Heights University Hospital

All Charges

Charge

Type

Setting

Price

NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC

Facility

$33,771.48

Service Code	MSDRG 072
Min. Negotiated Rate	$8,252.10
Max. Negotiated Rate	$33,771.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21,502.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21,502.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21,502.26

NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION

Facility

$27,595.71

Service Code	APR-DRG 0464
Min. Negotiated Rate	$26,003.10
Max. Negotiated Rate	$27,595.71
Rate for Payer: Aetna Better Health Medicaid	$26,003.10
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$26,523.16
Rate for Payer: Wellpoint Medicaid Managed Care	$27,595.71

NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION

Facility

$10,802.49

Service Code	APR-DRG 0462
Min. Negotiated Rate	$7,980.02
Max. Negotiated Rate	$10,802.49
Rate for Payer: Aetna Better Health Medicaid	$10,590.68
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$10,802.49
Rate for Payer: Wellpoint Medicaid Managed Care	$7,980.02

NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION

Facility

$13,586.00

Service Code	APR-DRG 0463
Min. Negotiated Rate	$11,111.70
Max. Negotiated Rate	$13,586.00
Rate for Payer: Aetna Better Health Medicaid	$13,319.61
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$13,586.00
Rate for Payer: Wellpoint Medicaid Managed Care	$11,111.70

NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION

Facility

$9,018.92

Service Code	APR-DRG 0461
Min. Negotiated Rate	$6,993.53
Max. Negotiated Rate	$9,018.92
Rate for Payer: Aetna Better Health Medicaid	$8,842.08
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,018.92
Rate for Payer: Wellpoint Medicaid Managed Care	$6,993.53

NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC

Facility

$54,452.31

Service Code	MSDRG 067
Min. Negotiated Rate	$16,027.31
Max. Negotiated Rate	$54,452.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39,145.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39,145.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39,145.14

NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC

Facility

$36,912.06

Service Code	MSDRG 068
Min. Negotiated Rate	$9,432.84
Max. Negotiated Rate	$36,912.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23,983.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23,983.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23,983.29

NONTRAUMATIC STUPOR AND COMA WITH MCC

Facility

$64,358.82

Service Code	MSDRG 080
Min. Negotiated Rate	$19,751.78
Max. Negotiated Rate	$64,358.82
Rate for Payer: Aetna Commercial	$61,033.00
Rate for Payer: Aetna Medicare Advantage	$19,751.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60,923.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60,923.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21,452.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60,923.07
Rate for Payer: Cigna Medicare Advantage	$21,452.94
Rate for Payer: Clover Medicare Advantage	$20,380.29
Rate for Payer: EmblemHealth Commercial	$64,358.82
Rate for Payer: Humana Medicare Advantage	$22,096.53
Rate for Payer: UnitedHealthcare Medicare Advantage	$21,452.94
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$22,740.12
Rate for Payer: Wellcare Medicare Advantage	$21,452.94

NONTRAUMATIC STUPOR AND COMA WITHOUT MCC

Facility

$37,817.67

Service Code	MSDRG 081
Min. Negotiated Rate	$9,773.31
Max. Negotiated Rate	$37,817.67
Rate for Payer: Aetna Medicare Advantage	$9,773.31
Rate for Payer: Aetna Commercial	$30,199.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25,085.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25,085.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12,605.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25,085.97
Rate for Payer: Cigna Medicare Advantage	$12,605.89
Rate for Payer: Clover Medicare Advantage	$11,975.60
Rate for Payer: EmblemHealth Commercial	$37,817.67
Rate for Payer: Humana Medicare Advantage	$12,984.07
Rate for Payer: UnitedHealthcare Medicare Advantage	$12,605.89
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13,362.24
Rate for Payer: Wellcare Medicare Advantage	$12,605.89

NORCURON/10MG

Facility

$131.00

Hospital Charge Code	60633541
Hospital Revenue Code	250
Min. Negotiated Rate	$19.65
Max. Negotiated Rate	$19.65
Rate for Payer: Qualcare PPO/HMO/WC	$19.65

NORCURON/10MG

Facility

$131.00

Hospital Charge Code	60633541
Hospital Revenue Code	250
Min. Negotiated Rate	$17.03
Max. Negotiated Rate	$65.50
Rate for Payer: Aetna Commercial	$39.30
Rate for Payer: Aetna Medicare Advantage	$39.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.41
Rate for Payer: Cigna Commercial	$65.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.03
Rate for Payer: Oxford Commercial	$65.50
Rate for Payer: Qualcare PPO/HMO/WC	$19.65
Rate for Payer: UnitedHealthcare Commercial	$65.50

NOREPINEPBITART NS 16MG/250ML

Facility

$201.00

Service Code	NDC 70092146805
Hospital Charge Code	606390482
Hospital Revenue Code	250
Min. Negotiated Rate	$30.15
Max. Negotiated Rate	$30.15
Rate for Payer: Qualcare PPO/HMO/WC	$30.15

NOREPINEPBITART NS 16MG/250ML

Facility

$201.00

Service Code	NDC 70092146805
Hospital Charge Code	606390482
Hospital Revenue Code	250
Min. Negotiated Rate	$26.13
Max. Negotiated Rate	$100.50
Rate for Payer: Aetna Commercial	$60.30
Rate for Payer: Aetna Medicare Advantage	$60.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.26
Rate for Payer: Cigna Commercial	$100.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.13
Rate for Payer: Oxford Commercial	$100.50
Rate for Payer: Qualcare PPO/HMO/WC	$30.15
Rate for Payer: UnitedHealthcare Commercial	$100.50

NOREPINEPH BETR INJ 1MG/ML 4ML

Facility

$95.40

Hospital Charge Code	6003990
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

NOREPINEPH BETR INJ 1MG/ML 4ML

Facility

$95.40

Hospital Charge Code	6003990
Hospital Revenue Code	250
Min. Negotiated Rate	$14.31
Max. Negotiated Rate	$14.31
Rate for Payer: Qualcare PPO/HMO/WC	$14.31

NOREPINEPHRINE 1MG/ML

Facility

$25.00

Hospital Charge Code	60635632
Hospital Revenue Code	250
Min. Negotiated Rate	$3.75
Max. Negotiated Rate	$3.75
Rate for Payer: Qualcare PPO/HMO/WC	$3.75

NOREPINEPHRINE 1MG/ML

Facility

$25.00

Hospital Charge Code	60635632
Hospital Revenue Code	250
Min. Negotiated Rate	$3.25
Max. Negotiated Rate	$12.50
Rate for Payer: Aetna Commercial	$7.50
Rate for Payer: Aetna Medicare Advantage	$7.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.38
Rate for Payer: Cigna Commercial	$12.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.25
Rate for Payer: Oxford Commercial	$12.50
Rate for Payer: Qualcare PPO/HMO/WC	$3.75
Rate for Payer: UnitedHealthcare Commercial	$12.50

NOREPINEPHRINE 4MG/250ML NS

Facility

$53.60

Service Code	NDC 75901120204
Hospital Charge Code	606390109
Hospital Revenue Code	250
Min. Negotiated Rate	$8.04
Max. Negotiated Rate	$8.04
Rate for Payer: Qualcare PPO/HMO/WC	$8.04

NOREPINEPHRINE 4MG/250ML NS

Facility

$53.60

Service Code	NDC 75901120204
Hospital Charge Code	606390109
Hospital Revenue Code	250
Min. Negotiated Rate	$6.97
Max. Negotiated Rate	$26.80
Rate for Payer: Aetna Commercial	$16.08
Rate for Payer: Aetna Medicare Advantage	$16.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.67
Rate for Payer: Cigna Commercial	$26.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.97
Rate for Payer: Oxford Commercial	$26.80
Rate for Payer: Qualcare PPO/HMO/WC	$8.04
Rate for Payer: UnitedHealthcare Commercial	$26.80

NOREPINEPHRINE 4 MG / 4 ML INJ

Facility

$70.35

Service Code	NDC 36000016210
Hospital Charge Code	60627463
Hospital Revenue Code	250
Min. Negotiated Rate	$10.55
Max. Negotiated Rate	$10.55
Rate for Payer: Qualcare PPO/HMO/WC	$10.55

NOREPINEPHRINE 4 MG / 4 ML INJ

Facility

$70.35

Service Code	NDC 36000016210
Hospital Charge Code	60627463
Hospital Revenue Code	250
Min. Negotiated Rate	$9.15
Max. Negotiated Rate	$35.17
Rate for Payer: Aetna Commercial	$21.11
Rate for Payer: Aetna Medicare Advantage	$21.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.94
Rate for Payer: Cigna Commercial	$35.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.15
Rate for Payer: Oxford Commercial	$35.17
Rate for Payer: Qualcare PPO/HMO/WC	$10.55
Rate for Payer: UnitedHealthcare Commercial	$35.17

NOREPINEPHRINE PLASMA

Facility

$123.15

Service Code	HCPCS 82542
Hospital Charge Code	39708033
Hospital Revenue Code	301
Min. Negotiated Rate	$12.04
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$78.05
Rate for Payer: Aetna Medicare Advantage	$24.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$24.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.27
Rate for Payer: Cigna Commercial	$24.09
Rate for Payer: Cigna Medicare Advantage	$12.04
Rate for Payer: Clover Medicare Advantage	$22.89
Rate for Payer: EmblemHealth Commercial	$72.27
Rate for Payer: Humana Medicare Advantage	$24.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.01
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.47
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$24.09
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$25.54
Rate for Payer: Wellcare Medicare Advantage	$24.09

NOREPINEPHRINE PLASMA

Facility

$123.15

Service Code	HCPCS 82542
Hospital Charge Code	39708033
Hospital Revenue Code	301
Min. Negotiated Rate	$18.47
Max. Negotiated Rate	$18.47
Rate for Payer: Qualcare PPO/HMO/WC	$18.47

NOREPINEPHRN BITAR 8MG/NS250ML

Facility

$150.75

Service Code	NDC 69374050425
Hospital Charge Code	606390290
Hospital Revenue Code	250
Min. Negotiated Rate	$22.61
Max. Negotiated Rate	$22.61
Rate for Payer: Qualcare PPO/HMO/WC	$22.61

NOREPINEPHRN BITAR 8MG/NS250ML

Facility

$150.75

Service Code	NDC 69374050425
Hospital Charge Code	606390290
Hospital Revenue Code	250
Min. Negotiated Rate	$19.60
Max. Negotiated Rate	$75.38
Rate for Payer: Aetna Commercial	$45.23
Rate for Payer: Aetna Medicare Advantage	$45.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.44
Rate for Payer: Cigna Commercial	$75.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.60
Rate for Payer: Oxford Commercial	$75.38
Rate for Payer: Qualcare PPO/HMO/WC	$22.61
Rate for Payer: UnitedHealthcare Commercial	$75.38

Know your out-of-pocket cost for care.

All Charges