Heights University Hospital

All Charges

Charge

Type

Setting

Price

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

NIACINAMIDE 500 MG TAB

Facility

$4.00

Service Code	NDC 54458065710
Hospital Charge Code	606390054
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

NIACINAMIDE 500 MG TAB

Facility

$4.00

Service Code	NDC 54458065710
Hospital Charge Code	606390054
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 CAP SR 125MG

Facility

$1.95

Hospital Charge Code	60628484
Hospital Revenue Code	250
Min. Negotiated Rate	$0.29
Max. Negotiated Rate	$0.29
Rate for Payer: Qualcare PPO/HMO/WC	$0.29

NIACIN CAP SR 125MG

Facility

$1.95

Hospital Charge Code	60628484
Hospital Revenue Code	250
Min. Negotiated Rate	$0.25
Max. Negotiated Rate	$0.98
Rate for Payer: Aetna Commercial	$0.59
Rate for Payer: Aetna Medicare Advantage	$0.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.50
Rate for Payer: Cigna Commercial	$0.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.25
Rate for Payer: Oxford Commercial	$0.98
Rate for Payer: Qualcare PPO/HMO/WC	$0.29
Rate for Payer: UnitedHealthcare Commercial	$0.98

NIACIN CAP SR 250MG

Facility

$1.95

Hospital Charge Code	60628485
Hospital Revenue Code	250
Min. Negotiated Rate	$0.25
Max. Negotiated Rate	$0.98
Rate for Payer: Aetna Commercial	$0.59
Rate for Payer: Aetna Medicare Advantage	$0.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.50
Rate for Payer: Cigna Commercial	$0.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.25
Rate for Payer: Oxford Commercial	$0.98
Rate for Payer: Qualcare PPO/HMO/WC	$0.29
Rate for Payer: UnitedHealthcare Commercial	$0.98

NIACIN CAP SR 250MG

Facility

$1.95

Hospital Charge Code	60628485
Hospital Revenue Code	250
Min. Negotiated Rate	$0.29
Max. Negotiated Rate	$0.29
Rate for Payer: Qualcare PPO/HMO/WC	$0.29

NICARDIPINE 25MG/10ML INJ

Facility

$161.94

Service Code	NDC 143968910
Hospital Charge Code	6016398
Hospital Revenue Code	250
Min. Negotiated Rate	$21.05
Max. Negotiated Rate	$80.97
Rate for Payer: Oxford Commercial	$80.97
Rate for Payer: Aetna Commercial	$48.58
Rate for Payer: Aetna Medicare Advantage	$48.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.29
Rate for Payer: Cigna Commercial	$80.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.05
Rate for Payer: Qualcare PPO/HMO/WC	$24.29
Rate for Payer: UnitedHealthcare Commercial	$80.97

NICARDIPINE 25MG/10ML INJ

Facility

$161.94

Service Code	NDC 143968910
Hospital Charge Code	6016398
Hospital Revenue Code	250
Min. Negotiated Rate	$24.29
Max. Negotiated Rate	$24.29
Rate for Payer: Qualcare PPO/HMO/WC	$24.29

NICKEL

Facility

$173.50

Service Code	HCPCS 83885
Hospital Charge Code	38477174
Hospital Revenue Code	301
Min. Negotiated Rate	$26.02
Max. Negotiated Rate	$26.02
Rate for Payer: Qualcare PPO/HMO/WC	$26.02

NICKEL

Facility

$173.50

Service Code	HCPCS 83885
Hospital Charge Code	38477174
Hospital Revenue Code	301
Min. Negotiated Rate	$12.26
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$79.41
Rate for Payer: Aetna Medicare Advantage	$24.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$24.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.80
Rate for Payer: Cigna Commercial	$24.51
Rate for Payer: Cigna Medicare Advantage	$12.26
Rate for Payer: Clover Medicare Advantage	$23.28
Rate for Payer: EmblemHealth Commercial	$73.53
Rate for Payer: Humana Medicare Advantage	$25.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.55
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$26.02
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$24.51
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$25.98
Rate for Payer: Wellcare Medicare Advantage	$24.51

NICOBID/125MG

Facility

$3.00

Hospital Charge Code	60634489
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

NICOBID/125MG

Facility

$3.00

Hospital Charge Code	60634489
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

NICOBID/250MG

Facility

$3.00

Hospital Charge Code	60634490
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

NICOBID/250MG

Facility

$3.00

Hospital Charge Code	60634490
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

NICORETTE/2MG/EACH

Facility

$184.00

Hospital Charge Code	60633526
Hospital Revenue Code	250
Min. Negotiated Rate	$23.92
Max. Negotiated Rate	$92.00
Rate for Payer: Aetna Commercial	$55.20
Rate for Payer: Aetna Medicare Advantage	$55.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.92
Rate for Payer: Cigna Commercial	$92.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.92
Rate for Payer: Oxford Commercial	$92.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.60
Rate for Payer: UnitedHealthcare Commercial	$92.00

NICORETTE/2MG/EACH

Facility

$184.00

Hospital Charge Code	60633526
Hospital Revenue Code	250
Min. Negotiated Rate	$27.60
Max. Negotiated Rate	$27.60
Rate for Payer: Qualcare PPO/HMO/WC	$27.60

Nicotene 2mg gum

Facility

$4.29

Service Code	NDC 766784340
Hospital Charge Code	6063943350
Hospital Revenue Code	250
Min. Negotiated Rate	$0.56
Max. Negotiated Rate	$2.15
Rate for Payer: Aetna Commercial	$1.29
Rate for Payer: Aetna Medicare Advantage	$1.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.09
Rate for Payer: Cigna Commercial	$2.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.56
Rate for Payer: Oxford Commercial	$2.15
Rate for Payer: Qualcare PPO/HMO/WC	$0.64
Rate for Payer: UnitedHealthcare Commercial	$2.15

Nicotene 2mg gum

Facility

$4.29

Service Code	NDC 766784340
Hospital Charge Code	6063943350
Hospital Revenue Code	250
Min. Negotiated Rate	$0.64
Max. Negotiated Rate	$0.64
Rate for Payer: Qualcare PPO/HMO/WC	$0.64

NICOTINE

Facility

$308.00

Service Code	HCPCS 80323
Hospital Charge Code	38473082
Hospital Revenue Code	301
Min. Negotiated Rate	$40.04
Max. Negotiated Rate	$154.00
Rate for Payer: Aetna Commercial	$92.40
Rate for Payer: Aetna Medicare Advantage	$92.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78.54
Rate for Payer: Cigna Commercial	$154.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.04
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$46.20
Rate for Payer: UnitedHealthcare Commercial	$114.00

NICOTINE

Facility

$308.00

Service Code	HCPCS 80323
Hospital Charge Code	38473082
Hospital Revenue Code	301
Min. Negotiated Rate	$46.20
Max. Negotiated Rate	$46.20
Rate for Payer: Qualcare PPO/HMO/WC	$46.20

NICOTINE 14 MG/24 HR ER

Facility

$32.43

Service Code	NDC 135019503
Hospital Charge Code	60627594
Hospital Revenue Code	250
Min. Negotiated Rate	$4.22
Max. Negotiated Rate	$16.21
Rate for Payer: Aetna Commercial	$9.73
Rate for Payer: Aetna Medicare Advantage	$9.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.27
Rate for Payer: Cigna Commercial	$16.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.22
Rate for Payer: Oxford Commercial	$16.21
Rate for Payer: Qualcare PPO/HMO/WC	$4.86
Rate for Payer: UnitedHealthcare Commercial	$16.21

NICOTINE 14 MG/24 HR ER

Facility

$32.43

Service Code	NDC 135019503
Hospital Charge Code	60627594
Hospital Revenue Code	250
Min. Negotiated Rate	$4.86
Max. Negotiated Rate	$4.86
Rate for Payer: Qualcare PPO/HMO/WC	$4.86

NICOTINE 21 MG/24 HR ER

Facility

$22.45

Service Code	NDC 766145020
Hospital Charge Code	60627496
Hospital Revenue Code	250
Min. Negotiated Rate	$2.92
Max. Negotiated Rate	$11.22
Rate for Payer: Aetna Commercial	$6.74
Rate for Payer: Aetna Medicare Advantage	$6.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.72
Rate for Payer: Cigna Commercial	$11.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.92
Rate for Payer: Oxford Commercial	$11.22
Rate for Payer: Qualcare PPO/HMO/WC	$3.37
Rate for Payer: UnitedHealthcare Commercial	$11.22

NICOTINE 21 MG/24 HR ER

Facility

$22.45

Service Code	NDC 766145020
Hospital Charge Code	60627496
Hospital Revenue Code	250
Min. Negotiated Rate	$3.37
Max. Negotiated Rate	$3.37
Rate for Payer: Qualcare PPO/HMO/WC	$3.37

Know your out-of-pocket cost for care.

All Charges