Heights University Hospital

All Charges

Charge

Type

Setting

Price

MERCURY, URINE

Facility

$201.00

Service Code	HCPCS 83825
Hospital Charge Code	3001906A
Hospital Revenue Code	301
Min. Negotiated Rate	$30.15
Max. Negotiated Rate	$30.15
Rate for Payer: Qualcare PPO/HMO/WC	$30.15

MERCURY, URINE

Facility

$201.00

Service Code	HCPCS 83825
Hospital Charge Code	3001906A
Hospital Revenue Code	301
Min. Negotiated Rate	$8.13
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$52.68
Rate for Payer: Aetna Medicare Advantage	$16.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.58
Rate for Payer: Cigna Commercial	$16.26
Rate for Payer: Cigna Medicare Advantage	$8.13
Rate for Payer: Clover Medicare Advantage	$15.45
Rate for Payer: EmblemHealth Commercial	$48.78
Rate for Payer: Humana Medicare Advantage	$16.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.13
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.15
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.26
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$17.24
Rate for Payer: Wellcare Medicare Advantage	$16.26

MERIDIAN FILTER SYSTEM FEMORAL

Facility

$5,500.00

Hospital Charge Code	2709002792
Hospital Revenue Code	272
Min. Negotiated Rate	$825.00
Max. Negotiated Rate	$825.00
Rate for Payer: Qualcare PPO/HMO/WC	$825.00

MERIDIAN FILTER SYSTEM FEMORAL

Facility

$5,500.00

Hospital Charge Code	2709002792
Hospital Revenue Code	272
Min. Negotiated Rate	$715.00
Max. Negotiated Rate	$2,750.00
Rate for Payer: Aetna Commercial	$1,650.00
Rate for Payer: Aetna Medicare Advantage	$1,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,402.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,402.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,402.50
Rate for Payer: Cigna Commercial	$2,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$715.00
Rate for Payer: Oxford Commercial	$2,750.00
Rate for Payer: Qualcare PPO/HMO/WC	$825.00
Rate for Payer: UnitedHealthcare Commercial	$2,750.00

MERIDIAN VENA CAVA JUG MD800J

Facility

$5,750.00

Hospital Charge Code	270651158
Hospital Revenue Code	272
Min. Negotiated Rate	$747.50
Max. Negotiated Rate	$2,875.00
Rate for Payer: Aetna Commercial	$1,725.00
Rate for Payer: Aetna Medicare Advantage	$1,725.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,466.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,466.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,466.25
Rate for Payer: Cigna Commercial	$2,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$747.50
Rate for Payer: Oxford Commercial	$2,875.00
Rate for Payer: Qualcare PPO/HMO/WC	$862.50
Rate for Payer: UnitedHealthcare Commercial	$2,875.00

MERIDIAN VENA CAVA JUG MD800J

Facility

$5,750.00

Hospital Charge Code	270651158
Hospital Revenue Code	272
Min. Negotiated Rate	$862.50
Max. Negotiated Rate	$862.50
Rate for Payer: Qualcare PPO/HMO/WC	$862.50

MEROPENEM 1G/50 ML NS DUPLEX

Facility

$298.82

Service Code	HCPCS J2185
Hospital Charge Code	6063943368
Hospital Revenue Code	636
Min. Negotiated Rate	$0.37
Max. Negotiated Rate	$89.65
Rate for Payer: Aetna Commercial	$89.65
Rate for Payer: Aetna Medicare Advantage	$89.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.20
Rate for Payer: Cigna Commercial	$0.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.31
Rate for Payer: Qualcare PPO/HMO/WC	$44.82

MEROPENEM 1G/50 ML NS DUPLEX

Facility

$298.82

Service Code	HCPCS J2185
Hospital Charge Code	6063943368
Hospital Revenue Code	636
Min. Negotiated Rate	$44.82
Max. Negotiated Rate	$72.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.31
Rate for Payer: Qualcare PPO/HMO/WC	$44.82

MEROPENEM 1G/NS 100ML

Facility

$139.04

Service Code	HCPCS J2185
Hospital Charge Code	606390082
Hospital Revenue Code	636
Min. Negotiated Rate	$0.37
Max. Negotiated Rate	$41.71
Rate for Payer: Aetna Commercial	$41.71
Rate for Payer: Aetna Medicare Advantage	$41.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.46
Rate for Payer: Cigna Commercial	$0.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.65
Rate for Payer: Qualcare PPO/HMO/WC	$20.86

MEROPENEM 1G/NS 100ML

Facility

$139.04

Service Code	HCPCS J2185
Hospital Charge Code	606390082
Hospital Revenue Code	636
Min. Negotiated Rate	$20.86
Max. Negotiated Rate	$33.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.65
Rate for Payer: Qualcare PPO/HMO/WC	$20.86

MEROPENEM 500MG/50ML 0.9%NACL

Facility

$130.92

Service Code	HCPCS J2185
Hospital Charge Code	606360464
Hospital Revenue Code	636
Min. Negotiated Rate	$0.37
Max. Negotiated Rate	$39.28
Rate for Payer: Aetna Commercial	$39.28
Rate for Payer: Aetna Medicare Advantage	$39.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.38
Rate for Payer: Cigna Commercial	$0.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.68
Rate for Payer: Qualcare PPO/HMO/WC	$19.64

MEROPENEM 500MG/50ML 0.9%NACL

Facility

$130.92

Service Code	HCPCS J2185
Hospital Charge Code	606360464
Hospital Revenue Code	636
Min. Negotiated Rate	$19.64
Max. Negotiated Rate	$31.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.68
Rate for Payer: Qualcare PPO/HMO/WC	$19.64

MEROPENEM 500 MG PDS

Facility

$149.41

Service Code	HCPCS J2185
Hospital Charge Code	60630095
Hospital Revenue Code	636
Min. Negotiated Rate	$22.41
Max. Negotiated Rate	$36.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.16
Rate for Payer: Qualcare PPO/HMO/WC	$22.41

MEROPENEM 500 MG PDS

Facility

$149.41

Service Code	HCPCS J2185
Hospital Charge Code	60630095
Hospital Revenue Code	636
Min. Negotiated Rate	$0.37
Max. Negotiated Rate	$44.82
Rate for Payer: Aetna Commercial	$44.82
Rate for Payer: Aetna Medicare Advantage	$44.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.10
Rate for Payer: Cigna Commercial	$0.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.16
Rate for Payer: Qualcare PPO/HMO/WC	$22.41

MERREM 1 GRAM INJ

Facility

$301.00

Hospital Charge Code	60635584
Hospital Revenue Code	636
Min. Negotiated Rate	$45.15
Max. Negotiated Rate	$150.50
Rate for Payer: Aetna Commercial	$90.30
Rate for Payer: Aetna Medicare Advantage	$90.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.75
Rate for Payer: Cigna Commercial	$150.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.84
Rate for Payer: Qualcare PPO/HMO/WC	$45.15

MERREM 1 GRAM INJ

Facility

$301.00

Hospital Charge Code	60635584
Hospital Revenue Code	636
Min. Negotiated Rate	$45.15
Max. Negotiated Rate	$72.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.84
Rate for Payer: Qualcare PPO/HMO/WC	$45.15

MERREM 500MG INJ

Facility

$150.00

Hospital Charge Code	60635583
Hospital Revenue Code	636
Min. Negotiated Rate	$22.50
Max. Negotiated Rate	$36.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.30
Rate for Payer: Qualcare PPO/HMO/WC	$22.50

MERREM 500MG INJ

Facility

$150.00

Hospital Charge Code	60635583
Hospital Revenue Code	636
Min. Negotiated Rate	$22.50
Max. Negotiated Rate	$75.00
Rate for Payer: Aetna Commercial	$45.00
Rate for Payer: Aetna Medicare Advantage	$45.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.25
Rate for Payer: Cigna Commercial	$75.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.30
Rate for Payer: Qualcare PPO/HMO/WC	$22.50

MESALAMINE 1000 MG SUPP

Facility

$190.08

Service Code	NDC 58914050142
Hospital Charge Code	60629964
Hospital Revenue Code	250
Min. Negotiated Rate	$28.51
Max. Negotiated Rate	$28.51
Rate for Payer: Qualcare PPO/HMO/WC	$28.51

MESALAMINE 1000 MG SUPP

Facility

$190.08

Service Code	NDC 58914050142
Hospital Charge Code	60629964
Hospital Revenue Code	250
Min. Negotiated Rate	$24.71
Max. Negotiated Rate	$95.04
Rate for Payer: Aetna Commercial	$57.02
Rate for Payer: Aetna Medicare Advantage	$57.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.47
Rate for Payer: Cigna Commercial	$95.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.71
Rate for Payer: Oxford Commercial	$95.04
Rate for Payer: Qualcare PPO/HMO/WC	$28.51
Rate for Payer: UnitedHealthcare Commercial	$95.04

MESALAMINE 1 BOTTLE NMA

Facility

$162.74

Service Code	NDC 45802009851
Hospital Charge Code	60628163
Hospital Revenue Code	250
Min. Negotiated Rate	$24.41
Max. Negotiated Rate	$24.41
Rate for Payer: Qualcare PPO/HMO/WC	$24.41

MESALAMINE 1 BOTTLE NMA

Facility

$162.74

Service Code	NDC 45802009851
Hospital Charge Code	60628163
Hospital Revenue Code	250
Min. Negotiated Rate	$21.16
Max. Negotiated Rate	$81.37
Rate for Payer: Aetna Commercial	$48.82
Rate for Payer: Aetna Medicare Advantage	$48.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.50
Rate for Payer: Cigna Commercial	$81.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.16
Rate for Payer: Oxford Commercial	$81.37
Rate for Payer: Qualcare PPO/HMO/WC	$24.41
Rate for Payer: UnitedHealthcare Commercial	$81.37

MESALAMINE 400 MG ECT

Facility

$7.37

Service Code	NDC 430075327
Hospital Charge Code	60628161
Hospital Revenue Code	250
Min. Negotiated Rate	$0.96
Max. Negotiated Rate	$3.69
Rate for Payer: Aetna Commercial	$2.21
Rate for Payer: Aetna Medicare Advantage	$2.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.88
Rate for Payer: Cigna Commercial	$3.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.96
Rate for Payer: Oxford Commercial	$3.69
Rate for Payer: Qualcare PPO/HMO/WC	$1.11
Rate for Payer: UnitedHealthcare Commercial	$3.69

MESALAMINE 400 MG ECT

Facility

$7.37

Service Code	NDC 430075327
Hospital Charge Code	60628161
Hospital Revenue Code	250
Min. Negotiated Rate	$1.11
Max. Negotiated Rate	$1.11
Rate for Payer: Qualcare PPO/HMO/WC	$1.11

MESALAMINE ENEMA 60ML

Facility

$70.40

Hospital Charge Code	6017891
Hospital Revenue Code	252
Min. Negotiated Rate	$9.15
Max. Negotiated Rate	$35.20
Rate for Payer: Aetna Commercial	$21.12
Rate for Payer: Aetna Medicare Advantage	$21.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.95
Rate for Payer: Cigna Commercial	$35.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.15
Rate for Payer: Oxford Commercial	$35.20
Rate for Payer: Qualcare PPO/HMO/WC	$10.56
Rate for Payer: UnitedHealthcare Commercial	$35.20

Know your out-of-pocket cost for care.

All Charges