Heights University Hospital

All Charges

Charge

Type

Setting

Price

METASUL ADAPTER L+4 0100185147

Facility

$664.00

Hospital Charge Code	270638548
Hospital Revenue Code	272
Min. Negotiated Rate	$99.60
Max. Negotiated Rate	$99.60
Rate for Payer: Qualcare PPO/HMO/WC	$99.60

METASUL ADAPTER L+4 0100185147

Facility

$664.00

Hospital Charge Code	270638548
Hospital Revenue Code	272
Min. Negotiated Rate	$86.32
Max. Negotiated Rate	$332.00
Rate for Payer: Aetna Commercial	$199.20
Rate for Payer: Aetna Medicare Advantage	$199.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$169.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$169.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$169.32
Rate for Payer: Cigna Commercial	$332.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.32
Rate for Payer: Oxford Commercial	$332.00
Rate for Payer: Qualcare PPO/HMO/WC	$99.60
Rate for Payer: UnitedHealthcare Commercial	$332.00

METASUL LDH LRG DIA 0100181500

Facility

$7,381.95

Hospital Charge Code	270638716
Hospital Revenue Code	272
Min. Negotiated Rate	$1,107.29
Max. Negotiated Rate	$1,107.29
Rate for Payer: Qualcare PPO/HMO/WC	$1,107.29

METASUL LDH LRG DIA 0100181500

Facility

$7,381.95

Hospital Charge Code	270638716
Hospital Revenue Code	272
Min. Negotiated Rate	$959.65
Max. Negotiated Rate	$3,690.97
Rate for Payer: Aetna Commercial	$2,214.59
Rate for Payer: Aetna Medicare Advantage	$2,214.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,882.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,882.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,882.40
Rate for Payer: Cigna Commercial	$3,690.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$959.65
Rate for Payer: Oxford Commercial	$3,690.97
Rate for Payer: Qualcare PPO/HMO/WC	$1,107.29
Rate for Payer: UnitedHealthcare Commercial	$3,690.97

METASUL LDH LRG HD 0100181540

Facility

$7,030.40

Hospital Charge Code	270639259
Hospital Revenue Code	272
Min. Negotiated Rate	$913.95
Max. Negotiated Rate	$3,515.20
Rate for Payer: Aetna Commercial	$2,109.12
Rate for Payer: Aetna Medicare Advantage	$2,109.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,792.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,792.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,792.75
Rate for Payer: Cigna Commercial	$3,515.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$913.95
Rate for Payer: Oxford Commercial	$3,515.20
Rate for Payer: Qualcare PPO/HMO/WC	$1,054.56
Rate for Payer: UnitedHealthcare Commercial	$3,515.20

METASUL LDH LRG HD 0100181540

Facility

$7,030.40

Hospital Charge Code	270639259
Hospital Revenue Code	272
Min. Negotiated Rate	$1,054.56
Max. Negotiated Rate	$1,054.56
Rate for Payer: Qualcare PPO/HMO/WC	$1,054.56

METASUL LRG 52R 0100181520

Facility

$6,760.00

Hospital Charge Code	270638547
Hospital Revenue Code	272
Min. Negotiated Rate	$878.80
Max. Negotiated Rate	$3,380.00
Rate for Payer: Aetna Commercial	$2,028.00
Rate for Payer: Aetna Medicare Advantage	$2,028.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,723.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,723.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,723.80
Rate for Payer: Cigna Commercial	$3,380.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$878.80
Rate for Payer: Oxford Commercial	$3,380.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,014.00
Rate for Payer: UnitedHealthcare Commercial	$3,380.00

METASUL LRG 52R 0100181520

Facility

$6,760.00

Hospital Charge Code	270638547
Hospital Revenue Code	272
Min. Negotiated Rate	$1,014.00
Max. Negotiated Rate	$1,014.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,014.00

METATARSAL DECOMPR IMPLANT SZ3

Facility

$13,830.00

Hospital Charge Code	270661602
Hospital Revenue Code	278
Min. Negotiated Rate	$2,074.50
Max. Negotiated Rate	$3,346.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,766.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,346.86
Rate for Payer: Qualcare PPO/HMO/WC	$2,074.50

METATARSAL DECOMPR IMPLANT SZ3

Facility

$13,830.00

Hospital Charge Code	270661602
Hospital Revenue Code	278
Min. Negotiated Rate	$2,074.50
Max. Negotiated Rate	$6,915.00
Rate for Payer: Aetna Commercial	$4,149.00
Rate for Payer: Aetna Medicare Advantage	$4,149.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,526.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,526.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,766.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,526.65
Rate for Payer: Cigna Commercial	$6,915.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,346.86
Rate for Payer: Qualcare PPO/HMO/WC	$2,074.50

METATARSOPHALANGEAL LEFT

Facility

$1,725.00

Hospital Charge Code	270637496
Hospital Revenue Code	272
Min. Negotiated Rate	$258.75
Max. Negotiated Rate	$258.75
Rate for Payer: Qualcare PPO/HMO/WC	$258.75

METATARSOPHALANGEAL LEFT

Facility

$1,725.00

Hospital Charge Code	270637496
Hospital Revenue Code	272
Min. Negotiated Rate	$224.25
Max. Negotiated Rate	$862.50
Rate for Payer: Aetna Commercial	$517.50
Rate for Payer: Aetna Medicare Advantage	$517.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$439.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$439.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$439.88
Rate for Payer: Cigna Commercial	$862.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$224.25
Rate for Payer: Oxford Commercial	$862.50
Rate for Payer: Qualcare PPO/HMO/WC	$258.75
Rate for Payer: UnitedHealthcare Commercial	$862.50

METER PEAK FLOW 60-880 PF339X

Facility

$130.00

Hospital Charge Code	270641332
Hospital Revenue Code	270
Min. Negotiated Rate	$16.90
Max. Negotiated Rate	$65.00
Rate for Payer: Aetna Commercial	$39.00
Rate for Payer: Aetna Medicare Advantage	$39.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.15
Rate for Payer: Cigna Commercial	$65.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.90
Rate for Payer: Oxford Commercial	$65.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.50
Rate for Payer: UnitedHealthcare Commercial	$65.00

METER PEAK FLOW 60-880 PF339X

Facility

$130.00

Hospital Charge Code	270641332
Hospital Revenue Code	270
Min. Negotiated Rate	$19.50
Max. Negotiated Rate	$19.50
Rate for Payer: Qualcare PPO/HMO/WC	$19.50

METER PEAKFLOW TRUZONE

Facility

$103.25

Hospital Charge Code	270600743
Hospital Revenue Code	272
Min. Negotiated Rate	$13.42
Max. Negotiated Rate	$51.62
Rate for Payer: Aetna Commercial	$30.98
Rate for Payer: Aetna Medicare Advantage	$30.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.33
Rate for Payer: Cigna Commercial	$51.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.42
Rate for Payer: Oxford Commercial	$51.62
Rate for Payer: Qualcare PPO/HMO/WC	$15.49
Rate for Payer: UnitedHealthcare Commercial	$51.62

METER PEAKFLOW TRUZONE

Facility

$103.25

Hospital Charge Code	270600743
Hospital Revenue Code	272
Min. Negotiated Rate	$15.49
Max. Negotiated Rate	$15.49
Rate for Payer: Qualcare PPO/HMO/WC	$15.49

METER PEAKFLOW TRUZONE P

Facility

$77.65

Hospital Charge Code	270607311
Hospital Revenue Code	270
Min. Negotiated Rate	$11.65
Max. Negotiated Rate	$11.65
Rate for Payer: Qualcare PPO/HMO/WC	$11.65

METER PEAKFLOW TRUZONE P

Facility

$77.65

Hospital Charge Code	270607311
Hospital Revenue Code	270
Min. Negotiated Rate	$10.09
Max. Negotiated Rate	$38.83
Rate for Payer: Aetna Commercial	$23.30
Rate for Payer: Aetna Medicare Advantage	$23.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.80
Rate for Payer: Cigna Commercial	$38.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.09
Rate for Payer: Oxford Commercial	$38.83
Rate for Payer: Qualcare PPO/HMO/WC	$11.65
Rate for Payer: UnitedHealthcare Commercial	$38.83

METFORMIN 1000MG TAB

Facility

$6.00

Hospital Charge Code	60635629
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

METFORMIN 1000MG TAB

Facility

$6.00

Hospital Charge Code	60635629
Hospital Revenue Code	250
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$0.90
Rate for Payer: Qualcare PPO/HMO/WC	$0.90

METFORMIN 500MG ER

Facility

$8.98

Service Code	NDC 50268053115
Hospital Charge Code	60635578
Hospital Revenue Code	250
Min. Negotiated Rate	$1.17
Max. Negotiated Rate	$4.49
Rate for Payer: Aetna Commercial	$2.69
Rate for Payer: Aetna Medicare Advantage	$2.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.29
Rate for Payer: Cigna Commercial	$4.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.17
Rate for Payer: Oxford Commercial	$4.49
Rate for Payer: Qualcare PPO/HMO/WC	$1.35
Rate for Payer: UnitedHealthcare Commercial	$4.49

METFORMIN 500MG ER

Facility

$8.98

Service Code	NDC 50268053115
Hospital Charge Code	60635578
Hospital Revenue Code	250
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$1.35
Rate for Payer: Qualcare PPO/HMO/WC	$1.35

METFORMIN (GLUCOPHAGE) 1000MG

Facility

$10.18

Service Code	NDC 62584045201
Hospital Charge Code	60630139
Hospital Revenue Code	250
Min. Negotiated Rate	$1.53
Max. Negotiated Rate	$1.53
Rate for Payer: Qualcare PPO/HMO/WC	$1.53

METFORMIN (GLUCOPHAGE) 1000MG

Facility

$10.18

Service Code	NDC 62584045201
Hospital Charge Code	60630139
Hospital Revenue Code	250
Min. Negotiated Rate	$1.32
Max. Negotiated Rate	$5.09
Rate for Payer: Aetna Commercial	$3.05
Rate for Payer: Aetna Medicare Advantage	$3.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.60
Rate for Payer: Cigna Commercial	$5.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.32
Rate for Payer: Oxford Commercial	$5.09
Rate for Payer: Qualcare PPO/HMO/WC	$1.53
Rate for Payer: UnitedHealthcare Commercial	$5.09

METFORMIN HCL TAB 500MG

Facility

$4.50

Hospital Charge Code	6017966
Hospital Revenue Code	252
Min. Negotiated Rate	$0.59
Max. Negotiated Rate	$2.25
Rate for Payer: Aetna Commercial	$1.35
Rate for Payer: Aetna Medicare Advantage	$1.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.15
Rate for Payer: Cigna Commercial	$2.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.59
Rate for Payer: Oxford Commercial	$2.25
Rate for Payer: Qualcare PPO/HMO/WC	$0.68
Rate for Payer: UnitedHealthcare Commercial	$2.25

Know your out-of-pocket cost for care.

All Charges