Heights University Hospital

All Charges

Charge

Type

Setting

Price

VALIUM/2MG/TAB

Facility

$6.00

Hospital Charge Code	60634338
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

VALIUM/2MG/TAB

Facility

$6.00

Hospital Charge Code	60634338
Hospital Revenue Code	250
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$0.90
Rate for Payer: Qualcare PPO/HMO/WC	$0.90

VALIUM/5MG/TAB

Facility

$6.00

Hospital Charge Code	60634339
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

VALIUM/5MG/TAB

Facility

$6.00

Hospital Charge Code	60634339
Hospital Revenue Code	250
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$0.90
Rate for Payer: Qualcare PPO/HMO/WC	$0.90

VALOR NAIL, RIGHT

Facility

$13,895.00

Hospital Charge Code	270702424
Hospital Revenue Code	278
Min. Negotiated Rate	$2,084.25
Max. Negotiated Rate	$6,947.50
Rate for Payer: Aetna Commercial	$4,168.50
Rate for Payer: Aetna Medicare Advantage	$4,168.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,543.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,543.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,779.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,543.22
Rate for Payer: Cigna Commercial	$6,947.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,362.59
Rate for Payer: Qualcare PPO/HMO/WC	$2,084.25

VALOR NAIL, RIGHT

Facility

$13,895.00

Hospital Charge Code	270702424
Hospital Revenue Code	278
Min. Negotiated Rate	$2,084.25
Max. Negotiated Rate	$3,362.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,779.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,362.59
Rate for Payer: Qualcare PPO/HMO/WC	$2,084.25

VALPAK ALGO-NEWBORN HEARSCRN

Facility

$23.00

Hospital Charge Code	270631173
Hospital Revenue Code	270
Min. Negotiated Rate	$3.45
Max. Negotiated Rate	$3.45
Rate for Payer: Qualcare PPO/HMO/WC	$3.45

VALPAK ALGO-NEWBORN HEARSCRN

Facility

$23.00

Hospital Charge Code	270631173
Hospital Revenue Code	270
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

VALPROIC ACID 250MG/5ML 16OZ

Facility

$5.16

Service Code	NDC 121067516
Hospital Charge Code	6005581
Hospital Revenue Code	250
Min. Negotiated Rate	$0.67
Max. Negotiated Rate	$2.58
Rate for Payer: Aetna Commercial	$1.55
Rate for Payer: Aetna Medicare Advantage	$1.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.32
Rate for Payer: Cigna Commercial	$2.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.67
Rate for Payer: Oxford Commercial	$2.58
Rate for Payer: Qualcare PPO/HMO/WC	$0.77
Rate for Payer: UnitedHealthcare Commercial	$2.58

VALPROIC ACID 250MG/5ML 16OZ

Facility

$5.16

Service Code	NDC 121067516
Hospital Charge Code	6005581
Hospital Revenue Code	250
Min. Negotiated Rate	$0.77
Max. Negotiated Rate	$0.77
Rate for Payer: Qualcare PPO/HMO/WC	$0.77

VALPROIC ACID 250MG/5ML SYRUP

Facility

$14.47

Service Code	NDC 121467505
Hospital Charge Code	60632173
Hospital Revenue Code	250
Min. Negotiated Rate	$1.88
Max. Negotiated Rate	$7.24
Rate for Payer: Aetna Commercial	$4.34
Rate for Payer: Aetna Medicare Advantage	$4.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.69
Rate for Payer: Cigna Commercial	$7.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.88
Rate for Payer: Oxford Commercial	$7.24
Rate for Payer: Qualcare PPO/HMO/WC	$2.17
Rate for Payer: UnitedHealthcare Commercial	$7.24

VALPROIC ACID 250MG/5ML SYRUP

Facility

$14.47

Service Code	NDC 121467505
Hospital Charge Code	60632173
Hospital Revenue Code	250
Min. Negotiated Rate	$2.17
Max. Negotiated Rate	$2.17
Rate for Payer: Qualcare PPO/HMO/WC	$2.17

VALPROIC ACID 250 MG CAP

Facility

$4.00

Service Code	NDC 51079029808
Hospital Charge Code	60627752
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

VALPROIC ACID 250 MG CAP

Facility

$4.00

Service Code	NDC 51079029808
Hospital Charge Code	60627752
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

VALPROIC ACID 500 MG INJ

Facility

$212.73

Service Code	NDC 74156410
Hospital Charge Code	60628777
Hospital Revenue Code	250
Min. Negotiated Rate	$27.65
Max. Negotiated Rate	$106.36
Rate for Payer: Aetna Commercial	$63.82
Rate for Payer: Aetna Medicare Advantage	$63.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.25
Rate for Payer: Cigna Commercial	$106.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.65
Rate for Payer: Oxford Commercial	$106.36
Rate for Payer: Qualcare PPO/HMO/WC	$31.91
Rate for Payer: UnitedHealthcare Commercial	$106.36

VALPROIC ACID 500 MG INJ

Facility

$212.73

Service Code	NDC 74156410
Hospital Charge Code	60628777
Hospital Revenue Code	250
Min. Negotiated Rate	$31.91
Max. Negotiated Rate	$31.91
Rate for Payer: Qualcare PPO/HMO/WC	$31.91

VALPROIC ACID (DEPAKENE)

Facility

$378.00

Service Code	HCPCS 80164
Hospital Charge Code	38472662
Hospital Revenue Code	301
Min. Negotiated Rate	$56.70
Max. Negotiated Rate	$56.70
Rate for Payer: Qualcare PPO/HMO/WC	$56.70

VALPROIC ACID (DEPAKENE)

Facility

$667.59

Service Code	HCPCS 80164
Hospital Charge Code	3031440
Hospital Revenue Code	301
Min. Negotiated Rate	$6.77
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$43.87
Rate for Payer: Aetna Medicare Advantage	$13.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.61
Rate for Payer: Cigna Commercial	$13.54
Rate for Payer: Cigna Medicare Advantage	$6.77
Rate for Payer: Clover Medicare Advantage	$12.86
Rate for Payer: EmblemHealth Commercial	$40.62
Rate for Payer: Humana Medicare Advantage	$13.95
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	$13.54
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14.35
Rate for Payer: Wellcare Medicare Advantage	$13.54

VALPROIC ACID (DEPAKENE)

Facility

$378.00

Service Code	HCPCS 80164
Hospital Charge Code	38472662
Hospital Revenue Code	301
Min. Negotiated Rate	$6.77
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$43.87
Rate for Payer: Aetna Medicare Advantage	$13.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.61
Rate for Payer: Cigna Commercial	$13.54
Rate for Payer: Cigna Medicare Advantage	$6.77
Rate for Payer: Clover Medicare Advantage	$12.86
Rate for Payer: EmblemHealth Commercial	$40.62
Rate for Payer: Humana Medicare Advantage	$13.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.14
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$56.70
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.54
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14.35
Rate for Payer: Wellcare Medicare Advantage	$13.54

VALPROIC ACID (DEPAKENE)

Facility

$667.59

Service Code	HCPCS 80164
Hospital Charge Code	3031440
Hospital Revenue Code	301
Min. Negotiated Rate	$100.14
Max. Negotiated Rate	$100.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.14

VALPROIC ACID, FREE

Facility

$284.00

Service Code	HCPCS 80164
Hospital Charge Code	3035114A
Hospital Revenue Code	301
Min. Negotiated Rate	$6.77
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$43.87
Rate for Payer: Aetna Medicare Advantage	$13.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.61
Rate for Payer: Cigna Commercial	$13.54
Rate for Payer: Cigna Medicare Advantage	$6.77
Rate for Payer: Clover Medicare Advantage	$12.86
Rate for Payer: EmblemHealth Commercial	$40.62
Rate for Payer: Humana Medicare Advantage	$13.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.92
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.60
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.54
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14.35
Rate for Payer: Wellcare Medicare Advantage	$13.54

VALPROIC ACID, FREE

Facility

$284.00

Service Code	HCPCS 80164
Hospital Charge Code	3035114B
Hospital Revenue Code	301
Min. Negotiated Rate	$42.60
Max. Negotiated Rate	$42.60
Rate for Payer: Qualcare PPO/HMO/WC	$42.60

VALPROIC ACID, FREE

Facility

$284.00

Service Code	HCPCS 80164
Hospital Charge Code	3035114A
Hospital Revenue Code	301
Min. Negotiated Rate	$42.60
Max. Negotiated Rate	$42.60
Rate for Payer: Qualcare PPO/HMO/WC	$42.60

VALPROIC ACID, FREE

Facility

$284.00

Service Code	HCPCS 80164
Hospital Charge Code	3035114B
Hospital Revenue Code	301
Min. Negotiated Rate	$6.77
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$43.87
Rate for Payer: Aetna Medicare Advantage	$13.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.61
Rate for Payer: Cigna Commercial	$13.54
Rate for Payer: Cigna Medicare Advantage	$6.77
Rate for Payer: Clover Medicare Advantage	$12.86
Rate for Payer: EmblemHealth Commercial	$40.62
Rate for Payer: Humana Medicare Advantage	$13.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.92
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.60
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.54
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14.35
Rate for Payer: Wellcare Medicare Advantage	$13.54

VALPROIC ACID,FREE

Facility

$67.20

Service Code	HCPCS 80164
Hospital Charge Code	39900005
Hospital Revenue Code	301
Min. Negotiated Rate	$6.77
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$43.87
Rate for Payer: Aetna Medicare Advantage	$13.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.61
Rate for Payer: Cigna Commercial	$13.54
Rate for Payer: Cigna Medicare Advantage	$6.77
Rate for Payer: Clover Medicare Advantage	$12.86
Rate for Payer: EmblemHealth Commercial	$40.62
Rate for Payer: Humana Medicare Advantage	$13.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.74
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.08
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.54
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14.35
Rate for Payer: Wellcare Medicare Advantage	$13.54

Know your out-of-pocket cost for care.

All Charges