Heights University Hospital

All Charges

Charge

Type

Setting

Price

BUSPAR/10MG/TAB

Facility

$7.00

Hospital Charge Code	60632594
Hospital Revenue Code	250
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$1.05
Rate for Payer: Qualcare PPO/HMO/WC	$1.05

BUSPAR/10MG/TAB

Facility

$6.00

Hospital Charge Code	60632595
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

BUSPAR/10MG/TAB

Facility

$9.05

Service Code	NDC 51079098620
Hospital Charge Code	60632592
Hospital Revenue Code	250
Min. Negotiated Rate	$1.36
Max. Negotiated Rate	$1.36
Rate for Payer: Qualcare PPO/HMO/WC	$1.36

BUSPAR/10MG/TAB

Facility

$6.00

Hospital Charge Code	60632595
Hospital Revenue Code	250
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$0.90
Rate for Payer: Qualcare PPO/HMO/WC	$0.90

BUSPAR 15MG

Facility

$7.00

Hospital Charge Code	60635250
Hospital Revenue Code	250
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$1.05
Rate for Payer: Qualcare PPO/HMO/WC	$1.05

BUSPAR 15MG

Facility

$7.00

Hospital Charge Code	60635250
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

BUSPAR/5MG/TAB

Facility

$7.00

Hospital Charge Code	60632593
Hospital Revenue Code	250
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$1.05
Rate for Payer: Qualcare PPO/HMO/WC	$1.05

BUSPAR/5MG/TAB

Facility

$7.00

Hospital Charge Code	60632593
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

BUSPIRONE 5 MG TAB

Facility

$5.16

Service Code	NDC 51079098520
Hospital Charge Code	60627854
Hospital Revenue Code	250
Min. Negotiated Rate	$0.67
Max. Negotiated Rate	$2.58
Rate for Payer: Aetna Commercial	$1.55
Rate for Payer: Aetna Medicare Advantage	$1.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.32
Rate for Payer: Cigna Commercial	$2.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.67
Rate for Payer: Oxford Commercial	$2.58
Rate for Payer: Qualcare PPO/HMO/WC	$0.77
Rate for Payer: UnitedHealthcare Commercial	$2.58

BUSPIRONE 5 MG TAB

Facility

$5.16

Service Code	NDC 51079098520
Hospital Charge Code	60627854
Hospital Revenue Code	250
Min. Negotiated Rate	$0.77
Max. Negotiated Rate	$0.77
Rate for Payer: Qualcare PPO/HMO/WC	$0.77

BUSPIRONE 7.5MG TABLET

Facility

$10.59

Service Code	NDC 64380078706
Hospital Charge Code	606390258
Hospital Revenue Code	250
Min. Negotiated Rate	$1.59
Max. Negotiated Rate	$1.59
Rate for Payer: Qualcare PPO/HMO/WC	$1.59

BUSPIRONE 7.5MG TABLET

Facility

$10.59

Service Code	NDC 64380078706
Hospital Charge Code	606390258
Hospital Revenue Code	250
Min. Negotiated Rate	$1.38
Max. Negotiated Rate	$5.29
Rate for Payer: Aetna Commercial	$3.18
Rate for Payer: Aetna Medicare Advantage	$3.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.70
Rate for Payer: Cigna Commercial	$5.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.38
Rate for Payer: Oxford Commercial	$5.29
Rate for Payer: Qualcare PPO/HMO/WC	$1.59
Rate for Payer: UnitedHealthcare Commercial	$5.29

BUTABARBITAL (BARBITUATE) BLD

Facility

$159.25

Service Code	HCPCS 80345
Hospital Charge Code	3007168
Hospital Revenue Code	301
Min. Negotiated Rate	$23.89
Max. Negotiated Rate	$23.89
Rate for Payer: Qualcare PPO/HMO/WC	$23.89

BUTABARBITAL (BARBITUATE) BLD

Facility

$159.25

Service Code	HCPCS 80345
Hospital Charge Code	3007168
Hospital Revenue Code	301
Min. Negotiated Rate	$20.70
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$47.77
Rate for Payer: Aetna Medicare Advantage	$47.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.61
Rate for Payer: Cigna Commercial	$79.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$23.89
Rate for Payer: UnitedHealthcare Commercial	$114.00

BUTFLY BLD COLLECT 21ga 367281

Facility

$3.60

Hospital Charge Code	270639106
Hospital Revenue Code	272
Min. Negotiated Rate	$0.54
Max. Negotiated Rate	$0.54
Rate for Payer: Qualcare PPO/HMO/WC	$0.54

BUTFLY BLD COLLECT 21ga 367281

Facility

$3.60

Hospital Charge Code	270639106
Hospital Revenue Code	272
Min. Negotiated Rate	$0.47
Max. Negotiated Rate	$1.80
Rate for Payer: Aetna Commercial	$1.08
Rate for Payer: Aetna Medicare Advantage	$1.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.92
Rate for Payer: Cigna Commercial	$1.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.47
Rate for Payer: Oxford Commercial	$1.80
Rate for Payer: Qualcare PPO/HMO/WC	$0.54
Rate for Payer: UnitedHealthcare Commercial	$1.80

BUT LVT UP RD 4 8 7021327

Facility

$222.45

Hospital Charge Code	270629146
Hospital Revenue Code	272
Min. Negotiated Rate	$28.92
Max. Negotiated Rate	$111.22
Rate for Payer: Aetna Commercial	$66.73
Rate for Payer: Aetna Medicare Advantage	$66.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.72
Rate for Payer: Cigna Commercial	$111.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.92
Rate for Payer: Oxford Commercial	$111.22
Rate for Payer: Qualcare PPO/HMO/WC	$33.37
Rate for Payer: UnitedHealthcare Commercial	$111.22

BUT LVT UP RD 4 8 7021327

Facility

$222.45

Hospital Charge Code	270629146
Hospital Revenue Code	272
Min. Negotiated Rate	$33.37
Max. Negotiated Rate	$33.37
Rate for Payer: Qualcare PPO/HMO/WC	$33.37

BUTORPHANOL 2 MG/ML INJ

Facility

$83.25

Hospital Charge Code	60627721
Hospital Revenue Code	636
Min. Negotiated Rate	$12.49
Max. Negotiated Rate	$20.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.15
Rate for Payer: Qualcare PPO/HMO/WC	$12.49

BUTORPHANOL 2 MG/ML INJ

Facility

$83.25

Hospital Charge Code	60627721
Hospital Revenue Code	636
Min. Negotiated Rate	$12.49
Max. Negotiated Rate	$41.62
Rate for Payer: Aetna Commercial	$24.98
Rate for Payer: Aetna Medicare Advantage	$24.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.23
Rate for Payer: Cigna Commercial	$41.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.15
Rate for Payer: Qualcare PPO/HMO/WC	$12.49

BUTORPHANOL TART INJ 2MG/ML1ML

Facility

$64.00

Hospital Charge Code	6000814
Hospital Revenue Code	250
Min. Negotiated Rate	$9.60
Max. Negotiated Rate	$9.60
Rate for Payer: Qualcare PPO/HMO/WC	$9.60

BUTORPHANOL TART INJ 2MG/ML1ML

Facility

$64.00

Hospital Charge Code	6000814
Hospital Revenue Code	250
Min. Negotiated Rate	$8.32
Max. Negotiated Rate	$32.00
Rate for Payer: Aetna Commercial	$19.20
Rate for Payer: Aetna Medicare Advantage	$19.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.32
Rate for Payer: Cigna Commercial	$32.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.32
Rate for Payer: Oxford Commercial	$32.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.60
Rate for Payer: UnitedHealthcare Commercial	$32.00

BUTTON BMT PATELLA LG 11150830

Facility

$3,045.00

Hospital Charge Code	270621913
Hospital Revenue Code	272
Min. Negotiated Rate	$456.75
Max. Negotiated Rate	$456.75
Rate for Payer: Qualcare PPO/HMO/WC	$456.75

BUTTON BMT PATELLA LG 11150830

Facility

$3,045.00

Hospital Charge Code	270621913
Hospital Revenue Code	272
Min. Negotiated Rate	$395.85
Max. Negotiated Rate	$1,522.50
Rate for Payer: Aetna Commercial	$913.50
Rate for Payer: Aetna Medicare Advantage	$913.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$776.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$776.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$776.48
Rate for Payer: Cigna Commercial	$1,522.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$395.85
Rate for Payer: Oxford Commercial	$1,522.50
Rate for Payer: Qualcare PPO/HMO/WC	$456.75
Rate for Payer: UnitedHealthcare Commercial	$1,522.50

BUTTON BMT PATELLA SM 11150826

Facility

$3,020.70

Hospital Charge Code	270609002
Hospital Revenue Code	272
Min. Negotiated Rate	$453.11
Max. Negotiated Rate	$453.11
Rate for Payer: Qualcare PPO/HMO/WC	$453.11

Know your out-of-pocket cost for care.

All Charges