Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

MORPHINE 15 MG TAB

Facility

$6.10

Service Code	NDC 54023524
Hospital Charge Code	60629965
Hospital Revenue Code	250
Min. Negotiated Rate	$0.17
Max. Negotiated Rate	$3.05
Rate for Payer: Aetna Commercial	$2.32
Rate for Payer: Aetna Medicare Advantage	$1.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.56
Rate for Payer: Cigna Commercial	$3.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.59
Rate for Payer: Oxford Commercial	$1.22
Rate for Payer: Qualcare PPO/HMO/WC	$0.92
Rate for Payer: UnitedHealthcare Commercial	$1.22
Rate for Payer: UnitedHealthcare Community & State	$0.19
Rate for Payer: Wellpoint Medicaid Managed Care	$0.17

MORPHINE 15 MG TAB

Facility

$6.10

Service Code	NDC 54023524
Hospital Charge Code	60629965
Hospital Revenue Code	250
Min. Negotiated Rate	$0.92
Max. Negotiated Rate	$0.92
Rate for Payer: Qualcare PPO/HMO/WC	$0.92

MORPHINE 1MG/1ML INJ 10ML VIAL

Facility

$61.77

Service Code	HCPCS J2270
Hospital Charge Code	6003826
Hospital Revenue Code	636
Min. Negotiated Rate	$1.75
Max. Negotiated Rate	$30.89
Rate for Payer: Aetna Commercial	$23.47
Rate for Payer: Aetna Medicare Advantage	$18.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.75
Rate for Payer: Cigna Commercial	$30.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.95
Rate for Payer: Qualcare PPO/HMO/WC	$9.27
Rate for Payer: UnitedHealthcare Community & State	$1.95
Rate for Payer: Wellpoint Medicaid Managed Care	$1.75

MORPHINE 1MG/1ML INJ 10ML VIAL

Facility

$61.77

Service Code	HCPCS J2270
Hospital Charge Code	6003826
Hospital Revenue Code	636
Min. Negotiated Rate	$9.27
Max. Negotiated Rate	$14.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.95
Rate for Payer: Qualcare PPO/HMO/WC	$9.27

MORPHINE 2 MG/ML INJ

Facility

$13.13

Service Code	HCPCS J2270
Hospital Charge Code	60627717
Hospital Revenue Code	636
Min. Negotiated Rate	$1.97
Max. Negotiated Rate	$3.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.18
Rate for Payer: Qualcare PPO/HMO/WC	$1.97

MORPHINE 2 MG/ML INJ

Facility

$13.13

Service Code	HCPCS J2270
Hospital Charge Code	60627717
Hospital Revenue Code	636
Min. Negotiated Rate	$0.37
Max. Negotiated Rate	$6.57
Rate for Payer: Aetna Commercial	$4.99
Rate for Payer: Aetna Medicare Advantage	$3.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.35
Rate for Payer: Cigna Commercial	$6.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.18
Rate for Payer: Qualcare PPO/HMO/WC	$1.97
Rate for Payer: UnitedHealthcare Community & State	$0.41
Rate for Payer: Wellpoint Medicaid Managed Care	$0.37

MORPHINE 30 MG ER TAB

Facility

$22.65

Service Code	NDC 406833023
Hospital Charge Code	6009856
Hospital Revenue Code	251
Min. Negotiated Rate	$0.64
Max. Negotiated Rate	$11.32
Rate for Payer: Aetna Commercial	$8.61
Rate for Payer: Aetna Medicare Advantage	$6.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.78
Rate for Payer: Cigna Commercial	$11.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.89
Rate for Payer: Oxford Commercial	$4.53
Rate for Payer: Qualcare PPO/HMO/WC	$3.40
Rate for Payer: UnitedHealthcare Commercial	$4.53
Rate for Payer: UnitedHealthcare Community & State	$0.72
Rate for Payer: Wellpoint Medicaid Managed Care	$0.64

MORPHINE 30 MG ER TAB

Facility

$22.65

Service Code	NDC 406833023
Hospital Charge Code	6009856
Hospital Revenue Code	251
Min. Negotiated Rate	$3.40
Max. Negotiated Rate	$3.40
Rate for Payer: Qualcare PPO/HMO/WC	$3.40

MORPHINE 30MG IR TAB

Facility

$10.32

Service Code	NDC 54023624
Hospital Charge Code	60630164
Hospital Revenue Code	250
Min. Negotiated Rate	$0.29
Max. Negotiated Rate	$5.16
Rate for Payer: Aetna Commercial	$3.92
Rate for Payer: Aetna Medicare Advantage	$3.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.63
Rate for Payer: Cigna Commercial	$5.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.68
Rate for Payer: Oxford Commercial	$2.06
Rate for Payer: Qualcare PPO/HMO/WC	$1.55
Rate for Payer: UnitedHealthcare Commercial	$2.06
Rate for Payer: UnitedHealthcare Community & State	$0.33
Rate for Payer: Wellpoint Medicaid Managed Care	$0.29

MORPHINE 30MG IR TAB

Facility

$10.32

Service Code	NDC 54023624
Hospital Charge Code	60630164
Hospital Revenue Code	250
Min. Negotiated Rate	$1.55
Max. Negotiated Rate	$1.55
Rate for Payer: Qualcare PPO/HMO/WC	$1.55

MORPHINE 4 MG INJ

Facility

$7.91

Service Code	HCPCS J2270
Hospital Charge Code	60639164
Hospital Revenue Code	636
Min. Negotiated Rate	$0.22
Max. Negotiated Rate	$3.96
Rate for Payer: Aetna Commercial	$3.01
Rate for Payer: Aetna Medicare Advantage	$2.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.02
Rate for Payer: Cigna Commercial	$3.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.91
Rate for Payer: Qualcare PPO/HMO/WC	$1.19
Rate for Payer: UnitedHealthcare Community & State	$0.25
Rate for Payer: Wellpoint Medicaid Managed Care	$0.22

MORPHINE 4 MG INJ

Facility

$7.91

Service Code	HCPCS J2270
Hospital Charge Code	60639164
Hospital Revenue Code	636
Min. Negotiated Rate	$1.19
Max. Negotiated Rate	$1.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.91
Rate for Payer: Qualcare PPO/HMO/WC	$1.19

MORPHINE 5MG/ML VIALS

Facility

$12.19

Service Code	HCPCS J2270
Hospital Charge Code	60635016
Hospital Revenue Code	636
Min. Negotiated Rate	$1.83
Max. Negotiated Rate	$2.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.95
Rate for Payer: Qualcare PPO/HMO/WC	$1.83

MORPHINE 5MG/ML VIALS

Facility

$12.19

Service Code	HCPCS J2270
Hospital Charge Code	60635016
Hospital Revenue Code	636
Min. Negotiated Rate	$0.35
Max. Negotiated Rate	$6.09
Rate for Payer: Aetna Commercial	$4.63
Rate for Payer: Aetna Medicare Advantage	$3.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.11
Rate for Payer: Cigna Commercial	$6.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.95
Rate for Payer: Qualcare PPO/HMO/WC	$1.83
Rate for Payer: UnitedHealthcare Community & State	$0.39
Rate for Payer: Wellpoint Medicaid Managed Care	$0.35

MORPHINE OPIATES BLOOD

Facility

$138.45

Service Code	HCPCS 80361
Hospital Charge Code	3009151
Hospital Revenue Code	301
Min. Negotiated Rate	$20.77
Max. Negotiated Rate	$20.77
Rate for Payer: Qualcare PPO/HMO/WC	$20.77

MORPHINE OPIATES BLOOD

Facility

$138.45

Service Code	HCPCS 80361
Hospital Charge Code	3009151
Hospital Revenue Code	301
Min. Negotiated Rate	$3.93
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$52.61
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	$36.00
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$20.77
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$22.05
Rate for Payer: Wellpoint Medicaid Managed Care	$3.93

MORPHINE PCA 1 MG/ML (30ML)

Facility

$61.10

Service Code	HCPCS J2274
Hospital Charge Code	60627719
Hospital Revenue Code	636
Min. Negotiated Rate	$9.16
Max. Negotiated Rate	$14.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.79
Rate for Payer: Qualcare PPO/HMO/WC	$9.16

MORPHINE PCA 1 MG/ML (30ML)

Facility

$61.10

Service Code	HCPCS J2274
Hospital Charge Code	60627719
Hospital Revenue Code	636
Min. Negotiated Rate	$1.74
Max. Negotiated Rate	$30.55
Rate for Payer: Aetna Commercial	$23.22
Rate for Payer: Aetna Medicare Advantage	$18.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.58
Rate for Payer: Cigna Commercial	$30.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.79
Rate for Payer: Qualcare PPO/HMO/WC	$9.16
Rate for Payer: UnitedHealthcare Community & State	$1.93
Rate for Payer: Wellpoint Medicaid Managed Care	$1.74

MORPHINE PRESER FREE 10ML

Facility

$57.62

Service Code	NDC 641602010
Hospital Charge Code	60632909
Hospital Revenue Code	250
Min. Negotiated Rate	$1.64
Max. Negotiated Rate	$28.81
Rate for Payer: Aetna Commercial	$21.90
Rate for Payer: Aetna Medicare Advantage	$17.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.69
Rate for Payer: Cigna Commercial	$28.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.98
Rate for Payer: Oxford Commercial	$11.52
Rate for Payer: Qualcare PPO/HMO/WC	$8.64
Rate for Payer: UnitedHealthcare Commercial	$11.52
Rate for Payer: UnitedHealthcare Community & State	$1.82
Rate for Payer: Wellpoint Medicaid Managed Care	$1.64

MORPHINE PRESER FREE 10ML

Facility

$57.62

Service Code	NDC 641602010
Hospital Charge Code	60632909
Hospital Revenue Code	250
Min. Negotiated Rate	$8.64
Max. Negotiated Rate	$8.64
Rate for Payer: Qualcare PPO/HMO/WC	$8.64

MORPHINE SULF LIQ 0.2MG/0.1 ML

Facility

$4.00

Service Code	NDC 54023749
Hospital Charge Code	606350974
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 SULF LIQ 0.2MG/0.1 ML

Facility

$4.00

Service Code	NDC 54023749
Hospital Charge Code	606350974
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

MORPHINE URINE OPIATE CONFIRM

Facility

$138.45

Service Code	HCPCS 80361
Hospital Charge Code	3009152
Hospital Revenue Code	301
Min. Negotiated Rate	$3.93
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$52.61
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	$36.00
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$20.77
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$22.05
Rate for Payer: Wellpoint Medicaid Managed Care	$3.93

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	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

Know your out-of-pocket cost for care.

All Charges