Heights University Hospital

All Charges

Charge

Type

Setting

Price

VENTRICULOSTOMY KIT MEDTRONIC

Facility

$646.00

Hospital Charge Code	270335582
Hospital Revenue Code	278
Min. Negotiated Rate	$96.90
Max. Negotiated Rate	$323.00
Rate for Payer: Aetna Commercial	$193.80
Rate for Payer: Aetna Medicare Advantage	$193.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$164.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$164.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$129.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$164.73
Rate for Payer: Cigna Commercial	$323.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$156.33
Rate for Payer: Qualcare PPO/HMO/WC	$96.90

VENTRICULOSTOMY KIT MEDTRONIC

Facility

$646.00

Hospital Charge Code	270335582
Hospital Revenue Code	278
Min. Negotiated Rate	$96.90
Max. Negotiated Rate	$156.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$129.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$156.33
Rate for Payer: Qualcare PPO/HMO/WC	$96.90

VENTRICULOSTOMY NATUS CATH KIT

Facility

$659.65

Hospital Charge Code	270700238
Hospital Revenue Code	272
Min. Negotiated Rate	$85.75
Max. Negotiated Rate	$329.82
Rate for Payer: Aetna Commercial	$197.90
Rate for Payer: Aetna Medicare Advantage	$197.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.21
Rate for Payer: Cigna Commercial	$329.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.75
Rate for Payer: Oxford Commercial	$329.82
Rate for Payer: Qualcare PPO/HMO/WC	$98.95
Rate for Payer: UnitedHealthcare Commercial	$329.82

VENTRICULOSTOMY NATUS CATH KIT

Facility

$659.65

Hospital Charge Code	270700238
Hospital Revenue Code	272
Min. Negotiated Rate	$98.95
Max. Negotiated Rate	$98.95
Rate for Payer: Qualcare PPO/HMO/WC	$98.95

VENTRLEX HERNIA PATCH (SM.)

Facility

$673.00

Hospital Charge Code	270335675
Hospital Revenue Code	278
Min. Negotiated Rate	$100.95
Max. Negotiated Rate	$336.50
Rate for Payer: Aetna Commercial	$201.90
Rate for Payer: Aetna Medicare Advantage	$201.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$171.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$171.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$134.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$171.62
Rate for Payer: Cigna Commercial	$336.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.87
Rate for Payer: Qualcare PPO/HMO/WC	$100.95

VENTRLEX HERNIA PATCH (SM.)

Facility

$673.00

Hospital Charge Code	270335675
Hospital Revenue Code	278
Min. Negotiated Rate	$100.95
Max. Negotiated Rate	$162.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$134.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.87
Rate for Payer: Qualcare PPO/HMO/WC	$100.95

VENT SET-UP W/O HUMIDITY***

Facility

$99.00

Service Code	HCPCS 91
Hospital Charge Code	9500604
Hospital Revenue Code	279
Min. Negotiated Rate	$14.85
Max. Negotiated Rate	$14.85
Rate for Payer: Qualcare PPO/HMO/WC	$14.85

VENT SET-UP W/O HUMIDITY***

Facility

$99.00

Service Code	HCPCS 91
Hospital Charge Code	9500604
Hospital Revenue Code	279
Min. Negotiated Rate	$12.87
Max. Negotiated Rate	$49.50
Rate for Payer: Aetna Commercial	$29.70
Rate for Payer: Aetna Medicare Advantage	$29.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.25
Rate for Payer: Cigna Commercial	$49.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.87
Rate for Payer: Oxford Commercial	$49.50
Rate for Payer: Qualcare PPO/HMO/WC	$14.85
Rate for Payer: UnitedHealthcare Commercial	$49.50

VENT TUBE:,045 I.D. 7MM.

Facility

$42.00

Hospital Charge Code	270331854
Hospital Revenue Code	272
Min. Negotiated Rate	$6.30
Max. Negotiated Rate	$6.30
Rate for Payer: Qualcare PPO/HMO/WC	$6.30

VENT TUBE:,045 I.D. 7MM.

Facility

$42.00

Hospital Charge Code	270331854
Hospital Revenue Code	272
Min. Negotiated Rate	$5.46
Max. Negotiated Rate	$21.00
Rate for Payer: Aetna Commercial	$12.60
Rate for Payer: Aetna Medicare Advantage	$12.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.71
Rate for Payer: Cigna Commercial	$21.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.46
Rate for Payer: Oxford Commercial	$21.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.30
Rate for Payer: UnitedHealthcare Commercial	$21.00

VEPESID 150MG INJ

Facility

$1,428.00

Hospital Charge Code	60635044
Hospital Revenue Code	636
Min. Negotiated Rate	$214.20
Max. Negotiated Rate	$345.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$345.58
Rate for Payer: Qualcare PPO/HMO/WC	$214.20

VEPESID 150MG INJ

Facility

$1,428.00

Hospital Charge Code	60635044
Hospital Revenue Code	636
Min. Negotiated Rate	$214.20
Max. Negotiated Rate	$714.00
Rate for Payer: Aetna Commercial	$428.40
Rate for Payer: Aetna Medicare Advantage	$428.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$364.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$364.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$364.14
Rate for Payer: Cigna Commercial	$714.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$345.58
Rate for Payer: Qualcare PPO/HMO/WC	$214.20

VEP VISUAL EVOKED POTENTIAL

Facility

$5,700.00

Service Code	HCPCS 95930
Hospital Charge Code	5400080
Hospital Revenue Code	922
Min. Negotiated Rate	$197.80
Max. Negotiated Rate	$1,710.00
Rate for Payer: Aetna Better Health Medicaid	$450.85
Rate for Payer: Aetna Commercial	$1,710.00
Rate for Payer: Aetna Medicare Advantage	$1,710.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,453.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,453.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$197.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,453.50
Rate for Payer: Cigna Commercial	$514.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$741.00
Rate for Payer: Oxford Commercial	$1,474.00
Rate for Payer: Qualcare PPO/HMO/WC	$855.00
Rate for Payer: UnitedHealthcare Commercial	$1,673.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$459.87

VEP VISUAL EVOKED POTENTIAL

Facility

$5,700.00

Service Code	HCPCS 95930
Hospital Charge Code	5400080
Hospital Revenue Code	922
Min. Negotiated Rate	$855.00
Max. Negotiated Rate	$855.00
Rate for Payer: Qualcare PPO/HMO/WC	$855.00

VERAPAMIL

Facility

$291.00

Service Code	HCPCS 80299
Hospital Charge Code	38472046
Hospital Revenue Code	301
Min. Negotiated Rate	$9.32
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$60.39
Rate for Payer: Aetna Medicare Advantage	$18.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.30
Rate for Payer: Cigna Commercial	$18.64
Rate for Payer: Cigna Medicare Advantage	$9.32
Rate for Payer: Clover Medicare Advantage	$17.71
Rate for Payer: EmblemHealth Commercial	$55.92
Rate for Payer: Humana Medicare Advantage	$19.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.83
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$43.65
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.64
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19.76
Rate for Payer: Wellcare Medicare Advantage	$18.64

VERAPAMIL

Facility

$291.00

Service Code	HCPCS 80299
Hospital Charge Code	38472046
Hospital Revenue Code	301
Min. Negotiated Rate	$43.65
Max. Negotiated Rate	$43.65
Rate for Payer: Qualcare PPO/HMO/WC	$43.65

VERAPAMIL 120 MG ER TAB

Facility

$15.54

Service Code	NDC 51079089420
Hospital Charge Code	60629028
Hospital Revenue Code	250
Min. Negotiated Rate	$2.02
Max. Negotiated Rate	$7.77
Rate for Payer: Aetna Commercial	$4.66
Rate for Payer: Aetna Medicare Advantage	$4.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.96
Rate for Payer: Cigna Commercial	$7.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.02
Rate for Payer: Oxford Commercial	$7.77
Rate for Payer: Qualcare PPO/HMO/WC	$2.33
Rate for Payer: UnitedHealthcare Commercial	$7.77

VERAPAMIL 120 MG ER TAB

Facility

$15.54

Service Code	NDC 51079089420
Hospital Charge Code	60629028
Hospital Revenue Code	250
Min. Negotiated Rate	$2.33
Max. Negotiated Rate	$2.33
Rate for Payer: Qualcare PPO/HMO/WC	$2.33

VERAPAMIL 120 MG TAB

Facility

$5.03

Service Code	NDC 904292461
Hospital Charge Code	60627613
Hospital Revenue Code	250
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$2.52
Rate for Payer: Aetna Commercial	$1.51
Rate for Payer: Aetna Medicare Advantage	$1.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.28
Rate for Payer: Cigna Commercial	$2.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.65
Rate for Payer: Oxford Commercial	$2.52
Rate for Payer: Qualcare PPO/HMO/WC	$0.75
Rate for Payer: UnitedHealthcare Commercial	$2.52

VERAPAMIL 120 MG TAB

Facility

$5.03

Service Code	NDC 904292461
Hospital Charge Code	60627613
Hospital Revenue Code	250
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

VERAPAMIL 180 MG ER TAB

Facility

$16.68

Service Code	NDC 51079089920
Hospital Charge Code	60627614
Hospital Revenue Code	250
Min. Negotiated Rate	$2.17
Max. Negotiated Rate	$8.34
Rate for Payer: Aetna Commercial	$5.00
Rate for Payer: Aetna Medicare Advantage	$5.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.25
Rate for Payer: Cigna Commercial	$8.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.17
Rate for Payer: Oxford Commercial	$8.34
Rate for Payer: Qualcare PPO/HMO/WC	$2.50
Rate for Payer: UnitedHealthcare Commercial	$8.34

VERAPAMIL 180 MG ER TAB

Facility

$16.68

Service Code	NDC 51079089920
Hospital Charge Code	60627614
Hospital Revenue Code	250
Min. Negotiated Rate	$2.50
Max. Negotiated Rate	$2.50
Rate for Payer: Qualcare PPO/HMO/WC	$2.50

VERAPAMIL 240 MG ER TAB

Facility

$16.95

Service Code	NDC 51079086920
Hospital Charge Code	60627615
Hospital Revenue Code	250
Min. Negotiated Rate	$2.54
Max. Negotiated Rate	$2.54
Rate for Payer: Qualcare PPO/HMO/WC	$2.54

VERAPAMIL 240 MG ER TAB

Facility

$16.95

Service Code	NDC 51079086920
Hospital Charge Code	60627615
Hospital Revenue Code	250
Min. Negotiated Rate	$2.20
Max. Negotiated Rate	$8.47
Rate for Payer: Aetna Commercial	$5.08
Rate for Payer: Aetna Medicare Advantage	$5.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.32
Rate for Payer: Cigna Commercial	$8.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.20
Rate for Payer: Oxford Commercial	$8.47
Rate for Payer: Qualcare PPO/HMO/WC	$2.54
Rate for Payer: UnitedHealthcare Commercial	$8.47

VERAPAMIL/2.5MG/1ML

Facility

$13.00

Hospital Charge Code	60634151
Hospital Revenue Code	250
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$6.50
Rate for Payer: Aetna Commercial	$3.90
Rate for Payer: Aetna Medicare Advantage	$3.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.31
Rate for Payer: Cigna Commercial	$6.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.69
Rate for Payer: Oxford Commercial	$6.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.95
Rate for Payer: UnitedHealthcare Commercial	$6.50

Know your out-of-pocket cost for care.

All Charges