Heights University Hospital

All Charges

Charge

Type

Setting

Price

CARD US STRESS ECHO/CONTRAST

Facility

$3,311.10

Hospital Charge Code	74116073
Hospital Revenue Code	483
Min. Negotiated Rate	$496.67
Max. Negotiated Rate	$496.67
Rate for Payer: Qualcare PPO/HMO/WC	$496.67

CARD US STRESS ECHO/CONTRAST

Facility

$3,311.10

Hospital Charge Code	74115073
Hospital Revenue Code	483
Min. Negotiated Rate	$496.67
Max. Negotiated Rate	$496.67
Rate for Payer: Qualcare PPO/HMO/WC	$496.67

CARD US STRESS ECHO/CONTRAST

Facility

$3,311.10

Hospital Charge Code	5308010
Hospital Revenue Code	483
Min. Negotiated Rate	$430.44
Max. Negotiated Rate	$1,719.00
Rate for Payer: Aetna Commercial	$993.33
Rate for Payer: Aetna Medicare Advantage	$993.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$844.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$844.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$844.33
Rate for Payer: Cigna Commercial	$1,655.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$430.44
Rate for Payer: Oxford Commercial	$1,514.00
Rate for Payer: Qualcare PPO/HMO/WC	$496.67
Rate for Payer: UnitedHealthcare Commercial	$1,719.00

CARD US STRESS ECHO/CONTRAST

Facility

$3,311.10

Hospital Charge Code	5308010
Hospital Revenue Code	483
Min. Negotiated Rate	$496.67
Max. Negotiated Rate	$496.67
Rate for Payer: Qualcare PPO/HMO/WC	$496.67

CARD US TEE/CONTRAST

Facility

$3,311.10

Hospital Charge Code	5308005
Hospital Revenue Code	483
Min. Negotiated Rate	$430.44
Max. Negotiated Rate	$1,719.00
Rate for Payer: Aetna Commercial	$993.33
Rate for Payer: Aetna Medicare Advantage	$993.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$844.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$844.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$844.33
Rate for Payer: Cigna Commercial	$1,655.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$430.44
Rate for Payer: Oxford Commercial	$1,514.00
Rate for Payer: Qualcare PPO/HMO/WC	$496.67
Rate for Payer: UnitedHealthcare Commercial	$1,719.00

CARD US TEE/CONTRAST

Facility

$3,311.10

Hospital Charge Code	5308005
Hospital Revenue Code	483
Min. Negotiated Rate	$496.67
Max. Negotiated Rate	$496.67
Rate for Payer: Qualcare PPO/HMO/WC	$496.67

CARISOPRODOL ASP TAB 200/325MG

Facility

$13.65

Hospital Charge Code	60627480
Hospital Revenue Code	250
Min. Negotiated Rate	$2.05
Max. Negotiated Rate	$2.05
Rate for Payer: Qualcare PPO/HMO/WC	$2.05

CARISOPRODOL ASP TAB 200/325MG

Facility

$13.65

Hospital Charge Code	60627480
Hospital Revenue Code	250
Min. Negotiated Rate	$1.77
Max. Negotiated Rate	$6.83
Rate for Payer: Aetna Commercial	$4.09
Rate for Payer: Aetna Medicare Advantage	$4.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.48
Rate for Payer: Cigna Commercial	$6.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.77
Rate for Payer: Oxford Commercial	$6.83
Rate for Payer: Qualcare PPO/HMO/WC	$2.05
Rate for Payer: UnitedHealthcare Commercial	$6.83

CARNITINE AMP IV 1GM

Facility

$256.65

Hospital Charge Code	6010490
Hospital Revenue Code	250
Min. Negotiated Rate	$38.50
Max. Negotiated Rate	$38.50
Rate for Payer: Qualcare PPO/HMO/WC	$38.50

CARNITINE AMP IV 1GM

Facility

$256.65

Hospital Charge Code	6010490
Hospital Revenue Code	250
Min. Negotiated Rate	$33.36
Max. Negotiated Rate	$128.32
Rate for Payer: Aetna Commercial	$77.00
Rate for Payer: Aetna Medicare Advantage	$77.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.45
Rate for Payer: Cigna Commercial	$128.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.36
Rate for Payer: Oxford Commercial	$128.32
Rate for Payer: Qualcare PPO/HMO/WC	$38.50
Rate for Payer: UnitedHealthcare Commercial	$128.32

CARNITINE (FREE & TOTAL)

Facility

$646.00

Service Code	HCPCS 82379
Hospital Charge Code	38472923
Hospital Revenue Code	301
Min. Negotiated Rate	$8.44
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$54.66
Rate for Payer: Aetna Medicare Advantage	$16.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.81
Rate for Payer: Cigna Commercial	$16.87
Rate for Payer: Cigna Medicare Advantage	$8.44
Rate for Payer: Clover Medicare Advantage	$16.03
Rate for Payer: EmblemHealth Commercial	$50.61
Rate for Payer: Humana Medicare Advantage	$17.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.98
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$96.90
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.87
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$17.88
Rate for Payer: Wellcare Medicare Advantage	$16.87

CARNITINE (FREE & TOTAL)

Facility

$646.00

Service Code	HCPCS 82379
Hospital Charge Code	38472923
Hospital Revenue Code	301
Min. Negotiated Rate	$96.90
Max. Negotiated Rate	$96.90
Rate for Payer: Qualcare PPO/HMO/WC	$96.90

CARNITINE TOTAL PANEL A

Facility

$167.25

Service Code	HCPCS 82379
Hospital Charge Code	3009867A
Hospital Revenue Code	301
Min. Negotiated Rate	$25.09
Max. Negotiated Rate	$25.09
Rate for Payer: Qualcare PPO/HMO/WC	$25.09

CARNITINE TOTAL PANEL A

Facility

$167.25

Service Code	HCPCS 82379
Hospital Charge Code	3009867A
Hospital Revenue Code	301
Min. Negotiated Rate	$8.44
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Medicare Advantage	$16.87
Rate for Payer: Aetna Commercial	$54.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.81
Rate for Payer: Cigna Commercial	$16.87
Rate for Payer: Cigna Medicare Advantage	$8.44
Rate for Payer: Clover Medicare Advantage	$16.03
Rate for Payer: EmblemHealth Commercial	$50.61
Rate for Payer: Humana Medicare Advantage	$17.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.74
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$25.09
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.87
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$17.88
Rate for Payer: Wellcare Medicare Advantage	$16.87

CARNITINE TOTAL PANEL B

Facility

$167.25

Service Code	HCPCS 82379
Hospital Charge Code	3009867B
Hospital Revenue Code	301
Min. Negotiated Rate	$25.09
Max. Negotiated Rate	$25.09
Rate for Payer: Qualcare PPO/HMO/WC	$25.09

CARNITINE TOTAL PANEL B

Facility

$167.25

Service Code	HCPCS 82379
Hospital Charge Code	3009867B
Hospital Revenue Code	301
Min. Negotiated Rate	$8.44
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$54.66
Rate for Payer: Aetna Medicare Advantage	$16.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.81
Rate for Payer: Cigna Commercial	$16.87
Rate for Payer: Cigna Medicare Advantage	$8.44
Rate for Payer: Clover Medicare Advantage	$16.03
Rate for Payer: EmblemHealth Commercial	$50.61
Rate for Payer: Humana Medicare Advantage	$17.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.74
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$25.09
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.87
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$17.88
Rate for Payer: Wellcare Medicare Advantage	$16.87

CARNITOR 1GM LEVOCRNTNE 5ML VL

Facility

$19.30

Service Code	HCPCS J1955
Hospital Charge Code	6000382
Hospital Revenue Code	636
Min. Negotiated Rate	$2.90
Max. Negotiated Rate	$23.09
Rate for Payer: Aetna Commercial	$5.79
Rate for Payer: Aetna Medicare Advantage	$5.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.92
Rate for Payer: Cigna Commercial	$23.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.67
Rate for Payer: Qualcare PPO/HMO/WC	$2.90

CARNITOR 1GM LEVOCRNTNE 5ML VL

Facility

$19.30

Service Code	HCPCS J1955
Hospital Charge Code	6000382
Hospital Revenue Code	636
Min. Negotiated Rate	$2.90
Max. Negotiated Rate	$4.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.67
Rate for Payer: Qualcare PPO/HMO/WC	$2.90

CARNITOR 330MG TAB

Facility

$6.70

Service Code	NDC 54482014407
Hospital Charge Code	60635364
Hospital Revenue Code	250
Min. Negotiated Rate	$1.00
Max. Negotiated Rate	$1.00
Rate for Payer: Qualcare PPO/HMO/WC	$1.00

CARNITOR 330MG TAB

Facility

$6.70

Service Code	NDC 54482014407
Hospital Charge Code	60635364
Hospital Revenue Code	250
Min. Negotiated Rate	$0.87
Max. Negotiated Rate	$3.35
Rate for Payer: Aetna Commercial	$2.01
Rate for Payer: Aetna Medicare Advantage	$2.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.71
Rate for Payer: Cigna Commercial	$3.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.87
Rate for Payer: Oxford Commercial	$3.35
Rate for Payer: Qualcare PPO/HMO/WC	$1.00
Rate for Payer: UnitedHealthcare Commercial	$3.35

CARNOX MOD TOPICAL SUSP 60 ML

Facility

$153.65

Hospital Charge Code	60628900
Hospital Revenue Code	250
Min. Negotiated Rate	$19.97
Max. Negotiated Rate	$76.83
Rate for Payer: Aetna Commercial	$46.09
Rate for Payer: Aetna Medicare Advantage	$46.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.18
Rate for Payer: Cigna Commercial	$76.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.97
Rate for Payer: Oxford Commercial	$76.83
Rate for Payer: Qualcare PPO/HMO/WC	$23.05
Rate for Payer: UnitedHealthcare Commercial	$76.83

CARNOX MOD TOPICAL SUSP 60 ML

Facility

$153.65

Hospital Charge Code	60628900
Hospital Revenue Code	250
Min. Negotiated Rate	$23.05
Max. Negotiated Rate	$23.05
Rate for Payer: Qualcare PPO/HMO/WC	$23.05

CAROTENE

Facility

$63.40

Service Code	HCPCS 82380
Hospital Charge Code	39900056
Hospital Revenue Code	301
Min. Negotiated Rate	$4.61
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$29.87
Rate for Payer: Aetna Medicare Advantage	$9.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.78
Rate for Payer: Cigna Commercial	$9.22
Rate for Payer: Cigna Medicare Advantage	$4.61
Rate for Payer: Clover Medicare Advantage	$8.76
Rate for Payer: EmblemHealth Commercial	$27.66
Rate for Payer: Humana Medicare Advantage	$9.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.24
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.51
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.22
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$9.77
Rate for Payer: Wellcare Medicare Advantage	$9.22

CAROTENE

Facility

$390.00

Service Code	HCPCS 82380
Hospital Charge Code	38472170
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CAROTENE

Facility

$63.40

Service Code	HCPCS 82380
Hospital Charge Code	39900056
Hospital Revenue Code	301
Min. Negotiated Rate	$9.51
Max. Negotiated Rate	$9.51
Rate for Payer: Qualcare PPO/HMO/WC	$9.51

Know your out-of-pocket cost for care.

All Charges