medicare Advantage	$969.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$823.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$823.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$823.65
Rate for Payer: Cigna Commercial	$1,615.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$419.90
Rate for Payer: Oxford Commercial	$1,615.00
Rate for Payer: Qualcare PPO/HMO/WC	$484.50
Rate for Payer: UnitedHealthcare Commercial	$1,615.00

NEXUS SONICVAC TUBESET U/S TIP

Facility

$3,230.00

Hospital Charge Code	270693179
Hospital Revenue Code	272
Min. Negotiated Rate	$484.50
Max. Negotiated Rate	$484.50
Rate for Payer: Qualcare PPO/HMO/WC	$484.50

NEZHAT DORSY TUBING SET

Facility

$220.00

Hospital Charge Code	270338792
Hospital Revenue Code	272
Min. Negotiated Rate	$33.00
Max. Negotiated Rate	$33.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.00

NEZHAT DORSY TUBING SET

Facility

$220.00

Hospital Charge Code	270338792
Hospital Revenue Code	272
Min. Negotiated Rate	$28.60
Max. Negotiated Rate	$110.00
Rate for Payer: Aetna Commercial	$66.00
Rate for Payer: Aetna Medicare Advantage	$66.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.10
Rate for Payer: Cigna Commercial	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.60
Rate for Payer: Oxford Commercial	$110.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.00
Rate for Payer: UnitedHealthcare Commercial	$110.00

NFCT DS BV RNA VAG FLU ALG

Facility

$82.96

Service Code	HCPCS 81513
Hospital Charge Code	401910123C
Hospital Revenue Code	310
Min. Negotiated Rate	$10.78
Max. Negotiated Rate	$522.60
Rate for Payer: Aetna Commercial	$462.12
Rate for Payer: Aetna Medicare Advantage	$142.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$522.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$522.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$142.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$522.60
Rate for Payer: Cigna Commercial	$142.63
Rate for Payer: Cigna Medicare Advantage	$71.31
Rate for Payer: Clover Medicare Advantage	$135.50
Rate for Payer: EmblemHealth Commercial	$427.89
Rate for Payer: Humana Medicare Advantage	$146.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.78
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.44
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$142.63
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$151.19
Rate for Payer: Wellcare Medicare Advantage	$142.63

NFCT DS BV RNA VAG FLU ALG

Facility

$82.96

Service Code	HCPCS 81513
Hospital Charge Code	401910123C
Hospital Revenue Code	310
Min. Negotiated Rate	$12.44
Max. Negotiated Rate	$12.44
Rate for Payer: Qualcare PPO/HMO/WC	$12.44

N.GONORRHOEAE DNA AMP PROB

Facility

$82.95

Service Code	HCPCS 87591
Hospital Charge Code	401910123B
Hospital Revenue Code	306
Min. Negotiated Rate	$10.78
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	$10.78
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.44
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

N.GONORRHOEAE DNA AMP PROB

Facility

$82.95

Service Code	HCPCS 87591
Hospital Charge Code	401910123B
Hospital Revenue Code	306
Min. Negotiated Rate	$12.44
Max. Negotiated Rate	$12.44
Rate for Payer: Qualcare PPO/HMO/WC	$12.44

N GONORRHOEAE, DNA PROBE

Facility

$92.50

Service Code	HCPCS 87590
Hospital Charge Code	3001535
Hospital Revenue Code	306
Min. Negotiated Rate	$12.03
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$87.09
Rate for Payer: Aetna Medicare Advantage	$26.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$98.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$98.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$26.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$98.49
Rate for Payer: Cigna Commercial	$26.88
Rate for Payer: Cigna Medicare Advantage	$13.44
Rate for Payer: Clover Medicare Advantage	$25.54
Rate for Payer: EmblemHealth Commercial	$80.64
Rate for Payer: Humana Medicare Advantage	$27.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.03
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.88
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$26.88
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$28.49
Rate for Payer: Wellcare Medicare Advantage	$26.88

N GONORRHOEAE, DNA PROBE

Facility

$92.50

Service Code	HCPCS 87590
Hospital Charge Code	3001535
Hospital Revenue Code	306
Min. Negotiated Rate	$13.88
Max. Negotiated Rate	$13.88
Rate for Payer: Qualcare PPO/HMO/WC	$13.88

N. GONORRHOEAE DNA SDA

Facility

$248.54

Service Code	HCPCS 87591
Hospital Charge Code	38479098
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	$32.31
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.28
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

N. GONORRHOEAE DNA SDA

Facility

$248.54

Service Code	HCPCS 87591
Hospital Charge Code	38479098
Hospital Revenue Code	306
Min. Negotiated Rate	$37.28
Max. Negotiated Rate	$37.28
Rate for Payer: Qualcare PPO/HMO/WC	$37.28

N. GONORRHOEAE RNA SDA

Facility

$248.54

Service Code	HCPCS 87591
Hospital Charge Code	38479099
Hospital Revenue Code	306
Min. Negotiated Rate	$17.55
Max. Negotiated Rate	$128.57
Rate for Payer: Cigna Commercial	$35.09
Rate for Payer: Cigna Medicare Advantage	$17.55
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: 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	$32.31
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.28
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

N. GONORRHOEAE RNA SDA

Facility

$248.54

Service Code	HCPCS 87591
Hospital Charge Code	38479099
Hospital Revenue Code	306
Min. Negotiated Rate	$37.28
Max. Negotiated Rate	$37.28
Rate for Payer: Qualcare PPO/HMO/WC	$37.28

NGT 100MG/250 ML IN D5W

Facility

$197.72

Service Code	NDC 338105102
Hospital Charge Code	6063943380
Hospital Revenue Code	250
Min. Negotiated Rate	$25.70
Max. Negotiated Rate	$98.86
Rate for Payer: Aetna Commercial	$59.32
Rate for Payer: Aetna Medicare Advantage	$59.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.42
Rate for Payer: Cigna Commercial	$98.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.70
Rate for Payer: Oxford Commercial	$98.86
Rate for Payer: Qualcare PPO/HMO/WC	$29.66
Rate for Payer: UnitedHealthcare Commercial	$98.86

NGT 100MG/250 ML IN D5W

Facility

$197.72

Service Code	NDC 338105102
Hospital Charge Code	6063943380
Hospital Revenue Code	250
Min. Negotiated Rate	$29.66
Max. Negotiated Rate	$29.66
Rate for Payer: Qualcare PPO/HMO/WC	$29.66

NIACIN 100 MG TAB

Facility

$4.00

Service Code	NDC 10135018601
Hospital Charge Code	60628483
Hospital Revenue Code	250
Min. Negotiated Rate	$0.52
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.20
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.52
Rate for Payer: Oxford Commercial	$2.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$2.00

NIACIN 100 MG TAB

Facility

$4.00

Service Code	NDC 10135018601
Hospital Charge Code	60628483
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

NIACIN 250MG TABS

Facility

$4.00

Service Code	NDC 904062960
Hospital Charge Code	60635115
Hospital Revenue Code	250
Min. Negotiated Rate	$0.52
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.20
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.52
Rate for Payer: Oxford Commercial	$2.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$2.00

NIACIN 250MG TABS

Facility

$4.00

Service Code	NDC 904062960
Hospital Charge Code	60635115
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

NIACIN 500 MG TABLET

Facility

$13.07

Service Code	NDC 904227260
Hospital Charge Code	606390222
Hospital Revenue Code	250
Min. Negotiated Rate	$1.70
Max. Negotiated Rate	$6.54
Rate for Payer: Aetna Commercial	$3.92
Rate for Payer: Aetna Medicare Advantage	$3.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.33
Rate for Payer: Cigna Commercial	$6.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.70
Rate for Payer: Oxford Commercial	$6.54
Rate for Payer: Qualcare PPO/HMO/WC	$1.96
Rate for Payer: UnitedHealthcare Commercial	$6.54

NIACIN 500 MG TABLET

Facility

$13.07

Service Code	NDC 904227260
Hospital Charge Code	606390222
Hospital Revenue Code	250
Min. Negotiated Rate	$1.96
Max. Negotiated Rate	$1.96
Rate for Payer: Qualcare PPO/HMO/WC	$1.96

NIACIN 50MG TAB

Facility

$4.00

Service Code	NDC 904227060
Hospital Charge Code	6063943148
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

NIACIN 50MG TAB

Facility

$4.00

Service Code	NDC 904227060
Hospital Charge Code	6063943148
Hospital Revenue Code	250
Min. Negotiated Rate	$0.52
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.20
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.52
Rate for Payer: Oxford Commercial	$2.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$2.00

NIACINAMIDE/100MG/TAB

Facility

$3.00

Hospital Charge Code	60634230
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

Know your out-of-pocket cost for care.

All Charges