Heights University Hospital

All Charges

Charge

Type

Setting

Price

REGLAN/5MG/5ML

Facility

$32.56

Service Code	NDC 121157610
Hospital Charge Code	60633807
Hospital Revenue Code	250
Min. Negotiated Rate	$4.23
Max. Negotiated Rate	$16.28
Rate for Payer: Aetna Commercial	$9.77
Rate for Payer: Aetna Medicare Advantage	$9.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.30
Rate for Payer: Cigna Commercial	$16.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.23
Rate for Payer: Oxford Commercial	$16.28
Rate for Payer: Qualcare PPO/HMO/WC	$4.88
Rate for Payer: UnitedHealthcare Commercial	$16.28

REGLAN/5MG/5ML

Facility

$32.56

Service Code	NDC 121157610
Hospital Charge Code	60633807
Hospital Revenue Code	250
Min. Negotiated Rate	$4.88
Max. Negotiated Rate	$4.88
Rate for Payer: Qualcare PPO/HMO/WC	$4.88

REGLAN/5MG/TAB

Facility

$5.00

Hospital Charge Code	60633808
Hospital Revenue Code	250
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

REGLAN/5MG/TAB

Facility

$5.00

Hospital Charge Code	60633808
Hospital Revenue Code	250
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$2.50
Rate for Payer: Aetna Commercial	$1.50
Rate for Payer: Aetna Medicare Advantage	$1.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.27
Rate for Payer: Cigna Commercial	$2.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.65
Rate for Payer: Oxford Commercial	$2.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.75
Rate for Payer: UnitedHealthcare Commercial	$2.50

REGLAN/5MG/TAB

Facility

$4.00

Hospital Charge Code	60633810
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

REGLAN/5MG/TAB

Facility

$4.00

Hospital Charge Code	60633810
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

REGLAN INJ/30ML VIAL

Facility

$149.00

Hospital Charge Code	60634213
Hospital Revenue Code	636
Min. Negotiated Rate	$22.35
Max. Negotiated Rate	$36.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.06
Rate for Payer: Qualcare PPO/HMO/WC	$22.35

REGLAN INJ/30ML VIAL

Facility

$149.00

Hospital Charge Code	60634213
Hospital Revenue Code	636
Min. Negotiated Rate	$22.35
Max. Negotiated Rate	$74.50
Rate for Payer: Aetna Commercial	$44.70
Rate for Payer: Aetna Medicare Advantage	$44.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.99
Rate for Payer: Cigna Commercial	$74.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.06
Rate for Payer: Qualcare PPO/HMO/WC	$22.35

REGLAN LIQUID/16OZ

Facility

$138.00

Hospital Charge Code	60634593
Hospital Revenue Code	250
Min. Negotiated Rate	$20.70
Max. Negotiated Rate	$20.70
Rate for Payer: Qualcare PPO/HMO/WC	$20.70

REGLAN LIQUID/16OZ

Facility

$138.00

Hospital Charge Code	60634593
Hospital Revenue Code	250
Min. Negotiated Rate	$17.94
Max. Negotiated Rate	$69.00
Rate for Payer: Aetna Commercial	$41.40
Rate for Payer: Aetna Medicare Advantage	$41.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.19
Rate for Payer: Cigna Commercial	$69.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.94
Rate for Payer: Oxford Commercial	$69.00
Rate for Payer: Qualcare PPO/HMO/WC	$20.70
Rate for Payer: UnitedHealthcare Commercial	$69.00

REGONOL/5MG/1ML

Facility

$18.00

Hospital Charge Code	60633811
Hospital Revenue Code	250
Min. Negotiated Rate	$2.34
Max. Negotiated Rate	$9.00
Rate for Payer: Aetna Commercial	$5.40
Rate for Payer: Aetna Medicare Advantage	$5.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.59
Rate for Payer: Cigna Commercial	$9.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.34
Rate for Payer: Oxford Commercial	$9.00
Rate for Payer: Qualcare PPO/HMO/WC	$2.70
Rate for Payer: UnitedHealthcare Commercial	$9.00

REGONOL/5MG/1ML

Facility

$18.00

Hospital Charge Code	60633811
Hospital Revenue Code	250
Min. Negotiated Rate	$2.70
Max. Negotiated Rate	$2.70
Rate for Payer: Qualcare PPO/HMO/WC	$2.70

REGONOL/5MG/1ML

Facility

$24.00

Hospital Charge Code	60633812
Hospital Revenue Code	250
Min. Negotiated Rate	$3.12
Max. Negotiated Rate	$12.00
Rate for Payer: Aetna Commercial	$7.20
Rate for Payer: Aetna Medicare Advantage	$7.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.12
Rate for Payer: Cigna Commercial	$12.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.12
Rate for Payer: Oxford Commercial	$12.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.60
Rate for Payer: UnitedHealthcare Commercial	$12.00

REGONOL/5MG/1ML

Facility

$24.00

Hospital Charge Code	60633812
Hospital Revenue Code	250
Min. Negotiated Rate	$3.60
Max. Negotiated Rate	$3.60
Rate for Payer: Qualcare PPO/HMO/WC	$3.60

REGROTON 50-0.25/TAB

Facility

$6.00

Hospital Charge Code	60633813
Hospital Revenue Code	250
Min. Negotiated Rate	$0.78
Max. Negotiated Rate	$3.00
Rate for Payer: Aetna Commercial	$1.80
Rate for Payer: Aetna Medicare Advantage	$1.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.53
Rate for Payer: Cigna Commercial	$3.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.78
Rate for Payer: Oxford Commercial	$3.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.90
Rate for Payer: UnitedHealthcare Commercial	$3.00

REGROTON 50-0.25/TAB

Facility

$6.00

Hospital Charge Code	60633813
Hospital Revenue Code	250
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$0.90
Rate for Payer: Qualcare PPO/HMO/WC	$0.90

REGULIN INSULIN

Facility

$100.85

Hospital Charge Code	6008361
Hospital Revenue Code	250
Min. Negotiated Rate	$13.11
Max. Negotiated Rate	$50.42
Rate for Payer: Aetna Commercial	$30.25
Rate for Payer: Aetna Medicare Advantage	$30.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.72
Rate for Payer: Cigna Commercial	$50.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.11
Rate for Payer: Oxford Commercial	$50.42
Rate for Payer: Qualcare PPO/HMO/WC	$15.13
Rate for Payer: UnitedHealthcare Commercial	$50.42

REGULIN INSULIN

Facility

$100.85

Hospital Charge Code	6008361
Hospital Revenue Code	250
Min. Negotiated Rate	$15.13
Max. Negotiated Rate	$15.13
Rate for Payer: Qualcare PPO/HMO/WC	$15.13

REHABILITATION

Facility

$13,431.52

Service Code	APR-DRG 8601
Min. Negotiated Rate	$8,083.35
Max. Negotiated Rate	$13,431.52
Rate for Payer: Aetna Better Health Medicaid	$13,168.16
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$13,431.52
Rate for Payer: Wellpoint Medicaid Managed Care	$8,083.35

REHABILITATION

Facility

$25,217.06

Service Code	APR-DRG 8604
Min. Negotiated Rate	$20,312.82
Max. Negotiated Rate	$25,217.06
Rate for Payer: Aetna Better Health Medicaid	$24,722.61
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$25,217.06
Rate for Payer: Wellpoint Medicaid Managed Care	$20,312.82

REHABILITATION

Facility

$16,362.44

Service Code	APR-DRG 8602
Min. Negotiated Rate	$10,949.69
Max. Negotiated Rate	$16,362.44
Rate for Payer: Aetna Better Health Medicaid	$16,041.61
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$16,362.44
Rate for Payer: Wellpoint Medicaid Managed Care	$10,949.69

REHABILITATION

Facility

$20,560.15

Service Code	APR-DRG 8603
Min. Negotiated Rate	$15,078.63
Max. Negotiated Rate	$20,560.15
Rate for Payer: Aetna Better Health Medicaid	$20,157.01
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$20,560.15
Rate for Payer: Wellpoint Medicaid Managed Care	$15,078.63

REHABILITATION WITH CC/MCC

Facility

$56,771.49

Service Code	MSDRG 945
Min. Negotiated Rate	$16,899.23
Max. Negotiated Rate	$56,771.49
Rate for Payer: Aetna Commercial	$52,218.62
Rate for Payer: Aetna Medicare Advantage	$16,899.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41,626.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41,626.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18,923.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41,626.17
Rate for Payer: Cigna Commercial	$33,327.42
Rate for Payer: Cigna Medicare Advantage	$18,923.83
Rate for Payer: Clover Medicare Advantage	$17,977.64
Rate for Payer: EmblemHealth Commercial	$56,771.49
Rate for Payer: Humana Medicare Advantage	$19,491.54
Rate for Payer: Oxford Commercial	$20,828.67
Rate for Payer: UnitedHealthcare Commercial	$23,642.48
Rate for Payer: UnitedHealthcare Medicare Advantage	$18,923.83
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$20,059.26
Rate for Payer: Wellcare Medicare Advantage	$18,923.83

REHABILITATION WITHOUT CC/MCC

Facility

$45,108.93

Service Code	MSDRG 946
Min. Negotiated Rate	$12,514.55
Max. Negotiated Rate	$45,108.93
Rate for Payer: Aetna Commercial	$38,669.96
Rate for Payer: Aetna Medicare Advantage	$12,514.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27,842.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27,842.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15,036.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27,842.67
Rate for Payer: Cigna Commercial	$24,680.28
Rate for Payer: Cigna Medicare Advantage	$15,036.31
Rate for Payer: Clover Medicare Advantage	$14,284.49
Rate for Payer: EmblemHealth Commercial	$45,108.93
Rate for Payer: Humana Medicare Advantage	$15,487.40
Rate for Payer: Oxford Commercial	$15,424.46
Rate for Payer: UnitedHealthcare Commercial	$17,508.20
Rate for Payer: UnitedHealthcare Medicare Advantage	$15,036.31
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15,938.49
Rate for Payer: Wellcare Medicare Advantage	$15,036.31

REHAB SEMI-PRIVATE ROOM

Facility

$18,000.00

Hospital Charge Code	100820
Hospital Revenue Code	128
Min. Negotiated Rate	$2,321.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: Oxford Commercial	$2,321.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00
Rate for Payer: UnitedHealthcare Commercial	$2,634.00

Know your out-of-pocket cost for care.

All Charges