Heights University Hospital

All Charges

Charge

Type

Setting

Price

MED ROCKER SHOE

Facility

$6,644.50

Hospital Charge Code	270702659
Hospital Revenue Code	275
Min. Negotiated Rate	$996.67
Max. Negotiated Rate	$1,607.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,328.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,607.97
Rate for Payer: Qualcare PPO/HMO/WC	$996.67

MED ROCKER SHOE

Facility

$6,644.50

Hospital Charge Code	270702659
Hospital Revenue Code	275
Min. Negotiated Rate	$996.67
Max. Negotiated Rate	$3,322.25
Rate for Payer: Aetna Commercial	$1,993.35
Rate for Payer: Aetna Medicare Advantage	$1,993.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,694.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,694.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,328.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,694.35
Rate for Payer: Cigna Commercial	$3,322.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,607.97
Rate for Payer: Qualcare PPO/HMO/WC	$996.67

MEDROL/4MG/TAB

Facility

$5.00

Hospital Charge Code	60633364
Hospital Revenue Code	250
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$2.50
Rate for Payer: Aetna Commercial	$1.50
Rate for Payer: Aetna Medicare Advantage	$1.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.27
Rate for Payer: Cigna Commercial	$2.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.65
Rate for Payer: Oxford Commercial	$2.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.75
Rate for Payer: UnitedHealthcare Commercial	$2.50

MEDROL/4MG/TAB

Facility

$5.00

Hospital Charge Code	60633364
Hospital Revenue Code	250
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

MEDROL DOSEPAK/4MG/TAB

Facility

$66.00

Hospital Charge Code	60633365
Hospital Revenue Code	250
Min. Negotiated Rate	$9.90
Max. Negotiated Rate	$9.90
Rate for Payer: Qualcare PPO/HMO/WC	$9.90

MEDROL DOSEPAK/4MG/TAB

Facility

$66.00

Hospital Charge Code	60633365
Hospital Revenue Code	250
Min. Negotiated Rate	$8.58
Max. Negotiated Rate	$33.00
Rate for Payer: Aetna Commercial	$19.80
Rate for Payer: Aetna Medicare Advantage	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.83
Rate for Payer: Cigna Commercial	$33.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.58
Rate for Payer: Oxford Commercial	$33.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.90
Rate for Payer: UnitedHealthcare Commercial	$33.00

MEDRONATE MDP KIT

Facility

$63.00

Hospital Charge Code	270658200
Hospital Revenue Code	270
Min. Negotiated Rate	$9.45
Max. Negotiated Rate	$9.45
Rate for Payer: Qualcare PPO/HMO/WC	$9.45

MEDRONATE MDP KIT

Facility

$63.00

Hospital Charge Code	270658200
Hospital Revenue Code	270
Min. Negotiated Rate	$8.19
Max. Negotiated Rate	$31.50
Rate for Payer: Aetna Commercial	$18.90
Rate for Payer: Aetna Medicare Advantage	$18.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.07
Rate for Payer: Cigna Commercial	$31.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.19
Rate for Payer: Oxford Commercial	$31.50
Rate for Payer: Qualcare PPO/HMO/WC	$9.45
Rate for Payer: UnitedHealthcare Commercial	$31.50

MEDROXY ACE 150 MG/ML

Facility

$1,164.19

Service Code	HCPCS J1050
Hospital Charge Code	60630099
Hospital Revenue Code	636
Min. Negotiated Rate	$174.63
Max. Negotiated Rate	$582.10
Rate for Payer: Aetna Commercial	$349.26
Rate for Payer: Aetna Medicare Advantage	$349.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$296.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$296.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$296.87
Rate for Payer: Cigna Commercial	$582.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$281.73
Rate for Payer: Qualcare PPO/HMO/WC	$174.63

MEDROXY ACE 150 MG/ML

Facility

$1,164.19

Service Code	HCPCS J1050
Hospital Charge Code	60630099
Hospital Revenue Code	636
Min. Negotiated Rate	$174.63
Max. Negotiated Rate	$281.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$281.73
Rate for Payer: Qualcare PPO/HMO/WC	$174.63

MEDROXYPROGESTERN INJ 400MG/1M

Facility

$987.25

Hospital Charge Code	60628248
Hospital Revenue Code	636
Min. Negotiated Rate	$148.09
Max. Negotiated Rate	$493.62
Rate for Payer: Aetna Commercial	$296.18
Rate for Payer: Aetna Medicare Advantage	$296.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$251.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$251.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$251.75
Rate for Payer: Cigna Commercial	$493.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$238.91
Rate for Payer: Qualcare PPO/HMO/WC	$148.09

MEDROXYPROGESTERN INJ 400MG/1M

Facility

$987.25

Hospital Charge Code	60628248
Hospital Revenue Code	636
Min. Negotiated Rate	$148.09
Max. Negotiated Rate	$238.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$238.91
Rate for Payer: Qualcare PPO/HMO/WC	$148.09

MEDROXYPROGESTERN TAB 10MG

Facility

$4.00

Service Code	NDC 555077902
Hospital Charge Code	60628246
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

MEDROXYPROGESTERN TAB 10MG

Facility

$4.00

Service Code	NDC 555077902
Hospital Charge Code	60628246
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

MEDROXYPROGESTERN TAB 2.5MG

Facility

$11.86

Service Code	NDC 9006501
Hospital Charge Code	60628247
Hospital Revenue Code	250
Min. Negotiated Rate	$1.54
Max. Negotiated Rate	$5.93
Rate for Payer: Aetna Commercial	$3.56
Rate for Payer: Aetna Medicare Advantage	$3.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.02
Rate for Payer: Cigna Commercial	$5.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.54
Rate for Payer: Oxford Commercial	$5.93
Rate for Payer: Qualcare PPO/HMO/WC	$1.78
Rate for Payer: UnitedHealthcare Commercial	$5.93

MEDROXYPROGESTERN TAB 2.5MG

Facility

$11.86

Service Code	NDC 9006501
Hospital Charge Code	60628247
Hospital Revenue Code	250
Min. Negotiated Rate	$1.78
Max. Negotiated Rate	$1.78
Rate for Payer: Qualcare PPO/HMO/WC	$1.78

MEDROXYPROGESTERONE 5MG TAB

Facility

$17.89

Service Code	NDC 9028701
Hospital Charge Code	6063943131
Hospital Revenue Code	250
Min. Negotiated Rate	$2.68
Max. Negotiated Rate	$2.68
Rate for Payer: Qualcare PPO/HMO/WC	$2.68

MEDROXYPROGESTERONE 5MG TAB

Facility

$17.89

Service Code	NDC 9028701
Hospital Charge Code	6063943131
Hospital Revenue Code	250
Min. Negotiated Rate	$2.33
Max. Negotiated Rate	$8.95
Rate for Payer: Aetna Commercial	$5.37
Rate for Payer: Aetna Medicare Advantage	$5.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.56
Rate for Payer: Cigna Commercial	$8.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.33
Rate for Payer: Oxford Commercial	$8.95
Rate for Payer: Qualcare PPO/HMO/WC	$2.68
Rate for Payer: UnitedHealthcare Commercial	$8.95

MEDROXYPROGESTERONE ACETA

Facility

$3.00

Hospital Charge Code	60633366
Hospital Revenue Code	636
Min. Negotiated Rate	$0.45
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	$0.73
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

MEDROXYPROGESTERONE ACETA

Facility

$3.00

Hospital Charge Code	60633366
Hospital Revenue Code	636
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.73
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

MEDROXYPROGESTERONE ACETA

Facility

$3.00

Hospital Charge Code	60633367
Hospital Revenue Code	636
Min. Negotiated Rate	$0.45
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	$0.73
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

MEDROXYPROGESTERONE ACETA

Facility

$3.00

Hospital Charge Code	60633367
Hospital Revenue Code	636
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.73
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

MEDRYSONE OPHT SSP 1% 5ML

Facility

$101.80

Hospital Charge Code	6003438
Hospital Revenue Code	252
Min. Negotiated Rate	$15.27
Max. Negotiated Rate	$15.27
Rate for Payer: Qualcare PPO/HMO/WC	$15.27

MEDRYSONE OPHT SSP 1% 5ML

Facility

$101.80

Hospital Charge Code	6003438
Hospital Revenue Code	252
Min. Negotiated Rate	$13.23
Max. Negotiated Rate	$50.90
Rate for Payer: Aetna Commercial	$30.54
Rate for Payer: Aetna Medicare Advantage	$30.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.96
Rate for Payer: Cigna Commercial	$50.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.23
Rate for Payer: Oxford Commercial	$50.90
Rate for Payer: Qualcare PPO/HMO/WC	$15.27
Rate for Payer: UnitedHealthcare Commercial	$50.90

MEDTRONIC ANTENA-NEUR STMLR

Facility

$160.00

Hospital Charge Code	270339436
Hospital Revenue Code	278
Min. Negotiated Rate	$24.00
Max. Negotiated Rate	$80.00
Rate for Payer: Aetna Commercial	$48.00
Rate for Payer: Aetna Medicare Advantage	$48.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$32.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.80
Rate for Payer: Cigna Commercial	$80.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.72
Rate for Payer: Qualcare PPO/HMO/WC	$24.00

Know your out-of-pocket cost for care.

All Charges