Heights University Hospital

All Charges

Charge

Type

Setting

Price

TROVAFLOXACIN TAB 200MG

Facility

$46.10

Hospital Charge Code	60629045
Hospital Revenue Code	250
Min. Negotiated Rate	$6.92
Max. Negotiated Rate	$6.92
Rate for Payer: Qualcare PPO/HMO/WC	$6.92

TROVAN 100MG TAB UD

Facility

$23.00

Hospital Charge Code	60635206
Hospital Revenue Code	250
Min. Negotiated Rate	$2.99
Max. Negotiated Rate	$11.50
Rate for Payer: Aetna Commercial	$6.90
Rate for Payer: Aetna Medicare Advantage	$6.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.87
Rate for Payer: Cigna Commercial	$11.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.99
Rate for Payer: Oxford Commercial	$11.50
Rate for Payer: Qualcare PPO/HMO/WC	$3.45
Rate for Payer: UnitedHealthcare Commercial	$11.50

TROVAN 100MG TAB UD

Facility

$23.00

Hospital Charge Code	60635206
Hospital Revenue Code	250
Min. Negotiated Rate	$3.45
Max. Negotiated Rate	$3.45
Rate for Payer: Qualcare PPO/HMO/WC	$3.45

TROVAN 200MG IV

Facility

$255.00

Hospital Charge Code	60635204
Hospital Revenue Code	250
Min. Negotiated Rate	$38.25
Max. Negotiated Rate	$38.25
Rate for Payer: Qualcare PPO/HMO/WC	$38.25

TROVAN 200MG IV

Facility

$255.00

Hospital Charge Code	60635204
Hospital Revenue Code	250
Min. Negotiated Rate	$33.15
Max. Negotiated Rate	$127.50
Rate for Payer: Aetna Commercial	$76.50
Rate for Payer: Aetna Medicare Advantage	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.03
Rate for Payer: Cigna Commercial	$127.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.15
Rate for Payer: Oxford Commercial	$127.50
Rate for Payer: Qualcare PPO/HMO/WC	$38.25
Rate for Payer: UnitedHealthcare Commercial	$127.50

TROVAN 200MG TAB UD

Facility

$50.00

Hospital Charge Code	60635205
Hospital Revenue Code	250
Min. Negotiated Rate	$6.50
Max. Negotiated Rate	$25.00
Rate for Payer: Aetna Commercial	$15.00
Rate for Payer: Aetna Medicare Advantage	$15.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.75
Rate for Payer: Cigna Commercial	$25.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.50
Rate for Payer: Oxford Commercial	$25.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.50
Rate for Payer: UnitedHealthcare Commercial	$25.00

TROVAN 200MG TAB UD

Facility

$50.00

Hospital Charge Code	60635205
Hospital Revenue Code	250
Min. Negotiated Rate	$7.50
Max. Negotiated Rate	$7.50
Rate for Payer: Qualcare PPO/HMO/WC	$7.50

TROVAN 300MG INJ VIAL

Facility

$293.00

Hospital Charge Code	60635229
Hospital Revenue Code	250
Min. Negotiated Rate	$38.09
Max. Negotiated Rate	$146.50
Rate for Payer: Aetna Commercial	$87.90
Rate for Payer: Aetna Medicare Advantage	$87.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.72
Rate for Payer: Cigna Commercial	$146.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.09
Rate for Payer: Oxford Commercial	$146.50
Rate for Payer: Qualcare PPO/HMO/WC	$43.95
Rate for Payer: UnitedHealthcare Commercial	$146.50

TROVAN 300MG INJ VIAL

Facility

$293.00

Hospital Charge Code	60635229
Hospital Revenue Code	250
Min. Negotiated Rate	$43.95
Max. Negotiated Rate	$43.95
Rate for Payer: Qualcare PPO/HMO/WC	$43.95

TRPLC 133 T1 PPS SO 12 X 144 M

Facility

$10,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270680809
Hospital Revenue Code	278
Min. Negotiated Rate	$1,575.00
Max. Negotiated Rate	$5,250.00
Rate for Payer: Aetna Commercial	$3,150.00
Rate for Payer: Aetna Medicare Advantage	$3,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,677.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,677.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,677.50
Rate for Payer: Cigna Commercial	$5,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,541.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,575.00

TRPLC 133 T1 PPS SO 12 X 144 M

Facility

$10,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270680809
Hospital Revenue Code	278
Min. Negotiated Rate	$1,575.00
Max. Negotiated Rate	$2,541.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,541.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,575.00

TRU CORE II 20GX16CM BIOPSY

Facility

$186.15

Hospital Charge Code	270659397
Hospital Revenue Code	272
Min. Negotiated Rate	$27.92
Max. Negotiated Rate	$27.92
Rate for Payer: Qualcare PPO/HMO/WC	$27.92

TRU CORE II 20GX16CM BIOPSY

Facility

$186.15

Hospital Charge Code	270659397
Hospital Revenue Code	272
Min. Negotiated Rate	$24.20
Max. Negotiated Rate	$93.08
Rate for Payer: Aetna Commercial	$55.84
Rate for Payer: Aetna Medicare Advantage	$55.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.47
Rate for Payer: Cigna Commercial	$93.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.20
Rate for Payer: Oxford Commercial	$93.08
Rate for Payer: Qualcare PPO/HMO/WC	$27.92
Rate for Payer: UnitedHealthcare Commercial	$93.08

TRU-CORE II BX NEEDLE 16G 16cm

Facility

$215.00

Hospital Charge Code	270643163
Hospital Revenue Code	272
Min. Negotiated Rate	$32.25
Max. Negotiated Rate	$32.25
Rate for Payer: Qualcare PPO/HMO/WC	$32.25

TRU-CORE II BX NEEDLE 16G 16cm

Facility

$215.00

Hospital Charge Code	270643163
Hospital Revenue Code	272
Min. Negotiated Rate	$27.95
Max. Negotiated Rate	$107.50
Rate for Payer: Aetna Commercial	$64.50
Rate for Payer: Aetna Medicare Advantage	$64.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.83
Rate for Payer: Cigna Commercial	$107.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.95
Rate for Payer: Oxford Commercial	$107.50
Rate for Payer: Qualcare PPO/HMO/WC	$32.25
Rate for Payer: UnitedHealthcare Commercial	$107.50

TRUETOME 44 WIRE 20MM 4.4/1.47

Facility

$813.75

Hospital Charge Code	270660082
Hospital Revenue Code	272
Min. Negotiated Rate	$105.79
Max. Negotiated Rate	$406.88
Rate for Payer: Aetna Commercial	$244.12
Rate for Payer: Aetna Medicare Advantage	$244.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$207.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$207.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$207.51
Rate for Payer: Cigna Commercial	$406.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.79
Rate for Payer: Oxford Commercial	$406.88
Rate for Payer: Qualcare PPO/HMO/WC	$122.06
Rate for Payer: UnitedHealthcare Commercial	$406.88

TRUETOME 44 WIRE 20MM 4.4/1.47

Facility

$813.75

Hospital Charge Code	270660082
Hospital Revenue Code	272
Min. Negotiated Rate	$122.06
Max. Negotiated Rate	$122.06
Rate for Payer: Qualcare PPO/HMO/WC	$122.06

TRU-GLU SOLUTION/10OZ

Facility

$6.00

Hospital Charge Code	60634432
Hospital Revenue Code	250
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$0.90
Rate for Payer: Qualcare PPO/HMO/WC	$0.90

TRU-GLU SOLUTION/10OZ

Facility

$6.00

Hospital Charge Code	60634432
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

TRUMATCH ATTUNE PS ATTUNE RESE

Facility

$2,700.00

Service Code	HCPCS C1776
Hospital Charge Code	270686060
Hospital Revenue Code	278
Min. Negotiated Rate	$405.00
Max. Negotiated Rate	$1,350.00
Rate for Payer: Aetna Commercial	$810.00
Rate for Payer: Aetna Medicare Advantage	$810.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$688.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$688.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$540.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$688.50
Rate for Payer: Cigna Commercial	$1,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$653.40
Rate for Payer: Qualcare PPO/HMO/WC	$405.00

TRUMATCH ATTUNE PS ATTUNE RESE

Facility

$2,700.00

Service Code	HCPCS C1776
Hospital Charge Code	270686060
Hospital Revenue Code	278
Min. Negotiated Rate	$405.00
Max. Negotiated Rate	$653.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$540.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$653.40
Rate for Payer: Qualcare PPO/HMO/WC	$405.00

TRUSOPT OPHTH 5ML

Facility

$69.00

Hospital Charge Code	60635151
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

TRUSOPT OPHTH 5ML

Facility

$69.00

Hospital Charge Code	60635151
Hospital Revenue Code	250
Min. Negotiated Rate	$10.35
Max. Negotiated Rate	$10.35
Rate for Payer: Qualcare PPO/HMO/WC	$10.35

TRYPAN BLUE 0.06%

Facility

$666.52

Service Code	NDC 68803061210
Hospital Charge Code	60635706
Hospital Revenue Code	250
Min. Negotiated Rate	$99.98
Max. Negotiated Rate	$99.98
Rate for Payer: Qualcare PPO/HMO/WC	$99.98

TRYPAN BLUE 0.06%

Facility

$666.52

Service Code	NDC 68803061210
Hospital Charge Code	60635706
Hospital Revenue Code	250
Min. Negotiated Rate	$86.65
Max. Negotiated Rate	$333.26
Rate for Payer: Aetna Commercial	$199.96
Rate for Payer: Aetna Medicare Advantage	$199.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$169.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$169.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$169.96
Rate for Payer: Cigna Commercial	$333.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.65
Rate for Payer: Oxford Commercial	$333.26
Rate for Payer: Qualcare PPO/HMO/WC	$99.98
Rate for Payer: UnitedHealthcare Commercial	$333.26

Know your out-of-pocket cost for care.

All Charges