Heights University Hospital

All Charges

Charge

Type

Setting

Price

MORPHINE TAB SR 100MG

Facility

$32.65

Hospital Charge Code	60628657
Hospital Revenue Code	250
Min. Negotiated Rate	$4.90
Max. Negotiated Rate	$4.90
Rate for Payer: Qualcare PPO/HMO/WC	$4.90

MORPHINE TAB SR 100MG

Facility

$32.65

Hospital Charge Code	60628657
Hospital Revenue Code	250
Min. Negotiated Rate	$4.24
Max. Negotiated Rate	$16.32
Rate for Payer: Aetna Commercial	$9.79
Rate for Payer: Aetna Medicare Advantage	$9.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.33
Rate for Payer: Cigna Commercial	$16.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.24
Rate for Payer: Oxford Commercial	$16.32
Rate for Payer: Qualcare PPO/HMO/WC	$4.90
Rate for Payer: UnitedHealthcare Commercial	$16.32

MORPHINE URINE OPIATE CONFIRM

Facility

$138.45

Service Code	HCPCS 80361
Hospital Charge Code	3009152
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 URINE OPIATE CONFIRM

Facility

$138.45

Service Code	HCPCS 80361
Hospital Charge Code	3009152
Hospital Revenue Code	301
Min. Negotiated Rate	$20.77
Max. Negotiated Rate	$20.77
Rate for Payer: Qualcare PPO/HMO/WC	$20.77

MORPHIX PROCEDURE PACK

Facility

$750.00

Hospital Charge Code	270687493
Hospital Revenue Code	272
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$225.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.50
Rate for Payer: Oxford Commercial	$375.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Commercial	$375.00

MORPHIX PROCEDURE PACK

Facility

$750.00

Hospital Charge Code	270687493
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

MORPHIX SUTURE ANCHOR

Facility

$2,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270687492
Hospital Revenue Code	278
Min. Negotiated Rate	$371.25
Max. Negotiated Rate	$1,237.50
Rate for Payer: Aetna Commercial	$742.50
Rate for Payer: Aetna Medicare Advantage	$742.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$631.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$631.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$631.12
Rate for Payer: Cigna Commercial	$1,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$598.95
Rate for Payer: Qualcare PPO/HMO/WC	$371.25

MORPHIX SUTURE ANCHOR

Facility

$2,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270687492
Hospital Revenue Code	278
Min. Negotiated Rate	$371.25
Max. Negotiated Rate	$598.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$598.95
Rate for Payer: Qualcare PPO/HMO/WC	$371.25

MORPHOMETRIC ANALYSIS IHC

Facility

$390.00

Service Code	HCPCS 88360
Hospital Charge Code	38474053
Hospital Revenue Code	310
Min. Negotiated Rate	$50.70
Max. Negotiated Rate	$405.73
Rate for Payer: Aetna Commercial	$117.00
Rate for Payer: Aetna Medicare Advantage	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.45
Rate for Payer: Cigna Commercial	$405.73
Rate for Payer: Cigna Medicare Advantage	$68.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00

MORPHOMETRIC ANALYSIS IHC

Facility

$390.00

Service Code	HCPCS 88360
Hospital Charge Code	38474053
Hospital Revenue Code	310
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

MORPHOMETRIC IN-SITU

Facility

$411.00

Service Code	HCPCS 88368
Hospital Charge Code	38474054
Hospital Revenue Code	312
Min. Negotiated Rate	$53.43
Max. Negotiated Rate	$853.60
Rate for Payer: Aetna Commercial	$123.30
Rate for Payer: Aetna Medicare Advantage	$123.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$104.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$104.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$104.81
Rate for Payer: Cigna Commercial	$853.60
Rate for Payer: Cigna Medicare Advantage	$83.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.43
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$61.65
Rate for Payer: UnitedHealthcare Commercial	$114.00

MORPHOMETRIC IN-SITU

Facility

$411.00

Service Code	HCPCS 88368
Hospital Charge Code	38474054
Hospital Revenue Code	312
Min. Negotiated Rate	$61.65
Max. Negotiated Rate	$61.65
Rate for Payer: Qualcare PPO/HMO/WC	$61.65

MORRHUATE SOD 50MG/ML 30ML INJ

Facility

$240.00

Hospital Charge Code	6006886
Hospital Revenue Code	250
Min. Negotiated Rate	$36.00
Max. Negotiated Rate	$36.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.00

MORRHUATE SOD 50MG/ML 30ML INJ

Facility

$240.00

Hospital Charge Code	6006886
Hospital Revenue Code	250
Min. Negotiated Rate	$31.20
Max. Negotiated Rate	$120.00
Rate for Payer: Aetna Commercial	$72.00
Rate for Payer: Aetna Medicare Advantage	$72.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.20
Rate for Payer: Cigna Commercial	$120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.20
Rate for Payer: Oxford Commercial	$120.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.00
Rate for Payer: UnitedHealthcare Commercial	$120.00

MOTILITY STUDY***

Facility

$810.00

Service Code	HCPCS 91010
Hospital Charge Code	1001100
Hospital Revenue Code	759
Min. Negotiated Rate	$105.30
Max. Negotiated Rate	$1,394.95
Rate for Payer: Aetna Commercial	$243.00
Rate for Payer: Aetna Medicare Advantage	$243.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$206.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$206.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,394.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$206.55
Rate for Payer: Cigna Commercial	$888.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.30
Rate for Payer: Qualcare PPO/HMO/WC	$121.50

MOTILITY STUDY***

Facility

$810.00

Service Code	HCPCS 91010
Hospital Charge Code	1001100
Hospital Revenue Code	759
Min. Negotiated Rate	$121.50
Max. Negotiated Rate	$121.50
Rate for Payer: Qualcare PPO/HMO/WC	$121.50

MOT LACTATION SERVICES

Facility

$2,700.00

Hospital Charge Code	93082050
Hospital Revenue Code	942
Min. Negotiated Rate	$405.00
Max. Negotiated Rate	$405.00
Rate for Payer: Qualcare PPO/HMO/WC	$405.00

MOT LACTATION SERVICES

Facility

$2,700.00

Hospital Charge Code	93082050
Hospital Revenue Code	942
Min. Negotiated Rate	$351.00
Max. Negotiated Rate	$1,350.00
Rate for Payer: Aetna Commercial	$810.00
Rate for Payer: Aetna Medicare Advantage	$810.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$688.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$688.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$688.50
Rate for Payer: Cigna Commercial	$1,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$351.00
Rate for Payer: Oxford Commercial	$686.00
Rate for Payer: Qualcare PPO/HMO/WC	$405.00
Rate for Payer: UnitedHealthcare Commercial	$779.00

MOTOR SPEECH CURRENT STATUS

Facility

$0.01

Service Code	HCPCS G8999GN
Hospital Charge Code	84201010
Hospital Revenue Code	440
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

MOTOR SPEECH CURRENT STATUS

Facility

$0.01

Service Code	HCPCS G8999GN
Hospital Charge Code	9109151
Hospital Revenue Code	440
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$0.00
Rate for Payer: Aetna Medicare Advantage	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.00
Rate for Payer: Cigna Commercial	$0.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00
Rate for Payer: UnitedHealthcare Commercial	$686.00

MOTOR SPEECH CURRENT STATUS

Facility

$0.01

Service Code	HCPCS G8999GN
Hospital Charge Code	84201159
Hospital Revenue Code	449
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$0.00
Rate for Payer: Aetna Medicare Advantage	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.00
Rate for Payer: Cigna Commercial	$0.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00
Rate for Payer: UnitedHealthcare Commercial	$686.00

MOTOR SPEECH CURRENT STATUS

Facility

$0.01

Service Code	HCPCS G8999GN
Hospital Charge Code	84201010
Hospital Revenue Code	440
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$0.00
Rate for Payer: Aetna Medicare Advantage	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.00
Rate for Payer: Cigna Commercial	$0.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00
Rate for Payer: UnitedHealthcare Commercial	$686.00

MOTOR SPEECH CURRENT STATUS

Facility

$0.01

Service Code	HCPCS G8999GN
Hospital Charge Code	84201159
Hospital Revenue Code	449
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

MOTOR SPEECH CURRENT STATUS

Facility

$0.01

Service Code	HCPCS G8999GN
Hospital Charge Code	9109151
Hospital Revenue Code	440
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

Motor Speech Current Status CH

Facility

$0.01

Service Code	HCPCS G8999GNCH
Hospital Charge Code	74204053CH
Hospital Revenue Code	440
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$0.00
Rate for Payer: Aetna Medicare Advantage	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.00
Rate for Payer: Cigna Commercial	$0.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00
Rate for Payer: UnitedHealthcare Commercial	$686.00

Know your out-of-pocket cost for care.

All Charges