Heights University Hospital

All Charges

Charge

Type

Setting

Price

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

MEFLOQUINE TAB 250MG

Facility

$90.79

Service Code	NDC 54002511
Hospital Charge Code	60627340
Hospital Revenue Code	250
Min. Negotiated Rate	$11.80
Max. Negotiated Rate	$45.40
Rate for Payer: Aetna Commercial	$27.24
Rate for Payer: Aetna Medicare Advantage	$27.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.15
Rate for Payer: Cigna Commercial	$45.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.80
Rate for Payer: Oxford Commercial	$45.40
Rate for Payer: Qualcare PPO/HMO/WC	$13.62
Rate for Payer: UnitedHealthcare Commercial	$45.40

MEFLOQUINE TAB 250MG

Facility

$90.79

Service Code	NDC 54002511
Hospital Charge Code	60627340
Hospital Revenue Code	250
Min. Negotiated Rate	$13.62
Max. Negotiated Rate	$13.62
Rate for Payer: Qualcare PPO/HMO/WC	$13.62

MEFOXIN 1GM

Facility

$75.24

Service Code	HCPCS J0694
Hospital Charge Code	6063943287
Hospital Revenue Code	636
Min. Negotiated Rate	$11.29
Max. Negotiated Rate	$18.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.21
Rate for Payer: Qualcare PPO/HMO/WC	$11.29

MEFOXIN 1GM

Facility

$75.24

Service Code	HCPCS J0694
Hospital Charge Code	6063943287
Hospital Revenue Code	636
Min. Negotiated Rate	$3.56
Max. Negotiated Rate	$22.57
Rate for Payer: Aetna Commercial	$22.57
Rate for Payer: Aetna Medicare Advantage	$22.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.19
Rate for Payer: Cigna Commercial	$3.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.21
Rate for Payer: Qualcare PPO/HMO/WC	$11.29

MEFOXITIN VL 1GM

Facility

$142.75

Hospital Charge Code	6006878
Hospital Revenue Code	250
Min. Negotiated Rate	$18.56
Max. Negotiated Rate	$71.38
Rate for Payer: Aetna Commercial	$42.83
Rate for Payer: Aetna Medicare Advantage	$42.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.40
Rate for Payer: Cigna Commercial	$71.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.56
Rate for Payer: Oxford Commercial	$71.38
Rate for Payer: Qualcare PPO/HMO/WC	$21.41
Rate for Payer: UnitedHealthcare Commercial	$71.38

MEFOXITIN VL 1GM

Facility

$142.75

Hospital Charge Code	6006878
Hospital Revenue Code	250
Min. Negotiated Rate	$21.41
Max. Negotiated Rate	$21.41
Rate for Payer: Qualcare PPO/HMO/WC	$21.41

MEGACE/40MG/TAB

Facility

$5.00

Hospital Charge Code	60634228
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

MEGACE/40MG/TAB

Facility

$5.00

Hospital Charge Code	60634228
Hospital Revenue Code	250
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

MEGACE SUSP/40MG/ML

Facility

$53.00

Hospital Charge Code	60634922
Hospital Revenue Code	250
Min. Negotiated Rate	$7.95
Max. Negotiated Rate	$7.95
Rate for Payer: Qualcare PPO/HMO/WC	$7.95

MEGACE SUSP/40MG/ML

Facility

$53.00

Hospital Charge Code	60634922
Hospital Revenue Code	250
Min. Negotiated Rate	$6.89
Max. Negotiated Rate	$26.50
Rate for Payer: Aetna Commercial	$15.90
Rate for Payer: Aetna Medicare Advantage	$15.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.52
Rate for Payer: Cigna Commercial	$26.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.89
Rate for Payer: Oxford Commercial	$26.50
Rate for Payer: Qualcare PPO/HMO/WC	$7.95
Rate for Payer: UnitedHealthcare Commercial	$26.50

MEGALOBLASTIC ANEMIA PROFILE**

Facility

$483.00

Service Code	HCPCS 82131
Hospital Charge Code	3031523
Hospital Revenue Code	301
Min. Negotiated Rate	$72.45
Max. Negotiated Rate	$72.45
Rate for Payer: Qualcare PPO/HMO/WC	$72.45

MEGALOBLASTIC ANEMIA PROFILE**

Facility

$483.00

Service Code	HCPCS 82131
Hospital Charge Code	3031523
Hospital Revenue Code	301
Min. Negotiated Rate	$11.49
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$74.46
Rate for Payer: Aetna Medicare Advantage	$22.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$22.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.20
Rate for Payer: Cigna Commercial	$22.98
Rate for Payer: Cigna Medicare Advantage	$11.49
Rate for Payer: Clover Medicare Advantage	$21.83
Rate for Payer: EmblemHealth Commercial	$68.94
Rate for Payer: Humana Medicare Advantage	$23.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.79
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$72.45
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$22.98
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$24.36
Rate for Payer: Wellcare Medicare Advantage	$22.98

MEGESTROL 20MG TAB

Facility

$4.42

Service Code	NDC 51079043420
Hospital Charge Code	606361026
Hospital Revenue Code	250
Min. Negotiated Rate	$0.66
Max. Negotiated Rate	$0.66
Rate for Payer: Qualcare PPO/HMO/WC	$0.66

MEGESTROL 20MG TAB

Facility

$4.42

Service Code	NDC 51079043420
Hospital Charge Code	606361026
Hospital Revenue Code	250
Min. Negotiated Rate	$0.57
Max. Negotiated Rate	$2.21
Rate for Payer: Aetna Commercial	$1.33
Rate for Payer: Aetna Medicare Advantage	$1.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.13
Rate for Payer: Cigna Commercial	$2.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.57
Rate for Payer: Oxford Commercial	$2.21
Rate for Payer: Qualcare PPO/HMO/WC	$0.66
Rate for Payer: UnitedHealthcare Commercial	$2.21

MEGESTROL 400 MG UD CUPS

Facility

$40.20

Service Code	NDC 60432012608
Hospital Charge Code	60630225
Hospital Revenue Code	250
Min. Negotiated Rate	$5.23
Max. Negotiated Rate	$20.10
Rate for Payer: Aetna Commercial	$12.06
Rate for Payer: Aetna Medicare Advantage	$12.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.25
Rate for Payer: Cigna Commercial	$20.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.23
Rate for Payer: Oxford Commercial	$20.10
Rate for Payer: Qualcare PPO/HMO/WC	$6.03
Rate for Payer: UnitedHealthcare Commercial	$20.10

MEGESTROL 400 MG UD CUPS

Facility

$40.20

Service Code	NDC 60432012608
Hospital Charge Code	60630225
Hospital Revenue Code	250
Min. Negotiated Rate	$6.03
Max. Negotiated Rate	$6.03
Rate for Payer: Qualcare PPO/HMO/WC	$6.03

MEGESTROL ACETATE/40MG

Facility

$3.00

Hospital Charge Code	60633369
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

MEGESTROL ACETATE/40MG

Facility

$3.00

Hospital Charge Code	60633368
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

MEGESTROL ACETATE/40MG

Facility

$3.00

Hospital Charge Code	60633369
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

MEGESTROL ACETATE/40MG

Facility

$3.00

Hospital Charge Code	60633368
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

MEGESTROL ACETATE 40 MG/ML SUS

Facility

$399.25

Hospital Charge Code	6017511
Hospital Revenue Code	250
Min. Negotiated Rate	$51.90
Max. Negotiated Rate	$199.62
Rate for Payer: Aetna Commercial	$119.78
Rate for Payer: Aetna Medicare Advantage	$119.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$101.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$101.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$101.81
Rate for Payer: Cigna Commercial	$199.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.90
Rate for Payer: Oxford Commercial	$199.62
Rate for Payer: Qualcare PPO/HMO/WC	$59.89
Rate for Payer: UnitedHealthcare Commercial	$199.62

MEGESTROL ACETATE 40 MG/ML SUS

Facility

$399.25

Hospital Charge Code	6017511
Hospital Revenue Code	250
Min. Negotiated Rate	$59.89
Max. Negotiated Rate	$59.89
Rate for Payer: Qualcare PPO/HMO/WC	$59.89

MEGESTROL ACETATE 40 MG TAB

Facility

$8.58

Service Code	NDC 54860425
Hospital Charge Code	6027007
Hospital Revenue Code	250
Min. Negotiated Rate	$1.29
Max. Negotiated Rate	$1.29
Rate for Payer: Qualcare PPO/HMO/WC	$1.29

MEGESTROL ACETATE 40 MG TAB

Facility

$8.58

Service Code	NDC 54860425
Hospital Charge Code	6027007
Hospital Revenue Code	250
Min. Negotiated Rate	$1.12
Max. Negotiated Rate	$4.29
Rate for Payer: Aetna Commercial	$2.57
Rate for Payer: Aetna Medicare Advantage	$2.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.19
Rate for Payer: Cigna Commercial	$4.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.12
Rate for Payer: Oxford Commercial	$4.29
Rate for Payer: Qualcare PPO/HMO/WC	$1.29
Rate for Payer: UnitedHealthcare Commercial	$4.29

Know your out-of-pocket cost for care.

All Charges