Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

MONOTUBE TRIAX-STERILEWRISTKIT

Facility

$11,075.00

Hospital Charge Code	270663134
Hospital Revenue Code	270
Min. Negotiated Rate	$314.53
Max. Negotiated Rate	$5,537.50
Rate for Payer: Aetna Commercial	$4,208.50
Rate for Payer: Aetna Medicare Advantage	$3,322.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,824.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,824.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,824.12
Rate for Payer: Cigna Commercial	$5,537.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,879.50
Rate for Payer: Oxford Commercial	$2,215.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,661.25
Rate for Payer: UnitedHealthcare Commercial	$2,215.00
Rate for Payer: UnitedHealthcare Community & State	$349.97
Rate for Payer: Wellpoint Medicaid Managed Care	$314.53

MONOTUBE TRIAX WRIST KIT

Facility

$8,771.40

Hospital Charge Code	270660594
Hospital Revenue Code	272
Min. Negotiated Rate	$1,315.71
Max. Negotiated Rate	$1,315.71
Rate for Payer: Qualcare PPO/HMO/WC	$1,315.71

MONOTUBE TRIAX WRIST KIT

Facility

$8,771.40

Hospital Charge Code	270660594
Hospital Revenue Code	272
Min. Negotiated Rate	$249.11
Max. Negotiated Rate	$4,385.70
Rate for Payer: Aetna Commercial	$3,333.13
Rate for Payer: Aetna Medicare Advantage	$2,631.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,236.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,236.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,236.71
Rate for Payer: Cigna Commercial	$4,385.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,280.56
Rate for Payer: Oxford Commercial	$1,754.28
Rate for Payer: Qualcare PPO/HMO/WC	$1,315.71
Rate for Payer: UnitedHealthcare Commercial	$1,754.28
Rate for Payer: UnitedHealthcare Community & State	$277.18
Rate for Payer: Wellpoint Medicaid Managed Care	$249.11

MONTELUKAST 10 MG TAB

Facility

$37.92

Service Code	NDC 54025913
Hospital Charge Code	60629041
Hospital Revenue Code	250
Min. Negotiated Rate	$1.08
Max. Negotiated Rate	$18.96
Rate for Payer: Aetna Commercial	$14.41
Rate for Payer: Aetna Medicare Advantage	$11.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.67
Rate for Payer: Cigna Commercial	$18.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.86
Rate for Payer: Oxford Commercial	$7.58
Rate for Payer: Qualcare PPO/HMO/WC	$5.69
Rate for Payer: UnitedHealthcare Commercial	$7.58
Rate for Payer: UnitedHealthcare Community & State	$1.20
Rate for Payer: Wellpoint Medicaid Managed Care	$1.08

MONTELUKAST 10 MG TAB

Facility

$37.92

Service Code	NDC 54025913
Hospital Charge Code	60629041
Hospital Revenue Code	250
Min. Negotiated Rate	$5.69
Max. Negotiated Rate	$5.69
Rate for Payer: Qualcare PPO/HMO/WC	$5.69

MONTELUSKAST 4MG (SINGULAR)

Facility

$37.92

Service Code	NDC 93742456
Hospital Charge Code	6000385
Hospital Revenue Code	250
Min. Negotiated Rate	$5.69
Max. Negotiated Rate	$5.69
Rate for Payer: Qualcare PPO/HMO/WC	$5.69

MONTELUSKAST 4MG (SINGULAR)

Facility

$37.92

Service Code	NDC 93742456
Hospital Charge Code	6000385
Hospital Revenue Code	250
Min. Negotiated Rate	$1.08
Max. Negotiated Rate	$18.96
Rate for Payer: Aetna Commercial	$14.41
Rate for Payer: Aetna Medicare Advantage	$11.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.67
Rate for Payer: Cigna Commercial	$18.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.86
Rate for Payer: Oxford Commercial	$7.58
Rate for Payer: Qualcare PPO/HMO/WC	$5.69
Rate for Payer: UnitedHealthcare Commercial	$7.58
Rate for Payer: UnitedHealthcare Community & State	$1.20
Rate for Payer: Wellpoint Medicaid Managed Care	$1.08

MONTIOR HANDSET COMMUNICATOR

Facility

$5,975.00

Service Code	HCPCS C1787
Hospital Charge Code	270691736
Hospital Revenue Code	270
Min. Negotiated Rate	$896.25
Max. Negotiated Rate	$896.25
Rate for Payer: Qualcare PPO/HMO/WC	$896.25

MONTIOR HANDSET COMMUNICATOR

Facility

$5,975.00

Service Code	HCPCS C1787
Hospital Charge Code	270691736
Hospital Revenue Code	270
Min. Negotiated Rate	$169.69
Max. Negotiated Rate	$2,987.50
Rate for Payer: Aetna Commercial	$2,270.50
Rate for Payer: Aetna Medicare Advantage	$1,792.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,523.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,523.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,523.62
Rate for Payer: Cigna Commercial	$2,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,553.50
Rate for Payer: Oxford Commercial	$1,195.00
Rate for Payer: Qualcare PPO/HMO/WC	$896.25
Rate for Payer: UnitedHealthcare Commercial	$1,195.00
Rate for Payer: UnitedHealthcare Community & State	$188.81
Rate for Payer: Wellpoint Medicaid Managed Care	$169.69

MOPATH PROCEDURE LVL 7

Facility

$1,414.40

Service Code	HCPCS 81406
Hospital Charge Code	401181406A
Hospital Revenue Code	306
Min. Negotiated Rate	$212.16
Max. Negotiated Rate	$212.16
Rate for Payer: Qualcare PPO/HMO/WC	$212.16

MOPATH PROCEDURE LVL 7

Facility

$1,414.40

Service Code	HCPCS 81406
Hospital Charge Code	401181406A
Hospital Revenue Code	306
Min. Negotiated Rate	$40.17
Max. Negotiated Rate	$1,026.15
Rate for Payer: Aetna Commercial	$769.43
Rate for Payer: Aetna Medicare Advantage	$916.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,026.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,026.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$282.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,026.15
Rate for Payer: Cigna Commercial	$707.20
Rate for Payer: Cigna Medicare Advantage	$282.88
Rate for Payer: Clover Medicare Advantage	$268.74
Rate for Payer: EmblemHealth Commercial	$848.64
Rate for Payer: Humana Medicare Advantage	$291.37
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$282.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.74
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$212.16
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$226.30
Rate for Payer: UnitedHealthcare Medicare Advantage	$282.88
Rate for Payer: Wellcare Medicare Advantage	$282.88
Rate for Payer: Wellpoint Medicaid Managed Care	$40.17

MOPS FEMORA CONDYLE MED

Facility

$59,800.00

Hospital Charge Code	270688279
Hospital Revenue Code	278
Min. Negotiated Rate	$1,698.32
Max. Negotiated Rate	$29,900.00
Rate for Payer: Aetna Commercial	$22,724.00
Rate for Payer: Aetna Medicare Advantage	$17,940.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15,249.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15,249.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11,960.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15,249.00
Rate for Payer: Cigna Commercial	$29,900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14,471.60
Rate for Payer: Qualcare PPO/HMO/WC	$8,970.00
Rate for Payer: UnitedHealthcare Community & State	$1,889.68
Rate for Payer: Wellpoint Medicaid Managed Care	$1,698.32

MOPS FEMORA CONDYLE MED

Facility

$59,800.00

Hospital Charge Code	270688279
Hospital Revenue Code	278
Min. Negotiated Rate	$8,970.00
Max. Negotiated Rate	$14,471.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11,960.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14,471.60
Rate for Payer: Qualcare PPO/HMO/WC	$8,970.00

MORPHINE

Facility

$291.00

Service Code	HCPCS 80361
Hospital Charge Code	38472512
Hospital Revenue Code	301
Min. Negotiated Rate	$8.26
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$110.58
Rate for Payer: Aetna Medicare Advantage	$87.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.20
Rate for Payer: Cigna Commercial	$145.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.66
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$43.65
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$22.05
Rate for Payer: Wellpoint Medicaid Managed Care	$8.26

MORPHINE

Facility

$291.00

Service Code	HCPCS 80361
Hospital Charge Code	38472512
Hospital Revenue Code	301
Min. Negotiated Rate	$43.65
Max. Negotiated Rate	$43.65
Rate for Payer: Qualcare PPO/HMO/WC	$43.65

MORPHINE 100 MG/4 ML

Facility

$85.56

Service Code	HCPCS J2270
Hospital Charge Code	60630077
Hospital Revenue Code	636
Min. Negotiated Rate	$2.43
Max. Negotiated Rate	$42.78
Rate for Payer: Aetna Commercial	$32.51
Rate for Payer: Aetna Medicare Advantage	$25.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.82
Rate for Payer: Cigna Commercial	$42.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.71
Rate for Payer: Qualcare PPO/HMO/WC	$12.83
Rate for Payer: UnitedHealthcare Community & State	$2.70
Rate for Payer: Wellpoint Medicaid Managed Care	$2.43

MORPHINE 100 MG/4 ML

Facility

$85.56

Service Code	HCPCS J2270
Hospital Charge Code	60630077
Hospital Revenue Code	636
Min. Negotiated Rate	$12.83
Max. Negotiated Rate	$20.71
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.71
Rate for Payer: Qualcare PPO/HMO/WC	$12.83

MORPHINE 10MG/0.5ML ORAL SYR

Facility

$16.82

Service Code	NDC 68094075401
Hospital Charge Code	606390135
Hospital Revenue Code	250
Min. Negotiated Rate	$0.48
Max. Negotiated Rate	$8.41
Rate for Payer: Aetna Commercial	$6.39
Rate for Payer: Aetna Medicare Advantage	$5.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.29
Rate for Payer: Cigna Commercial	$8.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.37
Rate for Payer: Oxford Commercial	$3.36
Rate for Payer: Qualcare PPO/HMO/WC	$2.52
Rate for Payer: UnitedHealthcare Commercial	$3.36
Rate for Payer: UnitedHealthcare Community & State	$0.53
Rate for Payer: Wellpoint Medicaid Managed Care	$0.48

MORPHINE 10MG/0.5ML ORAL SYR

Facility

$16.82

Service Code	NDC 68094075401
Hospital Charge Code	606390135
Hospital Revenue Code	250
Min. Negotiated Rate	$2.52
Max. Negotiated Rate	$2.52
Rate for Payer: Qualcare PPO/HMO/WC	$2.52

MORPHINE 10 MG/5 ML ORAL SOLN

Facility

$4.09

Service Code	NDC 54023749
Hospital Charge Code	60627714
Hospital Revenue Code	250
Min. Negotiated Rate	$0.12
Max. Negotiated Rate	$2.04
Rate for Payer: Aetna Commercial	$1.55
Rate for Payer: Aetna Medicare Advantage	$1.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.04
Rate for Payer: Cigna Commercial	$2.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.06
Rate for Payer: Oxford Commercial	$0.82
Rate for Payer: Qualcare PPO/HMO/WC	$0.61
Rate for Payer: UnitedHealthcare Commercial	$0.82
Rate for Payer: UnitedHealthcare Community & State	$0.13
Rate for Payer: Wellpoint Medicaid Managed Care	$0.12

MORPHINE 10 MG/5 ML ORAL SOLN

Facility

$4.09

Service Code	NDC 54023749
Hospital Charge Code	60627714
Hospital Revenue Code	250
Min. Negotiated Rate	$0.61
Max. Negotiated Rate	$0.61
Rate for Payer: Qualcare PPO/HMO/WC	$0.61

MORPHINE 10 MG/ML INJ

Facility

$8.04

Service Code	HCPCS J2270
Hospital Charge Code	60627713
Hospital Revenue Code	636
Min. Negotiated Rate	$0.23
Max. Negotiated Rate	$4.02
Rate for Payer: Aetna Commercial	$3.06
Rate for Payer: Aetna Medicare Advantage	$2.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.05
Rate for Payer: Cigna Commercial	$4.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.95
Rate for Payer: Qualcare PPO/HMO/WC	$1.21
Rate for Payer: UnitedHealthcare Community & State	$0.25
Rate for Payer: Wellpoint Medicaid Managed Care	$0.23

MORPHINE 10 MG/ML INJ

Facility

$8.04

Service Code	HCPCS J2270
Hospital Charge Code	60627713
Hospital Revenue Code	636
Min. Negotiated Rate	$1.21
Max. Negotiated Rate	$1.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.95
Rate for Payer: Qualcare PPO/HMO/WC	$1.21

MORPHINE 15 MG ER TAB

Facility

$4.00

Service Code	NDC 42858080101
Hospital Charge Code	60627715
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

MORPHINE 15 MG ER TAB

Facility

$4.00

Service Code	NDC 42858080101
Hospital Charge Code	60627715
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