Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

METHYLENE BLUE 10 MG/ML SOL

Facility

$1,349.11

Service Code	NDC 17478050410
Hospital Charge Code	60628533
Hospital Revenue Code	250
Min. Negotiated Rate	$202.37
Max. Negotiated Rate	$202.37
Rate for Payer: Qualcare PPO/HMO/WC	$202.37

METHYLENE BLUE 10 MG/ML SOL

Facility

$1,349.11

Service Code	NDC 17478050410
Hospital Charge Code	60628533
Hospital Revenue Code	250
Min. Negotiated Rate	$38.31
Max. Negotiated Rate	$674.55
Rate for Payer: Aetna Commercial	$512.66
Rate for Payer: Aetna Medicare Advantage	$404.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$344.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$344.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$344.02
Rate for Payer: Cigna Commercial	$674.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$350.77
Rate for Payer: Oxford Commercial	$269.82
Rate for Payer: Qualcare PPO/HMO/WC	$202.37
Rate for Payer: UnitedHealthcare Commercial	$269.82
Rate for Payer: UnitedHealthcare Community & State	$42.63
Rate for Payer: Wellpoint Medicaid Managed Care	$38.31

METHYLERGONOVINE MAL INJ .2MG

Facility

$57.49

Service Code	HCPCS J2210
Hospital Charge Code	6009161
Hospital Revenue Code	636
Min. Negotiated Rate	$1.63
Max. Negotiated Rate	$28.75
Rate for Payer: Aetna Commercial	$21.85
Rate for Payer: Aetna Medicare Advantage	$17.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.66
Rate for Payer: Cigna Commercial	$28.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.91
Rate for Payer: Qualcare PPO/HMO/WC	$8.62
Rate for Payer: UnitedHealthcare Community & State	$1.82
Rate for Payer: Wellpoint Medicaid Managed Care	$1.63

METHYLERGONOVINE MAL INJ .2MG

Facility

$57.49

Service Code	HCPCS J2210
Hospital Charge Code	6009161
Hospital Revenue Code	636
Min. Negotiated Rate	$8.62
Max. Negotiated Rate	$13.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.91
Rate for Payer: Qualcare PPO/HMO/WC	$8.62

METHYLERGONOVINE TAB 0.2MG

Facility

$187.20

Service Code	NDC 43386014007
Hospital Charge Code	60628283
Hospital Revenue Code	250
Min. Negotiated Rate	$28.08
Max. Negotiated Rate	$28.08
Rate for Payer: Qualcare PPO/HMO/WC	$28.08

METHYLERGONOVINE TAB 0.2MG

Facility

$187.20

Service Code	NDC 43386014007
Hospital Charge Code	60628283
Hospital Revenue Code	250
Min. Negotiated Rate	$5.32
Max. Negotiated Rate	$93.60
Rate for Payer: Aetna Commercial	$71.14
Rate for Payer: Aetna Medicare Advantage	$56.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.74
Rate for Payer: Cigna Commercial	$93.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.67
Rate for Payer: Oxford Commercial	$37.44
Rate for Payer: Qualcare PPO/HMO/WC	$28.08
Rate for Payer: UnitedHealthcare Commercial	$37.44
Rate for Payer: UnitedHealthcare Community & State	$5.92
Rate for Payer: Wellpoint Medicaid Managed Care	$5.32

METHYLMALONIC ACID

Facility

$641.00

Service Code	HCPCS 82542
Hospital Charge Code	38472012
Hospital Revenue Code	301
Min. Negotiated Rate	$96.15
Max. Negotiated Rate	$96.15
Rate for Payer: Qualcare PPO/HMO/WC	$96.15

METHYLMALONIC ACID

Facility

$509.00

Service Code	HCPCS 83921
Hospital Charge Code	38473073
Hospital Revenue Code	301
Min. Negotiated Rate	$76.35
Max. Negotiated Rate	$76.35
Rate for Payer: Qualcare PPO/HMO/WC	$76.35

METHYLMALONIC ACID

Facility

$509.00

Service Code	HCPCS 83921
Hospital Charge Code	38473073
Hospital Revenue Code	301
Min. Negotiated Rate	$14.46
Max. Negotiated Rate	$254.50
Rate for Payer: Aetna Commercial	$57.69
Rate for Payer: Aetna Medicare Advantage	$68.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.94
Rate for Payer: Cigna Commercial	$254.50
Rate for Payer: Cigna Medicare Advantage	$21.21
Rate for Payer: Clover Medicare Advantage	$20.15
Rate for Payer: EmblemHealth Commercial	$63.63
Rate for Payer: Humana Medicare Advantage	$21.85
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$21.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$132.34
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$76.35
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$16.97
Rate for Payer: UnitedHealthcare Medicare Advantage	$21.21
Rate for Payer: Wellcare Medicare Advantage	$21.21
Rate for Payer: Wellpoint Medicaid Managed Care	$14.46

METHYLMALONIC ACID

Facility

$641.00

Service Code	HCPCS 82542
Hospital Charge Code	38472012
Hospital Revenue Code	301
Min. Negotiated Rate	$16.88
Max. Negotiated Rate	$320.50
Rate for Payer: Aetna Commercial	$65.52
Rate for Payer: Aetna Medicare Advantage	$78.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$87.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$87.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$24.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$87.39
Rate for Payer: Cigna Commercial	$320.50
Rate for Payer: Cigna Medicare Advantage	$24.09
Rate for Payer: Clover Medicare Advantage	$22.89
Rate for Payer: EmblemHealth Commercial	$72.27
Rate for Payer: Humana Medicare Advantage	$24.81
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$24.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$166.66
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$96.15
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$19.27
Rate for Payer: UnitedHealthcare Medicare Advantage	$24.09
Rate for Payer: Wellcare Medicare Advantage	$24.09
Rate for Payer: Wellpoint Medicaid Managed Care	$18.20

METHYLMALONIC ACID,SERUM

Facility

$667.59

Service Code	HCPCS 83921
Hospital Charge Code	39990016EX
Hospital Revenue Code	301
Min. Negotiated Rate	$100.14
Max. Negotiated Rate	$100.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.14

METHYLMALONIC ACID,SERUM

Facility

$667.59

Service Code	HCPCS 83921
Hospital Charge Code	39990016EX
Hospital Revenue Code	301
Min. Negotiated Rate	$15.38
Max. Negotiated Rate	$333.80
Rate for Payer: Aetna Commercial	$57.69
Rate for Payer: Aetna Medicare Advantage	$68.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.94
Rate for Payer: Cigna Commercial	$333.80
Rate for Payer: Cigna Medicare Advantage	$21.21
Rate for Payer: Clover Medicare Advantage	$20.15
Rate for Payer: EmblemHealth Commercial	$63.63
Rate for Payer: Humana Medicare Advantage	$21.85
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$21.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.57
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$100.14
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$16.97
Rate for Payer: UnitedHealthcare Medicare Advantage	$21.21
Rate for Payer: Wellcare Medicare Advantage	$21.21
Rate for Payer: Wellpoint Medicaid Managed Care	$18.96

METHYLMALONIC ACID,SERUM I

Facility

$113.10

Service Code	HCPCS 83918
Hospital Charge Code	39990016A
Hospital Revenue Code	301
Min. Negotiated Rate	$3.21
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$64.19
Rate for Payer: Aetna Medicare Advantage	$76.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$85.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$85.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$23.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$85.61
Rate for Payer: Cigna Commercial	$56.55
Rate for Payer: Cigna Medicare Advantage	$23.60
Rate for Payer: Clover Medicare Advantage	$22.42
Rate for Payer: EmblemHealth Commercial	$70.80
Rate for Payer: Humana Medicare Advantage	$24.31
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$23.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.41
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.96
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$18.88
Rate for Payer: UnitedHealthcare Medicare Advantage	$23.60
Rate for Payer: Wellcare Medicare Advantage	$23.60
Rate for Payer: Wellpoint Medicaid Managed Care	$3.21

METHYLMALONIC ACID,SERUM I

Facility

$113.10

Service Code	HCPCS 83918
Hospital Charge Code	39990016A
Hospital Revenue Code	301
Min. Negotiated Rate	$16.96
Max. Negotiated Rate	$16.96
Rate for Payer: Qualcare PPO/HMO/WC	$16.96

METHYLMALONIC ACID,SERUM II

Facility

$113.10

Service Code	HCPCS 83921
Hospital Charge Code	39990016B
Hospital Revenue Code	301
Min. Negotiated Rate	$16.96
Max. Negotiated Rate	$16.96
Rate for Payer: Qualcare PPO/HMO/WC	$16.96

METHYLMALONIC ACID,SERUM II

Facility

$113.10

Service Code	HCPCS 83921
Hospital Charge Code	39990016B
Hospital Revenue Code	301
Min. Negotiated Rate	$3.21
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$57.69
Rate for Payer: Aetna Medicare Advantage	$68.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.94
Rate for Payer: Cigna Commercial	$56.55
Rate for Payer: Cigna Medicare Advantage	$21.21
Rate for Payer: Clover Medicare Advantage	$20.15
Rate for Payer: EmblemHealth Commercial	$63.63
Rate for Payer: Humana Medicare Advantage	$21.85
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$21.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.41
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.96
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$16.97
Rate for Payer: UnitedHealthcare Medicare Advantage	$21.21
Rate for Payer: Wellcare Medicare Advantage	$21.21
Rate for Payer: Wellpoint Medicaid Managed Care	$3.21

METHYLMALONIC H,CYSTEINE

Facility

$641.00

Service Code	HCPCS 83921
Hospital Charge Code	38479108
Hospital Revenue Code	301
Min. Negotiated Rate	$96.15
Max. Negotiated Rate	$96.15
Rate for Payer: Qualcare PPO/HMO/WC	$96.15

METHYLMALONIC H,CYSTEINE

Facility

$641.00

Service Code	HCPCS 83921
Hospital Charge Code	38479108
Hospital Revenue Code	301
Min. Negotiated Rate	$15.38
Max. Negotiated Rate	$320.50
Rate for Payer: Aetna Commercial	$57.69
Rate for Payer: Aetna Medicare Advantage	$68.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.94
Rate for Payer: Cigna Commercial	$320.50
Rate for Payer: Cigna Medicare Advantage	$21.21
Rate for Payer: Clover Medicare Advantage	$20.15
Rate for Payer: EmblemHealth Commercial	$63.63
Rate for Payer: Humana Medicare Advantage	$21.85
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$21.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$166.66
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$96.15
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$16.97
Rate for Payer: UnitedHealthcare Medicare Advantage	$21.21
Rate for Payer: Wellcare Medicare Advantage	$21.21
Rate for Payer: Wellpoint Medicaid Managed Care	$18.20

METHYLNALTREXONE 8MG/0.4ML SYR

Facility

$579.35

Service Code	HCPCS J2212
Hospital Charge Code	606390466
Hospital Revenue Code	636
Min. Negotiated Rate	$16.45
Max. Negotiated Rate	$289.68
Rate for Payer: Aetna Commercial	$220.15
Rate for Payer: Aetna Medicare Advantage	$173.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$147.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$147.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$147.73
Rate for Payer: Cigna Commercial	$289.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$140.20
Rate for Payer: Qualcare PPO/HMO/WC	$86.90
Rate for Payer: UnitedHealthcare Community & State	$18.31
Rate for Payer: Wellpoint Medicaid Managed Care	$16.45

METHYLNALTREXONE 8MG/0.4ML SYR

Facility

$579.35

Service Code	HCPCS J2212
Hospital Charge Code	606390466
Hospital Revenue Code	636
Min. Negotiated Rate	$86.90
Max. Negotiated Rate	$140.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$140.20
Rate for Payer: Qualcare PPO/HMO/WC	$86.90

METHYLPHENIDATE 10MG

Facility

$6.97

Service Code	NDC 406114401
Hospital Charge Code	6022073
Hospital Revenue Code	251
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$1.05
Rate for Payer: Qualcare PPO/HMO/WC	$1.05

METHYLPHENIDATE 10MG

Facility

$6.97

Service Code	NDC 406114401
Hospital Charge Code	6022073
Hospital Revenue Code	251
Min. Negotiated Rate	$0.20
Max. Negotiated Rate	$3.48
Rate for Payer: Aetna Commercial	$2.65
Rate for Payer: Aetna Medicare Advantage	$2.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.78
Rate for Payer: Cigna Commercial	$3.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.81
Rate for Payer: Oxford Commercial	$1.39
Rate for Payer: Qualcare PPO/HMO/WC	$1.05
Rate for Payer: UnitedHealthcare Commercial	$1.39
Rate for Payer: UnitedHealthcare Community & State	$0.22
Rate for Payer: Wellpoint Medicaid Managed Care	$0.20

METHYLPHENIDATE ER 10MG TAB

Facility

$55.34

Service Code	NDC 53014057907
Hospital Charge Code	6063943133
Hospital Revenue Code	250
Min. Negotiated Rate	$8.30
Max. Negotiated Rate	$8.30
Rate for Payer: Qualcare PPO/HMO/WC	$8.30

METHYLPHENIDATE ER 10MG TAB

Facility

$55.34

Service Code	NDC 53014057907
Hospital Charge Code	6063943133
Hospital Revenue Code	250
Min. Negotiated Rate	$1.57
Max. Negotiated Rate	$27.67
Rate for Payer: Aetna Commercial	$21.03
Rate for Payer: Aetna Medicare Advantage	$16.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.11
Rate for Payer: Cigna Commercial	$27.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.39
Rate for Payer: Oxford Commercial	$11.07
Rate for Payer: Qualcare PPO/HMO/WC	$8.30
Rate for Payer: UnitedHealthcare Commercial	$11.07
Rate for Payer: UnitedHealthcare Community & State	$1.75
Rate for Payer: Wellpoint Medicaid Managed Care	$1.57

METHYLPHENIDATE TAB 5MG

Facility

$4.29

Service Code	NDC 68084080511
Hospital Charge Code	60627836
Hospital Revenue Code	250
Min. Negotiated Rate	$0.12
Max. Negotiated Rate	$2.15
Rate for Payer: Aetna Commercial	$1.63
Rate for Payer: Aetna Medicare Advantage	$1.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.09
Rate for Payer: Cigna Commercial	$2.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.12
Rate for Payer: Oxford Commercial	$0.86
Rate for Payer: Qualcare PPO/HMO/WC	$0.64
Rate for Payer: UnitedHealthcare Commercial	$0.86
Rate for Payer: UnitedHealthcare Community & State	$0.14
Rate for Payer: Wellpoint Medicaid Managed Care	$0.12

Know your out-of-pocket cost for care.

All Charges