Heights University Hospital

All Charges

Charge

Type

Setting

Price

Z STAPLE 8/8MM C03 003

Facility

$5,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270697867
Hospital Revenue Code	278
Min. Negotiated Rate	$825.00
Max. Negotiated Rate	$1,331.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,331.00
Rate for Payer: Qualcare PPO/HMO/WC	$825.00

Z STAPLE 8/8MM C03 003

Facility

$5,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270697867
Hospital Revenue Code	278
Min. Negotiated Rate	$825.00
Max. Negotiated Rate	$2,750.00
Rate for Payer: Aetna Commercial	$1,650.00
Rate for Payer: Aetna Medicare Advantage	$1,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,402.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,402.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,402.50
Rate for Payer: Cigna Commercial	$2,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,331.00
Rate for Payer: Qualcare PPO/HMO/WC	$825.00

Z US RETROPERITONEAL LIMITED

Facility

$556.80

Service Code	HCPCS 76775
Hospital Charge Code	2101136
Hospital Revenue Code	402
Min. Negotiated Rate	$83.52
Max. Negotiated Rate	$83.52
Rate for Payer: Qualcare PPO/HMO/WC	$83.52

Z US RETROPERITONEAL LIMITED

Facility

$556.80

Service Code	HCPCS 76775
Hospital Charge Code	2101136
Hospital Revenue Code	402
Min. Negotiated Rate	$72.38
Max. Negotiated Rate	$1,981.00
Rate for Payer: Aetna Better Health Medicaid	$399.88
Rate for Payer: Aetna Commercial	$167.04
Rate for Payer: Aetna Medicare Advantage	$167.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$141.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$141.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$141.98
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.38
Rate for Payer: Oxford Commercial	$1,746.00
Rate for Payer: Qualcare PPO/HMO/WC	$83.52
Rate for Payer: UnitedHealthcare Commercial	$1,981.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$407.88

ZVPLASTY 10G.15MM BIPED KIT

Facility

$13,165.00

Hospital Charge Code	270703064
Hospital Revenue Code	278
Min. Negotiated Rate	$1,974.75
Max. Negotiated Rate	$3,185.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,633.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,185.93
Rate for Payer: Qualcare PPO/HMO/WC	$1,974.75

ZVPLASTY 10G.15MM BIPED KIT

Facility

$13,165.00

Hospital Charge Code	270703064
Hospital Revenue Code	278
Min. Negotiated Rate	$1,974.75
Max. Negotiated Rate	$6,582.50
Rate for Payer: Aetna Commercial	$3,949.50
Rate for Payer: Aetna Medicare Advantage	$3,949.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,357.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,357.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,633.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,357.07
Rate for Payer: Cigna Commercial	$6,582.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,185.93
Rate for Payer: Qualcare PPO/HMO/WC	$1,974.75

ZYLOPRIM/100MG/UD/TAB

Facility

$4.00

Hospital Charge Code	60634624
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

ZYLOPRIM/100MG/UD/TAB

Facility

$4.00

Hospital Charge Code	60634624
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

ZYLOPRIM/300MG/TAB

Facility

$3.00

Hospital Charge Code	60634211
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

ZYLOPRIM/300MG/TAB

Facility

$3.00

Hospital Charge Code	60634212
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

ZYLOPRIM/300MG/TAB

Facility

$3.00

Hospital Charge Code	60634212
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

ZYLOPRIM/300MG/TAB

Facility

$3.00

Hospital Charge Code	60634211
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

ZYLOPRIM/300MG/UD/TAB

Facility

$4.00

Hospital Charge Code	60634625
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

ZYLOPRIM/300MG/UD/TAB

Facility

$4.00

Hospital Charge Code	60634625
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

ZYPREXA 2.5 MG TAB

Facility

$18.00

Hospital Charge Code	60635279
Hospital Revenue Code	250
Min. Negotiated Rate	$2.70
Max. Negotiated Rate	$2.70
Rate for Payer: Qualcare PPO/HMO/WC	$2.70

ZYPREXA 2.5 MG TAB

Facility

$18.00

Hospital Charge Code	60635279
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

ZYPREXA 7.5MG UD TAB

Facility

$107.74

Service Code	NDC 43598016530
Hospital Charge Code	60635132
Hospital Revenue Code	250
Min. Negotiated Rate	$16.16
Max. Negotiated Rate	$16.16
Rate for Payer: Qualcare PPO/HMO/WC	$16.16

ZYPREXA 7.5MG UD TAB

Facility

$107.74

Service Code	NDC 43598016530
Hospital Charge Code	60635132
Hospital Revenue Code	250
Min. Negotiated Rate	$14.01
Max. Negotiated Rate	$53.87
Rate for Payer: Aetna Commercial	$32.32
Rate for Payer: Aetna Medicare Advantage	$32.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.47
Rate for Payer: Cigna Commercial	$53.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.01
Rate for Payer: Oxford Commercial	$53.87
Rate for Payer: Qualcare PPO/HMO/WC	$16.16
Rate for Payer: UnitedHealthcare Commercial	$53.87

Zyprexa Zydis 10mg

Facility

$156.11

Service Code	NDC 2445485
Hospital Charge Code	60630193
Hospital Revenue Code	250
Min. Negotiated Rate	$23.42
Max. Negotiated Rate	$23.42
Rate for Payer: Qualcare PPO/HMO/WC	$23.42

Zyprexa Zydis 10mg

Facility

$156.11

Service Code	NDC 2445485
Hospital Charge Code	60630193
Hospital Revenue Code	250
Min. Negotiated Rate	$20.29
Max. Negotiated Rate	$78.06
Rate for Payer: Aetna Commercial	$46.83
Rate for Payer: Aetna Medicare Advantage	$46.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.81
Rate for Payer: Cigna Commercial	$78.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.29
Rate for Payer: Oxford Commercial	$78.06
Rate for Payer: Qualcare PPO/HMO/WC	$23.42
Rate for Payer: UnitedHealthcare Commercial	$78.06

ZYRTEC-D 5/120MG TAB

Facility

$40.00

Hospital Charge Code	60635534
Hospital Revenue Code	250
Min. Negotiated Rate	$6.00
Max. Negotiated Rate	$6.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.00

ZYRTEC-D 5/120MG TAB

Facility

$40.00

Hospital Charge Code	60635534
Hospital Revenue Code	250
Min. Negotiated Rate	$5.20
Max. Negotiated Rate	$20.00
Rate for Payer: Aetna Commercial	$12.00
Rate for Payer: Aetna Medicare Advantage	$12.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.20
Rate for Payer: Cigna Commercial	$20.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.20
Rate for Payer: Oxford Commercial	$20.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.00
Rate for Payer: UnitedHealthcare Commercial	$20.00

ZYVOX 100MG/5ML SUSP

Facility

$342.00

Hospital Charge Code	60635407
Hospital Revenue Code	250
Min. Negotiated Rate	$44.46
Max. Negotiated Rate	$171.00
Rate for Payer: Aetna Commercial	$102.60
Rate for Payer: Aetna Medicare Advantage	$102.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$87.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$87.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$87.21
Rate for Payer: Cigna Commercial	$171.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.46
Rate for Payer: Oxford Commercial	$171.00
Rate for Payer: Qualcare PPO/HMO/WC	$51.30
Rate for Payer: UnitedHealthcare Commercial	$171.00

ZYVOX 100MG/5ML SUSP

Facility

$342.00

Hospital Charge Code	60635407
Hospital Revenue Code	250
Min. Negotiated Rate	$51.30
Max. Negotiated Rate	$51.30
Rate for Payer: Qualcare PPO/HMO/WC	$51.30

ZZZ_DO NOT USE

Facility

$45,253.00

Service Code	HCPCS C1776
Hospital Charge Code	270697476
Hospital Revenue Code	278
Min. Negotiated Rate	$6,787.95
Max. Negotiated Rate	$10,951.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9,050.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10,951.23
Rate for Payer: Qualcare PPO/HMO/WC	$6,787.95

Know your out-of-pocket cost for care.

All Charges