Heights University Hospital

All Charges

Charge

Type

Setting

Price

B-TYPE NATRIURETIC PEPTIDE

Facility

$585.17

Service Code	HCPCS 83519
Hospital Charge Code	3009045
Hospital Revenue Code	301
Min. Negotiated Rate	$9.20
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$59.62
Rate for Payer: Aetna Medicare Advantage	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.42
Rate for Payer: Cigna Commercial	$18.40
Rate for Payer: Cigna Medicare Advantage	$9.20
Rate for Payer: Clover Medicare Advantage	$17.48
Rate for Payer: EmblemHealth Commercial	$55.20
Rate for Payer: Humana Medicare Advantage	$18.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.07
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$87.78
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.40
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19.50
Rate for Payer: Wellcare Medicare Advantage	$18.40

BUCELLA ABORTUS IGG, EIA

Facility

$71.25

Service Code	HCPCS 86622
Hospital Charge Code	3006550
Hospital Revenue Code	302
Min. Negotiated Rate	$10.69
Max. Negotiated Rate	$10.69
Rate for Payer: Qualcare PPO/HMO/WC	$10.69

BUCELLA ABORTUS IGG, EIA

Facility

$71.25

Service Code	HCPCS 86622
Hospital Charge Code	3006550
Hospital Revenue Code	302
Min. Negotiated Rate	$4.46
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$28.93
Rate for Payer: Aetna Medicare Advantage	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.72
Rate for Payer: Cigna Commercial	$8.93
Rate for Payer: Cigna Medicare Advantage	$4.46
Rate for Payer: Clover Medicare Advantage	$8.48
Rate for Payer: EmblemHealth Commercial	$26.79
Rate for Payer: Humana Medicare Advantage	$9.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.26
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.69
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$8.93
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$9.47
Rate for Payer: Wellcare Medicare Advantage	$8.93

BUCKET HANDLE RICHARDS 4.25mm

Facility

$1,171.65

Hospital Charge Code	270639952
Hospital Revenue Code	272
Min. Negotiated Rate	$175.75
Max. Negotiated Rate	$175.75
Rate for Payer: Qualcare PPO/HMO/WC	$175.75

BUCKET HANDLE RICHARDS 4.25mm

Facility

$1,171.65

Hospital Charge Code	270639952
Hospital Revenue Code	272
Min. Negotiated Rate	$152.31
Max. Negotiated Rate	$585.83
Rate for Payer: Aetna Commercial	$351.50
Rate for Payer: Aetna Medicare Advantage	$351.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$298.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$298.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$298.77
Rate for Payer: Cigna Commercial	$585.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$152.31
Rate for Payer: Oxford Commercial	$585.83
Rate for Payer: Qualcare PPO/HMO/WC	$175.75
Rate for Payer: UnitedHealthcare Commercial	$585.83

BUCKET RCHDS HANDLE 1MM 142044

Facility

$897.65

Hospital Charge Code	270620115
Hospital Revenue Code	272
Min. Negotiated Rate	$134.65
Max. Negotiated Rate	$134.65
Rate for Payer: Qualcare PPO/HMO/WC	$134.65

BUCKET RCHDS HANDLE 1MM 142044

Facility

$897.65

Hospital Charge Code	270620115
Hospital Revenue Code	272
Min. Negotiated Rate	$116.69
Max. Negotiated Rate	$448.82
Rate for Payer: Aetna Commercial	$269.30
Rate for Payer: Aetna Medicare Advantage	$269.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$228.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$228.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$228.90
Rate for Payer: Cigna Commercial	$448.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.69
Rate for Payer: Oxford Commercial	$448.82
Rate for Payer: Qualcare PPO/HMO/WC	$134.65
Rate for Payer: UnitedHealthcare Commercial	$448.82

BUCKS BRACKET *******

Facility

$168.00

Hospital Charge Code	8001851
Hospital Revenue Code	279
Min. Negotiated Rate	$21.84
Max. Negotiated Rate	$84.00
Rate for Payer: Aetna Commercial	$50.40
Rate for Payer: Aetna Medicare Advantage	$50.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.84
Rate for Payer: Cigna Commercial	$84.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.84
Rate for Payer: Oxford Commercial	$84.00
Rate for Payer: Qualcare PPO/HMO/WC	$25.20
Rate for Payer: UnitedHealthcare Commercial	$84.00

BUCKS BRACKET *******

Facility

$168.00

Hospital Charge Code	8001851
Hospital Revenue Code	279
Min. Negotiated Rate	$25.20
Max. Negotiated Rate	$25.20
Rate for Payer: Qualcare PPO/HMO/WC	$25.20

BUDESONIDE 3 MG ER

Facility

$126.30

Service Code	NDC 378715501
Hospital Charge Code	60629914
Hospital Revenue Code	250
Min. Negotiated Rate	$18.95
Max. Negotiated Rate	$18.95
Rate for Payer: Qualcare PPO/HMO/WC	$18.95

BUDESONIDE 3 MG ER

Facility

$126.30

Service Code	NDC 378715501
Hospital Charge Code	60629914
Hospital Revenue Code	250
Min. Negotiated Rate	$16.42
Max. Negotiated Rate	$63.15
Rate for Payer: Aetna Commercial	$37.89
Rate for Payer: Aetna Medicare Advantage	$37.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.21
Rate for Payer: Cigna Commercial	$63.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.42
Rate for Payer: Oxford Commercial	$63.15
Rate for Payer: Qualcare PPO/HMO/WC	$18.95
Rate for Payer: UnitedHealthcare Commercial	$63.15

BUDESONIDE90 MCG/INH POW

Facility

$885.10

Hospital Charge Code	60629874
Hospital Revenue Code	250
Min. Negotiated Rate	$115.06
Max. Negotiated Rate	$442.55
Rate for Payer: Aetna Commercial	$265.53
Rate for Payer: Aetna Medicare Advantage	$265.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$225.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$225.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$225.70
Rate for Payer: Cigna Commercial	$442.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$115.06
Rate for Payer: Oxford Commercial	$442.55
Rate for Payer: Qualcare PPO/HMO/WC	$132.76
Rate for Payer: UnitedHealthcare Commercial	$442.55

BUDESONIDE90 MCG/INH POW

Facility

$885.10

Hospital Charge Code	60629874
Hospital Revenue Code	250
Min. Negotiated Rate	$132.76
Max. Negotiated Rate	$132.76
Rate for Payer: Qualcare PPO/HMO/WC	$132.76

BUDESONIDE INH 0.25MG/2ML

Facility

$70.08

Service Code	NDC 186198804
Hospital Charge Code	60629103
Hospital Revenue Code	250
Min. Negotiated Rate	$9.11
Max. Negotiated Rate	$35.04
Rate for Payer: Aetna Commercial	$21.02
Rate for Payer: Aetna Medicare Advantage	$21.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.87
Rate for Payer: Cigna Commercial	$35.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.11
Rate for Payer: Oxford Commercial	$35.04
Rate for Payer: Qualcare PPO/HMO/WC	$10.51
Rate for Payer: UnitedHealthcare Commercial	$35.04

BUDESONIDE INH 0.25MG/2ML

Facility

$70.08

Service Code	NDC 186198804
Hospital Charge Code	60629103
Hospital Revenue Code	250
Min. Negotiated Rate	$10.51
Max. Negotiated Rate	$10.51
Rate for Payer: Qualcare PPO/HMO/WC	$10.51

BUDESONIDE INH 0.5MG/30ML

Facility

$82.48

Service Code	NDC 186198904
Hospital Charge Code	60629104
Hospital Revenue Code	250
Min. Negotiated Rate	$10.72
Max. Negotiated Rate	$41.24
Rate for Payer: Aetna Commercial	$24.74
Rate for Payer: Aetna Medicare Advantage	$24.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.03
Rate for Payer: Cigna Commercial	$41.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.72
Rate for Payer: Oxford Commercial	$41.24
Rate for Payer: Qualcare PPO/HMO/WC	$12.37
Rate for Payer: UnitedHealthcare Commercial	$41.24

BUDESONIDE INH 0.5MG/30ML

Facility

$82.48

Service Code	NDC 186198904
Hospital Charge Code	60629104
Hospital Revenue Code	250
Min. Negotiated Rate	$12.37
Max. Negotiated Rate	$12.37
Rate for Payer: Qualcare PPO/HMO/WC	$12.37

BUFFERED OPHTH IRRIG 118ML

Facility

$48.00

Hospital Charge Code	6000756
Hospital Revenue Code	251
Min. Negotiated Rate	$6.24
Max. Negotiated Rate	$24.00
Rate for Payer: Aetna Commercial	$14.40
Rate for Payer: Aetna Medicare Advantage	$14.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.24
Rate for Payer: Cigna Commercial	$24.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.24
Rate for Payer: Oxford Commercial	$24.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.20
Rate for Payer: UnitedHealthcare Commercial	$24.00

BUFFERED OPHTH IRRIG 118ML

Facility

$48.00

Hospital Charge Code	6000756
Hospital Revenue Code	251
Min. Negotiated Rate	$7.20
Max. Negotiated Rate	$7.20
Rate for Payer: Qualcare PPO/HMO/WC	$7.20

BUFFERIN/TAB

Facility

$1.00

Hospital Charge Code	60634217
Hospital Revenue Code	250
Min. Negotiated Rate	$0.13
Max. Negotiated Rate	$0.50
Rate for Payer: Aetna Commercial	$0.30
Rate for Payer: Aetna Medicare Advantage	$0.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.26
Rate for Payer: Cigna Commercial	$0.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.13
Rate for Payer: Oxford Commercial	$0.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.15
Rate for Payer: UnitedHealthcare Commercial	$0.50

BUFFERIN/TAB

Facility

$1.00

Hospital Charge Code	60634217
Hospital Revenue Code	250
Min. Negotiated Rate	$0.15
Max. Negotiated Rate	$0.15
Rate for Payer: Qualcare PPO/HMO/WC	$0.15

BUFFER PH4 500ML

Facility

$207.25

Hospital Charge Code	270605119
Hospital Revenue Code	272
Min. Negotiated Rate	$31.09
Max. Negotiated Rate	$31.09
Rate for Payer: Qualcare PPO/HMO/WC	$31.09

BUFFER PH4 500ML

Facility

$207.25

Hospital Charge Code	270605119
Hospital Revenue Code	272
Min. Negotiated Rate	$26.94
Max. Negotiated Rate	$103.62
Rate for Payer: Aetna Commercial	$62.17
Rate for Payer: Aetna Medicare Advantage	$62.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.85
Rate for Payer: Cigna Commercial	$103.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.94
Rate for Payer: Oxford Commercial	$103.62
Rate for Payer: Qualcare PPO/HMO/WC	$31.09
Rate for Payer: UnitedHealthcare Commercial	$103.62

BUFFER PH7 500ML

Facility

$207.25

Hospital Charge Code	270605118
Hospital Revenue Code	272
Min. Negotiated Rate	$26.94
Max. Negotiated Rate	$103.62
Rate for Payer: Aetna Commercial	$62.17
Rate for Payer: Aetna Medicare Advantage	$62.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.85
Rate for Payer: Cigna Commercial	$103.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.94
Rate for Payer: Oxford Commercial	$103.62
Rate for Payer: Qualcare PPO/HMO/WC	$31.09
Rate for Payer: UnitedHealthcare Commercial	$103.62

BUFFER PH7 500ML

Facility

$207.25

Hospital Charge Code	270605118
Hospital Revenue Code	272
Min. Negotiated Rate	$31.09
Max. Negotiated Rate	$31.09
Rate for Payer: Qualcare PPO/HMO/WC	$31.09

Know your out-of-pocket cost for care.

All Charges