Heights University Hospital

All Charges

Charge

Type

Setting

Price

PIPELLE 3.1 MM O.D

Facility

$29.72

Hospital Charge Code	270662678
Hospital Revenue Code	270
Min. Negotiated Rate	$3.86
Max. Negotiated Rate	$14.86
Rate for Payer: Aetna Commercial	$8.92
Rate for Payer: Aetna Medicare Advantage	$8.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.58
Rate for Payer: Cigna Commercial	$14.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.86
Rate for Payer: Oxford Commercial	$14.86
Rate for Payer: Qualcare PPO/HMO/WC	$4.46
Rate for Payer: UnitedHealthcare Commercial	$14.86

PIPERACILLIN DROP OPH 100MG/ML

Facility

$207.40

Hospital Charge Code	6004444
Hospital Revenue Code	252
Min. Negotiated Rate	$26.96
Max. Negotiated Rate	$103.70
Rate for Payer: Aetna Commercial	$62.22
Rate for Payer: Aetna Medicare Advantage	$62.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.89
Rate for Payer: Cigna Commercial	$103.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.96
Rate for Payer: Oxford Commercial	$103.70
Rate for Payer: Qualcare PPO/HMO/WC	$31.11
Rate for Payer: UnitedHealthcare Commercial	$103.70

PIPERACILLIN DROP OPH 100MG/ML

Facility

$207.40

Hospital Charge Code	6004444
Hospital Revenue Code	252
Min. Negotiated Rate	$31.11
Max. Negotiated Rate	$31.11
Rate for Payer: Qualcare PPO/HMO/WC	$31.11

PIPERACILLIN SBCN OPH 200MG/ML

Facility

$53.80

Hospital Charge Code	6004436
Hospital Revenue Code	252
Min. Negotiated Rate	$8.07
Max. Negotiated Rate	$8.07
Rate for Payer: Qualcare PPO/HMO/WC	$8.07

PIPERACILLIN SBCN OPH 200MG/ML

Facility

$53.80

Hospital Charge Code	6004436
Hospital Revenue Code	252
Min. Negotiated Rate	$6.99
Max. Negotiated Rate	$26.90
Rate for Payer: Aetna Commercial	$16.14
Rate for Payer: Aetna Medicare Advantage	$16.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.72
Rate for Payer: Cigna Commercial	$26.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.99
Rate for Payer: Oxford Commercial	$26.90
Rate for Payer: Qualcare PPO/HMO/WC	$8.07
Rate for Payer: UnitedHealthcare Commercial	$26.90

PIPERACILLIN VL 2GM

Facility

$90.90

Hospital Charge Code	6007082
Hospital Revenue Code	250
Min. Negotiated Rate	$13.63
Max. Negotiated Rate	$13.63
Rate for Payer: Qualcare PPO/HMO/WC	$13.63

PIPERACILLIN VL 2GM

Facility

$90.90

Hospital Charge Code	6007082
Hospital Revenue Code	250
Min. Negotiated Rate	$11.82
Max. Negotiated Rate	$45.45
Rate for Payer: Aetna Commercial	$27.27
Rate for Payer: Aetna Medicare Advantage	$27.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.18
Rate for Payer: Cigna Commercial	$45.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.82
Rate for Payer: Oxford Commercial	$45.45
Rate for Payer: Qualcare PPO/HMO/WC	$13.63
Rate for Payer: UnitedHealthcare Commercial	$45.45

PIPERACILLIN VL 3GM

Facility

$136.85

Hospital Charge Code	6006563
Hospital Revenue Code	250
Min. Negotiated Rate	$20.53
Max. Negotiated Rate	$20.53
Rate for Payer: Qualcare PPO/HMO/WC	$20.53

PIPERACILLIN VL 3GM

Facility

$136.85

Hospital Charge Code	6006563
Hospital Revenue Code	250
Min. Negotiated Rate	$17.79
Max. Negotiated Rate	$68.42
Rate for Payer: Aetna Commercial	$41.05
Rate for Payer: Aetna Medicare Advantage	$41.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.90
Rate for Payer: Cigna Commercial	$68.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.79
Rate for Payer: Oxford Commercial	$68.42
Rate for Payer: Qualcare PPO/HMO/WC	$20.53
Rate for Payer: UnitedHealthcare Commercial	$68.42

PIPERACILLN/TAZOBACT 4.5GM INJ

Facility

$200.87

Service Code	HCPCS J2543
Hospital Charge Code	60632212
Hospital Revenue Code	636
Min. Negotiated Rate	$30.13
Max. Negotiated Rate	$48.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.61
Rate for Payer: Qualcare PPO/HMO/WC	$30.13

PIPERACILLN/TAZOBACT 4.5GM INJ

Facility

$200.87

Service Code	HCPCS J2543
Hospital Charge Code	60632212
Hospital Revenue Code	636
Min. Negotiated Rate	$1.09
Max. Negotiated Rate	$60.26
Rate for Payer: Aetna Commercial	$60.26
Rate for Payer: Aetna Medicare Advantage	$60.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.22
Rate for Payer: Cigna Commercial	$1.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.61
Rate for Payer: Qualcare PPO/HMO/WC	$30.13

PIPERACLLN/TAZOBACT 2.25GM INJ

Facility

$233.23

Service Code	HCPCS J2543
Hospital Charge Code	60627314
Hospital Revenue Code	636
Min. Negotiated Rate	$34.98
Max. Negotiated Rate	$56.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.44
Rate for Payer: Qualcare PPO/HMO/WC	$34.98

PIPERACLLN/TAZOBACT 2.25GM INJ

Facility

$233.23

Service Code	HCPCS J2543
Hospital Charge Code	60627314
Hospital Revenue Code	636
Min. Negotiated Rate	$1.09
Max. Negotiated Rate	$69.97
Rate for Payer: Aetna Commercial	$69.97
Rate for Payer: Aetna Medicare Advantage	$69.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.47
Rate for Payer: Cigna Commercial	$1.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.44
Rate for Payer: Qualcare PPO/HMO/WC	$34.98

PIPERCILL/TAZO 3.375GM NS100ML

Facility

$147.07

Service Code	HCPCS J2543
Hospital Charge Code	6010391
Hospital Revenue Code	636
Min. Negotiated Rate	$1.09
Max. Negotiated Rate	$44.12
Rate for Payer: Aetna Commercial	$44.12
Rate for Payer: Aetna Medicare Advantage	$44.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.50
Rate for Payer: Cigna Commercial	$1.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.59
Rate for Payer: Qualcare PPO/HMO/WC	$22.06

PIPERCILL/TAZO 3.375GM NS100ML

Facility

$147.07

Service Code	HCPCS J2543
Hospital Charge Code	6010391
Hospital Revenue Code	636
Min. Negotiated Rate	$22.06
Max. Negotiated Rate	$35.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.59
Rate for Payer: Qualcare PPO/HMO/WC	$22.06

PIPRACIL/2GM/VIAL

Facility

$61.00

Hospital Charge Code	60634502
Hospital Revenue Code	636
Min. Negotiated Rate	$9.15
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	$14.76
Rate for Payer: Qualcare PPO/HMO/WC	$9.15

PIPRACIL/2GM/VIAL

Facility

$61.00

Hospital Charge Code	60634502
Hospital Revenue Code	636
Min. Negotiated Rate	$9.15
Max. Negotiated Rate	$14.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.76
Rate for Payer: Qualcare PPO/HMO/WC	$9.15

PIPRACIL 3G ADV

Facility

$122.00

Hospital Charge Code	60635042
Hospital Revenue Code	636
Min. Negotiated Rate	$18.30
Max. Negotiated Rate	$29.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.52
Rate for Payer: Qualcare PPO/HMO/WC	$18.30

PIPRACIL 3G ADV

Facility

$122.00

Hospital Charge Code	60635042
Hospital Revenue Code	636
Min. Negotiated Rate	$18.30
Max. Negotiated Rate	$61.00
Rate for Payer: Aetna Commercial	$36.60
Rate for Payer: Aetna Medicare Advantage	$36.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.11
Rate for Payer: Cigna Commercial	$61.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.52
Rate for Payer: Qualcare PPO/HMO/WC	$18.30

PIPRACIL 3GM (ADD VANT)

Facility

$122.00

Hospital Charge Code	60635040
Hospital Revenue Code	636
Min. Negotiated Rate	$18.30
Max. Negotiated Rate	$61.00
Rate for Payer: Aetna Commercial	$36.60
Rate for Payer: Aetna Medicare Advantage	$36.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.11
Rate for Payer: Cigna Commercial	$61.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.52
Rate for Payer: Qualcare PPO/HMO/WC	$18.30

PIPRACIL 3GM (ADD VANT)

Facility

$122.00

Hospital Charge Code	60635040
Hospital Revenue Code	636
Min. Negotiated Rate	$18.30
Max. Negotiated Rate	$29.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.52
Rate for Payer: Qualcare PPO/HMO/WC	$18.30

PIPRACIL/3GM/VIAL

Facility

$89.00

Hospital Charge Code	60634503
Hospital Revenue Code	636
Min. Negotiated Rate	$13.35
Max. Negotiated Rate	$44.50
Rate for Payer: Aetna Commercial	$26.70
Rate for Payer: Aetna Medicare Advantage	$26.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.70
Rate for Payer: Cigna Commercial	$44.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.54
Rate for Payer: Qualcare PPO/HMO/WC	$13.35

PIPRACIL/3GM/VIAL

Facility

$89.00

Hospital Charge Code	60634503
Hospital Revenue Code	636
Min. Negotiated Rate	$13.35
Max. Negotiated Rate	$21.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.54
Rate for Payer: Qualcare PPO/HMO/WC	$13.35

PIPRACIL/40GM

Facility

$110.00

Hospital Charge Code	60633665
Hospital Revenue Code	636
Min. Negotiated Rate	$16.50
Max. Negotiated Rate	$26.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.62
Rate for Payer: Qualcare PPO/HMO/WC	$16.50

PIPRACIL/40GM

Facility

$110.00

Hospital Charge Code	60633665
Hospital Revenue Code	636
Min. Negotiated Rate	$16.50
Max. Negotiated Rate	$55.00
Rate for Payer: Aetna Commercial	$33.00
Rate for Payer: Aetna Medicare Advantage	$33.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.05
Rate for Payer: Cigna Commercial	$55.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.62
Rate for Payer: Qualcare PPO/HMO/WC	$16.50

Know your out-of-pocket cost for care.

All Charges