Heights University Hospital

All Charges

Charge

Type

Setting

Price

MURO 128 5% OPHTH/15ML

Facility

$121.67

Service Code	NDC 24208027715
Hospital Charge Code	60633467
Hospital Revenue Code	250
Min. Negotiated Rate	$15.82
Max. Negotiated Rate	$60.84
Rate for Payer: Aetna Commercial	$36.50
Rate for Payer: Aetna Medicare Advantage	$36.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.03
Rate for Payer: Cigna Commercial	$60.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.82
Rate for Payer: Oxford Commercial	$60.84
Rate for Payer: Qualcare PPO/HMO/WC	$18.25
Rate for Payer: UnitedHealthcare Commercial	$60.84

MUSCLE BX,DEEP

Facility

$13,615.50

Service Code	HCPCS 20205
Hospital Charge Code	16000538
Hospital Revenue Code	360
Min. Negotiated Rate	$1,770.02
Max. Negotiated Rate	$6,917.28
Rate for Payer: Aetna Commercial	$4,084.65
Rate for Payer: Aetna Medicare Advantage	$4,084.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,471.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,471.95
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	$3,471.95
Rate for Payer: Cigna Commercial	$6,917.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,770.02
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,042.33
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

MUSCLE BX,DEEP

Facility

$13,615.50

Service Code	HCPCS 20205
Hospital Charge Code	16000538
Hospital Revenue Code	360
Min. Negotiated Rate	$2,042.33
Max. Negotiated Rate	$2,042.33
Rate for Payer: Qualcare PPO/HMO/WC	$2,042.33

MUSCLE BX; PERC NDL

Facility

$7,367.00

Service Code	HCPCS 20206
Hospital Charge Code	16000468
Hospital Revenue Code	360
Min. Negotiated Rate	$957.71
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$2,210.10
Rate for Payer: Aetna Medicare Advantage	$2,210.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,878.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,878.59
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	$1,878.59
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$957.71
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,105.05
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

MUSCLE BX; PERC NDL

Facility

$7,367.00

Service Code	HCPCS 20206
Hospital Charge Code	16000468
Hospital Revenue Code	360
Min. Negotiated Rate	$1,105.05
Max. Negotiated Rate	$1,105.05
Rate for Payer: Qualcare PPO/HMO/WC	$1,105.05

MUSCLE FLAP,LOWER EXTREMITY

Facility

$26,848.40

Service Code	HCPCS 15738
Hospital Charge Code	16000660
Hospital Revenue Code	360
Min. Negotiated Rate	$4,027.26
Max. Negotiated Rate	$4,027.26
Rate for Payer: Qualcare PPO/HMO/WC	$4,027.26

MUSCLE FLAP,LOWER EXTREMITY

Facility

$26,848.40

Service Code	HCPCS 15738
Hospital Charge Code	16000660
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$8,439.01
Rate for Payer: Aetna Commercial	$8,054.52
Rate for Payer: Aetna Medicare Advantage	$8,054.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,846.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,846.34
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	$6,846.34
Rate for Payer: Cigna Commercial	$8,439.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,490.29
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,027.26
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

MUSCLE FLAP,TRUNK

Facility

$26,848.40

Service Code	HCPCS 15734
Hospital Charge Code	16000599
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$8,439.01
Rate for Payer: Aetna Commercial	$8,054.52
Rate for Payer: Aetna Medicare Advantage	$8,054.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,846.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,846.34
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	$6,846.34
Rate for Payer: Cigna Commercial	$8,439.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,490.29
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,027.26
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

MUSCLE FLAP,TRUNK

Facility

$26,848.40

Service Code	HCPCS 15734
Hospital Charge Code	16000599
Hospital Revenue Code	360
Min. Negotiated Rate	$4,027.26
Max. Negotiated Rate	$4,027.26
Rate for Payer: Qualcare PPO/HMO/WC	$4,027.26

MUSCLE TEST 2 LIMBS

Facility

$470.30

Service Code	HCPCS 95861
Hospital Charge Code	1600000476
Hospital Revenue Code	360
Min. Negotiated Rate	$70.55
Max. Negotiated Rate	$70.55
Rate for Payer: Qualcare PPO/HMO/WC	$70.55

MUSCLE TEST 2 LIMBS

Facility

$470.30

Service Code	HCPCS 95861
Hospital Charge Code	1600000476
Hospital Revenue Code	360
Min. Negotiated Rate	$61.14
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$141.09
Rate for Payer: Aetna Medicare Advantage	$141.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.93
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	$119.93
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.14
Rate for Payer: Qualcare PPO/HMO/WC	$70.55

MUSC/TDN TRANSFER UPR A/E 1

Facility

$33,092.48

Service Code	HCPCS 24301
Hospital Charge Code	1600000820
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$17,279.91
Rate for Payer: Aetna Commercial	$9,927.74
Rate for Payer: Aetna Medicare Advantage	$9,927.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,438.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,438.58
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	$8,438.58
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,302.02
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,963.87
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

MUSC/TDN TRANSFER UPR A/E 1

Facility

$33,092.48

Service Code	HCPCS 24301
Hospital Charge Code	1600000820
Hospital Revenue Code	360
Min. Negotiated Rate	$4,963.87
Max. Negotiated Rate	$4,963.87
Rate for Payer: Qualcare PPO/HMO/WC	$4,963.87

MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$45,685.92

Service Code	APR-DRG 9123
Min. Negotiated Rate	$35,950.69
Max. Negotiated Rate	$45,685.92
Rate for Payer: Aetna Better Health Medicaid	$44,790.12
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$45,685.92
Rate for Payer: Wellpoint Medicaid Managed Care	$35,950.69

MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$27,813.77

Service Code	APR-DRG 9121
Min. Negotiated Rate	$19,804.27
Max. Negotiated Rate	$27,813.77
Rate for Payer: Aetna Better Health Medicaid	$27,268.40
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$27,813.77
Rate for Payer: Wellpoint Medicaid Managed Care	$19,804.27

MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$81,140.94

Service Code	APR-DRG 9124
Min. Negotiated Rate	$69,291.79
Max. Negotiated Rate	$81,140.94
Rate for Payer: Aetna Better Health Medicaid	$79,549.94
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$81,140.94
Rate for Payer: Wellpoint Medicaid Managed Care	$69,291.79

MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$29,277.11

Service Code	APR-DRG 9122
Min. Negotiated Rate	$21,805.37
Max. Negotiated Rate	$29,277.11
Rate for Payer: Aetna Better Health Medicaid	$28,703.05
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$29,277.11
Rate for Payer: Wellpoint Medicaid Managed Care	$21,805.37

MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY

Facility

$18,067.39

Service Code	APR-DRG 3433
Min. Negotiated Rate	$14,229.48
Max. Negotiated Rate	$18,067.39
Rate for Payer: Aetna Better Health Medicaid	$17,713.13
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$18,067.39
Rate for Payer: Wellpoint Medicaid Managed Care	$14,229.48

MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY

Facility

$12,343.08

Service Code	APR-DRG 3432
Min. Negotiated Rate	$8,921.85
Max. Negotiated Rate	$12,343.08
Rate for Payer: Aetna Better Health Medicaid	$12,101.06
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,343.08
Rate for Payer: Wellpoint Medicaid Managed Care	$8,921.85

MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY

Facility

$30,084.63

Service Code	APR-DRG 3434
Min. Negotiated Rate	$23,948.88
Max. Negotiated Rate	$30,084.63
Rate for Payer: Aetna Better Health Medicaid	$29,494.74
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$30,084.63
Rate for Payer: Wellpoint Medicaid Managed Care	$23,948.88

MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY

Facility

$10,273.05

Service Code	APR-DRG 3431
Min. Negotiated Rate	$7,457.43
Max. Negotiated Rate	$10,273.05
Rate for Payer: Aetna Better Health Medicaid	$10,071.62
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$10,273.05
Rate for Payer: Wellpoint Medicaid Managed Care	$7,457.43

MUSK ANTIBODY TITER

Facility

$585.17

Service Code	HCPCS 83519
Hospital Charge Code	3001675
Hospital Revenue Code	301
Min. Negotiated Rate	$9.20
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$59.62
Rate for Payer: Aetna Medicare Advantage	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.42
Rate for Payer: Cigna Commercial	$18.40
Rate for Payer: Cigna Medicare Advantage	$9.20
Rate for Payer: Clover Medicare Advantage	$17.48
Rate for Payer: EmblemHealth Commercial	$55.20
Rate for Payer: Humana Medicare Advantage	$18.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.07
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$87.78
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.40
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19.50
Rate for Payer: Wellcare Medicare Advantage	$18.40

MUSK ANTIBODY TITER

Facility

$585.17

Service Code	HCPCS 83519
Hospital Charge Code	3001675
Hospital Revenue Code	301
Min. Negotiated Rate	$87.78
Max. Negotiated Rate	$87.78
Rate for Payer: Qualcare PPO/HMO/WC	$87.78

MUSK QN TITER AB TEST

Facility

$390.00

Service Code	HCPCS 83519
Hospital Charge Code	39900411
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

MUSK QN TITER AB TEST

Facility

$390.00

Service Code	HCPCS 83519
Hospital Charge Code	39900411
Hospital Revenue Code	301
Min. Negotiated Rate	$9.20
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$59.62
Rate for Payer: Aetna Medicare Advantage	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.42
Rate for Payer: Cigna Commercial	$18.40
Rate for Payer: Cigna Medicare Advantage	$9.20
Rate for Payer: Clover Medicare Advantage	$17.48
Rate for Payer: EmblemHealth Commercial	$55.20
Rate for Payer: Humana Medicare Advantage	$18.95
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
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.40
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19.50
Rate for Payer: Wellcare Medicare Advantage	$18.40

Know your out-of-pocket cost for care.

All Charges