Heights University Hospital

All Charges

Charge

Type

Setting

Price

MILK HINGE FREE LUBE

Facility

$76.25

Hospital Charge Code	270665153
Hospital Revenue Code	270
Min. Negotiated Rate	$11.44
Max. Negotiated Rate	$11.44
Rate for Payer: Qualcare PPO/HMO/WC	$11.44

MILK OF MAGNESIA 8%/30ML

Facility

$1.00

Hospital Charge Code	60633431
Hospital Revenue Code	250
Min. Negotiated Rate	$0.15
Max. Negotiated Rate	$0.15
Rate for Payer: Qualcare PPO/HMO/WC	$0.15

MILK OF MAGNESIA 8%/30ML

Facility

$1.00

Hospital Charge Code	60633431
Hospital Revenue Code	250
Min. Negotiated Rate	$0.13
Max. Negotiated Rate	$0.50
Rate for Payer: Aetna Commercial	$0.30
Rate for Payer: Aetna Medicare Advantage	$0.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.26
Rate for Payer: Cigna Commercial	$0.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.13
Rate for Payer: Oxford Commercial	$0.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.15
Rate for Payer: UnitedHealthcare Commercial	$0.50

MILLER TYPE FOOT REVIS

Facility

$57,834.50

Service Code	HCPCS 28737
Hospital Charge Code	1600000815
Hospital Revenue Code	360
Min. Negotiated Rate	$8,675.17
Max. Negotiated Rate	$8,675.17
Rate for Payer: Qualcare PPO/HMO/WC	$8,675.17

MILLER TYPE FOOT REVIS

Facility

$57,834.50

Service Code	HCPCS 28737
Hospital Charge Code	1600000815
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$30,573.98
Rate for Payer: Aetna Commercial	$17,350.35
Rate for Payer: Aetna Medicare Advantage	$17,350.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,747.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,747.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14,747.80
Rate for Payer: Cigna Commercial	$30,573.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,518.48
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,675.17
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

MILRINONE 1 MG/ML INJ

Facility

$78.52

Service Code	HCPCS J2260
Hospital Charge Code	60627585
Hospital Revenue Code	636
Min. Negotiated Rate	$11.78
Max. Negotiated Rate	$19.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.00
Rate for Payer: Qualcare PPO/HMO/WC	$11.78

MILRINONE 1 MG/ML INJ

Facility

$78.52

Service Code	HCPCS J2260
Hospital Charge Code	60627585
Hospital Revenue Code	636
Min. Negotiated Rate	$1.18
Max. Negotiated Rate	$23.56
Rate for Payer: Aetna Commercial	$23.56
Rate for Payer: Aetna Medicare Advantage	$23.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.02
Rate for Payer: Cigna Commercial	$1.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.00
Rate for Payer: Qualcare PPO/HMO/WC	$11.78

MINERAL OIL

Facility

$9.00

Hospital Charge Code	6012850
Hospital Revenue Code	250
Min. Negotiated Rate	$1.17
Max. Negotiated Rate	$4.50
Rate for Payer: Aetna Commercial	$2.70
Rate for Payer: Aetna Medicare Advantage	$2.70
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	$4.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.17
Rate for Payer: Oxford Commercial	$4.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.35
Rate for Payer: UnitedHealthcare Commercial	$4.50

MINERAL OIL

Facility

$9.00

Hospital Charge Code	6012850
Hospital Revenue Code	250
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$1.35
Rate for Payer: Qualcare PPO/HMO/WC	$1.35

MINERAL OIL/180ML

Facility

$15.00

Hospital Charge Code	60633433
Hospital Revenue Code	250
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$7.50
Rate for Payer: Aetna Commercial	$4.50
Rate for Payer: Aetna Medicare Advantage	$4.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.83
Rate for Payer: Cigna Commercial	$7.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.95
Rate for Payer: Oxford Commercial	$7.50
Rate for Payer: Qualcare PPO/HMO/WC	$2.25
Rate for Payer: UnitedHealthcare Commercial	$7.50

MINERAL OIL/180ML

Facility

$15.00

Hospital Charge Code	60633433
Hospital Revenue Code	250
Min. Negotiated Rate	$2.25
Max. Negotiated Rate	$2.25
Rate for Payer: Qualcare PPO/HMO/WC	$2.25

MINERAL OIL 1 ENEMA

Facility

$23.58

Service Code	NDC 132030140
Hospital Charge Code	60628131
Hospital Revenue Code	250
Min. Negotiated Rate	$3.54
Max. Negotiated Rate	$3.54
Rate for Payer: Qualcare PPO/HMO/WC	$3.54

MINERAL OIL 1 ENEMA

Facility

$23.58

Service Code	NDC 132030140
Hospital Charge Code	60628131
Hospital Revenue Code	250
Min. Negotiated Rate	$3.07
Max. Negotiated Rate	$11.79
Rate for Payer: Aetna Commercial	$7.07
Rate for Payer: Aetna Medicare Advantage	$7.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.01
Rate for Payer: Cigna Commercial	$11.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.07
Rate for Payer: Oxford Commercial	$11.79
Rate for Payer: Qualcare PPO/HMO/WC	$3.54
Rate for Payer: UnitedHealthcare Commercial	$11.79

MINERAL OIL/30ML

Facility

$43.82

Service Code	NDC 54162018501
Hospital Charge Code	60633432
Hospital Revenue Code	250
Min. Negotiated Rate	$5.70
Max. Negotiated Rate	$21.91
Rate for Payer: Aetna Commercial	$13.15
Rate for Payer: Aetna Medicare Advantage	$13.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.17
Rate for Payer: Cigna Commercial	$21.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.70
Rate for Payer: Oxford Commercial	$21.91
Rate for Payer: Qualcare PPO/HMO/WC	$6.57
Rate for Payer: UnitedHealthcare Commercial	$21.91

MINERAL OIL/30ML

Facility

$43.82

Service Code	NDC 54162018501
Hospital Charge Code	60633432
Hospital Revenue Code	250
Min. Negotiated Rate	$6.57
Max. Negotiated Rate	$6.57
Rate for Payer: Qualcare PPO/HMO/WC	$6.57

MINERAL OIL 30 ML OIL

Facility

$36.52

Service Code	NDC 54162018525
Hospital Charge Code	60628132
Hospital Revenue Code	250
Min. Negotiated Rate	$5.48
Max. Negotiated Rate	$5.48
Rate for Payer: Qualcare PPO/HMO/WC	$5.48

MINERAL OIL 30 ML OIL

Facility

$36.52

Service Code	NDC 54162018525
Hospital Charge Code	60628132
Hospital Revenue Code	250
Min. Negotiated Rate	$4.75
Max. Negotiated Rate	$18.26
Rate for Payer: Aetna Commercial	$10.96
Rate for Payer: Aetna Medicare Advantage	$10.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.31
Rate for Payer: Cigna Commercial	$18.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.75
Rate for Payer: Oxford Commercial	$18.26
Rate for Payer: Qualcare PPO/HMO/WC	$5.48
Rate for Payer: UnitedHealthcare Commercial	$18.26

MINERAL OIL LQ 30ML

Facility

$3.20

Hospital Charge Code	6023329
Hospital Revenue Code	251
Min. Negotiated Rate	$0.48
Max. Negotiated Rate	$0.48
Rate for Payer: Qualcare PPO/HMO/WC	$0.48

MINERAL OIL LQ 30ML

Facility

$3.20

Hospital Charge Code	6023329
Hospital Revenue Code	251
Min. Negotiated Rate	$0.42
Max. Negotiated Rate	$1.60
Rate for Payer: Aetna Commercial	$0.96
Rate for Payer: Aetna Medicare Advantage	$0.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.82
Rate for Payer: Cigna Commercial	$1.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.42
Rate for Payer: Oxford Commercial	$1.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.48
Rate for Payer: UnitedHealthcare Commercial	$1.60

MINERAL OIL PETROLAT TOP 60GM

Facility

$70.40

Hospital Charge Code	6003768
Hospital Revenue Code	251
Min. Negotiated Rate	$10.56
Max. Negotiated Rate	$10.56
Rate for Payer: Qualcare PPO/HMO/WC	$10.56

MINERAL OIL PETROLAT TOP 60GM

Facility

$70.40

Hospital Charge Code	6003768
Hospital Revenue Code	251
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

MINERAL OIL PHENOL SSP 8OZ

Facility

$34.60

Hospital Charge Code	6003776
Hospital Revenue Code	251
Min. Negotiated Rate	$4.50
Max. Negotiated Rate	$17.30
Rate for Payer: Aetna Commercial	$10.38
Rate for Payer: Aetna Medicare Advantage	$10.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.82
Rate for Payer: Cigna Commercial	$17.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.50
Rate for Payer: Oxford Commercial	$17.30
Rate for Payer: Qualcare PPO/HMO/WC	$5.19
Rate for Payer: UnitedHealthcare Commercial	$17.30

MINERAL OIL PHENOL SSP 8OZ

Facility

$34.60

Hospital Charge Code	6003776
Hospital Revenue Code	251
Min. Negotiated Rate	$5.19
Max. Negotiated Rate	$5.19
Rate for Payer: Qualcare PPO/HMO/WC	$5.19

MINERAL OIL VIAL

Facility

$10.90

Hospital Charge Code	6012868
Hospital Revenue Code	252
Min. Negotiated Rate	$1.64
Max. Negotiated Rate	$1.64
Rate for Payer: Qualcare PPO/HMO/WC	$1.64

MINERAL OIL VIAL

Facility

$10.90

Hospital Charge Code	6012868
Hospital Revenue Code	252
Min. Negotiated Rate	$1.42
Max. Negotiated Rate	$5.45
Rate for Payer: Aetna Commercial	$3.27
Rate for Payer: Aetna Medicare Advantage	$3.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.78
Rate for Payer: Cigna Commercial	$5.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.42
Rate for Payer: Oxford Commercial	$5.45
Rate for Payer: Qualcare PPO/HMO/WC	$1.64
Rate for Payer: UnitedHealthcare Commercial	$5.45

Know your out-of-pocket cost for care.

All Charges