Heights University Hospital

All Charges

Charge

Type

Setting

Price

METHYLMALONIC ACID,SERUM I

Facility

$113.10

Service Code	HCPCS 83918
Hospital Charge Code	39990016A
Hospital Revenue Code	301
Min. Negotiated Rate	$11.80
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$76.46
Rate for Payer: Aetna Medicare Advantage	$23.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$23.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.47
Rate for Payer: Cigna Commercial	$23.60
Rate for Payer: Cigna Medicare Advantage	$11.80
Rate for Payer: Clover Medicare Advantage	$22.42
Rate for Payer: EmblemHealth Commercial	$70.80
Rate for Payer: Humana Medicare Advantage	$24.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.96
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$23.60
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$25.02
Rate for Payer: Wellcare Medicare Advantage	$23.60

METHYLMALONIC ACID,SERUM II

Facility

$113.10

Service Code	HCPCS 83921
Hospital Charge Code	39990016B
Hospital Revenue Code	301
Min. Negotiated Rate	$10.61
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$68.72
Rate for Payer: Aetna Medicare Advantage	$21.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$77.71
Rate for Payer: Cigna Commercial	$21.21
Rate for Payer: Cigna Medicare Advantage	$10.61
Rate for Payer: Clover Medicare Advantage	$20.15
Rate for Payer: EmblemHealth Commercial	$63.63
Rate for Payer: Humana Medicare Advantage	$21.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.96
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$21.21
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$22.48
Rate for Payer: Wellcare Medicare Advantage	$21.21

METHYLMALONIC ACID,SERUM II

Facility

$113.10

Service Code	HCPCS 83921
Hospital Charge Code	39990016B
Hospital Revenue Code	301
Min. Negotiated Rate	$16.96
Max. Negotiated Rate	$16.96
Rate for Payer: Qualcare PPO/HMO/WC	$16.96

METHYLMALONIC ACID SERUM QUANT

Facility

$2,227.25

Service Code	HCPCS 83921
Hospital Charge Code	3009206
Hospital Revenue Code	301
Min. Negotiated Rate	$10.61
Max. Negotiated Rate	$334.09
Rate for Payer: Aetna Commercial	$68.72
Rate for Payer: Aetna Medicare Advantage	$21.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$77.71
Rate for Payer: Cigna Commercial	$21.21
Rate for Payer: Cigna Medicare Advantage	$10.61
Rate for Payer: Clover Medicare Advantage	$20.15
Rate for Payer: EmblemHealth Commercial	$63.63
Rate for Payer: Humana Medicare Advantage	$21.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$289.54
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$334.09
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$21.21
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$22.48
Rate for Payer: Wellcare Medicare Advantage	$21.21

METHYLMALONIC ACID SERUM QUANT

Facility

$2,227.25

Service Code	HCPCS 83921
Hospital Charge Code	3009206
Hospital Revenue Code	301
Min. Negotiated Rate	$334.09
Max. Negotiated Rate	$334.09
Rate for Payer: Qualcare PPO/HMO/WC	$334.09

METHYLMALONIC ACID, URINE

Facility

$2,227.25

Service Code	HCPCS 83921
Hospital Charge Code	3030327
Hospital Revenue Code	301
Min. Negotiated Rate	$334.09
Max. Negotiated Rate	$334.09
Rate for Payer: Qualcare PPO/HMO/WC	$334.09

METHYLMALONIC ACID, URINE

Facility

$2,227.25

Service Code	HCPCS 83921
Hospital Charge Code	3030327
Hospital Revenue Code	301
Min. Negotiated Rate	$10.61
Max. Negotiated Rate	$334.09
Rate for Payer: Aetna Commercial	$68.72
Rate for Payer: Aetna Medicare Advantage	$21.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$77.71
Rate for Payer: Cigna Commercial	$21.21
Rate for Payer: Cigna Medicare Advantage	$10.61
Rate for Payer: Clover Medicare Advantage	$20.15
Rate for Payer: EmblemHealth Commercial	$63.63
Rate for Payer: Humana Medicare Advantage	$21.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$289.54
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$334.09
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$21.21
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$22.48
Rate for Payer: Wellcare Medicare Advantage	$21.21

METHYLMALONIC H,CYSTEINE

Facility

$641.00

Service Code	HCPCS 83921
Hospital Charge Code	38479108
Hospital Revenue Code	301
Min. Negotiated Rate	$10.61
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$68.72
Rate for Payer: Aetna Medicare Advantage	$21.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$77.71
Rate for Payer: Cigna Commercial	$21.21
Rate for Payer: Cigna Medicare Advantage	$10.61
Rate for Payer: Clover Medicare Advantage	$20.15
Rate for Payer: EmblemHealth Commercial	$63.63
Rate for Payer: Humana Medicare Advantage	$21.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.33
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$96.15
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$21.21
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$22.48
Rate for Payer: Wellcare Medicare Advantage	$21.21

METHYLMALONIC H,CYSTEINE

Facility

$641.00

Service Code	HCPCS 83921
Hospital Charge Code	38479108
Hospital Revenue Code	301
Min. Negotiated Rate	$96.15
Max. Negotiated Rate	$96.15
Rate for Payer: Qualcare PPO/HMO/WC	$96.15

METHYLNALTREXONE 8MG/0.4ML SYR

Facility

$579.35

Service Code	HCPCS J2212
Hospital Charge Code	606390466
Hospital Revenue Code	636
Min. Negotiated Rate	$86.90
Max. Negotiated Rate	$289.68
Rate for Payer: Aetna Commercial	$173.81
Rate for Payer: Aetna Medicare Advantage	$173.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$147.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$147.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$147.73
Rate for Payer: Cigna Commercial	$289.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$140.20
Rate for Payer: Qualcare PPO/HMO/WC	$86.90

METHYLNALTREXONE 8MG/0.4ML SYR

Facility

$579.35

Service Code	HCPCS J2212
Hospital Charge Code	606390466
Hospital Revenue Code	636
Min. Negotiated Rate	$86.90
Max. Negotiated Rate	$140.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$140.20
Rate for Payer: Qualcare PPO/HMO/WC	$86.90

METHYLPHENIDATE 10MG

Facility

$6.97

Service Code	NDC 406114401
Hospital Charge Code	6022073
Hospital Revenue Code	251
Min. Negotiated Rate	$0.91
Max. Negotiated Rate	$3.48
Rate for Payer: Aetna Commercial	$2.09
Rate for Payer: Aetna Medicare Advantage	$2.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.78
Rate for Payer: Cigna Commercial	$3.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.91
Rate for Payer: Oxford Commercial	$3.48
Rate for Payer: Qualcare PPO/HMO/WC	$1.05
Rate for Payer: UnitedHealthcare Commercial	$3.48

METHYLPHENIDATE 10MG

Facility

$6.97

Service Code	NDC 406114401
Hospital Charge Code	6022073
Hospital Revenue Code	251
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$1.05
Rate for Payer: Qualcare PPO/HMO/WC	$1.05

METHYLPHENIDATE 5MG

Facility

$1.95

Hospital Charge Code	6022065
Hospital Revenue Code	251
Min. Negotiated Rate	$0.29
Max. Negotiated Rate	$0.29
Rate for Payer: Qualcare PPO/HMO/WC	$0.29

METHYLPHENIDATE 5MG

Facility

$1.95

Hospital Charge Code	6022065
Hospital Revenue Code	251
Min. Negotiated Rate	$0.25
Max. Negotiated Rate	$0.98
Rate for Payer: Aetna Commercial	$0.59
Rate for Payer: Aetna Medicare Advantage	$0.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.50
Rate for Payer: Cigna Commercial	$0.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.25
Rate for Payer: Oxford Commercial	$0.98
Rate for Payer: Qualcare PPO/HMO/WC	$0.29
Rate for Payer: UnitedHealthcare Commercial	$0.98

METHYLPHENIDATE ER 10MG TAB

Facility

$55.34

Service Code	NDC 53014057907
Hospital Charge Code	6063943133
Hospital Revenue Code	250
Min. Negotiated Rate	$8.30
Max. Negotiated Rate	$8.30
Rate for Payer: Qualcare PPO/HMO/WC	$8.30

METHYLPHENIDATE ER 10MG TAB

Facility

$55.34

Service Code	NDC 53014057907
Hospital Charge Code	6063943133
Hospital Revenue Code	250
Min. Negotiated Rate	$7.19
Max. Negotiated Rate	$27.67
Rate for Payer: Aetna Commercial	$16.60
Rate for Payer: Aetna Medicare Advantage	$16.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.11
Rate for Payer: Cigna Commercial	$27.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.19
Rate for Payer: Oxford Commercial	$27.67
Rate for Payer: Qualcare PPO/HMO/WC	$8.30
Rate for Payer: UnitedHealthcare Commercial	$27.67

METHYLPHENIDATE TAB 5MG

Facility

$4.29

Service Code	NDC 68084080511
Hospital Charge Code	60627836
Hospital Revenue Code	250
Min. Negotiated Rate	$0.56
Max. Negotiated Rate	$2.15
Rate for Payer: Aetna Commercial	$1.29
Rate for Payer: Aetna Medicare Advantage	$1.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.09
Rate for Payer: Cigna Commercial	$2.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.56
Rate for Payer: Oxford Commercial	$2.15
Rate for Payer: Qualcare PPO/HMO/WC	$0.64
Rate for Payer: UnitedHealthcare Commercial	$2.15

METHYLPHENIDATE TAB 5MG

Facility

$4.29

Service Code	NDC 68084080511
Hospital Charge Code	60627836
Hospital Revenue Code	250
Min. Negotiated Rate	$0.64
Max. Negotiated Rate	$0.64
Rate for Payer: Qualcare PPO/HMO/WC	$0.64

METHYLPREDISOLONE SD SUCC 1GM

Facility

$48.00

Hospital Charge Code	6016208
Hospital Revenue Code	250
Min. Negotiated Rate	$7.20
Max. Negotiated Rate	$7.20
Rate for Payer: Qualcare PPO/HMO/WC	$7.20

METHYLPREDISOLONE SD SUCC 1GM

Facility

$48.00

Hospital Charge Code	6016208
Hospital Revenue Code	250
Min. Negotiated Rate	$6.24
Max. Negotiated Rate	$24.00
Rate for Payer: Aetna Commercial	$14.40
Rate for Payer: Aetna Medicare Advantage	$14.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.24
Rate for Payer: Cigna Commercial	$24.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.24
Rate for Payer: Oxford Commercial	$24.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.20
Rate for Payer: UnitedHealthcare Commercial	$24.00

METHYLPREDN DEPO 40 MG/ML INJ

Facility

$66.60

Service Code	HCPCS J1010
Hospital Charge Code	60628203
Hospital Revenue Code	636
Min. Negotiated Rate	$9.99
Max. Negotiated Rate	$16.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.12
Rate for Payer: Qualcare PPO/HMO/WC	$9.99

METHYLPREDN DEPO 40 MG/ML INJ

Facility

$66.60

Service Code	HCPCS J1010
Hospital Charge Code	60628203
Hospital Revenue Code	636
Min. Negotiated Rate	$0.11
Max. Negotiated Rate	$19.98
Rate for Payer: Aetna Commercial	$19.98
Rate for Payer: Aetna Medicare Advantage	$19.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.98
Rate for Payer: Cigna Commercial	$0.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.12
Rate for Payer: Qualcare PPO/HMO/WC	$9.99

METHYLPREDNISOL INJ 400MG/5ML

Facility

$129.30

Hospital Charge Code	60628202
Hospital Revenue Code	250
Min. Negotiated Rate	$16.81
Max. Negotiated Rate	$64.65
Rate for Payer: Aetna Commercial	$38.79
Rate for Payer: Aetna Medicare Advantage	$38.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.97
Rate for Payer: Cigna Commercial	$64.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.81
Rate for Payer: Oxford Commercial	$64.65
Rate for Payer: Qualcare PPO/HMO/WC	$19.39
Rate for Payer: UnitedHealthcare Commercial	$64.65

METHYLPREDNISOL INJ 400MG/5ML

Facility

$129.30

Hospital Charge Code	60628202
Hospital Revenue Code	250
Min. Negotiated Rate	$19.39
Max. Negotiated Rate	$19.39
Rate for Payer: Qualcare PPO/HMO/WC	$19.39

Know your out-of-pocket cost for care.

All Charges