Heights University Hospital

All Charges

Charge

Type

Setting

Price

VASOCIDIN 0.25% OPHTH/5ML

Facility

$44.00

Hospital Charge Code	60634127
Hospital Revenue Code	250
Min. Negotiated Rate	$5.72
Max. Negotiated Rate	$22.00
Rate for Payer: Aetna Commercial	$13.20
Rate for Payer: Aetna Medicare Advantage	$13.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.22
Rate for Payer: Cigna Commercial	$22.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.72
Rate for Payer: Oxford Commercial	$22.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.60
Rate for Payer: UnitedHealthcare Commercial	$22.00

VASOCIDIN OPHTH OINT

Facility

$71.00

Hospital Charge Code	60634783
Hospital Revenue Code	250
Min. Negotiated Rate	$9.23
Max. Negotiated Rate	$35.50
Rate for Payer: Aetna Commercial	$21.30
Rate for Payer: Aetna Medicare Advantage	$21.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.11
Rate for Payer: Cigna Commercial	$35.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.23
Rate for Payer: Oxford Commercial	$35.50
Rate for Payer: Qualcare PPO/HMO/WC	$10.65
Rate for Payer: UnitedHealthcare Commercial	$35.50

VASOCIDIN OPHTH OINT

Facility

$71.00

Hospital Charge Code	60634783
Hospital Revenue Code	250
Min. Negotiated Rate	$10.65
Max. Negotiated Rate	$10.65
Rate for Payer: Qualcare PPO/HMO/WC	$10.65

VASOCON/15ML

Facility

$89.00

Hospital Charge Code	60634546
Hospital Revenue Code	250
Min. Negotiated Rate	$11.57
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	$11.57
Rate for Payer: Oxford Commercial	$44.50
Rate for Payer: Qualcare PPO/HMO/WC	$13.35
Rate for Payer: UnitedHealthcare Commercial	$44.50

VASOCON/15ML

Facility

$89.00

Hospital Charge Code	60634546
Hospital Revenue Code	250
Min. Negotiated Rate	$13.35
Max. Negotiated Rate	$13.35
Rate for Payer: Qualcare PPO/HMO/WC	$13.35

VASOCON-A OPHTH/15ML

Facility

$61.00

Hospital Charge Code	60634128
Hospital Revenue Code	250
Min. Negotiated Rate	$9.15
Max. Negotiated Rate	$9.15
Rate for Payer: Qualcare PPO/HMO/WC	$9.15

VASOCON-A OPHTH/15ML

Facility

$61.00

Hospital Charge Code	60634128
Hospital Revenue Code	250
Min. Negotiated Rate	$7.93
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	$7.93
Rate for Payer: Oxford Commercial	$30.50
Rate for Payer: Qualcare PPO/HMO/WC	$9.15
Rate for Payer: UnitedHealthcare Commercial	$30.50

VASODILAN/10MG/TAB

Facility

$3.00

Hospital Charge Code	60634129
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

VASODILAN/10MG/TAB

Facility

$3.00

Hospital Charge Code	60634129
Hospital Revenue Code	250
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$1.50
Rate for Payer: Aetna Commercial	$0.90
Rate for Payer: Aetna Medicare Advantage	$0.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.77
Rate for Payer: Cigna Commercial	$1.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.39
Rate for Payer: Oxford Commercial	$1.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.45
Rate for Payer: UnitedHealthcare Commercial	$1.50

vasolex ointment 60gm

Facility

$315.91

Hospital Charge Code	6063943321
Hospital Revenue Code	250
Min. Negotiated Rate	$47.39
Max. Negotiated Rate	$47.39
Rate for Payer: Qualcare PPO/HMO/WC	$47.39

vasolex ointment 60gm

Facility

$315.91

Hospital Charge Code	6063943321
Hospital Revenue Code	250
Min. Negotiated Rate	$41.07
Max. Negotiated Rate	$157.96
Rate for Payer: Aetna Commercial	$94.77
Rate for Payer: Aetna Medicare Advantage	$94.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80.56
Rate for Payer: Cigna Commercial	$157.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.07
Rate for Payer: Oxford Commercial	$157.96
Rate for Payer: Qualcare PPO/HMO/WC	$47.39
Rate for Payer: UnitedHealthcare Commercial	$157.96

VASONEPHRINE

Facility

$86.40

Hospital Charge Code	6008304
Hospital Revenue Code	294
Min. Negotiated Rate	$11.23
Max. Negotiated Rate	$43.20
Rate for Payer: Aetna Commercial	$25.92
Rate for Payer: Aetna Medicare Advantage	$25.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.03
Rate for Payer: Cigna Commercial	$43.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.23
Rate for Payer: Qualcare PPO/HMO/WC	$12.96

VASONEPHRINE

Facility

$86.40

Hospital Charge Code	6008304
Hospital Revenue Code	294
Min. Negotiated Rate	$12.96
Max. Negotiated Rate	$12.96
Rate for Payer: Qualcare PPO/HMO/WC	$12.96

VASOPRESS CALF SLEEVE BARIATRI

Facility

$105.07

Hospital Charge Code	270650550
Hospital Revenue Code	272
Min. Negotiated Rate	$15.76
Max. Negotiated Rate	$15.76
Rate for Payer: Qualcare PPO/HMO/WC	$15.76

VASOPRESS CALF SLEEVE BARIATRI

Facility

$105.07

Hospital Charge Code	270650550
Hospital Revenue Code	272
Min. Negotiated Rate	$13.66
Max. Negotiated Rate	$52.53
Rate for Payer: Aetna Commercial	$31.52
Rate for Payer: Aetna Medicare Advantage	$31.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.79
Rate for Payer: Cigna Commercial	$52.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.66
Rate for Payer: Oxford Commercial	$52.53
Rate for Payer: Qualcare PPO/HMO/WC	$15.76
Rate for Payer: UnitedHealthcare Commercial	$52.53

VASOPRESS CALF SLEEVE LG

Facility

$55.39

Hospital Charge Code	270650548
Hospital Revenue Code	270
Min. Negotiated Rate	$8.31
Max. Negotiated Rate	$8.31
Rate for Payer: Qualcare PPO/HMO/WC	$8.31

VASOPRESS CALF SLEEVE LG

Facility

$55.39

Hospital Charge Code	270650548
Hospital Revenue Code	270
Min. Negotiated Rate	$7.20
Max. Negotiated Rate	$27.70
Rate for Payer: Aetna Commercial	$16.62
Rate for Payer: Aetna Medicare Advantage	$16.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.12
Rate for Payer: Cigna Commercial	$27.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.20
Rate for Payer: Oxford Commercial	$27.70
Rate for Payer: Qualcare PPO/HMO/WC	$8.31
Rate for Payer: UnitedHealthcare Commercial	$27.70

VASOPRESSIN/20U/1ML

Facility

$18.00

Hospital Charge Code	60634131
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

VASOPRESSIN/20U/1ML

Facility

$18.00

Hospital Charge Code	60634130
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

VASOPRESSIN/20U/1ML

Facility

$18.00

Hospital Charge Code	60634130
Hospital Revenue Code	250
Min. Negotiated Rate	$2.70
Max. Negotiated Rate	$2.70
Rate for Payer: Qualcare PPO/HMO/WC	$2.70

VASOPRESSIN/20U/1ML

Facility

$18.00

Hospital Charge Code	60634131
Hospital Revenue Code	250
Min. Negotiated Rate	$2.70
Max. Negotiated Rate	$2.70
Rate for Payer: Qualcare PPO/HMO/WC	$2.70

VASOPRESSIN 20 UNITS/ML INJ

Facility

$1,126.81

Service Code	NDC 63323030201
Hospital Charge Code	60628245
Hospital Revenue Code	250
Min. Negotiated Rate	$169.02
Max. Negotiated Rate	$169.02
Rate for Payer: Qualcare PPO/HMO/WC	$169.02

VASOPRESSIN 20 UNITS/ML INJ

Facility

$1,126.81

Service Code	NDC 63323030201
Hospital Charge Code	60628245
Hospital Revenue Code	250
Min. Negotiated Rate	$146.49
Max. Negotiated Rate	$563.40
Rate for Payer: Aetna Commercial	$338.04
Rate for Payer: Aetna Medicare Advantage	$338.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$287.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$287.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$287.34
Rate for Payer: Cigna Commercial	$563.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.49
Rate for Payer: Oxford Commercial	$563.40
Rate for Payer: Qualcare PPO/HMO/WC	$169.02
Rate for Payer: UnitedHealthcare Commercial	$563.40

VASOPRESSIN INJ 20U/ML

Facility

$13.45

Hospital Charge Code	6005615
Hospital Revenue Code	250
Min. Negotiated Rate	$1.75
Max. Negotiated Rate	$6.72
Rate for Payer: Aetna Commercial	$4.04
Rate for Payer: Aetna Medicare Advantage	$4.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.43
Rate for Payer: Cigna Commercial	$6.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.75
Rate for Payer: Oxford Commercial	$6.72
Rate for Payer: Qualcare PPO/HMO/WC	$2.02
Rate for Payer: UnitedHealthcare Commercial	$6.72

VASOPRESSIN INJ 20U/ML

Facility

$13.45

Hospital Charge Code	6005615
Hospital Revenue Code	250
Min. Negotiated Rate	$2.02
Max. Negotiated Rate	$2.02
Rate for Payer: Qualcare PPO/HMO/WC	$2.02

Know your out-of-pocket cost for care.

All Charges