Heights University Hospital

All Charges

Charge

Type

Setting

Price

VASOTEC I.V./1.25MG/1ML

Facility

$104.00

Hospital Charge Code	60634141
Hospital Revenue Code	250
Min. Negotiated Rate	$13.52
Max. Negotiated Rate	$52.00
Rate for Payer: Aetna Commercial	$31.20
Rate for Payer: Aetna Medicare Advantage	$31.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.52
Rate for Payer: Cigna Commercial	$52.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.52
Rate for Payer: Oxford Commercial	$52.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.60
Rate for Payer: UnitedHealthcare Commercial	$52.00

VAXELIS (DTAP-IPV-HIB-HEPB)

Facility

$607.05

Service Code	HCPCS 90697
Hospital Charge Code	395090697
Hospital Revenue Code	636
Min. Negotiated Rate	$91.06
Max. Negotiated Rate	$146.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.91
Rate for Payer: Qualcare PPO/HMO/WC	$91.06

VAXELIS (DTAP-IPV-HIB-HEPB)

Facility

$607.05

Service Code	HCPCS 90697
Hospital Charge Code	395090697
Hospital Revenue Code	636
Min. Negotiated Rate	$91.06
Max. Negotiated Rate	$303.52
Rate for Payer: Aetna Commercial	$182.12
Rate for Payer: Aetna Medicare Advantage	$182.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$154.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$154.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$154.80
Rate for Payer: Cigna Commercial	$303.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.91
Rate for Payer: Qualcare PPO/HMO/WC	$91.06

VBR BOXCAR 14X14.5X7.5D ENDCAP

Facility

$4,000.00

Service Code	HCPCS C1889
Hospital Charge Code	270696946
Hospital Revenue Code	278
Min. Negotiated Rate	$600.00
Max. Negotiated Rate	$968.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$968.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00

VBR BOXCAR 14X14.5X7.5D ENDCAP

Facility

$4,000.00

Service Code	HCPCS C1889
Hospital Charge Code	270696946
Hospital Revenue Code	278
Min. Negotiated Rate	$600.00
Max. Negotiated Rate	$2,000.00
Rate for Payer: Aetna Commercial	$1,200.00
Rate for Payer: Aetna Medicare Advantage	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,020.00
Rate for Payer: Cigna Commercial	$2,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$968.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00

VDRL,CSF

Facility

$128.00

Service Code	HCPCS 86682
Hospital Charge Code	38479122
Hospital Revenue Code	302
Min. Negotiated Rate	$6.50
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$42.15
Rate for Payer: Aetna Medicare Advantage	$13.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.67
Rate for Payer: Cigna Commercial	$13.01
Rate for Payer: Cigna Medicare Advantage	$6.50
Rate for Payer: Clover Medicare Advantage	$12.36
Rate for Payer: EmblemHealth Commercial	$39.03
Rate for Payer: Humana Medicare Advantage	$13.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.64
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.20
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.01
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13.79
Rate for Payer: Wellcare Medicare Advantage	$13.01

VDRL,CSF

Facility

$390.00

Service Code	HCPCS 86592
Hospital Charge Code	39900224
Hospital Revenue Code	302
Min. Negotiated Rate	$2.13
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$13.83
Rate for Payer: Aetna Medicare Advantage	$4.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.65
Rate for Payer: Cigna Commercial	$4.27
Rate for Payer: Cigna Medicare Advantage	$2.13
Rate for Payer: Clover Medicare Advantage	$4.06
Rate for Payer: EmblemHealth Commercial	$12.81
Rate for Payer: Humana Medicare Advantage	$4.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.27
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$4.53
Rate for Payer: Wellcare Medicare Advantage	$4.27

VDRL,CSF

Facility

$128.00

Service Code	HCPCS 86682
Hospital Charge Code	38479122
Hospital Revenue Code	302
Min. Negotiated Rate	$19.20
Max. Negotiated Rate	$19.20
Rate for Payer: Qualcare PPO/HMO/WC	$19.20

VDRL,CSF

Facility

$116.00

Service Code	HCPCS 86593
Hospital Charge Code	38476027
Hospital Revenue Code	302
Min. Negotiated Rate	$2.20
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$14.26
Rate for Payer: Aetna Medicare Advantage	$4.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.12
Rate for Payer: Cigna Commercial	$4.40
Rate for Payer: Cigna Medicare Advantage	$2.20
Rate for Payer: Clover Medicare Advantage	$4.18
Rate for Payer: EmblemHealth Commercial	$13.20
Rate for Payer: Humana Medicare Advantage	$4.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.08
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.40
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.40
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$4.66
Rate for Payer: Wellcare Medicare Advantage	$4.40

VDRL,CSF

Facility

$390.00

Service Code	HCPCS 86592
Hospital Charge Code	39900224
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

VDRL,CSF

Facility

$116.00

Service Code	HCPCS 86593
Hospital Charge Code	38476027
Hospital Revenue Code	302
Min. Negotiated Rate	$17.40
Max. Negotiated Rate	$17.40
Rate for Payer: Qualcare PPO/HMO/WC	$17.40

VDRL, SPINAL FLUID (CSF)

Facility

$80.85

Service Code	HCPCS 86592
Hospital Charge Code	3004702
Hospital Revenue Code	302
Min. Negotiated Rate	$2.13
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$13.83
Rate for Payer: Aetna Medicare Advantage	$4.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.65
Rate for Payer: Cigna Commercial	$4.27
Rate for Payer: Cigna Medicare Advantage	$2.13
Rate for Payer: Clover Medicare Advantage	$4.06
Rate for Payer: EmblemHealth Commercial	$12.81
Rate for Payer: Humana Medicare Advantage	$4.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.51
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.13
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.27
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$4.53
Rate for Payer: Wellcare Medicare Advantage	$4.27

VDRL, SPINAL FLUID (CSF)

Facility

$80.85

Service Code	HCPCS 86592
Hospital Charge Code	3004702
Hospital Revenue Code	302
Min. Negotiated Rate	$12.13
Max. Negotiated Rate	$12.13
Rate for Payer: Qualcare PPO/HMO/WC	$12.13

VECTOR TTS 15mm/45FR

Facility

$1,615.25

Hospital Charge Code	270600939
Hospital Revenue Code	270
Min. Negotiated Rate	$242.29
Max. Negotiated Rate	$242.29
Rate for Payer: Qualcare PPO/HMO/WC	$242.29

VECTOR TTS 15mm/45FR

Facility

$1,615.25

Hospital Charge Code	270600939
Hospital Revenue Code	270
Min. Negotiated Rate	$209.98
Max. Negotiated Rate	$807.62
Rate for Payer: Aetna Commercial	$484.57
Rate for Payer: Aetna Medicare Advantage	$484.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$411.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$411.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$411.89
Rate for Payer: Cigna Commercial	$807.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$209.98
Rate for Payer: Oxford Commercial	$807.62
Rate for Payer: Qualcare PPO/HMO/WC	$242.29
Rate for Payer: UnitedHealthcare Commercial	$807.62

VECURONIUM 10 MG INJ

Facility

$73.16

Service Code	NDC 47335093140
Hospital Charge Code	60627492
Hospital Revenue Code	250
Min. Negotiated Rate	$9.51
Max. Negotiated Rate	$36.58
Rate for Payer: Aetna Commercial	$21.95
Rate for Payer: Aetna Medicare Advantage	$21.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.66
Rate for Payer: Cigna Commercial	$36.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.51
Rate for Payer: Oxford Commercial	$36.58
Rate for Payer: Qualcare PPO/HMO/WC	$10.97
Rate for Payer: UnitedHealthcare Commercial	$36.58

VECURONIUM 10 MG INJ

Facility

$73.16

Service Code	NDC 47335093140
Hospital Charge Code	60627492
Hospital Revenue Code	250
Min. Negotiated Rate	$10.97
Max. Negotiated Rate	$10.97
Rate for Payer: Qualcare PPO/HMO/WC	$10.97

VECURONIUM 200 MG VIAL

Facility

$66.69

Hospital Charge Code	606380010
Hospital Revenue Code	250
Min. Negotiated Rate	$8.67
Max. Negotiated Rate	$33.34
Rate for Payer: Aetna Commercial	$20.01
Rate for Payer: Aetna Medicare Advantage	$20.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.01
Rate for Payer: Cigna Commercial	$33.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.67
Rate for Payer: Oxford Commercial	$33.34
Rate for Payer: Qualcare PPO/HMO/WC	$10.00
Rate for Payer: UnitedHealthcare Commercial	$33.34

VECURONIUM 200 MG VIAL

Facility

$66.69

Hospital Charge Code	606380010
Hospital Revenue Code	250
Min. Negotiated Rate	$10.00
Max. Negotiated Rate	$10.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.00

VECURONIUM 20 MG VIAL

Facility

$136.68

Service Code	NDC 47335093240
Hospital Charge Code	606351018
Hospital Revenue Code	250
Min. Negotiated Rate	$20.50
Max. Negotiated Rate	$20.50
Rate for Payer: Qualcare PPO/HMO/WC	$20.50

VECURONIUM 20 MG VIAL

Facility

$136.68

Service Code	NDC 47335093240
Hospital Charge Code	606351018
Hospital Revenue Code	250
Min. Negotiated Rate	$17.77
Max. Negotiated Rate	$68.34
Rate for Payer: Aetna Commercial	$41.00
Rate for Payer: Aetna Medicare Advantage	$41.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.85
Rate for Payer: Cigna Commercial	$68.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.77
Rate for Payer: Oxford Commercial	$68.34
Rate for Payer: Qualcare PPO/HMO/WC	$20.50
Rate for Payer: UnitedHealthcare Commercial	$68.34

VECURONIUM BRO INJ 1MG/ML 10ML

Facility

$176.65

Hospital Charge Code	6005631
Hospital Revenue Code	250
Min. Negotiated Rate	$22.96
Max. Negotiated Rate	$88.33
Rate for Payer: Aetna Commercial	$52.99
Rate for Payer: Aetna Medicare Advantage	$52.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.05
Rate for Payer: Cigna Commercial	$88.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.96
Rate for Payer: Oxford Commercial	$88.33
Rate for Payer: Qualcare PPO/HMO/WC	$26.50
Rate for Payer: UnitedHealthcare Commercial	$88.33

VECURONIUM BRO INJ 1MG/ML 10ML

Facility

$176.65

Hospital Charge Code	6005631
Hospital Revenue Code	250
Min. Negotiated Rate	$26.50
Max. Negotiated Rate	$26.50
Rate for Payer: Qualcare PPO/HMO/WC	$26.50

VECURONIUM BRO VL 10MG

Facility

$160.65

Hospital Charge Code	6013296
Hospital Revenue Code	250
Min. Negotiated Rate	$20.88
Max. Negotiated Rate	$80.33
Rate for Payer: Aetna Commercial	$48.20
Rate for Payer: Aetna Medicare Advantage	$48.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.97
Rate for Payer: Cigna Commercial	$80.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.88
Rate for Payer: Oxford Commercial	$80.33
Rate for Payer: Qualcare PPO/HMO/WC	$24.10
Rate for Payer: UnitedHealthcare Commercial	$80.33

VECURONIUM BRO VL 10MG

Facility

$160.65

Hospital Charge Code	6013296
Hospital Revenue Code	250
Min. Negotiated Rate	$24.10
Max. Negotiated Rate	$24.10
Rate for Payer: Qualcare PPO/HMO/WC	$24.10

Know your out-of-pocket cost for care.

All Charges