Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

METHYLPHENIDATE TAB 5MG

Facility

$4.29

Service Code	NDC 68084080511
Hospital Charge Code	60627836
Hospital Revenue Code	250
Min. Negotiated Rate	$0.64
Max. Negotiated Rate	$0.64
Rate for Payer: Qualcare PPO/HMO/WC	$0.64

METHYLPREDN DEPO 40 MG/ML INJ

Facility

$66.60

Service Code	HCPCS J1010
Hospital Charge Code	60628203
Hospital Revenue Code	636
Min. Negotiated Rate	$9.99
Max. Negotiated Rate	$16.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.12
Rate for Payer: Qualcare PPO/HMO/WC	$9.99

METHYLPREDN DEPO 40 MG/ML INJ

Facility

$66.60

Service Code	HCPCS J1010
Hospital Charge Code	60628203
Hospital Revenue Code	636
Min. Negotiated Rate	$1.89
Max. Negotiated Rate	$33.30
Rate for Payer: Aetna Commercial	$25.31
Rate for Payer: Aetna Medicare Advantage	$19.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.98
Rate for Payer: Cigna Commercial	$33.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.12
Rate for Payer: Qualcare PPO/HMO/WC	$9.99
Rate for Payer: UnitedHealthcare Community & State	$2.10
Rate for Payer: Wellpoint Medicaid Managed Care	$1.89

METHYLPREDNISOLONE 2MG TAB

Facility

$7.64

Service Code	NDC 9002001
Hospital Charge Code	606390546
Hospital Revenue Code	250
Min. Negotiated Rate	$1.15
Max. Negotiated Rate	$1.15
Rate for Payer: Qualcare PPO/HMO/WC	$1.15

METHYLPREDNISOLONE 2MG TAB

Facility

$7.64

Service Code	NDC 9002001
Hospital Charge Code	606390546
Hospital Revenue Code	250
Min. Negotiated Rate	$0.22
Max. Negotiated Rate	$3.82
Rate for Payer: Aetna Commercial	$2.90
Rate for Payer: Aetna Medicare Advantage	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.95
Rate for Payer: Cigna Commercial	$3.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.99
Rate for Payer: Oxford Commercial	$1.53
Rate for Payer: Qualcare PPO/HMO/WC	$1.15
Rate for Payer: UnitedHealthcare Commercial	$1.53
Rate for Payer: UnitedHealthcare Community & State	$0.24
Rate for Payer: Wellpoint Medicaid Managed Care	$0.22

METHYLPREDNISOLONE 4 MG TAB

Facility

$14.41

Service Code	HCPCS J7509
Hospital Charge Code	60628200
Hospital Revenue Code	636
Min. Negotiated Rate	$0.41
Max. Negotiated Rate	$7.21
Rate for Payer: Aetna Commercial	$5.48
Rate for Payer: Aetna Medicare Advantage	$4.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.67
Rate for Payer: Cigna Commercial	$7.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.49
Rate for Payer: Qualcare PPO/HMO/WC	$2.16
Rate for Payer: UnitedHealthcare Community & State	$0.46
Rate for Payer: Wellpoint Medicaid Managed Care	$0.41

METHYLPREDNISOLONE 4 MG TAB

Facility

$14.41

Service Code	HCPCS J7509
Hospital Charge Code	60628200
Hospital Revenue Code	636
Min. Negotiated Rate	$2.16
Max. Negotiated Rate	$3.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.49
Rate for Payer: Qualcare PPO/HMO/WC	$2.16

METHYLPREDNISOL SOD SUC INJ 1G

Facility

$198.59

Service Code	HCPCS J2919
Hospital Charge Code	60628206
Hospital Revenue Code	636
Min. Negotiated Rate	$29.79
Max. Negotiated Rate	$48.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.06
Rate for Payer: Qualcare PPO/HMO/WC	$29.79

METHYLPREDNISOL SOD SUC INJ 1G

Facility

$198.59

Service Code	HCPCS J2919
Hospital Charge Code	60628206
Hospital Revenue Code	636
Min. Negotiated Rate	$5.64
Max. Negotiated Rate	$99.30
Rate for Payer: Aetna Commercial	$75.46
Rate for Payer: Aetna Medicare Advantage	$59.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.64
Rate for Payer: Cigna Commercial	$99.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.06
Rate for Payer: Qualcare PPO/HMO/WC	$29.79
Rate for Payer: UnitedHealthcare Community & State	$6.28
Rate for Payer: Wellpoint Medicaid Managed Care	$5.64

METHYLPREDNISOLSODSUCINJ40/5MG

Facility

$28.01

Service Code	HCPCS J2919
Hospital Charge Code	60628205
Hospital Revenue Code	636
Min. Negotiated Rate	$0.80
Max. Negotiated Rate	$14.01
Rate for Payer: Aetna Commercial	$10.64
Rate for Payer: Aetna Medicare Advantage	$8.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.14
Rate for Payer: Cigna Commercial	$14.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.78
Rate for Payer: Qualcare PPO/HMO/WC	$4.20
Rate for Payer: UnitedHealthcare Community & State	$0.89
Rate for Payer: Wellpoint Medicaid Managed Care	$0.80

METHYLPREDNISOLSODSUCINJ40/5MG

Facility

$28.01

Service Code	HCPCS J2919
Hospital Charge Code	60628205
Hospital Revenue Code	636
Min. Negotiated Rate	$4.20
Max. Negotiated Rate	$6.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.78
Rate for Payer: Qualcare PPO/HMO/WC	$4.20

METHYLPRENISOLSODSUCINJ125/5MG

Facility

$72.03

Service Code	HCPCS J2919
Hospital Charge Code	60628204
Hospital Revenue Code	636
Min. Negotiated Rate	$2.05
Max. Negotiated Rate	$36.02
Rate for Payer: Aetna Commercial	$27.37
Rate for Payer: Aetna Medicare Advantage	$21.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.37
Rate for Payer: Cigna Commercial	$36.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.43
Rate for Payer: Qualcare PPO/HMO/WC	$10.80
Rate for Payer: UnitedHealthcare Community & State	$2.28
Rate for Payer: Wellpoint Medicaid Managed Care	$2.05

METHYLPRENISOLSODSUCINJ125/5MG

Facility

$72.03

Service Code	HCPCS J2919
Hospital Charge Code	60628204
Hospital Revenue Code	636
Min. Negotiated Rate	$10.80
Max. Negotiated Rate	$17.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.43
Rate for Payer: Qualcare PPO/HMO/WC	$10.80

METHYLPRENISOL SOD SUCINJ500MG

Facility

$104.86

Service Code	HCPCS J2919
Hospital Charge Code	60629130
Hospital Revenue Code	636
Min. Negotiated Rate	$2.98
Max. Negotiated Rate	$52.43
Rate for Payer: Aetna Commercial	$39.85
Rate for Payer: Aetna Medicare Advantage	$31.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.74
Rate for Payer: Cigna Commercial	$52.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.38
Rate for Payer: Qualcare PPO/HMO/WC	$15.73
Rate for Payer: UnitedHealthcare Community & State	$3.31
Rate for Payer: Wellpoint Medicaid Managed Care	$2.98

METHYLPRENISOL SOD SUCINJ500MG

Facility

$104.86

Service Code	HCPCS J2919
Hospital Charge Code	60629130
Hospital Revenue Code	636
Min. Negotiated Rate	$15.73
Max. Negotiated Rate	$25.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.38
Rate for Payer: Qualcare PPO/HMO/WC	$15.73

METOCLOPRAMIDE INJ 10MG/2ML

Facility

$4.00

Service Code	HCPCS J2765
Hospital Charge Code	60628165
Hospital Revenue Code	636
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.97
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

METOCLOPRAMIDE INJ 10MG/2ML

Facility

$4.00

Service Code	HCPCS J2765
Hospital Charge Code	60628165
Hospital Revenue Code	636
Min. Negotiated Rate	$0.11
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.52
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	$0.97
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Community & State	$0.13
Rate for Payer: Wellpoint Medicaid Managed Care	$0.11

METOCLOPRAMIDE TAB 10MG

Facility

$4.00

Service Code	NDC 63739048210
Hospital Charge Code	60628164
Hospital Revenue Code	250
Min. Negotiated Rate	$0.11
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.52
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	$1.04
Rate for Payer: Oxford Commercial	$0.80
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$0.80
Rate for Payer: UnitedHealthcare Community & State	$0.13
Rate for Payer: Wellpoint Medicaid Managed Care	$0.11

METOCLOPRAMIDE TAB 10MG

Facility

$4.00

Service Code	NDC 63739048210
Hospital Charge Code	60628164
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

METOLAZONE 2.5 MG TAB

Facility

$17.29

Service Code	NDC 378617201
Hospital Charge Code	60627972
Hospital Revenue Code	250
Min. Negotiated Rate	$0.49
Max. Negotiated Rate	$8.64
Rate for Payer: Aetna Commercial	$6.57
Rate for Payer: Aetna Medicare Advantage	$5.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.41
Rate for Payer: Cigna Commercial	$8.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.50
Rate for Payer: Oxford Commercial	$3.46
Rate for Payer: Qualcare PPO/HMO/WC	$2.59
Rate for Payer: UnitedHealthcare Commercial	$3.46
Rate for Payer: UnitedHealthcare Community & State	$0.55
Rate for Payer: Wellpoint Medicaid Managed Care	$0.49

METOLAZONE 2.5 MG TAB

Facility

$17.29

Service Code	NDC 378617201
Hospital Charge Code	60627972
Hospital Revenue Code	250
Min. Negotiated Rate	$2.59
Max. Negotiated Rate	$2.59
Rate for Payer: Qualcare PPO/HMO/WC	$2.59

METOLAZONE 5 MG TAB

Facility

$24.99

Service Code	NDC 51079002420
Hospital Charge Code	60627973
Hospital Revenue Code	250
Min. Negotiated Rate	$3.75
Max. Negotiated Rate	$3.75
Rate for Payer: Qualcare PPO/HMO/WC	$3.75

METOLAZONE 5 MG TAB

Facility

$24.99

Service Code	NDC 51079002420
Hospital Charge Code	60627973
Hospital Revenue Code	250
Min. Negotiated Rate	$0.71
Max. Negotiated Rate	$12.49
Rate for Payer: Aetna Commercial	$9.50
Rate for Payer: Aetna Medicare Advantage	$7.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.37
Rate for Payer: Cigna Commercial	$12.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.50
Rate for Payer: Oxford Commercial	$5.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.75
Rate for Payer: UnitedHealthcare Commercial	$5.00
Rate for Payer: UnitedHealthcare Community & State	$0.79
Rate for Payer: Wellpoint Medicaid Managed Care	$0.71

METOPROLOL 25 MG

Facility

$4.00

Service Code	NDC 57664050608
Hospital Charge Code	60629354
Hospital Revenue Code	250
Min. Negotiated Rate	$0.11
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.52
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	$1.04
Rate for Payer: Oxford Commercial	$0.80
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$0.80
Rate for Payer: UnitedHealthcare Community & State	$0.13
Rate for Payer: Wellpoint Medicaid Managed Care	$0.11

METOPROLOL 25 MG

Facility

$4.00

Service Code	NDC 57664050608
Hospital Charge Code	60629354
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

Know your out-of-pocket cost for care.

All Charges