Heights University Hospital

All Charges

Charge

Type

Setting

Price

MINOCYCLINE 100 MG CAP

Facility

$16.85

Hospital Charge Code	60628654
Hospital Revenue Code	250
Min. Negotiated Rate	$2.19
Max. Negotiated Rate	$8.43
Rate for Payer: Aetna Commercial	$5.05
Rate for Payer: Aetna Medicare Advantage	$5.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.30
Rate for Payer: Cigna Commercial	$8.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.19
Rate for Payer: Oxford Commercial	$8.43
Rate for Payer: Qualcare PPO/HMO/WC	$2.53
Rate for Payer: UnitedHealthcare Commercial	$8.43

MINOR (1-2 BLOCKS)

Facility

$204.00

Service Code	HCPCS 88302
Hospital Charge Code	3004975
Hospital Revenue Code	312
Min. Negotiated Rate	$18.55
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$61.20
Rate for Payer: Aetna Medicare Advantage	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.02
Rate for Payer: Cigna Commercial	$88.94
Rate for Payer: Cigna Medicare Advantage	$18.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.52
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.60
Rate for Payer: UnitedHealthcare Commercial	$114.00

MINOR (1-2 BLOCKS)

Facility

$73.00

Hospital Charge Code	3024973
Hospital Revenue Code	309
Min. Negotiated Rate	$9.49
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$21.90
Rate for Payer: Aetna Medicare Advantage	$21.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.61
Rate for Payer: Cigna Commercial	$36.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.49
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.95
Rate for Payer: UnitedHealthcare Commercial	$114.00

MINOR (1-2 BLOCKS)

Facility

$73.00

Hospital Charge Code	3024973
Hospital Revenue Code	309
Min. Negotiated Rate	$10.95
Max. Negotiated Rate	$10.95
Rate for Payer: Qualcare PPO/HMO/WC	$10.95

MINOR (1-2 BLOCKS)

Facility

$204.00

Service Code	HCPCS 88302
Hospital Charge Code	3004975
Hospital Revenue Code	312
Min. Negotiated Rate	$30.60
Max. Negotiated Rate	$30.60
Rate for Payer: Qualcare PPO/HMO/WC	$30.60

MINOR (1-2 BLOCKS)****

Facility

$73.00

Hospital Charge Code	3014974
Hospital Revenue Code	309
Min. Negotiated Rate	$9.49
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$21.90
Rate for Payer: Aetna Medicare Advantage	$21.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.61
Rate for Payer: Cigna Commercial	$36.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.49
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.95
Rate for Payer: UnitedHealthcare Commercial	$114.00

MINOR (1-2 BLOCKS)****

Facility

$73.00

Hospital Charge Code	3014974
Hospital Revenue Code	309
Min. Negotiated Rate	$10.95
Max. Negotiated Rate	$10.95
Rate for Payer: Qualcare PPO/HMO/WC	$10.95

MINOR BLADDER PROCEDURES WITH CC

Facility

$55,947.15

Service Code	MSDRG 663
Min. Negotiated Rate	$16,589.31
Max. Negotiated Rate	$55,947.15
Rate for Payer: Aetna Commercial	$51,260.97
Rate for Payer: Aetna Medicare Advantage	$16,589.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40,247.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40,247.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18,649.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40,247.82
Rate for Payer: Cigna Commercial	$32,716.22
Rate for Payer: Cigna Medicare Advantage	$18,649.05
Rate for Payer: Clover Medicare Advantage	$17,716.60
Rate for Payer: EmblemHealth Commercial	$55,947.15
Rate for Payer: Humana Medicare Advantage	$19,208.52
Rate for Payer: Oxford Commercial	$20,446.69
Rate for Payer: UnitedHealthcare Commercial	$23,208.89
Rate for Payer: UnitedHealthcare Medicare Advantage	$18,649.05
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19,767.99
Rate for Payer: Wellcare Medicare Advantage	$18,649.05

MINOR BLADDER PROCEDURES WITH MCC

Facility

$103,233.41

Service Code	MSDRG 662
Min. Negotiated Rate	$31,883.43
Max. Negotiated Rate	$103,233.41
Rate for Payer: Aetna Commercial	$103,233.41
Rate for Payer: Aetna Medicare Advantage	$33,408.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82,701.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82,701.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$33,561.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82,701.00
Rate for Payer: Cigna Commercial	$65,886.54
Rate for Payer: Cigna Medicare Advantage	$33,561.51
Rate for Payer: Clover Medicare Advantage	$31,883.43
Rate for Payer: EmblemHealth Commercial	$100,684.53
Rate for Payer: Humana Medicare Advantage	$34,568.36
Rate for Payer: Oxford Commercial	$41,177.18
Rate for Payer: UnitedHealthcare Commercial	$46,739.92
Rate for Payer: UnitedHealthcare Medicare Advantage	$33,561.51
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$35,575.20
Rate for Payer: Wellcare Medicare Advantage	$33,561.51

MINOR BLADDER PROCEDURES WITHOUT CC/MCC

Facility

$42,209.28

Service Code	MSDRG 664
Min. Negotiated Rate	$11,424.38
Max. Negotiated Rate	$42,209.28
Rate for Payer: Aetna Commercial	$35,301.33
Rate for Payer: Aetna Medicare Advantage	$11,424.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29,221.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29,221.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14,069.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29,221.02
Rate for Payer: Cigna Commercial	$22,530.33
Rate for Payer: Cigna Medicare Advantage	$14,069.76
Rate for Payer: Clover Medicare Advantage	$13,366.27
Rate for Payer: EmblemHealth Commercial	$42,209.28
Rate for Payer: Humana Medicare Advantage	$14,491.85
Rate for Payer: Oxford Commercial	$14,080.81
Rate for Payer: UnitedHealthcare Commercial	$15,983.02
Rate for Payer: UnitedHealthcare Medicare Advantage	$14,069.76
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14,913.95
Rate for Payer: Wellcare Medicare Advantage	$14,069.76

MINOR SKIN DISORDERS WITH MCC

Facility

$55,743.96

Service Code	MSDRG 606
Min. Negotiated Rate	$16,512.92
Max. Negotiated Rate	$55,743.96
Rate for Payer: Aetna Commercial	$51,024.92
Rate for Payer: Aetna Medicare Advantage	$16,512.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43,831.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43,831.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18,581.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43,831.53
Rate for Payer: Cigna Commercial	$32,565.58
Rate for Payer: Cigna Medicare Advantage	$18,581.32
Rate for Payer: Clover Medicare Advantage	$17,652.25
Rate for Payer: EmblemHealth Commercial	$55,743.96
Rate for Payer: Humana Medicare Advantage	$19,138.76
Rate for Payer: Oxford Commercial	$20,352.54
Rate for Payer: UnitedHealthcare Commercial	$23,102.02
Rate for Payer: UnitedHealthcare Medicare Advantage	$18,581.32
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19,696.20
Rate for Payer: Wellcare Medicare Advantage	$18,581.32

MINOR SKIN DISORDERS WITHOUT MCC

Facility

$38,131.14

Service Code	MSDRG 607
Min. Negotiated Rate	$9,891.17
Max. Negotiated Rate	$38,131.14
Rate for Payer: Aetna Commercial	$30,563.72
Rate for Payer: Aetna Medicare Advantage	$9,891.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24,534.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24,534.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12,710.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24,534.63
Rate for Payer: Cigna Commercial	$19,506.63
Rate for Payer: Cigna Medicare Advantage	$12,710.38
Rate for Payer: Clover Medicare Advantage	$12,074.86
Rate for Payer: EmblemHealth Commercial	$38,131.14
Rate for Payer: Humana Medicare Advantage	$13,091.69
Rate for Payer: Oxford Commercial	$12,191.08
Rate for Payer: UnitedHealthcare Commercial	$13,838.01
Rate for Payer: UnitedHealthcare Medicare Advantage	$12,710.38
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13,473.00
Rate for Payer: Wellcare Medicare Advantage	$12,710.38

MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC

Facility

$55,497.24

Service Code	MSDRG 345
Min. Negotiated Rate	$16,420.16
Max. Negotiated Rate	$55,497.24
Rate for Payer: Aetna Commercial	$50,738.29
Rate for Payer: Aetna Medicare Advantage	$16,420.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42,453.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42,453.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18,499.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42,453.18
Rate for Payer: Cigna Commercial	$32,382.65
Rate for Payer: Cigna Medicare Advantage	$18,499.08
Rate for Payer: Clover Medicare Advantage	$17,574.13
Rate for Payer: EmblemHealth Commercial	$55,497.24
Rate for Payer: Humana Medicare Advantage	$19,054.05
Rate for Payer: Oxford Commercial	$20,238.22
Rate for Payer: UnitedHealthcare Commercial	$22,972.25
Rate for Payer: UnitedHealthcare Medicare Advantage	$18,499.08
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19,609.02
Rate for Payer: Wellcare Medicare Advantage	$18,499.08

MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC

Facility

$87,091.71

Service Code	MSDRG 344
Min. Negotiated Rate	$27,483.47
Max. Negotiated Rate	$87,091.71
Rate for Payer: Aetna Commercial	$87,091.71
Rate for Payer: Aetna Medicare Advantage	$28,185.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$75,533.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$75,533.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$28,929.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$75,533.58
Rate for Payer: Cigna Commercial	$55,584.44
Rate for Payer: Cigna Medicare Advantage	$28,929.97
Rate for Payer: Clover Medicare Advantage	$27,483.47
Rate for Payer: EmblemHealth Commercial	$86,789.91
Rate for Payer: Humana Medicare Advantage	$29,797.87
Rate for Payer: Oxford Commercial	$34,738.66
Rate for Payer: UnitedHealthcare Commercial	$39,431.61
Rate for Payer: UnitedHealthcare Medicare Advantage	$28,929.97
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$30,665.77
Rate for Payer: Wellcare Medicare Advantage	$28,929.97

MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC

Facility

$46,252.56

Service Code	MSDRG 346
Min. Negotiated Rate	$12,944.51
Max. Negotiated Rate	$46,252.56
Rate for Payer: Aetna Commercial	$39,998.54
Rate for Payer: Aetna Medicare Advantage	$12,944.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35,561.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35,561.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15,417.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35,561.43
Rate for Payer: Cigna Commercial	$25,528.21
Rate for Payer: Cigna Medicare Advantage	$15,417.52
Rate for Payer: Clover Medicare Advantage	$14,646.64
Rate for Payer: EmblemHealth Commercial	$46,252.56
Rate for Payer: Humana Medicare Advantage	$15,880.05
Rate for Payer: Oxford Commercial	$15,954.39
Rate for Payer: UnitedHealthcare Commercial	$18,109.72
Rate for Payer: UnitedHealthcare Medicare Advantage	$15,417.52
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$16,342.57
Rate for Payer: Wellcare Medicare Advantage	$15,417.52

MINOXIDAL/10MG/TAB

Facility

$3.00

Hospital Charge Code	60634384
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

MINOXIDAL/10MG/TAB

Facility

$3.00

Hospital Charge Code	60634384
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

MINOXIDIL 2.5 MG TAB

Facility

$4.00

Service Code	NDC 591564201
Hospital Charge Code	60627640
Hospital Revenue Code	250
Min. Negotiated Rate	$0.52
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.20
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.52
Rate for Payer: Oxford Commercial	$2.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$2.00

MINOXIDIL 2.5 MG TAB

Facility

$4.00

Service Code	NDC 591564201
Hospital Charge Code	60627640
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

MINTEZOL/500MG/5ML

Facility

$89.00

Hospital Charge Code	60633439
Hospital Revenue Code	250
Min. Negotiated Rate	$13.35
Max. Negotiated Rate	$13.35
Rate for Payer: Qualcare PPO/HMO/WC	$13.35

MINTEZOL/500MG/5ML

Facility

$89.00

Hospital Charge Code	60633439
Hospital Revenue Code	250
Min. Negotiated Rate	$11.57
Max. Negotiated Rate	$44.50
Rate for Payer: Aetna Commercial	$26.70
Rate for Payer: Aetna Medicare Advantage	$26.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.70
Rate for Payer: Cigna Commercial	$44.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.57
Rate for Payer: Oxford Commercial	$44.50
Rate for Payer: Qualcare PPO/HMO/WC	$13.35
Rate for Payer: UnitedHealthcare Commercial	$44.50

MINTEZOL/500MG/TAB

Facility

$6.00

Hospital Charge Code	60633438
Hospital Revenue Code	250
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$0.90
Rate for Payer: Qualcare PPO/HMO/WC	$0.90

MINTEZOL/500MG/TAB

Facility

$6.00

Hospital Charge Code	60633438
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

MIOCHOL 1% OPHTH/2ML

Facility

$131.00

Hospital Charge Code	60633440
Hospital Revenue Code	250
Min. Negotiated Rate	$17.03
Max. Negotiated Rate	$65.50
Rate for Payer: Aetna Commercial	$39.30
Rate for Payer: Aetna Medicare Advantage	$39.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.41
Rate for Payer: Cigna Commercial	$65.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.03
Rate for Payer: Oxford Commercial	$65.50
Rate for Payer: Qualcare PPO/HMO/WC	$19.65
Rate for Payer: UnitedHealthcare Commercial	$65.50

MIOCHOL 1% OPHTH/2ML

Facility

$131.00

Hospital Charge Code	60633440
Hospital Revenue Code	250
Min. Negotiated Rate	$19.65
Max. Negotiated Rate	$19.65
Rate for Payer: Qualcare PPO/HMO/WC	$19.65

Know your out-of-pocket cost for care.

All Charges