Heights University Hospital

All Charges

Charge

Type

Setting

Price

ONCO 2 PROTEINS

Facility

$2,348.00

Service Code	HCPCS 81500
Hospital Charge Code	401081500
Hospital Revenue Code	301
Min. Negotiated Rate	$101.00
Max. Negotiated Rate	$954.47
Rate for Payer: Aetna Commercial	$844.02
Rate for Payer: Aetna Medicare Advantage	$260.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$954.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$954.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$260.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$954.47
Rate for Payer: Cigna Commercial	$260.50
Rate for Payer: Cigna Medicare Advantage	$130.25
Rate for Payer: Clover Medicare Advantage	$247.47
Rate for Payer: EmblemHealth Commercial	$781.50
Rate for Payer: Humana Medicare Advantage	$268.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$305.24
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$352.20
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$260.50
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$276.13
Rate for Payer: Wellcare Medicare Advantage	$260.50

ONCO 2 PROTEINS

Facility

$2,348.00

Service Code	HCPCS 81500
Hospital Charge Code	401081500
Hospital Revenue Code	301
Min. Negotiated Rate	$352.20
Max. Negotiated Rate	$352.20
Rate for Payer: Qualcare PPO/HMO/WC	$352.20

ONCOPROTEIN DCP

Facility

$290.79

Service Code	HCPCS 83951
Hospital Charge Code	401183951
Hospital Revenue Code	301
Min. Negotiated Rate	$32.20
Max. Negotiated Rate	$236.00
Rate for Payer: Aetna Commercial	$208.69
Rate for Payer: Aetna Medicare Advantage	$64.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$236.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$236.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$64.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$68.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$236.00
Rate for Payer: Cigna Commercial	$64.41
Rate for Payer: Cigna Medicare Advantage	$32.20
Rate for Payer: Clover Medicare Advantage	$61.19
Rate for Payer: EmblemHealth Commercial	$193.23
Rate for Payer: Humana Medicare Advantage	$66.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.80
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$43.62
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$64.41
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$68.27
Rate for Payer: Wellcare Medicare Advantage	$64.41

ONCOPROTEIN DCP

Facility

$290.79

Service Code	HCPCS 83951
Hospital Charge Code	401183951
Hospital Revenue Code	301
Min. Negotiated Rate	$43.62
Max. Negotiated Rate	$43.62
Rate for Payer: Qualcare PPO/HMO/WC	$43.62

ONCOVIN/1MG/1ML

Facility

$213.00

Hospital Charge Code	60633574
Hospital Revenue Code	250
Min. Negotiated Rate	$27.69
Max. Negotiated Rate	$106.50
Rate for Payer: Aetna Commercial	$63.90
Rate for Payer: Aetna Medicare Advantage	$63.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.31
Rate for Payer: Cigna Commercial	$106.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.69
Rate for Payer: Oxford Commercial	$106.50
Rate for Payer: Qualcare PPO/HMO/WC	$31.95
Rate for Payer: UnitedHealthcare Commercial	$106.50

ONCOVIN/1MG/1ML

Facility

$450.00

Hospital Charge Code	60633573
Hospital Revenue Code	250
Min. Negotiated Rate	$67.50
Max. Negotiated Rate	$67.50
Rate for Payer: Qualcare PPO/HMO/WC	$67.50

ONCOVIN/1MG/1ML

Facility

$213.00

Hospital Charge Code	60633574
Hospital Revenue Code	250
Min. Negotiated Rate	$31.95
Max. Negotiated Rate	$31.95
Rate for Payer: Qualcare PPO/HMO/WC	$31.95

ONCOVIN/1MG/1ML

Facility

$450.00

Hospital Charge Code	60633573
Hospital Revenue Code	250
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$225.00
Rate for Payer: Aetna Commercial	$135.00
Rate for Payer: Aetna Medicare Advantage	$135.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.75
Rate for Payer: Cigna Commercial	$225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.50
Rate for Payer: Oxford Commercial	$225.00
Rate for Payer: Qualcare PPO/HMO/WC	$67.50
Rate for Payer: UnitedHealthcare Commercial	$225.00

ONDANETRON HYDROCHL8MG UD

Facility

$69.00

Hospital Charge Code	60634879
Hospital Revenue Code	250
Min. Negotiated Rate	$10.35
Max. Negotiated Rate	$10.35
Rate for Payer: Qualcare PPO/HMO/WC	$10.35

ONDANETRON HYDROCHL8MG UD

Facility

$69.00

Hospital Charge Code	60634879
Hospital Revenue Code	250
Min. Negotiated Rate	$8.97
Max. Negotiated Rate	$34.50
Rate for Payer: Aetna Commercial	$20.70
Rate for Payer: Aetna Medicare Advantage	$20.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.59
Rate for Payer: Cigna Commercial	$34.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.97
Rate for Payer: Oxford Commercial	$34.50
Rate for Payer: Qualcare PPO/HMO/WC	$10.35
Rate for Payer: UnitedHealthcare Commercial	$34.50

ONDANSETRON 32 MG/50 ML SOL

Facility

$1,032.05

Hospital Charge Code	60628144
Hospital Revenue Code	636
Min. Negotiated Rate	$154.81
Max. Negotiated Rate	$249.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$249.76
Rate for Payer: Qualcare PPO/HMO/WC	$154.81

ONDANSETRON 32 MG/50 ML SOL

Facility

$1,032.05

Hospital Charge Code	60628144
Hospital Revenue Code	636
Min. Negotiated Rate	$154.81
Max. Negotiated Rate	$516.02
Rate for Payer: Aetna Commercial	$309.62
Rate for Payer: Aetna Medicare Advantage	$309.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$263.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$263.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$263.17
Rate for Payer: Cigna Commercial	$516.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$249.76
Rate for Payer: Qualcare PPO/HMO/WC	$154.81

ONDANSETRON 4MG/2ML INJ

Facility

$6.70

Service Code	HCPCS J2405
Hospital Charge Code	60628669
Hospital Revenue Code	636
Min. Negotiated Rate	$0.09
Max. Negotiated Rate	$2.01
Rate for Payer: Aetna Commercial	$2.01
Rate for Payer: Aetna Medicare Advantage	$2.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.71
Rate for Payer: Cigna Commercial	$0.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.62
Rate for Payer: Qualcare PPO/HMO/WC	$1.00

ONDANSETRON 4MG/2ML INJ

Facility

$6.70

Service Code	HCPCS J2405
Hospital Charge Code	60628669
Hospital Revenue Code	636
Min. Negotiated Rate	$1.00
Max. Negotiated Rate	$1.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.62
Rate for Payer: Qualcare PPO/HMO/WC	$1.00

ONDANSETRON 4 MG DISINTEG. TAB

Facility

$26.80

Service Code	NDC 62756024064
Hospital Charge Code	60630085
Hospital Revenue Code	250
Min. Negotiated Rate	$3.48
Max. Negotiated Rate	$13.40
Rate for Payer: Aetna Commercial	$8.04
Rate for Payer: Aetna Medicare Advantage	$8.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.83
Rate for Payer: Cigna Commercial	$13.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.48
Rate for Payer: Oxford Commercial	$13.40
Rate for Payer: Qualcare PPO/HMO/WC	$4.02
Rate for Payer: UnitedHealthcare Commercial	$13.40

ONDANSETRON 4 MG DISINTEG. TAB

Facility

$26.80

Service Code	NDC 62756024064
Hospital Charge Code	60630085
Hospital Revenue Code	250
Min. Negotiated Rate	$4.02
Max. Negotiated Rate	$4.02
Rate for Payer: Qualcare PPO/HMO/WC	$4.02

ONDANSETRON 4 MG TAB

Facility

$166.03

Service Code	NDC 63304045830
Hospital Charge Code	60628146
Hospital Revenue Code	250
Min. Negotiated Rate	$21.58
Max. Negotiated Rate	$83.02
Rate for Payer: Aetna Commercial	$49.81
Rate for Payer: Aetna Medicare Advantage	$49.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.34
Rate for Payer: Cigna Commercial	$83.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.58
Rate for Payer: Oxford Commercial	$83.02
Rate for Payer: Qualcare PPO/HMO/WC	$24.90
Rate for Payer: UnitedHealthcare Commercial	$83.02

ONDANSETRON 4 MG TAB

Facility

$166.03

Service Code	NDC 63304045830
Hospital Charge Code	60628146
Hospital Revenue Code	250
Min. Negotiated Rate	$24.90
Max. Negotiated Rate	$24.90
Rate for Payer: Qualcare PPO/HMO/WC	$24.90

ONDANSETRON 8 MG DISINTEG. TAB

Facility

$30.08

Service Code	NDC 54868574900
Hospital Charge Code	60630086
Hospital Revenue Code	250
Min. Negotiated Rate	$3.91
Max. Negotiated Rate	$15.04
Rate for Payer: Aetna Commercial	$9.02
Rate for Payer: Aetna Medicare Advantage	$9.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.67
Rate for Payer: Cigna Commercial	$15.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.91
Rate for Payer: Oxford Commercial	$15.04
Rate for Payer: Qualcare PPO/HMO/WC	$4.51
Rate for Payer: UnitedHealthcare Commercial	$15.04

ONDANSETRON 8 MG DISINTEG. TAB

Facility

$30.08

Service Code	NDC 54868574900
Hospital Charge Code	60630086
Hospital Revenue Code	250
Min. Negotiated Rate	$4.51
Max. Negotiated Rate	$4.51
Rate for Payer: Qualcare PPO/HMO/WC	$4.51

ONDANSETRON 8 MG TAB

Facility

$276.44

Service Code	NDC 51079052520
Hospital Charge Code	6008718
Hospital Revenue Code	250
Min. Negotiated Rate	$35.94
Max. Negotiated Rate	$138.22
Rate for Payer: Aetna Commercial	$82.93
Rate for Payer: Aetna Medicare Advantage	$82.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.49
Rate for Payer: Cigna Commercial	$138.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.94
Rate for Payer: Oxford Commercial	$138.22
Rate for Payer: Qualcare PPO/HMO/WC	$41.47
Rate for Payer: UnitedHealthcare Commercial	$138.22

ONDANSETRON 8 MG TAB

Facility

$276.44

Service Code	NDC 51079052520
Hospital Charge Code	6008718
Hospital Revenue Code	250
Min. Negotiated Rate	$41.47
Max. Negotiated Rate	$41.47
Rate for Payer: Qualcare PPO/HMO/WC	$41.47

ONDANSETRON HYDROCHLORIDE 40MG

Facility

$34.73

Hospital Charge Code	6063943223
Hospital Revenue Code	636
Min. Negotiated Rate	$5.21
Max. Negotiated Rate	$17.36
Rate for Payer: Aetna Commercial	$10.42
Rate for Payer: Aetna Medicare Advantage	$10.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.86
Rate for Payer: Cigna Commercial	$17.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.40
Rate for Payer: Qualcare PPO/HMO/WC	$5.21

ONDANSETRON HYDROCHLORIDE 40MG

Facility

$34.73

Hospital Charge Code	6063943223
Hospital Revenue Code	636
Min. Negotiated Rate	$5.21
Max. Negotiated Rate	$8.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.40
Rate for Payer: Qualcare PPO/HMO/WC	$5.21

ONDANSETRON IV 32MG/50ML .9NS

Facility

$376.35

Hospital Charge Code	60628145
Hospital Revenue Code	636
Min. Negotiated Rate	$56.45
Max. Negotiated Rate	$188.18
Rate for Payer: Aetna Commercial	$112.91
Rate for Payer: Aetna Medicare Advantage	$112.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.97
Rate for Payer: Cigna Commercial	$188.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.08
Rate for Payer: Qualcare PPO/HMO/WC	$56.45

Know your out-of-pocket cost for care.

All Charges