Heights University Hospital

All Charges

Charge

Type

Setting

Price

ZOFRAN 32MG/50ML

Facility

$1,139.00

Hospital Charge Code	60635033
Hospital Revenue Code	250
Min. Negotiated Rate	$148.07
Max. Negotiated Rate	$569.50
Rate for Payer: Aetna Commercial	$341.70
Rate for Payer: Aetna Medicare Advantage	$341.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$290.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$290.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$290.44
Rate for Payer: Cigna Commercial	$569.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.07
Rate for Payer: Oxford Commercial	$569.50
Rate for Payer: Qualcare PPO/HMO/WC	$170.85
Rate for Payer: UnitedHealthcare Commercial	$569.50

ZOFRAN ODT

Facility

$96.00

Hospital Charge Code	60635536
Hospital Revenue Code	250
Min. Negotiated Rate	$12.48
Max. Negotiated Rate	$48.00
Rate for Payer: Aetna Commercial	$28.80
Rate for Payer: Aetna Medicare Advantage	$28.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.48
Rate for Payer: Cigna Commercial	$48.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.48
Rate for Payer: Oxford Commercial	$48.00
Rate for Payer: Qualcare PPO/HMO/WC	$14.40
Rate for Payer: UnitedHealthcare Commercial	$48.00

ZOFRAN ODT

Facility

$96.00

Hospital Charge Code	60635536
Hospital Revenue Code	250
Min. Negotiated Rate	$14.40
Max. Negotiated Rate	$14.40
Rate for Payer: Qualcare PPO/HMO/WC	$14.40

ZOLEDRONIC ACID .05MG/ML 100ML

Facility

$4,970.40

Hospital Charge Code	60635905
Hospital Revenue Code	636
Min. Negotiated Rate	$745.56
Max. Negotiated Rate	$1,202.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,202.84
Rate for Payer: Qualcare PPO/HMO/WC	$745.56

ZOLEDRONIC ACID .05MG/ML 100ML

Facility

$4,970.40

Hospital Charge Code	60635905
Hospital Revenue Code	636
Min. Negotiated Rate	$745.56
Max. Negotiated Rate	$2,485.20
Rate for Payer: Aetna Commercial	$1,491.12
Rate for Payer: Aetna Medicare Advantage	$1,491.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,267.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,267.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,267.45
Rate for Payer: Cigna Commercial	$2,485.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,202.84
Rate for Payer: Qualcare PPO/HMO/WC	$745.56

ZOLEDRONIC ACID 4 MG/5 ML INJ

Facility

$8,201.47

Service Code	HCPCS J3489
Hospital Charge Code	60629200
Hospital Revenue Code	636
Min. Negotiated Rate	$30.88
Max. Negotiated Rate	$2,460.44
Rate for Payer: Aetna Commercial	$2,460.44
Rate for Payer: Aetna Medicare Advantage	$2,460.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,091.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,091.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,091.37
Rate for Payer: Cigna Commercial	$30.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,984.76
Rate for Payer: Qualcare PPO/HMO/WC	$1,230.22

ZOLEDRONIC ACID 4 MG/5 ML INJ

Facility

$8,201.47

Service Code	HCPCS J3489
Hospital Charge Code	60629200
Hospital Revenue Code	636
Min. Negotiated Rate	$1,230.22
Max. Negotiated Rate	$1,984.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,984.76
Rate for Payer: Qualcare PPO/HMO/WC	$1,230.22

ZOLEDRONIC ACID 5MG/100ML INJ

Facility

$16,272.63

Service Code	HCPCS J3489
Hospital Charge Code	60630023
Hospital Revenue Code	636
Min. Negotiated Rate	$30.88
Max. Negotiated Rate	$4,881.79
Rate for Payer: Aetna Commercial	$4,881.79
Rate for Payer: Aetna Medicare Advantage	$4,881.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,149.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,149.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,149.52
Rate for Payer: Cigna Commercial	$30.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,937.98
Rate for Payer: Qualcare PPO/HMO/WC	$2,440.89

ZOLEDRONIC ACID 5MG/100ML INJ

Facility

$16,272.63

Service Code	HCPCS J3489
Hospital Charge Code	60630023
Hospital Revenue Code	636
Min. Negotiated Rate	$2,440.89
Max. Negotiated Rate	$3,937.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,937.98
Rate for Payer: Qualcare PPO/HMO/WC	$2,440.89

ZOLOFT 25MG TAB

Facility

$6.00

Hospital Charge Code	60635280
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

ZOLOFT 25MG TAB

Facility

$6.00

Hospital Charge Code	60635280
Hospital Revenue Code	250
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$0.90
Rate for Payer: Qualcare PPO/HMO/WC	$0.90

ZOLOFT/50MG

Facility

$7.00

Hospital Charge Code	60634807
Hospital Revenue Code	250
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$1.05
Rate for Payer: Qualcare PPO/HMO/WC	$1.05

ZOLOFT/50MG

Facility

$7.00

Hospital Charge Code	60634807
Hospital Revenue Code	250
Min. Negotiated Rate	$0.91
Max. Negotiated Rate	$3.50
Rate for Payer: Aetna Commercial	$2.10
Rate for Payer: Aetna Medicare Advantage	$2.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.78
Rate for Payer: Cigna Commercial	$3.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.91
Rate for Payer: Oxford Commercial	$3.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.05
Rate for Payer: UnitedHealthcare Commercial	$3.50

ZOLOFT TABS/100MG

Facility

$13.00

Hospital Charge Code	60634744
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

ZOLOFT TABS/100MG

Facility

$13.00

Hospital Charge Code	60634744
Hospital Revenue Code	250
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$1.95
Rate for Payer: Qualcare PPO/HMO/WC	$1.95

ZOLOFT TABS/50MG

Facility

$13.00

Hospital Charge Code	60634745
Hospital Revenue Code	250
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$1.95
Rate for Payer: Qualcare PPO/HMO/WC	$1.95

ZOLOFT TABS/50MG

Facility

$13.00

Hospital Charge Code	60634745
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

ZOLPIDEM 5 MG TAB

Facility

$172.73

Service Code	NDC 24540131
Hospital Charge Code	60629010
Hospital Revenue Code	250
Min. Negotiated Rate	$22.45
Max. Negotiated Rate	$86.36
Rate for Payer: Aetna Commercial	$51.82
Rate for Payer: Aetna Medicare Advantage	$51.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.05
Rate for Payer: Cigna Commercial	$86.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.45
Rate for Payer: Oxford Commercial	$86.36
Rate for Payer: Qualcare PPO/HMO/WC	$25.91
Rate for Payer: UnitedHealthcare Commercial	$86.36

ZOLPIDEM 5 MG TAB

Facility

$172.73

Service Code	NDC 24540131
Hospital Charge Code	60629010
Hospital Revenue Code	250
Min. Negotiated Rate	$25.91
Max. Negotiated Rate	$25.91
Rate for Payer: Qualcare PPO/HMO/WC	$25.91

ZOLPIDEM TAB 10MG

Facility

$21.15

Hospital Charge Code	6010292
Hospital Revenue Code	252
Min. Negotiated Rate	$3.17
Max. Negotiated Rate	$3.17
Rate for Payer: Qualcare PPO/HMO/WC	$3.17

ZOLPIDEM TAB 10MG

Facility

$21.15

Hospital Charge Code	6010292
Hospital Revenue Code	252
Min. Negotiated Rate	$2.75
Max. Negotiated Rate	$10.57
Rate for Payer: Aetna Commercial	$6.34
Rate for Payer: Aetna Medicare Advantage	$6.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.39
Rate for Payer: Cigna Commercial	$10.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.75
Rate for Payer: Oxford Commercial	$10.57
Rate for Payer: Qualcare PPO/HMO/WC	$3.17
Rate for Payer: UnitedHealthcare Commercial	$10.57

ZOLPIDEM TAB 5MG

Facility

$12.80

Hospital Charge Code	60628943
Hospital Revenue Code	250
Min. Negotiated Rate	$1.66
Max. Negotiated Rate	$6.40
Rate for Payer: Aetna Commercial	$3.84
Rate for Payer: Aetna Medicare Advantage	$3.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.26
Rate for Payer: Cigna Commercial	$6.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.66
Rate for Payer: Oxford Commercial	$6.40
Rate for Payer: Qualcare PPO/HMO/WC	$1.92
Rate for Payer: UnitedHealthcare Commercial	$6.40

ZOLPIDEM TAB 5MG

Facility

$12.80

Hospital Charge Code	60628943
Hospital Revenue Code	250
Min. Negotiated Rate	$1.92
Max. Negotiated Rate	$1.92
Rate for Payer: Qualcare PPO/HMO/WC	$1.92

ZOLYSE/750U/9ML

Facility

$152.00

Hospital Charge Code	60634204
Hospital Revenue Code	250
Min. Negotiated Rate	$19.76
Max. Negotiated Rate	$76.00
Rate for Payer: Aetna Commercial	$45.60
Rate for Payer: Aetna Medicare Advantage	$45.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.76
Rate for Payer: Cigna Commercial	$76.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.76
Rate for Payer: Oxford Commercial	$76.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.80
Rate for Payer: UnitedHealthcare Commercial	$76.00

ZOLYSE/750U/9ML

Facility

$152.00

Hospital Charge Code	60634204
Hospital Revenue Code	250
Min. Negotiated Rate	$22.80
Max. Negotiated Rate	$22.80
Rate for Payer: Qualcare PPO/HMO/WC	$22.80

Know your out-of-pocket cost for care.

All Charges