|
MORPHINE 5MG/ML VIALS
|
Facility
|
IP
|
$12.19
|
|
|
Service Code
|
HCPCS J2270
|
| Hospital Charge Code |
60635016
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1.83 |
| Max. Negotiated Rate |
$2.95 |
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2.95
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.83
|
|
|
MORPHINE 5MG/ML VIALS
|
Facility
|
OP
|
$12.19
|
|
|
Service Code
|
HCPCS J2270
|
| Hospital Charge Code |
60635016
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1.83 |
| Max. Negotiated Rate |
$4.45 |
| Rate for Payer: Aetna Commercial |
$3.66
|
| Rate for Payer: Aetna Medicare Advantage |
$3.66
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$3.11
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$3.11
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$3.11
|
| Rate for Payer: Cigna Commercial |
$4.45
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2.95
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.83
|
|
|
MORPHINE INJ 200MG/20ML PF
|
Facility
|
OP
|
$957.45
|
|
| Hospital Charge Code |
60628658
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$124.47 |
| Max. Negotiated Rate |
$478.73 |
| Rate for Payer: Aetna Commercial |
$287.24
|
| Rate for Payer: Aetna Medicare Advantage |
$287.24
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$244.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$244.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$244.15
|
| Rate for Payer: Cigna Commercial |
$478.73
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$124.47
|
| Rate for Payer: Oxford Commercial |
$478.73
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$143.62
|
| Rate for Payer: UnitedHealthcare Commercial |
$478.73
|
|
|
MORPHINE INJ 200MG/20ML PF
|
Facility
|
IP
|
$957.45
|
|
| Hospital Charge Code |
60628658
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$143.62 |
| Max. Negotiated Rate |
$143.62 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$143.62
|
|
|
MORPHINE OPIATES BLOOD
|
Facility
|
OP
|
$138.45
|
|
|
Service Code
|
HCPCS 80361
|
| Hospital Charge Code |
3009151
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$18.00 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$41.53
|
| Rate for Payer: Aetna Medicare Advantage |
$41.53
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$35.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$35.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$35.30
|
| Rate for Payer: Cigna Commercial |
$69.22
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$18.00
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$20.77
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
|
|
MORPHINE OPIATES BLOOD
|
Facility
|
IP
|
$138.45
|
|
|
Service Code
|
HCPCS 80361
|
| Hospital Charge Code |
3009151
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$20.77 |
| Max. Negotiated Rate |
$20.77 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$20.77
|
|
|
MORPHINE ORAL 20MG/10ML
|
Facility
|
OP
|
$1.00
|
|
| Hospital Charge Code |
60635332
|
|
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
|
|
|
MORPHINE ORAL 20MG/10ML
|
Facility
|
IP
|
$1.00
|
|
| Hospital Charge Code |
60635332
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$0.15 |
| Max. Negotiated Rate |
$0.15 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.15
|
|
|
MORPHINE PCA 1 MG/ML (30ML)
|
Facility
|
OP
|
$61.10
|
|
|
Service Code
|
HCPCS J2274
|
| Hospital Charge Code |
60627719
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$9.16 |
| Max. Negotiated Rate |
$18.33 |
| Rate for Payer: Aetna Commercial |
$18.33
|
| Rate for Payer: Aetna Medicare Advantage |
$18.33
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$15.58
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$15.58
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$15.58
|
| Rate for Payer: Cigna Commercial |
$12.15
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$14.79
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$9.16
|
|
|
MORPHINE PCA 1 MG/ML (30ML)
|
Facility
|
IP
|
$61.10
|
|
|
Service Code
|
HCPCS J2274
|
| Hospital Charge Code |
60627719
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$9.16 |
| Max. Negotiated Rate |
$14.79 |
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$14.79
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$9.16
|
|
|
MORPHINE PCA/30MG
|
Facility
|
OP
|
$63.00
|
|
| Hospital Charge Code |
60634952
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$8.19 |
| Max. Negotiated Rate |
$31.50 |
| Rate for Payer: Aetna Commercial |
$18.90
|
| Rate for Payer: Aetna Medicare Advantage |
$18.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$16.07
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$16.07
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$16.07
|
| Rate for Payer: Cigna Commercial |
$31.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$8.19
|
| Rate for Payer: Oxford Commercial |
$31.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$9.45
|
| Rate for Payer: UnitedHealthcare Commercial |
$31.50
|
|
|
MORPHINE PCA/30MG
|
Facility
|
IP
|
$63.00
|
|
| Hospital Charge Code |
60634952
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$9.45 |
| Max. Negotiated Rate |
$9.45 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$9.45
|
|
|
MORPHINE PRESER FREE 10ML
|
Facility
|
IP
|
$57.62
|
|
|
Service Code
|
NDC 641602010
|
| Hospital Charge Code |
60632909
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$8.64 |
| Max. Negotiated Rate |
$8.64 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$8.64
|
|
|
MORPHINE PRESER FREE 10ML
|
Facility
|
OP
|
$57.62
|
|
|
Service Code
|
NDC 641602010
|
| Hospital Charge Code |
60632909
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$7.49 |
| Max. Negotiated Rate |
$28.81 |
| Rate for Payer: Aetna Commercial |
$17.29
|
| Rate for Payer: Aetna Medicare Advantage |
$17.29
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$14.69
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$14.69
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$14.69
|
| Rate for Payer: Cigna Commercial |
$28.81
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$7.49
|
| Rate for Payer: Oxford Commercial |
$28.81
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$8.64
|
| Rate for Payer: UnitedHealthcare Commercial |
$28.81
|
|
|
MORPHINE S04 5R 15MG(ORAMORPH)
|
Facility
|
OP
|
$1.95
|
|
| Hospital Charge Code |
6023311
|
|
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
|
|
|
MORPHINE S04 5R 15MG(ORAMORPH)
|
Facility
|
IP
|
$1.95
|
|
| Hospital Charge Code |
6023311
|
|
Hospital Revenue Code
|
251
|
| Min. Negotiated Rate |
$0.29 |
| Max. Negotiated Rate |
$0.29 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.29
|
|
|
MORPHINE SO 2MG/ML
|
Facility
|
OP
|
$4.50
|
|
| Hospital Charge Code |
6012066
|
|
Hospital Revenue Code
|
250
|
| 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
|
|
|
MORPHINE SO 2MG/ML
|
Facility
|
IP
|
$4.50
|
|
| Hospital Charge Code |
6012066
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$0.68 |
| Max. Negotiated Rate |
$0.68 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.68
|
|
|
MORPHINE SO I.R. 15MG
|
Facility
|
IP
|
$1.95
|
|
| Hospital Charge Code |
6022040
|
|
Hospital Revenue Code
|
251
|
| Min. Negotiated Rate |
$0.29 |
| Max. Negotiated Rate |
$0.29 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.29
|
|
|
MORPHINE SO I.R. 15MG
|
Facility
|
OP
|
$1.95
|
|
| Hospital Charge Code |
6022040
|
|
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
|
|
|
MORPHINE SO I.R 30MG
|
Facility
|
OP
|
$3.20
|
|
| Hospital Charge Code |
6022032
|
|
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
|
|
|
MORPHINE SO I.R 30MG
|
Facility
|
IP
|
$3.20
|
|
| Hospital Charge Code |
6022032
|
|
Hospital Revenue Code
|
251
|
| Min. Negotiated Rate |
$0.48 |
| Max. Negotiated Rate |
$0.48 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.48
|
|
|
MORPHINE SULF 10MG/ML 10M
|
Facility
|
IP
|
$30.72
|
|
| Hospital Charge Code |
60635821
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$4.61 |
| Max. Negotiated Rate |
$7.43 |
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$7.43
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$4.61
|
|
|
MORPHINE SULF 10MG/ML 10M
|
Facility
|
OP
|
$30.72
|
|
| Hospital Charge Code |
60635821
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$4.61 |
| Max. Negotiated Rate |
$15.36 |
| Rate for Payer: Aetna Commercial |
$9.22
|
| Rate for Payer: Aetna Medicare Advantage |
$9.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$7.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$7.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$7.83
|
| Rate for Payer: Cigna Commercial |
$15.36
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$7.43
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$4.61
|
|
|
MORPHINE SULF AMP 1/MG/ML
|
Facility
|
OP
|
$45.00
|
|
| Hospital Charge Code |
60635717
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$5.85 |
| Max. Negotiated Rate |
$22.50 |
| Rate for Payer: Aetna Commercial |
$13.50
|
| Rate for Payer: Aetna Medicare Advantage |
$13.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$11.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$11.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$11.47
|
| Rate for Payer: Cigna Commercial |
$22.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$5.85
|
| Rate for Payer: Oxford Commercial |
$22.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$6.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$22.50
|
|