Heights University Hospital

All Charges

Charge

Type

Setting

Price

TROPICAMIDE 1% OPHTH/15ML

Facility

$38.00

Hospital Charge Code	60634095
Hospital Revenue Code	250
Min. Negotiated Rate	$4.94
Max. Negotiated Rate	$19.00
Rate for Payer: Aetna Commercial	$11.40
Rate for Payer: Aetna Medicare Advantage	$11.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.69
Rate for Payer: Cigna Commercial	$19.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.94
Rate for Payer: Oxford Commercial	$19.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.70
Rate for Payer: UnitedHealthcare Commercial	$19.00

TROPICAMIDE 1% OPHTH/15ML

Facility

$38.00

Hospital Charge Code	60634095
Hospital Revenue Code	250
Min. Negotiated Rate	$5.70
Max. Negotiated Rate	$5.70
Rate for Payer: Qualcare PPO/HMO/WC	$5.70

TROPICAMIDE OPH 1% 15ML

Facility

$13.65

Hospital Charge Code	6005565
Hospital Revenue Code	251
Min. Negotiated Rate	$2.05
Max. Negotiated Rate	$2.05
Rate for Payer: Qualcare PPO/HMO/WC	$2.05

TROPICAMIDE OPH 1% 15ML

Facility

$13.65

Hospital Charge Code	6005565
Hospital Revenue Code	251
Min. Negotiated Rate	$1.77
Max. Negotiated Rate	$6.83
Rate for Payer: Aetna Commercial	$4.09
Rate for Payer: Aetna Medicare Advantage	$4.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.48
Rate for Payer: Cigna Commercial	$6.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.77
Rate for Payer: Oxford Commercial	$6.83
Rate for Payer: Qualcare PPO/HMO/WC	$2.05
Rate for Payer: UnitedHealthcare Commercial	$6.83

TROPICAMIDE OPH .5% 15ML

Facility

$12.85

Hospital Charge Code	6005557
Hospital Revenue Code	251
Min. Negotiated Rate	$1.67
Max. Negotiated Rate	$6.42
Rate for Payer: Aetna Commercial	$3.85
Rate for Payer: Aetna Medicare Advantage	$3.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.28
Rate for Payer: Cigna Commercial	$6.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.67
Rate for Payer: Oxford Commercial	$6.42
Rate for Payer: Qualcare PPO/HMO/WC	$1.93
Rate for Payer: UnitedHealthcare Commercial	$6.42

TROPICAMIDE OPH .5% 15ML

Facility

$12.85

Hospital Charge Code	6005557
Hospital Revenue Code	251
Min. Negotiated Rate	$1.93
Max. Negotiated Rate	$1.93
Rate for Payer: Qualcare PPO/HMO/WC	$1.93

TROPICAMIDE OPH SOL 1% 3ML

Facility

$168.04

Service Code	NDC 17478010212
Hospital Charge Code	60628068
Hospital Revenue Code	250
Min. Negotiated Rate	$25.21
Max. Negotiated Rate	$25.21
Rate for Payer: Qualcare PPO/HMO/WC	$25.21

TROPICAMIDE OPH SOL 1% 3ML

Facility

$168.04

Service Code	NDC 17478010212
Hospital Charge Code	60628068
Hospital Revenue Code	250
Min. Negotiated Rate	$21.85
Max. Negotiated Rate	$84.02
Rate for Payer: Aetna Commercial	$50.41
Rate for Payer: Aetna Medicare Advantage	$50.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.85
Rate for Payer: Cigna Commercial	$84.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.85
Rate for Payer: Oxford Commercial	$84.02
Rate for Payer: Qualcare PPO/HMO/WC	$25.21
Rate for Payer: UnitedHealthcare Commercial	$84.02

TROPIRAMATE

Facility

$84.00

Service Code	HCPCS 80201
Hospital Charge Code	38478082
Hospital Revenue Code	301
Min. Negotiated Rate	$12.60
Max. Negotiated Rate	$12.60
Rate for Payer: Qualcare PPO/HMO/WC	$12.60

TROPIRAMATE

Facility

$84.00

Service Code	HCPCS 80201
Hospital Charge Code	38478082
Hospital Revenue Code	301
Min. Negotiated Rate	$5.96
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$38.62
Rate for Payer: Aetna Medicare Advantage	$11.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.67
Rate for Payer: Cigna Commercial	$11.92
Rate for Payer: Cigna Medicare Advantage	$5.96
Rate for Payer: Clover Medicare Advantage	$11.32
Rate for Payer: EmblemHealth Commercial	$35.76
Rate for Payer: Humana Medicare Advantage	$12.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.92
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.60
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.92
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12.64
Rate for Payer: Wellcare Medicare Advantage	$11.92

TROPONIN

Facility

$389.20

Service Code	HCPCS 84484
Hospital Charge Code	38474118
Hospital Revenue Code	301
Min. Negotiated Rate	$6.24
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$40.40
Rate for Payer: Aetna Medicare Advantage	$12.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.69
Rate for Payer: Cigna Commercial	$12.47
Rate for Payer: Cigna Medicare Advantage	$6.24
Rate for Payer: Clover Medicare Advantage	$11.85
Rate for Payer: EmblemHealth Commercial	$37.41
Rate for Payer: Humana Medicare Advantage	$12.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.60
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.38
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.47
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13.22
Rate for Payer: Wellcare Medicare Advantage	$12.47

TROPONIN

Facility

$389.20

Service Code	HCPCS 84484
Hospital Charge Code	38474118
Hospital Revenue Code	301
Min. Negotiated Rate	$58.38
Max. Negotiated Rate	$58.38
Rate for Payer: Qualcare PPO/HMO/WC	$58.38

TROPONIN I***

Facility

$27.00

Service Code	HCPCS 83520
Hospital Charge Code	3042454
Hospital Revenue Code	309
Min. Negotiated Rate	$4.05
Max. Negotiated Rate	$4.05
Rate for Payer: Qualcare PPO/HMO/WC	$4.05

TROPONIN I***

Facility

$27.00

Service Code	HCPCS 83520
Hospital Charge Code	3042454
Hospital Revenue Code	309
Min. Negotiated Rate	$3.51
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$55.95
Rate for Payer: Aetna Medicare Advantage	$17.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.28
Rate for Payer: Cigna Commercial	$17.27
Rate for Payer: Cigna Medicare Advantage	$8.63
Rate for Payer: Clover Medicare Advantage	$16.41
Rate for Payer: EmblemHealth Commercial	$51.81
Rate for Payer: Humana Medicare Advantage	$17.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.51
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.05
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$17.27
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$18.31
Rate for Payer: Wellcare Medicare Advantage	$17.27

TROPONIN (QUANT)

Facility

$650.82

Service Code	HCPCS 84484
Hospital Charge Code	3009820
Hospital Revenue Code	301
Min. Negotiated Rate	$97.62
Max. Negotiated Rate	$97.62
Rate for Payer: Qualcare PPO/HMO/WC	$97.62

TROPONIN (QUANT)

Facility

$650.82

Service Code	HCPCS 84484
Hospital Charge Code	3009820
Hospital Revenue Code	301
Min. Negotiated Rate	$6.24
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$40.40
Rate for Payer: Aetna Medicare Advantage	$12.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.69
Rate for Payer: Cigna Commercial	$12.47
Rate for Payer: Cigna Medicare Advantage	$6.24
Rate for Payer: Clover Medicare Advantage	$11.85
Rate for Payer: EmblemHealth Commercial	$37.41
Rate for Payer: Humana Medicare Advantage	$12.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.61
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$97.62
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.47
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13.22
Rate for Payer: Wellcare Medicare Advantage	$12.47

TROPONIN, QUANTITATIVE

Facility

$667.59

Service Code	HCPCS 84484
Hospital Charge Code	3032491
Hospital Revenue Code	301
Min. Negotiated Rate	$100.14
Max. Negotiated Rate	$100.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.14

TROPONIN, QUANTITATIVE

Facility

$667.59

Service Code	HCPCS 84484
Hospital Charge Code	3032491
Hospital Revenue Code	301
Min. Negotiated Rate	$6.24
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$40.40
Rate for Payer: Aetna Medicare Advantage	$12.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.69
Rate for Payer: Cigna Commercial	$12.47
Rate for Payer: Cigna Medicare Advantage	$6.24
Rate for Payer: Clover Medicare Advantage	$11.85
Rate for Payer: EmblemHealth Commercial	$37.41
Rate for Payer: Humana Medicare Advantage	$12.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.79
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$100.14
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.47
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13.22
Rate for Payer: Wellcare Medicare Advantage	$12.47

TROPONIN (QUANT) REPEAT

Facility

$123.44

Service Code	HCPCS 8448491
Hospital Charge Code	3009820R
Hospital Revenue Code	301
Min. Negotiated Rate	$18.52
Max. Negotiated Rate	$18.52
Rate for Payer: Qualcare PPO/HMO/WC	$18.52

TROPONIN (QUANT) REPEAT

Facility

$123.44

Service Code	HCPCS 8448491
Hospital Charge Code	3009820R
Hospital Revenue Code	301
Min. Negotiated Rate	$16.05
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$37.03
Rate for Payer: Aetna Medicare Advantage	$37.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.48
Rate for Payer: Cigna Commercial	$61.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.05
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.52
Rate for Payer: UnitedHealthcare Commercial	$114.00

TROPOPIN I***

Facility

$32.00

Service Code	HCPCS 83520
Hospital Charge Code	3032455
Hospital Revenue Code	309
Min. Negotiated Rate	$4.16
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$55.95
Rate for Payer: Aetna Medicare Advantage	$17.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.28
Rate for Payer: Cigna Commercial	$17.27
Rate for Payer: Cigna Medicare Advantage	$8.63
Rate for Payer: Clover Medicare Advantage	$16.41
Rate for Payer: EmblemHealth Commercial	$51.81
Rate for Payer: Humana Medicare Advantage	$17.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.16
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.80
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$17.27
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$18.31
Rate for Payer: Wellcare Medicare Advantage	$17.27

TROPOPIN I***

Facility

$32.00

Service Code	HCPCS 83520
Hospital Charge Code	3032455
Hospital Revenue Code	309
Min. Negotiated Rate	$4.80
Max. Negotiated Rate	$4.80
Rate for Payer: Qualcare PPO/HMO/WC	$4.80

TROVAFLOXACIN TAB 100MG

Facility

$40.35

Hospital Charge Code	60628761
Hospital Revenue Code	250
Min. Negotiated Rate	$5.25
Max. Negotiated Rate	$20.18
Rate for Payer: Aetna Commercial	$12.11
Rate for Payer: Aetna Medicare Advantage	$12.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.29
Rate for Payer: Cigna Commercial	$20.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.25
Rate for Payer: Oxford Commercial	$20.18
Rate for Payer: Qualcare PPO/HMO/WC	$6.05
Rate for Payer: UnitedHealthcare Commercial	$20.18

TROVAFLOXACIN TAB 100MG

Facility

$40.35

Hospital Charge Code	60628761
Hospital Revenue Code	250
Min. Negotiated Rate	$6.05
Max. Negotiated Rate	$6.05
Rate for Payer: Qualcare PPO/HMO/WC	$6.05

TROVAFLOXACIN TAB 200MG

Facility

$46.10

Hospital Charge Code	60629045
Hospital Revenue Code	250
Min. Negotiated Rate	$5.99
Max. Negotiated Rate	$23.05
Rate for Payer: Aetna Commercial	$13.83
Rate for Payer: Aetna Medicare Advantage	$13.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.76
Rate for Payer: Cigna Commercial	$23.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.99
Rate for Payer: Oxford Commercial	$23.05
Rate for Payer: Qualcare PPO/HMO/WC	$6.92
Rate for Payer: UnitedHealthcare Commercial	$23.05

Know your out-of-pocket cost for care.

All Charges